 |
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|
Bury PCT National Primary Care Collaborative Audits
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England
Directed Enhanced Services 2008 - 2010
|
|
England Directed Enhanced Services 2008 – 2010
|
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Reporting
for Alcohol DES
(Version 12009, 05/06/2009)
Reporting
for Ethnicity DES
(Version 12009, 05/06/2009)
Reporting
for HF DES
(Version 12009, 05/06/2009)
Reporting
for Learning Disabilities DES
(Version 12009, 05/06/2009)
Reporting
for Osteoporosis DES
(Version 12009, 05/06/2009)
|
|
Click
here
to see the User Guide in PDF (05/06/09)
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Greenwich PCT
|
|
CVD Risk Assessment LES 2008/9
|
|
Data
required for risk calculation
(Version 3, 01/08/2008)
|
|
Greenwich PCT
have a local enhanced service for this year
2008/9 which involves recording the
creation of a register for all those patients
with more than a 20% risk of CVD or a 15% risk
of CHD
within the next 20 years.Some work that we did
with Greenwich PCT last year identified that the
data required to calculate this risk was not
currently being collected by most practices.
INPS have written this audit which will allow
practices to set reminders on patients where
data is
missing and do the preliminary work required
before a risk can be calculated
Click
here
to see the User Guide in PDF (05/08/08)
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Health Protection Agency
(DoH Criteria)
|
|
Flu Vaccine Uptake Survey
2008-2009
|
|
Version 1 10/09/08 This file contains all the Clinical Audits below this
level
Click
here
to see the User Guide in PDF (10/09/08)
1. Flu Vaccine Uptake Survey November 2008 Return
(Version 1, 10/09/2008)
2. Flu
Vaccine Uptake Survey December 2008 Return
(Version 1, 10/09/2008)
3. Flu
Vaccine Uptake Survey January 2009 Return
(Version 1, 10/09/2008)
4. Flu
Vaccine Uptake Survey February 2009 Return
(Version 1, 10/09/2008)
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|
|
Pneumococcal Vaccination Surveillance
|
|
Pneumococcal vaccination
surveillance
survey 2008
(Version 1, 21/02/2008)
|
|
(new version imminent,
held up due to DoH delay on pneumococcal
criteria for 2009/10)
Click
here to download the HPA Pneumococcal Vaccination
2008 User
Guide
This User Guide was updated (17/04/08), to
correctly state
that the collection is made once during the period 1st
April and 1st May.
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|
ImpactRx
|
|
Therapeutics
|
|
IBD (Inflammatory
Bowel Disease) Index
(Version 3, 21/06/2004)
|
|
Current prescribing guidance for oral Mesalazine clearly states
that different brands are not
interchangeable. To help practices identify the patients who
have changed brands, a small
audit tool has been commissioned by Procter and Gamble
Pharmaceuticals which will identify
those patients who are currently in receipt of a prescription
for generic Mesalazine but who
were previously prescribed an alternate generic or brand name.
Click
here
to download instructions in Word format - v.2, 25/06/04
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|
In Practice
Systems Ltd
|
|
16/06/09 This file contains all the Clinical Audits below this
level
Criteria for the INPS audits are included in the online help
accessed by clicking
here
(16/06/09)
|
|
|
Administration
|
|
20/02/08
This file contains all the Clinical Audits below this level
Scottish Cervical Cytology Targets
(Version 1,
15/09/2003)
|
|
Click
here
to see the audit criteria in .PDF format
|
|
|
|
Cytology Monitoring
(Version 4, 23/11/2007)
|
|
Takes account of QOF and non-QOF Read
codes and new national recommendations:
aged 25 first invitation, aged 25-49
three-yearly; aged 50-64 five-yearly; 65+ Only
screen
those who have not been screened since age 50 or
have had recent abnormal tests
|
|
|
|
Cytology Monitoring
in Wales
(Version 2, 11/02/2008)
|
|
|
Minor Surgery
(Version 1, 28/06/2002)
|
|
|
Month
of Birth Cohorts
(Version 1, 10/12/2004)
|
|
|
Registration
(Version 2, 24/07/2003)
|
|
|
|
Cardiovascular System
|
|
07/01/09 This file contains all the Clinical Audits below this level/
Angina
(Version 3, 25/01/2005)
|
|
|
CHD (Angina &
MI) (Version
4, 11/01/2005)
|
|
Now uses criteria
and Read codes in nGMS contract
|
|
|
|
Hypertension
(Version 3, 04/01/2005)
|
|
|
Hypertensive
Patients and Creatinine Testing
(Version 1, 09/12/2008)
|
|
|
Patients at High Risk of
Developing CVD
(Version 2, 11/12/2008)
|
|
|
|
Endocrine/Metabolic Disease
|
|
16/06/09.
