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. 2010 Jan 1;60(570):e36–e48. doi: 10.3399/bjgp10X482086
HbA1c ≤7.4% (n = 7456) HbA1c ≤10% (n = 7456) Blood pressure ≤145/85 mmHg (n = 7456) Total cholesterol ≤5 mmol/l (n = 7456)

Clinical indicator β SE(β) β SE(β) β SE(β) β SE(β)
Characteristic
 Intercept 60.076 0.737 90.006 0.443 74.720 0.758 77.294 0.631

Area
 Density (people per hectare 2001) –0.035 0.160 –0.275c 0.076 0.007 0.166 –0.091 0.123
 Index of Multiple Deprivation –0.460b 0.155 –0.517c 0.069 –0.001 0.144 –0.140 0.126

Patients
 ≥65 years of age 1.599c 0.172 0.884c 0.081 –0.552c 0.166 0.377a 0.158
 % Member of racial or ethnic minority –1.529c 0.187 –0.586c 0.090 –0.427a 0.198 –0.508b 0.158

Disease prevalence
 Unadjusted prevalence 0.689b 0.245 –0.070 0.101 –0.031 0.169 0.158 0.150

Practice
 Size of practice population –0.066 0.108 0.115a 0.051 –0.282a 0.122 0.000 0.093
 List size per FTE GP 0.148b 0.052 –0.002 0.048 –0.039 0.082 –0.041 0.047
 Single-handed practice –0.047 0.394 –0.544a 0.251 0.205 0.416 –0.007 0.313
 Primary medical services contract 0.282 0.214 0.108 0.111 –0.183 0.239 0.101 0.193

GPs
 ≥45 years of age –0.523c 0.116 –0.250c 0.056 –0.079 0.125 –0.315b 0.113
 % Female GPs 0.851c 0.114 0.537c 0.063 0.205 0.138 0.546c 0.111
 % GPs qualified in UK 0.615c 0.159 0.703c 0.095 0.667c 0.157 0.939c 0.130

Exception reporting
 HbA1c recorded –0.128 0.132 0.093 0.067
 HbA1c ≤7.4% 4.060c 0.132
 HbA1c ≤10% 2.051c 0.074
 Blood pressure recorded 0.668c 0.160
 Blood pressure ≤145/85 mmHg –0.197 0.157
 Total cholesterol –0.474c 0.121
 Total cholesterol ≤5 mmol/l 3.669c 0.116

Practice nurses
 List size per FTE practice nurse (quintiles)
  1st ≤3038.01 2.249b 0.713 1.763c 0.449 0.679 0.715 1.862b 0.632
  2nd 3038.02–3901.48 2.046b 0.695 1.639c 0.440 0.578 0.751 1.537a 0.619
  3rd 3901.49–4823.44 1.505a 0.718 1.420b 0.438 0.362 0.751 1.335a 0.655
  4th 4823.45–6210.68 1.193 0.726 1.499b 0.460 0.598 0.759 1.754b 0.670
  5th ≥6210.69 0.776 0.695 0.915a 0.425 –0.015 0.786 1.122 0.648
  No practice nurse 0.000 0.000 0.000 0.000

Global test for effect of nurse staffing –2 log likelihood (IGLS)
 Model without practice nurse variable 52990.910 43200.699 54991.270 51088.563
 Model with practice nurse variable 52955.133 43143.883 54985.156 51069.234
 Difference in log likelihood (5df) 35.777 56.816 6.114 19.329
P-value <0.001 <0.001 0.30 0.0017

Variance
 PCT level 23.490 2.382 2.022 0.274 4.006 0.609 8.426 0.862
 Practice level 52.617 1.271 14.768 0.751 74.060 1.641 42.346 1.073

df = degrees of freedom. FTE = full-time equivalent. SE = standard error.

a

P<0.05;

b

P<0.01;

c

P<0.001.