Yorkshire and Humber CKD GP QOF Tool

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Yorkshire and Humber CKD GP QOF Tool Powered By Docstoc
					                     Chronic Kidney Disease Indicator for GP Practices in Yorkshire and Humber

  This tool allows GP's to check the current level of Chronic Kidney Disease (CKD) in their Practice and to see where they
  stand with respect to their PCT's average. Data is based on QOF figures for 2007/2008 and includes QOF prevalence,
                 modelled prevalence and levels of achievement with respect to the 3 QOF CKD indicators.

                                            Click on your relevant PCT below to take you to the tool

                                                                   Barnsley PCT
                                                            Bradford and Airedale PCT
                                                                 Calderdale PCT
                                                                  Doncaster PCT
                                                           East Riding of Yorkshire PCT
                                                                     Hull PCT
                                                                   Kirklees PCT
                                                                    Leeds PCT
                                                      North East Lincolnshire Care Trust Plus
                                                              North Lincolnshire PCT
                                                           North Yorkshire & York PCT
                                                                 Rotherham PCT
                                                                   Sheffield PCT
                                                              Wakefield District PCT

                                                       Definitions of Data and CKD Indicators


          Bradford Observatory - Public Health

Produced by Jon Stansbie, Public Health Analyst, Bradford Observatory - Public Health
For further information contact - phobservatory@bradford.nhs.uk
Barnsley PCT
                                    To view your Practice data, click on                                   To view up to 2 other Practice data, click on cel
                                     cell B4 below,where a drop down                                       & F4, where a drop down menu will appear to al
                                     menu will appear to allow you to                                            you to select a practice to compare with
                                            select your practice

                                      C85001 Goldthorpe Medical              PCT       Your Practice  C85003 Ashville Medical
QOF Details (2007/2008)                        Centre                      Average    Rank in the PCT         Centre
QOF List Size                                      5239                      5707              0                     9800
QOF Disease Register                                252                       251              0                      335
QOF Prevalence                                    4.8%                       4.4%             25                     3.4%
Estimated Model Disease Register                    385                       398              0                      539
Estrimated Model Prevalence                       9.0%                       8.6%             24                     8.6%
CKDO2 Achievement Rate                            92.5%                     97.5%             40                    99.4%
CKD02 Exception Rate                              0.0%                       0.5%              1                     0.0%
CKD03 Achievement Rate                            43.7%                     74.3%             41                    89.5%
CKD03 Exception Rate                              2.8%                      10.8%              8                    14.6%
CKD04 Achievement Rate                            80.4%                     81.7%             25                    83.8%
CKD04 Exception Rate                              8.2%                       9.4%             22                    12.3%


Number of practices in your PCT =
41                                                                         <back to main menu

                                                                           Click here for definitions of data, ranking and CKD Indicators
 other Practice data, click on cell E4
rop down menu will appear to allow
ect a practice to compare with


               C85028 Lundwood
                Medical Centre
                       8738
                        468
                      5.4%
                        423
                      6.4%
                      93.1%
                      0.4%
                      64.0%
                      8.1%
                      68.7%
                      6.0%




CKD Indicators
Bradford& Airedale PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell E
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice

                                       B83002 Dr Cockshoot &              PCT       Your Practice        B83005 Laisterdyke
QOF Details (2007/2008)                       Partners                  Average    Rank in the PCT             Clinic
QOF List Size                                     4684                    6147              0                     6445
QOF Disease Register                               130                     162              0                      132
QOF Prevalence                                   2.8%                     2.5%             58                    2.0%
Estimated Model Disease Register                   458                     353              0                      364
Estrimated Model Prevalence                      11.9%                    7.2%             86                    8.7%
CKDO2 Achievement Rate                           98.4%                   98.3%             52                    96.9%
CKD02 Exception Rate                             1.5%                     0.4%             81                    0.8%
CKD03 Achievement Rate                           66.7%                   75.2%             70                    82.9%
CKD03 Exception Rate                             12.3%                   15.1%             44                    15.9%
CKD04 Achievement Rate                           84.1%                   81.3%             45                    79.5%
CKD04 Exception Rate                             5.7%                     7.0%             48                    17.0%


Number of practices in your PCT =
87                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with


