Action Plan - NHS Lincolnshire Home

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					The following criteria have been extracted from NICE CG 12 component relating to follow up of COPD in primary care

Enter "yes" or "no" into the appropriate boxes for each patient.

Total patients on COPD register
Total patients included in this audit sample:
Total COPD patients who have NOT had a review in the last 12 months

PLEASE COMPLETE THIS SECTION ONLY FOR A SAMPLE OF PATIENTS WHO HAVE NOT HAD A REVIEW IN THE LAST 1
Please enter total sample size for this section:

                                                                              Patient 1
Reason for no review
practice system failing
unknown

MILD MODERATE COPD ONLY
Total patients in sample with a diagnosis of mild/moderate COPD:
Total MILD/MODERATEpatients having a copd review within the last year:

COMPLETE THIS SECTION ONLY FOR THOSE MILD/MODERATE COPD PATIENTS WHO HAVE HAD A REVIEW IN THE LA

Documented clinical assessment includes:                                  Example
                                       Smoking status and desire to quit                           yes
                                          Adequacy of symptom control:                             yes
                                                          Breathlessness                            no
                                                       Exercise tolerance                           no
                                                  Estimated exacerbation                           yes
                                                               Frequency                            no
                                               Presence of complications                           yes
                                           Effects of each drug treatment                          yes
                                                        Inhaler technique                          yes
        Reference to need for referral to specialist and therapy services                          yes
                         Reference to need for pulmonary rehabilitation                            yes


COMPLETE THIS SECTION ONLY FOR SEVERE COPD PATIENTS WHO HAVE HAD A REVIEW IN THE LAST YEAR
SEVERE COPD ONLY
Total patients in sample with a diagnosis of severe copd
Total SEVERE patients having a copd review within the last year:
Documented clinical assessment includes:                                         Example
                                            Smoking status and desire to quit            yes
                                               Adequacy of symptom control:              yes
                                                               Breathlessness             no
                                                            Exercise tolerance            no
                                                       Estimated exacerbation            yes
                                                                     Frequency            no
                                                   Presence of cor-pulmonale             yes
                                           Need for long term oxygen therapy             yes
                                                      Patients nutritional state         yes
                                                       Presence of depression            yes
                                        Effects of each drug treatment   yes
                                                     Inhaler technique   yes
Reference to need for social services and occupational therapy input      no
     Reference to need for referral to specialist and therapy services   yes
                      Reference to need for pulmonary rehabilitation     yes
ow up of COPD in primary care                     Link to Nice CG12 quick reference guide




HAVE NOT HAD A REVIEW IN THE LAST 12 MONTHS


                    Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7 Patient 8 Patient 9 Patient 10




TS WHO HAVE HAD A REVIEW IN THE LAST YEAR

                    Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7 Patient 8 Patient 9




AD A REVIEW IN THE LAST YEAR




                    Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7 Patient 8 Patient 9
Patient 11 Patient 12 Patient 13 Patient 14 Patient 15 Patient 16 Patient 17 Patient 18 Patient 19




Patient 10 Patient 11 Patient 12 Patient 13 Patient 14 Patient 15 Patient 16 Patient 17 Patient 18




Patient 10 Patient 11 Patient 12 Patient 13 Patient 14 Patient 15 Patient 16 Patient 17 Patient 18
Patient 20 Patient 21 Patient 22 Patient 23 Patient 24 Patient 25 Patient 26 Patient 27 Patient 28




Patient 19 Patient 20 Patient 21 Patient 22 Patient 23 Patient 24 Patient 25 Patient 26 Patient 27




Patient 19 Patient 20 Patient 21 Patient 22 Patient 23 Patient 24 Patient 25 Patient 26 Patient 27
Patient 29 Patient 30 Patient 31 Patient 32 Patient 33 Patient 34 Patient 35 Patient 36 Patient 37




Patient 28 Patient 29 Patient 30 Patient 31 Patient 32 Patient 33 Patient 34 Patient 35 Patient 36




Patient 28 Patient 29 Patient 30 Patient 31 Patient 32 Patient 33 Patient 34 Patient 35 Patient 36
Patient 38 Patient 39 Patient 40 Patient 41 Patient 42 Patient 43 Patient 44 Patient 45 Patient 46




Patient 37 Patient 38 Patient 39 Patient 40 Patient 41 Patient 42 Patient 43 Patient 44 Patient 45




Patient 37 Patient 38 Patient 39 Patient 40 Patient 41 Patient 42 Patient 43 Patient 44 Patient 45
Patient 47 Patient 48 Patient 49 Patient 50




