General Practitioners

Health written question – answered on 15th May 2008.

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Photo of Andrew Lansley Andrew Lansley Shadow Secretary of State for Health

To ask the Secretary of State for Health

(1) what weighting was given to (a) the number of primary care clinicians, (b) health outcomes and (c) patient satisfaction with GP services as indicators in determining in which primary care trust areas with poorest provision to establish new GP practices;

(2) what score was given to each primary care trust in determining in which to establish new GP practices in areas with the poorest provision for (a) number of primary care clinicians, (b) health outcomes and (c) patient satisfaction with GP services; and what the data source was for each indicator.

Photo of Ben Bradshaw Ben Bradshaw Minister of State (Regional Affairs) (South West), The Minister of State, Department of Health

The range of indicators used to determine the primary care trusts (PCTs) with poorest provision, their data source and associated weightings are shown in the following table. For each PCT, the standardised distance from the England average was calculated for each indicator. These distances were assigned a weight based on the three themes and each PCT was then ranked based on the sum of the weighted differences. The following table shows PCTs and their distances.

Indicator Weight ( percentage )
Primary Care Clinicians (1) 60
Whole-time equivalent general practitioners (GPs) per 100,000 weighted population
Whole-time equivalent practice nurses per 100,000 weighted population
Health Outcomes (2) 30
Male life expectancy
Female life expectancy
Cancer mortality among under-75s
Cardiovascular mortality among under-75s
Index of multiple deprivation (health)
Percentage of patients with diabetes in whose HbAlc is 7.5 or less
Percentage of patients with hypertension in whose blood pressure reading is 150/90 or less
Patient Satisfaction (3) 10
Percentage of patients seen within 48 hours
Percentage of patients able to book an appointment more than 2 days ahead
Percentage of patients satisfied with their practice telephone system
Percentage of patients able to see a specific GP
Percentage of patients satisfied with practice opening hours
Source:

(1) 2006 Information Centre Workforce Census

(2) Office for National Statistics (life expectancy data based on population estimates and mortality statistics from death registrations) and Quality Management and Analysis System (2006-07 Quality and Outcomes Framework data)

