1. QOF 2009 RBW 11/08

2. Summary of 2009 Heart Failure and beta blockade CKD and proteinuria Contraception Anxiety and depression New diabetes HbA1c targets COPD and a dyspnoea score

3. Heart Failure LVD only Currently treated with ACEi or ARB Additionally with beta blockade Intolerance or contraindication acceptable

4. CKD Annual protein: creatinine ratio

5. Contraception CON 1 & 2 removed Register of women prescribed contraceptives % on oral or patch - given advice re Long acting reversible methods % who have takenemergency contraception - given advice re Long acting reversible methods

6. Anxiety & Depression Re-use of PHQ9 at 5 –12 weeks

7. CVD – primary pevention New diagnosis of hypertension alone – Cardiovascular risk assessment within 3/12 Lifestyle advice given

8. Diabetes Thresholds change for HbA1c 7 or less (40-50%) - 42% 8 or less (40-70%) - 69% 9 or less (40-90%) - 80%

9. COPD Inhaler technique drops out MRC dyspnoea score instead

10. Palliative Care Now irrespective of age Meetings restructured recently

11. Stroke/TIA Now irrespective of age Meetings restructured recently

12. Smoking Now irrespective of age Meetings restructured recently