#55 PCIT Gems: AST001 l Restrict access in S1 reports

Welcome to March! New month, new Awareness Campaigns and new tips!

It’s been a busy week at PCIT. We exhibited at the Primary Care Conference in London. It was lovely to speak to so many of you, both customers and new faces! If you would like to get in touch with us or book a demo, please visit our website.

Thank you for taking the time to read and we hope you find this week’s tips useful!

SystmOne tip – Restrict access

There is now an option in S1 to restrict who can run and change reports. Within amending reports there are options to choose a specific team or staff member and whether it can be restricted to changes and/or usage. This gives greater control over the management of reports where they can be changed by other staff members without the owner realising.

QOF tidying up – AST011 newly diagnosed asthmatics

We’re getting quite a few questions about how to achieve the requirements for newly diagnosed diabetics after the 1st April 2023 with spirometry and an objective test.

AST011 is described as follows:

The percentage of patients with a diagnosis of asthma on or after 1 April 2023 with either:

   1. A record of quality assured spirometry and one other objective test (FeNO or, bronchodilator reversibility or peak flow variability) between 3 months before or 6 months after diagnosis; or

    2. If newly registered in the preceding 12 months with a diagnosis of asthma recorded on or after 1 April 2023 but no record of objective tests being performed at the date of the registration, with a quality assured spirometry and one other objective test (FeNO or bronchodilator reversibility or peak flow variability) recorded within 6 months of the registration.   

The following will remove patients from being eligible (i.e. revoke the need for the tests):

• Those who are diagnosed within 6 months of the end of the contract year
• New patients registered within 6 months of the end of the contract year who already have a diagnosis of asthma without the required tests
• Spirometry is unavailable
• Patient is new to the practice with previously diagnosed asthma and spirometry unavailable is coded within 6 months of the registration date
• FENO testing is unavailable
• Patient is new to the practice with previously diagnosed asthma and FENO testing unavailable is coded within 6 months of the registration date
• Spirometry is unsuitable for the patient
• Patient is new to the practice with previously diagnosed asthma and spirometry unsuitable is coded within 6 months of the registration date
• Asthma quality indicator care was unsuitable in the contract year
• Spirometry is declined
• Patient is new to the practice with previously diagnosed asthma and spirometry declined is coded within 6 months of the registration date
• Patients who choose not to receive monitoring 
• Patients who have chosen not to receive any asthma quality indicator care 
• Patients who have been invited twice between 3 months before and 6 months after the asthma diagnosis or 6 months after the registration date for new patients
• Patients who were diagnosed in the last 3 months of the QOF year
• Patients who were registered with the practice in the last 3 months of the QOF year

What must I do to achieve this indicator?

Patients must have had both of the following to achieve the indicator

1. Have a record of quality assured spirometry in the period spanning the 93 days (3 months) before and no later than 186 days (6 months) after the earliest unresolved asthma diagnosis
2. Have a record of FeNO or bronchodilator reversibility or peak flow variability in the period spanning the 93 days (3 months) before and no later than 186 days (6 months) after the earliest unresolved asthma diagnosis

or if newly registered at the practice:

1. Were registered in the 12 months leading up to and including the payment period end date.
2. Were diagnosed with unresolved asthma before registering at the new practice.
3. Have a record of quality assured spirometry in the period spanning the 93 days (3 months) before and no later than 186 days (6 months) after registration.
4. Have a record of FeNO or bronchodilator reversibility or peak flow variability in the period spanning the 93 days (3 months) before and no later than 186 days (6 months) after registration.

SNOMED codes used in this indicator

Spirometry codes for asthma (ASTSPIR_COD):

Codes indicating FeNO test performed (FENO_COD):

Peak expiratory flow rate (PEFR) codes (PEFR_COD):

Diagnostic Spirometry unavailable codes (SPIRPCASU_COD):

Fractional exhaled nitric oxide test service unavailable codes (FENOPCASU_COD):

Codes for spirometry testing unsuitable for patient (SPIRPU_COD):

Codes for asthma quality indicator care unsuitable for patient (ASTPCAPU_COD):

Codes indicating the patient has chosen not to receive a spirometry test (SPIRDEC_COD):

Codes indicating the patient has chosen not to receive asthma monitoring (ASTMONDEC_COD):

Patients who have chosen not to receive any asthma quality indicator care (ASTPCADEC_COD):

Patients who have been invited twice for an asthma review at least 7 days apart (ASTINVITE_COD):