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QOF Plus Year 1 - Imperial College London

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New clinical <strong>QOF</strong>+ indicatorsNew indicators are distinguished from existing <strong>QOF</strong> targets by the plus (+) prefix. Blanketminimum attainment thresholds will no longer be included in year 1 of the <strong>QOF</strong>+ scheme (for more information see Appendix 2, Section A2.4). Point awards will be based on attainment atclose of business on November 30 2009.Cardiovascular disease prevention Chapter 3 (p19)Indicator<strong>QOF</strong>+pointsPaymentstages+ CVD PREVENT 1. The percentage of patients on the PracticeCVD At-Risk Register whose notes have a Blood Pressurerecorded in the previous 17 months+ CVD PREVENT 2. The percentage of patients on the PracticeCVD At-Risk Register whose notes have a record of BMImeasured in the previous 17 months+ CVD PREVENT 3. The percentage of patients on the PracticeCVD At-Risk Register whose notes have a baseline record oftotal and HDL cholesterol recorded in the previous 17 months+ CVD PREVENT 4. The percentage of patients on the PracticeCVD At-Risk Register for whom there is a record of a fastingblood glucose in the previous 17 months+ CVD PREVENT 5. The percentage of patients on the PracticeCVD At-Risk Register whose notes have a record of familyhistory of CHD in first degree relatives (parents, brothers,sisters, or children of a patient)+ CVD PREVENT 6. The percentage of patients on the PracticeCVD At-Risk Register whose notes have a record of familyhistory of diabetes in first degree relatives (parents, siblings,or children of a patient)+ CVD PREVENT 7. The percentage of patients on the PracticeCVD At-Risk Register who have been offered lifestyle advice onexercise, and appropriate dietary changes within the previous17 months+ CVD PREVENT 8. The percentage of patients on the PracticeCVD At-Risk Register who have been offered statin therapy (inline with 2008 NICE guidance on Lipid Modification) as part oftheir primary prevention management strategy8 40-90%8 40-90%8 40-90%8 40-90%8 40-90%8 40-90%10 40-90%10 40-90%It is prerequisite that in order to receive payment for + CVD PREVENT 1, practices have achievedthe existing <strong>QOF</strong> RECORDS 11 Indicator (The BP of patients aged 45 and over is recorded in thepreceding 5 years for at least 65% of patients.)11

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