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Research article:
Withdrawing Performance Indicators: Retrospective Analysis of General Practice Performance Under the UKs Quality and Outcomes Framework
Reference:
Kontopantelis, Evangelos; Springate, David; Reeves, David; Ashcroft, Darren; Valderas, Jose M; Doran, Tim(2014) Withdrawing Performance Indicators: Retrospective Analysis of General Practice Performance Under the UKs Quality and Outcomes Framework. British Medical Journal, doi: http://dx.doi.org/10.1136/bmj.g330
- Link to fulltext article
- Abstract
- Objectives: To investigate the effect of withdrawing incentives on recorded quality of care, in the context of the UK Quality and Outcomes Framework pay-for-performance scheme. Design: Retrospective longitudinal study. Setting: Data for 644 general practices, from 2004/5 to 2011/12, extracted from the Clinical Practice Research Datalink. Participants: All patients registered with any of the practices over the study period, 13,772,992 in total. Intervention: The removal of financial incentives for aspects of care for patients with asthma, coronary heart disease, diabetes, stroke and psychosis. Main outcome measures: Performance on eight clinical quality indicators withdrawn from a national incentive scheme: influenza immunisation (asthma) and lithium therapy monitoring (psychosis), removed in April 2006; blood pressure monitoring (coronary heart disease, diabetes, stroke), cholesterol level monitoring (coronary heart disease, diabetes) and blood glucose monitoring (diabetes), removed in April 2011. Multilevel mixed effects multiple linear regression models were used to quantify the effect of incentive withdrawal. Results: Mean levels of performance were generally stable after the removal of the incentives, both short- and long-term. For the two indicators removed in April 2006/7, levels in 2011/12 were very close to 2005/6 levels, although a small but statistically significant drop was estimated for influenza immunisation. For five of the six indicators withdrawn in from April 2011/12, there was no significant impact on performance in that year following removal and differences between predicted and observed scores were small. Performance on related outcome indicators retained in the scheme (e.g. blood pressure control) was generally unaffected. Conclusions: Following the removal of incentives, levels of performance across a range of clinical activities generally remained stable. This indicates that health benefits from incentive schemes can potentially be increased by periodically replacing existing indicators with new indicators relating to alternative aspects of care. However, most of the aspects of care we investigated remained indirectly incentivised and further work is required to assess the generalisability of the findings when incentives are fully withdrawn.
- Author for correspondence
- Evangelos Kontopantelis
- Email for correspondence
- e.kontopantelis@manchester.ac.uk
Code list: Diabetes
256 codes in list
| Code | Coding system | Description | Entity type | List name | |||
|---|---|---|---|---|---|---|---|
| 66A3.00 | Read | Diabetic on diet only | diagnostic | Diabetes | |||
| 66A4.00 | Read | Diabetic on oral treatment | diagnostic | Diabetes | |||
| 66A5.00 | Read | Diabetic on insulin | diagnostic | Diabetes | |||
| 66AI.00 | Read | Diabetic - good control | diagnostic | Diabetes | |||
| 66AJ.00 | Read | Diabetic - poor control | diagnostic | Diabetes | |||
| 66AJ100 | Read | Brittle diabetes | diagnostic | Diabetes | |||
| 66AJ.11 | Read | Unstable diabetes | diagnostic | Diabetes | |||
| 66AJz00 | Read | Diabetic - poor control NOS | diagnostic | Diabetes | |||
| 66AK.00 | Read | Diabetic - cooperative patient | diagnostic | Diabetes | |||
| 66AL.00 | Read | Diabetic-uncooperative patient | diagnostic | Diabetes | |||
| 66AV.00 | Read | Diabetic on insulin and oral treatment | diagnostic | Diabetes | |||
