With regard to the above support call, the reason that the Recurrent wheezy bronchitis codes are included in extract is because of the way that SNOMED CT codes map to Read codes:
• Recurrent wheezy bronchitis is a synonym for the SNOMED code 195949008 Chronic asthmatic bronchitis. Our clinicians have confirmed this SNOMED code is a valid COPD code, therefore this code has to be retained in the code cluster COPD_COD for QOF version 41. This does mean that patients with H30.. Recurrent wheezy bronchitis will continue to be included on COPD registers.
We recommend checking whether your system supplier or your regional NHS England Team have provided any guidance regarding how to manage these patients.
If they have not provided any guidance and your clinicians have determined that these patients are not suitable to follow the QOF COPD care pathway then these patients would need to be exception reported for the purposes of QOF
Service Management Practitioner