Choosing the right indicators
The leadership team at One Care worked alongside practices to select the best possible set of indicators. These had to allow practices to think both about their own clinical care and the impact of their decisions on the rest of the healthcare system.
- Patient experience.
- Population demographics.
- Practice demand.
- Secondary care
- The burden of disease
- Use of 111 and out-of-hours services.
We discussed how we could connect key quality indicators that had previously been unavailable – such as the length of appointments, or continuity (measured as the percentage of appointments with the patient’s named GP) – with other information such as A&E attendance, hospital admissions or patient survey data.
Some 200 indicators were included in the tool, focusing on those elements that primary care clinicians can affect. We got a long way towards developing an effective core, but other practices would want to tweak the list to fit their local priorities.