The Doctor Hickey Surgery

Published measure: Recorded answered calls

Historical phone-system activity; shared accounts that cannot be assigned to one practice are excluded. Supplier recording and coverage vary.

Cloud-based telephony in general practice · Coverage and method

Published measure: Recorded inbound calls

Historical phone-system activity; shared accounts that cannot be assigned to one practice are excluded. Supplier recording and coverage vary.

Cloud-based telephony in general practice · Coverage and method

Published measure: Recorded missed calls

Historical phone-system activity; shared accounts that cannot be assigned to one practice are excluded. Supplier recording and coverage vary.

Cloud-based telephony in general practice · Coverage and method

Published measure: Recorded appointments per 1,000 registered patients

The calculation uses a denominator of 2,129; see the source for the eligible group.

Publisher rate using its matched registered list. Differences can reflect recording and practice circumstances.

Appointments in general practice · Coverage and method

Published measure: Appointments with unknown attendance status

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Appointments recorded as attended

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Appointments with unknown booking interval

The calculation uses a denominator of 4,544; see the source for the eligible group.

Data-quality context for the booking interval measures.

Appointments in general practice · Coverage and method

Published measure: Appointments recorded with a GP

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Home-visit appointments

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Appointments recorded as not attended

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Appointments recorded with other practice staff

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Appointments booked more than 28 days ahead

The calculation uses a denominator of 4,544; see the source for the eligible group.

May include planned reviews and patient choice; not a direct unmet-demand measure.

Appointments in general practice · Coverage and method

Published measure: Telephone appointments

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Video or online appointments

Recorded appointment-book activity. Unknown or booked status must not be assumed to mean attended.

Appointments in general practice · Coverage and method

Published measure: Online submissions with other or unknown type

Requests submitted, not completed consultations or resolved problems. Summed across the practice’s reported supplier rows; non-participating practices and incomplete components remain missing.

Online consultations in general practice · Coverage and method

Published measure: Registered patients aged 15–19

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 20–24

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 25–29

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 30–34

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 35–39

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 40–44

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 45–49

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 5–9

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 50–54

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 55–59

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 60–64

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 65–69

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 70–74

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 75–79

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 80–84

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 85–89

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 90–94

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: Registered patients aged 95+

Published five-year age group, summing the female and male source rows. Registered patients may live outside the practice’s local area.

Patients registered at a GP practice · Coverage and method

Published measure: AF006 · Atrial fibrillation: personalised care adjustments

The calculation uses a denominator of 16; see the source for the eligible group.

NHS England QOF indicator AF006: The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHA2DS2-VASc score risk stratification scoring system in the preceding 12 months (excluding those patients with a previous CHADS2 or CHA2DS2-VASc score of 2 or more) Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: AF008 · Atrial fibrillation: eligible patients receiving the intervention

The calculation uses a denominator of 7; see the source for the eligible group.

NHS England QOF indicator AF008: Percentage of patients on the QOF Atrial Fibrillation register and with a CHA2DS2-VASc score of 2 or more, who were prescribed a direct-acting oral anticoagulant (DOAC), or, where a DOAC was declined or clinically unsuitable, a Vitamin K antagonist. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: AF008 · Atrial fibrillation: personalised care adjustments

The calculation uses a denominator of 7; see the source for the eligible group.

NHS England QOF indicator AF008: Percentage of patients on the QOF Atrial Fibrillation register and with a CHA2DS2-VASc score of 2 or more, who were prescribed a direct-acting oral anticoagulant (DOAC), or, where a DOAC was declined or clinically unsuitable, a Vitamin K antagonist. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Asthma Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 6_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Asthma Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 6_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: AST007 · Asthma: eligible patients receiving the intervention

The calculation uses a denominator of 143; see the source for the eligible group.

