NC LES 01 · 2026/27

PCQOF — Proactive Care Quality & Outcomes Framework

Previously known as ICCQ

Last update

15 August 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

38.0%

22 payment KPIs

Highest performing

CVD02

73% · target 64% · +9%

6,599 / 9,045

Lowest performing

CVD04

0% · target 92% · -92%

0 / 1,276

Most improved

—

Needs 2+ uploads

On target (2)Near target (2)Below target (22)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%	3,203	45.8%	1,630	3,558	1,573	Below
CC02Carer info recorded (FY)▸	90%	3,203	47.3%	1,684	3,558	1,519	Below
CC03UCP care plan [PAY]Mon▸	Monitoring	—	—	65	—	—	Monitoring
CC04Comprehensive Medication Review (FY)Mon▸	80%	2,847	41%	1,459	3,558	1,388	Below
CC05Prognosis discussed FYMon▸	50%	813	20.4%	331	1,625	482	Below
CC06Anticipatory care planning FYMon▸	50%	813	17.4%	283	1,625	530	Below
Diabetes
DM01T2DM 8 Care Processes Completed (FY)▸	78%	17,277	35.4%	7,851	22,149	9,426	Below
DM02Digital Retinal Screening (FY)▸	75%	16,612	43.5%	9,630	22,149	6,982	Below
DM03T2DM Triple Target Completed (FY)▸	43%	8,835	21.9%	4,499	20,546	4,336	Below
Mental Health
MH01Antipsychotic monitoring (FY)▸	70%	1,049	24%	360	1,498	689	Below
MH02MH Depot Q1 2026-2027▸	NIS	—	—	193	—	—	No data
Respiratory
RSP01COPD Annual Review [NIS]Mon▸	Monitoring	—	9.5%	292	3,065	—	Monitoring
RSP02MRC 3+ Ref to Pul Rehab (01/04/24 - 31/03/27)▸	65%	923	62.7%	891	1,420	32	Near
Cardiovascular
CVD01Primary Prevention Statins (FY)▸	70%	16,789	77.5%	18,596	23,984	Met	Met
CVD02Secondary Prevention Statins (FY)▸	64%	5,789	73%	6,599	9,045	Met	Met
CVD03CVD BP <140/90 (FY)▸	80%	6,704	50.5%	4,228	8,379	2,476	Below
CVD04AF patients on anticoagulants (FY)▸	92%	1,174	0%	—	1,276	1,174	Below
Renal
CKD01CKD BP <140/90 (FY)▸	65%	3,865	49%	2,913	5,946	952	Below
CKD02CKD ACR >70 with BP <130/80 (FY) [NIS]Mon▸	Monitoring	—	34.4%	2,499	7,267	—	Monitoring
CKD03CKD Proteinuria with ACEi/ARBs (FY)▸	81%	1,327	0%	—	1,638	1,327	Below
CKD04CKD G2/A3 or above with ACR urine (FY)▸	73%	6,087	37.6%	3,131	8,337	2,956	Below
CKD05CKD stages 1-5 recorded (FY)▸	19%	1,244	9%	592	6,545	652	Below
Care Planning
CP02Smoking Intervention (FY)▸	90%	8,136	61.4%	5,548	9,040	2,588	Below
CP03Flu Vaccination (FY)Mon▸	74%	33,478	0%	—	45,240	33,478	Below
CP04Care Planning completed (FY)▸	70–75%	40,854	27.5%	14,957	54,472	25,897	Below
CP05Asthma Children Care Planning completed (FY)▸	72%	2,040	34.5%	976	2,833	1,064	Below
CP06Asthma only Adults Care Planning completed (FY)▸	70%	6,412	26.7%	2,450	9,159	3,962	Below
CP07Wider Determinants Enquiry Recorded (Apr 2025-Mar 2027)▸	80%	43,912	73.5%	40,362	54,889	3,550	Near
NDPP
NDPP1bValid Referrals to NDPP (FY)Mon▸	Monitoring	—	—	173	—	—	Monitoring
ADHD
ADHD01ADHD First Review DoneMon▸	Monitoring	—	28.6%	531	1,854	—	Monitoring
ADHD02ADHD Second Review DoneMon▸	Monitoring	—	0%	—	1,854	—	Monitoring
High Risk CVD
HRR1High Risk CVD Annual Review done (15m)▸	70%	2,412	24.7%	852	3,445	1,560	Below
HRR2High Risk CVD prescribe statin and lifestyle advice▸	60%	2,067	9.8%	337	3,445	1,730	Below

Data as of 15 August 2026 · Clinical system · Refreshed weekly