General Practice Extraction Service (GPES) collections business rules

The Reference Set Portal is an interactive tool which allows users to see which SNOMED codes are included in the current version of a reference set (refset)/cluster as used by the business rules.

Evidence shows that early identification and treatment of diabetic eye disease could reduce sight loss. The main treatment for diabetic retinopathy is laser surgery. This service looks to identify those at risk of developing diabetic retinopathy.

The Learning Disability Autism and ADHD Data Set is a new patient-level extract for people in England with a learning disability, autism or ADHD. It replaces the existing Learning Disability Data aggregate data collection.

This new patient-level extract has been created because:

• these groups face health inequalities, high rates of avoidable mortality and poor access to tailored services
• the NHS is legally and strategically committed to reducing inequalities (10 Year Plan, Equality Act, NHS Act)
• the current Health and Care of People with Learning Disabilities (HCPLD) data extract is aggregate, limited to 55% of patients and lacks granularity for in-depth analysis.

This data set replaces the HCPLD.

The data set aims to:

• provide approximately 97% patient coverage
• enable linkage to other health data sets for insights into prevalence, access, outcomes and prescribing
• support commissioning with clear prevalence data
• improve monitoring of health checks, screening and medication reviews
• identify unmet needs, reduce admissions and support prevention
• offer the ability to track ADHD/autism diagnosis, co-occurring conditions and prescribing
• enable benchmarking to improve services and reduce inequalities

The LDD aims to:

• make information about the health and healthcare for people with learning disabilities more readily available and understandable
• undertake detailed secondary analyses of existing datasets to identify important new lessons for service improvement and development
• share the learning by working to ensure that key messages about best practice in providing healthcare for people with learning disabilities are widely understood
• improve available information by surveying data gaps and working to fill them

PHSMI data extract collects information detailed on GP records for patients with severe mental illness and not recorded as ‘in remission’.

NHS England’s General Practice Data Extraction, Specification and Analysis (GPDESA) team develops and maintains the extraction specifications (business rules) for the Quality and Outcome Framework (QOF), Enhances Services (ES), Vaccinations and Immunisations (V&I), certain elements of Core Contract (CC) and other services commissioned by the Department of Health and Social Care (DHSC). These documents define technical requirements for data extraction, reporting and payments. They support accurate data analysis, claims and audits but are not intended to replace clinical guidelines or patient-based clinical management.