MPs demand more epilepsy indicators

The GMS quality framework for epilepsy should be revised with new indicators added to reflect optimal care, according to a report by the All Party Parliamentary Group (APPG) on epilepsy.

Currently, the quality framework awards 15 points to GPs who provide a register of patients aged 18 and over who are receiving drug treatment and for their ongoing management.

But the APPG report has criticised the framework for only doing enough to provide basic care. The report, which highlights that half of the 990 epilepsy-linked deaths in England each year are avoidable, calls for two new indicators to be added.

A new indicator should be added for the percentage of women with epilepsy of child-bearing potential who have been given information and counselling about contraception, conception and pregnancy.

An indicator stating the percentage of adult patients who were not seizure-free in the past 12 months who have been referred to specialists should also be added. The report also calls for a national database of GPSIs in epilepsy.

North Yorkshire GP Dr Bill Hall, who was involved in the development of the APPG report, said: 'Women with epilepsy face particular problems with contraception and increased risk of foetal malformation,' he added.

'An indicator for women of child-bearing potential will ensure an annual conversation on these topics.'

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