An appropriate calculator can be used by a non-clinical member of staff.Įxception reporting (now known as personalised care adjustment, or PCA) is available, but these are only general exceptions where patients are not suitable or do not agree to the assessment. The score is usually calculated by the computer based on the patient’s electronic record. An old CHADS 2 score of 2 or more can also count. If the patient scores 2 or above, no more recorded scores are required. Low-risk patients, scoring less than 2, should be checked every year, and the results recorded. Once a patient has a score of 2 or more they are regarded as being at high risk. The risk of stroke is calculated using the CHA 2DS 2-VASc score. Indicator 2: Stroke risk assessment (12 points) You should also search records for those on anticoagulation who don’t have a diagnosis of AF. All clinicians undertaking these examinations should know what to do when they detect an irregular pulse. The diagnosis should be confirmed with an ECG. Have a system to investigate any newly irregular pulse. Much of the time patients will be identified incidentally during clinical examinations such as blood pressure measurement or checking a pulse rate. Getting patients on to the register will require clinicians to be attentive to the diagnosis. This would only be needed rarely, however, and the current guidance is that these patients should continue to be treated as if they had AF anyway, so there should be little reason to remove them.

It is possible to remove patients from the register, by entering a code of atrial fibrillation resolved. Patients are on the register simply if they have a diagnostic code for atrial fibrillation or flutter. In the decade that AF has been included in the QOF, the prevalence has increased by 50%, and that rate continues to increase as practices improve the detection and recording of AF.

There are five points for maintaining the register, which is fairly generous. Indicator 1: Maintain patient register (5 points) For further explanation read more details here. *Prevalence is an estimate based on latest available QOF data and current trends. £/patient on the register (estimated): £3O.The following summarises current indicators, points and value of the AF area under the GP contract agreed for 2020/21-2023/24: Updated November 2022 Summary – indicators and value

Diagnosis code for atrial fibrillation