QOF Plus Year 1 - Imperial College London
QOF Plus Year 1 - Imperial College London QOF Plus Year 1 - Imperial College London
Health impactThere are significant health gains to both foetus and mother associated with cessation of smokingin pregnancy. Walsh et al. (1996) estimated that that if all pregnant women stopped smoking, a10% reduction in infant and foetal deaths would be seen.Workload and training implicationsCollecting the data required for the indicators proposed should be a routine part of communityantenatal care. A survey by Bishop et al. (1998) found that time constraints meant thatprofessionals felt they did not have sufficient time to consider smoking cessation, and reportedthat health professionals felt under-resourced in terms of finances and numbers of staff. Trainingfor primary care staff in offering brief interventional advice would support delivery of theseindicators. For details of the proposed training package see section 14.3.3 (p93).42
ReferencesBritish Medical Association (2004) Smoking and reproductive life: the impact of smoking on sexual,reproductive and child health. London: British Medical Association.Cnattingius S, Lindmark G, Meirik O (1992). Who continues to smoke while pregnant? Journal ofEpidemiology and Community Health 46: 218-21.Department of Health. (2002) Improvement, expansion and reform: the next three years. Prioritiesand planning framework 2003 to 2006. The Stationary Office: London.Department of Health. (1998) Smoking kills: a white paper on tobacco. The Stationary Office: London.DiFranza JR, Lew RA (1995). Effect of maternal cigarette smoking on pregnancy complications andsudden infant death syndrome. Journal of Family Practice 40: 385-94.Mas R, Escriba V, Colomer C (1996). Who quits smoking during pregnancy? Scandinavian Journal ofSocial Medicine 24: 102-106Haslam C, Draper ES, Goyder E (1997) The pregnant smoker: a preliminary investigation of the socialand psychological influences. Journal of Public Health Medicine 1997; 19: 187-92.Haug K, Fugelli P, Aaro LE, Foss OP (1994). Is smoking intervention in general practice more successfulamong pregnant than non-pregnant women? Family Practice 11: 111-16.Hughes JR, Epstein LH, Andrasik F, Neff DF, Thompson DS (1982). Smoking and carbon monoxidelevels during pregnancy. Addictive Behaviour 7: 271-76.Innes KE, Byers TE (2001). Smoking during pregnancy and breast cancer risk in very young women(United States). Cancer Causes Control 12: 179-85.Law M, Tang JL (1995). An analysis of the effectiveness of interventions intended to help people stopsmoking. Archives of Internal Medicine 155:1933–41.Lumley J, Oliver S, Waters E (2001). Interventions for promoting smoking cessation during pregnancy.Cochrane Database of Systematic Reviews (2). 2001.NICE Clinical Guideline (2008) Antenatal Care. National Institute for Health and Clinical ExcellenceOwen L, McNeill A, Callum C (1998). Trends in smoking during pregnancy in England, 1992-97: quotasampling surveys British Medical Journal 317: 728.Senore C, Battista RN, Shapiro SH, Segnan N, Ponti A, Rosso S, et al. (1998). Predictors of smokingcessation following physicians' counselling. Preventative Medicine 27: 412-21Silagy C (2000). Physician advice for smoking cessation. Cochrane Database of Systematic Reviews 2:CD000165.West R (2002) Smoking cessation in pregnancy. Foetal and Maternal Medicine Review 13:3 181-194Zeuner, D (2008) Annual Report of the Director of Public Health 2007-2008 Hammersmith and FulhamPCT43
- Page 12: AcknowledgementsWe are indebted to
- Page 15 and 16: Executive summaryIntroductionPrevio
- Page 18: Support with QOF+If you have a prob
- Page 22 and 23: The quality and outcomes framework
- Page 24 and 25: Effect of measurement on health ine
- Page 26 and 27: How might a local QOF operate in pr
- Page 28 and 29: Doran T, Fullwood C, Kontopantelis
- Page 30 and 31: Continued…QOFQOF+IndicatorUpperTh
- Page 32 and 33: Alcohol Chapter 4 (p27)IndicatorQOF
- Page 34 and 35: RecordsIndicator+ PRESCRIPTION 1. T
- Page 36 and 37: Patient experience Chapter 12 (p77)
- Page 39 and 40: C3QOF+ report on cardiovasculardise
- Page 41 and 42: Creation of practice CVD at-risk re
- Page 43 and 44: achieved through primary prevention