             B83006 Silsden Group
                   Practice
                      10481
                        475
                       4.5%
                        833
                       9.9%
                      96.0%
                       1.1%
                      71.9%
                      18.3%
                      85.3%
                      13.9%




d CKD Indicators
Calderdale PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell E
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice


                                                                  PCT               Your Practice B84008 The Northolme
QOF Details (2007/2008)             B84001 Station Road Surgery Average            Rank in the PCT      Practice
QOF List Size                                    11055                    7684              0                    12840
QOF Disease Register                              295                      219              0                     507
QOF Prevalence                                   2.7%                     2.8%             14                    3.9%
Estimated Model Disease Register                  721                      483              0                     923
Estrimated Model Prevalence                      8.4%                     8.2%             15                    9.2%
CKDO2 Achievement Rate                           96.6%                   98.0%             20                    98.2%
CKD02 Exception Rate                             0.0%                     0.3%              1                    0.2%
CKD03 Achievement Rate                           62.0%                   72.6%             25                    77.8%
CKD03 Exception Rate                             2.7%                    10.2%              5                    6.7%
CKD04 Achievement Rate                           81.9%                   83.5%             16                    77.7%
CKD04 Exception Rate                             5.3%                     5.0%             17                    4.2%


Number of practices in your PCT =
27                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




              B84003 Rydings Hall
                   Surgery
                       8789
                        341
                       3.9%
                        645
                       9.3%
                      99.1%
                       0.9%
                      56.6%
                      17.6%
                      86.6%
                       9.6%




d CKD Indicators
Doncaster PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell E
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice


                                      C86001 Carcroft Doctors             PCT       Your Practice       C86002 The Ransome
QOF Details (2007/2008)                       Group                     Average    Rank in the PCT           Practice
QOF List Size                                    10822                    6809              0                     6607
QOF Disease Register                              551                      302              0                      252
QOF Prevalence                                   5.1%                     4.3%             34                    3.8%
Estimated Model Disease Register                  779                      476              0                      432
Estrimated Model Prevalence                      9.1%                     8.8%             31                    8.5%
CKDO2 Achievement Rate                           96.9%                   97.9%             39                    97.6%
CKD02 Exception Rate                             0.2%                     0.3%             27                    0.4%
CKD03 Achievement Rate                           80.3%                   79.0%             17                    74.9%
CKD03 Exception Rate                             3.1%                     8.4%              9                    13.1%
CKD04 Achievement Rate                           70.5%                   84.3%             45                    82.5%
CKD04 Exception Rate                             13.3%                    7.9%             41                    5.9%


Number of practices in your PCT =
45                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with



             C86003 Hatfield Health
                    Centre
                       9915
                        410
                       4.1%
                        778
                       9.8%
                      92.4%
                       1.0%
                      86.4%
                      10.5%
                      82.8%
                       9.6%




d CKD Indicators
East Riding of Yorkshire PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                      B81004 Eastgate Medical             PCT       Your Practice       B81006 Manor House
QOF Details (2007/2008)                   Group, Hornsea                Average    Rank in the PCT      Surgery, Bridlington
QOF List Size                                    12369                    8245              0                     9506
QOF Disease Register                               210                     299              0                      341
QOF Prevalence                                   1.7%                     3.3%              9                    3.6%
Estimated Model Disease Register                  1195                     671              0                      982
Estrimated Model Prevalence                      11.9%                   10.1%             31                    12.3%
CKDO2 Achievement Rate                          100.0%                   97.9%              1                    99.7%
CKD02 Exception Rate                             0.0%                     0.2%              1                    0.0%
CKD03 Achievement Rate                           71.8%                   73.2%             17                    79.7%
CKD03 Exception Rate                             13.8%                   12.7%             25                    15.0%
CKD04 Achievement Rate                           82.9%                    0.0%             21                    87.0%
CKD04 Exception Rate                             6.2%                     0.0%             16                    10.8%


Number of practices in your PCT =
38                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




                B81009 Market
               Weighton Surgery
                       8604
                        336
                       3.9%
                        628
                       9.3%
                      98.8%
                       0.0%
                      70.6%
                      14.0%
                      92.7%
                       2.0%




