The QOF Business Rules v45.0 are now published and we have updated the Ardens SystmOne QOF templates. Below is a summary of the changes, along with some outstanding comments that we have fed back to the NHS England QOF team. Please also see our PCN DES 2020/21 Support Article.
Please also see the following QOF Support Articles:
- QOF Ardens Manager
- QOF CVD Primary Prevention
- QOF Exception Rates
- QOF FAQs
- QOF Health Check
- QOF Invitation Codes
- QOF Tips To Maximise Achievement
Diagnosis - Spirometry and FeNO or PEFR variability 3m before to 6m after
Review - Asthma review, ACT, number of exacerbations, inhaler technique and care plan
Review - Smoking exposure in young people <19y including passive smoking
Diagnosis - FEV1/FVC ratio 3m before to 6m after
Review – Number of exacerbations
Review - Functional assessment and medication optimisation
Review - Annual HbA1c
New Quality Improvement
Reports and resources have also been built to assist with the NHS England QOF QI.
Early Cancer Diagnosis
QI005: Quality Improvement Activity focused on early cancer diagnosis
QI006: Network activity and peer review meetings
- Cancer screening uptake for bowel, breast and cervical screening
- Fast track referrals guidelines and safety netting
Go to Clinical Reporting > Ardens > Conditions | Cancer
Go to Clinical Reporting > Ardens > Contracts | PCN DES
For safety netting, please see this Support Article
QI007: Quality Improvement Activity focused on Learning Disability
QI008: Network activity and peer review meetings
- Register Accuracy
- Annual Health Check Uptake
- Medication Optimisation + STOMP initiative
- Reasonable Adjustments (no SNOMED-CT code exists for this)
- Engagement with local services and population
Go to Clinical Reporting > Ardens > Conditions | Mental Health
For the Learning Disability template, please see this Support Article
We have a number of outstanding comments and requests with regards to some of the indicators on the QOF Business Rules v45.0 that we have raised with the NHS England QOF Team. We will therefore potentially be making further updates once we hear their response.
AST007 - Dates
The criteria states that the asthma review, ACT score, number of exacerbations and care plan have to be recorded on the same date. We don’t think this is appropriate as often then the ACT score is done first along with recording the number of exacerbations via a patient questionnaire or by the HCA. The review and care plan are then often completed at a later date
Request: Remove same date requirement
AST007 - Description
The description mentions an ‘assessment of inhaler technique’ but not code’s mentioned.
Request: Remove ‘assessment of inhaler technique’ from the description (or codes added if this is needed).
AST007 - Care Plan Codes
There are a couple of care plan codes which we believe should be included
Request: Add the following codes into the WRITPASTP cluster
- Asthma management plan given 406162001
- Asthma self-management plan agreed 811921000000103
AST008 – Passive smoker
There isn’t an option to record ‘not a passive smoker’
Request: Add ‘Not a passive smoker 315213009’ to the SMOKEXPO cluster
HF007 - Description
The description mentions ‘assessment of functional capacity’ but no codes are mentioned.
Request: Removed ‘assessment of functional capacity’ from description (or add required codes, e.g. NYHA)
HF007 – Medication Review
There are a number of codes that would be useful to add to this cluster
Request: Add the following codes to either the HFMEDRVW or MEDRVW cluster
Cardiac medication review
Optimisation of drug dosage
Medication stopped - side effect
Medication stopped - ineffective
Medication stopped - interaction
Medication stopped - contra-indication
NDH001 – Diagnosis resolved codes
If a patient has been previously diagnosed with NDH/Pre-DM, if their condition then resolves due to a number of years with a normal HbA1c, they should be removed from the register to avoid being recalled inappropriately for an annual HbA1c. This has been an issue for some time, but now as this is a QOF indicator then not only will it have an impact on the patient but will also negatively impact a practice’s QOF points for this indicator.
Request: Please can you consider adding a ‘non-diabetic hyperglycaemia resolved’ and a ‘pre-diabetes resolved’ code to the exclude patients from the NDH register. I’m unaware of a code that exists for this at present, so a new SNOMED-CT code may need to be requested for this.