Support for PAD register and asthma indicator

A peripheral arterial disease (PAD) register and an asthma care plan indicator should be considered for inclusion in the 2012/13 QOF, NICE has said.

Ankle brachial pressure check
Ankle brachial pressure check

The institute's Primary Care QOF Indicator Advisory Committee decided at its meeting in Manchester last month to develop potential indicators covering both these areas.

Staffordshire GP Dr Mark Welton, who has an interest in vascular disease, said that inclusion of a PAD indicator in QOF was 'long overdue'.

'By getting us to set up a register, it will raise awareness of the condition and we'll probably diagnose it more frequently,' he said. 'The next step will be to have cholesterol and BP targets akin to the other QOF atheroma indicators to achieve.'

Dr John Pittard, a GP in Surrey with a special interest in coronary heart disease, said that introducing a PAD indicator would make it easier to justify the extra time taken for ankle brachial pressure checks.

Wiltshire GP Dr Kevin Gruffyd-Jones, who is clinical policy lead for the General Practice Airways Group, welcomed the proposals for a new asthma indicator.

He said that explaining to patients what asthma was and how to deal with symptom exacerbations was common sense.

'There is good evidence that, for people with persistent asthma, action plans can reduce hospital admissions and exacerbations,' he said. 'So I would say it is a very sensible measure to put in QOF.'

The QOF committee also recommended that the diabetes indicators in the 2010/11 QOF be amended to include both the percentage units and the new mmol/mol units.

The committee meets again in June, when it will review the AF3 and Asthma 8 and Cancer 3 indicators and consider new indicators for depression and COPD as well as changes to the mental health indicators.

Comments on current and proposed QOF indicators can be made via the NICE website (


Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in