(3 )2007 GP Patient Survey

PCT Strategic health authority (SHA) Total distance
Manchester PCT North West SHA -1.70
Barking and Dagenham PCT London SHA -1.60
Knowsley PCT North West SHA -1.39
Sandwell PCT West Midlands SHA -1.36
Wolverhampton City PCT West Midlands SHA -1.30
Heywood, Middleton and Rochdale PCT North West SHA -1.18
Liverpool PCT North West SHA -1.15
Sunderland Teaching PCT North East SHA -1.13
Birmingham East and North PCT West Midlands SHA -1.06
Halton and St. Helens PCT North West SHA -1.05
Heart of Birmingham Teaching PCT West Midlands SHA -1.05
Barnsley PCT Yorkshire and The Humber SHA -1.04
Leicester City PCT East Midlands SHA -0.98
Oldham PCT North West SHA -0.97
Blackburn with Darwen PCT North West SHA -0.88
Stoke on Trent PCT West Midlands SHA -0.87
Hounslow PCT London SHA -0.86
Hull PCT Yorkshire and The Humber SHA -0.81
Nottingham City PCT East Midlands SHA -0.80
Blackpool PCT North West SHA -0.80
Ashton, Leigh and Wigan PCT North West SHA -0.78
Dudley PCT West Midlands SHA -0.78
Bolton PCT North West SHA -0.75
Greenwich Teaching PCT London SHA -0.74
Sefton PCT North West SHA -0.73
Medway Teaching PCT South East Coast SHA -0.73
Salford PCT North West SHA -0.72
Hartlepool PCT North East SHA -0.71
Tameside and Glossop PCT North West SHA -0.70
Walsall Teaching PCT West Midlands SHA -0.69
Newcastle PCT North East SHA -0.68
Redcar and Cleveland PCT North East SHA -0.67
South Tyneside PCT North East SHA -0.64
Calderdale PCT Yorkshire and The Humber SHA -0.63
North Lancashire PCT North West SHA -0.61
Luton Teaching PCT East of England SHA -0.60
Havering PCT London SHA -0.59
Hammersmith and Fulham PCT London SHA -0.59
Rotherham PCT Yorkshire and The Humber SHA -0.57
Enfield PCT London SHA -0.57
Bury PCT North West SHA -0.57
South Birmingham PCT West Midlands SHA -0.56
Telford and Wrekin PCT West Midlands SHA -0.53
Newham PCT London SHA -0.52
Gateshead PCT North East SHA -0.52
Coventry Teaching PCT West Midlands SHA -0.52
Bristol PCT South West SHA -0.52
North Somerset PCT South West SHA -0.50
Middlesbrough PCT North East SHA -0.48
East Lancashire PCT North West SHA -0.48
North Staffordshire PCT West Midlands SHA -0.46
Portsmouth City Teaching PCT South Central SHA -0.44
Peterborough PCT East of England SHA -0.42
Derby City PCT East Midlands SHA -0.40
Bassetlaw PCT East Midlands SHA -0.40
Ealing PCT London SHA -0.38
Redbridge PCT London SHA -0.36
Nottinghamshire County PCT East Midlands SHA -0.35
Waltham Forest PCT London SHA -0.35
Trafford PCT North West SHA -0.35
Tower Hamlets PCT London SHA -0.34
Eastern and Coastal Kent PCT South East Coast SHA -0.33
South Staffordshire PCT West Midlands SHA -0.32
Wirral PCT North West SHA -0.32
Hastings and Rother PCT South East Coast SHA -0.31
Brighton and Hove City PCT South East Coast SHA -0.29
Bradford and Airedale PCT Yorkshire and The Humber SHA -0.28
Great Yarmouth and Waveney PCT East of England SHA -0.27
Warrington PCT North West SHA -0.27
Southwark PCT London SHA -0.26
North Tees PCT North East SHA -0.25
Haringey Teaching PCT London SHA -0.23
North Tyneside PCT North East SHA -0.21
Islington PCT London SHA -0.21
Kirklees PCT Yorkshire and The Humber SHA -0.20
Bromley PCT London SHA -0.16
Doncaster PCT Yorkshire and The Humber SHA -0.16
Brent Teaching PCT London SHA -0.13
City and Hackney Teaching PCT London SHA -0.11
Leeds PCT Yorkshire and The Humber SHA -0.10
Lewisham PCT London SHA -0.08
North East Essex PCT East of England SHA -0.07
Stockport PCT North West SHA -0.07
Wakefield District PCT Yorkshire and The Humber SHA -0.07
County Durham PCT North East SHA -0.07
Hillingdon PCT London SHA -0.06
West Kent PCT South East Coast SHA -0.06
Croydon PCT London SHA -0.04
Shropshire County PCT West Midlands SHA -0.04
Central Lancashire PCT North West SHA -0.04
East and North Hertfordshire PCT East of England SHA -0.04
North Lincolnshire PCT Yorkshire and The Humber SHA -0.02
Kensington and Chelsea PCT London SHA 0.00
Derbyshire County PCT East Midlands SHA 0.03
Berkshire East PCT South Central SHA 0.03
Central and Eastern Cheshire PCT North West SHA 0.06
East Riding of Yorkshire PCT Yorkshire and The Humber SHA 0.06
Bexley Care Trust London SHA 0.08
Sheffield PCT Yorkshire and The Humber SHA 0.10
Darlington PCT North East SHA 0.12
Northamptonshire PCT East Midlands SHA 0.12
Isle of Wight Healthcare PCT South Central SHA 0.14
Warwickshire PCT West Midlands SHA 0.16
Milton Keynes PCT South Central SHA 0.18
Southampton City PCT South Central SHA 0.22
Barnet PCT London SHA 0.25
South East Essex PCT East of England SHA 0.25
Camden PCT London SHA 0.26
Surrey PCT South East Coast SHA 0.27
Harrow PCT London SHA 0.28
Western Cheshire PCT North West SHA 0.31
Solihull PCT West Midlands SHA 0.31
West Essex PCT East of England SHA 0.31
Hampshire PCT South Central SHA 0.31
Westminster PCT London SHA 0.34
Cumbria PCT North West SHA 0.35
West Hertfordshire PCT East of England SHA 0.37
West Sussex PCT South East Coast SHA 0.42
Herefordshire PCT West Midlands SHA 0.42
Richmond and Twickenham PCT London SHA 0.43
Cornwall and Isles of Scilly PCT South West SHA 0.45
Worcestershire PCT West Midlands SHA 0.47
Plymouth Teaching PCT South West SHA 0.49
Berkshire West PCT South Central SHA 0.50
Bournemouth and Poole PCT South West SHA 0.51
Lambeth PCT London SHA 0.52
East Sussex Downs and Weald PCT South East Coast SHA 0.53
North East Lincolnshire PCT Yorkshire and The Humber SHA 0.55
Leicestershire County and Rutland PCT East Midlands SHA 0.56
Torbay Care Trust South West SHA 0.56
Suffolk PCT East of England SHA 0.56
Bedfordshire PCT East of England SHA 0.61
Gloucestershire PCT South West SHA 0.61
Wandsworth PCT London SHA 0.61
Kingston PCT London SHA 0.64
Swindon PCT South West SHA 0.65
Bath and North East Somerset PCT South West SHA 0.65
Somerset PCT South West SHA 0.72
Dorset PCT South West SHA 0.74
Mid Essex PCT East of England SHA 0.75
Buckinghamshire PCT South Central SHA 0.77
South West Essex PCT East of England SHA 0.82
South Gloucestershire PCT South West SHA 0.87
Oxfordshire PCT South Central SHA 0.87
Sutton and Merton PCT London SHA 0.87
Norfolk PCT East of England SHA 0.95
Lincolnshire PCT East Midlands SHA 0.97
Northumberland Care Trust North East SHA 0.99
Devon PCT South West SHA 1.06
Wiltshire PCT South West SHA 1.10
Cambridgeshire PCT East of England SHA 1.62
North Yorkshire and York PCT Yorkshire and The Humber SHA 1.80

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