| C10..00 | Read | Diabetes mellitus | diagnostic | Diabetes | |||
| C100.00 | Read | Diabetes mellitus with no mention of complication | diagnostic | Diabetes | |||
| C100000 | Read | Diabetes mellitus; juvenile type; no mention of complication | diagnostic | Diabetes | |||
| C100011 | Read | Insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C100100 | Read | Diabetes mellitus; adult onset; no mention of complication | diagnostic | Diabetes | |||
| C100111 | Read | Maturity onset diabetes | diagnostic | Diabetes | |||
| C100112 | Read | Non-insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C100z00 | Read | Diabetes mellitus NOS with no mention of complication | diagnostic | Diabetes | |||
| C101.00 | Read | Diabetes mellitus with ketoacidosis | diagnostic | Diabetes | |||
| C101000 | Read | Diabetes mellitus; juvenile type; with ketoacidosis | diagnostic | Diabetes | |||
| C101100 | Read | Diabetes mellitus; adult onset; with ketoacidosis | diagnostic | Diabetes | |||
| C101y00 | Read | Other specified diabetes mellitus with ketoacidosis | diagnostic | Diabetes | |||
| C101z00 | Read | Diabetes mellitus NOS with ketoacidosis | diagnostic | Diabetes | |||
| C102.00 | Read | Diabetes mellitus with hyperosmolar coma | diagnostic | Diabetes | |||
| C102000 | Read | Diabetes mellitus; juvenile type; with hyperosmolar coma | diagnostic | Diabetes | |||
| C102100 | Read | Diabetes mellitus; adult onset; with hyperosmolar coma | diagnostic | Diabetes | |||
| C102z00 | Read | Diabetes mellitus NOS with hyperosmolar coma | diagnostic | Diabetes | |||
| C103.00 | Read | Diabetes mellitus with ketoacidotic coma | diagnostic | Diabetes | |||
| C103000 | Read | Diabetes mellitus; juvenile type; with ketoacidotic coma | diagnostic | Diabetes | |||
| C103100 | Read | Diabetes mellitus; adult onset; with ketoacidotic coma | diagnostic | Diabetes | |||
| C103y00 | Read | Other specified diabetes mellitus with coma | diagnostic | Diabetes | |||
| C103z00 | Read | Diabetes mellitus NOS with ketoacidotic coma | diagnostic | Diabetes | |||
| C104.00 | Read | Diabetes mellitus with renal manifestation | diagnostic | Diabetes | |||
| C104000 | Read | Diabetes mellitus; juvenile type; with renal manifestation | diagnostic | Diabetes | |||
| C104100 | Read | Diabetes mellitus; adult onset; with renal manifestation | diagnostic | Diabetes | |||
| C104y00 | Read | Other specified diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C104z00 | Read | Diabetes mellitis with nephropathy NOS | diagnostic | Diabetes | |||
| C105.00 | Read | Diabetes mellitus with ophthalmic manifestation | diagnostic | Diabetes | |||
| C105000 | Read | Diabetes mellitus; juvenile type; + ophthalmic manifestation | diagnostic | Diabetes | |||
| C105100 | Read | Diabetes mellitus; adult onset; + ophthalmic manifestation | diagnostic | Diabetes | |||
| C105y00 | Read | Other specified diabetes mellitus with ophthalmic complicatn | diagnostic | Diabetes | |||
| C105z00 | Read | Diabetes mellitus NOS with ophthalmic manifestation | diagnostic | Diabetes | |||
| C106.00 | Read | Diabetes mellitus with neurological manifestation | diagnostic | Diabetes | |||
| C106000 | Read | Diabetes mellitus; juvenile; + neurological manifestation | diagnostic | Diabetes | |||
| C106100 | Read | Diabetes mellitus; adult onset; + neurological manifestation | diagnostic | Diabetes | |||
| C106.12 | Read | Diabetes mellitus with neuropathy | diagnostic | Diabetes | |||
| C106.13 | Read | Diabetes mellitus with polyneuropathy | diagnostic | Diabetes | |||
| C106y00 | Read | Other specified diabetes mellitus with neurological comps | diagnostic | Diabetes | |||
| C106z00 | Read | Diabetes mellitus NOS with neurological manifestation | diagnostic | Diabetes | |||
| C107.00 | Read | Diabetes mellitus with peripheral circulatory disorder | diagnostic | Diabetes | |||
