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Renal IT Conference July 2006

Widening the Circle of Inclusion

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Widening the Circle of Inclusion. Vascular Management in Primary Care Dr. Ian Wilkinson. Drivers for Change. Quality – NSFs, QOF PBC Choose and Book New Providers – APMS, SPMS, FTs Intersectoral collaboration – SAP Patient demand – web services “Profit”. - PowerPoint PPT Presentation

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Page 1: Widening the Circle of Inclusion

Renal IT Conference July 2006

Page 2: Widening the Circle of Inclusion

Renal IT Conference July 2006

Widening the Circle of Inclusion

Vascular Management in Primary Care

Dr. Ian Wilkinson

Page 3: Widening the Circle of Inclusion

Renal IT Conference July 2006

Drivers for Change

• Quality – NSFs, QOF

• PBC

• Choose and Book

• New Providers – APMS, SPMS, FTs

• Intersectoral collaboration – SAP

• Patient demand – web services

• “Profit”

Page 4: Widening the Circle of Inclusion

Renal IT Conference July 2006

Vascular Disease Management – the GP’s view

• Practice Lead• Chronic Disease Register – active case finding, dynamic,

at risk population• Data Set – national (NSF) -> local -> practice• 1ry data collection - computer template – management

and referral - flexibility, consistent• 2ry data sources – Path. Lab. Links, Hospital letters• Nurse led/protocol driven/GP supported• Disease Management Co-ordinator• Call/Recall – 6 monthly partial, 12 monthly full• Audit – targets !

Page 5: Widening the Circle of Inclusion

Renal IT Conference July 2006

Quality Outcomes Framework

General Practitioners Committee - Annual Report 2006 :

“As expected, GPs have risen admirably to the challenges of the new contract, particularly in the Quality and Outcomes Framework (QOF), where they have achieved very high average scores”

Hamish Meldrum

Page 6: Widening the Circle of Inclusion

Renal IT Conference July 2006

Average National Practice QOF Achievement 2004 – 2005 – Vascular

Domains• CHD - 95.3%• Stroke – 92.0%• Hypertension – 94.4%• Diabetes – 93.2%

• CKD from April 2006• Obesity from April 2006• Smoking – reconfiguration of indicators

Page 7: Widening the Circle of Inclusion

Renal IT Conference July 2006

What data do we collect within the indicator groups ?

• Smoking• BP• Lipids• BMI• HBA1C• Microalbuminuria• Se. Creatinine• Drugs – Anti-platelet, ACE, ARB, B Blocker• Neuropathy, Retinopathy, Peripheral Pulses• Influenza Immunisation

Page 8: Widening the Circle of Inclusion

Renal IT Conference July 2006

What can we do better ?

• Extend data sets• Rationalise audit targets• Improve 1ry – 2ry communication• Improve communication with Soc.

Services, Voluntary Sector, User Groups etc.

• Rationalise management across specialities

• IT supported self-management

Page 9: Widening the Circle of Inclusion

Renal IT Conference July 2006