Issues with CHOL004

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...
PCA’s – Patient Choice Pathway

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...
MMRV – VI002  Manual Adjustment for 2025/26

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...
Practice Finance Management Consultant

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...
Changes to the GMS Contract 2026/27

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...
Asthma Review (AST007)

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...
CQRS – Retired QI Indicators

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...
PHCSG Travel Bursary

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:...
Expansion of RSV Vaccine Eligibility

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...
National patient safety alert

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’...