List inflationList inflation

Sandy Fitzpatrick

Head of Information and Registration Unit

Business Services Organisation

ContentContent

Introduction to Family Practitioner Services

List inflation – causesList inflation – measurementList 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 2008-09All 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

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

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

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

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

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

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

0

10000

20000

30000

40000

50000

60000

70000

80000

AGE BAND

MALE POPULATION 2008

NISRA MYE BSO REGISTERED

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

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

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

Dr. Dermot O’Reilly

Least deprived Most deprived

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

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

Questions