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QOF 2009

QOF 2009. RBW 11/08. Summary of 2009. Heart Failure and beta blockade CKD and proteinuria Contraception Anxiety and depression New diabetes HbA1c targets COPD and a dyspnoea score. Heart Failure. LVD only Currently treated with ACEi or ARB Additionally with beta blockade

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QOF 2009

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  1. QOF 2009 RBW 11/08

  2. Summary of 2009 • Heart Failure and beta blockade • CKD and proteinuria • Contraception • Anxiety and depression • New diabetes HbA1c targets • COPD and a dyspnoea score

  3. Heart Failure • LVD only • Currently treated with ACEi or ARB • Additionally with beta blockade Intolerance or contraindication acceptable

  4. CKD • Annual protein: creatinine ratio

  5. Contraception • CON 1 & 2 removed • Register of women prescribed contraceptives • % on oral or patch - given advice re Long acting reversible methods • % who have takenemergency contraception - given advice re Long acting reversible methods

  6. Anxiety & Depression • Re-use of PHQ9 at 5 –12 weeks

  7. CVD – primary pevention • New diagnosis of hypertension alone – Cardiovascular risk assessment within 3/12 • Lifestyle advice given

  8. Diabetes Thresholds change for HbA1c 7 or less (40-50%) - 42% 8 or less (40-70%) - 69% 9 or less (40-90%) - 80%

  9. COPD • Inhaler technique drops out • MRC dyspnoea score instead

  10. Palliative Care • Now irrespective of age Meetings restructured recently

  11. Stroke/TIA • Now irrespective of age Meetings restructured recently

  12. Smoking • Now irrespective of age Meetings restructured recently

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