Since the update to V45 , many practices have seen their Asthma review achievement reverted back to zero.
It would appear that the Asthma Management plan Code used by many practices is not on the list of the QOF codes, the two acceptable SNOMED codes are:
XaRFi Patient has a written asthma personal action plan (SNOMED 527171000000103)
XaYZB Asthma self-management plan review (SNOMED 810901000000102).
Also not all areas of the review may have been completed due to the present situation.
To achieve the review indicator, the Review code, Exacerbation code, ACT questionnaire, Self-management plan and the inhaler Technique should be coded on the same day, during the same consultation.
Many patients would not have had their Inhaler technique completed due to the reviews having been a Telephone consultation. The Asthma review indicator sits within the protected payment list (See the latest Guidance) and where it has not been possible to fulfil an indicator, this should be written in your plan for managing the care delivered. Going forward for patients you have yet to review who are uncontrolled Asthmatics or are hard to reach, a Video consultation to review the patients inhaler technique may be an option if face to face is not possible.