NHS England QOF indicator AST007: The percentage of patients with asthma on the register, who have had an asthma review in the preceding 12 months that includes an assessment of asthma control, a recording of the number of exacerbations, an assessment of inhaler technique and a written personalised action plan. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: AST007 · Asthma: personalised care adjustments

The calculation uses a denominator of 143; see the source for the eligible group.

NHS England QOF indicator AST007: The percentage of patients with asthma on the register, who have had an asthma review in the preceding 12 months that includes an assessment of asthma control, a recording of the number of exacerbations, an assessment of inhaler technique and a written personalised action plan. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: AST012 · Asthma: eligible patients receiving the intervention

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator AST012: The percentage of patients with a new diagnosis of asthma on or after 1 April 2025 with a record of an objective test between 3 months before or 3 months after diagnosis. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: AST012 · Asthma: personalised care adjustments

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator AST012: The percentage of patients with a new diagnosis of asthma on or after 1 April 2025 with a record of an objective test between 3 months before or 3 months after diagnosis. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: BP002 · Blood pressure: eligible patients receiving the intervention

The calculation uses a denominator of 1,137; see the source for the eligible group.

NHS England QOF indicator BP002: The percentage of patients aged 45 or over who have a record of blood pressure in the preceding 5 years. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: BP002 · Blood pressure: personalised care adjustments

The calculation uses a denominator of 1,137; see the source for the eligible group.

NHS England QOF indicator BP002: The percentage of patients aged 45 or over who have a record of blood pressure in the preceding 5 years. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Cancer Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Cancer Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: CAN004 · Cancer: eligible patients receiving the intervention

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator CAN004: The percentage of patients with cancer, diagnosed within the preceding 24 months, who have a patient Cancer Care Review using a structured template recorded as occurring within 12 months of diagnosis. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CAN004 · Cancer: personalised care adjustments

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator CAN004: The percentage of patients with cancer, diagnosed within the preceding 24 months, who have a patient Cancer Care Review using a structured template recorded as occurring within 12 months of diagnosis. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CAN005 · Cancer: eligible patients receiving the intervention

The calculation uses a denominator of 5; see the source for the eligible group.

NHS England QOF indicator CAN005: The percentage of patients with cancer, diagnosed within the preceding 12 months, who have had the opportunity for a discussion and informed of the support available from primary care, within 3 months of diagnosis. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CAN005 · Cancer: personalised care adjustments

The calculation uses a denominator of 5; see the source for the eligible group.

NHS England QOF indicator CAN005: The percentage of patients with cancer, diagnosed within the preceding 12 months, who have had the opportunity for a discussion and informed of the support available from primary care, within 3 months of diagnosis. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Coronary Heart Disease Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Coronary Heart Disease Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: CHD005 · Secondary prevention of coronary heart disease: eligible patients receiving the intervention

The calculation uses a denominator of 46; see the source for the eligible group.

NHS England QOF indicator CHD005: The percentage of patients with coronary heart disease with a record in the preceding 12 months that aspirin, an alternative anti-platelet therapy, or an anti-coagulant is being taken. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHD005 · Secondary prevention of coronary heart disease: personalised care adjustments

The calculation uses a denominator of 46; see the source for the eligible group.

NHS England QOF indicator CHD005: The percentage of patients with coronary heart disease with a record in the preceding 12 months that aspirin, an alternative anti-platelet therapy, or an anti-coagulant is being taken. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHD015 · Secondary prevention of coronary heart disease: eligible patients receiving the intervention

The calculation uses a denominator of 43; see the source for the eligible group.

NHS England QOF indicator CHD015: The percentage of patients aged 79 years or under, with coronary heart disease, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHD015 · Secondary prevention of coronary heart disease: personalised care adjustments

The calculation uses a denominator of 43; see the source for the eligible group.

