OB004 – Referral Within 90 Days of Raised BMI

OB004 – Referral Within 90 Days of Raised BMI

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 51 of the Business Rules for Quality and Outcomes Framework (QOF).                                                                                  

Indicator definition

Indicator ID

Description

OB004

The percentage of patients aged 18 years or over living with obesity, appropriately adjusted for ethnicity in line with NICE guidelines (either with a BMI greater than or equal to 30 kg/m2 recorded in the preceding 12 months, or a BMI greater than or equal to 27.5 kg/m2 recorded in the preceding 12 months for patients with a South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean family background), who have been referred to a weight management programme within 90 days of the BMI being recorded.

What do the business rules mean?

What makes a patient eligible?

In order to be included in the denominator (patients who are eligible for the indicator), patients must:
  1. Be on the Obesity register, meaning:
    1. Be 18 years old or over
    2. in the contract year (these are to be referred to as "raised BMI" from herein):
      1. Have a BMI of more than or equal to 27.5 kg/m2 with a South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean family background
      2. Have a BMI of more than or equal to 30 kg/m2 otherwise

How to achieve the indicator

Patients must have had one of the following in the period spanning the 93 days (3 months) before or after a recorded raised BMI
  1. have a weight management referral within 90 days of a raised BMI within the contract year
  2. have a weight management referral within 90 days of a raised BMI that was within the last contract year and
    1. the referral is within 90 days of that BMI and within current contract year
    2. had not already achieved in the previous contract year

What will remove patients from eligibility?

  1. Where a weight management service was unavailable in the contract year
  2. Patients for whom a weight management programme was unsuitable in the contract year
  3. Patients for whom obesity quality indicator care was unsuitable in the contract year
  4. Patients who chose not to be referred in the contract year
  5. Patients who have chosen not to receive any obesity quality indicator care in the contract year
  6. Patients who have been invited twice at least 7 days apart
  7. Patients who had their raised BMI within 90 days of the end of the contract year, didn't achieve the indicator and didn't have a PCA for it in the previous contract year
  8. 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

WarningThe 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.

Weight Management Referral Codes (WTMGREF_COD)

CodeDisplay
1025321000000109Referral to NHS Diabetes Prevention Programme
1402911000000108Referral to NHS Digital Weight Management Programme
1239571000000105Referral to total diet replacement programme
1326201000000101Referral to weight management service
771491000000104Referral to local authority weight management programme

Weight management service was unavailable codes (WTMGSU_COD)

CodeDisplay
1326221000000105Weight management service not available

Weight management  programme unsuitable codes (WTMGPU_COD)

CodeDisplay
781511000000104Unsuitable for weight management programme

Obesity Quality Indicator Unsuitable codes (OBPCAPU_COD)

CodeDisplay
753751000000103Excepted from obesity quality indicators - patient unsuitable

Chose not to be referred to weight management programme codes (WTMGREFDEC_COD)

CodeDisplay
506171000000109Referral to weight management service declined

Chose not to receive Obesity quality indicator care codes (OBPCADEC_COD)

CodeDisplay
753771000000107Excepted from obesity quality indicators - informed dissent

Patients who have been invited twice for an Obesity review at least 7 days apart (OBINVITE_COD)

CodeDisplay
310428009Obesity monitoring invitation
185747003Obesity monitoring verbal invite
1109921000000106QOF (Quality and Outcomes Framework) quality indicator-related care invitation
185748008Obesity monitoring telephone invite