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Evidence into practice

Exploratory analyses, clinical context and practical quality-improvement questions from Dr John Gillespie.

NHS England QOF 2025/26

QOF funding shifts work. That is the good news, and the risk.

NHS England moved 141 QOF points into cardiovascular prevention for 2025/26 and retired 32 indicators to pay for it. The 2025/26 data show the same lever working in both directions.

Dr John Gillespie · 12 min · 27 August 2026

CVDPREVENT March 2026

The SGLT2 postcode lottery: what CVDPREVENT's new measures show

CVDPREVENT's first national snapshot of SGLT2 treatment in chronic kidney disease and heart failure finds a twofold gap between ICBs. London leads on the kidney and heart-failure measures, but not on diabetes.

Dr John Gillespie · 11 min · 30 August 2026