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Table 2 Clinical indicators and payment thresholds

From: Does a local financial incentive scheme reduce inequalities in the delivery of clinical care in a socially deprived community? A longitudinal data analysis

   Trends in practice achievement (%)   Thresholds
Clinical area Indicator type Description Points (£124.60/point) Min Mid Max
Weight management Register OB1 Production of a register of patients aged 16–75 with a BMI ≥25 recorded in the last 5 years 3 No register THEN 0 points n/a Have register THEN 3 points
Omitted 2010-11
Register OB2 Production of a register of patients aged 6–75 with a BMI ≥25 recorded in the last 15 months 7 No registered THEN 0 points n/a Have register THEN 7 points
Omitted 2010-11
Process OB3 Proportion of patients with a BMI ≥25 receiving appropriate intervention in the past 15 months 20 > = 15 % THEN 6 points > = 30 % THEN 12 points > = 50 % THEN 20 points
Omitted 2010-11
Alcohol Register A1 Production of a register of patients 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 No register THEN 0 points n/a Have register THEN 10 points
Process A2 Percentage of patients aged 16 and over who drink >14 units a week (3 units a day) for females and 21 units a week (4 units a day) for males who have been offered a brief intervention 10 IF > = 30 % THEN 3 points > = 40 % THEN 6 points > = 50 % THEN 10 points
Learning disabilities Register LD1 The practice can produce a register of people over 18 years with a learning disability £50 per registered patient    
Process LD2 Patients over 18 years 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 per health check    
Osteoporosis Register OST1 Production of a register of female patients aged 65–74 with a fracture in the previous 15 months 2 No register THEN 0 points n/a Have register THEN 2 points
Wording modified in 2010-2011
Process OST 2 Proportion of female patients 65–74 that have had a fracture who have been referred for a dual energy X-ray absorptiometry (DEXA) scan 4 > = 15 % THEN 1 points > = 30 % THEN 2 points > = 50 % THEN 4 points
Wording modified in 2010-2011
Register OST3 Production of a register of male and female patients aged 16 years and over who have received at least one repeat prescription for oral prednisolone in the previous 6 months 2 Not register THEN 0 points n/a Have register THEN 2 points
Wording modified in 2009–10 and 2010-2011
Process OST4 Percentage of patients on register (OST 3) who have a record of a DEXA scan at any time or a referral for a DEXA scan in the previous 15 months 5 > = 15 % THEN 1 points > = 30 % THEN 3 points > = 50 % THEN 5 points
Wording modified in 2010-2011
Process OST5 Percentage of patients aged 65 years and over who have had one or more repeat prescriptions of prednisolone in the last 6 months, who also have a record of a DEXA scan at any time, or a referral for a DEXA scan in the previous 15 months, or have been assessed for osteoporosis risk 5 > = 15 % THEN 1 points > = 30 % THEN 3 points > = 50 % THEN 5 points
Wording modified in 2010-2011
Register 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 Not Registered THEN 0 points n/a Have Registered THEN 2 points
Introduced 2009–10
Wording modified in 2010-2011
Process OST7 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 > = 15 % THEN 1 points > = 30 % THEN 3 points > = 50 % THEN 5 points
Introduced 2009–10
Wording modified in 2010-2011
Chlamydia Screening Register C1 The practice can produce a register of patients aged 15 to 24 of both sexes 2 Not Registered THEN 0 points n/a Have Registered THEN 2 points
Omitted 2010-11
Process C2 Proportion of patients between 15–24 years old who have been offered screening by their practice and have a recorded test result £5 per screened patient