TY - JOUR T1 - The effect of ‘paying for performance’ on the management of type 2 diabetes mellitus: a cross-sectional observational study JF - BJGP Open JO - BJGP Open DO - 10.3399/bjgpopen20X101021 SP - bjgpopen20X101021 AU - Raymond O'Connor AU - Rory O'Driscoll AU - Jane O'Doherty AU - Ailish Hannigan AU - Aoife O'Neill AU - Conor Teljeur AU - Andrew O'Regan Y1 - 2020/04/01 UR - http://bjgpopen.org/content/early/2020/04/03/bjgpopen20X101021.1.abstract N2 - Background The ‘cycle of care’ (COC) pay for performance (PFP) programme, introduced in 2015, has resourced Irish GPs to provide structured care to PCRS eligible patients with type 2 diabetes mellitus (T2DM).Aim To investigate the effect of COC on management processes.Design &setting Cross-sectional observational study undertaken with two points of comparison (2014 and 2017) in participating practices (Republic of Ireland general practices), with comparator data from the United Kingdom National Diabetes Audit (UKNDA) 2015–2016.Method Invitations to participate were sent to practices using a discussion forum for Health One clinical software. Participating practices provided data on the processes of care in the management of patients with T2DM. Data on PCRS eligible patients was extracted from the electronic medical record system of participating practices using secure customised software. Descriptive analysis, using IBM SPSS Statistics for Windows (version 25), was performed.Results Of 250 practices invited, 41 practices participated (16.4%), yielding data from 3146 patients. There were substantial improvements in the rates of recording of glycosylated haemoglobin ([HbA1c] 53.1%–98.3%), total cholesterol ([TC] 59.2%–98.8%), urinary albumin:creatinine ratio ([ACR] 9.9%–42.3%), blood pressure ([BP] 61.4%–98.2%), and body-mass index ([BMI] 39.8%–97.4%) from 2014 to 2017. For the first time, rates of retinopathy screening (76.3%), foot review (64.9%), and influenza immunisation (69.9%) were recorded. Comparison of 2017 data with UKNDA 2015–2016 was broadly similar.Conclusion The COC demonstrated much improved rates of recording of clinical and biochemical parameters, and improved achievement of targets in TC and BP, but not HbA1c. Results demonstrate substantial improvements in the processes and quality of care in the management of patients with T2DM. ER -