This file contains all the Clinical Audits below this level
|
|
|
Abnormal Fasting Glucose, Diabetes Risk
(Version 4, 26/01/2009)
|
|
|
Diabetes HbA1c Testing
(Version 2, 20/05/2008)
|
|
|
Diabetes Early Identification
(Version 2, 20/05/2009)
|
|
Please delete any earlier version before
importing this new version 2 which corrects a
technical problem
|
|
|
|
Hyperthyroidism
(Version 4, 08/12/2003)
|
|
|
|
Genito-Urinary Disease
|
|
Prostatic
Disease (Version
5, 22/04/28008)
|
|
|
|
Health Promotion
|
|
Practice Screening
(Version 2, 25/07/2003)
|
|
|
|
Heart Disease
|
|
Prevention
of IHD
(Version 1, 12/06/2007)
|
|
This audit, originally written for the Western
Health & Social Services Board, has been made
into
an INPS audit. It uses QOF codes for Framingham
risk score, hypertension, cholesterol, statin
contraindication/allergy/declined, and BP.
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|
|
Local Delivery Plans for Smoking and Obesity 2008/9
|
|
02/04/08 This file contains all the Clinical Audits below this level
1. LDP 30 June 2008
Return
(Version 2, 03/11/2008)
2. LDP 30 September 2008
Return
(Version 2, 03/11/2008)
3. LDP 31 December 2008
Return
(Version 2, 03/11/2008)
4. LDP 31 March 2009 Return
(Version 2, 03/11/2008)
5. LDP Monitoring 2008
(Version 2, 03/11/2008)
|
|
|
|
Patient Profiling
|
|
Ethnicity
(Version 2, 10/01/2007)
|
|
|
|
Preventative Procedures
|
|
16/06/09 This file contains all the Clinical Audits below this level
Childhood Immunisation - Aged 1 year
(Version 10, 17/01/2008)
|
|
New line searching PCV recorded as "single"
vaccine. The search for HIB/MENC booster
now includes a search for MenC recorded as stage
3 as well as searching for booster.
|
|
|
|
Childhood Immunisation - Aged 2 years
(Version 9, 17/01/2008)
|
|
New line searching PCV recorded as "single"
vaccine. The search for HIB/MENC booster
now includes a search for MenC recorded as stage
3 as well as searching for booster.
|
|
|
|
Dip/Tet/Polio Booster for Young Adults
(Version 1, 03/08/2005)
|
|
Young adults aged 13-16 who need a second booster of Dip/Tet/Polio
|
|
|
|
Hib Vaccine for
Young Children Catch-Up Programme 2007
(Version 1, 06/09/2007)
|
|
A Haemophilus influenzae type b (Hib)
vaccination catch-up programme starts on
10 September 2007 and continues until 3 March
2009. Following advice from the
Joint Committee on Vaccination and Immunisation
(JCVI), a Hib booster will be
offered to young children who have not
previously received one, so that these children
are protected in line with older and younger
children.
|
|
|
|
Influenza Vaccination
(Version 17, 29/08/2008)
|
|
|
Meningitis C Vaccination
(Version 3, 25/07/2003)
|
|
|
MMR
Catch Up Campaign 2008-9
(Version 5, 27/05/2009)
|
|
Now picks up Out of Practice MMR Immunisations
The CMO has recently advised all practices
of a new catch up programme for
MMR vaccination:
http://www.immunisation.nhs.uk/Library/News/mmr_catchup
Following a decade of relatively low vaccination
uptake, there is now a large number of children
who
are unvaccinated or partially vaccinated with
MMR. The potential exposure of a large number of
unprotected children to the measles virus means
that there is a real risk of a large measles
epidemic.
