Welcome to the latest edition of the General Practice Extraction

Welcome to the latest edition of the General Practice Extraction
Welcome to the latest edition of the General Practice Extraction Service (GPES)
newsletter for GPs and general practice staff.
In this issue:
 Update from GPES
 Upcoming requests to extract data from practices using GPES
 Customer requirement focus: diabetic retinopathy screening
 Java fix
 GPES training.
Update from GPES
It has been quite a while since GPES last issued a newsletter. The principal reason
for this is that the project infrastructure build was delayed owing to technical reasons;
however we are now very pleased to be able to tell you that GPES has successfully
extracted QOF 2013-14 data from general practices.
To facilitate your return of QOF data for 2013-14, the Health and Social Care
Information Centre (‘HSCIC’, the organisation that hosts both GPES and CQRS
services) took the decision to extract QOF data automatically unless a practice
chose to opt out. Feedback following a series of awareness sessions that GPES
undertook across England indicated that general practice staff preferred a ‘light
touch’ QOF solution to avoid any impact on their existing workload. In addition,
approximately half of the general practices in England had yet to register and
complete the GPES training that would have familiarised users with the ‘opt in’
As a result of the above approach, achievement data is available to pay QOF
2013/14 achievement and QOF 2014/15 monthly aspiration in the usual way.
Upcoming requests to extract data from practices using GPES
The GPES team is working with a number of organisations to develop their requests
to extract data from general practice clinical systems.
Future requests to extract data using GPES include:
QOF 2014-15
Enhanced Services for 2014-15
Diabetic retinopathy screening (see focus article, below)
Patient Objections Management
CCG Outcomes Indicator Set
Information to support improvements in the way services are delivered for
patients with learning disabilities
The GPES customer requirements page of the HSCIC website provides:
A summary of requests to extract data from practices in the GPES customer
requirement forecast.
Full details of each request.
Future editions of the GPES newsletter will include updates on new requests to
extract data through GPES.
Customer requirement focus: diabetic retinopathy screening
Around 500 people per year in England lose vision due to diabetic retinopathy and
maculopathy at a level where it should be registered as a disability. People with
diabetes are also at increased risk of suffering cataracts or glaucoma.
Regular screening produces a significant benefit for people with diabetes. When
sight threatening retinopathy is caught early, treatment is effective at reducing or
preventing damage to sight. It also provides an opportunity to advise patients on
what action they can take to reduce risk to sight and manage their diabetes better.
Local diabetic eye screening services need to be informed of everyone who is newly
diagnosed as well as those people with diabetes who have moved into the area or
changed GP practice.
Screening in England is provided by more than 80 local programmes. GPES will now
help these programmes verify the information they hold to help ensure that all people
with diabetes aged 12 and over are offered the screening they are entitled to.
The NHS Diabetic Eye Screening Programme (NDESP) has provided screening
nationally since 2008 using manual referrals from GPs (faxes, letters,
phonecalls). NDESP is acutely aware of the errors that can be caused by humans
inputting information from typed and handwritten documents in this way. As a result,
many eligible people with diabetes have not been invited for screening because they
are either newly diagnosed, have moved recently or because manual processes
have failed to pick up changes in their status.
Evidence suggests that the GPES electronic data extractions from general practice
clinical systems will greatly improve this situation.
NDESP is also aware of patients’ need to consent to the transfer of both their
demographic and risk factor data. To this end it has developed a comprehensive
model for recording and managing consent on an individual patient basis. Within the
coding systems that are used by all GP practices, there is now a set of consent
codes specific to diabetic eye screening. This means the GP can record, for each
patient, whether they have consented to demographic and risk factor data being
transmitted electronically to the local screening programme. Before any clinical risk
factor data can be transmitted, the GP must record one of these specific consent
codes against a patient’s record.
By linking directly to GP clinical systems, GPES can also make an individual’s
relevant clinical history accessible to their screening programme. Access to this
information will help the screening programme provide appropriate individual advice
and support.
Linking directly to GP clinical systems will facilitate early screening soon after
diagnosis. This has benefits for all patients. It enables patients with referable eye
disease to be referred and treated promptly, reducing the risk of disease progression
and sight loss. Patients with no retinopathy can be advised by their GP that good
control of blood glucose and blood pressure will help reduce the risk of the disease
progressing. Meanwhile, patients with mild non-proliferative retinopathy can be
advised that they are at far greater risk of the disease progressing to a referable
Armed with more clinical information, specialist clinicians can recommend better
ways to treat diabetes, thus reducing the risk of progression of diabetic retinopathy.
In addition, the direct link between GP clinical systems and the screening
programmes means families suffering bereavements are less likely to receive an
invitation addressed to a dead family member.
Programmes will be notified immediately of newly diagnosed patients and young
people with diabetes who have turned 12 and people who have moved into a new
area will have their appointment invitations sent to the address registered with their
Read more about the diabetic retinopathy programme and how GPES is helping
Java fix
Some general practices have reported an issue with accessing GPES, either
receiving a ‘user not authorised’ message or the browser getting stuck on the
‘authenticating’ message. We apologise for any inconvenience caused by this error.
A fix was released for this on 15 March, following rigorous testing to reduce the
likelihood of the error occurring again. We have contacted the general practices
affected and helped them to complete the login process.
Please note this issue has not affected QOF 2013/14 data extractions.
GPES training
We are currently reviewing the training we provide to general practices to help you
use GPES. The contract for the GPES online training package has expired and an
alternative solution is being identified. You can still access materials on our website
to complete your training. The GPES Training User Guide will show you how to use
the software provided by the Health and Social Care Information Centre (HSCIC)
and provides the same information as the online training package. The GPES Quick
Reference Guide gives you a brief overview and can be used to help you with your
first few extraction requests.
We will be asking for feedback shortly from general practices about the online
training package and what materials you would prefer to support you using GPES.
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