Emergency attendances | Emergency admissions | Frequency seeing preferred doctor | Same-day appointment | Overall satisfaction | ||||||
Coefficient | P value | Coefficient | P value | Coefficient | P value | Coefficient | P value | Coefficient | P value | |
Persistent high turnover | 1.80 (1.55 to 2.05) | <0.001 | 0.11 (0.06 to 0.16) | <0.001 | −5.25 (−5.64 to –4.86) | <0.001 | −10.61 (−11.40 to –9.81) | <0.001 | −1.34 (−1.56 to –1.12) | <0.001 |
IMD 1 | Reference | Reference | Reference | Reference | Reference | |||||
IMD 2 | 0.92 (0.48 to 1.36) | <0.001 | 0.30 (0.20 to 0.40) | <0.001 | −0.14 (−0.89 to 0.61) | 0.718 | 0.59 (−0.18 to 1.35) | 0.133 | −0.68 (−1.08 to –0.28) | 0.001 |
IMD 3 | 2.36 (1.90 to 2.81) | <0.001 | 0.65 (0.55 to 0.76) | <0.001 | −1.78 (−2.57 to –1.00) | <0.001 | 0.85 (0.07 to 1.63) | 0.033 | −1.95 (−2.36 to –1.53) | <0.001 |
IMD 4 | 4.86 (4.39 to 5.33) | <0.001 | 1.06 (0.95 to 1.17) | <0.001 | −3.81 (−4.61 to –3.00) | <0.001 | −0.01 (−0.82 to 0.79) | 0.973 | −2.97 (−3.39 to –2.55) | <0.001 |
IMD 5 | 7.94 (7.45 to 8.44) | <0.001 | 1.71 (1.60 to 1.83) | <0.001 | −6.12 (−6.97 to –5.27) | <0.001 | −0.16 (−0.99 to 0.68) | 0.712 | −4.35 (−4.79 to –3.9) | <0.001 |
List size 1 | 0.17 (−0.17 to 0.52) | 0.32 | 0.16 (0.08 to 0.23) | <0.001 | 10.71 (10.14 to 11.29) | <0.001 | 1.96 (1.24 to 2.68) | <0.001 | 0.22 (−0.09 to 0.53) | 0.160 |
List size 2 | 0.27 (−0.02 to 0.56) | 0.06 | 0.06 (0.01 to 0.12) | 0.033 | 4.74 (4.27 to 5.20) | <0.001 | −0.35 (−1.04 to 0.33) | 0.311 | 0.26 (0.01 to 0.52) | 0.044 |
List size 3 | Reference | Reference | Reference | Reference | Reference | |||||
List size 4 | −0.35 (−0.64 to –0.06) | 0.02 | −0.05 (−0.11 to 0.01) | 0.113 | −4.25 (−4.71 to –3.78) | <0.001 | 0.37 (−0.31 to 1.06) | 0.287 | −0.2 (−0.46 to 0.05) | 0.119 |
List size 5 | 0.35 (0.00 to 0.70) | 0.05 | 0.11 (0.03 to 0.18) | 0.004 | −9.14 (−9.71 to –8.57) | <0.001 | −2.16 (−2.9 to –1.43) | <0.001 | −0.83 (−1.14 to –0.52) | <0.001 |
London | Reference | Reference | Reference | Reference | Reference | |||||
Central Midlands | −4.92 (−5.62 to –4.21) | <0.001 | 0.96 (0.80 to 1.13) | <0.001 | 6.77 (5.53 to 8.00) | <0.001 | 10.70 (9.59 to 11.81) | <0.001 | 3.63 (2.99 to 4.27) | <0.001 |
East Midlands | −4.32 (−5.03 to –3.61) | <0.001 | 0.64 (0.47 to 0.81) | <0.001 | 10.49 (9.24 to 11.75) | <0.001 | 10.91 (9.77 to 12.04) | <0.001 | 4.96 (4.32 to 5.61) | <0.001 |
North Midlands | −4.26 (−4.99 to –3.53) | <0.001 | 1.49 (1.32 to 1.67) | <0.001 | 10.98 (9.70 to 12.26) | <0.001 | 10.18 (9.02 to 11.35) | <0.001 | 6.21 (5.55 to 6.87) | <0.001 |