CKD Indicators
Hull PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                       B81001 Dr ME Ahmed's               PCT       Your Practice       B81002 Dr A Kumar-
QOF Details (2007/2008)                      Practice                   Average    Rank in the PCT      Choudhary's Practice
QOF List Size                                     3006                    5135              0                     3023
QOF Disease Register                               199                     113              0                      65
QOF Prevalence                                   6.6%                     2.2%             55                    2.2%
Estimated Model Disease Register                   203                     320              0                      133
Estrimated Model Prevalence                      9.3%                     7.9%             44                    6.3%
CKDO2 Achievement Rate                           94.6%                   98.7%             52                    98.5%
CKD02 Exception Rate                             6.5%                     0.3%             55                    0.0%
CKD03 Achievement Rate                           73.7%                   78.0%             38                    73.7%
CKD03 Exception Rate                             31.2%                   13.3%             52                    12.3%
CKD04 Achievement Rate                           83.2%                   88.3%             39                    97.8%
CKD04 Exception Rate                             9.5%                    11.5%             39                    4.3%


Number of practices in your PCT =
55                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




                 B81008 Dr KS
               Tommins' Practice
                      14843
                        226
                       1.5%
                        902
                       7.8%
                      98.2%
                       2.2%
                      73.8%
                       8.8%
                      94.3%
                      20.5%




CKD Indicators
Kirklees PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                                                   PCT              Your Practice      B85006 Dr Jennison &
QOF Details (2007/2008)             B85005 Shepley Health Centre Average           Rank in the PCT           Partners
QOF List Size                                     6197                    5632              0                    13180
QOF Disease Register                               194                     135              0                     324
QOF Prevalence                                   3.1%                     2.3%             58                    2.5%
Estimated Model Disease Register                   470                     356              0                     821
Estrimated Model Prevalence                      9.3%                     8.0%             58                    8.0%
CKDO2 Achievement Rate                           97.4%                   98.3%             57                    99.4%
CKD02 Exception Rate                             0.0%                     0.5%              1                    0.0%
CKD03 Achievement Rate                           68.0%                   76.4%             59                    71.1%
CKD03 Exception Rate                             6.7%                    12.9%             29                    8.0%
CKD04 Achievement Rate                           69.5%                   85.8%             70                    86.3%
CKD04 Exception Rate                             5.9%                     8.4%             41                    1.9%


Number of practices in your PCT =
73                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with



                   B85009 Dr
                Balasunderam &
                    Partners
                       5382
                        240
                       4.5%
                        394
                       9.2%
                      94.6%
                       0.0%
                      74.7%
                       4.6%
                      80.6%
                      21.5%




CKD Indicators
Leeds PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                       B86001 Dr ME Haque's               PCT       Your Practice         B86002 City View
QOF Details (2007/2008)                      Practice                   Average    Rank in the PCT        Medical Practice
QOF List Size                                     2663                    7151              0                    10096
QOF Disease Register                               72                      221              0                     202
QOF Prevalence                                   2.7%                     3.2%             47                    2.0%
Estimated Model Disease Register                   170                     435              0                     531
Estrimated Model Prevalence                      7.6%                     7.9%             42                    7.0%
CKDO2 Achievement Rate                          100.0%                   98.6%              1                    99.0%
CKD02 Exception Rate                             0.0%                     0.4%              1                    0.0%
CKD03 Achievement Rate                           85.7%                   77.4%             24                    78.2%
CKD03 Exception Rate                             2.8%                    13.5%             11                    18.3%
CKD04 Achievement Rate                           92.7%                   84.8%             15                    77.7%
CKD04 Exception Rate                             0.0%                     9.5%              1                    7.5%


Number of practices in your PCT =
110                                                                     <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




            B86003 Armley Medical
                   Centre
                      12350
                        296
                       2.4%
                        595
                       6.4%
                      98.6%
                       1.4%
                      68.4%
                      10.1%
                      79.9%
                      10.7%




