Building searches and templates for EMIS Practices NHS Health Check 2011/12

Transcription

1 Building searches and templates for EMIS Practices NHS Health Check 2011/12 The Read codes used in this guidance document are the National Data Set and are a requirement for the recording of the NHS Health checks 2011/12 Attached is a EMIS document - Building and Editing a Template Target population: All patients age years without (not diagnosed with any of the listed criteria) (see below) on the 1st of April 2011 are eligible for an NHS Health Check Criteria All Patients aged years with the following pre-existing diagnosed conditions are not eligible for an NHS Health Check: Ischemic Heart Disease Diabetes Mellitus Chronic Kidney Disease Transient Ischaemic Attack Peripheral Vascular Disease History of Stroke Patients under Palliative Care/ End of Life Treatment Patients who have declined at least two invitations in the past two years by GP practices as well as Hard to Reach Provider Exclusion of Health Checks done in and : All patients who have been claimed under the Health Checks LES by the practice in and These Health Checks were recorded under specific Read Codes and can be excluded easily. However, the NHS numbers of these patients were sent to the PCT so if practices do require these details they can be sent to the practice upon request Please find attached a template guidance that will assist in the criteria and Read Code requirement for the recording of the NHS Health check. The codes used on the template guidance are from the National Data Set and their use is a requirement for recording Health checks.

2 EMIS Search/Template Criteria Demographics NHS Number Name DOB Age Gender Post Code NHS Health Check Invite 9mC1. NHS Health Check first letter 9mC3. NHS Health Check third letter 9mC2. NHS Health Check second letter 9mC4. NHS Health Check verbal Invitation 9mC0. NHS Health Check telephone invitation Ethnicity White 9i0..% British or mixed British - ethnic category 2001 census 9i1..% Irish - ethnic category 2001 census 9i2..% Other White background - ethnic category 2001 census Mixed 9i3.. White and Black Caribbean - ethnic category 2001 census 9i4.. White and Black African - ethnic category 2001 census 9i5.. White and Asian - ethnic category 2001 census 9i6..% Other Mixed background - ethnic category 2001 census Asian 9i7.. Indian or British Indian - ethnic category 2001 census 9i8.. Pakistani or British Pakistani - ethnic category 2001 census 9i9.. Bangladeshi or British Bangladeshi - ethnic category 2001 census 9iA..% Other Asian background - ethnic category 2001 census Black 9iB.. Caribbean - ethnic category 2001 census 9iC.. African - ethnic category 2001 census 9iD..% Other Black background - ethnic category 2001 census Other Ethnic 9iE.. Chinese - ethnic category 2001 census 9iF..% Other - ethnic category 2001 census 9iG.. Ethnic category not stated census 9iE.. Chinese - ethnic category 2001 census 916E. Patient ethnicity unknown Review O/E - height 22A.. O/E - weight = BMI and 22K..% Body Mass Index O/E - BP reading 246R. Sitting diastolic blood pressure 246Q. Sitting systolic blood pressure

3 Guidance Raised Blood Pressure Raised Blood Pressure - ( 140/90) Assess for Hypertension Check serum Creatinine and calculate egfr Plus CKD register if diagnosed Plus Brief Dietary Advice Offer Physical activity referral (e.g. LEAP) NHS stop smoking referral (if applicable) Weight Management on referral Requested Blood Results ( Lab Codes) 44PF. Total cholesterol: HDL ratio 44PH. Total cholesterol measurement 44J3.% Serum creatinine 44f1. Serum fasting glucose level 44TJ. Blood glucose level 44O5. Fasting blood lipids Family History 12...% Family history ( CVD is required for QRISK2) 122..% No relevant family history Physical activity level GPPAQ Questionnaire Link: 138X. General practice physical activity questionnaire physical activity index: inactive 138Y. General practice physical activity questionnaire physical activity index: moderately inactive 138a. General practice physical activity questionnaire physical activity index: moderately active 138b. General practice physical activity questionnaire physical activity index: active 137R. Smoking Current Status smoker QOF Codes 137S. Ex smoker 137L. Current non-smoker Never smoked tobacco 137E. Tobacco consumption unknown Alcohol Screening (NE Essex PH Alcohol LES, optional for Mid and West Essex practices) 9k17. Alcohol screen - alcohol use disorder identification test consumption questions completed (Numeric score) 38D4.Alcohol use disorder identification test consumption questionnaire 9k15. Alcohol screen - alcohol use disorder identification test completed 9k1A. Brief intervention for excessive alcohol consumption completed 8H7p. Referral to community alcohol team 8HkG. Referral to specialist alcohol treatment service EMIS LV template Link for Audit questionnaire

