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.


The patient would need to be referred or have their diagnosis confirmed 3 months before diagnosis or one month after the date of the latest recorded Stroke/TIA. The Read Codes below are still available and would recommend you use the most appropriate the day of admission as A&E will refer for the test to be completed while the patient is an inpatient at the hospital.


XaJkS  Stroke / transient ischaemic attack referral

XaJYc  Referral to stroke clinic

XaXOh Referral to transient ischaemic attack clinic

8HQ3.    Refer for NMR scanning

8HQ4.  Refer for CAT scanning

Version 2

8HBJ      Stroke / transient ischaemic attack referral

8HQ3.  Refer for NMR scanning

8HQ4.  Refer for CAT scanning

I agree it is really confusing. Open the GMS template for Stroke/TIA and click on the second tab. If you click on the QOF symbol on the template next to the CT/MRI link it will open up the QOF cluster and sitting in there is the referral code to the Stroke services


Version 2

8HTQ.     Referral to stroke clinic

8HBJ.     Stroke / transient ischaemic attack referral

8HQ4.     Refer for CAT scanning

8HQ3.     Refer for NMR scanning


XaJkS      Stroke / transient ischaemic attack referral

XaJYc      Referral to stroke clinic

XaXOh    Referral to transient ischaemic attack clinic

Patient in the past would have been coded with an entry of Intermittent Claudication and this group of patients should automatically be picked up and form part of your register. You may also wish to audit patients with Diabetes who have problems with circulation.

CTV3 – SystmOne

G73z. Peripheral vascular disease NOS
Gyu74 [X]Other specified peripheral vascular diseases
Xa0lV Peripheral vascular disease
XaZJa Ischaemic lower limb pain at rest
XE0VP Other peripheral vascular disease
XE0VR Intermittent claudication

Version 2 – Isoft, Vision, EMIS and Microtest.

G73.. Other peripheral vascular disease
G734. Peripheral arterial disease
G73y. Other specified peripheral vascular disease
G73z. Peripheral vascular disease NOS
G73z0 Intermittent claudication
G73zz Peripheral vascular disease NOS
Gyu74 [X]Other specified peripheral vascular diseases



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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