Asthma, COPD and obesity indicators rejected by NICE

Indicators for asthma, COPD and obesity were considered and rejected by NICE as part of its recommendations for the 2010/11 QOF.

The institute's QOF committee recommended four indicators for inclusion in the framework, but a further 13 were rejected.

Nine were deemed to represent appropriate topic areas, but to be unsuitable in their current form. They were:

  • asthma review, including an assessment of asthma control, a recording of rhinitis and history of food allergy to nuts or fish.
  • palliative care patients who have a record of preferred place to receive end-of-life care.
  • alcohol use record for patients with schizophrenia, bipolar affective disorder or other psychosis
  • BMI, BP, cholesterol, blood glucose for patients with schizophrenia (four separate indicators)
  • smokers offered referral to the NHS Stop Smoking service or pharmacotherapy with brief support

A further three indicators were judged to represent topics unsuitable for inclusion in QOF. These were:

  • oxygen saturation value and BMI record for patients with COPD (two indicators)
  • weight management advice for newly registered obese patients

Full details of the NICE recommendations are available here.

  • Was NICE right to reject these indicators?


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