- Page 45 and 46: Workload and training implicationsI
- Page 47 and 48: QOF+ report on alcoholProposed indi
- Page 49 and 50: Local contextThe Hammersmith and Fu
- Page 51 and 52: Workload and training implicationsR
- Page 53 and 54: QOF+ report on smokingProposed indi
- Page 55 and 56: Local context24% of adults (35,000)
- Page 57: ReferencesBritish Medical Associati
- Page 60 and 61: The NICE Clinical Guideline on Ante
- Page 65 and 66: QOF+ report on breastfeedingPropose
- Page 67 and 68: Local contextIn 2006/7, the percent
- Page 69 and 70: Degree of perceived professional co
- Page 71 and 72: QOF+ report on ethnicityProposed In
- Page 73 and 74: Associated Morbidity and MortalityT
- Page 75: Workload and training implicationsP
- Page 78 and 79: Priority and relevance to national
- Page 80 and 81: Specific reasons for this framework
- Page 82 and 83: Workload and training implicationsT
- Page 85 and 86: QOF+ report on newpatient screening
- Page 87 and 88: Review of evidence to support the p
- Page 89 and 90: QOF+ report onpatient informationPr
- Page 91 and 92: Priority and relevance to national
- Page 93 and 94: Degree of perceived support from pa
- Page 95 and 96: ReferencesCarpenter A and Mayers A
- Page 97 and 98: QOF+ report onpatient experiencePro
- Page 99 and 100: Rosen et al. (2001) categorised ini
- Page 101 and 102: The National 2007 Quality and Outco
- Page 103: ReferencesBaker, R (2007) Quality a
- Page 106 and 107: BackgroundThe United Nations Conven
- Page 108 and 109: In March 2008, a PCT audit of signi
- Page 110 and 111: Impact on health inequalitiesPovert
ReferencesBritish Medical Association (2004) Smoking and reproductive life: the impact of smoking on sexual,reproductive and child health. <strong>London</strong>: British Medical Association.Cnattingius S, Lindmark G, Meirik O (1992). Who continues to smoke while pregnant? Journal ofEpidemiology and Community Health 46: 218-21.Department of Health. (2002) Improvement, expansion and reform: the next three years. Prioritiesand planning framework 2003 to 2006. The Stationary Office: <strong>London</strong>.Department of Health. (1998) Smoking kills: a white paper on tobacco. The Stationary Office: <strong>London</strong>.DiFranza JR, Lew RA (1995). Effect of maternal cigarette smoking on pregnancy complications andsudden infant death syndrome. Journal of Family Practice 40: 385-94.Mas R, Escriba V, Colomer C (1996). Who quits smoking during pregnancy? Scandinavian Journal ofSocial Medicine 24: 102-106Haslam C, Draper ES, Goyder E (1997) The pregnant smoker: a preliminary investigation of the socialand psychological influences. Journal of Public Health Medicine 1997; 19: 187-92.Haug K, Fugelli P, Aaro LE, Foss OP (1994). Is smoking intervention in general practice more successfulamong pregnant than non-pregnant women? Family Practice 11: 111-16.Hughes JR, Epstein LH, Andrasik F, Neff DF, Thompson DS (1982). Smoking and carbon monoxidelevels during pregnancy. Addictive Behaviour 7: 271-76.Innes KE, Byers TE (2001). Smoking during pregnancy and breast cancer risk in very young women(United States). Cancer Causes Control 12: 179-85.Law M, Tang JL (1995). An analysis of the effectiveness of interventions intended to help people stopsmoking. Archives of Internal Medicine 155:1933–41.Lumley J, Oliver S, Waters E (2001). Interventions for promoting smoking cessation during pregnancy.Cochrane Database of Systematic Reviews (2). 2001.NICE Clinical Guideline (2008) Antenatal Care. National Institute for Health and Clinical ExcellenceOwen L, McNeill A, Callum C (1998). Trends in smoking during pregnancy in England, 1992-97: quotasampling surveys British Medical Journal 317: 728.Senore C, Battista RN, Shapiro SH, Segnan N, Ponti A, Rosso S, et al. (1998). Predictors of smokingcessation following physicians' counselling. Preventative Medicine 27: 412-21Silagy C (2000). Physician advice for smoking cessation. Cochrane Database of Systematic Reviews 2:CD000165.West R (2002) Smoking cessation in pregnancy. Foetal and Maternal Medicine Review 13:3 181-194Zeuner, D (2008) Annual Report of the Director of Public Health 2007-2008 Hammersmith and FulhamPCT43
Change language