Table 1

Quality and Outcomes Framework indicators for COPD management and patient experience in 2008–2009 which were analysed

Indicator	Points	Payment thresholds^*
*COPD quality indicators*
Records
COPD 1
The practice can produce a register of patients with COPD	3
Initial diagnosis
COPD 12
The percentage of all patients with COPD diagnosed after 1 April 2008 in whom the diagnosis has been confirmed by post bronchodilator spirometry	5	40–80%
Ongoing management
COPD 10
The percentage of patients with COPD with a record of FEV1 in the previous 15 months	7	40–70%
COPD 11
The percentage of patients with COPD receiving inhaled treatment in whom there is a record that inhaler technique has been checked in the previous 15 months	7	40–90%
COPD 8
The percentage of patients with COPD who have had influenza immunisation in the preceding 1 September to 31 March	6	40–85%
*Smoking quality indicator*
Smoking 4
The percentage of patients with coronary heart disease, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses who smoke whose notes contain a record that smoking cessation advice or referral to a specialist service, where available, has been offered within the previous 15 months	35	40–90%
*Patient experience indicators*
PE7 Patient experience of access (1)
The percentage of patients who, in the appropriate national survey, indicate that they were able to obtain a consultation with a GP (in England)	23.5	70–90%
PE8 Patient experience of access (2)
The percentage of patients who, in the appropriate national survey, indicate that they were able to book an appointment with a GP more than 2 days ahead	35	60–90%

↵* The lower and upper achievement levels required to receive the minimum and maximum payment.
CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; GP, general practitioner; TIA, transient ischaemic attack.