| AF006 |
clinical |
Patients with atrial fibrillation in whom stroke risk has been assessed using CHA2DS2-VASc in the preceding 12 months (excluding those with a previous score of 2 or more). |
12 |
40-95% |
£2,735.40 |
| BP002 |
public health |
Patients aged 45 or over who have a record of blood pressure in the preceding 5 years. |
15 |
50-90% |
£3,419.25 |
| AF008 |
clinical |
Patients on the AF register with CHA2DS2-VASc score of 2 or more, prescribed a DOAC or, if unsuitable/declined, a Vitamin K antagonist. |
12 |
70-95% |
£2,735.40 |
| SMOK002 |
public health |
Patients with specified long-term conditions whose notes record smoking status in the preceding 12 months. |
25 |
50-90% |
£5,698.75 |
| CHD005 |
clinical |
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. |
7 |
56-96% |
£1,595.65 |
| SMOK004 |
public health |
Patients aged 15 or over recorded as current smokers who have a record of offer of support and treatment within the preceding 24 months. |
12 |
40-90% |
£2,735.40 |
| CD001 |
clinical |
Patients with CHD, stroke or TIA, aged 79 years or under, without moderate or severe frailty, whose last BP in the preceding 12 months is 140/90 mmHg or less (or equivalent home BP). |
41 |
40-90% |
£9,345.95 |
| VI001 |
public health |
Babies reaching 8 months in the preceding 12 months who received at least 3 doses of a diphtheria, tetanus and pertussis containing vaccine before age 8 months. |
18 |
89-96% (or improvement 5-18 percentage points) |
£4,103.10 |
| CD002 |
clinical |
Patients with CHD, stroke or TIA, aged 80 years or over, without moderate or severe frailty, whose last BP in the preceding 12 months is 150/90 mmHg or less (or equivalent home BP). |
20 |
46-90% |
£4,559.00 |
| VI002 |
public health |
Children reaching 18 months in the preceding 12 months who received at least 1 dose of MMR or MMRV between ages 12 and 18 months. |
18 |
86-96% (or improvement 5-23 percentage points) |
£4,103.10 |
| CHOL003 |
clinical |
Patients on the CHD, PAD, Stroke/TIA or CKD register currently prescribed a statin or, if declined/unsuitable, another lipid-lowering therapy. |
20 |
70-95% |
£4,559.00 |
| VI003 |
public health |
Children reaching 5 years in the preceding 12 months who received a second dose of MMR or MMRV before age 5 years. |
18 |
81-96% (or improvement 5-30 percentage points) |
£4,103.10 |
| CHOL004 |
clinical |
Patients on the CHD, PAD or Stroke/TIA register with most recent cholesterol in the preceding 12 months at target (LDL ≤2.0 or non-HDL ≤2.6 mmol/L). |
44 |
20-50% |
£10,029.80 |
| VI004 |
public health |
Patients who reached 80 years old in the preceding 12 months who have received shingles vaccine between ages 70 and 79 years. |
10 |
50-60% |
£2,279.50 |
| HF008 |
clinical |
Patients with heart failure diagnosed on or after 1 April 2023, confirmed appropriately by echocardiogram or specialist assessment. |
6 |
50-90% |
£1,367.70 |
| OB004 |
public health |
Adults living with obesity referred to a weight management programme in the QOF year. |
5 |
10-30% |
£1,139.75 |
| HF007 |
clinical |
Patients with heart failure on the register who have had a review in the preceding 12 months including functional capacity and medication review. |
7 |
50-90% |
£1,595.65 |
| OB005 |
public health |
Adults living with obesity eligible for shared decision-making and pharmacotherapy pathway support. |
13 |
50-80% |
£2,963.35 |
| CS005 |
public health |
Women/people with a cervix aged 25–49 with adequate cervical screening test in the previous 3 years and 6 months. |
7 |
45-80% |
£1,595.65 |
| HF009 |
clinical |
Patients with HFrEF currently treated with four-pillar therapy: ACEi/ARNI/ARB, beta blocker, MRA and SGLT2 inhibitor. |
12 |
20-50% |
£2,735.40 |
| CS006 |
public health |
