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Secondary prevention of Coronary Heart Disease (CHD)
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The percentage of patients with coronary heart disease:
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CHD6
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…in whom the last blood pressure reading (measured in the previous 15 months) is 150/90 or less
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CHD8
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…whose last measured total cholesterol (measured in the previous 15 months) is 5 mmol/l or less
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CHD9
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…with a record in the previous 15 months that aspirin, an alternative anti-platelet therapy, or an anti-coagulant is being taken (unless a contraindication or side-effects are recorded)
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CHD10
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…who are currently treated with a beta blocker (unless a contraindication or side-effects are recorded)
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CHD11
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…a history of myocardial infarction (diagnosed after 1 April 2003) who are currently treated with an ACE inhibitor or Angiotensin II antagonist
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CHD12
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…who have a record of influenza immunisation in the preceding 1 September to 31 March
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Chronic kidney disease (CKD)
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The percentage of patients on the CKD register:
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CKD3
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…whom the last blood pressure reading, measured in the previous 15 months, is 140/85 or less
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CKD5
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…with hypertension and proteinuria who are treated with an angiotensin converting enzyme inhibitor (ACE – I) or angiotensin receptor blocker (ARB) (unless a contraindication or side effects are recorded)
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CKD6
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…whose notes have a record of a urine albumin: creatinine ratio (or protein: creatinine ratio) test in the previous 15 months
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Diabetes mellitus (DM)
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The percentage of patients with diabetes:
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DM2
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…whose notes record BMI in the previous 15 months
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DM24
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…in whom the last HbA1c is 8 or less (or equivalent test/reference range depending on local laboratory) in the previous 15 months
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DM9
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…with a record of the presence or absence of peripheral pulses in the previous 15 months
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DM10
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…with a record of neuropathy testing in the previous 15 months
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DM12
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…in whom the last blood pressure is 145/85 or less
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DM15
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…with a diagnosis of proteinuria or micro-albuminuria who are treated with ACE inhibitors (or A2 antagonists)
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DM17
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…whose last measured total cholesterol within the previous 15 months is 5 mmol/l or less
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DM18
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…who have had influenza immunisation in the preceding 1 September to 31 March
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Chronic obstructive pulmonary disease (COPD)
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The percentage of patients with COPD:
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COPD10
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…with a record of FeV1 in the previous 15 months
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COPD13
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…who have had a review, undertaken by a healthcare professional, including an assessment of breathlessness using the MRC dyspnoea score in the preceding 15 months
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COPD8
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…who have had influenza immunisation in the preceding 1 September to 31 March
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Stroke and transient ischaemic attack (Stroke/TIA)
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The percentage of patients with:
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STROKE6
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…a history of TIA or stroke in whom the last blood pressure reading (measured in the previous 15 months) is 150/90 or less
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STROKE8
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…TIA or stroke whose last measured total cholesterol (measured in the previous 15 months) is 5 mmol/l or less
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STROKE12
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… with a stroke shown to be non-haemorrhagic, or a history of TIA, who have a record that an anti-platelet agent (aspirin, clopidogrel, dipyridamole or a combination), m or an anti-coagulant is being taken (unless a contraindication or side-effects are recorded)
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STROKE10 |
…TIA or stroke who have had influenza immunisation in the preceding 1 September to 31 March |