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Depression in adults: recognition and management [CG90]

Measuring the use of this guidance

Recommendation: 1.1.4.2

"In addition to assessing symptoms and associated functional impairment, consider how the following factors may have affected the development, course and severity of a person's depression: any history of depression and comorbid mental health or physical disorders any past history of mood elevation (to determine if the depression may be part of bipolar disorder[6]) any past experience of, and response to, treatments the quality of interpersonal relationships living conditions and social isolation."

What was measured: Proportion of patients aged 18 or over with a new diagnosis of depression in the preceding 1 April to 31 March, who have had a bio-psychosocial assessment by the point of diagnosis. The completion of the assessment is to be recorded on the same day as the diagnosis is recorded.
Data collection end: March 2018
6.3%
Number that met the criteria: 35110 / 560007
Area covered: England
Source: Indicators no longer in QOF (INLIQ)


Recommendation: 1.4.4.1

Do not use antidepressants routinely to treat persistent subthreshold depressive symptoms or mild depression because the risk–benefit ratio is poor, but consider them for people with: • a past history of moderate or severe depression or • initial presentation of subthreshold depressive symptoms that have been present for a long period (typically at least 2 years) or • subthreshold depressive symptoms or mild depression that persist(s) after other interventions.

What was measured: Proportion of first-ever episodes of depression treated with antidepressants within 12 months.
Data collection end: June 2003
72.5%
Data collection end: March 2012
61%
Area covered: UK
Source: Kendrick TS. (2015) Did NICE guidelines and the Quality Outcomes Framework change GP antidepressant prescribing in England? Observational study with time trend analyses 2003-2013. Journal of Affective Disorders 186 (pp 171-177): 7558.

What was measured: Proportion of recurrent episodes of depression treated with antidepressants.
Data collection end: June 2003
74.3%
Data collection end: March 2012
77.8%
Area covered: UK
Source: Kendrick TS. (2015) Did NICE guidelines and the Quality Outcomes Framework change GP antidepressant prescribing in England? Observational study with time trend analyses 2003-2013. Journal of Affective Disorders 186 (pp 171-177): 7558.



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