QOF

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This indicator only applies to Females up to the age of 54.

The patient needs to qualify for ONE of the groups below, and not have been excluded from that group to be included.

Emergency hormonal contraception Codes (Latest in last 13 months and after 1/4/2009)

61F1. Prescribed post-coital OCP
61A1. Morning after pills given
ga2B. LEVONORGESTREL 1.5mg tablets
ga2C. LEVONELLE ONE STEP 1.5mg tablet
ga2D. LEVONELLE 1500micrograms tablets

Combined oral contraception Codes (Latest in last 15 months and after 1/4/2009)

6147. Combined oral contraceptive
g8% COMBINED ORAL CONTRACEPTIVE - ETHINYLOESTRADIOL
g9% COMBINED ORAL CONTRACEPTIVE - MESTRANOL
gk : COMBINED ORAL CONTRACEPTIVE - ESTRADIOL VALERATE (v17)
gk1 : DIENOGEST (COMBINED ORAL CONTRACEPTIVE) (v17)
gk11 : QLAIRA tablets (v17)

Progestogen only oral contraception (Latest in last 15 months and after 1/4/2009)

6148. Progestagen only oral contrac.
ga1% ETYNODIOL DIACETATE [PROGESTOGEN ORAL CONTRACEPTIVE]
ga22. NORGESTON tablets
ga23. LEVONORGESTREL 30micrograms tablets
ga5% NORETHISTERONE [PROGESTOGEN ORAL CONTRACEPTIVE]
ga8% DESOGESTREL [PROGESTOGEN ONLY CONTRACEPTIVE]

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Contraceptive patch Codes (Latest in last 15 months and after 1/4/2009)

fh1q. ETHINYLESTRADIOL+NORELGESTROMIN 600micrograms/6mg transdermal patches
fh1r. EVRA transdermal patches

Contraceptive diaphragm codes (Latest in last 15 months and after 1/4/2009)

6161. CAP fitted
pg4% VAGINAL CAP CONTRACEPTIVE
pg5% VAGINAL DIAPHRAGM CONTRACEPTIVE
pgC% VAGINAL DIAPHRAGM CONTRACEPTIVE [2]

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IUD Codes (Latest in last 10 years after 1/4/2009)

6151. IUD fitted
7E090 Introduction of intrauterine contraceptive device
ZV251 [V]Intrauterine contraceptive device insertion
pg3% INTRAUTERINE CONTRACEPTIVE DEVICE
(Including) pg3w. STERILOAD intra-uterine contraceptive device(v18)

IUS Codes (Latestin last 5 years and after 1/4/2009)

7E094 Introduction of Mirena coil
ga26. LEVONORGESTREL 52mg intrauterine system
ga27. MIRENA 52mg intrauterine system

Excluding IUD/IUS Removal (Latest after date IUD/IUS fitted)

6152. IUD removed
615B. IUD expelled
615Q. Intrauterine contraceptive device removed by other healthcare provider
7E092 Removal of intrauterine contraceptive device NEC
7E093 Removal of displaced intrauterine contraceptive device
7E095 Removal of Mirena coil

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Contaceptive injectable codes ((Latest in last 12 months and after 1/4/2009) (v16)

ga35. MEDROXYPROGESTERONE 150mg/1mL prefilled syringe
ga36. DEPO-PROVERA 150mg/1mL prefilled syringe
ga61. NORISTERAT 200mg/1mL injection
ga6z. NORETHISTERONE 200mg/1mL injection

Contraceptive implant codes (Latest in last 3 years and after 1/4/2009) (v16)

ga7% ETONOGESTREL
61KA. Insertion of subcutaneous contraceptive (v16)
7G2AG Insertion of Implanon
61KC. Insertion of subcutaneous contraceptive implant by other healthcare provider(v18)
7G2AH Reinsertion of subcutaneous contraceptive (v18)

Excluding Removal of Contraceptive Implant (Latest after the date of contraceptive implant)

7G2H5 Removal of Norplant (v15)
7G2H7 Removal of subcutaneous contraceptive
7G2HA Removal of Implanon
61KF. Removal of subcutaneous contraceptive implant by other healthcare provider (v18)

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Exception codes

9hK0. Excepted from sexual health quality indicators: patient unsuitable
9hK1. Excepted from sexual health quality indicators: informed dissent

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Around 80% of (prescribed) contraception in the UK is provided in general practice.

The vast majority of practices are providing the additional service for contraception and many are also providing enhanced services including long acting reversible contraception (LARC) methods. All practices providing any level of contraception need to be able to advise women about all methods to ensure they can make an informed choice. Clinical staff in practices which are not providing all methods also need enough knowledge of these to refer appropriately those women who have chosen a method which they do not supply. Practices also should be aware of local services and local referral pathways.

Ref Respect & Responsibility A Sexual Health Strategy for Scotland. www.scotland.gov.uk/Resource/Doc/35596/0012575.pdf

NHS Quality Improvement Scotland Sexual Health Services – Standards March 2008. www.nhshealthquality.org/nhsqis/files/SEXHEALTHSERV_STANF_MAR08.pdf

This indicator set seeks to increase the awareness of women seeking contraceptive advice in general practices of LARC methods and thus to increase the percentage of women using these methods.

SH indicator 1

The practice can produce a register of women who have been prescribed any method of contraception at least once in the last year, or other appropriate interval e.g. last 5 years for an IUS.

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SH 1.1 Rationale

General practices provide 80% of prescribed contraception in the UK. This register is applicable to all methods of contraception that have been prescribed by the practice:

• Emergency hormonal contraception
• Combined oral contraception
• Progestogen only oral contraception
• Contraceptive patch
• Contraceptive diaphragm
• Intrauterine device (IUD)
• Intrauterine system (IUS)
• Contraceptive implant.

Any woman who has been prescribed any method at least once in the last year (or the appropriate prescribing interval for method of choice) should be included on the register.

This indicator is prospective from 1 April 2009.

SH 1.2 Reporting and verification

The practice reports the number of women prescribed any method of contraception in the preceding 1 April to 31 March (or longer if appropriate for the method of choice).

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Prepared By Jean Keenan