Estimates suggest that an epidemic in England
could result in 30,000 cases, or in a worst case
scenario
more than 100,000 cases of measles in children
and young people. These children and young
people will
also be susceptible to mumps and rubella. As the
tools being developed by PRIMIS+ to support the
call
and recall of these patients will not work for
Vision practices we have written an audit to
assist in this task.
Click
here for the user guide, which explains how
to use it.
|
|
|
|
Pneumococcal
Vaccination (Version
8, 04/10//2005)
|
|
Read codes and therapy now same as for Influenza Vaccination
audit for the following:
chronic renal disease, chronic heart disease, chronic liver
disease, diabetes medication,
immunosuppression, hospital admission asthma and COPD.
Diabetic medication and severe asthma medication now searches
for patients with issues
in last 6 months rather than last 12 months.
Two new search lines for patients aged 2 years to under 65y, and
children from 2 months
to under 5 years.
Age range header searches now have light red background colour.
|
|
|
|
Pre-school Booster
(Version 1, 12/12/2007)
|
|
This new audit replaces the older
Pre-School Booster Targets aet 4, or 5 which
were in
Administration. Please delete these older
audits in Administration.
|
|
|
|
Routine HPV for Females 17-18 years 2008-9
(Version 1, 05/12/2008)
|
|
|
Routine HPV for Girls 12-13 years 2008-9
(Version 1, 05/12/2008)
|
|
|
Routine PCV and Hib/MenC Claims
(Version 2, 16/10/2008)
|
|
This audit
uses real time to search rather than a cutoff
date at the end of last month,
with a few exceptions.
|
|
|
|
Routine Pneumococcal Conjugate Vaccine Claims
(Version 3, 07/10/2008)
|
|
Updated for 2008-9 Financial
Year
|
|
|
|
Tetanus and
Low Dose Diphtheria Vaccination
(Version 1, 10/07/2003)
|
|
The tetanus and low dose diphtheria
vaccination may need to be claimed for on a monthly basis;
this audit will help you to identify the patients involved
|
|
|
|
Viral
Hepatitis Risk
(Version 1, 27/01/2004)
|
|
|
|
Respiratory Disease
|
|
08/10/05 This file contains all the Clinical Audits below this level
COPD
(Version 2, 15/02/2005)
|
|
|
Pulse Oximetry
(Version 2, 10/07/2008)
|
|
|
|
Risk Scores
|
|
17/06/05 This file contains all the Clinical Audits below this level
CHD Risk
(Version 1, 13/04/2005)
|
|
|
CVD Risk
(Version 1, 13/04/2005)
|
|
|
|
Screening
|
|
Over 75
Screening (Version 1, 20/01/2004)
|
|
|
|
Skin Disease
|
|
Psoriasis
(Version 1, 03/07/2002)
|
|
|
|
Social/Personal History
|
|
Children at
risk (Version 4, 14/10/2004)
|
|
Children/Family member on register excludes those
with a later record of removed from register
Click
here to
see the audit criteria
in Word format
|
|
|
|
|
Therapeutics
|
|
18/08/08 This file contains all the Clinical Audits below this level
|
|
|
Amiodarone
monitoring
(Version 1, 23/05/2006)
|
|
|
Anticoagulants
(Version 4, 02/02/2004)
|
|
|
Antidepressants
(Version 2, 19/01/2004)
|
|
Version 2 fix: The SSRI audit
line was incorrectly looking for the BNF code 04030301
in Version 1, when it should be looking for 04030300.
|
|
|
|
Aspirin, 75mg
daily
(Version 1, 25/10/2005)
|
|
Patients on enteric coated and non-enteric coated aspirin.
|
|
|
|
Beclometasone
Inhalers
(Version 1, 12/08/2008)
|
|
There will shortly be no supply of Beclometasone CFC
inhalers and patients need to be switched.
This audit identifies all patients who are
currently prescribed Beclometasone CFC
generically.
This will enable a reminder to be activated with
text reminding that the patient will need to be
switched.
Click
here for the User Guide (12/08/8)
However, care should be taken as Clenil and QVAR
are NOT equipotent. Patients under 12 are
identified
separately as they should only be advised Clenil.
QVAR is not licensed for children.
Click
here for the MHRA document (12/08/08)
|
|
|
|
Biphosphonate Monitoring for
Osteoporosis (Version
2, 16/08/2005)
|
|
Looks for patients on repeat issues of bisphosphonate, who are
also taking or not taking
a calcium and Vitamin D supplement (ADCAL-D3, CALCICHEW-D3 and
CALFOVIT D3).
