Background
Methods
Setting
Secondary care use
Practice and patient population characteristics
Analysis
Ethical approval
Results
Category | Mean | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ||
---|---|---|---|---|---|---|---|---|---|---|
Percentage of admissions that were emergency | <36% | 36-40% | 41-45% | 46-50% | 51-55% | 56-60% | >60% | |||
n
| 229 | 22 | 51 | 60 | 35 | 30 | 18 | 13 | beta | p |
Emergency Admissions/1000 Patients
| 88.6 (84.6-92.6) | 64.9 (60.2-69.5) | 77.3 (74.2-80.3) | 85.8 (82.9-88.8) | 87.4 (80.3-94.5) | 99.7 (92.9-106.6) | 110.1 (98.9-121.2) | 134.0 (76.4-191.6) | 0.002 | <0.001 |
Elective Admissions/1000 Patients
| 108 (104.9-111.9) | 130.4 (120.9-140.0) | 128.0 (123.0-132.9) | 117.8 (114.1-121.5) | 95.5 (88.0-103.0) | 90.87 (84.5-97.2) | 82.4 (73.2-91.6) | 62.9 (50.5-75.2) | 0.002 | <0.001 |
OPD Appointments/10000 Patients
| 6704.55 (6550.1-6858.9) | 6238.2 (5764.8-6711.5) | 6626.3 (6303.6-6949.0) | 7183.8 (6935.3-7432.4) | 650.08 (6010.9-7005.1) | 686.1 (6512.1-7209.2) | 6580.7 (5986.6-7175.7) | 5927.7 (5034.8-6820.6) | −0.002 | 0.496 |
ED attendance/10000 Patients
| 2115.2 (2001.5-2229.9) | 1822.3 (1665.1-1979.4) | 2069.0 (1924.7-2213.3) | 1971.8 (1816.9-2126.7) | 1881.4 (1667.4-2095.4) | 2262.7 (2124.7-2400.6) | 2448.7 (2179.1.9-2716.4) | 3282.3 (1607.4-4957.2) | 0.053 | <0.001 |
Category | 1 | 2 | 3 | 4 | 5 | 6 | 7 | |||
---|---|---|---|---|---|---|---|---|---|---|
Percentage of admissions that were emergency | <36% | 36-40% | 41-45% | 46-50% | 51-55% | 56-60% | >60% | |||
n
| 229 | 22 | 51 | 60 | 35 | 30 | 18 | 13 | beta | p |
Proportion of Patients aged ≥ 65
| 0.147 (0.140-0.153) | 0.160 (0.144-0.175) | 0.161 (0.153-0.170) | 0.166 (0.157-0.176) | 0.142 (0.125-0.160) | 0.129 (0.110-0.147) | 0.110 (0.095-0.125) | 0.081 (0.042-0.120) | −0.860 | <0.001 |
Proportion of male Patients
| 0.509 (0.505-0.514) | 0.501 (0.497-0.505) | 0.503 (0.499-0.507) | 0.500 (0.497-0.504) | 0.510 (0.502-0.518) | 0.510 (0.503-0.518) | 0.523 (0.506-0.541) | 0.565 (0.500-0.630) | 1.242 | <0.001 |
White Ethnicity Proportion
| 0.801 (0.770-0.832) | 0.951 (0.938-0.963) | 0.918 (0.897-0.938) | 0.890 (0.870-0.910) | 0.728 (0.636-0.820) | 0.598 (0.480-0.717) | 0.544 (0.392-0.697) | 0.664 (0.475-0.852) | −0.185 | <0.001 |
Index of Multiple Deprivation
| 19.87 (18.48-21.26) | 11.96 (9.68-14.23) | 14.91 (13.09-16.73) | 14.64 (12.98-16.30) | 20.32 (17.35-23.29) | 27.86 (24.66-31.07) | 35.52 (31.08-39.96) | 34.34 (29.96-40.73) | 0.006 | <0.001 |
Coronary Heart Disease Expected Prevalence Proportion
| 0.043 (0.041-0.044) | 0.041 (0.037-0.045) | 0.043 (0.041-0.045) | 0.043 (0.042-0.046) | 0.042 (0.038-0.047) | 0.044 (0.040-0.048) | 0.044 (0.039-0.049) | 0.035 (0.022-0.047) | −0.382 | 0.493 |
Hypertension Expected Prevalence Proportion
| 0.238 (0.234-0.243) | 0.245 (0.232-0.258) | 0.250 (0.244-0.256) | 0.249 (0.243-0.256) | 0.234 (0.217-0.251) | 0.226 (0.211-0.241) | 0.214 (0.202-0.226) | 0.198 (0.160-0.235) | −0.811 | <0.001 |
Stroke Expected Prevalence
| 0.019 (0.018-0.019) | 0.018 (0.017-0.020) | 0.019 (0.018-0.020) | 0.020 (0.019-0.020) | 0.018 (0.016-0.020) | 0.018 (0.016-0.020) | 0.018 (0.016-0.020) | 0.015 (0.011-0.020) | −3.123 | 0.015 |
Category | Mean | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ||
---|---|---|---|---|---|---|---|---|---|---|
Percentage of admissions that were emergency | <36% | 36-40% | 41-45% | 46-50% | 51-55% | 56-60% | >60% | |||
n
| 229 | 22 | 51 | 60 | 35 | 30 | 18 | 13 | beta | p |
