Table 5.
Condition and ELSA quality indicator* and comparable contract indicator† | Eligible population | Indicator intervention | ELSA and reported contract achievement (%)‡ | Estimated contract achievement for population (%)§ |
---|---|---|---|---|
Diabetes: | ||||
ELSA diab1 | Diagnosed diabetes, aged 50 or more | Measurement of haemoglobin A1c or fructosamine level in past year | 83 | |
Contract DM5 | Diagnosed diabetes | Measurement of haemoglobin A1c level in past 15 months | 96 | 93 |
ELSA diab2 | Diagnosed diabetes, aged 50 or more, without renal disease, not receiving angiotensin converting enzyme or angiotensin II receptor blockers | Test for proteinuria in past year | 83 | |
Contract DM13 | Diagnosed diabetes | Test for proteinuria in past 15 months | 79 | 71 |
ELSA diab9 | Diagnosed diabetes, aged 50 or more | Foot examination in past year | 83 | |
Contract DM9 | Diagnosed diabetes | Peripheral pulse check in past 15 months | 85 | 80 |
Contract DM10 | Diagnosed diabetes | Neuropathy test in past 15 months | 84 | 79 |
Ischaemic heart disease: | ||||
ELSA ihd2 | Diagnosed ischaemic heart disease, aged 50 or more | Antiplatelet therapy | 80 | |
Contract CHD9 | Diagnosed ischaemic heart disease | Aspirin or antiplatelet or anticoagulant therapy in past 15 months | 92 | 88 |
ELSA ihd3 | Diagnosed ischaemic heart disease, aged 50 or more, smoker | Counselling for smoking cessation | 89 | |
Contract CHD4 | Diagnosed ischaemic heart disease, smoker | Advice on smoking cessation or referral in past 15 months | 96 | — |
ELSA ihd5 | Recent myocardial infarction, aged 50 or more | β blocker therapy | 65 | |
Contract CHD10 | Diagnosed ischaemic heart disease | β blocker therapy | 64 | 48 |
*Indicators from ELSA are on bmj.com.
†Indicators in general practice contract are given in full in New General Medical Services contract annex A.10
‡General practice contract reported achievement excludes exception reported patients (www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/qof).
§Includes exception reported patients (M Roland, personal communication, 2006).