Records 9 states “For repeat medicines, an indicator for the drug can be identified in the records”. In the DES Reports spreadsheet released in DLM 237 INPS supplied a tool to help you determine how close you are to reaching your target. Part of this spreadsheet determines how many therapy items are linked to a problem and how many are not linked to a problem.
We have received a number of queries from practices stating that problem linkage is not the method they use. The Records 9 rule doesn’t state a particular method for recording this information - only that you have to be able to show that it’s been done. A few other methods are listed below…
- Therapy and reason for therapy recorded within the same consultation.
- Therapy and reason recorded on the same day.
- Freetext information recorded in the dosage box of the therapy item.
- Any other way you can think of as long as all staff are aware.
All these methods and problem linkage can be valid as long as you can adequately show there is a reason of some kind. Unfortunately, these other methods can be too bespoke to be able to do one search in Vision. For example, in freetext you could write “For backache” or “Asthma”, etc. As there are endless possibilities available it makes a generic search very hard. We can’t just check on there being a freetext entry at all as it might just contain the dosage information and nothing else.
In conclusion whilst we have provided a tool where possible to search for your figures, please do not feel that you are being forced to record the information this way. Any other method can be proved on a random sample of patients during your QoF Assement. If you are unsure then speak to your PCT QoF facilitator and they should be able to point you in the right direction.