NHS England QOF indicator CHD015: The percentage of patients aged 79 years or under, with coronary heart disease, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHD016 · Secondary prevention of coronary heart disease: eligible patients receiving the intervention

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator CHD016: The percentage of patients aged 80 years or over, with coronary heart disease, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHD016 · Secondary prevention of coronary heart disease: personalised care adjustments

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator CHD016: The percentage of patients aged 80 years or over, with coronary heart disease, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHOL003 · Cholesterol control and lipid management: eligible patients receiving the intervention

The calculation uses a denominator of 79; see the source for the eligible group.

NHS England QOF indicator CHOL003: Percentage of patients on the QOF Coronary Heart Disease (CHD), Peripheral Arterial Disease (PAD), Stroke/Transient Ischaemic Attack (TIA) or Chronic Kidney Disease (CKD) Register who are currently prescribed a statin, or where a statin is declined or clinically unsuitable, another lipid-lowering therapy. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHOL003 · Cholesterol control and lipid management: personalised care adjustments

The calculation uses a denominator of 79; see the source for the eligible group.

NHS England QOF indicator CHOL003: Percentage of patients on the QOF Coronary Heart Disease (CHD), Peripheral Arterial Disease (PAD), Stroke/Transient Ischaemic Attack (TIA) or Chronic Kidney Disease (CKD) Register who are currently prescribed a statin, or where a statin is declined or clinically unsuitable, another lipid-lowering therapy. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHOL004 · Cholesterol control and lipid management: eligible patients receiving the intervention

The calculation uses a denominator of 78; see the source for the eligible group.

NHS England QOF indicator CHOL004: Percentage of patients on the QOF Coronary Heart Disease (CHD), Peripheral Arterial Disease (PAD), or Stroke/Transient Ischaemic Attack (TIA) Register, with the most recent cholesterol measurement in the preceding 12 months, showing as <= 2.0 mmol/L if it was an LDL (Low-density Lipoprotein) cholesterol reading or <= 2.6 mmol/L if it was a non-HDL (High-density Lipoprotein) cholesterol reading. For multiple readings on the latest date the LDL reading takes priority. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CHOL004 · Cholesterol control and lipid management: personalised care adjustments

The calculation uses a denominator of 78; see the source for the eligible group.

NHS England QOF indicator CHOL004: Percentage of patients on the QOF Coronary Heart Disease (CHD), Peripheral Arterial Disease (PAD), or Stroke/Transient Ischaemic Attack (TIA) Register, with the most recent cholesterol measurement in the preceding 12 months, showing as <= 2.0 mmol/L if it was an LDL (Low-density Lipoprotein) cholesterol reading or <= 2.6 mmol/L if it was a non-HDL (High-density Lipoprotein) cholesterol reading. For multiple readings on the latest date the LDL reading takes priority. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Chronic Kidney Disease Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Chronic Kidney Disease Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Chronic Obstructive Pulmonary Disease Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Chronic Obstructive Pulmonary Disease Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: COPD010 · Chronic obstructive pulmonary disease: eligible patients receiving the intervention

The calculation uses a denominator of 138; see the source for the eligible group.

NHS England QOF indicator COPD010: The percentage of patients with COPD, on the register, who have had a review in the preceding 12 months which included: A record of the number of exacerbations AND An assessment of breathlessness using the Medical Research Council dyspnoea scale. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: COPD010 · Chronic obstructive pulmonary disease: personalised care adjustments

The calculation uses a denominator of 138; see the source for the eligible group.

NHS England QOF indicator COPD010: The percentage of patients with COPD, on the register, who have had a review in the preceding 12 months which included: A record of the number of exacerbations AND An assessment of breathlessness using the Medical Research Council dyspnoea scale. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: COPD014 · Chronic obstructive pulmonary disease: eligible patients receiving the intervention

The calculation uses a denominator of 5; see the source for the eligible group.

NHS England QOF indicator COPD014: The percentage of patients with COPD and Medical Research Council (MRC) dyspnoea scale >=3 at any time in the preceding 12 months, with a subsequent record of referral to a pulmonary rehabilitation programme (excluding those who have previously attended a pulmonary rehabilitation programme). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: COPD014 · Chronic obstructive pulmonary disease: personalised care adjustments

The calculation uses a denominator of 5; see the source for the eligible group.

