SMOK004 - Smokers given advice
The information contained within this article is from version 49 of the Business Rules for Quality and Outcomes Framework (QOF).
Indicator definition
Indicator ID | Description |
SMOK004 | The percentage of patients aged 15 or over who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 24 months. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the SMOK004 denominator if:
- they are at least 15 years old
- their current smoking status is a smoker
How to achieve the indicator
To meet the criteria for SMOK004, eligible patients must have:
What will remove patients from eligibility?
Patients are can be excluded from SMOK004 if:
- Patients for whom smoking quality care indicator was unsuitable in the contract year
- Patients who chose not to receive the smoking quality care indicator in the contract year
- Patients who have been invited twice for review (at least 7 days apart)
- Patients who were newly registered with the practice in the last 3 months of the contract year
If a patient achieves the
indicator at any point during the year, any exclusions that have also been
added are ignored.
Hints and tips for achieving this indicator
This indicator can commonly be achieved by sending messages using your text messaging system.
SNOMED codes used in this indicator
The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD). Not all of these may be present or selectable in all clinical systems.
Codes for smoking quality indicator care unsuitable for patient (SMOKPCAPU_COD)
SNOMED code | SNOMED code description |
716391000000109 | Excepted from smoking quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to receive smoking quality indicator care (SMOKPCADEC_COD)
SNOMED code | SNOMED code description |
717771000000108 | Excepted from smoking quality indicators - informed dissent |
Invite for smoking care review codes (SMOKINVITE_COD)
SNOMED code | SNOMED code description |
1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
1110971000000101 | Quality and Outcomes Framework smoking quality indicator-related care invitation |
| 143461000000103 | Quality and Outcomes Framework smoking quality indicator-related care invitation using preferred method of communication |
| 185792005 | Stop smoking monitoring first letter |
| 185793000 | Stop smoking monitoring second letter |
| 185794006 | Stop smoking monitoring third letter |
| 185795007 | Stop smoking monitoring verbal invite |
| 185796008 | Stop smoking monitoring telephone invite |
| 310429001 | Smoking monitoring invitation |
| 783381000000101 | Stop smoking invitation short message service text message |
| 783401000000101 | Stop smoking invitation first short message service text message |
| 783441000000103 | Stop smoking invitation second short message service text message |
| 783481000000106 | Stop smoking invitation third short message service text message |
Support and refer stop smoking service and advisor codes (REFERSSSA_COD)
SNOMED code | SNOMED code description |
1087441000000106 | Smoking cessation programme declined |
225323000 | Smoking cessation education |
315232003 | Referral to stop-smoking clinic |
395700008 | Referral to smoking cessation advisor |
401068004 | Seen by smoking cessation advisor |
505281000000106 | Referral to National Health Service stop smoking service |
527151000000107 | Smoking cessation advice declined |
712971000000108 | Practice based smoking cessation programme start date |
755721000000107 | Consent given for follow-up by smoking cessation team |
755741000000100 | Declined consent for follow-up by smoking cessation team |
767641000000109 | Referral for smoking cessation service offered |
770729006 | Referral for brief intervention for smoking cessation |
771155005 | Brief intervention for smoking cessation |
871641000000105 | Referral to smoking cessation service declined |
871661000000106 | Referral to smoking cessation service |
Smoking pharmacotherapy codes (PHARM_COD)
SNOMED code | SNOMED code description |
151159008 | Nicotine replacement therapy |
280801000000101 | Nicotine replacement therapy using nicotine gum |
280811000000104 | Nicotine replacement therapy using nicotine inhalator |
313396002 | Nicotine replacement therapy |
315055008 | Over the counter nicotine replacement therapy |
390905006 | Nicotine replacement therapy provided free |
710081004 | Smoking cessation therapy |
713700008 | Smoking cessation drug therapy |
719509001 | Bupropion therapy |
719591006 | Varenicline therapy |
784481000000108 | Issue of nicotine replacement therapy voucher |
790121000000107 | Nicotine replacement therapy using nicotine patch |
790131000000109 | Nicotine replacement therapy using nicotine lozenge |
822591000000108 | Smoking cessation drug therapy declined |
966991000000104 | Varenicline smoking cessation therapy offered |
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