Docstoc

List inflation – what is it_

Document Sample
List inflation – what is it_ Powered By Docstoc
					             List inflation


           Sandy Fitzpatrick

Head of Information and Registration Unit
    Business Services Organisation
             Content

 Introduction   to Family Practitioner
  Services
 List inflation – causes
 List inflation – measurement
 List inflation – treatment
Family Practitioner Services

•   On 1st April 2009 there were 1,855,974 people
    registered with a GP practice
•   In the 2008-09 financial year there were:
    • 32 million prescription items dispensed
    • One million claims for dental treatments
    • 600k ophthalmic claims
    • 166k patient amendments and almost 58k new patient
      registrations
    • £716m spent on Family Practitioner Services
    • Over 84% of the population in NI had some form of
      interaction with a family practitioner
Unique individuals using/accessing Family Practitioner Services in 2008-09
       All          Medical    Pharmacy     Dental     Ophthalmic      FPS
       This
                                                                      Had an
       column
                     242,594                                            I
       represents                                                       N
                                                                        T
       the                                                              E
                                1,239,698                               R
       population                                                       A
                                             848,766                    C
       of                                                               T
                                                                        I
       NI –                                              295,757        O
                                                                        N
       1.86m
                                                                      1,560,475
       1st Apr 09                                                   No recorded
                                                                    interaction
                                                                        296,958
                                                  Family Practitioner Services - All Users 2008-09

16000




14000



12000




10000



 8000




 6000



 4000




 2000



    0
                    12

                         15

                              18

                                   21

                                        24

                                             27

                                                  30

                                                       33

                                                            36

                                                                 39

                                                                      42

                                                                           45

                                                                                48

                                                                                     51

                                                                                           54

                                                                                                57

                                                                                                     60

                                                                                                          63

                                                                                                               66

                                                                                                                    69

                                                                                                                         72

                                                                                                                              75

                                                                                                                                   78

                                                                                                                                        81

                                                                                                                                             84

                                                                                                                                                  87

                                                                                                                                                       90

                                                                                                                                                            93

                                                                                                                                                                 96

                                                                                                                                                                      99
    0

        3

            6

                9




                                                       Female users        Total females        Male users      Total males
                            Proportion of population accessing Family Practitioner Services in 2008-09 by sex

100


 95



 90


 85



 80


 75


 70



 65


 60



 55


 50
                  12

                       15

                            18

                                 21

                                      24

                                           27

                                                30

                                                     33

                                                          36

                                                               39

                                                                    42

                                                                         45

                                                                              48

                                                                                   51

                                                                                        54

                                                                                             57

                                                                                                  60

                                                                                                         63

                                                                                                              66

                                                                                                                   69

                                                                                                                        72

                                                                                                                             75

                                                                                                                                  78

                                                                                                                                       81

                                                                                                                                            84

                                                                                                                                                 87

                                                                                                                                                      90

                                                                                                                                                           93

                                                                                                                                                                96

                                                                                                                                                                     99
  0

      3

          6

              9




                                                                         Female rate         Male rate
        List inflation – Causes
   Population movement without our
    knowledge e.g.,
    – People emigrating
    – Migrants returning home
    – Deaths of residents outside the jurisdiction
   Non entitled users – Republic of Ireland
    residents accessing NI health services
    List inflation – Measurement
 Principle measure is by comparing the
  NISRA population estimate to the count of
  persons registered with a GP
 It occurs across the UK
 It varies by area and by level of deprivation
 It varies by age and sex
                       BSO/NISRA POPULATION COMPARISION 1984-2009