| C107000 | Read | Diabetes mellitus; juvenile +peripheral circulatory disorder | diagnostic | Diabetes | |||
| C107100 | Read | Diabetes mellitus; adult; + peripheral circulatory disorder | diagnostic | Diabetes | |||
| C107.11 | Read | Diabetes mellitus with gangrene | diagnostic | Diabetes | |||
| C107.12 | Read | Diabetes with gangrene | diagnostic | Diabetes | |||
| C107200 | Read | Diabetes mellitus; adult with gangrene | diagnostic | Diabetes | |||
| C107300 | Read | IDDM with peripheral circulatory disorder | diagnostic | Diabetes | |||
| C107400 | Read | NIDDM with peripheral circulatory disorder | diagnostic | Diabetes | |||
| C107z00 | Read | Diabetes mellitus NOS with peripheral circulatory disorder | diagnostic | Diabetes | |||
| C108.00 | Read | Insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C108000 | Read | Insulin-dependent diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C108011 | Read | Type I diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C108012 | Read | Type 1 diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C108100 | Read | Insulin-dependent diabetes mellitus with ophthalmic comps | diagnostic | Diabetes | |||
| C108.11 | Read | IDDM-Insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C108.12 | Read | Type 1 diabetes mellitus | diagnostic | Diabetes | |||
| C108.13 | Read | Type I diabetes mellitus | diagnostic | Diabetes | |||
| C108200 | Read | Insulin-dependent diabetes mellitus with neurological comps | diagnostic | Diabetes | |||
| C108211 | Read | Type I diabetes mellitus with neurological complications | diagnostic | Diabetes | |||
| C108212 | Read | Type 1 diabetes mellitus with neurological complications | diagnostic | Diabetes | |||
| C108300 | Read | Insulin dependent diabetes mellitus with multiple complicatn | diagnostic | Diabetes | |||
| C108400 | Read | Unstable insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C108411 | Read | Unstable type I diabetes mellitus | diagnostic | Diabetes | |||
| C108500 | Read | Insulin dependent diabetes mellitus with ulcer | diagnostic | Diabetes | |||
| C108511 | Read | Type I diabetes mellitus with ulcer | diagnostic | Diabetes | |||
| C108600 | Read | Insulin dependent diabetes mellitus with gangrene | diagnostic | Diabetes | |||
| C108700 | Read | Insulin dependent diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C108711 | Read | Type I diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C108712 | Read | Type 1 diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C108800 | Read | Insulin dependent diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C108811 | Read | Type I diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C108812 | Read | Type 1 diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C108900 | Read | Insulin dependent diabetes maturity onset | diagnostic | Diabetes | |||
| C108911 | Read | Type I diabetes mellitus maturity onset | diagnostic | Diabetes | |||
| C108A00 | Read | Insulin-dependent diabetes without complication | diagnostic | Diabetes | |||
| C108B00 | Read | Insulin dependent diabetes mellitus with mononeuropathy | diagnostic | Diabetes | |||
| C108B11 | Read | Type I diabetes mellitus with mononeuropathy | diagnostic | Diabetes | |||
| C108C00 | Read | Insulin dependent diabetes mellitus with polyneuropathy | diagnostic | Diabetes | |||
| C108D00 | Read | Insulin dependent diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C108D11 | Read | Type I diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C108E00 | Read | Insulin dependent diabetes mellitus with hypoglycaemic coma | diagnostic | Diabetes | |||
| C108E11 | Read | Type I diabetes mellitus with hypoglycaemic coma | diagnostic | Diabetes | |||
| C108E12 | Read | Type 1 diabetes mellitus with hypoglycaemic coma | diagnostic | Diabetes | |||
| C108F00 | Read | Insulin dependent diabetes mellitus with diabetic cataract | diagnostic | Diabetes | |||
