NC LES 01 · 2026/27

PCQOF — Proactive Care Quality & Outcomes Framework

previously known as ICCQ

Last update
1 June 2026
Data source
Clinical system
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Weekly · live
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KPIs on target
1/33
32 below
Borough average
17.3%
30 indicators
Highest performing
CVD02
65% · target 64% · +1%
Lowest performing
CVD04
0% · target 92% · -92%
Most improved
—
On target (1)Near target (2)Below target (23)No data (7)
Indicator⇅Target⇅Target activity⇅Performance %⇅Activity⇅Population⇅Shortfall⇅StatusQ1
Complex Care
CC01Sociofunctional assessment done (FY)▸90%3,0749.1%3123,4152,762
2.3%
CC02Carer info recorded (FY)▸90%3,07410%3423,4152,732
2.5%
CC03UCP care plan [PAY]Mon▸Monitoring——14——
—
CC04Comprehensive Medication Review (FY)Mon▸80%2,73212.9%4403,4152,292
3.2%
CC05Prognosis discussed FYMon▸50%8063.9%631,612743
1%
CC06Anticipatory care planning FYMon▸50%8062.9%471,612759
0.7%
Diabetes
DM01T2DM 8 Care Processes Completed (FY)▸78%17,11412.6%2,75821,94114,356
3.2%
DM02Digital Retinal Screening (FY)▸75%16,45633.2%7,28621,9419,170
8.3%
DM03T2DM Triple Target Completed (FY)▸43%8,7538%1,62920,3557,124
2%
Mental Health
MH01Antipsychotic monitoring (FY)▸70%1,0434.8%721,490971
1.2%
MH02MH Depot Q1 2026-2027▸NIS——94——
—
Respiratory
RSP01COPD Annual Review [NIS]Mon▸Monitoring—1.3%413,058—
0.3%
RSP02MRC 3+ Ref to Pul Rehab (01/04/24 - 31/03/27)▸65%92561.6%8761,42249
15.4%
Cardiovascular
CVD01Primary Prevention Statins (FY)▸70%16,69366.6%15,88123,846812
16.7%
CVD02Secondary Prevention Statins (FY)▸64%5,72965%5,8148,951Met
16.3%
CVD03CVD BP <140/90 (FY)▸80%6,61223.5%1,9408,2654,672
5.9%
CVD04AF patients on anticoagulants (FY)▸92%1,3260%—1,4411,326
0%
Renal
CKD01CKD BP <140/90 (FY)▸65%3,87021.4%1,2745,9532,596
5.4%
CKD02CKD ACR >70 with BP <130/80 (FY) [NIS]Mon▸Monitoring—13%9487,288—
3.3%
CKD03CKD Proteinuria with ACEi/ARBs (FY)▸81%1,3340%—1,6461,334
0%
CKD04CKD G2/A3 or above with ACR urine (FY)▸73%5,97814.5%1,1878,1894,791
3.6%
CKD05CKD stages 1-5 recorded (FY)▸19%1,0103.5%1865,312824
0.9%
Care Planning
CP02Smoking Intervention (FY)▸90%8,11622.5%2,0309,0176,086
5.6%
CP03Flu Vaccination (FY)Mon▸74%33,1100%—44,74333,110
0%
CP04Care Planning completed (FY)▸70–75%40,43610.3%5,55053,91434,886
2.6%
CP05Asthma Children Care Planning completed (FY)▸72%2,07616.1%4652,8831,611
4%
CP06Asthma only Adults Care Planning completed (FY)▸70%6,3559.1%8289,0785,527
2.3%
CP07Wider Determinants Enquiry Recorded (Apr 2025-Mar 2027)▸80%43,44064.5%35,01354,3008,427
16.1%
NDPP
NDPP1bValid Referrals to NDPP (FY)▸NIS——48——
—
ADHD
ADHD01ADHD First Review Done▸NIS—9.9%1691,710—
2.5%
ADHD02ADHD Second Review Done▸NIS—0%—1,710—
0%
High Risk CVD
HRR1High Risk CVD Annual Review done (15m)Mon▸70%2,48812.5%4433,5542,045
3.1%
HRR2High Risk CVD prescribe statin and lifestyle adviceMon▸60%2,1335.1%1803,5541,953
1.3%
System operational
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