(Patients on bisphosphonates should also be taking a vitamin D
supplement that provides
a dose of vitamin D of 800 units).
|
|
|
|
Methotrexate
Monitoring (Version
3, 28/09/2004)
|
|
Two extra lines:
- taking methotrexate in last 3 months
- ALT/SGPT serum level recorded/not recorded in
last 6 months
|
|
|
|
Paracetamol Administration (Version
1, 12/07/2005)
|
|
Patients with a repeat master or issue of Paracetamol 500 mg
tablets or capsules
in the last 12 months.
|
|
|
|
Ramipril Administration (Version
1, 05/07/2005)
|
|
Percentage of patients on ramipril tabs and capsules at 5 mg and
10mg.
This audit can help reduce the cost of ramipril prescribing.
|
|
|
|
Rosiglitazone and Pioglitazone
Monitoring (Version
1, 03/01/2006)
|
|
|
Statins
and Aspiring Therapy in Diabetes (Version
2, 26/01/2006)
|
|
|
Venlafaxine
Monitoring (Version
1, 07/04/2005)
|
|
|
|
Women's Health
|
|
22/10/08 This file contains all the Clinical Audits below this level
Contraception
(Version 7, 03/10/2008)
|
|
New IUCD monitoring including patients with a
removed IUCD entry after an
IUCD fitted entry; patients with Mirena fitted;
Abortive outcomes and termination
are now excluded from searches for women
currently pregnant; Rubella status
monitoring updated; Smoking, BP and hysterectomy
Read codes updated to nGMS
contract valid Read codes; BP, smoking, alcohol
and weight status now only search
for women taking hormone based contraceptives;
minimum age searched is now 14
years rather than 15 years. The upper age range
of 55 is inclusive rather than exclusive.
|
|
|
|
Breast Screening
(Version 1, 05/04/2005)
|
|
|
|
|
Knowsley
PCT
|
|
Adults With Learning Disabilities
|
|
|
|
|
27/11/08
Click
here to see the
Adults With Learning Disabilities User GuideAge Breakdown
(Version 1, 21/11/2008)
Ethnic Status
(Version 1, 21/11/2008)
LD and Breast
Screening
(Version 1, 21/11/2008)
LD and
Cervical Screening
(Version 1, 21/11/2008)
LD and Chronic
Disease
(Version 1, 21/11/2008)
LD and
Examination
(Version 1, 21/11/2008)
LD and
Health Assessment in the Last 15 Months
(Version 1, 21/11/2008)
LD and
Hearing
(Version 1, 21/11/2008)
LD and Lifestyle
(Version 1, 21/11/2008)
LD and
Referrals
(Version 1, 21/11/2008)
LD and Referrals in
the Last 15 Months
(Version 1, 21/11/2008)
LD and
Swallowing Difficulty
(Version 1, 21/11/2008)
LD and
Vision
(Version 1, 21/11/2008)
LD Diagnosis
(Version 1, 21/11/2008)
LD Offered Health
Education
(Version 1, 21/11/2008)
Severity of LD
(Version 1, 21/11/2008)
|
|
|
|
|
NHS
Grampian
|
|
Shared Care Drug Monitoring
|
|
|
|
|
Amidoarone
(Version 1, 21/11/2008)
Auranofin
(Version 1, 21/11/2008)
Azathioprine
(Version 1, 21/11/2008)
Ciclosporin
(Version 1, 21/11/2008)
Cyclophosphamide
(Version 1, 21/11/2008)
Leflunomide
(Version 1, 21/11/2008)
Lithium
(Version 1, 21/11/2008)
Methotrexate
(Version 1, 21/11/2008)
Mycophenolate
(Version 1, 21/11/2008)
Penicillamine
(Version 1, 21/11/2008)
Sodium Aurothiomalate
(Version 1, 21/11/2008)
Sulfasalazine
(Version 1, 21/11/2008)
Tacrolimus
(Version 1, 21/11/2008)
|
|
27/11/08
Click
here
to see the NHS Grampian Shared Care Drug
Monitoring User Guide
|
|
|
|
|
|
Norfolk
PCT
|
|
Preventative Procedures
|
|
LES Hib Catch-Up Programme for Young Children
(Version 1, 16/10/2008)
|
|
|
|
Near Patient Testing
|
|
Auranofin (Version
1, 26/09/2008)
Azathioprine (Version 1,
26/09/2008)
Ciclosporin
(Version 1, 26/09/2008)
Leflunomide
(Version 1, 26/09/2008)
Methotrexate
(Version 1, 26/09/2008)
Penicillamine
(Version 1, 26/09/2008)
Sodium Aurothiomalate
(Version 1, 26/09/2008)
Sulfasalazine
(Version 1, 26/09/2008)
26/09/08 This file contains all the above Clinical
Audits
Click
here to see the audit criteria in Word format
(26/09/08)
|
|
|
|
|
Northern Ireland
- Directed Enhanced
Services
|
|
04/04/08. This file contains all the Clinical Audits below this
level
Click
here to download the NI DES User Guide in Word format.
