Must be 18 years or over Must have HbA1c 42-47 mmol/mol reading within the last 12 months or a history (or current) diagnosis of gestational diabetes Must not have a diagnosis of diabetes Must not be pregnant Must not have an active eating disorder Must not have moderate or severe frailty Must not have had […]

**Business Administration Level 2 ** New qualification launching August 2026 A new Business Administration Level 2 Apprenticeship qualification will be available from August 2026. Designed for individuals providing administrative support within a business environment, it develops the essential skills needed to contribute to efficient day-to-day operations. The programme covers: Professional communication skills Excellent customer service […]

% patients with diabetes who have had the following care processes performed in the preceding 12 months: BMI, BP, HbA1c, cholesterol, smoking status, foot examination, albumin:creatinine ratio & eGFR creatinine. This is an all or nothing indicator – all 8 processes must be coded and no single indicator exceptions apply to this indicator. This is […]

We have received so many support tickets around the new QOF obesity indicators.  Some of these have been around recalls and ensuring practices update their recall systems to extend 2 invites to all patients on the obesity register, other queries have been concerning workload and how many patient appointments will need to made available. A […]

Patients taking lithium have always been included on the MH register – even if they have no other diagnosis to include them. This has changed this year – patients taking lithium with no other MH diagnosis are no longer included on the register. Patients taking lithium require regular monitoring and are likely to be included […]

Does your holiday year run from 1st April to 31st March? In 2027, Easter falls in March. This means the bank holidays (Good Friday and Easter Monday) fall into the 2025/26 holiday year. As a result the holiday year 1st April 2026 to 31st March 2027 will have 10 Bank Holidays, instead of the normal […]

Due to the QOF changes introduced this year, which appeared relatively straightforward but involve substantial behind-the-scenes changes to business rules and register/target patient group definitions, there are currently some anomalies within prevalence reporting for 2026/27: Heart Failure (HF) with Reduced Ejection Fraction (EF) In previous years this register largely focused on Heart Failure due to […]

HF009 replaces the previous HF due to LVSD indicator and now includes patients with HF and reduced injection fraction recorded. Ejection fractions have been very inconsistently recorded in the past so your HF register is likely to need a lot of validating. All patients previously on the 2nd part of the HF register because they […]

As expected, prevalence rates continue to rise across most disease areas. However, diabetes & NDH is seeing a drop in prevalence (to be confirmed) which could mean the diabetes prevention programme is having an impact. How do your practice prevalence rates compare …?

This issue does not impact all practices but if you are experiencing duplicate documents in DOCMAN, you are advised to contact them via the customer portal. Some practices are receiving multiple duplicates of the same letter, it seems to be very intermittent but takes a great deal of time to clear down. OneAdvanced have been […]

Although we have not published any information yet around the Network Contract DES (which will come in the next edition), there has been a contract variation published – headline topics include: Local variation arrangements – In certain areas of the DES, ICB’s are able to request local variations  to the DES, offering greater flexibility to […]

QOF Prevalence Health Checks are still essential in our opinion – some may say different but accurate registers are important for patient care and practice income.  QOF prevalence isn’t about ticking boxes – it’s about making sure your workload, your patients, and your income are all properly recognised.  You provide the care, however, your coded […]

Keeping up-to-date with document workflow and ensuring as many documents are processed without clinical intervention seems to be one of your biggest issues currently. Do you have a backlog of documents awaiting processing which is keeping you awake at night? Do you have GP’s who are bogged down with admin and constantly complaining about the […]

From April 2026, updates included to help practices record/submit COVID vaccination data quickly and accurately. These updates ensure daily data flows to NHSE supporting the national programme. When recording a COVID vaccination in, extended qualifiers will be included: Eligibility – why the patient is being vaccinated Location – where the vaccination took place NHSE has advised future COVID vaccinations should be delivered in GP practices, rather than […]

The Royal College of General Practitioners has published the Fairer Practice Toolkit – a practical, evidence-informed resource to help general practices reduce health inequalities. Practices identify their own focus patient group – those most at risk of poor access and outcomes locally – and choose actions relevant to their context. The toolkit draws on research including […]

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 […]

Higher Apprenticeships (Level 5) – Operations/Department Manager Level 5 apprenticeships are equivalent to a foundation degree or Higher National Diploma (HND), making them a valuable development route for experienced staff. Currently, these programmes benefit from up to 95% government funding, offering a highly cost-effective way to upskill your workforce. FROM SEPTEMBER 2026 GOVERNMENT FUNDING IS […]

Are you prepared and ready? April brings three big updates every UK small business must know, plus an increase to statutory pay increases. Statutory Sick Pay: Paid from Day 1of absence 📝 Paternity & Parental Leave: Day 1 Rights Collective Redundancy: 180 days’ pay Ensure your HR policies are updated in line with the new […]

From 6th April 2026, UK Employers will be required to to maintain adequate records of annual leave and holiday pay for a minimum of six years. What changes from 6 April 2026? Employers will now be legally required to keep “adequate records” demonstrating compliance with workers’ rights to paid annual leave. Records should include: Ordinary […]