Consultation on new and updated NICE indicators: GID-IND10330 to GID-IND10335 & GID-IND10337 to GID-IND10338
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Infections: scoring tools for sore throat
GID-IND10324: The percentage of diagnoses of sore throat in the preceding 12 months with a recorded FeverPain or Centor score.
Indicator type
General practice indicator suitable for use in the QOF
Rationale
People with a sore throat caused by streptococcal bacteria are more likely to benefit from antibiotics. FeverPAIN or Centor criteria are clinical scoring tools that can help to identify who might benefit from antibiotic treatment. This can help to prevent overuse of antibiotics, reduce antibiotic resistance and result in fewer side effects from antibiotics.
Source guidance
NICE's guideline on sore throat (2018) recommendation 1.1.3.
Specification
Numerator: The number in the denominator with a recorded FeverPain or Centor score.
Denominator: The number of recorded diagnoses of sore throat in the preceding 12 months.
Exclusion: People who are immunosuppressed (all ages)
Question for consultation:
10. Are there barriers to recording these scores consistently in primary care?
11. Is a reduction in the coding of sore throat a potential unintended consequence?
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