QOF Medication PCA’s

QOF Medication PCA’s

There is still some confusion around PCA’s for medication indicators 2024/25, hope this summary helps – AF008: DOAC in first-line. If on Warfarin need a DOAC PCA Contraindicated Declined Not Indicated + Time In Therapeutic Range >=65% CHOL003: Statin or...
QOF – Maximal Tolerated Exception Codes

QOF – Maximal Tolerated Exception Codes

Q: What are the rules for adding maximum tolerated codes? The decision to add a maximal tolerated exception code always sits with a clinician and would be decided on a patient by patient basis. The guidance is therapies should be titrated until the target or maximum...
QOF Medication PCA’s

PCA’s (QOF Exceptions)

Key points – Used to enhance patient care, not a tick-box exercise The use of informed dissent should generally be very minimal – only used where patient has not had 2 invites & chat with GP If you have used the correct disease invite codes, once you...
QOF – Maximal Tolerated Exception Codes

QOF – Mental Health in Remission

Remission codes should only be used if the patient has: No record of antipsychotic or mood stabiliser meds for 5 or more years No MH in-patient episodes for 5 or more years No secondary care MH follow-up for 5 or more years Where a patient is recorded as being in...
Case Study – QOF Prevalence Health Check with Follow-Up

Case Study – QOF Prevalence Health Check with Follow-Up

Based in a historic market town in South England 18,366 patients – 80% larger than the average practice Adjusted £ Per point is £406.65 (£220.62 for the average practice) – 179 QOF points are not dependant on prevalence (non-weighted) so are each worth...
QOF Prevalence 2023/24

QOF Prevalence 2023/24

The latest prevalence rates have recently been published. In the main, prevalence rates have increased across the board, however, PAD, CHD, mental health and new diagnoses of depression saw a slight decrease. The biggest increases are obesity (not unexpected as rates...