The quality & outcomes framework includes the concept of exception reporting. Presented here are exception and exclusion rates in respect of general practices for indicators within the clinical domain and other areas where exception reporting is appropriate.

Purpose of exception reporting (PCAS)

This has been introduced to allow practices to pursue the quality improvement agenda and not be penalised where, for example, patients do not attend for review, or where a medication cannot be prescribed due to a contra-indication or side-effect. Patients are not excepted from disease register counts, but they can be excepted from the denominator of subsequent indicators in each clinical area.

Payment calculation and analysis system (PCAS)

PCAS implemented functionality for exception reporting in late 2005. A number of reasons are used to except patients and within PCAS these reasons are all classed as exceptions, however, for the purposes of this publication we have agreed a distinction between those that are true exceptions and those that are actually exclusions. Exclusions refer to reasons that make the patient ineligible for inclusion in an indicator's denominator, for example, because they do not meet the age requirement of the indicator.

From 1 April 2009 the four health and social services boards were replaced by the health and social care board, and local commissioning groups were introduced as part of the health and social care reform.

Current data

Previous years data

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