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The practice can produce a register of people with multimorbidity who would benefit from a tailored approach to care.

The practice can produce a register of people with multimorbidity who would benefit from a tailored approach to care. Subject(s):

QOF indicator Published July 2019

The practice can produce a register of people with moderate to severe frailty.

The practice can produce a register of people with moderate to severe frailty. Subject(s): Multiple long-term conditions

QOF indicator Published July 2019

The percentage of patients with very severe chronic obstructive pulmonary disease (COPD) with a record of oxygen saturation value within the preceding 12 months

The percentage of patients with very severe chronic obstructive pulmonary disease (COPD) with a record of oxygen saturation value within the preceding

QOF indicator Published July 2019

The percentage of patients with moderate or severe frailty and/or multimorbidity who have received a medication review in the last 12 months which is structured, has considered the use of a recognised tool and taken place as a shared discussion.

The percentage of patients with moderate or severe frailty and/or multimorbidity who have received a medication review in the last 12 months which is...

QOF indicator Published July 2019

The percentage of patients with heart failure on the register, who had a review in the preceding 12 months, including an assessment of functional capacity (using the New York Heart Association classification) and a review of medication

The percentage of patients with heart failure on the register, who had a review in the preceding 12 months, including an assessment of functional...

QOF indicator Published July 2019

The percentage of patients with a new diagnosis of hypertension in the preceding 12 months with a FAST score of ≥3 or AUDIT-C score of ≥5 who have received brief intervention to help them reduce their alcohol related risk within 3 months of the score being recorded

The percentage of patients with a new diagnosis of hypertension in the preceding 12 months with a FAST score of ≥3 or AUDIT-C score of ≥5 who have...

QOF indicator Published August 2019

The percentage of patients with a new diagnosis of hypertension in the preceding 12 months who have been screened for hazardous drinking using the FAST or AUDIT-C tool in the 3 months before or after the date of entry on the hypertension register

The percentage of patients with a new diagnosis of hypertension in the preceding 12 months who have been screened for hazardous drinking using the...

QOF indicator Published August 2019

The percentage of patients with a new diagnosis of depression or anxiety in the preceding 12 months who have been screened for hazardous drinking using the FAST or AUDIT-C tool in the 3 months before or after their diagnosis being recorded

The percentage of patients with a new diagnosis of depression or anxiety in the preceding 12 months who have been screened for hazardous drinking...

QOF indicator Published August 2019

The percentage of patients with a new diagnosis of depression or anxiety and a FAST score of ≥3 or AUDIT-C score of ≥5 in the preceding 12 months, who have received brief intervention to help them reduce their alcohol related risk within 3 months of the score being recorded.

The percentage of patients with a new diagnosis of depression or anxiety and a FAST score of ≥3 or AUDIT-C score of ≥5 in the preceding 12 months, who

QOF indicator Published July 2019

The percentage of patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction, who are currently treated with an ACE-I or ARB

The percentage of patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction, who are currently treated with an ACE-I or ARB

QOF indicator Published July 2019

The percentage of patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction, who are currently treated with a beta-blocker licensed for heart failure

The percentage of patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction, who are currently treated with a beta-blocker licensed for heart failure.

QOF indicator Published July 2019

The percentage of patients (aged 65 years and over) with moderate or severe frailty who have been asked whether they have had a fall, about the total number of falls and about the type of falls, in the last 12 months.

The percentage of patients (aged 65 years and over) with moderate or severe frailty who have been asked whether they have had a fall, about the total...

QOF indicator Published July 2019

The contractor establishes and maintains a register of patients with asthma aged 5 or over

The contractor establishes and maintains a register of patients with asthma aged 5 or over Subject(s): Asthma Date

QOF indicator Published July 2019

The percentage of patients with one or more of the following conditions: CHD, atrial fibrillation, chronic heart failure, stroke or TIA, diabetes or dementia who have been screened for hazardous drinking using the FAST or AUDIT-C tool in the preceding 2 years.

The percentage of patients with one or more of the following conditions: CHD, atrial fibrillation, chronic heart failure, stroke or TIA, diabetes or...

QOF indicator Published August 2019

The percentage of patients aged 80 years or over with peripheral arterial disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.

The percentage of patients aged 80 years or over with peripheral arterial disease in whom the last blood pressure reading (measured in the preceding...

QOF indicator Published August 2019

The percentage of patients aged 80 years or over with coronary heart disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.

The percentage of patients aged 80 years or over with coronary heart disease in whom the last blood pressure reading (measured in the preceding 12...

QOF indicator Published August 2019

The percentage of patients aged 80 years and over with a history of stroke or TIA in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less

The percentage of patients aged 80 years and over with a history of stroke or TIA in whom the last blood pressure reading (measured in the preceding...