| C108F11 | Read | Type I diabetes mellitus with diabetic cataract | diagnostic | Diabetes | |||
| C108G00 | Read | Insulin dependent diab mell with peripheral angiopathy | diagnostic | Diabetes | |||
| C108H00 | Read | Insulin dependent diabetes mellitus with arthropathy | diagnostic | Diabetes | |||
| C108H11 | Read | Type I diabetes mellitus with arthropathy | diagnostic | Diabetes | |||
| C108J00 | Read | Insulin dependent diab mell with neuropathic arthropathy | diagnostic | Diabetes | |||
| C108J12 | Read | Type 1 diabetes mellitus with neuropathic arthropathy | diagnostic | Diabetes | |||
| C108y00 | Read | Other specified diabetes mellitus with multiple comps | diagnostic | Diabetes | |||
| C108z00 | Read | Unspecified diabetes mellitus with multiple complications | diagnostic | Diabetes | |||
| C109.00 | Read | Non-insulin-dependent diabetes mellitus | diagnostic | Diabetes | |||
| C109000 | Read | Non-insulin-dependent diabetes mellitus with renal comps | diagnostic | Diabetes | |||
| C109011 | Read | Type II diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C109012 | Read | Type 2 diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C109100 | Read | Non-insulin-dependent diabetes mellitus with ophthalm comps | diagnostic | Diabetes | |||
| C109.11 | Read | NIDDM - Non-insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C109111 | Read | Type II diabetes mellitus with ophthalmic complications | diagnostic | Diabetes | |||
| C109112 | Read | Type 2 diabetes mellitus with ophthalmic complications | diagnostic | Diabetes | |||
| C109.12 | Read | Type 2 diabetes mellitus | diagnostic | Diabetes | |||
| C109.13 | Read | Type II diabetes mellitus | diagnostic | Diabetes | |||
| C109200 | Read | Non-insulin-dependent diabetes mellitus with neuro comps | diagnostic | Diabetes | |||
| C109211 | Read | Type II diabetes mellitus with neurological complications | diagnostic | Diabetes | |||
| C109212 | Read | Type 2 diabetes mellitus with neurological complications | diagnostic | Diabetes | |||
| C109300 | Read | Non-insulin-dependent diabetes mellitus with multiple comps | diagnostic | Diabetes | |||
| C109400 | Read | Non-insulin dependent diabetes mellitus with ulcer | diagnostic | Diabetes | |||
| C109411 | Read | Type II diabetes mellitus with ulcer | diagnostic | Diabetes | |||
| C109412 | Read | Type 2 diabetes mellitus with ulcer | diagnostic | Diabetes | |||
| C109500 | Read | Non-insulin dependent diabetes mellitus with gangrene | diagnostic | Diabetes | |||
| C109511 | Read | Type II diabetes mellitus with gangrene | diagnostic | Diabetes | |||
| C109600 | Read | Non-insulin-dependent diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C109611 | Read | Type II diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C109612 | Read | Type 2 diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C109700 | Read | Non-insulin dependant diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C109711 | Read | Type II diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C109712 | Read | Type 2 diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C109900 | Read | Non-insulin-dependent diabetes mellitus without complication | diagnostic | Diabetes | |||
| C109A00 | Read | Non-insulin dependent diabetes mellitus with mononeuropathy | diagnostic | Diabetes | |||
| C109A11 | Read | Type II diabetes mellitus with mononeuropathy | diagnostic | Diabetes | |||
| C109B00 | Read | Non-insulin dependent diabetes mellitus with polyneuropathy | diagnostic | Diabetes | |||
| C109B11 | Read | Type II diabetes mellitus with polyneuropathy | diagnostic | Diabetes | |||
| C109C00 | Read | Non-insulin dependent diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C109C11 | Read | Type II diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C109C12 | Read | Type 2 diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C109D00 | Read | Non-insulin dependent diabetes mellitus with hypoglyca coma | diagnostic | Diabetes | |||
