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Posts from our Hints & Tips…
Issues with CHOL004
I wonder if anyone has had any issues with CHOL004 (cholesterol to target) as the last part of the indicator reads – for multiple readings on the latest date the LDL reading takes priority – we have patients with an absence of LDL-c (too low to calculate) so just a non HDL. Because of this […]
PCA’s – Patient Choice Pathway
(following a shared decision-making conversation) We are often asked questions around the patient choice pathway. This PCA criteria requires a personal contact or discussion recorded in the patient record, noting the reason for the intervention being declined. This contact may be face-to-face, video or telephone contact between the patient and a health professional. What does […]
MMRV – VI002 Manual Adjustment for 2025/26
From 1st January 2026 eligible children are now offered a combined MMRV vaccine instead of MMR as part of the childhood routine 2-dose vaccination schedule. For QOF VI002 , both MMR or MMRV counts towards achievement. However, it was not possible to reflect this change in the business rules for the VI002 indicator for 2025/26. This […]
Practice Finance Management Consultant
Do you have a new practice manager who is struggling to make sense of the practice finances? Are you between practice manager’s and struggling to muddle along? Would you benefit from some expert help? The most common issues include: CQRS monthly submissions, year-end declarations, accepting new services PCSE GMS monthly statements Prescription statements Capital account […]
Changes to the GMS Contract 2026/27
The news is out and there is lots of speculation around the changes, as well as news the BMA’s GP Committee have voted to reject the changes. So this is what we know so far but subject to change … Below we have summarised what we know but this is just top level information at […]
Asthma Review (AST007)
We are receiving lots of queries around AST007, practices thinking they have achieved it, however, it is still outstanding. Ensure you have coded: Asthma review Written asthma care plan coded on the same day as the review Number of exacerbations coded up to 1 month before or on the same day as the review NOTE: […]
CQRS – Retired QI Indicators
Although the 6 manual QI indicators (QI013-QI019) have been retired for 2025/26 (and are therefore not subject to review), practices are still required to submit a response for each of the indicators on CQRS. As many of the QI projects were based around best practice, many practices will have naturally continued to work this way so […]
PHCSG Travel Bursary
For anyone starting out in Primary Care Informatics, PHCSG are offering a travel bursary to attend MIE in Genoa in May 2026. This bursary is in honour Julian Costello, a GP I was lucky enough to work with for many years. More information can be found here: https://www.bcs.org/membership-and-registrations/member-communities/primary-health-care-specialist-group/prizes-and-awards/julian-costello-travel-bursaries/
Expansion of RSV Vaccine Eligibility
From 1st April 2026, to coincide with COVID Vaccines for possible co-administration, the eligibility for RSV will include patients 80 years & over and all residents in care homes for older adults (previously only offered to patients who had not yet reached 80 years of age). The expanded eligibility with have no upper age limit. […]
National patient safety alert
Beware of incorrectly coding a patient’s penicillin allergy as a penicillamine allergy. This error risks a patient with a known penicillin allergy being administered a penicillin-based antibiotic and having a potentially fatal anaphylactic reaction. ‘Penicillin’ describes a group of broad-spectrum penicillin-based antibiotics. Penicillamine is a drug used to treat Wilson’s disease and severe active rheumatoid […]
Rybelsus (semaglutide) Changes In Formulation
Rybelsus should always be taken once daily (1 tablet per day). Patients should be switched directly to the new equivalent strength: If dose escalation due, patients can be switched to the higher new strength. Patients should be informed about the change in formulation and strength when prescribing or dispensing and new patients should start […]
PCA’s – CHOL003 & BP Targets
We are receiving lots of queries from practices struggling with CHOL003 – Q: We are having issues with CHOL003 – Consider statin or other lipid-lowering therapy – this is still outstanding although we have used Statin declined (XaIIl) (SNOMED: 134396000) A: statin is just the recommended first line therapy. If the patient has declined just […]
PCSE Online – Accountant Access
From 16 January 2026, new functionality is available in PCSE Online to support GP accountants who work on behalf of GP Pension Scheme Members. This will allow accountants to view a member’s Employee Contribution Statement and to complete annual Type 1 or Type 2 certificates where needed (following authorisation from the practice). For more information […]
Childhood Immunisation Calculator
Public Health have created a downloadable immunisation calculator for GP surgeries and other relevant health professionals. Use it to calculate when a baby or child, is due which vaccines. Once you have access; you can enter their date of birth in the calculator worksheet and it will show what they require from 01/01/2026. It is […]
Regular Consultancy Days
This month we have seen a massive uptake of practice consultancy days and I completely understand why – practice managers have this need to keep every plate spinning, this super-being who is an expert in HR, IT, finance, business development, facilities, complaints, flu & COVID clinics to name but a few. The job has become […]
QOF Prevalence Health Check
Comparison August 2023 – August 2025 Have you ever compared your list size/register sizes from one QOF year to another and looked at what effect this could have on the practice, especially appointments? Target population increase by 258 patients More than 3,000 patients have been […]
Fees for DVLA Reports
And more good news … From 1st January 2026, the fee for completing a DVLA form has increased to £50 (from £40) and from 1st April 2026, will increase to £62.50. The fee increase is so the service is more in line with the work required to complete the form. The BMA are encouraging forms […]
Hints & Tips
Coils – FP34D claims Our back-office coding team code lots of coils done outside of the practice. To ensure you are correctly claiming for all coils in-house, we recommend to practices you exclude DocMAN user in your claim searches or output user so you can identify which ones have been performed in-house. LD removal code […]