Case finding, register audit and recall setup for EMIS GP practices and PCNs. Every finding is checked in the record, and every row is reviewed by your clinician before anyone is contacted.
or email contact@qofaudit.co.uk
You pick the cohorts. You get a record-checked list and the searches behind it.
1 to 2 weeksEvery paying register swept for missing, wrong and unsupported diagnoses.
3 to 4 weeksSearches, templates and a written SOP for the patients your recalls miss.
2 weeks plus one cyclePick one cohort. Up to 30 record-checked patients, judged against your own register.
Book a meetingPatients whose record already meets the criteria for a diagnosis that was never coded. You read this list and recognise your own practice.
Diabetes, non-diabetic hyperglycaemia, CKD and hypertension Results meet the diagnostic threshold in the record and nobody coded it.
Heart failure and atrial fibrillation Evident from prescribing, results or correspondence, with no code on the register.
CHD, stroke/TIA and PAD Confirmed in hospital letters but missing from the register.
Asthma and COPD Suggested by inhaled therapy, spirometry or letters, with no code.
Personalised Care Adjustment (exception reporting) Patients who meet the criteria across the diabetes, hypertension and cardiovascular indicators but have no code recorded.
Serious mental illness in possible remission Patients whose record suggests remission but who have never been reviewed for a remission code.
One row per patient. The evidence is on the row, so a clinician can agree or disagree in seconds.
| Patient | Age | Finding | Confidence | Action | Evidence |
|---|---|---|---|---|---|
| #4471 | 62 | Two HbA1c at or above 48, no diabetes code | HIGH | code | 48 and 52 mmol/mol, Aug and Nov 2025 |
| #0932 | 71 | Loop diuretic and raised BNP, no heart failure code | HIGH | investigate | BNP 480 ng/L, 4 repeat issues in 12 months |
| #2204 | 66 | Two eGFR below 60, over 90 days apart, no CKD code | HIGH | code | 54 and 51 mL/min, Mar and Jul 2025 |
| #1180 | 58 | Inhaled therapy, no asthma or COPD code | MED | review | 6 repeat issues in 12 months |
| #2915 | 74 | SMI coded, off register (possible remission) | LOW | review | No antipsychotic issued since 2019; no review or remission code |
Sample rows, synthetic data. Code means the record already meets the diagnostic criterion for a clinician to consider a code. Investigate means a test is needed first, such as ABPM or an echo. Review means a clinical judgement, not a code.
Every finding comes with the search that produced it and the evidence found in the record. If a clinician disagrees with a row, both are on the same page.
Practices look for this first, so it is up here and in plain sentences.
I work under an MOU with the practice, on its instructions. The practice remains the sole data controller throughout. I will send a template MOU on request.
The work happens inside EMIS Web, on an NHS laptop over your remote access or on practice equipment. The only other software is Excel. No cloud service, no upload and no AI touches patient data.
Outputs are candidates for clinical review, never diagnoses. A clinician at the practice verifies every list before any patient is contacted.
Not included: the practice verifies every finding, the practice contacts patients, and the practice makes every clinical decision. I need a login or smartcard the practice issues for the engagement and sight of the record, so I can read the documents behind a finding.
Over five years in general practice and at PCN level, across a practice of more than 26,000 patients and a PCN of around 70,000.
I started in practice administration and reception, then moved through document coding, QOF administration and recall, enhanced services claims and delivery, data quality and case finding. Most recently I was a care coordinator at PCN level, working on enhanced services and integrated neighbourhood team delivery.
I am an expert-level EMIS user: searches and reports, templates and protocols, and coding. I have built dashboards and reporting tools and automated the list-processing work that quietly eats administrative time.
I have seen where the errors come from, from the moment correspondence arrives to the moment a clinician misses a code. I work alone, with no employees and no subcontracting. DBS checked.
or email contact@qofaudit.co.uk
The first case-finding sprint is free: up to 30 record-checked patients, from one cohort you choose. Practices with smaller lists may get fewer.