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ATC will update pilots with the QFE when necessary. A typical radio conversation might go:
Here, the pilot of G-WACF (who is on the ground) requests a taxi clearance and is told to taxi to holding point A for runway 25, the circuit is right handed and QFE is 998 millibars. The pilot acknowledges the information by repeating it back to ATC.
In most parts of the world, QFE is given in millibars (or hectopascals, which is the SI unit). Whilst the Royal Air Force and some European private pilots still use QFE, it is largely obsolete in commercial aviation, where QNH is preferred for take off and landing. In the USA and Canada QFE is rarely used.