MH007 - alcohol consumption for SMI
The information contained within this article is from version 49 of the Business Rules for Quality and Outcomes Framework (QOF).
Indicator definition
Indicator ID | Description |
The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 months. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the MH007 denominator if:
- they are on the Mental Health register (ie: have a diagnosis of psychosis, schizophrenia bipolar affective disorder)
- the most recent code relating to the diagnosis does not indicate that the patient is in remission
How to achieve the indicator
To meet the criteria for MH007, eligible patients must have:
- alcohol screening recorded within the contract year
What will remove patients from eligibility?
- Patients for whom mental health quality indicator care was unsuitable in the contract year
- Patients who chose not to have alcohol screening in the contract year
- Patients who chose not to receive mental health quality indicator care in the contract year
- Patients who have been invited twice (at least 7 days apart) for review
- Patients who were diagnosed with mental health in the last 3 months of the contract year
- Patients who were newly 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 mental health quality indicator care unsuitable for patient (MHPCAPU_COD)
SNOMED code | SNOMED code description |
716301000000102 | Excepted from mental health quality indicators - patient unsuitable |
Alcohol screening and assessment declined codes (ALCSCRNDEC_COD)
SNOMED code | SNOMED code description |
1104551000000109 | Declined to provide information about alcohol use |
361731000000101 | Alcohol assessment declined |
428073005 | Alcohol consumption screening test declined |
858861000000101 | Declines to state current alcohol consumption |
922471000000101 | Alcohol Use Disorders Identification Test declined |
Codes indicating the patient has chosen not to receive mental health quality indicator care (MHPCADEC_COD)
SNOMED code | SNOMED code description |
717051000000101 | Excepted from mental health quality indicators - informed dissent |
Invite mental health care review codes (MHINVITE_COD)
SNOMED code | SNOMED code description |
1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
1110951000000105 | Quality and Outcomes Framework mental health quality indicator-related care invitation |
143431000000108 | Quality and Outcomes Framework mental health quality indicator-related care invitation using preferred method of communication |
248551000000108 | Quality and Outcomes Framework mental health quality indicator-related care invitation using preferred method of communication |
414669002 | Mental health monitoring invitation |
| 414668005 | Mental health monitoring first letter |
414670001 | Mental health monitoring second letter |
414671002 | Mental health monitoring third letter |
416883000 | Mental health monitoring verbal invitation |
| 1084191000000101 | Mental health monitoring short message service text invitation |
Alcohol consumption codes (ALC_COD)
SNOMED code | SNOMED code description |
105542008 | Current non-drinker of alcohol (finding) |
1082631000000102 | Alcohol units consumed per day (observable entity) |
1082641000000106 | Alcohol units consumed per week (observable entity) |
10939881000119105 | Unhealthy alcohol drinking behavior (finding) |
160573003 | Alcohol intake (observable entity) |
160575005 | Light drinker - 1-2u/day (finding) |
160576006 | Moderate drinker - 3-6u/day (finding) |
160577002 | Heavy drinker - 7-9u/day (finding) |
160578007 | Very heavy drinker - greater than 9 units/day (finding) |
160579004 | Stopped drinking alcohol (finding) |
160582009 | Ex-trivial drinker - less than 1 unit/day (finding) |
160583004 | Ex-light drinker - (1-2u/day) (finding) |
160584005 | Ex-moderate drinker - (3-6u/d) (finding) |
160585006 | Ex-heavy drinker - (7-9u/day) (finding) |
160587003 | Ex-very heavy drinker - greater than 9 units/day (finding) |
160588008 | Drinker of hard liquor (finding) |
160589000 | Beer drinker (finding) |
160590009 | Drinks beer and hard liquor (finding) |
160591008 | Drinks wine (finding) |
160592001 | Alcohol intake above recommended sensible limits (finding) |
160593006 | Alcohol intake within recommended sensible limits (finding) |
198421000000108 | Hazardous alcohol use (finding) |
198431000000105 | Harmful alcohol use (finding) |
219006 | Current drinker of alcohol (finding) |
228274009 | Lifetime non-drinker (finding) |
228276006 | Occasional drinker (finding) |
228277002 | Light drinker (finding) |
228278007 | Fairly heavy drinker (finding) |
228279004 | Very heavy drinker (finding) |
228281002 | Problem drinker (finding) |
228315001 | Binge drinker (finding) |
228316000 | Alcoholic binges exceeding sensible amounts (finding) |
228317009 | Alcoholic binges exceeding safe amounts (finding) |
228326007 | Drinking binge (finding) |
230085005 | Beer intake (observable entity) |
230086006 | Wine intake (observable entity) |
230088007 | Hard liquor intake (observable entity) |
266917007 | Trivial drinker - <1u/day (finding) |
28127009 | Social drinker (finding) |
286857004 | Ex-problem drinker (finding) |
300939009 | Abstinent alcoholic (finding) |
43783005 | Moderate drinker (finding) |
442547005 | Number of alcohol units consumed on heaviest drinking day (observable entity) |
447087000 | Drinks alcoholic cider (finding) |
748381000000102 | Drinks real ale (finding) |
777631000000108 | Increasing risk alcohol drinking (finding) |
777651000000101 | Higher risk alcohol drinking (finding) |
777671000000105 | Lower risk alcohol drinking (finding) |
783261004 | Lifetime non-drinker of alcohol (finding) |
82581004 | Ex-drinker (finding) |
86933000 | Heavy drinker (finding) |
896792007 | Cider intake (observable entity) |
896807001 | Estimated volume of intake of alcoholic cider in 24 hours (observable entity) |
896808006 | Estimated volume of intake of wine in 24 hours (observable entity) |
896809003 | Estimated volume of intake of distilled spirits in 24 hours (observable entity) |
896812000 | Estimated volume of intake of beer in 24 hours (observable entity) |
897148007 | Alcoholic beverage intake (observable entity) |
926322008 | Intake of distilled spirits (observable entity) |
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