Dermatology – Cryotherapy

Purpose and outline

Dermatology relates to skin, hair, and nail conditions.

Information about this service

Local incentive scheme.

Example components for this service

Total Number of Cryotherapy Treatment Sessions Undertaken.

Total Number of Referrals to Dermatology.

Declaration.

Dermatology – Minor Operation

Purpose and outline

Dermatology relates to skin, hair, and nail conditions.

Information about this service

Local incentive scheme.

Example components for this service

Number of Aspirations Undertaken.

Number of Excisions Undertaken.

Number of Incisions Undertaken.

Number of Injections Undertaken.

Declaration.

Diabetes

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

BMI – Key Care Processes – Per Patient. 

Healthier You – Core Searches & Audit.

Healthier You – Per Patient. 

Healthier You – Training. 

Key Care processes – Core Searches. 

Treatment Targets – Audit. 

Treatment Targets – Training. 

Urinary ACR – Key Care Processes Per patient. 

Declaration.

Diabetes – Insulin Initiation

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Insulin initiation.

Insulin initiation – review.

Declaration.

Diabetes – Ongoing Care

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Total number of patients seen within a 12 month period.

Declaration.

Diabetes Specialist Nurse

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Total Annual Reviews undertaken with all checks complete.

Declaration.

DMARDS

Purpose and outline

Disease modifying antirheumatic drugs (DMARDS) are a class of drugs for treating rheumatoid arthritis and other autoimmune disorders.

Information about this service

Local incentive scheme.

Example components for this service

Total number of patients on the register within the reporting period. 

Shared Care DMARDs Start Up. 

Total number of patients on the register with a shared care arrangement prescribed the following medication (Azathioprine). 

Total number of patients on the register with a shared care arrangement prescribed the following medication (Leflunomide). 

Total number of patients on the register with a shared care arrangement prescribed the following medication (Methotrexate). 

Total number of patients on the register with a shared care arrangement prescribed the following medication (Penicillamine). 

Total number of patients on the register with a shared care arrangement prescribed the following medication (Sodium Aurothiomalate).

Total number of patients on the register with a shared care arrangement prescribed the following medication (Ciclosporin). 

Total number of patients on the register with a shared care arrangement prescribed the following medication (Mycophenolate). 

Total number of patients on the register with a shared care arrangement prescribed the following medication (Sulfasalazine). 

Declaration.

Deep Vein Thrombosis (DVT)

Purpose and outline

Deep Vein Thrombosis (DVT) is a condition where a blood clot forms in a deep vein and can cause pain and swelling in the affected leg. If dislodged, the clot can travel to the lungs which can be serious and potentially life threatening.

Information about this service

Local incentive scheme.

Example components for this service

DVT – Ongoing management (NOAC monitoring).

DVT – Payment per consultation – referred clients.

DVT – On-call payment.

Declaration.

Depression

Purpose and outline

Depression is a low mood that can last for a long time or keep returning, affecting your everyday life. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Total Number of Initial Consultations Using the Questionnaire.

Total Number of Referrals to CBT.

Total Number of Anti-Depressant Medications Prescribed.

Declaration.

Dementia

Purpose and outline

Dementia is a syndrome associated with an ongoing decline of brain functioning. There are many different types if dementia. An early diagnosis helps people get the right treatment and support. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Per patient – new diagnosis.

Declaration.

Depo

Purpose and outline

Depo-Provera (or Depo) is a contraceptive injection which acts as a long term birth control. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Depo-Neuroleptics injections undertaken.

Declaration.

Dementia Data Extract 2017-2023

Purpose and outline

This data extract is designed to collect detailed information from GP practices on the patients who are, or may be, at risk of dementia. It will also collect data about patients diagnosed as living with dementia and the care they receive, and information about patients with dementia who are prescribed anti-psychotic drugs.

A practice will make an opportunistic offer of assessment for dementia to ‘at-risk’ registered patients, where the practitioner considers it clinically appropriate to make such an offer. Where an offer of assessment has been agreed by a patient, the practice will provide the assessment. An opportunistic offer is an offer made during a routine consultation with a patient identified as ‘at risk’, and where there is clinical evidence to support the offer.

When deciding to offer an assessment, practitioners are expected to use their clinical judgement and take into account any concerns raised by the patient or their carer.

Evidence suggests that dementia diagnosis rates in BAME groups and seldom heard communities are particularly poor; therefore the challenge recognises the importance of improving the diagnosis of dementia for such individuals. This provides the justification for adding ethnicity counts to this data collection, as the number of patients with a dementia diagnosis in their clinical record, broken down by ethnicity, is not currently collected.

Anti-psychotic medication is sometimes used to control behavioural problems in patients with dementia. This practice can be very damaging to those patients and is discouraged. This collection will allow monitoring of the level of this prescribing with the intention that there will be a sustained decrease over time.

This service is on CQRS to record a GPs agreement for data extracts to take place only. No data from this service will be recorded in CQRS and there is no payment attached to this service.

How this service is commissioned and provided

Dementia assessment is now a core contract requirement to be offered when the attending GP believes it’s clinically appropriate. It was identified as part of the 2016-17 General Medical Services (GMS) contract agreement with the General Practitioners Committee (GPC) that NHS England will continue to collect dementia activity data, in order to inform future decision making linked to dementia care.

There is no service specification as this is now a core contract requirement.

Information about this service:

  • Quality service start date: 01 October 2017
  • Quality service end date: 31 March 2023
  • Payment period: N/A
  • Collection frequency: Monthly
  • Manual or automatic entry: Automatic
  • Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)
  • Co-commissioning: No
  • System type: GPES service (Core contract)

MI counts/clinical codes

Commissioners and practice should refer to our supporting business rules for information on management information counts and clinical codes.