NHS England QOF indicator COPD014: The percentage of patients with COPD and Medical Research Council (MRC) dyspnoea scale >=3 at any time in the preceding 12 months, with a subsequent record of referral to a pulmonary rehabilitation programme (excluding those who have previously attended a pulmonary rehabilitation programme). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CS005 · Cervical screening: eligible patients receiving the intervention

The calculation uses a denominator of 226; see the source for the eligible group.

NHS England QOF indicator CS005: The percentage of women eligible for screening and aged 25-49 years at the end of the reporting period whose notes record that an adequate cervical screening test has been performed in the preceding 3 years and 6 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CS005 · Cervical screening: personalised care adjustments

The calculation uses a denominator of 226; see the source for the eligible group.

NHS England QOF indicator CS005: The percentage of women eligible for screening and aged 25-49 years at the end of the reporting period whose notes record that an adequate cervical screening test has been performed in the preceding 3 years and 6 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CS006 · Cervical screening: eligible patients receiving the intervention

The calculation uses a denominator of 94; see the source for the eligible group.

NHS England QOF indicator CS006: The percentage of women eligible for screening and aged 50-64 years at the end of the reporting period whose notes record that an adequate cervical screening test has been performed in the preceding 5 years and 6 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: CS006 · Cervical screening: personalised care adjustments

The calculation uses a denominator of 94; see the source for the eligible group.

NHS England QOF indicator CS006: The percentage of women eligible for screening and aged 50-64 years at the end of the reporting period whose notes record that an adequate cervical screening test has been performed in the preceding 5 years and 6 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Dementia Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Dementia Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: DEM004 · Dementia: eligible patients receiving the intervention

The calculation uses a denominator of 5; see the source for the eligible group.

NHS England QOF indicator DEM004: The percentage of patients diagnosed with dementia whose care plan has been reviewed in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DEM004 · Dementia: personalised care adjustments

The calculation uses a denominator of 5; see the source for the eligible group.

NHS England QOF indicator DEM004: The percentage of patients diagnosed with dementia whose care plan has been reviewed in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Depression Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Depression Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: DEP004 · Depression: eligible patients receiving the intervention

The calculation uses a denominator of 46; see the source for the eligible group.

NHS England QOF indicator DEP004: The percentage of patients aged 18 or over with a new diagnosis of depression in the preceding 1 April to 31 March, who have been reviewed not earlier than 10 days after and not later than 56 days after the date of diagnosis Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DEP004 · Depression: personalised care adjustments

The calculation uses a denominator of 46; see the source for the eligible group.

NHS England QOF indicator DEP004: The percentage of patients aged 18 or over with a new diagnosis of depression in the preceding 1 April to 31 March, who have been reviewed not earlier than 10 days after and not later than 56 days after the date of diagnosis Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Diabetes Mellitus Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 17_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Diabetes Mellitus Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 17_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: DM006 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 16; see the source for the eligible group.

NHS England QOF indicator DM006: The percentage of patients with diabetes, on the register, with a diagnosis of nephropathy (clinical proteinuria) or micro-albuminuria who are currently treated with an ACE-I (or ARBs) Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM006 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 16; see the source for the eligible group.

NHS England QOF indicator DM006: The percentage of patients with diabetes, on the register, with a diagnosis of nephropathy (clinical proteinuria) or micro-albuminuria who are currently treated with an ACE-I (or ARBs) Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM012 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 93; see the source for the eligible group.

NHS England QOF indicator DM012: The percentage of patients with diabetes, on the register, with a record of a foot examination and risk classification: 1) low risk (normal sensation, palpable pulses), 2) increased risk (neuropathy or absent pulses), 3) high risk (neuropathy or absent pulses plus deformity or skin changes in previous ulcer) or 4) ulcerated foot within the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM012 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 93; see the source for the eligible group.

