Ardens have developed a number of resources to support practices achieving the PCN DES requirements for 2020/21. For further information on this, please click here. The following support article outlines different searches available to support the latest requirements. 


To access the searches, navigate to the Population Reporting module > Ardens Searches > Ardens National Cntrct Reports > Contracts I Current Financial Year I PCN DES folders.


This folder is broken down by sub folders for each requirement of the PCN DES for this current financial year (2020/21):



Please note - if you can not see the following folder in your EMIS system, please download from the Ardens Portal. Alternatively, you will be automatically updated in your next routine update.


Cancer

The Cancer folder supports practices on the participation of national cancer screening programme and improvement on the referral and safety-netting practices for patients suspected of having cancer.


The Clinical Activity folder (once run) will report on diagnosis, referral and screening activity recorded for this fiscal year:


The Work to do folder identifies work to be done. This is mainly patients that have not had screening advice recorded in this fiscal year. The practice also have the option to narrow down to specific groups of patients, such as Learning Disability, Transgender and BAME. 


To complete the work to do, access the patients displaying in the Population Reporting tab, check if a patient has been given advice and code appropriately.


Please note - these searches have been updated in v18.2 to correct anomalies with the BAME and Language searches.


Care Home

The Care Home folder supports practices to audit the activity for the Enhanced Health in Care Homes requirement.


The Clinical Activity folder (once run) will report on encounter, care planning, review, death and vaccination activity.


The Register folder will provide practices with detailed practice care registers, including patients currently living in a nursing/care/residential home and those patients who have passed away in a care home in the past year.


The Work to do folder identifies work to be done, for example, patients that have not got a record of preferred place of death or care in the past 3 years. To complete the work to do, record the relevant information for the patients displaying in the Population Reporting tab. Please note - the Ardens Care Home template can be used to record the required information.


The Care home data quality search folder identifies patients who have a 'care home' code in their record which is not recognised by the PCN DES business rules. You may wish to re-code these with 'Lives in residential home' or 'Lives in nursing home' ((or living temporarily in care home') as these are the recognised codes.


Please note - these have been updated in v18.2 to update the register to include only patients with a PCN DES care home code and a new data quality search has been added to identify those patients with non-DES care home codes.


IIF

The IIF folder supports practices with the IIF indicators. Please see further information here.


The Clinical Activity folder is broken down by sub folders relating to the 6 indicators for IIF:

  • HI01 - LD Health Checks 
  • MS01 - NSAID prescribed and no gastroprotection
  • MS02 - Anti-coagulant + anti-platelet - no PPI
  • MS03 - Aspirin and anti-platelet with no PPI
  • PC01 - Social Prescribing
  • PR01 - Seasonal Flu Vaccination


The Summary of work to do folder will identify work still to be done to achieve the relevant indicator.


The following indicators work on a downwards scale, and the target is a few patients as possible:

  • IIF: Prescribing  - No gastroprotection if dual antiplatelet + >18y
  • IIF: Prescribing - No gastroprotection if on NSAID + >65y 
  • IIF: Prescribing - No gastroprotection if on OAC/AP + >18y 


For each patient displaying in the Population Included tab for the searches above, review the patient record and add the appropriate information.


The following indicators work on a upwards scale, and the target is as many patients as possible.

  • IIF: Review - Not had LD Health Check 
  • IIF: Vaccinations - Not had seasonal flu vaccination if > 65y


The Ardens Learning Disability template includes the relevant codes needed to complete the LD Health Check. To achieve this indicator, the patient must be recorded appropriately with a Learning Disabilities health assessment, Learning Disabilities health action plan reviewed or a completion of Learning Disabilities health action plan in the current financial year. 


For patients needing a flu vaccination, Ardens have a number of resources to support practices with this, please see here.


Please note - the LD health check and the flu searches have been restructured in v18.2 to remove those who have declined from the denominator.


SMR

The SMR folder supports practices to identify and priortise patients who would benefit from a structured medication review.


The Clinical Activity folder outlines the SMR activity done in this fiscal year, broken down by the types of review recorded.


The Register folder will provide practices with a list of target population for SMR. 


The SMR - target populations folder breaks the target population by groups (care home residents, patients recorded as having a fall or admission in last 6 months, housebound, medication associated with errors, severe frailty patients and those patients on 10 repeats or more.


The SMR Data quality search folder identifies patients who have had a 'medication review' since 1st October 2020 and have more than one element of SMR done and may need a SMR coded added to their record.


The Work to do folder identifies work to be done and patients requiring a structured medication review. Click on the Population Included tab to identify the patients. Please note - the Ardens Structured Medication Review includes standardise coding of this activity.


Please note - these searches have been updated in v18.2 to include the whole population, not just those targeted. We have also added additional search to look at SMR done on the target population only and the data quality search mentioned above. 


Team Activity

The Team Activity folder supports practices with activity for the Additional Roles Reimbursement Scheme (ARRS). 


If you require any further assistance on the process above, please contact Ardens support on: suport-emis@ardens.org.uk