The domains are smoking, AF, CKD, palliative care, COPD and stroke and TIA.
Smoking indicators 1 and 2 become 3 and 4.
Smoking 3: The percentage of patients with any or any combination of the following conditions: CHD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses whose notes record smoking status in the previous 15 months.
Smoking 4: The percentage of patients with any or any combination of the following conditions: CHD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses who smoke whose notes contain a record that smoking cessation advice or referral to a specialist service, where available, has been offered within the previous 15 months.
AF2 becomes AF4: The percentage of patients with AF diagnosed after 1 April 2008 with ECG or specialist confirmed diagnosis.
CKD4 becomes CKD5: The percentage of patients on the CKD register with hypertension and proteinuria who are treated with angiotensin converting enzyme inhibitor (ACE-1) or angiotension receptor blocker (ARB) (unless a contraindication or side -effects are recorded).
PC1 becomes PC3: The practice has a complete register available of all patients in need of palliative care/support irrespective of age.
COPD9 becomes COPD 12: The percentage of all patients with COPD diagnosed after 1 April 2008 in whom the diagnosis has been confirmed by post bronchodilator spirometry.
STROKE11 becomes STROKE13: The percentage of new patients with a stroke or TIA who have been referred for further investigation.
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