QOF

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The success criteria for this indicator are achieved for those patients in the denominator who received all three aspects of information and counselling.

These three codes must ALL be recorded to get any points.
in the previous 15 months but not necessarily on the same day.

If any of the following codes are present for a patient then that patient is removed from the denominator:

8IAg. Contraceptive advice for patients with epilepsy declined
8IB2. Contraceptive advice for patients with epilepsy not indicated
8IAh. Pre-conception advice for patients with epilepsy declined
8IB3. Pre-conception advice for patients with epilepsy not indicated
8IAi. Pregnancy advice for patients with epilepsy declined
8IB4. Pregnancy advice for patients with epilepsy not indicated

Hysterectomy Exception codes (ever)

7E04.% (excluding 7E04D)
7E05.%
7F1A0
7L0A%
ZV6G8

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Sterilisation Exception codes (ever)

7E10. Bilateral excision of adnexa of uterus
7E100 Bilateral salpingoophorectomy
7E101 Bilateral salpingectomy NEC
7E102 Bilateral oophorectomy NEC
7E10y Other specified bilateral excision of adnexa of uterus
7E10z Bilateral excision of adnexa of uterus NOS
7E111 Salpingoophorectomy of remaining solitary fallopian tube and ovary
7E113 Salpingectomy of remaining solitary fallopian tube NEC
7E115 Oophorectomy of remaining solitary ovary NEC
7E15. Open bilateral occlusion of fallopian tubes
7E150 Open bilateral ligation of fallopian tubes
7E151 Open bilateral clipping of fallopian tubes
7E15y Other specified open bilateral occlusion of fallopian tubes
7E15z Open bilateral occlusion of fallopian tubes NOS
7E160 Open ligation of remaining solitary fallopian tube
7E162 Open clipping of remaining solitary fallopian tube
7E1C. Endoscopic bilateral occlusion of fallopian tubes
7E1C3 Endoscopic bilateral placement of intrafallopian implants
7E1D0 Endoscopic occlusion of remaining solitary fallopian tube
159A. H/O: tubal ligation
ZV25x [V]Other sterilisation
ZV252 [V]Sterilisation

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Female Aged under 55 years with both a diagnosis code AND a treatment code:

Diagnostic codes for epilepsy

F25.. Epilepsy
F250. Generalised nonconvulsive epilepsy
F2500 Petit mal (minor) epilepsy
F2502 Epileptic seizures - atonic
F2503 Epileptic seizures - akinetic
F2505 Lennox-Gastaut syndrome
F250y Other specified generalised nonconvulsive epilepsy
F250z Generalised nonconvulsive epilepsy NOS
F251. Generalised convulsive epilepsy
F2510 Grand mal (major) epilepsy
F2512 Epileptic seizures - clonic
F2513 Epileptic seizures - myoclonic
F2514 Epileptic seizures - tonic
F2515 Tonic-clonic epilepsy
F251y Other specified generalised convulsive epilepsy
F251z Generalised convulsive epilepsy NOS
F252. Petit mal status
F253. Grand mal status
F254. Partial epilepsy with impairment of consciousness
F2540 Temporal lobe epilepsy
F2541 Psychomotor epilepsy
F2542 Psychosensory epilepsy
F2543 Limbic system epilepsy
F2544 Epileptic automatism
F2545 Complex partial epileptic seizure
F254z Partial epilepsy with impairment of consciousness NOS
F255. Partial epilepsy without mention of impairment of consciousness
F2550 Jacksonian, focal or motor epilepsy
F2551 Sensory induced epilepsy
F2552 Somatosensory epilepsy
F2553 Visceral reflex epilepsy
F2554 Visual reflex epilepsy
F2555 Unilateral epilepsy
F2556 Simple partial epileptic seizure
F255y Other specified partial epilepsy without mention of impairment of consciousness
F255z Partial epilepsy without mention of impairment of consciousness NOS
F257. Kojevnikov's epilepsy
F25B. Alcohol-induced epilepsy
F25C. Drug-induced epilepsy
F25D. Menstrual epilepsy
F25E. Stress-induced epilepsy
F25F. Photosensitive epilepsy
F25X. Status epilepticus, unspecified
F25y. Other forms of epilepsy
F25y0 Cursive (running) epilepsy
F25y1 Gelastic epilepsy
F25y2 Localization-related(focal)(partial)idiopathic epilepsy and epileptic syndromes with seizures of localised onset
F25y3 Complex partial status epilepticus
F25y5 Panayiotopoulos syndrome
F25yz Other forms of epilepsy NOS
F25z. Epilepsy NOS