CKD Indicators
North East Lincolnshire Care Trust Plus
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                                                          PCT       Your Practice      B81012 Grimsby Road
QOF Details (2007/2008)             B81003 Albert Road Surgery          Average    Rank in the PCT       Medical Practice
QOF List Size                                    11911                    5138              0                     5790
QOF Disease Register                               588                     180              0                      17
QOF Prevalence                                   4.9%                     2.8%             27                    0.3%
Estimated Model Disease Register                  1101                     363              0                      422
Estrimated Model Prevalence                      11.4%                    8.7%             31                    9.3%
CKDO2 Achievement Rate                           96.6%                   97.0%             27                   100.0%
CKD02 Exception Rate                             0.3%                     0.3%             29                    0.0%
CKD03 Achievement Rate                           62.1%                   77.7%             29                    80.0%
CKD03 Exception Rate                             5.8%                    18.0%              7                    11.8%
CKD04 Achievement Rate                           69.0%                   86.0%             29                    90.0%
CKD04 Exception Rate                             16.2%                   14.6%             19                    23.1%


Number of practices in your PCT =
33                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




              B81015 Clee Medical
                    Centre
                      16103
                        770
                       4.8%
                       1115
                       8.9%
                      94.4%
                       0.0%
                      65.9%
                       0.1%
                      61.3%
                       0.0%




CKD Indicators
North Lincolnshire PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                                                          PCT       Your Practice         B81007 Winterton
QOF Details (2007/2008)                B81005 Birtwhistle TJC           Average    Rank in the PCT        Medical Practice
QOF List Size                                    16737                    7900              0                     9968
QOF Disease Register                               867                     346              0                      883
QOF Prevalence                                   5.2%                     4.6%             15                    8.9%
Estimated Model Disease Register                  1235                     575              0                      797
Estrimated Model Prevalence                      9.3%                     9.0%             13                    10.0%
CKDO2 Achievement Rate                           98.7%                   98.4%             12                    94.5%
CKD02 Exception Rate                             0.0%                     0.4%              1                    0.8%
CKD03 Achievement Rate                           78.2%                   76.9%              8                    83.3%
CKD03 Exception Rate                             4.8%                     8.8%              8                    22.7%
CKD04 Achievement Rate                           91.3%                   83.6%              4                    81.3%
CKD04 Exception Rate                             4.1%                     5.8%             10                    8.8%


Number of practices in your PCT =
21                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




               B81022 Cambridge
             Avenue Medical Centre
                      15310
                        729
                       4.8%
                       1151
                       9.5%
                      98.5%
                       0.1%
                      65.8%
                      22.2%
                      84.1%
                       6.2%




CKD Indicators
North Yorkshire & York PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                                                          PCT       Your Practice          B82002 Millfield
QOF Details (2007/2008)              B82001 Falsgrave Surgery           Average    Rank in the PCT            Surgery
QOF List Size                                    10450                    7954              0                     6498
QOF Disease Register                              370                      228              0                      136
QOF Prevalence                                   3.5%                     2.8%             68                    2.1%
Estimated Model Disease Register                  834                      617              0                      557
Estrimated Model Prevalence                      10.1%                    9.9%             57                    10.8%
CKDO2 Achievement Rate                           98.1%                   98.5%             69                    99.3%
CKD02 Exception Rate                             1.6%                     0.4%             96                    0.0%
CKD03 Achievement Rate                           74.5%                   74.5%             46                    71.0%
CKD03 Exception Rate                             14.1%                   11.0%             72                    3.7%
CKD04 Achievement Rate                           90.0%                   84.9%             27                    85.4%
CKD04 Exception Rate                             7.7%                    11.6%             41                    6.3%


Number of practices in your PCT =
99                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




                B82003 Petergate
                    Surgery
                       6305
                        132
                       2.1%
                        341
                       7.0%
                      100.0%
                       0.0%
                      79.0%
                       6.1%
                      82.9%
                      12.5%




CKD Indicators
Rotherham PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                     C87002 Dinnington Group              PCT       Your Practice        C87003 Dr AJ Cole's
QOF Details (2007/2008)                      Practice                   Average    Rank in the PCT            Practice
QOF List Size                                    20720                    6611              0                    11959
QOF Disease Register                               598                     233              0                     368
QOF Prevalence                                   2.9%                     3.3%             13                    3.1%
Estimated Model Disease Register                  1556                     456              0                     798
Estrimated Model Prevalence                      9.0%                     8.4%             24                    8.6%
CKDO2 Achievement Rate                           98.0%                   98.1%             22                   100.0%
CKD02 Exception Rate                             0.5%                     0.8%             28                    0.8%
CKD03 Achievement Rate                           53.9%                   78.5%             37                    84.6%
CKD03 Exception Rate                             9.0%                     9.2%             25                    29.3%
CKD04 Achievement Rate                           80.9%                   84.4%             22                    91.1%
CKD04 Exception Rate                             6.8%                    11.4%             19                    13.4%


