Hippo’s LTC Review Clinics help practices identify patients with long-term conditions who are due their annual review.
They bring together multiple condition registers — cardiovascular, respiratory, metabolic, and mental health — so recalls can be managed proactively and consistently across the practice.
All LTC indicators measure the percentage of eligible patients who have had a condition-specific or general LTC review during the financial year.
📋 How It Works
Each indicator follows the same structure:
Denominator: all active patients on the relevant QOF register, registered for GMS, and not excluded by general or condition-specific recall exclusions.
Numerator: patients with either a general LTC review code or a condition-specific review code recorded on or after the Payment Period Start Date (PPSD).
Exclusions: any valid review-related exclusion code recorded during the financial year.
🧩 Each indicator uses Ardens C cluster definitions, ensuring the coding and review logic align with nationally recognised LTC standards and the templates most practices already use.
✅ In short: each condition’s review indicator checks whether patients have had a coded LTC review during the year — or flags them for recall if not.
❤️ Cardiovascular Conditions
💓 HLTC_AF_RVW — Atrial Fibrillation
Patients on the AF register with a recorded AF review or general LTC review this financial year.
❤️ HLTC_CHD_RVW — Coronary Heart Disease
Patients on the CHD register with a CHD review or general LTC review recorded since PPSD.
💔 HLTC_HF_RVW — Heart Failure
Patients on the HF register with a HF review or general LTC review.
🦵 HLTC_PAD_RVW — Peripheral Arterial Disease
Patients on the PAD register with a PAD review or general LTC review.
🧠 HLTC_STIA_RVW — Stroke / TIA
Patients on the STIA register with a stroke/TIA review or general LTC review.
💢 HLTC_HYP_RVW — Hypertension
Patients on the hypertension register with a hypertension review or general LTC review.
❤️🔥 HLTC_CARDIO_RVW — Combined Cardiovascular Review
Brings together all cardiovascular conditions (AF, CHD, HF, PAD, Stroke/TIA, Hypertension) for a single combined review measure.
🌬️ Respiratory Conditions
💨 HLTC_AST_RVW — Asthma
Patients on the asthma register with a respiratory or general LTC review.
🌫️ HLTC_COPD_RVW — COPD
Patients on the COPD register with a COPD review or general LTC review.
🌬️❤️ HLTC_RESP_RVW — Combined Respiratory Review
Combines asthma and COPD cohorts to track overall respiratory reviews.
🍬 Metabolic Conditions
🩸 HLTC_DM_RVW — Diabetes
Patients on the diabetes register (Type 1 or Type 2) with a diabetes or general LTC review.
🍯 HLTC_NDH_RVW — Non-Diabetic Hyperglycaemia
Patients on the NDH register with an NDH-specific or general LTC review.
💭 Mental Health
🧠 HLTC_MH_RVW — Serious Mental Illness
Patients on the SMI register with a mental health or general LTC review during the financial year.
🧩 Supporting Indicators
💉 HLTC_CARDIO_BP — BP Recording for CVD Patients
Tracks whether patients in cardiovascular LTC cohorts have had a blood pressure reading recorded since PPSD.
🧪 HLTC_CARDIO_BLOODS — Blood Tests for CVD Patients
Checks that CVD patients have the following bloods recorded since PPSD:
Serum creatinine
Cholesterol
HbA1c (IFCC)
Full Blood Count (FBC)
🚫 HLTC_CARDIO_NO_DM_RVW — CVD Patients without Diabetes
Monitors reviews for cardiovascular patients without a diabetes diagnosis, ensuring this group still receives an annual review.
🌟 Why This Matters
Following these indicators helps practices:
Deliver and track annual LTC reviews across all major condition areas.
Identify and recall patients who are overdue.
Standardise review coding and recall using Ardens C cluster codes.
Support proactive care, improve QOF achievement, and streamline workflows.
✅ In short: Hippo’s LTC Review Clinics make annual recall simple by combining condition-specific and general review tracking into one unified framework.
📚 Sources
Hippo Business Rules v1.3 (May 2025)
NHS England QOF Registers
Ardens C Cluster Lists (2025)