F1321 Progressive myoclonic epilepsy
SC200 Traumatic epileps

Without

Codes for epilepsy resolved

21260 Epilepsy resolved
212J. Epilepsy resolved

And

Drug treatment for epilepsy

dn...% CONTROL OF EPILEPSY
d26..% CLOBAZAM (v16)

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Epilepsy exception reporting codes

9h6.. Exception reporting: epilepsy quality indicators
9h61. Excepted from epilepsy quality indicators: Patient unsuitable
9h62. Excepted from epilepsy quality indicators: Informed dissent

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Epilepsy 9.1 Rationale

It is estimated that in the UK 131,000 women with epilepsy are of child bearing age (12 – 50 years). Approximately 25 per cent of all people with epilepsy are women of reproductive age and 1 in 200 women attending antenatal clinics are receiving antiepileptic drugs (AEDs)47. Around 2500 women with epilepsy will have a baby each year in the UK.

Antiepileptic drugs taken during pregnancy are associated with an increased risk of major congenital malformations (MCMs). Women in the general population have a one to two per cent chance of having a baby with an MCM. Women with epilepsy taking one AED have a chance of having a baby with an MCM of slightly over 3.5 per cent, while for women taking two or more AEDs the average chance increases to 6 per cent48. The risk of MCMs occurring can relate to having epilepsy and to taking AEDs while pregnant.

In a survey of women with epilepsy, only 28 per cent of participants aged 19 – 34 years have received information about oral contraception and epilepsy medication49. In the same group, 71 per cent said that the risk of epilepsy and/or an AED affecting the unborn child is an important issue. Only 46 per cent of women with epilepsy who have had children had been told before conceiving or during pregnancy that their medication might affect their unborn child.

NICE clinical guideline 20 on epilepsy made the following recommendation as a key priority for implementation:

Women with epilepsy and their partners, as appropriate, must be given accurate information and counseling about contraception, conception, pregnancy, caring for children, breastfeeding and menopause.

SIGN clinical guideline 70 on epilepsy states:

Advice on contraception should be given before young women are sexually active. Women with epilepsy should be advised to plan their pregnancies.

Clinicians should use their judgment as well as the evidence base presented in this guidance to ensure that appropriate advice is given and is tailored to the women’s individual needs. Not all three pieces of advice (contraception, conception and pregnancy) need to be given at the same time but may be given separately at any point over the15 month period.

Advice must be given in the context of a face to face consultation.

Epilepsy 9.2 Reporting and verification

The practice reports the percentage of women on the epilepsy register from 18 to 55 years who have been given information and advice in the preceding 15 months for contraception, conception and pregnancy (unless not clinically necessary e.g. post hysterectomy and early menopause).

Practices are required to deliver all three pieces of advice as outlined in this indicator in order for the patient to be included in the target. Where one or more of these elements of advice are not clinically appropriate for example if the patient is already pregnant then normal exception reporting rules apply.

Practices should demonstrate how patients are given such advice e.g. provide examples of leaflets and any specific practice protocols. Evidence that the advice has been given in the context of a face to face consultation can be demonstrated by a print out or summary of appointment bookings.

47 Royal Society of Medicine (2004). Primary care guidelines for the management of females with epilepsy.
www.rsmpress.co.uk/epilepsy_web.pdf

48 Morrow J, Russell A, Guthrie E et al. (2006) Malformation risks of antiepileptic drugs in pregnancy: a prospective study from the UK Epilepsy and Pregnancy Register. Journal of Neurology, Neurosurgery and Psychiatry 77: 193–8

49 Crawford P, Hudson S (2003) Understanding the information needs of women with epilepsy at different lifestages: results of the 'Ideal World' survey. Seizure 12: 502–7

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Prepared By Jean Keenan