|Hypothyroidism: Clinical Indicators|
|Register of patients with hypothyroidism||Register||1|
|Thyroid function tests recorded in past 15 months||90||6|
- Although rewards are smaller, it should be straightforward to earn maximum points.
- According to the framework data for 2006/7, prevalence was 2.49 per cent in England and 2.87 per cent in Northern Ireland. Data for 2005/6 shows prevalence in Scotland was 3 per cent and prevalence in Wales 2.9 per cent.
- In England in 2005/6 average exception reporting rates for hypothyroidism were 0.59 per cent.
- Nothing changed in this disease area under the framework review for 2006/7, except that setting up a register is now worth one point, not two. The minimum threshold also rose from 25 to 40 per cent.
Step 1: Setting up the register
- The register is of patients taking levothyroxine with a recorded diagnosis of hypothyroidism.
- Start by searching for all patients who are being prescribed levothyroxine. Then check that all of these patients’ notes record a diagnosis of hypothyroidism and the preferred Read code.
- Make sure all new patients diagnosed with hypothyroidism are coded with the preferred Read code.
- Checks should be in place to make sure deceased patients or those who move away are removed from the register.
- Patients with hypothyroidism who join the practice also need to be entered on the system.
Step 2: From now onwards
- All patients on the register need thyroid function tests recorded in the past 15 months.
- Run a report to see how you are performing on this at the beginning of the contract year.
- Decide on a system to make sure all patients have the relevant tests by April 2008.
- Make sure you run regular reports to follow up patients who have not undertaken the relevant tests.
- Measuring performance should be easy because biochemistry results are delivered electronically to most practices.