I would follow the following steps:


  • Check your SMART card is updated to allow you access.
  • The java software on your computer may need to be updated. If you are java 1.4 you will need to ask IT to upgrade you.
  • Check your internet browser is up to date
  • If the above does not work, a couple of practices have had to have IT out to sort the issue


Go to https://www.gpes.nhs.uk with your SMART card logged in. This will take a short period of time to authenticate.

If you have not yet registered I would suggest that you do. When setting the practice preferences, it is recommended that you accept ‘automatic extraction for anonymous data’.

Chads2 is a risk stratification scoring system used to assess a patient’s risk of a Stroke. The scoring system works as follows

C = congestive heart failure 1 point

H = hypertension 1 point

A = aged 75 years or over 1 point

D = diabetes mellitus 1 point

S2 = previous stroke 2 points

The treatment considered should be as follows:

Score 0 = low risk (Aspirin)

Score 1 = moderate risk (Aspirin or Warfarin)

Score 2 or more = high risk (Warfarin)

The Read Codes should be a value Code: Term

Version 2


Congestive heart failure, hypertension, age, diabetes, stroke 2 risk score



It does not say it has to be a face to face review. It can be done as a notes review. On SystmOne and Vision it is made easier as incorporated in the clinical system is a Chad2 tool which you would need to save to the records but if done by a non-clinician you would have to evidence you have followed-up the score if not appropriately prescribed.

You must ensure that you Read Code the health check as well as the action plan.  Remember also you need to add the number of patients with LD aged 14 and over onto CQRS once the quarterly extraction has happened. You need to locate the latest extraction, click on the payment link, add the patient number then re-submit. Once you have completed this action you are ready to declare. Although the LD claims are extracted it still requires one manual entry before declaring.



Although it is a quarterly automatic extraction under the payment link, there is one manual entry to be made by the practice. You need to enter the number of patients on the LD register who are aged 14 and over.  This is necessary because the number will differ to your LD QOF register.

One of the contract changes for 2015/16 was that the Alcohol DES was retired from the Enhanced Services and made contractual. NHS England is still collecting the data on an annual basis but the payment is included in the Global sum.

Yes, this should happen at the time of registration as it is still sits as part of your GMS contract under the global sum payment

No, for all the claims you are submitting manually you are only required to enter ‘0’ in the management section and enter the number completed in the second section. The management questions will be filled once automatic extraction has happened. This is why you should ensure you have used the correct Read codes for all the DES that will be extracted for CQRS.

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