PRESCRIBING INCENTIVE SCHEME 2008-09

(SHORT VERSION)

Target / Incentive Scheme Criteria / Incentive Payment For Achievement
1. Statins / Simvastatin and Pravastatin should comprise a minimum of 75% of all statin prescribing
Higher award for achieving 80% / For Achieving 75% =1pt
For Achieving 80% =2pts
2. Proton Pump Inhibitors / 85% of Proton Pump Inhibitors to be prescribed as omeprazole or lansoprazole capsules.
Higher reward for achieving 90% / For achieving 85% = 1pt
For achieving 90% = 2 pts
3. Renin-Angiotensin antagonists / ARBsto be no more than 25% of all renin-angiotensin antagonist prescribing.
Higher award for 20% or less / For achieving 25% = 1pt
For achieving 20% = 3ts
4. Antibacterials / Cephalosporins and Quinolones to comprise no more than 10%of all antiobitoic prescribing
Higher award for 7% or less / For achieving 10% =1pt
For achieving 7% = 2pts
5. Bisphosphonates / 80% of all bisphophonate and strontium ranelate prescribing to be for Alendronic Acid 70mg once weekly / For achieving 70% = 1pt
For achieving 80%=2pts
6. SSRIs / 80% of all SSRIs as fluoxetine, citalopram or sertraline.
Higher reward for 85% / For achieving 80% = 1pt
For achieving 85% = 2pt
7. Anti-platelets
(clopidogrel & low-dose aspirin) / Clopidogrel will comprise no more than 10% of prescribing in this area.
Higher award for 8% or less / For Achieving 10% = 1pt
For achieving 8% =2pts
8. Blood Glucose Test Strips / Average number of blood glucose testing strips per diabetic patient should be no more than 100 per 6-months / For Achieving 100-125 = 1pt
For achieving <100 = 2pts
9. Glitazones / Completion of PCT Auditof Glitazone Prescribing in Heart Failure and CVD
and submission of Action Plan / Completion of audit AND submission of
Action Plan = 2pts
10. Enteral Nutrition / 100% of patients(care home AND community) should have documented evidence on their notes of assessment and monitoring
100% of care home patients’ sip feeds to be acute, not on repeat, and scripts to be issued only on receipt of Request Form as per Procedure for Ordering Sip Feeds / For achieving the establishment of a Register of all sip feed patients = 1pt
For Achieving 80% documentation of assessment and monitoring of all patients = 1pt
11. Specials / 100% of requests for ‘specials’ and unlicensed medicines to be notified to PCT using ‘Unlicensed specials authorisation’ form / For achieving 90% = 1pt
For Achieving 100% = 2pts
12. Red List / Compliance with the PCT “Red List” of drugs not to be prescribed / For achieving 5-2.5 items per ASTRO PU = 1pt
For Achieving < 2.5 items per ASTRO PU = 2pts

Calculation of Payment:

  • Each point will be worth £125 plus weighting as per QOF.
  • The maximum number of points available is 25
  • Disease prevalence is not considered.
  • The total number of points achieved will be calculated by measuring the practice’s performance for each indicator.
  • Achievement will be measured from 1st June 2008 to 31st March 2009.
  • Achievement will be calculated from ePACT data.
  • If there is a significant difference between ePACT data and what a practice considers it has achieved for any indicator, data from the clinical system of the practice will be used for verification.

Choice of Indicators:

  • The Indicators reflect both East of England Strategic Health Authority Key Performance Indicators and PCT prescribing policies.
  • There are clinically driven indicators e.g. Glitazone Audit, as well as cost-efficiency indicators.
  • The indicators have been chosen after discussion with the Locality GP prescribing leads and other interested parties.

Use of Payment from Scheme

  • Payments received from this Scheme may only be used to benefit patient care.