DEM004 - Dementia care plan review

The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD). Not all of these may be present or selectable in all clinical systems.

The information contained within this article is from version 50 of the Business Rules for Quality and Outcomes Framework (QOF).

Indicator definition

Indicator ID	Description
DEM004	The percentage of patients diagnosed with dementia whose care plan has been reviewed in the preceding 12 months.

What do the business rules mean?

What makes a patient eligible?

In order to be included in the denominator (patients who are eligible for a dementia care plan review), patients must be on the Dementia register.

How to achieve the indicator

To meet the criteria for DEM004, eligible patients must have had:

A dementia care plan or dementia care plan review code within the contract year after the date of dementia diagnosis

What will remove patients from eligibility?

Coded Dementia quality indicator care was unsuitable in the contract year
Patients chose not to receive Dementia care plan or care plan review in the contract year
Patients chose not to receive Dementia quality indicator care in the contract year
Patients who have been invited twice for review at least 7 days apart during the contract year
Patients who were diagnosed with dementia in the last 3 months of the contract year
Patients who were registered with the practice in the last 3 months of the contract year

If a patient achieves the indicator at any point during the year, any exclusions that have also been added are ignored.

SNOMED codes used in this indicator

The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD). Not all of these may be present or selectable in all clinical systems.

Codes for dementia quality indicator care unsuitable for patient (DEMPCAPU_COD)

SNOMED code	SNOMED code description
716341000000104	Excepted from dementia quality indicators - patient unsuitable

Codes indicating the patient has chosen not to receive dementia care plan (DEMCPDEC_COD)

SNOMED code	SNOMED code description
1098271000000104	Dementia advance care planning declined
956881000000103	Dementia care plan declined

Codes indicating the patient has chosen not to receive dementia care plan review (DEMCPRVWDEC_COD)

SNOMED code	SNOMED code description
1095101000000106	Offer of dementia advance care planning review declined
956901000000100	Dementia care plan review declined
959461000000102	Dementia advance care plan review declined

Codes indicating the patient has chosen not to receive dementia quality indicator care (DEMPCADEC_COD)

SNOMED code	SNOMED code description
716131000000105	Excepted from dementia quality indicators - informed dissent

Invite for dementia care review codes (DEMINVITE_COD)

SNOMED code	SNOMED code description
1109921000000106	Quality and Outcomes Framework quality indicator-related care invitation
1110901000000109	Quality and Outcomes Framework dementia quality indicator-related care invitation
143381000000102	Quality and Outcomes Framework dementia quality indicator-related care invitation using preferred method of communication
711441000000100	Dementia monitoring invitation
716991000000108	Dementia monitoring telephone invitation
716221000000104	Dementia monitoring verbal invitation
715821000000107	Dementia monitoring first letter
717471000000101	Dementia monitoring second letter
716671000000102	Dementia monitoring third letter

Dementia care plan codes (DEMCP_COD)

SNOMED code	SNOMED code description
1095121000000102	Dementia advance care plan agreed
956841000000106	Dementia care plan agreed

Dementia care plan review codes (DEMCPRVW_COD)

SNOMED code	SNOMED code description
1095111000000108	Review of dementia advance care plan
1148161000000104	Review of dementia care plan
956861000000107	Dementia care plan reviewed