Following the concerns raised by practices about the loss of opportunistic prompts following the rollout of the QOF changes in 2019, TPP have confirmed to NHS Digital that they will add a status flag to the patient record which will alert practices to the fact these patients may be missing QOF care as part of their rollout of v44 of the QOF business rules. This will be implemented in the next two weeks. NHS Digital will explore whether additional functionality can be added to v45 of the QOF business rules to ensure that the two invitation PCA will only come into force at the end of the reporting period i.e. 31st March.