MH012 - HbA1c 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 blood glucose or HbA1c in the preceding 12 months. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the MH012 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 MH012, eligible patients must:
- have an HbA1c or glucose recorded in the contract year
What will remove patients from eligibility?
- Patients where serum fructosamine was recorded in the contract year with either no HbA1c ever, or the most recent HbA1c was before this contract year
- Patients for whom mental health quality indicator care was unsuitable in the contract year
- Patients who chose not to have a glucose test 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.
Serum fructosamine codes (SERFRUC_COD)
SNOMED code | SNOMED code description |
1006751000000102 | Serum fructosamine level |
13711000237108 | Substance concentration of fructosamine in serum |
14201000237100 | Substance concentration of fructosamine in plasma |
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 |
Codes indicating the patient has chosen not to receive a blood glucose test (GLUCDEC_COD)
SNOMED code | SNOMED code description |
698473004 | Blood glucose 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 |
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