NC LES 01 · 2026/27

PCQOF — Proactive Care Quality & Outcomes Framework

Previously known as ICCQ

Last update

22 July 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

33.7%

22 payment KPIs

Highest performing

CVD02

72.2% · target 64% · +8.2%

6,499 / 9,000

Lowest performing

CVD04

0% · target 92% · -92%

0 / 1,430

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%	3,207	38%	1,354	3,563	1,853	Below
CC02Carer info recorded (FY)▸	90%	3,207	39.6%	1,412	3,563	1,795	Below
CC03UCP care plan [PAY]Mon▸	Monitoring	—	—	54	—	—	Monitoring
CC04Comprehensive Medication Review (FY)Mon▸	80%	2,851	33.2%	1,184	3,563	1,667	Below
CC05Prognosis discussed FYMon▸	50%	811	16.7%	271	1,622	540	Below
CC06Anticipatory care planning FYMon▸	50%	811	14%	227	1,622	584	Below
Diabetes
DM01T2DM 8 Care Processes Completed (FY)▸	78%	17,193	28.1%	6,190	22,042	11,003	Below
DM02Digital Retinal Screening (FY)▸	75%	16,532	40.6%	8,944	22,042	7,588	Below
DM03T2DM Triple Target Completed (FY)▸	43%	8,801	18%	3,674	20,466	5,127	Below
Mental Health
MH01Antipsychotic monitoring (FY)▸	70%	1,048	19.7%	295	1,497	753	Below
MH02MH Depot Q1 2026-2027▸	NIS	—	—	182	—	—	No data
Respiratory
RSP01COPD Annual Review [NIS]Mon▸	Monitoring	—	6.9%	210	3,058	—	Monitoring
RSP02MRC 3+ Ref to Pul Rehab (01/04/24 - 31/03/27)▸	65%	923	62.6%	888	1,419	35	Near
Cardiovascular
CVD01Primary Prevention Statins (FY)▸	70%	16,740	76.3%	18,244	23,914	Met	Met
CVD02Secondary Prevention Statins (FY)▸	64%	5,760	72.2%	6,499	9,000	Met	Met
CVD03CVD BP <140/90 (FY)▸	80%	6,670	44.4%	3,701	8,337	2,969	Below
CVD04AF patients on anticoagulants (FY)▸	92%	1,316	0%	—	1,430	1,316	Below
Renal
CKD01CKD BP <140/90 (FY)▸	65%	3,864	40.9%	2,433	5,944	1,431	Below
CKD02CKD ACR >70 with BP <130/80 (FY) [NIS]Mon▸	Monitoring	—	27.4%	1,988	7,258	—	Monitoring
CKD03CKD Proteinuria with ACEi/ARBs (FY)▸	81%	1,318	0%	—	1,627	1,318	Below
CKD04CKD G2/A3 or above with ACR urine (FY)▸	73%	6,038	30.1%	2,490	8,270	3,548	Below
CKD05CKD stages 1-5 recorded (FY)▸	19%	1,088	8.2%	468	5,724	620	Below
Care Planning
CP02Smoking Intervention (FY)▸	90%	8,114	52.4%	4,727	9,015	3,387	Below
CP03Flu Vaccination (FY)Mon▸	74%	33,374	0%	—	45,099	33,374	Below
CP04Care Planning completed (FY)▸	70–75%	40,743	23%	12,509	54,324	28,234	Below
CP05Asthma Children Care Planning completed (FY)▸	72%	2,059	26.1%	746	2,859	1,313	Below
CP06Asthma only Adults Care Planning completed (FY)▸	70%	6,394	22.9%	2,089	9,134	4,305	Below
CP07Wider Determinants Enquiry Recorded (Apr 2025-Mar 2027)▸	80%	43,781	71.1%	38,924	54,726	4,857	Near
NDPP
NDPP1bValid Referrals to NDPP (FY)Mon▸	Monitoring	—	—	116	—	—	Monitoring
ADHD
ADHD01ADHD First Review DoneMon▸	Monitoring	—	23.5%	419	1,780	—	Monitoring
ADHD02ADHD Second Review DoneMon▸	Monitoring	—	0%	—	1,780	—	Monitoring
High Risk CVD
HRR1High Risk CVD Annual Review done (15m)▸	70%	2,453	18.9%	661	3,503	1,792	Below
HRR2High Risk CVD prescribe statin and lifestyle advice▸	60%	2,102	7.9%	275	3,503	1,827	Below

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