| C109D11 | Read | Type II diabetes mellitus with hypoglycaemic coma | diagnostic | Diabetes | |||
| C109D12 | Read | Type 2 diabetes mellitus with hypoglycaemic coma | diagnostic | Diabetes | |||
| C109E00 | Read | Non-insulin depend diabetes mellitus with diabetic cataract | diagnostic | Diabetes | |||
| C109E11 | Read | Type II diabetes mellitus with diabetic cataract | diagnostic | Diabetes | |||
| C109E12 | Read | Type 2 diabetes mellitus with diabetic cataract | diagnostic | Diabetes | |||
| C109F00 | Read | Non-insulin-dependent d m with peripheral angiopath | diagnostic | Diabetes | |||
| C109F11 | Read | Type II diabetes mellitus with peripheral angiopathy | diagnostic | Diabetes | |||
| C109F12 | Read | Type 2 diabetes mellitus with peripheral angiopathy | diagnostic | Diabetes | |||
| C109G00 | Read | Non-insulin dependent diabetes mellitus with arthropathy | diagnostic | Diabetes | |||
| C109G11 | Read | Type II diabetes mellitus with arthropathy | diagnostic | Diabetes | |||
| C109G12 | Read | Type 2 diabetes mellitus with arthropathy | diagnostic | Diabetes | |||
| C109H00 | Read | Non-insulin dependent d m with neuropathic arthropathy | diagnostic | Diabetes | |||
| C109H11 | Read | Type II diabetes mellitus with neuropathic arthropathy | diagnostic | Diabetes | |||
| C109H12 | Read | Type 2 diabetes mellitus with neuropathic arthropathy | diagnostic | Diabetes | |||
| C109J00 | Read | Insulin treated Type 2 diabetes mellitus | diagnostic | Diabetes | |||
| C109J11 | Read | Insulin treated non-insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C109J12 | Read | Insulin treated Type II diabetes mellitus | diagnostic | Diabetes | |||
| C109K00 | Read | Hyperosmolar non-ketotic state in type 2 diabetes mellitus | diagnostic | Diabetes | |||
| C10C.00 | Read | Diabetes mellitus autosomal dominant | diagnostic | Diabetes | |||
| C10C.11 | Read | Maturity onset diabetes in youth | diagnostic | Diabetes | |||
| C10D.00 | Read | Diabetes mellitus autosomal dominant type 2 | diagnostic | Diabetes | |||
| C10D.11 | Read | Maturity onset diabetes in youth type 2 | diagnostic | Diabetes | |||
| C10E.00 | Read | Type 1 diabetes mellitus | diagnostic | Diabetes | |||
| C10E000 | Read | Type 1 diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C10E100 | Read | Type 1 diabetes mellitus with ophthalmic complications | diagnostic | Diabetes | |||
| C10E.11 | Read | Type I diabetes mellitus | diagnostic | Diabetes | |||
| C10E.12 | Read | Insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C10E200 | Read | Type 1 diabetes mellitus with neurological complications | diagnostic | Diabetes | |||
| C10E300 | Read | Type 1 diabetes mellitus with multiple complications | diagnostic | Diabetes | |||
| C10E312 | Read | Insulin dependent diabetes mellitus with multiple complicat | diagnostic | Diabetes | |||
| C10E400 | Read | Unstable type 1 diabetes mellitus | diagnostic | Diabetes | |||
| C10E411 | Read | Unstable type I diabetes mellitus | diagnostic | Diabetes | |||
| C10E412 | Read | Unstable insulin dependent diabetes mellitus | diagnostic | Diabetes | |||
| C10E500 | Read | Type 1 diabetes mellitus with ulcer | diagnostic | Diabetes | |||
| C10E600 | Read | Type 1 diabetes mellitus with gangrene | diagnostic | Diabetes | |||
| C10E700 | Read | Type 1 diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C10E800 | Read | Type 1 diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C10E812 | Read | Insulin dependent diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C10E900 | Read | Type 1 diabetes mellitus maturity onset | diagnostic | Diabetes | |||
| C10EA00 | Read | Type 1 diabetes mellitus without complication | diagnostic | Diabetes | |||
| C10EA11 | Read | Type I diabetes mellitus without complication | diagnostic | Diabetes | |||