             1900000

             1850000

             1800000

             1750000

             1700000
POPULATION




             1650000

             1600000

             1550000

             1500000

             1450000

             1400000

             1350000
                       19
                       19 4
                       19 5
                       19 6
                       19 7
                       19 8
                       19 9
                       19 0
                       19 1
                       19 2
                       19 3
                       19 4
                       19 5
                       19 6
                       19 7
                       19 8
                       20 9
                       20 0
                       20 1
                       20 2
                       20 3
                       20 4
                       20 5
                       20 6
                       20 7
                       20 8
                          8
                          8
                          8
                          8
                          8
                          8
                          9
                          9
                          9
                          9
                          9
                          9
                          9
                          9
                          9
                          9
                          0
                          0
                          0
                          0
                          0
                          0
                          0
                          0
                          0
                          09
                                              YEAR
                 Estimated list inflation by country - 2008

6.0%


5.0%


4.0%


3.0%


2.0%


1.0%


0.0%
       England              Wales              Scotland       Northern Ireland
                                         MALE POPULATION 2008

                                         NISRA MYE            BSO REGISTERED

80000

70000

60000

50000

40000

30000

20000

10000

    0
        0-     5-     10     15     20     25     30     35     40     45     50     55     60     65     70     75     80     8
           4      9      -1     -1     -2     -2     -3     -3     -4     -4     -5     -5     -6     -6     -7     -7     -8 5 +
                           4      9      4      9      4      9      4      9      4      9      4      9      4      9      4

                                                         AGE BAND
                      FEMALE POPULATION 2008

                       NISRA MYE    BSO REGISTERED

70000

60000

50000

40000

30000

20000

10000

    0
        0-

               5-

                      10

                      15

                      20

                      25

                      30

                      35

                      40

                      45

                      50

                      55

                      60

                      65

                      70

                      75

                      80

                      85
           4

                  9

                         -1

                         -1

                         -2

                         -2

                         -3

                         -3

                         -4

                         -4

                         -5

                         -5

                         -6

                         -6

                         -7

                         -7

                         -8

                         +
                           4

                           9

                           4

                           9

                           4

                           9

                           4

                           9

                           4

                           9

                           4

                           9

                           4

                           9

                           4
                                   AGE BAND
                                                                                                              NI        NE
                                                                                                                    BA
                                                                                                                 RA
                                                                                                              ST
                                                                                                                     H
                                                                                                                  AG         N
                                                                                                              OM         OW
                                                                                                                     HD         EY
                                                                                                                  RT        BB
                                                                                                              NO         NA
                                                                                                                     OW          NE
                                                                                                                 WT           UR
                                                                                                              NE          MO
                                                                                                                      Y&
                                                                                                                 WR
                                                                                                              NE
NORTHERN IRELAND PERCENTAGE LIST INFLATION BY LGD




                                                                                                                     E         T
                                                                                                                  YL        EL
                                                                                                              MO         AF
                                                                                                                      ER
                                                                                                                  GH
                                                                                                              MA
                                                                                                                     RN
                                                                                                                 BU
                                                                                                              LIS        Y
                                                                                                                      AD
                                                                                                                  AV
                                                                                                              LIM
                                                                                                                     E
                                                                                                                 RN         H
                                                                                                              LA        AG
                                                                                                                     AN
                                                                                                                 RM         N
                                                                                                              FE        NO
                                                                                                                     AN
                                                                                                                 NG
                                                                                                              DU
                                                                                                                 WN
                                                                                                              DO
                                                                                                                     Y
                                                                                                                 RR
                                                                                                              DE         ON
                                                                                                                      AV
                                                                                                                 AIG        N
                                                                                                              CR        OW
                                                                                                                     ST
                                                                                                                 OK
                                                                                                              CO       INE
                                                                                                                    RA        H
                                                                                                                 LE        AG
                                                                                                              CO       RE
                                                                                                                    LE         US
                                                                                                                 ST         RG
                                                                                                              CA         FE
                                                                                                                     ICK
                                                                                                                 RR
                                                                                                              CA       T
                                                                                                                    AS
                                                                                                                 LF
                                                                                                              BE         GE
                                                                                                                     RID
                                                                                                                 NB        EY
                                                                                                              BA        ON
                                                                                                                    YM
                                                                                                                 LL        A
                                                                                                              BA        EN
                                                                                                                    YM
                                                                                                                 LL
                                                                                                              BA       H
                                                                                                                      G
                                                                                                                   MA
                                                                                                              AR
                                                                                                                   DS
                                                                                                              AR
                                                                                                                     IM
                                                                                                                   TR
                                                                                                              AN