24/10/07
These audits have been written to assist practices as they try
to meet the requirements
of the Directed Enhanced Services in Northern Ireland for 2007-8. The
criteria has already been supplied
to practices by their Health Boards but some of this is included
in the accompanying User Guide,
which also contains the reporting documentation.Version 8.7
04/04/08
We have found a couple of problems with the Northern Ireland
Directed Enhanced Services audits.
We have fixed these and in order for your audits to reflect
these changes, the audits will have to be
re-imported and generated
Asthma (NI Long
Term Condition Monitoring)
1 Asthma Management in patients of all ages
(Version 8.7, 04/04/2008)
2 Asthma Management in patients 15 years and over
(Version 8.7, 04/04/2008)
3 Asthma Management in patients 0 - 14 years
(Version 8.7, 04/04/2008)
COPD (NI
Long Term Condition Monitoring)
1 All COPD Patients (H36%, H37%, H38%)
(Version 8.7, 04/04/2008)
2 Mild COPD (H36%)
(Version 8.7, 04/04/2008)
3 Moderate COPD (H37%)
(Version 8.7, 04/04/2008)
3 Severe COPD (H38%)
(Version 8.7, 04/04/2008)
Early
detection of morbidity (NI DES)
1 All patients
(Version 8.7, 04/04/2008)
2 Male patients aged 16-24 years
(Version 8.7, 04/04/2008)
3 Male patients aged 25+ years
(Version 8.7, 04/04/2008)
4 Female patients aged 16-24 years
(Version 8.7, 04/04/2008)
5 Female patients aged 25+ years
(Version 8.7, 04/04/2008)
|
|
|
|
|
|
|
Richmond
& Twickenham PCT
|
|
Cardiovascular System
|
|
Patient 40 - 74 yrs at high risk of developing CVD (Version 1,
18/08/2008)
|
|
Click
here
to see instructions and the audit criteria
|
|
|
|
|
|
Scottish
Audits
|
|
09/10/08 This file contains all the Clinical Audits below
this level
Click
here for the Scottish DES CVD User Guide (02/08/07), which
covers CVD Risk, New Carers, new Cancer and
Adults with Learning Disabilities
Click
here for more information.
|
|
|
Directed Enhanced Services - ALD
|
|
Adults with Learning Disabilities
(Version 1, 27/06/2006) |
|
|
ALD With Other Known Medical Conditions
(Version 1, 28/06/2006)
|
|
|
|
Directed Enhanced Services - Cancer
|
|
New Cancer Patients 01/04/2005 - 31/03/2006
(Version 1, 27/06/2006)
|
|
|
|
Directed Enhanced Services - Carers
|
|
Carers Register
(Version 2, 22/11/2006)
|
|
|
|
Directed Enhanced Services - CVD Risk
|
|
A
small audit has been written to identify patients with
incorrect Read codes for family history of CVD risk.
The correct Read codes are listed in the Scottish DES
User Guide - click
here. An updated Scottish DES
guideline with the correct Read codes can be downloaded
and imported - click
here
1.
CVD Risk Register as at April 2006
(Version 2, 02/05/2006) |
|
|
2.
CVD Risk Initial Data (01/04/2001 - 31/03/2006)
(Version 4, 23/01/2007) |
|
|
3.
CVD Risk Monitoring and Payment Report for 4/07
(Version 4, 23/01/2007) |
|
|
4.
