depression template and coding dr helen drew gp –barton house group practice depression lead –...
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![Page 1: Depression Template and Coding Dr Helen Drew GP –Barton House Group Practice Depression Lead – City and Hackney CCG helendrew@nhs.net](https://reader035.vdocument.in/reader035/viewer/2022072017/56649f095503460f94c1dac5/html5/thumbnails/1.jpg)
Depression Template and Coding
Dr Helen DrewGP –Barton House Group Practice
Depression Lead – City and Hackney [email protected]
![Page 2: Depression Template and Coding Dr Helen Drew GP –Barton House Group Practice Depression Lead – City and Hackney CCG helendrew@nhs.net](https://reader035.vdocument.in/reader035/viewer/2022072017/56649f095503460f94c1dac5/html5/thumbnails/2.jpg)
Current Situation
• Across C+H we’re undercoding Depression by 1/3.
• An Audit shows that patients receiving antidepressants are not reliably being reviewed at least annually.
• Most at risk: other LTCs, multiple medications, or who are unable or unwilling to actively seek healthcare esp. for MH probs.
![Page 3: Depression Template and Coding Dr Helen Drew GP –Barton House Group Practice Depression Lead – City and Hackney CCG helendrew@nhs.net](https://reader035.vdocument.in/reader035/viewer/2022072017/56649f095503460f94c1dac5/html5/thumbnails/3.jpg)
Why?• Multiple codes for Depression (over 200), unclear which ones
count (small proportion). No way to change codes in batches.
• Pop-up / target overload for physical conditions, MH conditions ?overlooked in some individuals.
• No system for knowing who has Depression and pro-actively managing them as a population like e.g. Hypertension / Diabetes / Asthma etc
• Patients less likely to actively seek review of MH conditions / don’t understand that ads could be stopped / unaware of other options.
![Page 4: Depression Template and Coding Dr Helen Drew GP –Barton House Group Practice Depression Lead – City and Hackney CCG helendrew@nhs.net](https://reader035.vdocument.in/reader035/viewer/2022072017/56649f095503460f94c1dac5/html5/thumbnails/4.jpg)
Why change things? (coding)
• If not counted for QOF then official figures underestimate the scale of mental health problems in C+H > funding > services.
• What are the outcomes for this group?
• Limited code list makes it easier for you to audit the care of your own patients.
![Page 5: Depression Template and Coding Dr Helen Drew GP –Barton House Group Practice Depression Lead – City and Hackney CCG helendrew@nhs.net](https://reader035.vdocument.in/reader035/viewer/2022072017/56649f095503460f94c1dac5/html5/thumbnails/5.jpg)
Why change things? (reviews)• There’s a group of patients who are slipping through the net:
– may be on antidepressants unnecessarily (depression resolved) but unaware/afraid to stop.
– Depression may still be severe and affecting their QOL but they are unaware of other options.
– This group may not be proactive and help-seeking, they may need prompting to come in.
– Effects on ability to manage LTCs, consultation frequency, MUS
– ?another diagnosis e.g. PD needing alternative treatment
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Ideal World
• All patients receiving antidepressants to have QOF code considered.
• Review of condition and Ads at least annually for all.– Inc. severity and suicide risk, ?has it resolved – consider stopping / changing Ads, – ?have they had talking therapy– ?social prescribing if available / signpost services– ?diagnosis (??PD)
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How?
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Summary of Mental Health Services