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TACT PMS targets

(Changes from last year in bold)

  Target patients Risk factor recording/intervention Target at March 31st 2003

CHD NSF group

Taken to mean any patient with at least one of CHD, stroke, TIA or peripheral vascular disease (standard 3 of CHD NSF).

 Patients in the CHD NSF group Blood pressure recorded in last year 80%
Smoking status recorded in last 5 years 80%
Receiving aspirin in last year 
(Patients on warfarin or coded with a contraindication to be removed from the denominator)		 80%
Screened for diabetes in last 3 years 
(Screened for diabetes to mean using a random or fasting blood glucose or random or fasting plasma glucose)
(Number of diabetics to be removed from denominator)		 70% in 3 years
Patients in the CHD NSF group and aged 70 or less Cholesterol recorded in last year 70%
Patients in the CHD NSF group and aged 70 or less Cholesterol less than 5.0mmol/l in last year 25%

IHD

 Present the outcomes of hypertension management in IHD and hypertension with a view to incorporating them into the 2003-4 contract. No target
Flu vaccinations to under 65 in targets groups IHD or DM 50% of patients either given or refused (written or verbal) 50%

Patients in the CHD NSF group and in atrial fibrillation and aged over 60 years

 On aspirin or warfarin in last year
(Patients listed as contraindicated removed from denominator)		 60%

LVF

  Monitor the PMS-practice targets for hypertension and LVF with a possibility of incorporating them into the targets for 2003-4. No target

Patients diagnosed with hypertension

 For all diagnosed hypertensives Blood pressure recorded in last year 85%
  Present the outcomes of hypertension management in IHD and hypertension with a view to incorporating them into the 2003-4 contract. No target

All adults (16 and over)

 All adults Blood pressure recorded in the last 5 years 75%

Diabetes

 Flu vaccinations to under 65 in targets groups IHD or DM 50% of patients either given or refused (written or verbal) 50%
Manage clinical groups to look at prescribing and diabetes in a holistic and health improving manner, with the aim of working towards an improved clinical performance in line with clinical governance agenda. No target

Breast feeding

 Work towards a breast feeding recording targets in 2003-4. No target

Prescribing targets

  1. Quinolones: No greater than 10 items per 1000 patients per year.
  2. 85% NSAIDs as a proportion of BNF chapter 10.1.1 (excluding aspirin 75mg).
  3. Bendrofluazide 2.5mg as a percent of all bendrofluazide prescribing - maintain existing target: 85% or greater.
  4. Generic prescribing 72% or more.
  5. 10 antimicrobials as a percent of all BNF 5.1
  6. Beta-receptor antagonists (atenolol, metoprolol, propranolol) as  a proportion of of items in BNF section 2.4: 80% or greater.
  7. Plus one of the following audit topics:
    1.  Practice prescribing guidelines available for locums.
    2. Practice has an up-to-date maintained CD register.
    3. Practice has an agreed formulary and evidence of regular meetings to discuss local implementation.
    4. Practice has undertaken an audit of repeat prescribing system.
    5. Practice has a written policy for informing patients about prescribing and repeat prescribing.
    6. practice has undertaken an audit of PPI prescribing in line with NICE guidance.