Read our latest Impact Report here

Heart Failure Dashboard – identifying gaps in Heart Failure Diagnosis

Around 920,000 people in the UK have been diagnosed with Heart Failure (HF), though while around 8 out of 10 heart failure diagnoses in England are made in hospital, around half of these patients experience symptoms that should have been picked up by an earlier assessment.

Imperial College Health Partners’ Heart Failure Dashboard uses real world data to allow clinicians and commissioners to easily identify gaps in diagnosis and treatment of Heart Failure.

This guide takes you step-by-step through how to use the dashboard and the results it gives you.

Introduction to Datasets Used in the Dashboard

The data used in this dashboard are derived from three data sources described below.

1. Quality Outcomes Framework (QOF)

QOF is a voluntary annual reward and incentive programme for GP practices across the UK and it contains four main components, known as domains. The Clinical domain consists of 56 indicators across 19 clinical areas, of which heart failure is one. The QOF gives an indication of overall achievement of a practice through a points system based on these indicators, therefore QOF is a useful dataset for assessing the current regional status of heart failure in England.

 

QOF Indicator

Description of 19/20 Indicator (from NHSE)

HF001.

The contractor establishes and maintains a register of patients with heart failure.

HF002.

The percentage of patients with a diagnosis of heart failure (diagnosed on or after 1 April 2006) which has been confirmed by an echocardiogram or by specialist assessment 3 months before or 12 months after entering on to the register.

HF003.

In those patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction, the percentage of patients who are currently treated with an ACE-I or ARB.

HF004.

In those patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction who are currently treated with an ACE-I or ARB, the percentage of patients who are additionally currently treated with a beta-blocker licensed for heart failure.

2. Electronic Prescribing Analysis and Cost Tool (ePACT)

The Electronic Prescribing Analysis and Cost Tool (ePACT) contains information for primary care and hospital medicines prescribed in the community, collected by the NHS Prescriptions Services.

3. Hospital Episode Statistics (HES)

Hospital Episode Statistics (HES) is a database containing details of all admissions, A&E attendances and outpatient appointments at NHS hospitals in England.

For more information on the codes used in this dashboard, navigate to the CODES tab.