Frailty DES
From Friday 28th August an update to the dashboard will be released to all practices to assist with monitoring the Frailty DES.
The below video provides guidance on how to utilise the In-Hours dashboard to monitor and report on the Frailty DES
A step-by-step guide has also been drafted to assist users in utilising the tool for DES reporting.
Continuity of Care
The Continuity of Care tab in the dashboard shows a standard and adapted version of the St Leonard’s Index of Continuity of Care (SLICC). The standard version uses the preferred GP as recorded in the GPIT system, the adapted version uses the usual provider over care (UPC).
We wish to acknowledge the invaluable input from the St Leonard’s Research Practice, Exeter in providing expert opinion on development of the continuity measures.
In the image below, the graph on the left shows the average UPC score across clinicians, reflecting how consistently patients see the same provider. Higher values indicate stronger continuity of care. For example, a clinician with a UPC score of 0.6 means that, on average, their patients saw them for 60% of their visits, with the remaining 40% being with other providers.
For calculation of Usual Provider of Care (UPC):
• Usual provider of care will be determined by the most commonly seen doctor for each patient over the past 2 years. Only active clinicians in the GPIT system will be included to avoid clinicians from a patient’s previous practice being included.
• 3 or more direct consultations within the past 2 years
• Of these patients must have at least two consultations with most commonly seen doctor.
For calculation of standard SLICC:
• 1 or more direct consultations (telephone consultations, face to face, home visits e-consultations) over the preceding calendar month.
• Numerator and denominator are for consultations with any doctor e.g. FYs, GP trainees, GPs.
• SLICC is the proportion of included patient encounters in the practice list with contact with usual GP over the preceding calendar month.
For calculation of aSLICC (modified SLICC):
• 1 or more direct consultations (telephone consultations, face to face, home visits e-consultations) over the preceding calendar month.
• Numerator and denominator are for consultations with any doctor e.g. FYs, GP trainees, GPs.
• aSLICC is the proportion of included patient encounters in the practice list with contact with UPC over the preceding calendar month.