QOF 2009

RBW 11/08

Summary of 2009

• Heart Failure and beta blockade

• CKD and proteinuria

• Contraception

• Anxiety and depression

• New diabetes HbA1c targets

• COPD and a dyspnoea score

Heart Failure

• LVD only

• Currently treated with ACEi or ARB

• Additionally with beta blockadeIntolerance or contraindication acceptable

CKD

• Annual protein: creatinine ratio

Contraception

• CON 1 & 2 removed

• Register of women prescribed contraceptives

• % on oral or patch - given advice re Long acting reversible methods

• % who have takenemergency contraception - given advice re Long acting reversible methods

Anxiety & Depression

• Re-use of PHQ9 at 5 –12 weeks

CVD – primary pevention

• New diagnosis of hypertension alone – Cardiovascular risk assessment within 3/12

• Lifestyle advice given

Diabetes

Thresholds change for HbA1c

7 or less (40-50%) - 42%

8 or less (40-70%) - 69%

9 or less (40-90%) - 80%

COPD

• Inhaler technique drops out

• MRC dyspnoea score instead

Palliative Care

• Now irrespective of age

Meetings restructured recently

Stroke/TIA

• Now irrespective of age

Meetings restructured recently

Smoking

• Now irrespective of age

Meetings restructured recently