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General Practitioners

Volume 478: debated on Monday 23 June 2008

To ask the Secretary of State for Health pursuant to the answer of 15 May 2008, Official Report, columns 1673-74W, on general practitioners, (1) whether officials in his Department conducted trials of different weightings; (209178)

(2) what weighting was given to each of the individual measures within each of the three indicators;

(3) what the basis was for the decision to weight the different indicators in this way.

Officials in the Department worked with the national health service to identify the range of indicators that best determined those primary care trusts (PCTs) with greatest needs. The weighting agreed reflects discussions held with the NHS to ensure the new investment to procure additional capacity would not result in an increase in resources in areas that already had above the national average number of primary medical care clinicians within the PCT. The following table shows the weightings given to the individual numbers.

General practitioner (GP)-led health centres—indictors and weightings used to determine PCTs with the poorest provision

Indicator

Weighting total 100 per cent.

Primary care capacity

Whole-time equivalent (Wte) GPs per 10,000 weighted population

30

Wte practice nurses per 10,000 weighted population

30

Health outcomes

Male life expectancy

4.29

Female life expectancy

4.29

Cancer mortality among under 65s

4.29

Cardiovascular mortality among under 75s

4.29

Index of multiple deprivation (health)

4.29

Percentage of patients with diabetes in whose HbA1c is 7.5 or less

4.29

Percentage of patients with hypertension in whose blood pressure reading is 150/90 or less

4.29

Patient satisfaction

Percentage patients seen within 48 hours

2

Percentage patients able to book an appointment more than two days ahead

2

Percentage patients satisfied with their practice telephone system

2

Percentage patients able to see a specific GP

2

Percentage patients satisfied with practice opening hours

2