Indicators tested and data sources
| Indicator no. | Primary care intervention and indicators | Data source and age group |
|---|---|---|
| Aspirin therapy for high risk patients | 45–69 years | |
| 1 | % of population with a diagnosis of ischaemic heart disease (IHD) | Read code G3 and additional patients on nitrates (repeat prescriptions) |
| 2 | % of population with a diagnosis of IHD who take aspirin | Random selection of indicator 1: patient note search (using computer as well) |
| 3 | % of population with a diagnosis of ischaemic stroke or transient ischaemic attacks (TIAs) | Computer only: Read codes G63–66 |
| 4 | % of population with a diagnosis of stroke or TIAs who take aspirin | Random selection of indicator 3: patient note search (using computer as well) |
| Detection and control of hypertension | 45–69 years | |
| 5 | % of population who have had their BP recorded in the previous five years | Computer only |
| 6 | % of population with a diagnosis of hypertension (denominator for indicators 7 and 8) | Computer only: Read code G2 |
| 7 | % of population identified as hypertensive whose most recent systolic BP is <160 mm Hg | Computer only |
| 8 | % of population identified as hypertensive whose most recent diastolic BP is <90 mm Hg | Computer only |
| 9 | % of population identified as hypertensive who have had their BP recorded in the previous year | Computer only |
| 10 | % of those with a diagnosis of IHD who have had their BP recorded in the previous year | Random selection of indicator 1: patient note search (using computer as well) |
| 11 | % of those with a diagnosis of ischaemic stroke or TIA who have had their BP recorded in the previous year | Random selection of indicator 3: patient note search (using computer as well) |
| 12 | % of population with a diagnosis of diabetes mellitus (denominator for indicators 13 and 14) | Computer only: Read code C10 |
| 13 | % of those identified with diabetes mellitus whose most recent systolic BP is <160 mm Hg | Computer only |
| 14 | % of those identified with diabetes mellitus whose most recent diastolic BP is <90 mm Hg | Computer only |
| Smoking cessation advice | 45–69 years | |
| 15 | % of population who have their smoking status recorded | Computer only |
| 16 | % of population who are current smokers and have received smoking cessation advice | Computer only: using Read code 6791 “health education—smoking” |
| 17 | % of those with a diagnosis of IHD who have their smoking status recorded | Random selection of indicator 1: patient note search (using computer as well) |
| 18 | % of those with a diagnosis of IHD who are current smokers who have received smoking cessation advice | Random selection of indicator 1: patient note search (using computer as well) |
| 19 | % of those with a diagnosis of ischaemic stroke or TIA who have their smoking status recorded | Random selection of indicator 3: patient note search (using computer as well) |
| 20 | % of those with a diagnosis of ischaemic stroke or TIA who are current smokers who have received smoking cessation advice | Random selection of indicator 3: patient note search (using computer as well) |
| Use of angiotensin converting enzyme inhibitors in those with heart failure | 45–74 years | |
| 21 | % of population with a diagnosis of heart failure (denominator for indicator 22) | Computer only: Read code G58 |
| 22 | % of population with heart failure who have a prescription for ACE inhibitors | Computer only |
| Lipid lowering drugs for patients with established cardiovascular disease | 45–69 years | |
| 23 | % of those with a diagnosis of IHD who have had a cholesterol measurement | Random selection of indicator 1: patient note search (using computer as well) |
| 24 | % of those with a diagnosis of IHD with a raised cholesterol who are prescribed lipid lowering drugs | Random selection of indicator 1: patient note search (using computer as well) |
| Warfarin or aspirin for stroke prophylaxis in non-valvular atrial fibrillation (NVAF) | 45–74 years | |
| 25 | % of population with a diagnosis of NVAF (denominator for indicator 26) | Computer only: Read code G573 |
| 26 | % of those with a diagnosis of NVAF who have a prescription for anticoagulants or aspirin | Computer only |