Both codes are part of QOF so there is not an issue there and both results have been sent by the lab for about a year now. The 42W5 being the International Federation of Clinical Chemistry and Laboratory Medicine standardised and the more familiar code 42W4.HbA1c level (DCCT aligned)


We should be working towards familiarising ourselves with the new levels although there has not been any change to the rule sets regarding the 42W4, this is still acceptable at the moment


Comparing DCCT-HbA1c and IFCC-HbA1c Results


The chart below allows the practices to convert the levels and I would be surprised if practices did not have a copy, we did hand them out to the audit clerks last year





DCCT-HbA1c (%)             IFCC-HbA1c (mmol/mol)

6                                                              42

6.5                                                          48

7                                                              53

7.5                                                          59

8                                                              64

9                                                              75


To achieve this indicator you would need to have patients diagnosed with proteinuria or micro-albuminuria that you would treat with an ACE inhibitors (or A2 antagonists). If you are aware of patients with a diagnosis of either proteinuria or micro-albuminuria, you need to check the Read Codes used.



It is recommended you still discuss the three topics with patients as CQRS are extracting this data. Although the results will not be used to assess practice achievement

CTV3                      Version 2

XaRFa                    8IB4.                     Pregnancy advice for patients with epilepsy not indicated

XaRFb                   8IB3.                     Pre-conception advice for patients with epilepsy not indicated

XaRFc                    8IB2.                     Contraceptive advice for patients with epilepsy not indicated

The new Read Codes are listed below with the conversion table:

International Federation of Clinical Chemistry (IFCC) Standardization of HbA1c conversion table


IFCC HbA1c NGSP HbA1c (%)
31 5
42 6
53 7
64 8
75 9
86 10
97 11
108 12


Version 2

42W5.   Haemoglobin A1c level – International Federation of Clinical Chemistry and Laboratory Medicine standardised



XaPbt    Haemoglobin A1c level – International Federation of Clinical Chemistry and Laboratory Medicine standardised

If the patient is treated by the CPA and evidence of a documented care plan discussed with their community key worker is available, this can be scanned onto the patient’s record and would be acceptable for QOF. It is the MH patients who do not have a key worker who will require a primary care care plan.


The mental health care plan codes are listed below

  CTV3 Version 2
Mental Health Care Programme Approach XaIXu 8CY..
Care Programme Approach review XaK8p 8CG6.
Ongoing Care Programme Approach review XaK8s 8CG61
Initial Care Programme Approach review XaK8r 8CG60
Discharge Care Programme Approach review XaK8t 8CG62
Agreeing on mental health care plan Xaa8p 8CS7.
Review of mental health care plan Xaa8q 8CMG1












Patient Name Date of Birth
GP Name
Date of Mental
Health Plan
Actual Date of Mental
Health Review


Outcome Tool Result at assessment Result at review




(eg. Reduce symptoms, improve functioning)

(eg. Referral to Allied Health,  medication, engagement of family / other supports)  

(Impact of action / task on problem)

















Early Warning Signs (Be specific. Re-assess at Review Consultation.)
1 2
3 4


Relapse Prevention Plan (Re-assess at Review Consultation.)
1 2
3 4
5 6


Emergency Care (eg Family contact person / details)





3       Access Team, Phone





The following section to be signed by patient and GP:



I understand the above Mental Health Plan and agree to the outlined goals / actions


Patient Signature:



GP Signature:



Has a copy of the MH Plan been given to the Patient? Yes   ¨                 No  ¨
Proposed date for Mental Health Review (1 – 6 months after MH Plan adopted)



Additional Notes






Having checked the patients records we discovered they all had a BP reading entered in by the community services and although the Systolic reading was =< 150, all three patients had a Diastolic reading of between 91-93.

The system will look for the latest reading regardless of who has entered the data and it will look at both as both the Systolic and Diastolic readings have to fulfil the criteria.

To fulfil the criteria it states clearly the advice given by the practice has to be both verbal and written. There is now a specific Read code for the giving of leaflets, you will need to record both Verbal and written/ leaflet advice if using the individual Read codes that are now available for both Indicators.


There is a low exception Read Code for refusal of BP

Version 2 Read Codes

8I3Y.                    Blood pressure procedure refused

CTV 3 Read Codes

XaJkR                   Blood pressure procedure refused

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