Quality and Outcomes Framework Assessor Training Collecting and Analysing Data Module S4

DATA INFORMATION KNOWLEDGE WISDOM

QOF Review Data Collection 75% is automatically collected by QMAS 25% requires practice and PCT co-operation –Written Evidence –Observation/Interview of Practice Staff –Inspection of Equipment/Materials –Inspection of Clinical Records

Written Evidence The practice supports smokers in stopping smoking by a strategy which includes providing literature and offering appropriate therapy. (Information 5) The practice has undertaken a minimum of six significant event reviews in the past 3 years. (Education 2) Person specifications and job descriptions are produced for all advertised vacancies. (Management 6)

Observation/Interview of Practice Staff The practice has a system for transferring and acting on information about patients seen by other doctors out of hours. (Records 3) The practice has a system to allow patients to contact the out-of-hours service by making no more than two telephone calls. (Information 1) All practice-employed nurses have an annual appraisal. (Education 3) There are clearly defined arrangements for backing up computer data, back-up verification, safe storage of back-up tapes and authorisation for loading programmes where a computer is used. (Management 2)

Inspection of Equipment or Materials The practice possesses the equipment and in-date emergency drugs to treat anaphylaxis. (Medicines 2) The arrangements for instrument sterilisation comply with national guidelines as applicable to Primary Care. (Management 4) The practice has systems in place to ensure regular and appropriate inspection, calibration, maintenance and replacement of equipment including: - A defined responsible person - Clear recording - Systematic pre-planned schedules - Reporting of faults (Management 7)

Inspection of Clinical Records Each patient contact with a clinician is recorded in the patient’s record, including consultations, visits and telephone advice. (Records 1) The records, hospital letters and investigation reports are filed in date order or available electronically in date order. (Records 14) The percentage of patients with cancer diagnosed from 1 April 2003 with a review by the practice recorded within six months of confirmed diagnosis. This should include an assessment of support needs, if any, and a review of coordination arrangements with Secondary Care. (Cancer 2)

Additional Data Prescribing (PPA) Hospital Activity (HES) Patient Survey Mortality Data (ONS) All these data streams are currently available to PCTs and are used regularly by their staff

Interim Aspiration Scores Max 1050 points

CHD Max 121 points

Cholesterol <5 mmol/l Target 60% - 16 points

Lipid-Lowering Drugs Items per STAR-PU

CHD on Anti-Platelet Target 90% - 7 points

Anti-Platelet Drugs Items per STAR-PU

Acute MI Admissions per 1,000 Registered

Angina Admissions per 1,000 Registered

PTCA or CABG per 1,000 Registered

Retinal Screening Target 90% - 5 points

COPD Max 45 points

Oxygen Prescribing Items per 1,000 Registered

J40-J44 - COPD Non-Elective Last FCEs XYZ PCT discharge dates between January and December 2003 (Number of Discharges per 1000 List Size)

Organisational Indicators Max 184 points

Records & Information Max 85 points

Access Bonus 50 points

Patient Survey Routine Appointment Same Day Or Next

Some Words Of Wisdom Local knowledge essential Look at the whole picture Beware small numbers in small practices Offer help not criticism Ongoing conversation between practices and PCT The reality of the coalface Engage with the enthusiasm the practices will have to improve the care delivered to their patients