QOF QOF 2008/2009

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Code for cancer care review (To be added within 6 months of the cancer diagnosis, and within the last 12 months)

If cancer is diagnosed after 1st October 2008 and the cancer care review hasn't been completed it will not count against you.

8BAV. Cancer care review

Cancer Diagnosis Codes (Diagnosed in previous 18 months, after 1/10/2006)

B0... Malignant neoplasm of lip, oral cavity and pharynx
B00% Malignant neoplasm of lip
B01% Malignant neoplasm of tongue
B02% Malignant neoplasm of major salivary glands
B03% Malignant neoplasm of gum
B04% Malignant neoplasm of floor of mouth
B05% Malignant neoplasm of other and unspecified parts of mouth
B06% Malignant neoplasm of oropharynx
B07% Malignant neoplasm of nasopharynx
B08% Malignant neoplasm of hypopharynx
B0z% Malignant neoplasm of other and ill-defined sites within the lip, oral cavity and pharynx
B1% Malignant neoplasm of digestive organs and peritoneum
B2% Malignant neoplasm of respiratory tract and intrathoracic organs
B3... Malignant neoplasm of bone, connective tissue, skin and breast
B30% Malignant neoplasm of bone and articular cartilage
B31% Malignant neoplasm of connective and other soft tissue
B32% Malignant melanoma of skin
B34% Malignant neoplasm of female breast
B35% Malignant neoplasm of male breast
B3y.. Malignant neoplasm of bone, connective tissue, skin and breast otherwise specified
B3z.. Malignant neoplasm of bone, connective tissue, skin and breast NOS
B4% Malignant neoplasm of genitourinary organ
B5% Malignant neoplasm of other and unspecified sites
B6% Malignant neoplasm of lymphatic and haemopoietic tissue
Byu.. [X]Additional neoplasm classification terms - Byu41 [X]Malignant melanoma of skin, unspecified
Byu5. [X]Malignant neoplasm of mesothelial and soft tissue - ByuE0 [X]Malignant neoplasms of independent (primary) multiple sites
 

Cancer exception reporting codes (In last 15 months)

9h8.. Exception reporting: cancer quality indicators
9h81. Excepted from cancer quality indicators: Patient unsuitable
9h82. Excepted from cancer quality indicators: Informed dissent

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Cancer 3.1 Rationale

Most general practitioners will see patients with a new cancer diagnosis following assessment and management in a secondary or tertiary care setting. A cancer review is an opportunity to cover the following issues:

• the patient’s individual health and support needs (this will vary with e.g. the diagnosis, staging, age and pre-morbid health of the patient and their social support networks)
• the co-ordination of care between sectors.

Further information: www.scotland.gov.uk/Topics/Health/health/cancer

Cancer 3.2 Reporting and verification

The practice reports the number of patients with cancer diagnosed in the last 18 months with a review recorded in the six months after diagnosis.

Verification may involve randomly selecting a number of case records of patients in which the review has been recorded as taking place to confirm that the two components have been undertaken and recorded.

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Prepared By Jean Keenan