It’s good to be aware how your day to day achievements as a practice team compare with others in relation to how healthy your registered patients are compared with other practices like yours with patients of a similar demography and level of deprivation (or affluence). So you can take a look at how your practice’s prevalence rates for asthma/diabetes/blood pressure say, compare with the CCG average or national average; or how well controlled those patients are e.g. percentage admitted to hospital or what percentage have acceptable controlled blood pressure or blood sugar levels. Take a look at an example general practice report capturing many key long term conditions and quality indicators –which you can replicate in your area with publicly available quality indicators.
So take a look at a generic ‘wriggly worm’ pathway from opportunistic or purposeful detection to……end of life – feel free then to download it and populate it yourself for your own work setting or role.