11/06/2026
Our HP449 supports QOF 2026/27 achievement for the new obesity indicators OB004 and OB005. When a BMI is entered, the protocol assesses whether the BMI meets the threshold for action under OB004 or OB005.
If the BMI meets the threshold for OB004, the protocol alerts the user that the patient may need referral to a weight management service, or that a reason for not referring should be recorded.
The options offered include:
🔵 referral to weight management service
🔵 weight management service unavailable
🔵 unsuitable for weight management programme
🔵 referral declined
For OB005, the protocol checks whether the patient has the required comorbidities that support eligibility for weight management pharmacotherapy, including tirzepatide. Where the patient has 4 out of 5 relevant conditions, the user is alerted that the patient meets criteria and is prompted to complete the relevant actions. Where the patient has 3 out of 5 conditions, the protocol reviews the record to identify whether the patient may be close to eligibility but has missing or incomplete coding.
Examples include:
🔵 raised blood pressure but no hypertension diagnosis
🔵 raised HbA1c but no diabetes diagnosis
🔵 QRISK above 10% but no statin/lipid-lowering therapy
🔵 previously abnormal lipids but no current-year bloods
This helps the clinician decide whether further review, coding or investigation is appropriate.
📚 for more details, please read our support article: https://support.primarycareit.co.uk/portal/en-gb/kb/articles/hp449
