NC LES 01 · 2026/27

PCQOF — Proactive Care Quality & Outcomes Framework

Previously known as ICCQ

Last update

22 September 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

42.7%

22 payment KPIs

Highest performing

CVD02

73.8% · target 64% · +9.8%

6,707 / 9,094

Lowest performing

CVD04

0% · target 92% · -92%

0 / 1,153

Most improved

—

Needs 2+ uploads

On target (2)Near target (3)Below target (21)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%	3,208	50.9%	1,815	3,564	1,393	Below
CC02Carer info recorded (FY)▸	90%	3,208	53.8%	1,919	3,564	1,289	Below
CC03UCP care plan [PAY]Mon▸	Monitoring	—	—	72	—	—	Monitoring
CC04Comprehensive Medication Review (FY)Mon▸	80%	2,852	49.4%	1,760	3,564	1,092	Below
CC05Prognosis discussed FYMon▸	50%	821	24%	394	1,642	427	Below
CC06Anticipatory care planning FYMon▸	50%	821	19.8%	325	1,642	496	Below
Diabetes
DM01T2DM 8 Care Processes Completed (FY)▸	78%	17,382	45.4%	10,127	22,284	7,255	Below
DM02Digital Retinal Screening (FY)▸	75%	16,713	45.7%	10,190	22,284	6,523	Below
DM03T2DM Triple Target Completed (FY)▸	43%	8,887	27.5%	5,687	20,666	3,200	Below
Mental Health
MH01Antipsychotic monitoring (FY)▸	70%	1,058	30%	454	1,511	604	Below
MH02MH Depot Q1 2026-2027▸	NIS	—	—	197	—	—	No data
Respiratory
RSP01COPD Annual Review [NIS]Mon▸	Monitoring	—	11.7%	360	3,068	—	Monitoring
RSP02MRC 3+ Ref to Pul Rehab (01/04/24 - 31/03/27)▸	65%	925	62.9%	895	1,422	30	Near
Cardiovascular
CVD01Primary Prevention Statins (FY)▸	70%	16,852	78.8%	18,963	24,073	Met	Met
CVD02Secondary Prevention Statins (FY)▸	64%	5,821	73.8%	6,707	9,094	Met	Met
CVD03CVD BP <140/90 (FY)▸	80%	6,738	57.6%	4,851	8,422	1,887	Below
CVD04AF patients on anticoagulants (FY)▸	92%	1,061	0%	—	1,153	1,061	Below
Renal
CKD01CKD BP <140/90 (FY)▸	65%	3,877	57.5%	3,430	5,964	447	Near
CKD02CKD ACR >70 with BP <130/80 (FY) [NIS]Mon▸	Monitoring	—	42.6%	3,117	7,312	—	Monitoring
CKD03CKD Proteinuria with ACEi/ARBs (FY)▸	81%	1,342	0%	—	1,656	1,342	Below
CKD04CKD G2/A3 or above with ACR urine (FY)▸	73%	6,135	46.3%	3,888	8,404	2,247	Below
CKD05CKD stages 1-5 recorded (FY)▸	19%	1,320	10.4%	723	6,943	597	Below
Care Planning
CP02Smoking Intervention (FY)▸	90%	8,122	70.8%	6,393	9,024	1,729	Below
CP03Flu Vaccination (FY)Mon▸	74%	33,636	0.1%	35	45,454	33,601	Below
CP04Care Planning completed (FY)▸	70–75%	41,035	31.9%	17,459	54,713	23,576	Below
CP05Asthma Children Care Planning completed (FY)▸	72%	2,024	44.8%	1,259	2,811	765	Below
CP06Asthma only Adults Care Planning completed (FY)▸	70%	6,390	30%	2,741	9,128	3,649	Below
CP07Wider Determinants Enquiry Recorded (Apr 2025-Mar 2027)▸	80%	44,102	74.6%	41,115	55,127	2,987	Near
NDPP
NDPP1bValid Referrals to NDPP (FY)Mon▸	Monitoring	—	—	295	—	—	Monitoring
ADHD
ADHD01ADHD First Review DoneMon▸	Monitoring	—	36.6%	690	1,887	—	Monitoring
ADHD02ADHD Second Review DoneMon▸	Monitoring	—	0%	—	1,887	—	Monitoring
High Risk CVD
HRR1High Risk CVD Annual Review done (15m)▸	70%	2,379	33.9%	1,151	3,398	1,228	Below
HRR2High Risk CVD prescribe statin and lifestyle advice▸	60%	2,039	13%	442	3,398	1,597	Below

Data as of 22 September 2026 · Clinical system · Refreshed weekly