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Stroke and transient ischaemic attack (STIA) QOF indicators

Tips for improving QOF scores in this area and current indicators for 2013/14.

Tips for improving achievement

Hertfordshire GP Professor Mike Kirby says the key to improving achievement in STIA005 (to lower cholesterol to 5mmol/L or less among patients with stroke or TIA) may be for GPs to offer the checks during home visits.

‘A patient with stroke can't always get to the surgery, so they may need a home visit,’ he says. ‘I'm in favour of intensive secondary prevention for stroke. Again, you need a protocol-driven approach, organised by a nurse-led clinic. All the patients on the disease register should all be assessed annually.'

Current indicators

Stroke and transient ischaemic attack (STIA) indicators

Points

Achievement thresholds

STIA001: The contrcator establishes and maintains a register of patients with stroke or TIA.

2

 

STIA002: The percentage of patients with a stroke or TIA (diagnosed on or after 1 April 2008) who have a record of a referral for further investigation between 3 months before or 1 month after the date of the latest recorded stroke or TIA.

2

England, Wales & N Ireland: 45-80%

Scotland: 50-90%*

STIA003: The percentage of patients with a history of stroke or TIA in whom the last blood pressure reading (measured in the preceding 12 months - 15 months in Wales and N Ireland) is 150/90mmHg or less.

5

England & Wales: 40-75%

Scotland: 50-85%*

N Ireland 60-80%*

STIA004: The percentage of patients with stroke or TIA who have a record of total cholesterol in the preceding 12 months (15 months in Wales and N Ireland).

2

50-90%

STIA005: The percentage of patients with stroke shown to be non-haemorrhagic, or a history of TIA whose last measured total cholesterol (measured in the preceding 12 months - 15 months in Wales and N Ireland) is 5mmol/l or less.

5

England, Wales & Scotland: 40-65%

N Ireland: 60-70%*

STIA006: The percentage of patients with stroke or TIA who have had influenza immunisation in the preceding 1 September to 31 March.

2

England: 55-95%*

Wales & Scotland: 50-90%*

N Ireland: 65-90%*

STIA007: The percentage of patients with a stroke shown to be non-haemorrhagic, or a history of TIA, who have a record in the previous 12 months (15 months in Wales and N Ireland) that an anti-platelet agent or an anti-coagulant is being taken.

4

England: 57-97%*

Wales: 54-94%*

Scotland & N Ireland: 50-90%

*Indicates a change of threshold for 2013/14

 

 

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