                                                                      8.00%


                                                                              6.00%


                                                                                      4.00%


                                                                                              2.00%


                                                                                                      0.00%


                                                                                                                        -2.00%


                                                                                                                                 -4.00%
                                                    12.00%


                                                             10.00%
                                                      DERRY LGD PERCENTAGE LIST INFLATION

                              NISRA MIDYEAR ESTIMATES 2008                         BSO REGISTERED PATIENTS JULY 2008                       %DIFF

12,000                                                                                                                                                                     25.00%
                                                                 22.38%
                                                        21.17%            21.28%
                                                                                                                                                                           20.00%
10,000

                                                                                    16.01%
                                                                                                                                                                           15.00%
                                              14.20%
 8,000
                                                                                             12.39%
                                                                                                                                                                           10.00%
                                     8.78%                                                            9.37% 9.02%
 6,000

                            4.63%                                                                                       4.92%                                              5.00%
                                                                                                                                 3.55%
                   2.82%                                                                                                                                             2.74%
 4,000
                                                                                                                                                   -0.08%                  0.00%
                                                                                                                                          -1.19%
          -2.51%
 2,000
                                                                                                                                                            -5.36%         -5.00%


    0                                                                                                                                                                      -10.00%
         0-


                5-


                           10


                                    15


                                             20


                                                       25


                                                                30


                                                                         35


                                                                                   40


                                                                                            45


                                                                                                     50


                                                                                                              55


                                                                                                                       60


                                                                                                                                65


                                                                                                                                         70


                                                                                                                                                  75


                                                                                                                                                           80


                                                                                                                                                                    85
            4


                   9


                              -1


                                       -1


                                                -2


                                                          -2


                                                                   -3


                                                                            -3


                                                                                      -4


                                                                                               -4


                                                                                                        -5


                                                                                                                 -5


                                                                                                                          -6


                                                                                                                                   -6


                                                                                                                                            -7


                                                                                                                                                     -7


                                                                                                                                                              -8


                                                                                                                                                                       +
                                4


                                         9


                                                  4


                                                            9


                                                                     4


                                                                              9


                                                                                        4


                                                                                                 9


                                                                                                          4


                                                                                                                   9


                                                                                                                            4


                                                                                                                                     9


                                                                                                                                              4


                                                                                                                                                       9


                                                                                                                                                                4
                                                                                  AGE BAND
              Percentage difference between GP registered population and
                                   census estimates
25




20




15




10




5




0
       1              2   3     4      5       6      7       8       9         10



-5
     Least deprived                                                  Most deprived
                                                             Dr. Dermot O’Reilly
    List inflation – Treatment
 Administrative processes within UK
 Risk profiling registrations by considering a
  range of datasets and the patient activity
 National duplicate registration initiatives
 Seek funding for list cleansing project
                            BSO/NISRA POPULATION COMPARISION 2001 -2009

1900000



1850000



1800000



1750000



1700000



1650000



1600000



1550000
          Ju           No M        Ju      N    M     J    No M        Ju      N    M     J    No M        Ju      N    M     J    No M        Ju      N    M
             l           v - ar-      l-0 ov      ar ul-     v - ar-      l-0 ov      ar ul-     v - ar-      l-0 ov      ar ul-     v - ar-      l-0 ov      a
                 -0
                            01 0 2           -0     -   03                       -0     -   05                       -0     -   07                       -0 r-0
                   1                     2     2 03             03 0 4       4     4 05             05 0 6       6     6 07             07 0 8       8     8    9
Questions

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:33
posted:8/2/2012
language:Latin
pages:19