CVD Risk Data Monitoring (all Patients 45y - 64y)
(Version 3,
12/12/2006)
Non-Specification Family
History of CHD Codes
(Version 1, 22/03/2007)
|
|
|
|
Directed Enhanced Services - 'Flu
|
|
27/11/08 This file contains all the Clinical Audits below
this level
|
|
|
Click
here
for the Scottish DES 'Flu 2008/9 User Guide (27/11/08)
'Flu Vaccine Uptake Return Nov 2008 - April 2009
Returns, and Influenza Vaccine Monitoring Audit
(Version 1, 19/11/2008)
|
|
|
|
Dundee CHP
|
|
CHP Reporting
(Version 5, 18/12/2007)
Click
here
for the Dundee CHP User Guide (08/01/08)
|
|
|
|
Keep Well Prevention 2010
|
|
13/10/08 This file contains all the Clinical Audits below
this level
Engagement Data All Postcodes
(Version 2, 18/01/2008)
Click
here for the Engagement Data
All Postcodes help file
(18/01/08)
Tayside
Engagement Data
(Version 3, 02/01/2008)
Click
here for the Keep Well Engagement Data help file
(08/01/08)
Aberdeen Engagement Data 2008
(Version 1, 17/09/2008)
Click
here
for the audit criteria (17/09/08)
|
|
|
|
Tayside Local Enhanced Services
|
|
Minor Surgery
(Version 4, 17/04/2008)
Click
here for the
Tayside Minor Surgery User Guide
(17/04/08)
|
|
|
|
Tayside Alcohol Local Enhanced Services
|
|
30/01/09 This file contains all the Clinical
Audits below this level
Alcohol LES Monitoring
(Version 1, 24/06/2008)
Alcohol LES
Quarterly Reports
(Version 1, 24/06/2008)
Patients <24y
01/01/2008 - 30/06/2008 Report
(Version 1, 24/06/2008)
Patients 25y-34y
01/01/2008 - 30/06/2008 Report
(Version 1, 24/06/2008)
Patients 35y-44y
1/01/2008 - 30/06/2008 Report
(Version 1, 24/06/2008)
Patients 45y-54y
01/01/2008 - 30/06/2008 Report
(Version 1, 24/06/2008)
Patients 55y-64y
01/01/2008 - 30/06/2008 Report
(Version 1, 24/06/2008)
Patients
65y-74y01/01/2008 - 30/06/2008 Report
(Version 1, 24/06/2008)
Patients >=75y
01/01/2008 - 30/06/2008 Report
(Version 1, 24/06/2008)
Patients <24y
01/07/2008 - 31/12/2008 Report
(Version 1, 07/01/2009)
Patients 25y-34y
01/07/2008 - 31/12/2008 Report
(Version 1, 07/01/2009)
Patients 35y-44y
1/07/2008 - 31/12/2008 Report
(Version 1, 07/01/2009)
Patients 45y-54y
01/07/2008 - 31/12/2008 Report
(Version 1, 07/01/2009)
Patients 55y-64y
01/07/2008 - 31/12/2008 Report
(Version 1, 07/01/2009)
Patients
65y-74y01/07/2008 - 31/12/2008 Report
(Version 1, 07/01/2009)
Patients >=75y
01/07/2008 - 31/12/2008 Report
(Version 1, 07/01/2009)
Click
here for the
Tayside Alcohol Local Enhanced Services User Guide
(30/01/09)
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St
Mark's Dee View Surgery
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Shared Care Drug Monitoring
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23/06/08 This file contains all the Clinical
Audits below this level
Click
here to see the audit criteria
Auranofin
(Version 1, 23/06/2008)
Ciclosporin
(Version 1, 23/06/2008)
Epoetin
(Version 1, 23/06/2008)
Leflunomide
(Version 1, 23/06/2008)
Methotrexate
(Version 1, 23/06/2008)
Methylphenidate
(Version 1, 23/06/2008)
Penicillamine
(Version 1, 23/06/2008)
Sodium Aurothiomalate
(Version 1, 23/06/2008)
Sulfasalazine
(Version 1, 23/06/2008)
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Welsh
Audits
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Enhanced Service for Diabetes Care
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Diabetes DES 2008 - 2009
(Version 1, 13/01/2009)
Click
here
to see the Welsh Diabetes ES Help File (31/03/09)
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that
will appear, to download any required file.