• Rationale - go to this

Patients will be on the mental health register if they have one of the following:

• A valid code for schizophrenia, bipolar disorder or other psychoses.

• OR they are on lithium and no record of Lithium stopped.

Psychosis, schizophrenia and bipolar affective disease codes

E10..% Schizophrenic disorders
E110.% Manic disorder, single episode
E111.% Recurrent manic episodes
E1124 Single major depressive episode, severe, with psychosis
E1134 Recurrent major depressive episode, severe, with psychosis
E114% Bipolar affective disorder, currently manic
E115% Bipolar affective disorder, currently depressed
E116% Mixed bipolar affective disorder
E117% Unspecified bipolar affective disorder
E11y.% Other and unspecified manic-depressive psychoses (excluding E11y2 Atypical depressive disorder)
E11z. Other and unspecified affective psychoses

E11z0 Unspecified affective psychoses NOS
E11zz Other affective psychosis NOS

E12..% Paranoid states (v9)
E13..% Other nonorganic psychoses (excluding E135.. Agitated depression)
E2122 Schizotypal personality

Eu2..% [X]Schizophrenia, schizotypal and delusional disorders

 

Eu30. [X]Manic episode

Eu300 [X]Hypomania

Eu301 [X]Mania without psychotic symptoms

Eu302 [X]Mania with psychotic symptoms

Eu30y [X]Other manic episodes

Eu30z [X]Manic episode, unspecified

Eu31. [X]Bipolar affective disorder

Eu310 [X]Bipolar affective disorder, current episode hypomanic

Eu311 [X]Bipolar affective disorder, current episode manic without psychotic symptoms

Eu312 [X]Bipolar affective disorder, current episode manic with psychotic symptoms

Eu313 [X]Bipolar affective disorder, current episode mild or moderate depression

Eu314 [X]Bipolar affective disorder, current episode severe depression without psychotic symptoms

Eu315 [X]Bipolar affective disorder, current episode severe depression with psychotic symptoms

Eu316 [X]Bipolar affective disorder, current episode mixed

Eu317 [X]Bipolar affective disorder, currently in remission

Eu31y [X]Other bipolar affective disorders

Eu31z [X]Bipolar affective disorder, unspecified

Eu323 [X]Severe depressive episode with psychotic symptoms
Eu333 [X]Recurrent depressive disorder, current episode severe with psychotic symptoms (v9)

Code for Lithium prescription

d6...%

Code for ‘Stopped lithium’

665B. Lithium stopped

MH 8.1: Rationale

The register now includes all people with a diagnosis of schizophrenia, bipolar affective disorder and other psychoses rather than a generic phrase that is open to variations in interpretation. This brings mental health in line with other areas of the QOF.

The notion of agreeing to regular follow up has also been removed to acknowledge the variation in interpretation of this clause and to bring the indicator in line with the rest of the QOF.

MH 8.2: Reporting and verification

The practice reports the number of patients on its mental health disease register and the number of patients on its mental health disease register as a proportion of total list size.

Verification - PCOs may enquire as to how the practice identifies patients for inclusion on the register.

Prepared By Jean Keenan