Table 1

Quality and Outcomes Framework (QOF) chronic disease domains

QOF domainPoint for analysis
Chronic kidney disease (CKD)Is the patient on the CKD register?
If so, was the last BP reading (in the preceding 12 months) 140/85 mm Hg or less?
If so, what was the last ACR (or PCR) in the preceding 12 months?
Atrial fibrillation (AF)Is the patient on the AF register?
If so, what is their CHADS2 score?
Is the patient treated with anticoagulation drug therapy or antiplatelet therapy?
Secondary prevention of coronary heart disease (CHD)Is the patient on the CHD register?
If so, what was the latest BP (within 12 months)?
If so, what was the last measured cholesterol (within 12 months)?
If so, has the patient received influenza vaccination in the previous 12 months?
If so, is the patient on aspirin, alternative antiplatelet agent or oral anticoagulant?
Heart failure (HF)Is the patient on the HF register?
If so, is the patient currently treated with an ACE-I or ARB?
If on ACE-I or ARB are they also treated with a β-blocker?
Hypertension (HYP)Is the patient on the hypertension register?
If so, has the BP measured in the preceding 9 months been less than 150/90 mm Hg?
Peripheral arterial disease (PAD)Is the patient on the PAD register?
If so, has the BP in the preceding 12 months been 150/90 mm Hg or less?
If so, has the total cholesterol measured in the preceding 12 months been 5 mmol/L or less?
If so, is the patient taking aspirin or an alternative antiplatelet agent?
Stroke and transient ischaemic attack (STIA)Is the patient on the STIA register?
If so, is the last BP reading measured in the preceding 12 months 150/90 mm Hg or less?
If so, what was the last measured cholesterol (within 12 months)?
If so, was the last measured cholesterol (within 12 months) less than 5 mmol/L?
If so, has the patient received influenza vaccination in the previous 12 months?
If so, is the patient on an antiplatelet agent or oral anticoagulation?
Diabetes mellitus (DM)Is the patient on the DM register?
If so, is the last BP reading measured in the preceding 12 months 150/90 mm Hg or less?
If so, is the last BP reading measured in the preceding 12 months 140/80 mm Hg or less?
If so, was the last measured cholesterol (within 12 months) less than 5 mmol/L?
If so, was the IFCC-HbA1c less than 59 mmol/mol in the preceding 12 months?
If so, was the IFCC-HbA1c less than 64 mmol/mol in the preceding 12 months?
If so, was the IFCC-HbA1c less than 75 mmol/mol in the preceding 12 months?
If so, has the patient received influenza vaccination in the previous 12 months?
Hypothyroidism (THY)Is the patient on the THY register?
If so, have they had a thyroid function test recorded in the preceding 12 months?
Asthma (AST)Is the patient on the AST register?
Chronic obstructive pulmonary disease (COPD)Is the patient on the COPD register?
If so, what was the last measured (within 12 months) FEV1?
If so, has the patient received the influenza vaccination in the previous 12 months?
  • ACR, urinary albumin: creatinine ratio; ARB, angiotensin receptor blocker; BP, blood pressure; CHADS2, C, congestive cardiac failure, H, hypertension (treated or untreated (BP ≥140/90 mm Hg), A, age ≥75 years, D, diabetes mellitus, 2, previous stroke, TIA or thromboembolism; FEV1, forced expiratory volume in 1 second; IFCC-HbA1c, International Federation of Clinical Chemistry glycated haemoglobin.