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3.4 Performing the annual review

Relevant Tools:A.9, A.10, A.11, A.12, A.13
Below is an overview of the issues that should be covered during the annual review. These issues include seizures, medication, concordance, side-effects, driving, employment, contraception, conception and pregnancy.

Use a checklist to capture a record and cover all pertinent issues

There are several methods of recording the details of the annual review. Easily the best and simplest method is to use your computer supplier's preset software. All major suppliers have built in templates for an annual epilepsy review which ensure that the correct Read codes are used. However, these templates are set at minimal level. They can be supplemented by using the free text boxes incorporated in them, or by making additional records, or by using templates that have been developed in house.

Some practices are still mainly paper based, and may wish to use the paper recording sheet. Alternatively, you may wish to make all your notes on this paper version, which can be kept in the notes, or used as a checklist for writing the information into the notes. It can then be attached to the letter of referral, if referring the patient to a specialist.

The information will have to be transferred to the computer records as Read codes, and you will have to make sure that exactly the right Read codes are used. More details on Read codes and the quality indicators for epilepsy in the GMS contract can be found in A.16.

An annual review template checklist has been provided on this website. This can be used to ensure you cover all relevant topics and are able to enter the appropriate Read codes for reporting (see A.9: Review checklist).

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