Table 2 Clinical indicators and payment thresholds
Trends in practice achievement (%) | Thresholds | |||||
|---|---|---|---|---|---|---|
Clinical area | Indicator type | Description | Points (£124.60/point) | Min | Mid | Max |
Weight management | Register | OB1 Production of a register of patients aged 16–75 with a BMI ≥25 recorded in the last 5 years | 3 | No register THEN 0 points | n/a | Have register THEN 3 points |
Omitted 2010-11 | ||||||
Register | OB2 Production of a register of patients aged 6–75 with a BMI ≥25 recorded in the last 15 months | 7 | No registered THEN 0 points | n/a | Have register THEN 7 points | |
Omitted 2010-11 | ||||||
Process | OB3 Proportion of patients with a BMI ≥25 receiving appropriate intervention in the past 15 months | 20 | > = 15 % THEN 6 points | > = 30 % THEN 12 points | > = 50 % THEN 20 points | |
Omitted 2010-11 | ||||||
Alcohol | Register | A1 Production of a register of patients aged 16 years and over with a record of the number of units of alcohol consumed on a weekly basis in the past 27 months | 10 | No register THEN 0 points | n/a | Have register THEN 10 points |
Process | A2 Percentage of patients aged 16 and over who drink >14 units a week (3 units a day) for females and 21 units a week (4 units a day) for males who have been offered a brief intervention | 10 | IF > = 30 % THEN 3 points | > = 40 % THEN 6 points | > = 50 % THEN 10 points | |
Learning disabilities | Register | LD1 The practice can produce a register of people over 18 years with a learning disability | £50 per registered patient | |||
Process | LD2 Patients over 18 years with LD with a review recorded in the preceding 15 months. Checks include accuracy of prescribed medication, physical health and co-ordination with secondary care | £50 per health check | ||||
Osteoporosis | Register | OST1 Production of a register of female patients aged 65–74 with a fracture in the previous 15 months | 2 | No register THEN 0 points | n/a | Have register THEN 2 points |
Wording modified in 2010-2011 | ||||||
Process | OST 2 Proportion of female patients 65–74 that have had a fracture who have been referred for a dual energy X-ray absorptiometry (DEXA) scan | 4 | > = 15 % THEN 1 points | > = 30 % THEN 2 points | > = 50 % THEN 4 points | |
Wording modified in 2010-2011 | ||||||
Register | OST3 Production of a register of male and female patients aged 16 years and over who have received at least one repeat prescription for oral prednisolone in the previous 6 months | 2 | Not register THEN 0 points | n/a | Have register THEN 2 points | |
Wording modified in 2009–10 and 2010-2011 | ||||||
Process | OST4 Percentage of patients on register (OST 3) who have a record of a DEXA scan at any time or a referral for a DEXA scan in the previous 15 months | 5 | > = 15 % THEN 1 points | > = 30 % THEN 3 points | > = 50 % THEN 5 points | |
Wording modified in 2010-2011 | ||||||
Process | OST5 Percentage of patients aged 65 years and over who have had one or more repeat prescriptions of prednisolone in the last 6 months, who also have a record of a DEXA scan at any time, or a referral for a DEXA scan in the previous 15 months, or have been assessed for osteoporosis risk | 5 | > = 15 % THEN 1 points | > = 30 % THEN 3 points | > = 50 % THEN 5 points | |
Wording modified in 2010-2011 | ||||||
Register | OST6 The practice can produce a register of male and female patients aged 75 years and over who have had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday | 2 | Not Registered THEN 0 points | n/a | Have Registered THEN 2 points | |
Introduced 2009–10 | ||||||
Wording modified in 2010-2011 | ||||||
Process | OST7 Percentage of male and female patients aged 75 years and over who have had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday, who have been assessed and treated for Osteoporosis risk ever. | 5 | > = 15 % THEN 1 points | > = 30 % THEN 3 points | > = 50 % THEN 5 points | |
Introduced 2009–10 | ||||||
Wording modified in 2010-2011 | ||||||
Chlamydia Screening | Register | C1 The practice can produce a register of patients aged 15 to 24 of both sexes | 2 | Not Registered THEN 0 points | n/a | Have Registered THEN 2 points |
Omitted 2010-11 | ||||||
Process | C2 Proportion of patients between 15–24 years old who have been offered screening by their practice and have a recorded test result | £5 per screened patient | ||||