NHS England QOF indicator DM012: The percentage of patients with diabetes, on the register, with a record of a foot examination and risk classification: 1) low risk (normal sensation, palpable pulses), 2) increased risk (neuropathy or absent pulses), 3) high risk (neuropathy or absent pulses plus deformity or skin changes in previous ulcer) or 4) ulcerated foot within the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM014 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 13; see the source for the eligible group.

NHS England QOF indicator DM014: The percentage of patients newly diagnosed with diabetes, on the register, in the preceding 1 April to 31 March who have a record of being referred to a structured education programme within 9 months after entry on to the diabetes register Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM014 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 13; see the source for the eligible group.

NHS England QOF indicator DM014: The percentage of patients newly diagnosed with diabetes, on the register, in the preceding 1 April to 31 March who have a record of being referred to a structured education programme within 9 months after entry on to the diabetes register Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM020 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 79; see the source for the eligible group.

NHS England QOF indicator DM020: The percentage of patients with diabetes, on the register, without moderate or severe frailty in whom the last IFCC-HbA1c is 58 mmol/mol or less in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM020 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 79; see the source for the eligible group.

NHS England QOF indicator DM020: The percentage of patients with diabetes, on the register, without moderate or severe frailty in whom the last IFCC-HbA1c is 58 mmol/mol or less in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM021 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 14; see the source for the eligible group.

NHS England QOF indicator DM021: The percentage of patients with diabetes, on the register, with moderate or severe frailty in whom the last IFCC-HbA1c is 75 mmol/mol or less in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM021 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 14; see the source for the eligible group.

NHS England QOF indicator DM021: The percentage of patients with diabetes, on the register, with moderate or severe frailty in whom the last IFCC-HbA1c is 75 mmol/mol or less in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM034 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 53; see the source for the eligible group.

NHS England QOF indicator DM034: The percentage of patients with diabetes, on the register, aged 40 years or over, with no history of CVD and without moderate or severe frailty, who are currently treated with a statin (excluding patients with type 2 diabetes and a CVD risk score of <10% recorded in the preceding 3 years), or where a statin is declined or clinically unsuitable, another lipid-lowering therapy. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM034 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 53; see the source for the eligible group.

NHS England QOF indicator DM034: The percentage of patients with diabetes, on the register, aged 40 years or over, with no history of CVD and without moderate or severe frailty, who are currently treated with a statin (excluding patients with type 2 diabetes and a CVD risk score of <10% recorded in the preceding 3 years), or where a statin is declined or clinically unsuitable, another lipid-lowering therapy. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM035 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 21; see the source for the eligible group.

NHS England QOF indicator DM035: The percentage of patients with diabetes, on the register, and a history of CVD (excluding haemorrhagic stroke) who are currently treated with a statin, or where a statin is declined or clinically unsuitable, another lipid-lowering therapy. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM035 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 21; see the source for the eligible group.

NHS England QOF indicator DM035: The percentage of patients with diabetes, on the register, and a history of CVD (excluding haemorrhagic stroke) who are currently treated with a statin, or where a statin is declined or clinically unsuitable, another lipid-lowering therapy. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM036 · Diabetes mellitus: eligible patients receiving the intervention

The calculation uses a denominator of 76; see the source for the eligible group.

NHS England QOF indicator DM036: The percentage of patients with diabetes, on the register, aged 79 years and under without moderate or severe frailty in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: DM036 · Diabetes mellitus: personalised care adjustments

The calculation uses a denominator of 76; see the source for the eligible group.

NHS England QOF indicator DM036: The percentage of patients with diabetes, on the register, aged 79 years and under without moderate or severe frailty in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Epilepsy Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Epilepsy Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Heart Failure (LVSD) Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Heart Failure (LVSD) Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Heart Failure Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Heart Failure Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: HF003 · Heart failure: eligible patients receiving the intervention

The calculation uses a denominator of 9; see the source for the eligible group.

