list inflation sandy fitzpatrick head of information and registration unit business services...
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List inflationList inflation
Sandy Fitzpatrick
Head of Information and Registration Unit
Business Services Organisation
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ContentContent
Introduction to Family Practitioner Services
List inflation – causesList inflation – measurementList inflation – treatment
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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
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Unique individuals using/accessing Family Practitioner Services in 2008-09All Medical Pharmacy Dental Ophthalmic FPS
ThisHad an
column 242,594 I
represents NT
the E 1,239,698 R
population A 848,766 C
of TI
NI – 295,757 ON
1.86m 1,560,475
1st Apr 09 No recorded interaction 296,958
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Family Practitioner Services - All Users 2008-09
0
2000
4000
6000
8000
10000
12000
14000
16000
0 3 6 9 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
Female users Total females Male users Total males
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Proportion of population accessing Family Practitioner Services in 2008-09 by sex
50
55
60
65
70
75
80
85
90
95
100
0 3 6 9 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
Female rate Male rate
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List inflation – CausesList 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
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List inflation – MeasurementList inflation – Measurement
Principle measure is by comparing the NISRA population estimate to the count of persons registered with a GP
It occurs across the UKIt varies by area and by level of deprivationIt varies by age and sex
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BSO/NISRA POPULATION COMPARISION 1984-2009
1350000
1400000
1450000
1500000
1550000
1600000
1650000
1700000
1750000
1800000
1850000
1900000
19841985
19861987
19881989
19901991
19921993
19941995
19961997
19981999
20002001
20022003
20042005
20062007
20082009
YEAR
PO
PU
LA
TIO
N
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Estimated list inflation by country - 2008
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
England Wales Scotland Northern Ireland
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0
10000
20000
30000
40000
50000
60000
70000
80000
AGE BAND
MALE POPULATION 2008
NISRA MYE BSO REGISTERED
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0
10000
20000
30000
40000
50000
60000
70000
0-45-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
AGE BAND
FEMALE POPULATION 2008
NISRA MYE BSO REGISTERED
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NORTHERN IRELAND PERCENTAGE LIST INFLATION BY LGD
-4.00%
-2.00%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
AN
TRIM
AR
DS
AR
MA
GH
BA
LLYM
ENA
BA
LLYM
ON
EY
BA
NB
RID
GE
BELFA
STC
AR
RIC
KFE
RG
US
CA
STLEREA
GH
CO
LERA
INE
CO
OK
STOW
NC
RA
IGA
VO
ND
ERR
YD
OW
ND
UN
GA
NN
ON
FERM
AN
AG
HLA
RN
ELIM
AVA
DY
LISBU
RN
MA
GH
ERA
FELTM
OYLE
NEW
RY &
MO
UR
NE
NEW
TOW
NA
BB
EY
NO
RTH D
OW
NO
MA
GH
STRA
BA
NE
NI
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DERRY LGD PERCENTAGE LIST INFLATION
-2.51%
2.82%4.63%
8.78%
14.20%
21.17%22.38%
21.28%
16.01%
12.39%
9.37% 9.02%
4.92%3.55%
-1.19%-0.08%
-5.36%
2.74%
0
2,000
4,000
6,000
8,000
10,000
12,000
AGE BAND
-10.00%
-5.00%
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
NISRA MIDYEAR ESTIMATES 2008 BSO REGISTERED PATIENTS JULY 2008 %DIFF
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Dr. Dermot O’Reilly
Least deprived Most deprived
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List inflation – TreatmentList inflation – Treatment
Administrative processes within UKRisk profiling registrations by considering a
range of datasets and the patient activityNational duplicate registration initiativesSeek funding for list cleansing project
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BSO/NISRA POPULATION COMPARISION 2001 -2009
1550000
1600000
1650000
1700000
1750000
1800000
1850000
1900000
Jul-01
Nov-01
Mar-02
Jul-02
Nov-02
Mar-03
Jul-03
Nov-03
Mar-04
Jul-04
Nov-04
Mar-05
Jul-05
Nov-05
Mar-06
Jul-06
Nov-06
Mar-07
Jul-07
Nov-07
Mar-08
Jul-08
Nov-08
Mar-09
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Questions