26/06/2026
Our HP451 supports review of patients who are on the heart failure register but do not currently appear to have heart failure with reduced ejection fraction recorded.
Patients with heart failure with reduced ejection fraction may be eligible for the four pillars of heart failure management, so accurate coding and review is important.
The protocol identifies patients who:
🔵 have heart failure recorded
🔵 are not currently recorded as having heart failure with reduced ejection fraction
🔵 may therefore need review of their heart failure coding and management
The alert is suppressed if a non-HFrEF heart failure code, such as heart failure with normal ejection fraction, has been added during the current QOF year.
Heart failure coding affects both clinical management and QOF reporting. If a patient has reduced ejection fraction but this is not recorded correctly, they may not be identified for appropriate optimisation of heart failure treatment.
The protocol helps practices identify patients who may need review, so that:
🔵 heart failure type is coded accurately
🔵 echo information is considered
🔵 previous left ventricular dysfunction coding is not missed
🔵 patients who may be eligible for HFrEF management are reviewed appropriately
📚 for more details, please read our support article: https://support.primarycareit.co.uk/portal/en-gb/kb/articles/hp451