NHS England QOF indicator HF003: In those patients with a diagnosis of heart failure due to left ventricular systolic dysfunction or whose heart failure is due to reduced ejection fraction, the percentage of patients who are currently treated with an angiotensin-converting enzyme inhibitor (ACE-I) or angiotensin II receptor blockers (ARB). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HF003 · Heart failure: personalised care adjustments

The calculation uses a denominator of 9; see the source for the eligible group.

NHS England QOF indicator HF003: In those patients with a diagnosis of heart failure due to left ventricular systolic dysfunction or whose heart failure is due to reduced ejection fraction, the percentage of patients who are currently treated with an angiotensin-converting enzyme inhibitor (ACE-I) or angiotensin II receptor blockers (ARB). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HF006 · Heart failure: eligible patients receiving the intervention

The calculation uses a denominator of 9; see the source for the eligible group.

NHS England QOF indicator HF006: The percentage of patients with a diagnosis of heart failure due to left ventricular systolic dysfunction or whose heart failure is due to reduced ejection fraction, who are currently treated with a beta-blocker licensed for heart failure. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HF006 · Heart failure: personalised care adjustments

The calculation uses a denominator of 9; see the source for the eligible group.

NHS England QOF indicator HF006: The percentage of patients with a diagnosis of heart failure due to left ventricular systolic dysfunction or whose heart failure is due to reduced ejection fraction, who are currently treated with a beta-blocker licensed for heart failure. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HF007 · Heart failure: eligible patients receiving the intervention

The calculation uses a denominator of 18; see the source for the eligible group.

NHS England QOF indicator HF007: The percentage of patients with a diagnosis of heart failure on the register, who have had a review in the preceding 12 months, including an assessment of functional capacity and a review of medication to ensure medicines optimisation at maximal tolerated doses. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HF007 · Heart failure: personalised care adjustments

The calculation uses a denominator of 18; see the source for the eligible group.

NHS England QOF indicator HF007: The percentage of patients with a diagnosis of heart failure on the register, who have had a review in the preceding 12 months, including an assessment of functional capacity and a review of medication to ensure medicines optimisation at maximal tolerated doses. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HF008 · Heart failure: eligible patients receiving the intervention

The calculation uses a denominator of 12; see the source for the eligible group.

NHS England QOF indicator HF008: The percentage of patients with a diagnosis of heart failure on or after 1 April 2023 which: 1. Has been confirmed by an echocardiogram or by specialist assessment in the 6 months before entering on to the register; or 2. If registered at the practice after diagnosis, with no record of the diagnosis originally being confirmed either by echocardiogram or by specialist assessment, a record of an echocardiogram or a specialist assessment within 6 months of the date of registration. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HF008 · Heart failure: personalised care adjustments

The calculation uses a denominator of 12; see the source for the eligible group.

NHS England QOF indicator HF008: The percentage of patients with a diagnosis of heart failure on or after 1 April 2023 which: 1. Has been confirmed by an echocardiogram or by specialist assessment in the 6 months before entering on to the register; or 2. If registered at the practice after diagnosis, with no record of the diagnosis originally being confirmed either by echocardiogram or by specialist assessment, a record of an echocardiogram or a specialist assessment within 6 months of the date of registration. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Hypertension Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Hypertension Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: HYP008 · Hypertension: eligible patients receiving the intervention

The calculation uses a denominator of 172; see the source for the eligible group.

NHS England QOF indicator HYP008: The percentage of patients aged 79 years or under with hypertension in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HYP008 · Hypertension: personalised care adjustments

The calculation uses a denominator of 172; see the source for the eligible group.

NHS England QOF indicator HYP008: The percentage of patients aged 79 years or under with hypertension in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HYP009 · Hypertension: eligible patients receiving the intervention

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator HYP009: The percentage of patients aged 80 years or over, with hypertension, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: HYP009 · Hypertension: personalised care adjustments

The calculation uses a denominator of 3; see the source for the eligible group.