| C10EB00 | Read | Type 1 diabetes mellitus with mononeuropathy | diagnostic | Diabetes | |||
| C10EC00 | Read | Type 1 diabetes mellitus with polyneuropathy | diagnostic | Diabetes | |||
| C10ED00 | Read | Type 1 diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C10EE00 | Read | Type 1 diabetes mellitus with hypoglycaemic coma | diagnostic | Diabetes | |||
| C10EF00 | Read | Type 1 diabetes mellitus with diabetic cataract | diagnostic | Diabetes | |||
| C10EG00 | Read | Type 1 diabetes mellitus with peripheral angiopathy | diagnostic | Diabetes | |||
| C10EH00 | Read | Type 1 diabetes mellitus with arthropathy | diagnostic | Diabetes | |||
| C10EJ00 | Read | Type 1 diabetes mellitus with neuropathic arthropathy | diagnostic | Diabetes | |||
| C10EK00 | Read | Type 1 diabetes mellitus with persistent proteinuria | diagnostic | Diabetes | |||
| C10EL00 | Read | Type 1 diabetes mellitus with persistent microalbuminuria | diagnostic | Diabetes | |||
| C10EM00 | Read | Type 1 diabetes mellitus with ketoacidosis | diagnostic | Diabetes | |||
| C10EM11 | Read | Type I diabetes mellitus with ketoacidosis | diagnostic | Diabetes | |||
| C10EN00 | Read | Type 1 diabetes mellitus with ketoacidotic coma | diagnostic | Diabetes | |||
| C10EN11 | Read | Type I diabetes mellitus with ketoacidotic coma | diagnostic | Diabetes | |||
| C10EP00 | Read | Type 1 diabetes mellitus with exudative maculopathy | diagnostic | Diabetes | |||
| C10EQ00 | Read | Type 1 diabetes mellitus with gastroparesis | diagnostic | Diabetes | |||
| C10F.00 | Read | Type 2 diabetes mellitus | diagnostic | Diabetes | |||
| C10F000 | Read | Type 2 diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C10F011 | Read | Type II diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| C10F100 | Read | Type 2 diabetes mellitus with ophthalmic complications | diagnostic | Diabetes | |||
| C10F.11 | Read | Type II diabetes mellitus | diagnostic | Diabetes | |||
| C10F200 | Read | Type 2 diabetes mellitus with neurological complications | diagnostic | Diabetes | |||
| C10F300 | Read | Type 2 diabetes mellitus with multiple complications | diagnostic | Diabetes | |||
| C10F311 | Read | Type II diabetes mellitus with multiple complications | diagnostic | Diabetes | |||
| C10F400 | Read | Type 2 diabetes mellitus with ulcer | diagnostic | Diabetes | |||
| C10F500 | Read | Type 2 diabetes mellitus with gangrene | diagnostic | Diabetes | |||
| C10F511 | Read | Type II diabetes mellitus with gangrene | diagnostic | Diabetes | |||
| C10F600 | Read | Type 2 diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C10F611 | Read | Type II diabetes mellitus with retinopathy | diagnostic | Diabetes | |||
| C10F700 | Read | Type 2 diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C10F711 | Read | Type II diabetes mellitus - poor control | diagnostic | Diabetes | |||
| C10F900 | Read | Type 2 diabetes mellitus without complication | diagnostic | Diabetes | |||
| C10F911 | Read | Type II diabetes mellitus without complication | diagnostic | Diabetes | |||
| C10FA00 | Read | Type 2 diabetes mellitus with mononeuropathy | diagnostic | Diabetes | |||
| C10FB00 | Read | Type 2 diabetes mellitus with polyneuropathy | diagnostic | Diabetes | |||
| C10FB11 | Read | Type II diabetes mellitus with polyneuropathy | diagnostic | Diabetes | |||
| C10FC00 | Read | Type 2 diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C10FC11 | Read | Type II diabetes mellitus with nephropathy | diagnostic | Diabetes | |||
| C10FD00 | Read | Type 2 diabetes mellitus with hypoglycaemic coma | diagnostic | Diabetes | |||
| C10FE00 | Read | Type 2 diabetes mellitus with diabetic cataract | diagnostic | Diabetes | |||
| C10FF00 | Read | Type 2 diabetes mellitus with peripheral angiopathy | diagnostic | Diabetes | |||
| C10FG00 | Read | Type 2 diabetes mellitus with arthropathy | diagnostic | Diabetes | |||
