Project Name: Northern Ireland General Practice Heart Failure QOF Register Review Collaborative Working

Project Summary:

The Collaborative working will improve the accuracy of read coding for existing Heart Failure patients and aim to find those with a missing diagnosis through reviewing patients who have Heart Failure associated risk factors. The benefits include data cleansing and validation of the Heart Failure QOF registers, increasing QOF outcome generation and ultimately, this benefit patients through better diagnosis, review and improved management.

As part of the Project, ICS are performing register reviews in 12 GP practices across Northern Ireland, with RKH Medical Ltd being one of these. The practice will provide Interface Clinical Services (“ICS”) with access to all patient records within the GP Practice to facilitate the Heart Failure QOF register review. Using the report provided by ICS, the practice will review all appropriate patient records and create a Heart Failure management plan for each patient to improve their Heart Failure care. Services provided by ICS will be funded by Novartis.

Planned Milestones:

Milestones with RKH Medical Ltd

RKH table 1

Overall Project Milestones

RKH table 2

Expected Benefits:

The benefits to the patient include:

  • Proactive assessment and earlier detection of Heart Failure
  • Greater opportunity for initiation and optimisation of evidence-based Heart Failure therapies
  • Improvement in quality of care
  • Improved experience of the Heart Failure service

The benefits to the relevant NHS GP practice include:

  • data cleansing and validation of QOF
  • increasing QOF outcome generation

The benefits to Novartis include:

  • Creation of  more opportunities for the appropriate use of cardiology licensed medicines in line with NICE and clinical guidelines, including Novartis’ medicine
  • Better understanding of customers’ and patients’ needs specific to the management of Heart Failure but indeed more widely
  • Greater insight into the practical challenges and workings of delivering a high quality and sustainable Heart Failure Service
  • Improved reputation

Start Date and Duration:

RKH Medical Ltd
Start date: May 2022
Duration: 2 months from commencement of services being provided by ICS

Overall Collaborative Working Project
Start date: April 2022
Duration: up to 13 months

UK2205310517

Project Name: Northern Ireland General Practice Heart Failure QOF Register Review Collaborative Working

Completion Date: November 2022

Outcome Summary:

For an individual practice the Collaborative working has improved the accuracy of read coding for existing Heart Failure patients and found those with a missing diagnosis through reviewing patients who have Heart Failure associated risk factors

Key Project Outcomes Data:

The relevant NHSGP practice provided Interface Clinical Services (“ICS”) with access to all patient records within the GP Practice facilitating the Heart Failure QOF register review. Using the report provided by ICS, the GP Practice has reviewed all appropriate patient records and created a Heart Failure management plan for each patient to improve their Heart Failure care. The heart failure management plan has followed local guidelines The services are detailed below in Outcomes:

Outcomes:

Service

Outcome

Further actions

Interrogation of Heart Failure QOF registers at the relevant GP practice by 3rd  party provider, ICS, to update the registers and find Heart Failure patients who are currently (un)diagnosed and/or not on the existing Heart Failure QOF registers.

Prevalence increase 1.2-1.61% 

 

Consultation day provided by ICS to staff members at the GP practice to review results

Yes

 

Percentage increase inpatients on the Heart Failure register

29% increase in HF register, 38% increase in patients added to the LVSD Register

 

Number of newly identified Heart Failure patients

15 patients added to the HF register, 13 patients added to the LVSD register

 

Increase in number of patients receiving NICE recommended therapy from baseline

27 patients

Ongoing after this project via SHSCT virtual hub

Number of patients referred into 2nd care service

None

100% remained in Primary Care

Conclusion: Please see outcomes and further actions in above table

BeSure UK2403225818
March 2024