If the patient is treated by the CPA and evidence of a documented care plan discussed with their community key worker is available, this can be scanned onto the patient’s record and would be acceptable for QOF. It is the MH patients who do not have a key worker who will require a primary care care plan.
The mental health care plan codes are listed below
| CTV3 | Version 2 | |
| Mental Health Care Programme Approach | XaIXu | 8CY.. |
| Care Programme Approach review | XaK8p | 8CG6. |
| Ongoing Care Programme Approach review | XaK8s | 8CG61 |
| Initial Care Programme Approach review | XaK8r | 8CG60 |
| Discharge Care Programme Approach review | XaK8t | 8CG62 |
| Agreeing on mental health care plan | Xaa8p | 8CS7. |
| Review of mental health care plan | Xaa8q | 8CMG1 |
MENTAL HEALTH PLAN & REVIEW |
| Patient Name | Date of Birth | ||
| GP Name | |||
| Date of Mental Health Plan |
Actual Date of Mental Health Review |
| Outcome Tool | Result at assessment | Result at review |
| PROBLEM / PT NEEDS | GOALS / ACTIONS | REQUIRED TREATMENTS | REVIEW OUTCOME |
|
(eg. Reduce symptoms, improve functioning) |
(eg. Referral to Allied Health, medication, engagement of family / other supports) |
(Impact of action / task on problem) |
|
| 1.
|
|||
| 2.
|
|||
| 3.
|
| Early Warning Signs (Be specific. Re-assess at Review Consultation.) | |
| 1 | 2 |
| 3 | 4 |
| Relapse Prevention Plan (Re-assess at Review Consultation.) | |
| 1 | 2 |
| 3 | 4 |
| 5 | 6 |
| Emergency Care (eg Family contact person / details) |
| 1
|
| 2
|
|
3 Access Team, Phone |
The following section to be signed by patient and GP:
|
I understand the above Mental Health Plan and agree to the outlined goals / actions |
|
|
Patient Signature:
|
GP Signature: |
| Has a copy of the MH Plan been given to the Patient? | Yes ¨ No ¨ |
| Proposed date for Mental Health Review (1 – 6 months after MH Plan adopted) |
| Additional Notes |
|
|
Having checked the patients records we discovered they all had a BP reading entered in by the community services and although the Systolic reading was =< 150, all three patients had a Diastolic reading of between 91-93.
The system will look for the latest reading regardless of who has entered the data and it will look at both as both the Systolic and Diastolic readings have to fulfil the criteria.
To fulfil the criteria it states clearly the advice given by the practice has to be both verbal and written. There is now a specific Read code for the giving of leaflets, you will need to record both Verbal and written/ leaflet advice if using the individual Read codes that are now available for both Indicators.
The patient would need to be referred or have their diagnosis confirmed 3 months before diagnosis or one month after the date of the latest recorded Stroke/TIA. The Read Codes below are still available and would recommend you use the most appropriate the day of admission as A&E will refer for the test to be completed while the patient is an inpatient at the hospital.
CTV3
XaJkS Stroke / transient ischaemic attack referral
XaJYc Referral to stroke clinic
XaXOh Referral to transient ischaemic attack clinic
8HQ3. Refer for NMR scanning
8HQ4. Refer for CAT scanning
Version 2
8HBJ Stroke / transient ischaemic attack referral
8HQ3. Refer for NMR scanning
8HQ4. Refer for CAT scanning
I agree it is really confusing. Open the GMS template for Stroke/TIA and click on the second tab. If you click on the QOF symbol on the template next to the CT/MRI link it will open up the QOF cluster and sitting in there is the referral code to the Stroke services
Version 2
8HTQ. Referral to stroke clinic
8HBJ. Stroke / transient ischaemic attack referral
8HQ4. Refer for CAT scanning
8HQ3. Refer for NMR scanning
CTV3
XaJkS Stroke / transient ischaemic attack referral
XaJYc Referral to stroke clinic
XaXOh Referral to transient ischaemic attack clinic
Patient in the past would have been coded with an entry of Intermittent Claudication and this group of patients should automatically be picked up and form part of your register. You may also wish to audit patients with Diabetes who have problems with circulation.
CTV3 – SystmOne
| G73z. | Peripheral vascular disease NOS |
| Gyu74 | [X]Other specified peripheral vascular diseases |
| Xa0lV | Peripheral vascular disease |
| XaZJa | Ischaemic lower limb pain at rest |
| XE0VP | Other peripheral vascular disease |
| XE0VR | Intermittent claudication |
Version 2 – Isoft, Vision, EMIS and Microtest.
| G73.. | Other peripheral vascular disease |
| G734. | Peripheral arterial disease |
| G73y. | Other specified peripheral vascular disease |
| G73z. | Peripheral vascular disease NOS |
| G73z0 | Intermittent claudication |
| G73zz | Peripheral vascular disease NOS |
| Gyu74 | [X]Other specified peripheral vascular diseases |
There is a low exception Read Code for refusal of BP
Version 2 Read Codes
8I3Y. Blood pressure procedure refused
CTV 3 Read Codes
XaJkR Blood pressure procedure refused
We recommended a website to help with assessing if a child is obese. I have attached the link
https://www.cdc.gov/healthyweight/bmi/calculator.html
https://www.nice.org.uk/guidance/CG43
