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Secondary Prevention in Coronary Heart Disease (CHD)
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Indicator
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Points
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Payment Stages
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Records
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CHD 1. The practice can produce a register of patients with coronary
heart disease
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6
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Diagnosis and initial management
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CHD 2. The percentage of patients with newly diagnosed angina
(diagnosed after 1 April 2003) who are referred for exercise testing and/or
specialist assessment
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7
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25-90%
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Ongoing Management
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|
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CHD 3. The percentage of patients with coronary heart disease whose
notes record smoking status in the past 15 months, except those who
have never smoked where smoking status need be recorded only once
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7
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25-90%
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CHD 4. The percentage of patients with coronary heart disease who
smoke, whose notes contain a record that smoking cessation advice or
referral to a specialist service, where available, has been offered within
the last 15 months
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4
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25-70%
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CHD 5. The percentage of patients with coronary heart disease whose
notes have a record of blood pressure in the previous 15 months
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7
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25-90%
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CHD 6. The percentage of patients with coronary heart disease in
whom the last blood pressure reading (measured in the last 15 months) is
150/90 or less
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19
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25-70%
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CHD 7. The percentage of patients with coronary heart disease whose
notes have a record of total cholesterol in the previous 15 months
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7
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25-90%
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CHD 8.The percentage of patients with coronary heart disease whose
last measured total cholesterol (measured in last 15 months) is 5 mmol/l or
less
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16
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15-60%
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CHD 9. The percentage of patients with coronary heart disease with a
record in the last 15 months that aspirin, an alternative anti-platelet
therapy, or an anti-coagulant is being taken (unless a contraindication or
side-effects are recorded)
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7
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25-90%
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CHD 10. The percentage of patients with coronary heart disease who
are currently treated with a beta blocker (unless a contraindication or
side-effects are recorded)
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7
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25-50%
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CHD 11. The percentage of patients with a history of myocardial
infarction (diagnosed after 1 April 2003) who are currently treated with an ACE inhibitor
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7
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25-70%
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CHD 12. The percentage of patients with coronary heart disease who
have a record of influenza immunisation in the preceding 1 September to 31
March
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7
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25-85%
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Sub Set - Left Ventricular Dysfunction
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Records
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LVD 1. The practice can produce a register of patients with CHD and
left ventricular dysfunction
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4
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Diagnosis and initial management
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LVD 2. The percentage of patients with a diagnosis of CHD and left
ventricular dysfunction (diagnosed after 1 April 2003) which has been
confirmed by an echocardiogram
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6
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25-90%
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Ongoing Management
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LVD 3. The percentage of patients with a diagnosis of CHD and left
ventricular dysfunction who are currently treated with ACE inhibitors (or
A2 antagonists)
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10
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25-70%
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Stroke and Transient Ischaemic Attacks
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Indicator
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Points
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Payment Stages
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Records
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STROKE 1. The practice can produce a register of patients with
Stroke or TIA
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4
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STROKE 2. The percentage of new patients with presumptive stroke
(presenting after 1 April 2003) who have been referred for confirmation of
the diagnosis by CT or MRI scan
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2
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25-80%
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Ongoing Management
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STROKE 3. The percentage of patients with TIA or stroke who have a
record of smoking status in the last 15 months, except those who have never
smoked where smoking status should be recorded at least once since
diagnosis
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3
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25-90%
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STROKE 4. The percentage of patients with a history of TIA or stroke
who smoke and whose notes contain a record that smoking cessation advice or
referral to a specialist service, if available, has been offered in the
last 15 months
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2
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25-70%
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STROKE 5. The percentage of patients with TIA or stroke who have a
record of blood pressure in the notes in the preceding 15 months
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2
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25-90%
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STROKE 6. The percentage of patients with a history of TIA or stroke
in whom the last blood pressure reading (measured in last 15 months) is 150/90 or less
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5
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25-70%
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STROKE 7. The percentage of patients with TIA or stroke who have a
record of total cholesterol in the last 15 months
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2
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25-90%
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STROKE 8. The percentage of patients with TIA or stroke whose last
measured total cholesterol (measured in last 15 months) is 5 mmol/l or less
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5
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25-60%
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STROKE 9. The percentage of patients with a stroke shown to be
non-haemorrhagic, or a history of TIA, who have a record that aspirin, an
alternative anti-platelet therapy, or an anti-coagulant is being taken
(unless a contraindication or side-effects are recorded)
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4
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25-90%
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STROKE 10. The percentage of patients with TIA or stroke who have
had influenza immunisation in the preceding 1 September to 31 March
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2
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25-85%
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