Yes you do, it is part of the foot risk assessment.
Q&A
Version 2 ( EMIS, Vision, Microtest and Torex)
C10.. Diabetes mellitus
C109K Hyperosmolar non-ketotic state in type 2 diabetes mellitus
C10C. Diabetes mellitus autosomal dominant
C10D. Diabetes mellitus autosomal dominant type 2
C10E. % Type 1 diabetes mellitus
C10F.% Type 2 diabetes mellitus (Excluding C10F8)
C10G.% Secondary pancreatic diabetes mellitus
C10H.% Diabetes mellitus induced by non-steroid drugs
C10M.% Lipoatrophic diabetes mellitus
C10N.% Secondary diabetes mellitus
CTV3 (SystmOne)
C10.. Diabetes mellitus
XaOPu Latent autoimmune diabetes mellitus in adult
XaOPt Maternally inherited diabetes mellitus
X40J4% Type 1 diabetes mellitus
X40J5% Type 2 diabetes mellitus (Excluding C10F8)
X40J6 Insulin treated Type 2 diabetes mellitus
X40JA % Secondary diabetes mellitus
X40JG% Genetic syndromes of diabetes mellitus
C1011 Type 2 diabetes mellitus with ketoacidosis
C1010 Type 1 diabetes mellitus with ketoacidosis
C1030 Type 1 diabetes mellitus with ketoacidotic coma
C1031 Type II diabetes mellitus with ketoacidotic coma
XaIrf Hyperosmolar non-ketotic state in type II diabetes mellitus
X40JZ Diabetes-deafness syndrome maternally transmitted
XSETp Diabetes mellitus due to insulin receptor antibodies
XM1Xk% Unstable diabetes
C10G.% Secondary pancreatic diabetes mellitus
C10H.% Diabetes mellitus induced by non-steroid drugs
C10M.% Lipoatrophic diabetes mellitus
C10N.% Secondary diabetes mellitus
You need to check the Read code used to record the amputation is a QOF code.
Foot Amputation Codes | ||
CTV3 | Version 2 | |
O/E – Amputated right leg | XaBLT | 2G42. |
CTV3 | Version 2 | |
O/E – Amputated right above knee | XaBLV | 2G44. |
O/E – Amputated right below knee | XaBLX | 2G46. |
O/E – Amputated left leg | XaBLU | 2G43. |
O/E – Amputated left above knee | XaBLW | 2G45. |
O/E – Amputated left below knee | XaBLXY | 2G47. |
Both codes are part of QOF so there is not an issue there and both results have been sent by the lab for about a year now. The 42W5 being the International Federation of Clinical Chemistry and Laboratory Medicine standardised and the more familiar code 42W4.HbA1c level (DCCT aligned)
We should be working towards familiarising ourselves with the new levels although there has not been any change to the rule sets regarding the 42W4, this is still acceptable at the moment
Comparing DCCT-HbA1c and IFCC-HbA1c Results
The chart below allows the practices to convert the levels and I would be surprised if practices did not have a copy, we did hand them out to the audit clerks last year
DCCT-HbA1c (%) IFCC-HbA1c (mmol/mol)
6 42
6.5 48
7 53
7.5 59
8 64
9 75
To achieve this indicator you would need to have patients diagnosed with proteinuria or micro-albuminuria that you would treat with an ACE inhibitors (or A2 antagonists). If you are aware of patients with a diagnosis of either proteinuria or micro-albuminuria, you need to check the Read Codes used.
It is recommended you still discuss the three topics with patients as CQRS are extracting this data. Although the results will not be used to assess practice achievement
CTV3 Version 2
XaRFa 8IB4. Pregnancy advice for patients with epilepsy not indicated
XaRFb 8IB3. Pre-conception advice for patients with epilepsy not indicated
XaRFc 8IB2. Contraceptive advice for patients with epilepsy not indicated
The new Read Codes are listed below with the conversion table:
International Federation of Clinical Chemistry (IFCC) Standardization of HbA1c conversion table
IFCC HbA1c | NGSP HbA1c (%) |
31 | 5 |
42 | 6 |
53 | 7 |
64 | 8 |
75 | 9 |
86 | 10 |
97 | 11 |
108 | 12 |
Version 2
42W5. Haemoglobin A1c level – International Federation of Clinical Chemistry and Laboratory Medicine standardised
CTV3
XaPbt Haemoglobin A1c level – International Federation of Clinical Chemistry and Laboratory Medicine standardised
If the patient is treated by the CPA and evidence of a documented care plan discussed with their community key worker is available, this can be scanned onto the patient’s record and would be acceptable for QOF. It is the MH patients who do not have a key worker who will require a primary care care plan.
The mental health care plan codes are listed below
CTV3 | Version 2 | |
Mental Health Care Programme Approach | XaIXu | 8CY.. |
Care Programme Approach review | XaK8p | 8CG6. |
Ongoing Care Programme Approach review | XaK8s | 8CG61 |
Initial Care Programme Approach review | XaK8r | 8CG60 |
Discharge Care Programme Approach review | XaK8t | 8CG62 |
Agreeing on mental health care plan | Xaa8p | 8CS7. |
Review of mental health care plan | Xaa8q | 8CMG1 |
MENTAL HEALTH PLAN & REVIEW |
Patient Name | Date of Birth | ||
GP Name | |||
Date of Mental Health Plan |
Actual Date of Mental Health Review |
Outcome Tool | Result at assessment | Result at review |
PROBLEM / PT NEEDS | GOALS / ACTIONS | REQUIRED TREATMENTS | REVIEW OUTCOME |
(eg. Reduce symptoms, improve functioning) |
(eg. Referral to Allied Health, medication, engagement of family / other supports) |
(Impact of action / task on problem) |
|
1.
|
|||
2.
|
|||
3.
|
Early Warning Signs (Be specific. Re-assess at Review Consultation.) | |
1 | 2 |
3 | 4 |
Relapse Prevention Plan (Re-assess at Review Consultation.) | |
1 | 2 |
3 | 4 |
5 | 6 |
Emergency Care (eg Family contact person / details) |
1
|
2
|
3 Access Team, Phone |
The following section to be signed by patient and GP:
I understand the above Mental Health Plan and agree to the outlined goals / actions |
|
Patient Signature:
|
GP Signature: |
Has a copy of the MH Plan been given to the Patient? | Yes ¨ No ¨ |
Proposed date for Mental Health Review (1 – 6 months after MH Plan adopted) |
Additional Notes |
|