Fireflybob +1. I’d suggest it depends on the operation.
I’d suggest QFE for circuits well away from controlled airspace. QNH if there is controlled airspace nearby or overhead. I’d agree a potential threat with QNH for circuit work is the possibility of confusion in the event of an EFATO but that can be briefed as part of TEM.
Airline ops seem to work fine with QNH as MSA, terrain etc defined wrt altitude. As others have mentioned at a high altitude airport winding off QFE may be impractical if not impossible. Other areas like fast jet and rotary I’ve no experience so I’ll leave to others to comment.