QOF

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BP codes

BP Exception code (Added in the last 15 months)

8I3Y. Blood pressure procedure refused

Maximum BP therapy (In last 15 months)

8BL0. Patient on maximal tolerated antihypertensive therapy

BP Codes (In last 15 months)

The latest Systolic <=140 and Diastolic <=80

246% O/E - blood pressure reading,

Excluding:

2460 O/E - BP unrecordable (v7)
2468. O/E - BP reading:postural drop
246H. O/E - Arterial pressure index normal
246I. O/E - Arterial pressure index abnormal
246K. Target systolic blood pressure
246L. Target diastolic blood pressure
246M. White coat hypertension

In detail:

246. O/E - blood pressure reading
2461. O/E - BP reading very low
2462. O/E - BP reading low
2463. O/E - BP borderline low
2464. O/E - BP reading normal
2465. O/E - BP borderline raised
2466. O/E - BP reading raised
2467. O/E - BP reading very high
2469. O/E - Systolic BP reading
246A. O/E - Diastolic BP reading
246B. O/E - BP stable
246C. Lying blood pressure reading
246D. Standing blood pressure reading
246E. Sitting blood pressure reading
246F. O/E - blood pressure decreased
246G. O/E - BP labile
246J. O/E - BP reading: no postural drop
246N. Standing systolic blood pressure
246P. Standing diastolic blood pressure
246Q. Sitting systolic blood pressure
246R. Sitting diastolic blood pressure
246S. Lying systolic blood pressure
246T. Lying diastolic blood pressure
246Z. O/E-blood pressure reading NOS
246a. Average night interval diastolic blood pressure
246b. Average night interval systolic blood pressure
246c. Average home diastolic blood pressure
246d. Average home systolic blood pressure
246e. Ambulatory systolic blood pressure
246f. Ambulatory diastolic blood pressure
246g. Self measured blood pressure reading

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DM 31.1 Rationale

Blood pressure (BP) lowering in people with diabetes reduces the risk of macrovascular and microvascular disease. This indicator, along with indicator DM30, are replacements of the 2009/10 QOF indicator DM12 (The percentage of patients with diabetes in whom the last blood pressure is 145/85 or less). The target of 140/80 mmHg has been set as per the target recommended by NICE.

NICE clinical guideline 87 (2008). Type 2 Diabetes - newer agents (partial update of CG66). www.nice.org.uk/CG87

DM 31.2 Reporting and verification

The practice reports the percentage of patients on the diabetic register in which the last blood pressure measurement was 140/80 or less. The pressure must have been measured in the preceding 15 months.

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Prepared By Jean Keenan