NHS England QOF indicator HYP009: The percentage of patients aged 80 years or over, with hypertension, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Learning Disabilities Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Learning Disabilities Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Mental Health Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Mental Health Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: MH002 · Mental health: eligible patients receiving the intervention

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH002: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive care plan documented in the record, in the preceding 12 months, agreed between individuals, their family and/or carers as appropriate Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH002 · Mental health: personalised care adjustments

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH002: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive care plan documented in the record, in the preceding 12 months, agreed between individuals, their family and/or carers as appropriate Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH003 · Mental health: eligible patients receiving the intervention

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH003: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood pressure in the preceding 12 months Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH003 · Mental health: personalised care adjustments

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH003: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood pressure in the preceding 12 months Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH006 · Mental health: eligible patients receiving the intervention

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH006: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of BMI in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH006 · Mental health: personalised care adjustments

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH006: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of BMI in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH007 · Mental health: eligible patients receiving the intervention

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH007: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH007 · Mental health: personalised care adjustments

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH007: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH011 · Mental health: eligible patients receiving the intervention

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH011: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of a lipid profile in the preceding 12 months (in those patients currently prescribed antipsychotics, and/or have pre-existing cardiovascular conditions, and/or smoke, and/or are overweight (BMI of >=23 kg/m2 or >=25 kg/m2 if ethnicity is recorded as White)) or preceding 24 months for all other patients Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH011 · Mental health: personalised care adjustments

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH011: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of a lipid profile in the preceding 12 months (in those patients currently prescribed antipsychotics, and/or have pre-existing cardiovascular conditions, and/or smoke, and/or are overweight (BMI of >=23 kg/m2 or >=25 kg/m2 if ethnicity is recorded as White)) or preceding 24 months for all other patients Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH012 · Mental health: eligible patients receiving the intervention

The calculation uses a denominator of 516; see the source for the eligible group.

NHS England QOF indicator MH012: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood glucose or HbA1c in the preceding 12 months Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH012 · Mental health: personalised care adjustments

The calculation uses a denominator of 516; see the source for the eligible group.

NHS England QOF indicator MH012: The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood glucose or HbA1c in the preceding 12 months Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH021 · Mental health: eligible patients receiving the intervention

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH021: Percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who received all six elements of the Physical Health Check for people with Severe Mental Illness. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: MH021 · Mental health: personalised care adjustments

The calculation uses a denominator of 564; see the source for the eligible group.

NHS England QOF indicator MH021: Percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who received all six elements of the Physical Health Check for people with Severe Mental Illness. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Non-diabetic hyperglycaemia register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Non-diabetic hyperglycaemia register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: NDH002 · Non-diabetic hyperglycaemia : eligible patients receiving the intervention

The calculation uses a denominator of 60; see the source for the eligible group.

NHS England QOF indicator NDH002: The percentage of patients with non-diabetic hyperglycaemia who have had an HbA1c or fasting blood glucose performed in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: NDH002 · Non-diabetic hyperglycaemia : personalised care adjustments

The calculation uses a denominator of 60; see the source for the eligible group.

NHS England QOF indicator NDH002: The percentage of patients with non-diabetic hyperglycaemia who have had an HbA1c or fasting blood glucose performed in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Obesity Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Obesity Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 18_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Osteoporosis Register: recorded prevalence

The calculation uses a denominator of 833; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 50_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Osteoporosis Register: recorded register

The calculation uses a denominator of 833; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 50_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Peripheral Arterial Disease Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Peripheral Arterial Disease Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Palliative Care Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Palliative Care Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Rheumatoid Arthritis Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 16_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Rheumatoid Arthritis Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s 16_999_X population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: SMOK002 · Smoking: eligible patients receiving the intervention

The calculation uses a denominator of 888; see the source for the eligible group.

NHS England QOF indicator SMOK002: The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: SMOK002 · Smoking: personalised care adjustments

The calculation uses a denominator of 888; see the source for the eligible group.