Practice List Size
| 7618 (6986–8250) | 7584 (5809–9359) | 9563 (8121–11005) | 9078 (7723–10433) | 6939 (5571–8306) | 5429 (4137–6721) | 5503 (3680–7326) | 3264 (889.6-5639) | −6.213E0.006 | <0.001 |
Coronary Heart Disease Prevalence Proportion
| 0.031 (0.029-0.032) | 0.030 (0.033-0.032) | 0.032 (0.031-0.034) | 0.033 (0.031-0.035) | 0.031 (0.027-0.034) | 0.029 (0.026-0.032) | 0.027 (0.024-0.031) | 0.021 (0.014-0.027) | −3.691 | <0.001 |
Coronary Heart Disease Prevalence Gap
| 0.012 (0.011-0.013) | 0.010 (0.008-0.013) | 0.011 (0.009-0.012) | 0.011 (0.009-0.012) | 0.012 (0.010-0.014) | 0.015 (0.012-0.018) | 0.017 (0.013-0.020) | 0.013 (0.008-0.018) | 3.348 | <0.001 |
Hypertension Prevalence Proportion
| 0.134 (0.129-0.138) | 0.145 (0.134-0.156) | 0.144 (0.137-0.150) | 0.139 (0.133-0.145) | 0.137 (0.123-0.150) | 0.126 (0.0.112-0.139) | 0.114 (0.099-0.130) | 0.0871 (0.059-0.115) | −1.061 | <0.001 |
Hypertension Prevalence Gap
| 0.104 (0.101-0.107) | 0.100 (0.071-0.131) | 0.106 (0.101-0.011) | 0.110 (0.076-0.153) | 0.097 (0.055-0.139) | 0.100 (0.090-0.105) | 0.100 (0.090-0.110) | 0.104 (0.090-0.111) | −0.332 | 0.186 |
Stroke Prevalence
| 0.015 (0.014-0.015) | 0.015 (0.014-0.017) | 0.016 (0.015-0.017) | 0.017 (0.016-0.017) | 0.015 (0.013-0.017) | 0.013 (0.012-0.015) | 0.013 (0.010-0.015) | 0.008 (0.005-0.011) | −7.939 | <0.001 |
Stroke Prevalence Gap
| 0.004 (0.003-0.004) | 0.003 (0.001-0.005) | 0.003 (0.002-0.004) | 0.003 (0.002-0.004) | 0.003 (0.002-0.004) | 0.005 (0.003-0.006) | 0.005 (0.003-0.007) | 0.007 (0.005-0.010) | 6.628 | <0.001 |
Total Quality Outcomes Framework Proportion
| 0.948 (0.943-0.954) | 0.971 (0.964-0.979) | 0.954 (0.946-0.962) | 0.953 (0.945-0.961) | 0.952 (0.931-0.969) | 0.948 (0.933-0.962) | 0.919 (0.902-0.937) | 0.897 (0.847-0.946) | −0.730 | <0.001 |
Clinical Quality Outcomes Framework Proportion
| 0.971 (0.965-0.976) | 0.991 (0.988-0.995) | 0.974 (0.965-0.984) | 0.977 (0.970-0.984) | 0.972 (0.954-0.989) | 0.972 (0.957-0.987) | 0.989 (0.926-0.971) | 0.920 (0.873-0.967) | −0.681 | <0.001 |
Proportion seen by GP within 2 Working Days
| 0.819 (0.806-0.832) | 0.842 (0.801-0.883) | 0.814 (0.788-0.840) | 0.826 (0.801-0.850) | 0.846 (0.811-0.881) | 0.788 (0.747-0.829) | 0.776 (0.722-0.830) | 0.833 (0.750-0.916) | −0.068 | 0.228 |
Proportion able to see their Preferred Doctor
| 0.686 (0.666-0.708) | 0.772 (0.716-0.827) | 0.702 (0.662-0.742) | 0.703 (0.658-0.747) | 0.673 (0.614-0.732) | 0.630 (0.556-0.703) | 0.620 (0.522-0.718) | 0.644 (0.515-0.772) | −0,116 | <0.001 |
GPs
/
1000
(
mean
)
| 0.737 (0.361-1.375) | 0.720 (0.360-2.720) | 0.587 (0.406-0.844) | 0.632 (0.369-0.934) | 0.605 (0.282-1.205) | 0.787 (0.285-3.250) | 0.649 (0.244-1.009) | 1.220 (0.309-2.635) | 0.045 | <0.001 |
Variable | Beta | SE Beta | Sig | Adjusted R Sq |
---|---|---|---|---|
Constant | 0.026 | 0.075 | ||
Deprivation index | 0.004 | 0.000 | <0.001 | 0.473 |
Proportion of patients who were male | 0.720 | 0.116 | <0.001 | 0.572 |
Outpatient appointments per 10,000 patients | 0.002 | 0.000 | <0.001 | 0.590 |
Proportion of white patients | −0.001 | 0.000 | <0.001 | 0.616 |
Recorded hypertension prevalence | −0.461 | 0.129 | <0.001 | 0.629 |
Practice list size/100 | −0.002 | 0.001 | 0.001 | 0.644 |
Proportion aged 65 or over | 0.063 | 0.458 | 0.648 | |
Proportion of total clinical QOF points obtained | −0.053 | −1.148 | 0.253 | |
Proportion of patients able to consult their preferred GP | −0.039 | −0.845 | 0.399 |