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QOF 2009. RBW 11/08. Summary of 2009. Heart Failure and beta blockade CKD and proteinuria Contraception Anxiety and depression New diabetes HbA1c targets COPD and a dyspnoea score. Heart Failure. LVD only Currently treated with ACEi or ARB Additionally with beta blockade

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Qof 2009

QOF 2009

RBW 11/08


Summary of 2009
Summary of 2009

  • Heart Failure and beta blockade

  • CKD and proteinuria

  • Contraception

  • Anxiety and depression

  • New diabetes HbA1c targets

  • COPD and a dyspnoea score


Heart failure
Heart Failure

  • LVD only

  • Currently treated with ACEi or ARB

  • Additionally with beta blockade

    Intolerance or contraindication acceptable


CKD

  • Annual protein: creatinine ratio


Contraception
Contraception

  • CON 1 & 2 removed

  • Register of women prescribed contraceptives

  • % on oral or patch - given advice re Long acting reversible methods

  • % who have takenemergency contraception - given advice re Long acting reversible methods


Anxiety depression
Anxiety & Depression

  • Re-use of PHQ9 at 5 –12 weeks


Cvd primary pevention
CVD – primary pevention

  • New diagnosis of hypertension alone – Cardiovascular risk assessment within 3/12

  • Lifestyle advice given


Diabetes
Diabetes

Thresholds change for HbA1c

7 or less (40-50%) - 42%

8 or less (40-70%) - 69%

9 or less (40-90%) - 80%


COPD

  • Inhaler technique drops out

  • MRC dyspnoea score instead


Palliative care
Palliative Care

  • Now irrespective of age

    Meetings restructured recently


Stroke tia
Stroke/TIA

  • Now irrespective of age

    Meetings restructured recently


Smoking
Smoking

  • Now irrespective of age

    Meetings restructured recently


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