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Table 1 Indicators for the local pay-for-performance scheme

From: `Just another incentive scheme’: a qualitative interview study of a local pay-for-performance scheme for primary care

Domain Indicator Description Number of points
Alcohol A1 The practice can produce a register of patient aged 16 years and over with a record of the number of units of alcohol consumed on a weekly basis in the past 27 months 10
A2 Patients who drink equal or greater than 14 units a week for females and 21 units a week for males in a 7 day cycle with a period of at least 2 days abstinence are offered a brief intervention 10
Chlamydia C1 The practice can produce a register of patients aged 15 to 24 of both sexes 2
C2 Patients between 15–24 years old who have been offered screening by their practice and have a recorded test result £5 for every screen recorded
Learning Disabilities LD1 The practice can produce a register of people over 18 with LD £50 per registered patient
LD2 The % of patients with LD with a review recorded in the preceding 15 months. Checks include accuracy of prescribed medication, physical health and co-ordination with secondary care £50 for every health check completed
Weight Management OB1 Production of a register of patients between 16–75 with a BMI equal of greater than 25 recorded in the last 5 years 3
OB2 Production of a register of patients between 16–75 with a BMI equal of greater than 25 recorded in the last 15 months 7
OB3 Patients with a BMI equal or greater than 25 receive appropriate intervention in the past 15 months 20
Osteoporosis OST1 Production of a register of female patients aged 65–74 with a fracture in the previous 15 months 2
OST2 Female patients 65–74 that have had a fracture are referred for a BMD scan 4
OST3 The practice can produce a register of male and female patients aged 16–74 years who have received at least one repeat prescription for oral prednisolone in the previous 6 months 2
OST4 The % of patients on register (OST 3) who have a record of a DXA scan being performed at any time or a referral for a DXA scan in the previous 15 months 5
OST5 The percentage of patients on register (OST 4) who have a record of a DXA scan being performed at any time, or a referral for a DXA scan in the previous 15 months, or have been assessed for osteoporosis risk 2
OST6 The practice can produce a register of male and female patients aged 75 years and over who have had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday 2
OST7 The percentage of male and female patients aged 75 years and over who have had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday, who have been assessed and treated for Osteoporosis risk ever 5