4 CVD Risk QRISK2 information Link Information for patients Information for clinicians JBS Risk Link 38DF. QRISK cardiovascular disease 10 year risk score 38DP. QRISK2 cardiovascular disease 10 year risk score 662k. Joint British Societies cardiovascular disease risk less than ten percent over next ten years 662l. Joint British Societies cardiovascular disease risk ten percent to twenty percent over next ten years 662m. Joint British Societies cardiovascular disease risk greater than twenty percent up to thirty percent over next ten years 662n. Joint British Societies cardiovascular disease risk greater than thirty percent over next ten years The patients who have a CVD risk <20% should be offered a follow up every five years Explain what the risk score means and what interventions would reduce the risk Guidance CVD Risk score 20% and nil else abnormal Offer Statins Prescription and register as High-Risk for annual reviews Plus Brief Dietary Advice Offer Physical activity referral (e.g. LEAP) NHS stop smoking referral (if applicable Weight Management on referral Referral to Health Trainers CVD Risk score <20% but 10% CVD Risk score <10% Brief Dietary Advice Offer Physical activity referral (e.g. LEAP) NHS stop smoking referral (if applicable) Weight Management on referral Referral to Health Trainers Brief Dietary Advice Offer Physical activity referral (e.g. LEAP) NHS stop smoking referral (if applicable) Weight Management on referral Referral to Health Trainers Intervention and follow-up Information and advice 66CQ. Intervention for risk to health associated with overweight and obesity, general advice on healthy weight and lifestyle Link to patient leaflet: 8CAL. Smoking cessation advice Link to patient leaflet: 137d. Not interested in stopping smoking 8Cd7. Advice given about weight management 8IAM. Referral to weight management service declined 8Cd4. Physical activity opportunity signposted 9Oq3. Brief intervention for physical activity completed 138S. Declined referral to physical exercise programme 8Hkj. Informal referral - signposted to other agency

5 68B1. Hypertension screen Diabetes mellitus screen Review Complete The patients who have a CVD risk <20% should be offered a follow up every five years 8BAg. NHS Health Check completed 8IAx. NHS Health Check declined (Optional) 6AH.. NHS Health Check annual review 38B10 CVD (cardiovascular disease) risk assessment by third party. (Optional) (Optional) All patients who require further investigation or a prescription of lipid lowering drugs, as a result of the Health Check should be appropriately followed up through invitations and according to the relevant national and local guidelines External Referrals 8HTK. Referral to stop-smoking clinic 8H7i. Referral to smoking cessation advisor 8HkQ. Referral to NHS stop smoking service 8H7s. Referral to physical activity programme 8HHH. Refer to weight management programme 8HlS. Referral for management of impaired glucose tolerance Diagnosis QOF Codes 1Z12. Chronic kidney disease stage 3 1Z13. Chronic kidney disease stage 4 1Z14. Chronic kidney disease stage 5 C10F.% Type 2 diabetes mellitus G2...% Hypertensive disease If recording as a newly diagnosed Hypertensive remember to enter as a new/first episode (QOF requirement) R10C. [D]Drug induced hyperglycaemia

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