The GP Contract Clinical Quality indicators for diabetes

Indicator

Points

Maximum threshold

Records

DM 1: The practice can produce a register of all patients with diabetes mellitus

e

Ongoing Management

DM 2: The percentage of patients with diabetes whose notes record BMI in the previous 15 months

s

9o%

DM 3: The percentage of patients with diabetes in whom there is a record of smoking status in the previous 15 months except those who have never smoked where smoking status should be recorded once

s

9o%

DM 4: The percentage of patients with diabetes who smoke and whose notes contain a record that smoking cessation advice has been offered in the last 15 months

b

9o%

DM 5: The percentage of diabetic patients who have a record of HbAlc or equivalent in the previous 15 months

s

9o%

DM 6: The percentage of patients with diabetes in whom the last HbA1c is 7.4 or less (or equivalent test / reference range depending on local laboratory) in last 15 months

ie

bo%

DM 7: The percentage of patients with diabetes in whom the last HbA1c is 10 or less (or equivalent test / reference range depending on local laboratory) in last 15 months

ii

8b%

DM 8: The percentage of patients with diabetes who have a record of retinal screening in the previous 15 months

b

9o%

DM 9: The percentage of patients with diabetes with a record of presence or absence of peripheral pulses in the previous 15 months

s

9o%

Indicator

Points

Maximum threshold

Ongoing Management

DM 10: The percentage of patients with diabetes with a record of neuropathy testing in the previous 15 months

S

9G%

DM 11: The percentage of patients with diabetes who have a record of the blood pressure in the past 15 months

S

9G%

DM 12: The percentage of patients with diabetes in whom the last blood pressure is 145/85 or less

i?

550/o

DM 13: The percentage of patients with diabetes who have a record of microalbuminuria testing in the previous 15 months (exception reporting for patients with proteinuria)

S

9G%

DM 14: The percentage of patients with diabetes who have a record of serum creatinine testing in the previous 15 months

S

9G%

DM 15: The percentage of patients with diabetes with proteinuria or microalbuminuria who are treated with ACE inhibitors (or A2 antagonists)

S

7G%

DM 16: The percentage of patients with diabetes who have a record of total cholesterol in the previous 15 months

S

9G%

DM 17: The percentage of patients with diabetes whose last measured total cholesterol within previous 15 months is 5 or less

e

eG%

DM 18: The percentage of patients with diabetes who have had influenza immunisation in the preceding 1 September to 31 August

S

85%

A Disquistion On The Evils Of Using Tobacco

A Disquistion On The Evils Of Using Tobacco

Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.

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