Number of practices in your PCT =
38                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




               C87004 Dr DT Say's
                    Practice
                      10807
                        319
                       3.0%
                        836
                       9.8%
                      97.5%
                       0.0%
                      74.6%
                      11.0%
                      81.7%
                      12.8%




CKD Indicators
Sheffield PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                    C88005 Walkley House Medical   PCT              Your Practice       C88006 Norfolk Park
QOF Details (2007/2008)                       Centre             Average           Rank in the PCT         Health Centre
QOF List Size                                    10053                    5995              0                     3589
QOF Disease Register                              350                      188              0                      150
QOF Prevalence                                   3.5%                     3.2%             51                    4.2%
Estimated Model Disease Register                  813                      389              0                      260
Estrimated Model Prevalence                      9.6%                     8.7%             65                    9.0%
CKDO2 Achievement Rate                           99.7%                   98.4%             19                    98.0%
CKD02 Exception Rate                             0.3%                     0.3%             65                    0.0%
CKD03 Achievement Rate                           79.6%                   77.0%             33                    68.4%
CKD03 Exception Rate                             6.0%                    12.7%             23                    11.3%
CKD04 Achievement Rate                           73.0%                   80.3%             69                    81.2%
CKD04 Exception Rate                             8.9%                    14.1%             32                    17.9%


Number of practices in your PCT =
93                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




              C88007 Porter Brook
                Medical Centre
                      20936
                        114
                       0.5%
                        307
                       1.7%
                      99.1%
                       0.0%
                      81.3%
                      15.8%
                      81.9%
                       7.7%




CKD Indicators
Wakefield District PCT
                                    To view your Practice data, click                                   To view up to 2 other Practice data, click on cell
                                     on cell B4 below, where a drop                                     & F4, where a drop down menu will appear to allo
                                    down menu will appear to allow                                            you to select a practice to compare with
                                       you to select your practice



                                       B87001 Dr JS Donnan's              PCT       Your Practice          B87002 Dr DG
QOF Details (2007/2008)                       Practice                  Average    Rank in the PCT       Maynard's Practice
QOF List Size                                     7337                    8662              0                    12111
QOF Disease Register                               237                     254              0                     362
QOF Prevalence                                   3.2%                     2.9%             22                    3.0%
Estimated Model Disease Register                   509                     582              0                     843
Estrimated Model Prevalence                      8.6%                     8.5%             20                    8.8%
CKDO2 Achievement Rate                           93.7%                   98.6%             39                    98.6%
CKD02 Exception Rate                             0.0%                     0.3%              1                    0.0%
CKD03 Achievement Rate                           50.7%                   76.7%             39                    73.1%
CKD03 Exception Rate                             6.8%                     9.4%             15                    3.3%
CKD04 Achievement Rate                           62.0%                   85.2%             39                    81.1%
CKD04 Exception Rate                             5.2%                     8.9%             13                    18.8%


Number of practices in your PCT =
39                                                                      <back to main menu

                                                                        Click here for definitions of data, ranking and CKD Indicators
2 other Practice data, click on cell E4
drop down menu will appear to allow
elect a practice to compare with




              B87003 College Lane
                       8646
                        265
                       3.1%
                        647
                       9.3%
                      98.5%
                       0.4%
                      71.6%
                       8.3%
                      80.8%
                      13.7%




CKD Indicators
Definitions of Data and CKD Indicators

All data are taken from QOF 2007/2008 clinical indicators, prevalence and exception reports

Ranking
Each Practice is ranked in terms of how high/low their prevalence, exception and achievement rates are compared to the other prac
A ranking of 1 is the best i.e. practices with the lowest prevalence, lowest exception rates and highest achievement rates


Estimated Model prevalence is based on the NOERICA model which estimates prevalence of CKD stages 3-5 in the18+ GP registe


CKD Definitions

CKD2 -      The percentage of patients on the CKD register whose notes have a record of blood pressure in the previous
            15 months

