Records and Information
Records03 - 1 pointThe practice has a system for transferring and acting on information about patients seen by other doctors out of hours
Records08 - 1 point
There is a designated place for the recording of drug allergies and adverse reactions in the notes and these are clearly recorded
Records09 - 4 points
For repeat medicines, an indication for the drug can be identified in the records (for drugs added to the repeat prescription with effect from 1 April 2004). Minimum Standard 80%
Records11 - 10 points
The blood pressure of patients aged 45 and over is recorded in the preceding 5 years for at least 65% of patients
Records13 - 2 points
There is a system to alert the out-of-hours service or duty doctor to patients dying at home
Records15 - 25 points
The practice has up-to-date clinical summaries in at least 60% of patient records
Records17 - 5 points
The blood pressure of patients aged 45 and over is recorded in the preceding 5 years for at least 80% of patients
Records18 - 8 points
The practice has up-to-date clinical summaries in at least 80% of patient records
Records19 - 7 points
80% of newly registered patients have had their notes summarised within 8 weeks of receipt by the practice
Records20 - 12 points
The practice has up-to-date clinical summaries in at least 70% of patient records
Records21 - 1 point
Ethnic origin is recorded for 100% of new registrations
Records23 - 11 points
The percentage of patients aged over 15 years whose notes record smoking status in the past 27 months.
Information for Patients
The practice has arrangements for patients to speak to GPs and nurses on the telephone during the working day
Information04 - 1 point
If a patient is removed from a practice's list, the practice provides an explanation of the reasons in writing to the patient and information on how to find a new practice, unless it is perceived that such an action would result in a violent response by the patient
Information05 - 2 points
The practice supports smokers in stopping smoking by a strategy which includes providing literature and offering appropriate therapy
Patients are able to access a receptionist via telephone and face to face in the practice, for at least 45 hours over 5 days, Monday to Friday, except where agreed with the primary care organisation (PCO)
Education and Training
Education01 - 4 pointsThere is a record of all practice-employed clinical staff having attended training/updating in basic life support skills in the preceding 18 months
All new staff receive induction training
Education05 - 3 points
There is a record of all practice-employed staff having attended training/updating in basic life support skills in the preceding 36 months
Education06 - 3 points
The practice conducts an annual review of patient complaints and suggestions to ascertain general learning points which are shared with the team
Education07 - 4 points
The practice has undertaken a minimum of twelve significant event reviews in the past 3 years which could include:
- Any death occurring in the practice premises
- New cancer diagnoses
- Deaths where terminal care has taken place at home
- Any suicides
- Admissions under the Mental Health Act
- Child protection cases
- Medication errors
Education08 - 5 points
All practice-employed nurses have personal learning plans which have been reviewed at annual appraisal
Education09 - 3 points
All practice-employed non-clinical team members have an annual appraisal
Education10 - 6 points
The practice has undertaken a minimum of three significant event reviews within the last year
Practice Management
Management01 - 1 pointIndividual healthcare professionals have access to information on local procedures relating to Child Protection
Management02 - 1 point
There are clearly defined arrangements for backing up computer data, back-up verification, safe storage of back-up tapes and authorisation for loading programmes where a computer is used
Management03 - 0.5 points
The Hepatitis B status of all doctors and relevant practice-employed staff is recorded and immunisation recommended if required in accordance with national guidance
The arrangements for instrument sterilisation comply with national guidelines as applicable to primary care
Management05 - 3 points
The practice offers a range of appointment times to patients, which as a minimum should include morning and afternoon appointments five mornings and four afternoons per week, except where agreed with the PCO
Management06 - 2 points
Person specifications and job descriptions are produced for all advertised vacancies
Management07 - 3 points
The practice has systems in place to ensure regular and appropriate inspection, calibration, maintenance and replacement of equipment including:
- A defined responsible person
- Clear recording
- Systematic pre-planned schedules
- Reporting of faults
The practice has a policy to ensure the prevention of fraud and has defined levels of financial responsibility and accountability for staff undertaking financial transactions (accounts, payroll, drawings, payment of invoices, signing cheques, petty cash, pensions, superannuation etc)
Management09 - 3 points
The practice has a protocol for the identification of carers and a mechanism for the referral of carers for social services assessment
Management10 - 2 points
There is a written procedures manual that includes staff employment policies including equal opportunities, bullying and harassment and sickness absence (including illegal drugs, alcohol and stress), to which staff have access
Medicines Management
Medicines02 - 2 pointsThe practice possesses the equipment and in-date emergency drugs to treat anaphylaxis
Medicines03 - 2 points
There is a system for checking the expiry dates of emergency drugs on at least an annual basis
Medicines04 - 3 points
The number of hours from requesting a prescription to availability for collection by the patient is 72 hours or less (excluding weekends and bank/local holidays)
Medicines06 - 4 points
The practice meets the PCO prescribing adviser at least annually and agrees up to three actions related to prescribing
Where the practice has responsibility for administering regular injectable neuroleptic medication, there is a system to identify and follow up patients who do not attend. (Additionally the practice should be able to demonstrate that they are delivering this service to at least one patient during the QOF year in order to be eligible for the points.)
Medicines08 - 6 points
The number of hours from requesting a prescription to availability for collection by the patient is 48 hours or less (excluding weekends and bank/local holidays)
Medicines10 - 4 points
The practice meets the PCO prescribing adviser at least annually, has agreed up to three actions related to prescribing and subsequently provided evidence of change
Medicines11 - 7 points
A medication review is recorded in the notes in the preceding 15 months for all patients being prescribed four or more repeat medicines. Standard 80%
Medicines12 - 8 points
A medication review is recorded in the notes in the preceding 15 months for all patients being prescribed repeat medicines. Standard 80%
Prepared By Jean Keenan