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Dementia (DEM) QOF tips

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

There are simple steps practices can take to make good use of the QOF indicators
There are simple steps practices can take to make good use of the QOF indicators

Tips for improving achievement

Professor Steve Iliffe, Professor of Primary Care for Older People at University College London, says GPs can take simple steps to help make good use of the QOF indicators for dementia.

'There are three things that are of real practical importance if practitioners are going to make best use of the QOF dementia registry and annual review, and improve patient care, as opposed to ticking boxes,' he says.

'One, ensure that carers’ details are documented. Two, ask about and record behavioural and psychological symptoms of dementia – especially agitation and aggressive behaviour, but also apathy and depression – because these increase carer burden and precipitate crises.

'Three, ask about incontinence, because this also undermines the capacity of family carers to carry on coping, but is often hidden from professionals to preserve the patient’s dignity.'

Andrew Chidgey, director of external affairs at the Alzheimer's Society, says that health checks for people with dementia are vitally important ensure their general health is maintained.

'All too often other health complications and symptoms are ignored, masked by or put down to a person’s dementia,' he says. 'One in three people over 65 will develop dementia. Having regular health checks for people with the condition recognised as part of the QOF will help ensure that they happen.’

Current indicators

Dementia (DEM) indicators Points Achievement thresholds (all UK countries)

DEM001: The contractor establishes and maintains a register of patients diagnosed with dementia.

5

 

DEM002: The percentage of patients diagnosed with dementia whose care has been reviewed in a face-to-face meeting in the preceding 12 months (15 months in Wales and N Ireland). 

15

35-70%

DEM003: The percentage of patients with a new diagnosis of dementia recorded between the preceding 1 April to 31 March with a record of FBC, calcium, glucose, renal and liver function, thyroid function tests, serum vitamin B12 and folate levels recorded between 6 months before or after entering on to the register.

6

45-80%

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