Table 1 Indicators for the local pay-for-performance scheme

Alcohol

A1

The practice can produce a register of patient aged 16 years and over with a record of the number of units of alcohol consumed on a weekly basis in the past 27 months

10

A2

Patients who drink equal or greater than 14 units a week for females and 21 units a week for males in a 7 day cycle with a period of at least 2 days abstinence are offered a brief intervention

10

Chlamydia

C1

The practice can produce a register of patients aged 15 to 24 of both sexes

2

C2

Patients between 15–24 years old who have been offered screening by their practice and have a recorded test result

£5 for every screen recorded

Learning Disabilities

LD1

The practice can produce a register of people over 18 with LD

£50 per registered patient

LD2

The % of patients with LD with a review recorded in the preceding 15 months. Checks include accuracy of prescribed medication, physical health and co-ordination with secondary care

£50 for every health check completed

Weight Management

OB1

Production of a register of patients between 16–75 with a BMI equal of greater than 25 recorded in the last 5 years

3

OB2

Production of a register of patients between 16–75 with a BMI equal of greater than 25 recorded in the last 15 months

7

OB3

Patients with a BMI equal or greater than 25 receive appropriate intervention in the past 15 months

20

Osteoporosis

OST1

Production of a register of female patients aged 65–74 with a fracture in the previous 15 months

2

OST2

Female patients 65–74 that have had a fracture are referred for a BMD scan

4

OST3

The practice can produce a register of male and female patients aged 16–74 years who have received at least one repeat prescription for oral prednisolone in the previous 6 months

2

OST4

The % of patients on register (OST 3) who have a record of a DXA scan being performed at any time or a referral for a DXA scan in the previous 15 months

5

OST5

The percentage of patients on register (OST 4) who have a record of a DXA scan being performed at any time, or a referral for a DXA scan in the previous 15 months, or have been assessed for osteoporosis risk

2

OST6

The practice can produce a register of male and female patients aged 75 years and over who have had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday

2

OST7

The percentage of male and female patients aged 75 years and over who have had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday, who have been assessed and treated for Osteoporosis risk ever

5