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General Practitioners

Volume 475: debated on Thursday 15 May 2008

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; (203443)

(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.

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