Women/people with a cervix aged 50–64 with adequate cervical screening test in the previous 5 years and 6 months. |
4 |
45-80% |
£911.80 |
| HYP010 |
clinical |
Patients with hypertension aged 79 years or under, without moderate or severe frailty, whose last BP in the preceding 12 months is 140/90 mmHg or less (or equivalent home BP). |
38 |
40-85% |
£8,662.10 |
| HYP011 |
clinical |
Patients with hypertension aged 80 years or over, without moderate or severe frailty, whose last BP in the preceding 12 months is 150/90 mmHg or less (or equivalent home BP). |
14 |
40-85% |
£3,191.30 |
| STIA007 |
clinical |
Patients with non-haemorrhagic stroke or history of TIA who have a record in the preceding 12 months that an anti-platelet agent or anti-coagulant is being taken. |
4 |
57-97% |
£911.80 |
| DM006 |
clinical |
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). |
3 |
57-97% |
£683.85 |
| DM014 |
clinical |
Patients newly diagnosed with diabetes who have a record of referral to a structured education programme within 9 months of entry on to the register. |
11 |
40-90% |
£2,507.45 |
| DM020 |
clinical |
Patients with diabetes whose latest IFCC-HbA1c in the preceding 12 months is 58 mmol/mol or less. |
17 |
35-75% |
£3,875.15 |
| DM021 |
clinical |
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. |
10 |
52-92% |
£2,279.50 |
| DM034 |
clinical |
Patients with diabetes and no CVD currently prescribed a statin, or where clinically unsuitable/declined, another lipid-lowering therapy. |
8 |
50-90% |
£1,823.60 |
| DM035 |
clinical |
Patients with diabetes and established CVD currently prescribed a statin, or where clinically unsuitable/declined, another lipid-lowering therapy. |
8 |
50-90% |
£1,823.60 |
| DM036 |
clinical |
Patients with diabetes, on the register aged 79 years and under, without moderate or severe frailty, whose last BP in the preceding 12 months is 140/90 mmHg or less (or equivalent home BP). |
27 |
38-90% |
£6,154.65 |
| DM037 |
clinical |
Patients with diabetes receiving all eight annual care processes in the preceding 12 months. |
10 |
35-75% |
£2,279.50 |
| AST007 |
clinical |
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. |
20 |
45-70% |
£4,559.00 |
| AST012 |
clinical |
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. |
15 |
45-80% |
£3,419.25 |
| COPD010 |
clinical |
Patients with COPD who have had a review in the preceding 12 months including exacerbation count and MRC breathlessness score. |
9 |
50-90% |
£2,051.55 |
| DEM004 |
clinical |
Patients with dementia who have had a face-to-face or remote care plan review in the preceding 12 months. |
14 |
35-70% |
£3,191.30 |
| MH002 |
clinical |
Patients with schizophrenia, bipolar affective disorder and other psychoses with a comprehensive care plan documented in the preceding 12 months. |
5 |
40-90% |
£1,139.75 |
| MH003 |
clinical |
Patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood pressure in the preceding 12 months. |
3 |
50-90% |
£683.85 |
| MH006 |
clinical |
Patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of BMI in the preceding 12 months. |
3 |
50-90% |
£683.85 |
| MH007 |
clinical |
Patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 months. |
3 |
50-90% |
£683.85 |
| MH011 |
clinical |
Patients with schizophrenia, bipolar affective disorder and other psychoses with lipids recorded in the preceding 12 months. |
7 |
50-90% |
£1,595.65 |
| MH012 |
clinical |
Patients with schizophrenia, bipolar affective disorder and other psychoses with glucose or HbA1c recorded in the preceding 12 months. |
7 |
50-90% |
£1,595.65 |
| NDH003 |
clinical |
Patients with non-diabetic hyperglycaemia or previous gestational diabetes who have had HbA1c or fasting blood glucose in the preceding 12 months. |
20 |
50-90% |
£4,559.00 |