Primary Care Information (PCI)
The Primary Care Information (PCI) project aims to provide a single access point for GPs and practice staff to see health care information for their GP Practice. The information is delivered through a set of Tableau dashboards, and show comparisons to national, NHS board and local level figures.
Previously, this project was known as Primary Care Indicators. This latest release extends the previous dashboards released July 2016 with updated data and cluster level data in line with the Transitional Quality Arrangements (TQA), as discussed below.
Access to the PCI dashboards is currently only available to GPs and GP Practice staff. Users need to register for a username and password through our User Access System (UAS) https://useraccess.nhsnss.scot.nhs.uk. Once access has been granted, the dashboards can be viewed by entering the username and password at https://viz.nhsnss.scot.nhs.uk . Operational guidance can be found in the Primary Care Information User Manual [444Kb].
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
- 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
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
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