QOF

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Patients will be included for this indicator if they have:

(They will be rejected if they are solely on Lithium treatment)

Alcohol Consumption codes (In the previous 12 months)

136.. Alcohol consumption
1361. Teetotaller
1362. Trivial drinker - <1u/day
1363. Light drinker - 1-2u/day
1364. Moderate drinker - 3-6u/day
1365. Heavy drinker - 7-9u/day
1366. Very heavy drinker - >9u/day
1367. Stopped drinking alcohol
136A. Ex-trivial drinker (<1u/day)
136B. Ex-light drinker - (1-2u/day)
136C. Ex-moderate drinker - (3-6u/d)
136D. Ex-heavy drinker - (7-9u/day)
136E. Ex-very heavy drinker-(>9u/d)
136F. Spirit drinker
136G. Beer drinker
136H. Drinks beer and spirits
136I. Drinks wine
136J. Social drinker
136K. Alcohol intake above recommended sensible limits
136L. Alcohol intake within recommended sensible limits
136N. Light drinker
136O. Moderate drinker
136P. Heavy drinker
136Q. Very heavy drinker
136R. Binge drinker
136S. Hazardous alcohol use
136T. Harmful alcohol use
136V. Alcohol units per week
136X. Alcohol units consumed on heaviest drinking day
136Z. Alcohol consumption NOS
136a. Increasing risk drinking
136c. Higher risk drinking
136d. Lower risk drinking

Alcohol consumption screening refused codes

8IA7. Alcohol consumption screening test declined
8IAt. Extended intervention for excessive alcohol consumption declined
136e. Declines to state current alcohol consumption
8IAF. Brief intervention for excessive alcohol consumption declined
9k19. Alcohol assessment declined - enhanced services administration
8IH4. Alcohol Use Disorders Identification Test declined (v30)

Mental Health Exception reporting codes (in the previous 12 months)

9h9.. Exception reporting: mental health quality indicators
9h91. Excepted from mental health quality indicators: Patient unsuitable
9h92. Excepted from mental health quality indicators: Informed dissent

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Exception codes for in remission from serious mental illness (Added after their latest diagnosis)

E1005 Schizophrenia in remission
E1015 Hebephrenic schizophrenia in remission
E1025 Catatonic schizophrenia in remission
E1035 Paranoid schizophrenia in remission
E1055 Latent schizophrenia in remission
E1075 Schizo-affective schizophrenia in remission
E1106 Single manic episode in full remission
E1116 Recurrent manic episodes, in full remission
E1146 Bipolar affective disorder, currently manic, in full remission
E1156 Bipolar affective disorder, currently depressed, in full remission
Eu317 [X]Bipolar affective disorder, currently in remission
E1166 Mixed bipolar affective disorder, in full remission
E1176 Unspecified bipolar affective disorder, in full remission
Eu329 [X]Single major depressive episode, severe, with psychosis, psychosis in remission
Eu32A [X]Recurrent major depressive episodes, severe, with psychosis, psychosis in remission
Eu26. [X]Nonorganic psychosis in remission
Eu223 [X]Paranoid state in remission

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Psychosis, schizophrenia and bipolar affective disease codes (the earliest code (v15))

E10..% Schizophrenic disorders
E110.% Manic disorder, single episode
E111.% Recurrent manic episodes
E1124 Single major depressive episode, severe, with psychosis
E1134 Recurrent major depressive episode, severe, with psychosis
E114% Bipolar affective disorder, currently manic
E115% Bipolar affective disorder, currently depressed
E116% Mixed bipolar affective disorder
E117% Unspecified bipolar affective disorder
E11y.% Other and unspecified manic-depressive psychoses (excluding E11y2 Atypical depressive disorder)
E11z. Other and unspecified affective psychoses
E11z0 Unspecified affective psychoses NOS
E11zz Other affective psychosis NOS
E12..% Paranoid states (v9)
E13..% Other nonorganic psychoses (excluding E135.. Agitated depression)

E2122 Schizotypal personality
Eu2..% [X]Schizophrenia, schizotypal and delusional disorders
 
Eu30. [X]Manic episode
Eu300 [X]Hypomania
Eu301 [X]Mania without psychotic symptoms
Eu302 [X]Mania with psychotic symptoms
Eu30y [X]Other manic episodes
Eu30z [X]Manic episode, unspecified
Eu31. [X]Bipolar affective disorder
Eu310 [X]Bipolar affective disorder, current episode hypomanic
Eu311 [X]Bipolar affective disorder, current episode manic without psychotic symptoms
Eu312 [X]Bipolar affective disorder, current episode manic with psychotic symptoms
Eu313 [X]Bipolar affective disorder, current episode mild or moderate depression
Eu314 [X]Bipolar affective disorder, current episode severe depression without psychotic symptoms
Eu315 [X]Bipolar affective disorder, current episode severe depression with psychotic symptoms
Eu316 [X]Bipolar affective disorder, current episode mixed
Eu317 [X]Bipolar affective disorder, currently in remission
Eu318 [X]Bipolar affective disorder type I (v21)
Eu319 [X]Bipolar affective disorder type II
Eu31y [X]Other bipolar affective disorders
Eu31z [X]Bipolar affective disorder, unspecified
Eu323 [X]Severe depressive episode with psychotic symptoms
Eu328 [X]Major depression, severe with psychotic symptoms
Eu329 [X]Single major depressive episode, severe, with psychosis, psychosis in remission
Eu32A [X]Recurrent major depressive episodes, severe, with psychosis, psychosis in remission
Eu333 [X]Recurrent depressive disorder, current episode severe with psychotic symptoms

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Mental health 007.1 Rationale

Substance misuse by people with schizophrenia is increasingly recognised as a major problem, both in terms of its prevalence and its clinical and social effects. The National Psychiatric Morbidity Survey in England found that 16 per cent of people with schizophrenia were drinking over the recommended limits of 21 units of alcohol for men and 14 units or alcohol for women a week. Bipolar affective disorder is also highly comorbid with alcohol and other substance abuse.

Mental health 007.2 Reporting and verification

See Indicator wording for requirement criteria.

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Prepared By Jean Keenan