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ISD Scotland better information, better decisions, better health

Primary Care Information & TQA

General Practice

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Primary Care Information (PCI)

The Primary Care Information (PCI) dashboards provide a single access point for GPs and practice staff to see health care information for their GP Practice and Cluster. The information is delivered through a set of Tableau dashboards, and show comparisons at Scotland, NHS Board and Health & Social Care Partnership level.

The latest release includes the most recent data available for each of the measures, the latest being the first quarter of 2017/18 (April to June). Details of the data sources for each measure are available in the 'notes' tabs of each dashboard. The next update will be at the end of October 2017, with data available up to the second quarter (July to September) of 2017/18.

Access to the PCI dashboards is currently only available to GP Practices and NSS users. Instructions for applying for a username and password through our User Access System can be found in the Accessing PCI Information Instruction Guide Download Word file [216kb]

Once access has been granted, the dashboards can be viewed by entering the username and password at https://viz.nhsnss.scot.nhs.uk/#/site/NSS/projects . Operational guidance on how to use the dashboards can be found in the Primary Care Information User Manual Download PDF file [558kb]

We also have user guidance videos below. These videos show how to gain access to the PCI dashboards through the User Access System and how to navigate the PCI dashboards.

 

 

Transitional Quality Arrangements (TQA)

In July 2016, the Scottish Government and British Medical Association (BMA) announced developments relating to negotiations of the new GMS contract. Central to this was the discontinuation of the Quality Outcomes Framework (QOF) and introduction of Transitional Quality Arrangements (TQA) for use during 2016/17. These involve GP practices grouping together to form locally agreed clusters of practices. GPs will have responsibility within their cluster to support the delivery and monitor the quality of care provided.

The latest PCI dashboards include measures aimed at supporting the TQA. These measures are listed below. At present, many of the measures are based on the ongoing collection of QOF data (though no longer used to determine GP payments). In the future these data will be extracted through SPIRE1.

  • Practice disease registers (prevalence) for:
    • Asthma, Atrial fibrillation, Cancer, Coronary Heart Disease (CHD), Chronic Kidney Disease (CKD), Chronic Obstructive Pulmonary Disease (COPD), Dementia, Depression, Diabetes, Heart failure, Hypertension, Mental health conditions, Osteoporosis, Peripheral arterial disease, Rheumatoid arthritis, Stroke & Transient Ischemic Attack (TIA).
  • Disease metrics:
    • High blood pressure among patients with CHD, CKD, diabetes, peripheral arterial disease, hypertension, stroke or transient ischemic attack.
    • Influenza immunisation among patients with CHD, COPD, diabetes, stroke or transient ischemic attack.
    • Haemoglobin A1c levels among patients with diabetes.
  • Preventative prescribing metrics:
    • Anticoagulant prescribing among patients with atrial fibrillation at high risk of stroke
    • Antiplatelet prescribing among patients with patients with peripheral arterial disease
    • Antiplatelet or anticoagulant prescribing among patients with coronary heart disease
    • Antiplatelet or anticoagulant prescribing among patients who have had a non-haemorrhagic stroke or with a history of transient ischemic attacks (TIA).
    • ACE inhibitor, antiplatelet, beta blocker and statin prescribing among patients with a history of myocardial infarction.
    • ACE inhibitor prescription among patients with diabetes and kidney disease
    • ACE inhibitor prescription among patients with heart failure due to left ventricle systolic dysfunction
    • Beta blocker prescribing among patients with left ventricle systolic dysfunction currently treated with an ACE inhibitor
  • Pathway markers:
    • Patients with severe mental health disorders who have a comprehensive agreed care plan in place
    • Patients with diabetes with record of a foot examination and risk classification of low or higher risk
  • Prescribing
    • Antibiotics
    • Defined Daily Dose (DDDs)
  • Outpatient referral rates:
    • for Cardiology, Dermatology, Ear, Nose and Throat, Gastroenterology, General Medicine, General Surgery, Gynaecology, Neurology, Ophthalmology, Respiratory Medicine, Trauma and Urology.
  • Information relating to patients with High Health gain:
    • Patients with ‘Moderate Risk’ and ‘High Risk’ of emergency admission in the next 12 months (based on SPARRA scores).
    • Risk of emergency admission scores by age and gender.
    • High Health Gain patient listings derived from a risk prediction model will be made available to GP practices through a secure platform later in 2017.

1 SPIRE (Scottish Primary Care Information Resource) is a single national system to provide a secure, flexible, Scotland wide GP data extraction / reporting system. See spire.scot

Other measures

In addition the following measures remain available through the PCI dashboards.

  • Emergency Admissions
  • 7 day readmissions
  • Patient experience survey results
  • Demographic information including practice list size

Contact Details

For any enquiries please contact:

nss.isdGeneralPractice@nhs.net

 

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Information Services Division,
NHS National Services Scotland,
Gyle Square,
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Edinburgh EH12 9EB,
Tel: 0131 275 7050
NSS.isdSHIS@nhs.net  
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