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Tuberculosis [QS141]

Measuring the use of this guidance

Statement: 4

People who have imaging features suggestive of active pulmonary tuberculosis (TB) are assessed by the next working day.

Quality standard measure: Proportion of people with active pulmonary TB starting treatment within 2 months of symptom onset.
What was measured: Proportion of people with pulmonary TB who started treatment within 2 months of symptom start.
Data collection end: December 2014
39.5%
Number that met the criteria: 1159 / 2934
Data collection end: December 2015
42.3%
Number that met the criteria: 1181 / 2795
Data collection end: December 2016
38.6%
Number that met the criteria: 1069 / 2772
Data collection end: December 2017
38.8%
Number that met the criteria: 971 / 2503
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active pulmonary TB starting treatment within 2 months of symptom onset.
What was measured: Proportion of people with pulmonary TB who started treatment within 2 months of symptom start.
Data collection end: December 2014
39.5%
Number that met the criteria: 1174 / 2975
Data collection end: December 2015
42.1%
Number that met the criteria: 1199 / 2846
Data collection end: December 2016
38.3%
Number that met the criteria: 1093 / 2855
Data collection end: December 2017
38.1%
Number that met the criteria: 992 / 2606
Data collection end: December 2018
40.6%
Number that met the criteria: 963 / 2373
Area covered: England
Source: Public Health England. Tuberculosis in England.


Statement: 5

People with active tuberculosis (TB) from under-served groups are offered directly observed therapy.

Quality standard measure: Proportion of people with active TB who are vulnerable migrants who have directly observed therapy.
What was measured: Proportion of healthcare providers that ensured that accommodation was secured and that directly observed therapy was planned for on release from prison, with two reporting links with homeless charities and local authorities to provide this support.
Data collection end: January 2014
41.7%
Number that met the criteria: 5 / 12
Area covered: Local
Source: Mehay A, Raj T, Altass L, Newton A, O'Moore E, Railton C, Tan H, Story A, and Frater A. (2017). An audit of tuberculosis health services in prisons and immigration removal centres. Journal of Public Health, 39, pp.387-394.

Quality standard measure: Proportion of people with active TB who are homeless who have directly observed therapy.
What was measured: Proportion of TB cases who are currently homeless or have a history of homelessness and receive directly observed therapy.
Data collection end: December 2016
58.8%
Data collection end: December 2017
60.4%
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active TB who are homeless who have directly observed therapy.
What was measured: Proportion of TB cases who are currently homeless or have a history of homelessness and receive directly observed therapy.
Data collection end: December 2018
53.3%
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active TB who misuse substances who have directly observed therapy.
What was measured: Proportion of TB cases who currently misuse alcohol and receive directly observed therapy.
Data collection end: December 2016
71%
Data collection end: December 2017
68.4%
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active TB who misuse substances who have directly observed therapy.
What was measured: Proportion of TB cases who currently misuse drugs and receive directly observed therapy.
Data collection end: December 2016
62.2%
Data collection end: December 2017
54.6%
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active TB who misuse substances who have directly observed therapy.
What was measured: Proportion of TB cases who currently misuse alcohol and receive directly observed therapy.
Data collection end: December 2018
61.9%
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active TB who misuse substances who have directly observed therapy.
What was measured: Proportion of TB cases who currently misuse drugs and receive directly observed therapy.
Data collection end: December 2018
48.5%
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active TB who have been in prison who have directly observed therapy.
What was measured: Proportion of TB cases who are currently imprisoned or have a history of imprisonment and receive directly observed therapy.
Data collection end: December 2016
53.8%
Data collection end: December 2017
50.3%
Area covered: England
Source: Public Health England. Tuberculosis in England.

Quality standard measure: Proportion of people with active TB who have been in prison who have directly observed therapy.
What was measured: Proportion of TB cases who are currently imprisoned or have a history of imprisonment and receive directly observed therapy.
Data collection end: December 2018
50.6%
Area covered: England
Source: Public Health England. Tuberculosis in England.



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