NHS England QOF indicator SMOK002: The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: SMOK004 · Smoking: eligible patients receiving the intervention

The calculation uses a denominator of 1,500; see the source for the eligible group.

NHS England QOF indicator SMOK004: The percentage of patients aged 15 or over who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 24 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: SMOK004 · Smoking: personalised care adjustments

The calculation uses a denominator of 1,500; see the source for the eligible group.

NHS England QOF indicator SMOK004: The percentage of patients aged 15 or over who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 24 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: SMOK005 · Smoking: eligible patients receiving the intervention

The calculation uses a denominator of 754; see the source for the eligible group.

NHS England QOF indicator SMOK005: The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: SMOK005 · Smoking: personalised care adjustments

The calculation uses a denominator of 754; see the source for the eligible group.

NHS England QOF indicator SMOK005: The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 12 months. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: Stroke or Transient Ischaemic Attacks (TIA) Register: recorded prevalence

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: Stroke or Transient Ischaemic Attacks (TIA) Register: recorded register

The calculation uses a denominator of 2,116; see the source for the eligible group.

Recorded QOF register, not estimated community prevalence or a measure of care quality. People can appear on several registers. Uses the source’s TOTAL population, not the current whole-practice list. Definitions can change between years.

Quality and Outcomes Framework · Coverage and method

Published measure: STIA007 · Stroke and transient ischaemic attack: eligible patients receiving the intervention

The calculation uses a denominator of 13; see the source for the eligible group.

NHS England QOF indicator STIA007: The percentage of patients with a stroke shown to be non-haemorrhagic, or a history of TIA, who have a record in the preceding 12 months that an anti-platelet agent, or an anti-coagulant is being taken. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: STIA007 · Stroke and transient ischaemic attack: personalised care adjustments

The calculation uses a denominator of 13; see the source for the eligible group.

NHS England QOF indicator STIA007: The percentage of patients with a stroke shown to be non-haemorrhagic, or a history of TIA, who have a record in the preceding 12 months that an anti-platelet agent, or an anti-coagulant is being taken. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: STIA014 · Stroke and transient ischaemic attack: eligible patients receiving the intervention

The calculation uses a denominator of 27; see the source for the eligible group.

NHS England QOF indicator STIA014: The percentage of patients aged 79 years or under, with a history of stroke or TIA, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: STIA014 · Stroke and transient ischaemic attack: personalised care adjustments

The calculation uses a denominator of 27; see the source for the eligible group.

NHS England QOF indicator STIA014: The percentage of patients aged 79 years or under, with a history of stroke or TIA, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: STIA015 · Stroke and transient ischaemic attack: eligible patients receiving the intervention

The calculation uses a denominator of 1; see the source for the eligible group.

NHS England QOF indicator STIA015: The percentage of patients aged 80 years or over, with a history of stroke or TIA, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: STIA015 · Stroke and transient ischaemic attack: personalised care adjustments

The calculation uses a denominator of 1; see the source for the eligible group.

NHS England QOF indicator STIA015: The percentage of patients aged 80 years or over, with a history of stroke or TIA, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less (or equivalent home blood pressure reading). Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: VI004 · Vaccination and immunisation: eligible patients receiving the intervention

The calculation uses a denominator of 1; see the source for the eligible group.

NHS England QOF indicator VI004: The percentage of patients who reached 80 years old in the preceding 12 months, who have received a shingles vaccine between the ages of 70 and 79 years. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method

Published measure: VI004 · Vaccination and immunisation: personalised care adjustments

The calculation uses a denominator of 1; see the source for the eligible group.

NHS England QOF indicator VI004: The percentage of patients who reached 80 years old in the preceding 12 months, who have received a shingles vaccine between the ages of 70 and 79 years. Personalised care adjustments (PCAs) remove some eligible patients from the achievement denominator for defined reasons. These figures do not form an overall quality score.

Quality and Outcomes Framework · Coverage and method