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Read coding for patient education

Structured Patient Education Read Coding

Structured Patient Education (SPE) is a vital part of the offer that we make to people with diabetes. Currently we can offer X-PERT (6 sessions of 2.5 hours each) to people with Type 2 diabetes; and CHOICE (4 days spread over 4 weeks) and CarbAware (3 hour short course) to people with Type 1. All new patients should be offered an opportunity. Currently the offer of SPE is a QOF coding requirement but attendance is not. The result is that, although large numbers of people attend SPE, we cannot show it in the National Diabetes Audit (NDA). Nationally, attendance is recorded at around 5%; in Berkshire it is around 10% but it is probably much higher in reality.

NHSE is now asking us to record attendance using 4 generic Read Codes shown below. You can still use ‘Referred to X-PERT’ if you wish, but the 4 codes below cover all the bases. Please use these codes for CHOICE and CarbAware as well.

Outcome of referral Vision/EMIS SystmOne
SPE declined 9OLM XaNTH
Did not attend SPE 9NiA XaNTa
Attended* SPE 9OLB XaKHØ
Completed SPE 9OLF XaX5D


Attended*
means attended 1 or more X-PERT sessions;

Completed means attended 4 or more.