widening the circle of inclusion

Renal IT Conference July 2006

Renal IT Conference July 2006

Widening the Circle of Inclusion

Vascular Management in Primary Care

Dr. Ian Wilkinson

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”

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 !

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

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

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

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

Renal IT Conference July 2006