Table 5.

 Scores for comparable quality indicators in English longitudinal study of ageing (ELSA) 2004-5 and the UK general practice pay for performance contract 2004-5

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).