| Long-term condition | QOF code | Brief description of indicator |
|---|---|---|
| Asthma | AST001 | Register of patients with asthma |
| AST002 | Percentage of patients with asthma and measures of variability or reversibility recorded | |
| AST003 | Percentage of patients with asthma who have had control assessed | |
| AST004 | Percentage of patients with asthma with record of smoking status | |
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| Atrial fibrillation | AF001 | Register of patients with atrial fibrillation |
| AF006 | Percentage of patients with atrial fibrillation in whom stroke risk has been assessed | |
| AF007 | Anticoagulant therapy in those with atrial fibrillation and high risk of stroke | |
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| Cancer | CAN001 | Register of patients with cancer |
| CAN003 | Percentage of patients with cancer who have been reviewed | |
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| Chronic kidney disease (CKD) | CKD001 | Register of patients with chronic kidney disease |
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| Chronic obstructive pulmonary disease (COPD) | COPD001 | Register of patients with COPD |
| COPD002 | Percentage of patients with COPD with diagnosis confirmed by post-bronchodilator spirometry | |
| COPD003 | Percentage of patients with COPD who have had a review with assessment of breathlessness | |
| COPD004 | Percentage of patients with COPD with a record of forced expiratory volume in 1 second (FEV1) | |
| COPD005 | Percentage of patients with severe COPD with record of oxygen saturation | |
| COPD007 | Percentage of patients with COPD who have had influenza immunisation | |
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| Coronary heart disease (CHD) | CHD001 | Register of patients with CHD |
| CHD002 | Percentage of patients with CHD with blood pressure 150/90 mmHg or less | |
| CHD005 | Percentage of patients with CHD taking aspirin, an alternative antiplatelet therapy, or an anticoagulant | |
| CHD007 | Percentage of patients with CHD who have had influenza immunisation | |
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| Dementia | DEM001 | Register of patients with dementia |
| DEM004 | Percentage of patients with dementia whose care plan has been reviewed face-to-face | |
| DEM005 | Percentage of patients with a new diagnosis of dementia with record of tests to exclude reversible cause | |
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| Depression | DEP003 | Percentage of patients with new diagnosis of depression with review soon after diagnosis |
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| Diabetes mellitus | DM002 | Percentage of patients with diabetes with blood pressure 150/90 mmHg or less |
| DM003 | Percentage of patients with diabetes with blood pressure 140/80 mmHg or less | |
| DM004 | Percentage of patients with diabetes with total cholesterol 5 mmol/l or less | |
| DM006 | Percentage of patients with diabetes and nephropathy taking angiotensin converting enzyme inhibitors or angiotensin receptor blockers (ACEIs or ARBs) | |
| DM007 | Percentage of patients with diabetes with glycosylated haemoglobin 59 mmol/mol or less | |
| DM008 | Percentage of patients with diabetes with glycosylated haemoglobin 64 mmol/mol or less | |
| DM009 | Percentage of patients with diabetes with glycosylated haemoglobin 75 mmol/mol or less | |
| DM012 | Percentage of QOF patients with diabetes with a record of a foot examination and foot risk classification | |
| DM014 | Patients newly diagnosed with diabetes referred to a structured education programme | |
| DM017 | Register of patients with diabetes | |
| DM018 | Percentage of patients with diabetes who have had influenza immunisation | |
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| Epilepsy | EP001 | Register of patients with epilepsy |
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| Heart failure | HF001 | Register of patients with heart failure |
| HF002 | Percentage of patients with heart failure confirmed by an echocardiogram or by specialist assessment | |
| HF003 | Percentage of patients with heart failure taking ACEIs or ARBs | |
| HF004 | Percentage of patients with heart failure taking ACEIs or ARBs plus beta-blocker | |
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| Hypertension | HYP001 | Register of patients with hypertension |
| HYP006 | Percentage of patients with hypertension with blood pressure of 150/90 mmHg or less | |
| CVD-PP001 | Percentage of patients with hypertension and high cardiovascular risk treated with statins | |
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| Learning disability | LD003 | Register of patients with learning disability |
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| Mental health | MH001 | Register of patients with serious mental health problems |
| MH002 | Percentage of patients with serious mental health problems with comprehensive care plan | |
| MH003 | Percentage of patients with serious mental health problems with record of blood pressure | |
| MH007 | Percentage of patients with serious mental health problems with record of alcohol consumption | |
| MH008 | Percentage of women with serious mental health problems with cervical screening test performed | |
| MH009 | Percentage of patients on lithium therapy having renal and thyroid function monitored | |
| MH010 | Percentage of patients on lithium therapy with lithium levels in therapeutic range | |
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| Osteoporosis | OST002 | Percentage of patients 50–74 with confirmed osteoporosis taking bone-sparing agent |
| OST004 | Register of patients with osteoporosis | |
| OST005 | Percentage of patients aged >75 with osteoporosis taking bone-sparing agent | |
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| People with palliative care needs | PC001 | Register of patients in need of palliative care/support |
| PC002 | Regular multidisciplinary case review meetings for people receiving palliative care | |
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| Peripheral arterial disease | PAD001 | Register of patients with peripheral arterial disease |
| PAD002 | Percentage of patients with peripheral arterial disease with blood pressure 150/90 mmHg or less | |
| PAD004 | Percentage of patients with peripheral arterial disease taking aspirin or an alternative antiplatelet | |
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| Rheumatoid arthritis | RA001 | Register of patients with rheumatoid arthritis |
| RA002 | Percentage of patients with rheumatoid arthritis who have had a face-to-face review | |
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| Stroke or transient ischaemic attack (STIA) | STIA001 | Register of patients with STIA |
| STIA003 | Percentage of patients with STIA with blood pressure 150/90 mmHg or less | |
| STIA007 | Percentage of patients with non-haemorrhagic stroke or TIA taking antiplatelet agent, or anticoagulant | |
| STIA008 | Percentage of patients with STIA referred for further investigation | |
| STIA009 | Percentage of patients with STIA who have had influenza immunisation | |
| Several long-term conditions | SMOK002 | Percentage of patients with long-term conditions with record of smoking status |
| SMOK005 | Percentage of smokers with long-term conditions offered smoking cessation support | |
QOF = Quality and Outcomes Framework.