NC LES 01 · 2026/27

PCQOF — Proactive Care Quality & Outcomes Framework

Previously known as ICCQ

Last update

1 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

36.2%

22 payment KPIs

Highest performing

CVD02

72.7% · target 64% · +8.7%

6,551 / 9,009

Lowest performing

CVD04

0% · target 92% · -92%

0 / 1,432

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%	3,204	43.7%	1,554	3,560	1,650	Below
CC02Carer info recorded (FY)▸	90%	3,204	45%	1,602	3,560	1,602	Below
CC03UCP care plan [PAY]Mon▸	Monitoring	—	—	64	—	—	Monitoring
CC04Comprehensive Medication Review (FY)Mon▸	80%	2,848	37.4%	1,330	3,560	1,518	Below
CC05Prognosis discussed FYMon▸	50%	812	19.6%	318	1,623	494	Below
CC06Anticipatory care planning FYMon▸	50%	812	16.9%	274	1,623	538	Below
Diabetes
DM01T2DM 8 Care Processes Completed (FY)▸	78%	17,221	31.7%	6,990	22,078	10,231	Below
DM02Digital Retinal Screening (FY)▸	75%	16,559	42.2%	9,327	22,078	7,232	Below
DM03T2DM Triple Target Completed (FY)▸	43%	8,812	19.8%	4,064	20,492	4,748	Below
Mental Health
MH01Antipsychotic monitoring (FY)▸	70%	1,050	22.6%	339	1,499	711	Below
MH02MH Depot Q1 2026-2027▸	NIS	—	—	189	—	—	No data
Respiratory
RSP01COPD Annual Review [NIS]Mon▸	Monitoring	—	8.6%	262	3,061	—	Monitoring
RSP02MRC 3+ Ref to Pul Rehab (01/04/24 - 31/03/27)▸	65%	923	62.5%	887	1,419	36	Near
Cardiovascular
CVD01Primary Prevention Statins (FY)▸	70%	16,761	76.9%	18,401	23,943	Met	Met
CVD02Secondary Prevention Statins (FY)▸	64%	5,766	72.7%	6,551	9,009	Met	Met
CVD03CVD BP <140/90 (FY)▸	80%	6,678	47.1%	3,935	8,347	2,743	Below
CVD04AF patients on anticoagulants (FY)▸	92%	1,318	0%	—	1,432	1,318	Below
Renal
CKD01CKD BP <140/90 (FY)▸	65%	3,869	44.5%	2,650	5,951	1,219	Below
CKD02CKD ACR >70 with BP <130/80 (FY) [NIS]Mon▸	Monitoring	—	30.4%	2,207	7,270	—	Monitoring
CKD03CKD Proteinuria with ACEi/ARBs (FY)▸	81%	1,326	0%	—	1,637	1,326	Below
CKD04CKD G2/A3 or above with ACR urine (FY)▸	73%	6,071	33.2%	2,762	8,316	3,309	Below
CKD05CKD stages 1-5 recorded (FY)▸	19%	1,102	9.3%	540	5,797	562	Below
Care Planning
CP02Smoking Intervention (FY)▸	90%	8,136	59%	5,330	9,040	2,806	Below
CP03Flu Vaccination (FY)Mon▸	74%	33,412	0%	—	45,151	33,412	Below
CP04Care Planning completed (FY)▸	70–75%	40,787	26%	14,159	54,382	26,628	Below
CP05Asthma Children Care Planning completed (FY)▸	72%	2,052	31%	884	2,849	1,168	Below
CP06Asthma only Adults Care Planning completed (FY)▸	70%	6,393	25.9%	2,363	9,132	4,030	Below
CP07Wider Determinants Enquiry Recorded (Apr 2025-Mar 2027)▸	80%	43,828	73%	39,998	54,784	3,830	Near
NDPP
NDPP1bValid Referrals to NDPP (FY)Mon▸	Monitoring	—	—	138	—	—	Monitoring
ADHD
ADHD01ADHD First Review DoneMon▸	Monitoring	—	27.1%	492	1,813	—	Monitoring
ADHD02ADHD Second Review DoneMon▸	Monitoring	—	0%	—	1,813	—	Monitoring
High Risk CVD
HRR1High Risk CVD Annual Review done (15m)▸	70%	2,429	22.1%	768	3,469	1,661	Below
HRR2High Risk CVD prescribe statin and lifestyle advice▸	60%	2,082	8.8%	307	3,469	1,775	Below

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