NC LES 01 · 2026/27

PCQOF — Proactive Care Quality & Outcomes Framework

Previously known as ICCQ

Last update

1 October 2026

Data source

Clinical system

Refresh

Weekly · live

Next refresh

Auto · weekly

Indicator type

Date window

PCN & Practice

View as at

KPIs on target

2/23

21 below · 10 monitoring

Performance

44.6%

22 payment KPIs

Highest performing

CVD02

73.9% · target 64% · +9.9%

6,730 / 9,103

Lowest performing

CVD04

4.2% · target 92% · -87.8%

48 / 1,150

Most improved

—

Needs 2+ uploads

On target (2)Near target (4)Below target (20)No data (7)Mon= Monitoring only — no payment threshold

Indicator⇅	Target⇅	Target activity⇅	Performance %⇅	Activity⇅	Population⇅	Shortfall⇅	Status
Complex Care
CC01Sociofunctional assessment done (FY)▸	90%	3,206	53.5%	1,907	3,562	1,299	Below
CC02Carer info recorded (FY)▸	90%	3,206	56.6%	2,015	3,562	1,191	Below
CC03UCP care plan [PAY]Mon▸	Monitoring	—	—	79	—	—	Monitoring
CC04Comprehensive Medication Review (FY)Mon▸	80%	2,850	51.3%	1,826	3,562	1,024	Below
CC05Prognosis discussed FYMon▸	50%	822	25.1%	413	1,644	409	Below
CC06Anticipatory care planning FYMon▸	50%	822	21.4%	351	1,644	471	Below
Diabetes
DM01T2DM 8 Care Processes Completed (FY)▸	78%	17,430	48.2%	10,764	22,346	6,666	Below
DM02Digital Retinal Screening (FY)▸	75%	16,760	46.2%	10,314	22,346	6,446	Below
DM03T2DM Triple Target Completed (FY)▸	43%	8,909	29.2%	6,046	20,718	2,863	Below
Mental Health
MH01Antipsychotic monitoring (FY)▸	70%	1,059	31.7%	479	1,512	580	Below
MH02MH Depot Q1 2026-2027▸	NIS	—	—	199	—	—	No data
Respiratory
RSP01COPD Annual Review [NIS]Mon▸	Monitoring	—	12.6%	388	3,071	—	Monitoring
RSP02MRC 3+ Ref to Pul Rehab (01/04/24 - 31/03/27)▸	65%	923	62.9%	893	1,420	30	Near
Cardiovascular
CVD01Primary Prevention Statins (FY)▸	70%	16,872	79.1%	19,066	24,102	Met	Met
CVD02Secondary Prevention Statins (FY)▸	64%	5,826	73.9%	6,730	9,103	Met	Met
CVD03CVD BP <140/90 (FY)▸	80%	6,746	59.5%	5,015	8,432	1,731	Below
CVD04AF patients on anticoagulants (FY)▸	92%	1,058	4.2%	48	1,150	1,010	Below
Renal
CKD01CKD BP <140/90 (FY)▸	65%	3,891	59.3%	3,548	5,986	343	Near
CKD02CKD ACR >70 with BP <130/80 (FY) [NIS]Mon▸	Monitoring	—	44.5%	3,265	7,338	—	Monitoring
CKD03CKD Proteinuria with ACEi/ARBs (FY)▸	81%	1,357	5%	84	1,675	1,273	Below
CKD04CKD G2/A3 or above with ACR urine (FY)▸	73%	6,166	48.4%	4,090	8,446	2,076	Below
CKD05CKD stages 1-5 recorded (FY)▸	19%	1,330	11.1%	776	6,996	554	Below
Care Planning
CP02Smoking Intervention (FY)▸	90%	8,135	76.5%	6,914	9,038	1,221	Near
CP03Flu Vaccination (FY)Mon▸	74%	33,693	0.1%	60	45,530	33,633	Below
CP04Care Planning completed (FY)▸	70–75%	41,103	33.8%	18,515	54,803	22,588	Below
CP05Asthma Children Care Planning completed (FY)▸	72%	2,029	46.8%	1,319	2,818	710	Below
CP06Asthma only Adults Care Planning completed (FY)▸	70%	6,397	30.8%	2,815	9,138	3,582	Below
CP07Wider Determinants Enquiry Recorded (Apr 2025-Mar 2027)▸	80%	44,177	74.9%	41,361	55,221	2,816	Near
NDPP
NDPP1bValid Referrals to NDPP (FY)Mon▸	Monitoring	—	—	324	—	—	Monitoring
ADHD
ADHD01ADHD First Review DoneMon▸	Monitoring	—	40.9%	780	1,908	—	Monitoring
ADHD02ADHD Second Review DoneMon▸	Monitoring	—	0%	—	1,908	—	Monitoring
High Risk CVD
HRR1High Risk CVD Annual Review done (15m)▸	70%	2,371	35.3%	1,194	3,386	1,177	Below
HRR2High Risk CVD prescribe statin and lifestyle advice▸	60%	2,032	13.5%	457	3,386	1,575	Below

Data as of 1 October 2026 · Clinical system · Refreshed weekly