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<strong>QOF</strong>+ report on smokingProposed indicatorsIndicator<strong>QOF</strong>+pointsPaymentstages+ SMOKING 1. The percentage of patients aged 15 years orolder whose notes record smoking status in the past 17months, or whose most recent recorded smoking status,recorded over the age of 25, indicates that they had neversmoked+ SMOKING 2. The percentage of patients aged 15 years orolder who smoke whose notes contain a record that smokingcessation advice or referral to a local smoking cessationservice has been offered within the previous 17 months20 40-90%10 40-90%These indicators have been adapted from those in the existing <strong>QOF</strong> and from NHS Hammersmithand Fulham’s Local Enhanced Service for CVD Primary Prevention.BackgroundThe aims of incorporating additional indicators for smoking cessation within <strong>QOF</strong>+ include:reducing smoking prevalence in practice-registered populations, andoffering those wishing to stop smoking appropriate help either through practice-basedsupport or referrals to specialist services outside the practice.The proposed indicators are additional to the NHS Hammersmith and Fulham Local EnhancedService (LES) for Smoking Cessation and existing <strong>QOF</strong> indicators. This LES aims to increase thenumber of patients who receive multi-session stop smoking support through practice-basedadvisors and/or referral to specialist services outside the practice.33