| C10FH00 | Read | Type 2 diabetes mellitus with neuropathic arthropathy | diagnostic | Diabetes | |||
| C10FJ00 | Read | Insulin treated Type 2 diabetes mellitus | diagnostic | Diabetes | |||
| C10FJ11 | Read | Insulin treated Type II diabetes mellitus | diagnostic | Diabetes | |||
| C10FK00 | Read | Hyperosmolar non-ketotic state in type 2 diabetes mellitus | diagnostic | Diabetes | |||
| C10FL00 | Read | Type 2 diabetes mellitus with persistent proteinuria | diagnostic | Diabetes | |||
| C10FL11 | Read | Type II diabetes mellitus with persistent proteinuria | diagnostic | Diabetes | |||
| C10FM00 | Read | Type 2 diabetes mellitus with persistent microalbuminuria | diagnostic | Diabetes | |||
| C10FN00 | Read | Type 2 diabetes mellitus with ketoacidosis | diagnostic | Diabetes | |||
| C10FP00 | Read | Type 2 diabetes mellitus with ketoacidotic coma | diagnostic | Diabetes | |||
| C10FQ00 | Read | Type 2 diabetes mellitus with exudative maculopathy | diagnostic | Diabetes | |||
| C10FR00 | Read | Type 2 diabetes mellitus with gastroparesis | diagnostic | Diabetes | |||
| C10G.00 | Read | Secondary pancreatic diabetes mellitus | diagnostic | Diabetes | |||
| C10G000 | Read | Secondary pancreatic diabetes mellitus without complication | diagnostic | Diabetes | |||
| C10y.00 | Read | Diabetes mellitus with other specified manifestation | diagnostic | Diabetes | |||
| C10y100 | Read | Diabetes mellitus; adult; + other specified manifestation | diagnostic | Diabetes | |||
| C10yy00 | Read | Other specified diabetes mellitus with other spec comps | diagnostic | Diabetes | |||
| C10yz00 | Read | Diabetes mellitus NOS with other specified manifestation | diagnostic | Diabetes | |||
| C10z.00 | Read | Diabetes mellitus with unspecified complication | diagnostic | Diabetes | |||
| C10z000 | Read | Diabetes mellitus; juvenile type; + unspecified complication | diagnostic | Diabetes | |||
| C10z100 | Read | Diabetes mellitus; adult onset; + unspecified complication | diagnostic | Diabetes | |||
| C10zy00 | Read | Other specified diabetes mellitus with unspecified comps | diagnostic | Diabetes | |||
| C10zz00 | Read | Diabetes mellitus NOS with unspecified complication | diagnostic | Diabetes | |||
| Cyu2.00 | Read | [X]Diabetes mellitus | diagnostic | Diabetes | |||
| Cyu2000 | Read | [X]Other specified diabetes mellitus | diagnostic | Diabetes | |||
| Cyu2300 | Read | [X]Unspecified diabetes mellitus with renal complications | diagnostic | Diabetes | |||
| L180500 | Read | Pre-existing diabetes mellitus; insulin-dependent | diagnostic | Diabetes | |||
| L180600 | Read | Pre-existing diabetes mellitus; non-insulin-dependent | diagnostic | Diabetes | |||
| L180X00 | Read | Pre-existing diabetes mellitus; unspecified | diagnostic | Diabetes | |||
| 250 A | OXMIS | SUGAR DIABETES | diagnostic | Diabetes | |||
| 250 AA | OXMIS | NIDDM (NON-INSULIN DEPENDENT DIABETES) | diagnostic | Diabetes | |||
| 250 AD | OXMIS | DIABETES MELLITUS INSULIN DEPENDANT | diagnostic | Diabetes | |||
| 250 AK | OXMIS | MATURITY ONSET DIABETES MELLITUS INSULIN | diagnostic | Diabetes | |||
| 250 AL | OXMIS | MATURITY ONSET DIABETES(MELLITUS) NON-IN | diagnostic | Diabetes | |||
| 250 AM | OXMIS | MATURITY ONSET DIABETES (MELLITUS) | diagnostic | Diabetes | |||
| 250 AN | OXMIS | DIABETES | diagnostic | Diabetes | |||
| 250 NT | OXMIS | UNSTABLE DIABETIC | diagnostic | Diabetes | |||
| 250 PG | OXMIS | DIABETES PREGNANCY | diagnostic | Diabetes |
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ClinicalCodes is a project at the University of Manchester Institute of Population Health
The ClinicalCodes project is funded by the National Institute for Health Research (NIHR) School for Primary Care Research (SPCR)
Codes used to identify patients with diabetes. Diabetes is treated as a chronic condition. Patients with any codes from this list prior to the end of a given QOF year are included for that year.