West Midlands | 0.40 (−0.26 to 1.06) | 0.231 | 1.30 (1.15 to 1.46) | <0.001 | 7.51 (6.35 to 8.67) | <0.001 | 7.46 (6.41 to 8.52) | <0.001 | 3.78 (3.19 to 4.38) | <0.001 |
Cheshire and Merseyside | −1.14 (−1.94 to –0.34) | 0.005 | 3.20 (3.00 to 3.39) | <0.001 | 10.76 (9.35 to 12.16) | <0.001 | 12.54 (11.25 to 13.82) | <0.001 | 7.98 (7.25 to 8.71) | <0.001 |
Cumbria and North East | −3.74 (−4.53 to –2.95) | <0.001 | 2.56 (2.38 to 2.75) | <0.001 | 14.53 (13.14 to 15.92) | <0.001 | 7.52 (6.25 to 8.79) | <0.001 | 8.84 (8.12 to 9.56) | <0.001 |
Greater Manchester | 3.07 (2.34 to 3.80) | <0.001 | 2.33 (2.16 to 2.51) | <0.001 | 8.73 (7.44 to 10.01) | <0.001 | 3.29 (2.14 to 4.45) | <0.001 | 5.83 (5.16 to 6.49) | <0.001 |
Lancashire and South Cumbria | −6.17 (−7.11 to –5.24) | <0.001 | 2.17 (1.95 to 2.40) | <0.001 | 12.88 (11.22 to 14.54) | <0.001 | 8.47 (6.98 to 9.96) | <0.001 | 6.53 (5.68 to 7.38) | <0.001 |
Yorkshire and Humber | 0.84 (0.20 to 1.47) | 0.010 | 1.73 (1.58 to 1.88) | <0.001 | 9.75 (8.63 to 10.87) | <0.001 | 9.22 (8.20 to 10.24) | <0.001 | 6.08 (5.51 to 6.66) | <0.001 |
South Central | −6.29 (−7.06 to –5.51) | <0.001 | 0.48 (0.30 to 0.67) | <0.001 | 11.07 (9.71 to 12.44) | <0.001 | 6.47 (5.23 to 7.7) | <0.001 | 5.92 (5.22 to 6.63) | <0.001 |
South East | −2.40 (−3.09 to –1.71) | <0.001 | 1.09 (0.93 to 1.26) | <0.001 | 10.46 (9.25 to 11.67) | <0.001 | 10.42 (9.33 to 11.52) | <0.001 | 4.42 (3.79 to 5.04) | <0.001 |
South West | −5.33 (−6.13 to –4.53) | <0.001 | 1.05 (0.86 to 1.24) | <0.001 | 15.20 (13.80 to, 16.60) | <0.001 | 14.30 (13.02 to 15.58) | <0.001 | 8.49 (7.76 to 9.21) | <0.001 |
Wessex | −7.28 (−8.15 to –6.42) | <0.001 | 1.51 (1.31 to 1.72) | <0.001 | 15.79 (14.27 to 17.30) | <0.001 | 8.78 (7.40 to 10.16) | <0.001 | 7.69 (6.91 to 8.48) | <0.001 |
QOF prevalence of serious conditions (%) | 0.16 (0.15 to 0.18) | <0.001 | 0.09 (0.09 to 0.10) | <0.001 | −0.41 (−0.43 to –0.38) | <0.001 | −0.40 (−0.43 to –0.37) | <0.001 | −0.03 (−0.05 to –0.02) | <0.001 |
Rurality | −3.78 (−4.25 to –3.30) | <0.001 | −0.72 (−0.83 to –0.61) | <0.001 | 4.81 (3.98 to 5.64) | <0.001 | 1.61 (0.84 to 2.38) | 0.394 | 2.91 (2.48 to 3.34) | <0.001 |
Note: mean and SD for each list size. List size 1: 2528 (592); list size 2: 4493 (565); list size 3: 6532 (649); list size 4: 9119 (866); list size 5: 14 291 (4362). The variable region represents the 14 NHS regions in England.
IMD, Index of Multiple Deprivation; QOF, quality and outcomes framework.