Glossary of terms
Result domain descriptions
Clinical The Clinical domain consists of 65 indicators across 19 clinical areas (e.g. chronic kidney disease, heart failure) worth up to a maximum of 435 points.
Public Health The Public Health domain consists of seven indicators (worth up to 97 points) across four areas – blood pressure, cardiovascular disease - primary prevention, obesity and smoking.
Public Health – Additional Services The Public Health - Additional Services domain consists of five indicators (worth up to 27 points) across two service areas – cervical screening and contraception.
Clinical domain indicator group descriptions
Asthma Asthma is inflammation of the small airways that carry air in and out of the lungs, which can cause wheezing, coughing and difficulty in breathing.
Atrial fibrillation Atrial fibrillation is a heart condition that causes an irregular and often abnormally fast heart rate. This may lead to a number of problems including dizziness, shortness of breath or palpitations.
Cancer Cancer happens when the control signals in normal cells go wrong and abnormal cells are produced which keep on dividing to form clusters (tumours). In the QOF the cancer indicator counts the patients diagnosed with cancer (excluding non-melanotic skin cancer) on or after 1st April 2003.
Chronic kidney disease

CKD is a long-term abnormality of the kidneys. The severity of the disease is classified into 5 stages. The QOF refers to care for patients with stages 3a-5, who by definition have less than 60% of their kidney function. In the QOF chronic kidney disease management is in respect of patients aged 18 and over.

Chronic obstructive pulmonary disease This is the name for a collection of lung diseases including chronic bronchitis and emphysema. People with COPD have difficulties breathing and the most common symptoms are increasing breathlessness when active and a persistent cough with phlegm.
Secondary Prevention of Coronary heart disease CHD is the single most common cause of premature death in the UK. It is the term used to describe what happens when the blood supply to the heart is blocked or interrupted by a build-up of fatty substances in the coronary arteries.
Dementia Dementia is a group of related symptoms associated with a decline of the cognitive functions of the brain. This includes problems with memory, thinking speed, understanding and judgement. Further symptoms of this condition can include changes in personality and mood, periods of mental confusion and depression.
Depression Depression is a mood state that is characterised by a persistent significantly lowered mood and a loss of interest or pleasure in activities that are normally enjoyable. Clinical depression can range from mild (with some impact on daily life) to severe (where daily life may be almost impossible). In the QOF depression management is in respect of patients aged 18 and over.
Diabetes mellitus Diabetes mellitus is when the body is unable to regulate the amount of sugar in the blood due to problems producing insulin. Diabetes increases the risk of heart disease and stroke and can lead to damage to the eyes and kidneys. In the QOF diabetes management is in respect of patients aged 17 and over.
Epilepsy Epilepsy is a condition that affects the brain and causes repeated seizures. It can occur for many different reasons, though it is usually the result of some kind of brain damage. It usually begins during childhood but it can start at any age. In the QOF epilepsy management is in respect of patients aged 18 and over.
Heart failure Heart failure means a heart is not pumping blood around the body as it should. The most common reason for this is that the heart muscle is damaged. Heart muscles can be damaged by heart attack, high blood pressure or cardiomyopathy.
Hypertension More simply known as high blood pressure, hypertension usually has no obvious symptoms. Having high blood pressure increases the chance of having a heart attack or stroke.
Learning disabilities Learning disabilities can be mild, moderate or severe and whereas some people with mild learning disabilities can communicate effectively with apparent ease, and take care of themselves, there are others unable to communicate at all and who need full time care.
Mental health Mental health problems cover a wide spectrum, from distress to depression and loss of touch with reality, and may interfere with the ability to cope on a day to day basis. Mental health conditions can affect anyone. At any one time one in six people is experiencing a mental health problem.
Osteoporosis Osteoporosis is a condition that weakens bones and makes them fragile and more likely to break. Although the majority of patients are post-menopausal women it is possible for men, younger women and children to be affected by it. These fractures most commonly occur in the spine, wrist and hips but can affect other bones such as the arm or pelvis. In the QOF osteoporosis management is in respect of patients aged 50 and over.
Palliative care The aim of palliative care is to make the end of a person’s life as comfortable as possible. This care can be provided by teams across health and social care disciplines.
Peripheral Arterial Disease (PAD) This is a common condition where a build-up of fatty deposits in arteries restricts blood supply to leg muscles – a process called atherosclerosis. If someone has this condition, they have a much higher risk of developing other cardiovascular diseases including coronary heart disease and stroke.
Rheumatoid Arthritis Rheumatoid arthritis is a long term condition which causes pain, swelling and stiffness in the joints. It is an autoimmune disease which means that the body’s own immune system attacks the joints. In the QOF rheumatoid arthritis management is in respect of patients aged 16 and over.
Stroke and transient ischaemic attacks

A stroke occurs when the blood supply to part of the brain is cut off. This can be due to a blood clot – known as ischaemic; or blood vessels bursting – known as haemorrhagic. These are major emergencies and need treatment urgently.

Transient ischaemic attacks (TIAs) are known as ‘mini strokes’. These are often a precursor to a stroke and should be taken very seriously, treatment for TIAs minimises the risk of having further TIAs or a stroke.
Public Health domain indicator group descriptions
Blood Pressure High or low blood pressure can be indicative of underlying conditions. This public health list size is a count of patients aged 45 or over who have had a record of their blood pressure taken in the preceding five years. The majority of patients develop hypertension (high blood pressure) after age 45.
Cardiovascular disease - primary prevention The register is made up of patients with a new (unresolved) diagnosis of hypertension for patients aged 30-74. This public health indicator set regards patients newly diagnosed with hypertension and whether lifestyle advice has been given and statins are in use.
Obesity Obesity occurs when a person puts on weight to the extent that it seriously endangers health. It is defined as having a body mass index (BMI) that is greater than or equal to 30. In the QOF obesity prevalence is in respect of patients aged 18 and over.
Smoking

There are four indicators in the smoking group.

SMOK002 measures how many people who have a record of smoking in the preceding 12 months, also have one or more of the other named conditions – coronary heart disease, peripheral arterial disease, stroke or TIA, hypertension, diabetes, COPD, chronic kidney disease, asthma, schizophrenia, bipolar affective disorder or other psychoses. The other three indicators concern ongoing management including supporting stopping smoking and providing cessation advice. This is not a register of the number of people who smoke and therefore there is no prevalence rate for this indicator. For those aged 15+.
Public Health – Additional Services domain indicator group descriptions
Cervical screening A national programme of screening for cervical cancer for women aged 25 to 64. Cervical screening in itself is not a test for cancer. It is a test that checks the health of the cells in the cervix. This group of four indicators relates to the screening of eligible women, adequate training of staff and auditing the screening and feedback service.
Contraception This indicator set is for GPs to increase the awareness in women seeking contraceptive advice about long acting reversible contraception for those aged under 55 years old.
Miscellaneous descriptions
CCG average Equivalent percentage for all practices in the same CCG (Clinical Commissioning Group).
Clinical prevalence Prevalence relates to the number of patients with a particular condition expressed as a percentage of the practice list size. QOF payments include prevalence adjustments but these are not reflected in the publication of QOF data, which presents only raw prevalence figures.
England average Equivalent percentage for all practices in England.