Chronic Obstructive Pulmonary Disease forms part of the clinical domains area of QOF.
There are 3 COPD QOF indicators:
COPD015 – Includes patients on the COPD register who meet one of the following criteria:
- Diagnosed with COPD before 1st April 2023.
- Diagnosis of COPD on or after 1st April 2023 which has been confirmed by a spirometry test between 3-6 months after the diagnosis (for newly registered patients in the last 12 months, this will be within 6 months of the registration).
- Patients with a diagnosis of COPD on or after 1st April 2023 who are unable to undertake spirometry.
COPD010 – patients on the COPD register who have had an annual review this fiscal year. The review must include their MRC dyspnoea scale grade AND a record of the number of exacerbations.
COPD014 – patients on the COPD register with an MRC dyspnoea scale of greater than or equal to 3 recorded at any time in the last 12 months who have been offered a referral to a pulmonary rehabilitation programme.
This does not include those who have previously attended a pulmonary rehabilitation programme.
A personalised care adjustment (PCA) applies if the programme is unavailable or the patient is unsuitable, and these codes are recorded in this fiscal year.
Please note – for COPD010 and COPD014 indicators, patients will be removed from the denominator population if they meet and have been appropriately coded with the following:
- not responded to 2 invitation codes (invitation codes must be 7 days apart).
- they have been newly diagnosed with COPD in the last 3 months of the fiscal year.
- they have been newly registered at the practice in the last 3 months of the fiscal year.
- they have a COPD quality unsuitable code recorded this fiscal year.
- they have a COPD quality informed dissent code recorded this fiscal year.
COPD015. The contractor establishes and maintains a register of: 1. Patients with a clinical diagnosis of COPD before 1 April 2023; and 2. Patients with a clinical diagnosis of COPD on or after 1 April 2023 whose diagnosis has been confirmed by a quality assured post-bronchodilator spirometry FEV1/FVC ratio below 0.7 between 3 months before or 6 months after diagnosis (or if newly registered at the practice in the preceding 12 months without a record of spirometry having been performed, a record of an FEV1/FVC ratio below 0.7 recorded within 6 months of registration); and 3. Patients with a clinical diagnosis of COPD on or after 1 April 2023 who are unable to undertake spirometry
COPD010. The percentage of patients with COPD on the register, who have had a review in the preceding 12 months, including a record of the number of exacerbations and an assessment of breathlessness using the Medical Research Council dyspnoea scale
50 – 90%
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)
40 – 90%
Ardens EMIS Resources to support COPD for QOF
The following templates are available to support staff recording QOF activity for COPD patients.
- Chronic Disease Templates - the Ardens COPD template contains a QOF only page for capturing all the QOF requirements for the current financial year.
- Multi-Morbidity Templates – for patients with multiple long-term conditions and to capture all QOF requirements for all conditions relevant to the specific patient.
- Spirometry template – to assist with performing and interpretation of spirometry.
The following searches are available to support staff with achieving your QOF COPD indicators.
- Ardens LTC Recall System - a month of birth recall system, designed to recall a patient for multiple QOF conditions at once. These searches will ensure your COPD patients are attending their annual review.
- QOF Misc Searches - includes searches to identify patients that have not had the full elements of their review.
- QOF Indicator Overview Searches – searches to identify outstanding QOF work.
- Chronic Disease Risk Stratification Searches – searches to enable practices to prioritise reviews for high-risk COPD patients.
- Case Finders Searches - contains a suite of searches to support practices to identify potential COPD patients missing from your practice QOF register.
- Time Sensitive QOF Searches – searches to help achieve COPD014 time limited indicator.
- QOF Monitor Dashboard – works with Ardens Manager QOF dashboard to allow a visual of QOF performance in monetary and points values.
The following is an example of real-time alerts available by default to alert practice staff of data quality issues which are affecting the COPD QOF achievement.
If you require any further assistance on the process above, please contact Ardens support on: email@example.com