Patient 46 Patient 47 Patient 48 Patient 49 Patient 50




Patient 46 Patient 47 Patient 48 Patient 49 Patient 50
       DSQS Audit




       NICE CG12 - Management of chronic obstructive pulmonary disease in adults in
       primary and secondary care

       Standards
       The following criteria have been extracted from NICE CG 12 component relating to follow up of
       COPD in primary care

       Methodology
       Total mild/moderate copd patients included in sample:                                 0
       Total severe copd patients included in sample:                                        0
       Total patients                                                                        0

       Results
       Total patients who did not receive a review in the last 12 months                     0
       Total patients included in reason for no review audit component                       0   #DIV/0!
       Reasons for no review in last 12 months:
       Patient would not attend                                                              0   #DIV/0!
       Practice system failing                                                               0   #DIV/0!
       Unknown                                                                               0   #DIV/0!

       MILD MODERATE COPD ONLY
       Documented clinical assessment includes:                                      Total         %
                                              Smoking status and desire to quit              0   #DIV/0!
                                                 Adequacy of symptom control:                0   #DIV/0!
                                                                 Breathlessness              0   #DIV/0!
                                                              Exercise tolerance             0   #DIV/0!
                                                        Estimated exacerbation               0   #DIV/0!
                                                                      Frequency              0   #DIV/0!
                                                     Presence of complications               0   #DIV/0!
                                                 Effects of each drug treatment              0   #DIV/0!
                                                               Inhaler technique             0   #DIV/0!
               Reference to need for referral to specialist and therapy services             0   #DIV/0!
                                Reference to need for pulmonary rehabilitation               0   #DIV/0!

       SEVERE COPD ONLY
       Documented clinical assessment includes:                                      Total         %
                                              Smoking status and desire to quit              0   #DIV/0!
                                                 Adequacy of symptom control:                0   #DIV/0!
                                                                 Breathlessness              0   #DIV/0!
                                                             Exercise tolerance              0   #DIV/0!
                                                        Estimated exacerbation               0   #DIV/0!
                                                                      Frequency              0   #DIV/0!
                                                    Presence of cor-pulmonale                0   #DIV/0!
                                             Need for long term oxygen therapy               0   #DIV/0!
                                                        Patients nutritional state           0   #DIV/0!
                                                        Presence of depression               0   #DIV/0!
                                                 Effects of each drug treatment              0   #DIV/0!
                                                               Inhaler technique             0   #DIV/0!
           Reference to need for social services and occupational therapy input              0   #DIV/0!




Improving Health, Improving Services
1361edec-78e4-49a3-86fe-f468fde05c83.xls
                 Reference to need for referral to specialist and therapy services   0   #DIV/0!
                                 Reference to need for pulmonary rehabilitation      0   #DIV/0!




Improving Health, Improving Services
1361edec-78e4-49a3-86fe-f468fde05c83.xls
Improving Health, Improving Services
1361edec-78e4-49a3-86fe-f468fde05c83.xls
 DSQS Audit

 Audit Start Date
 Audit End Date


 NICE CG12 COPD AUDIT

 ACTION PLAN

                                        What can we do to improve                                  Person responsible for
              Criteria             %                                Specific actions to be taken                            Date completed
                                                  this?                                                 completion


  Patients who have had a review
       in the last 12 months

MILD/MODERATE COPD PATIENTS
 Smoking status and desire to
 quit                              0%

 Adequacy of symptom control:
                                   0%

 Breathlessness
                                   0%

 Exercise tolerance
                                   0%

 Estimated exacerbation
                                   0%

 Frequency
                                   0%




 Improving Health, Improving Services
 1361edec-78e4-49a3-86fe-f468fde05c83.xls                                                                                                    17
                                         What can we do to improve                                  Person responsible for
             Criteria               %                                Specific actions to be taken                            Date completed
                                                   this?                                                 completion
Presence of complications
(Mild/moderate COPD only)           0%

Effects of each drug treatment
                                    0%
Inhaler technique
(Mild/moderate COPD only)           0%
Reference to need for referral to
specialist and therapy services     0%
Reference to need for
pulmonary rehabilitation            0%
SEVERE COPD ONLY

Presence of cor-pulmonale
                                    0%
Need for long term oxygen
therapy                             0%

Patients nutritional state
                                    0%

Presence of depression
                                    0%

Inhaler technique
                                    0%
Reference to need for social
services and occupational
therapy input                       0%




Improving Health, Improving Services
1361edec-78e4-49a3-86fe-f468fde05c83.xls                                                                                                      18

				
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