PCA’s (QOF Exceptions)

Friday 14th Feb 2025

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 have sent 2 invites at least 7 days apart, you will not be penalised for the patient not attending
  • Single indicator exceptions should still be used to indicate good patient care
  • Intolerance, allergy, service not available, maximum tolerated
  • Where relevant, add free text to back up your use of a code
  • Apply codes based on clinical judgement, based on individual patient, no blanket codes should be applied
  • Do not use a top-level code for a specific indicator
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