Area/Indicator | Agreed new wording for patients on the register after 1.4.20 | Points | Payment threshold |
Asthma AST005 |
Establish and maintain a register of patients with asthma aged ≥ 6 years or over | 4 | N/A |
Asthma AST006 |
Record of spirometry and one other objective test (FeNO or reversibility or variability) between 3 months before or 6 months after diagnosis | 15 | 45-80% |
Asthma AST007 |
% of patients on asthma register, who have had an asthma review in the preceding 12 months that includes an assessment of asthma control using a validated asthma control questionnaire, a recording of the number of exacerbations, an assessment of inhaler technique and a written personalised action plan | 20 | 40-70% |
Asthma AST008 |
% of patients on asthma register aged < 19 in whom there is a record of either personal smoking status or exposure to second-hand smoke in the preceding 12 months | 6 | 45-80% |
COPD COPD009 |
Establish and maintain a register of people with COPD whose diagnosis has been confirmed by bronchodilator spirometry FEV1/FVC ratio < 0.7 between 3 months before or 6 months after diagnosis, and patients with a clinical diagnosis of COPD who are unable to undertake spirometry | 8 | N/A |
COPD COPD010 |
% of patients on COPD register, who have had a review in the preceding 12 months, including a record of the number of exacerbations and an assessment of breathlessness using the MRC dyspnoea scale | 9 | 50-90% |
Heart Failure HF005 |
% of patients with HF diagnosis confirmed by an echocardiogram or by specialist assessment between 3 months before or 6 months after entering on to the register | 6 | 50-90% |
Heart Failure HF007 |
% of patients with HF who had a review in the preceding 12 months, including an assessment of functional capacity and a review of medication to ensure medicines optimisation at maximum tolerated doses | 7 | 50-90% |
Non-diabetic hyperglycaemia | % of patients with non-diabetic hyperglycaemia who have had an HbA1c or FPG test in the preceding 12 months | 18 | 50-90% |
Area | 2020/21 agreement | COVID adjustment | Notes |
Income protected indicators | 339 | 310 | Payments protected - Practices to determine patient prioritisation but still make efforts to deliver against these indicators. |
Quality Improvement | 74 | 74 | Simplified - see below. Peer network support for delivery and sharing of best practice to continue through PCNs. |
Immunisation and Screening | 29 | 58 | Modified - points doubled for cervical screening and flu vaccination to incorporate expanded flu delivery (see below). Points will be weighted differently with Practices accruing higher number of points at the lower threshold, with remaining points achieved in a linear manner between upper and lower threshold. |
Disease registers | 81 | 81 | No change - points conditional on maintaining registers and disease prevalence. |
Prescribing indicators | 44 | 44 | No change - 8 indicators which support optimising pharmacological management of patients with specific conditions will remain conditional upon performance. |
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