QOF indicator Published August 2019

The percentage of patients with diabetes without moderate or severe frailty, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/80 mmHg or less

The percentage of patients with diabetes without moderate or severe frailty, on the register, in whom the last blood pressure reading (measured in the

QOF indicator Published August 2019

The percentage of patients with diabetes and a history of CVD (excluding haemorrhagic stroke) who are currently treated with a statin

The percentage of patients with diabetes and a history of CVD (excluding haemorrhagic stroke) who are currently treated with a statin

QOF indicator Published October 2018

The percentage of patients with diabetes aged 40 years and over, with no history of CVD and without moderate or severe frailty, who are currently treated with a statin (excluding patients with type 2 diabetes and a CVD risk score of

The percentage of patients with diabetes aged 40 years and over, with no history of CVD and without moderate or severe frailty, who are currently...

QOF indicator Published October 2018

The percentage of patients with a diagnosis of type 2 diabetes and a recorded CVD risk assessment score of ≥10% (without moderate or severe frailty), who are currently treated with a statin (unless there is a contraindication or statin therapy is declined)

The percentage of patients with a diagnosis of type 2 diabetes and a recorded CVD risk assessment score of ≥10% (without moderate or severe frailty),...

QOF indicator Published October 2018

The percentage of patients with diabetes with moderate or severe frailty, on the register, in whom the last IFCC-HbA1c is 75 mmol/mol or less in the preceding 12 months

The percentage of patients with diabetes with moderate or severe frailty, on the register, in whom the last IFCC-HbA1c is 75 mmol/mol or less in the...

QOF indicator Published October 2018

The percentage of patients with diabetes without moderate or severe frailty, on the register, in whom the last IFCC-HbA1c is 58 mmol/mol or less in the preceding 12 months

The percentage of patients with diabetes without moderate or severe frailty, on the register, in whom the last IFCC-HbA1c is 58 mmol/mol or less in...

QOF indicator Published October 2018

The contractor establishes and maintains a register of patients with atrial fibrillation, including patients with 'AF resolved'

The contractor establishes and maintains a register of patients with atrial fibrillation, including patients with 'AF resolved' Subject(s):

QOF indicator Published October 2018

Admission rates due to stroke in people with diabetes

Admission rates due to stroke in people with diabetes Subject(s): Diabetes Date of publication: 01 August 2016

CCG indicator Published July 2016

Admission rates for people with diabetes due to complications associated with diabetes

Admission rates for people with diabetes due to complications associated with diabetes Subject(s): Diabetes Date

CCG indicator Published July 2016

The proportion of people who had a stroke who are reviewed within 6 months of being discharged from hospital

The proportion of people who had a stroke who are reviewed within 6 months of being discharged from hospital Subject(s): Stroke and

CCG indicator Published June 2016

Proportion of people with dementia prescribed anti-psychotic medication

Proportion of people with dementia prescribed anti-psychotic medication Subject(s): Dementia

CCG indicator Published June 2016

The proportion of people with cancer who have the cancer detected at stage 1 or 2

The proportion of people with cancer who have the cancer detected at stage 1 or 2 Subject(s): Cancer

CCG indicator Published June 2016

The proportion of invasive cases of cancer diagnosed via an emergency route

The proportion of invasive cases of cancer diagnosed via an emergency route Subject(s): Cancer

CCG indicator Published June 2016

Admissions rates due to myocardial infarction in people with diabetes

Admissions rates due to myocardial infarction in people with diabetes Subject(s): Diabetes Date of publication: 01

CCG indicator Published July 2016

The proportion of adults with diabetes who have received all nine basic care processes.

The proportion of adults with diabetes who have received all nine basic care processes. Subject(s): Diabetes

CCG indicator Published June 2016

The proportion of people with coronary heart disease referred for cardiac rehabilitation

The proportion of people with coronary heart disease referred for cardiac rehabilitation Subject(s): Heart failure

CCG indicator Published June 2016

The proportion of new cases of cancer with a stage of diagnosis recorded

The proportion of new cases of cancer with a stage of diagnosis recorded Subject(s): Cancer Date of publication:

CCG indicator Published June 2016

Breast cancer mortality rates

Breast cancer mortality rates Subject(s): Cancer NICE identity code: CCG04

CCG indicator Published June 2016

Admission rates due to lower limb amputations in people with diabetes

Admission rates due to lower limb amputations in people with diabetes Subject(s): Diabetes Date of publication: 01

CCG indicator Published July 2016

Admissions rates due to angina in people with diabetes

Admissions rates due to angina in people with diabetes Subject(s): Diabetes Date of publication: 01 August 2016

CCG indicator Published July 2016

The proportion of people with COPD and MRC dyspnoea scale 3 and above referred to a pulmonary rehabilitation programme

The proportion of people with COPD and MRC dyspnoea scale 3 and above referred to a pulmonary rehabilitation programme Subject(s):

CCG indicator Published June 2016

Admissions rates for renal replacement therapy in people with diabetes

Admissions rates for renal replacement therapy in people with diabetes Subject(s): Diabetes Date of publication:

CCG indicator Published July 2016