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Proposed new GP contract in UK

The proposed new GP contract has recently been published and anticoagulation is classified as an enhanced service. Practices are now asking how can INRstar help fulfil the requirements of this service.

INRstar already meets all the key criteria for this service (see the web based guided tour) including:

	The maintenance of a register of patients on warfarin: With INRstar practices can maintain an up-to-date register of all anti-coagulation monitoring service patients, indicating patient name, date of birth, the indication for, and length of, treatment, including the target INR.
	Call and recall: INRstar includes integral functionality to ensure the systematic call and recall of patients on the anticoagulation register is taking place.
	Individual management plan: INRstar includes all the necessary information to prepare an individual management plan for each patient, giving the diagnosis, planned duration and therapeutic range to be obtained
	Record-keeping: INRstar includes the functionality to help maintain records of the performance and result of the service provided, including adverse events such as bleeding episodes requiring hospital admission and deaths caused by anti-coagulants.
	Audit: INRstar includes within the key product the most comprehensive set of audit reports of any software in this market, allowing clinical audit of the care of patients, including untoward incidents. This will allow a review of the success of the practice in maintaining its patients within the designated INR range as part of quality assurance. In addition to this internal monitoring and reporting they can elect to join our quarterly confidential point prevalence feedback service at no additional charge. Thus a practice may see how well they are performing relative to other INRstar users.

Often Primary Care Trusts require practices to submit regular reports on anticoagulation clinics. Normally such a task would consume a significant amount of time every month or quarter extracting data, entering into a spreadsheet, printing and sending to the PCT. Once a format has been defined and agreed we can produce a custom report that can be used by each practice. Thus a report can be produced with a few mouse clicks safe in the knowledge that all the information required is supplied in a format that the PCT requires. These reports can even be e-mailed to the PCT (requires a MIME compliant e-mail client such as Microsoft Outlook). Many practices and PCTs are finding that this facility saves them considerable time and effort.

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