Following our March review of metrics with subscribers, we have only made a few changes to our indicators detailed below.
In the primary care scorecard, although we have not deleted any indicators, the following indicators have gone into archive listing with a view to deleting in 2017/18 (as savings are minimal or the indicator is no longer appropriate to measure):
- Ezetimibe & Ezetimibe with Simvastatin cost per 1,000 STAR PU
- Low cost venlafaxine plain & MR as % of all venlafaxine
- prednisolone standard tablets as % of all prednisolone
- generic tamoxifen, anastrozole & letrozole as a % of breast cancer treatment.
Where we have previously measured indicators in ASTROPU or patients and there is a STARPU value available, we have used STARPU but have archived the old measures in case anyone is still using them, again with the view to deleting in 17/18.
These include Opioid patches cost per 1,000 cost based ASTROPU and oxycodone MR cost per 1,000 patients.
New indicators on the primary care scorecard include measures for blood ketone testing and urine glucose testing both of which are measured per QoF registered patient. If there is enough interest we will add bulletins on these areas to the workplan consultation for 2017/18. We have also added an indicator to measure uptake of insulin analogue biosimilar and an indicator looking at drugs other than statins as a proprtion of all BNF 2.12- incorporating omega 3, fibrates, bile acid sequestrants etc. We still have the omega 3 fatty acids indicator in the DROP-List.
In the quality scorecard we are now measuring hypnotics per ADQ based star PU instead of cost based STARPU as that is how they are now measured on ePACT. As this was an ePACT indicator, we have no archived indicator for this measure and are unable to recrease the data for an archived indicator. The antibiotics prescribing indicators are in line with national measures.
The self care items have been removed from the DROP-List scorecard and incorporated into a new self care scorecard. Once we are ready to publish the DROP devices bulletin, we will add measures for all the devices on the list into the DROP-List scorecard.