Descriptive statistics on the 7521 general practices included in the analysis
Rates of ED attendance per 1000 population | Mean | SD | 25th percentile | Median | 75th percentile |
Total ED attendances | 256.5 | 89.8 | 195.1 | 247.6 | 311.4 |
Definition 1: self-referred discharged (Tammes et al) 5 6 | 93.6 | 50.4 | 56.7 | 86.9 | 124.0 |
Definition 2: GP treatable (NHS Digital)15 | 33.7 | 23.6 | 17.2 | 28.2 | 44.0 |
Definition 3: no treatment and no-follow up (McHale et al)16 | 15.5 | 12.8 | 6.8 | 12.5 | 20.5 |
Primary care quality measures | |||||
Proportion of clinical Quality and Outcomes Framework points achieved | 0.954 | 0.070 | 0.943 | 0.977 | 0.994 |
Proportion of patients who would recommend the practice | 0.774 | 0.124 | 0.701 | 0.793 | 0.869 |
Proportion of patients reporting good overall experience of GP surgery | 0.852 | 0.092 | 0.803 | 0.870 | 0.921 |
Proportion of patients who could see their preferred GP | 0.620 | 0.173 | 0.500 | 0.630 | 0.750 |
Proportion of patients reporting easy phone access | 0.731 | 0.168 | 0.625 | 0.761 | 0.865 |
Proportion of patients able to get an appointment to see or speak to someone | 0.847 | 0.081 | 0.801 | 0.860 | 0.906 |
Proportion of patients who were able to get same day appointment | 0.367 | 0.145 | 0.258 | 0.350 | 0.458 |
Control variables | |||||
Size of the registered population | 7459 | 4444 | 4086 | 6629 | 9965 |
Proportion of registered population aged 0–4 years | 0.060 | 0.016 | 0.049 | 0.058 | 0.069 |
Proportion of registered population aged 5–15 years | 0.126 | 0.027 | 0.112 | 0.124 | 0.139 |
Proportion of registered population aged 16–44 years | 0.388 | 0.086 | 0.333 | 0.373 | 0.426 |
Proportion of registered population aged 45–54 years | 0.143 | 0.021 | 0.134 | 0.146 | 0.156 |
Proportion of registered population aged 55–64 years | 0.113 | 0.026 | 0.097 | 0.116 | 0.130 |
Proportion of registered population aged 65–74 years | 0.093 | 0.035 | 0.068 | 0.094 | 0.117 |
Proportion of registered population aged 75–85 years | 0.055 | 0.022 | 0.039 | 0.055 | 0.069 |
Proportion of registered population aged 85+ years | 0.022 | 0.012 | 0.014 | 0.021 | 0.029 |
Income deprivation score | 0.176 | 0.110 | 0.087 | 0.150 | 0.245 |
Proportion of registered patients of UK white ethnicity | 0.764 | 0.254 | 0.649 | 0.879 | 0.949 |
Proportion of registered patients unemployed | 0.051 | 0.047 | 0.017 | 0.039 | 0.072 |
Response rate to General Practitioner Patient Survey | 0.412 | 0.110 | 0.330 | 0.419 | 0.496 |
Atrial fibrillation prevalence (proportion of registered patients) | 0.020 | 0.254 | 0.011 | 0.017 | 0.021 |
COPD prevalence (proportion of registered patients) | 0.027 | 0.669 | 0.013 | 0.018 | 0.024 |
Asthma prevalence (proportion of registered patients) | 0.078 | 1.660 | 0.051 | 0.059 | 0.067 |
Heart failure prevalence (proportion of registered patients) | 0.009 | 0.138 | 0.005 | 0.007 | 0.009 |
Coronary heart disease prevalence (proportion of registered patients) | 0.042 | 0.853 | 0.025 | 0.032 | 0.040 |
Distance from GP practice to nearest type one ED (km) | 6.858 | 6.677 | 2.503 | 4.497 | 9.014 |
Rate of attendance at type 1–3 EDs (per 10 patients) | 0.830 | 1.012 | 0.105 | 0.388 | 1.253 |
Number of GPs | 5.349 | 3.388 | 3.000 | 4.915 | 7.099 |
Variables included in sensitivity analyses | |||||
Rated good or outstanding by CQC on first inspection | 0.828 | 0.378 | 1.000 | 1.000 | 1.000 |
Weighted proportion of patients who could see their preferred GP | 0.590 | 0.171 | 0.469 | 0.595 | 0.715 |
COPD, chronic obstructive pulmonary disease; CQC, Care Quality Commission; ED, emergency department; GP, general practitioner.