Table 1 List of indicators from the Quality and Outcomes Framework 2015–2016 included in the ASPIRE analysis

Atrial fibrillation

AF006

The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHA2DS2-VASc score risk stratification scoring system in the preceding 12 months (excluding those patients with a previous CHADS2 or CHA2DS2-VASc score of 2 or more).

Atrial fibrillation

AF007

In those patients with atrial fibrillation with a record of a CHA2DS2-VASc score of 2 or more, the percentage of patients who are currently treated with anticoagulation drug therapy.

Secondary prevention of coronary heart disease

CHD002

The percentage of patients with coronary heart disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.

Secondary prevention of coronary heart disease

CHD005

The percentage of patients with coronary heart disease with a record in the preceding 12 months that aspirin, an alternative anti-platelet therapy or an anti-coagulant is being taken.

Secondary prevention of coronary heart disease

CHD007

The percentage of patients with coronary heart disease who have had influenza immunisation in the preceding 1 August to 31 March.

Hypertension

HYP006

The percentage of patients with hypertension in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.

Stroke and transient ischemic attack

STIA003

The percentage of patients with a history of stroke or TIA in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.

Diabetes mellitus

DM002

The percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.

Diabetes mellitus

DM003

The percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/80 mmHg or less.

Diabetes mellitus

DM004

The percentage of patients with diabetes, on the register, whose last measured total cholesterol (measured within the preceding 12 months) is 5 mmol/l or less.

Diabetes mellitus

DM006

The percentage of patients with diabetes, on the register, with a diagnosis of nephropathy (clinical proteinuria) or micro-albuminuria who are currently treated with ACE-I (or ARBs).

Diabetes mellitus

DM007

The percentage of patients with diabetes, on the register, in whom the last IFCC-HbA1c is 59 mmol/mol or less in the preceding 12 months.

Diabetes mellitus

DM008

The percentage of patients with diabetes, on the register, in whom the last IFCC-HbA1c is 64 mmol/mol or less in the preceding 12 months.

Diabetes mellitus

DM009

The percentage of patients with diabetes, on the register, in whom the last IFCC-HbA1c is 75 mmol/mol or less in the preceding 12 months.

Diabetes mellitus

DM0012

The percentage of patients with diabetes, on the register, with a record of a foot examination and risk classification: (1) low risk (normal sensation, palpable pulses), (2) increased risk (neuropathy or absent pulses), (3) high risk (neuropathy or absent pulses plus deformity or skin changes in previous ulcer) or (4) ulcerated foot within the preceding 12 months.

Diabetes mellitus

DM0014

The percentage of patients newly diagnosed with diabetes, on the register, in preceding 1 April to 31 March who have a record of being referred to a structured education programme within 9 months after entry on to the diabetes register

Diabetes mellitus

DM0018

The percentage of patients with diabetes, on the register, who have had influenza immunisation in the preceding 1 August to 31 March.

Mental health

MH002

The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive care plan documented in the record, in the preceding 12 months, agreed between individuals, their family and/or carers as appropriate.

Mental health

MH003

The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood pressure in the preceding 12 months.

Smoking

SMOK002

The percentage of patients with any or any combination of the following conditions: coronary heart disease (CHD), peripheral arterial disease (PAD), stroke or transient ischemic attack (TIA), hypertension, diabetes, chronic obstructive pulmonary disease (COPD), chronic kidney disease (CKD), asthma, schizophrenia, bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months.

Smoking

SMOK004

The percentage of patients aged 15 or over who are recorded as current smokers who have a record of an offer or support and treatment within the preceding 24 months.

Smoking

SMOK005

The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 12 months

Asthma

AST003

The percentage of patients with asthma, on the register, who have had an asthma review in the preceding 12 months that includes an assessment of asthma control using the three Royal College of Physician questions.