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 Alternative Lipid Lowering Therapy

• If taking alternative lipid lowering therapy needs a statin PCA (as below)
• If can't/won't take any medication then use following PCAs
• Lipid lowering therapy declined
• Lipid lowering therapy not indicated
• Lipid lowering therapy contraindicated

DM022/23: Statins

• Statin Declined
• Statin Contraindicated
• Statin Not Indicated
• Statin Not Tolerated

HF003: ACE or ARB

• Angiotensin converting enzyme inhibitors contraindicated // Angiotensin II receptor antagonists contraindicated
• Angiotensin converting enzyme inhibitors not tolerated // Angiotensin II receptor antagonists not tolerated
• Angiotensin converting enzyme inhibitors not indicated // Angiotensin II receptor antagonists not indicated

CHD005: Aspirin, alternative anti-platelet or anti-coag

• Over the counter aspirin therapy / Aspirin not indicated / Aspirin not tolerated / Aspirin contraindicated
• Clopidogrel contraindicated / Clopidogrel not tolerated / Clopidogrel not indicated
• Novel oral anticoagulant not indicated / Novel oral anticoagulant not tolerated / Novel oral anticoagulant contraindicated

STIA007: Anti-platelet or anti-coag

• Same as above