CKD3 -      The percentage of patients on the CKD register in whom the last blood pressure reading, measured in the previous 15
            months, is 140/85 or less

CKD4 -      The percentage of patients on the CKD register with hypertension who are treated with an angiotensin
            converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB) (unless a contraindication or
            side effects are recorded)



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         CKD2 - The percentage of patients on the CKD register whose notes have a record of blood pressure in the previou
         Studies show that reducing blood pressure in people with CKD reduces the deterioration of their kidney function whether or

         CKD 3 - The percentage of patients on the CKD register in whom the last blood pressure reading, measured in the
         Studies have shown that in people over 65 years and in people with diabetes, normal blood pressure is hard to achieve but

         CKD 4 - The percentage of patients on the CKD register with hypertension who are treated with an angiotensin con
         ACE inhibitors and ARBs are generally more effective than other anti-hypertensives in minimizing deterioration in kidney fun


[i] Jafar et al. Ann Int Med 2003; 139: 244-52
[ii] Anderson et al. American Journal of Kidney Disease 2005; 45(6): 994-1001
[iii] See also the latest British Hypertension Society guidelines 2004: Williams et al. J Hum HT 2004; 18: 139-185 (specific renal adv
[iv] See also: Lewis et al. NEJM 1993; 329:1456-1462; Brenner et al. NEJM 2001; 345:861-869; Ruggenenti et al. Lancet 1999; 354
achievement rates are compared to the other practices in their PCT.
on rates and highest achievement rates


revalence of CKD stages 3-5 in the18+ GP registered population




ecord of blood pressure in the previous


d pressure reading, measured in the previous 15


o are treated with an angiotensin
ARB) (unless a contraindication or




 have a record of blood pressure in the previous 15 months
he deterioration of their kidney function whether or not they have hypertension or diabetes[i]. Practices report the percentage of patients on its CKD regist

e last blood pressure reading, measured in the previous 15 months, is 140/85 or less
etes, normal blood pressure is hard to achieve but is important[ii] [iii]. In practice, these targets are often hard to achieve. The lower the blood pressure ac

ension who are treated with an angiotensin converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB) (unless a contraindicatio
 ertensives in minimizing deterioration in kidney function and this effect is most marked where there is significant proteinuria. Such treatment is both clinic




al. J Hum HT 2004; 18: 139-185 (specific renal advice on pages 166-7). This suggests an “optimal” BP target in CKD of 130/80 or 127/75 if >1 g proteinuri
 ; 345:861-869; Ruggenenti et al. Lancet 1999; 354: 359-364).
ces report the percentage of patients on its CKD register who have had a blood pressure measurement recorded in the previous 15 months.


often hard to achieve. The lower the blood pressure achieved the better for patient care; 140/85 is taken as a pragmatic starting point for a new quality ind

in receptor blocker (ARB) (unless a contraindication or side effects are recorded)
 is significant proteinuria. Such treatment is both clinically and cost effective (Jafar et al. Ann Int Med 2003; 139(4): 244-52)[iv]. The practice reports the p




BP target in CKD of 130/80 or 127/75 if >1 g proteinuria. These targets in turn are derived from the Modification of Diet in Renal Disease study, (Klahr et a
 recorded in the previous 15 months.


 as a pragmatic starting point for a new quality indicator (target range 120–139 mmHg) and the diastolic blood pressure below 90 mmHg (NICE CKD Rec


003; 139(4): 244-52)[iv]. The practice reports the percentage of patients on its CKD register with hypertension whose records show they have been prescr




dification of Diet in Renal Disease study, (Klahr et al. NEJM 1994; 330: 877-884; Peterson et al. Ann Int Med 1995; 123: 754-762).
c blood pressure below 90 mmHg (NICE CKD Recommendation). The practice reports the percentage of patients on its CKD register whose last recorded


nsion whose records show they have been prescribed an angiotensin converting enzyme inhibitor (ACE-I) or an angiotensin receptor blocker (ARB) in the




Med 1995; 123: 754-762).
 f patients on its CKD register whose last recorded blood pressure measurement is 140/85 or less. This reading should have been in the previous 15 mont


E-I) or an angiotensin receptor blocker (ARB) in the previous six months.
reading should have been in the previous 15 months.

				
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