1. Renal IT Conference July 2006

2. Widening the Circle of Inclusion Vascular Management in Primary Care Dr. Ian Wilkinson

3. Renal IT Conference July 2006 Drivers for Change Quality – NSFs, QOF PBC Choose and Book New Providers – APMS, SPMS, FTs Intersectoral collaboration – SAP Patient demand – web services “Profit”

4. Renal IT Conference July 2006 Vascular Disease Management – the GP’s view Practice Lead Chronic Disease Register – active case finding, dynamic, at risk population Data Set – national (NSF) -> local -> practice 1ry data collection - computer template – management and referral - flexibility, consistent 2ry data sources – Path. Lab. Links, Hospital letters Nurse led/protocol driven/GP supported Disease Management Co-ordinator Call/Recall – 6 monthly partial, 12 monthly full Audit – targets !

5. Renal IT Conference July 2006 Quality Outcomes Framework General Practitioners Committee - Annual Report 2006 : “As expected, GPs have risen admirably to the challenges of the new contract, particularly in the Quality and Outcomes Framework (QOF), where they have achieved very high average scores” Hamish Meldrum

6. Renal IT Conference July 2006 Average National Practice QOF Achievement 2004 – 2005 – Vascular Domains CHD - 95.3% Stroke – 92.0% Hypertension – 94.4% Diabetes – 93.2% CKD from April 2006 Obesity from April 2006 Smoking – reconfiguration of indicators

7. Renal IT Conference July 2006 What data do we collect within the indicator groups ? Smoking BP Lipids BMI HBA1C Microalbuminuria Se. Creatinine Drugs – Anti-platelet, ACE, ARB, B Blocker Neuropathy, Retinopathy, Peripheral Pulses Influenza Immunisation

8. Renal IT Conference July 2006 What can we do better ? Extend data sets Rationalise audit targets Improve 1ry – 2ry communication Improve communication with Soc. Services, Voluntary Sector, User Groups etc. Rationalise management across specialities IT supported self-management

9. Renal IT Conference July 2006