Table 3.
Within-year comparisons of practice performance by contract status, 2008/2009 to 2012/2013.
| Domain | Performance measure | 2008/2009 |
2009/2010 |
2010/2012 |
2011/2012 |
2012/2013 |
||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PMS/ GMS | Alternative Provider of Medical Services | PMS/ GMS | Alternative Provider of Medical Services | PMS/ GMS | Alternative Provider of Medical Services | PMS/ GMS | Alternative Provider of Medical Services | PMS/ GMS | Alternative Provider of Medical Services | Summary | ||
| Overall performance | Total Quality and Outcomes Framework score (%) | 95.6 | 89.6*** | 94.1 | 85.2*** | 94.9 | 93.3*** | 97.1 | 95.2*** | 96.6 | 94.8*** | Alternative Provider of Medical Services worse in 5 years |
| Clinical effectiveness | Clinical Quality and Outcomes Framework score (%) | 98.0 | 92.3*** | 96.3 | 87.0*** | 97.0 | 94.8*** | 97.3 | 94.8*** | 95.6 | 93.5*** | Alternative Provider of Medical Services worse in 5 years |
| Total exception reporting (%) | 4.4 | 5.3*** | 4.9 | 10.7*** | 4.9 | 8.4*** | 5.1 | 7.8*** | 3.7 | 4.8*** | Alternative Provider of Medical Services worse in 5 years | |
| BP control in hypertensive patients (%) | 75.5 | 72.1*** | 75.6 | 67.2*** | 76.3 | 71.6*** | 76.8 | 73.3*** | 77.6 | 75.2*** | Alternative Provider of Medical Services worse in 5 years | |
| Exception reporting of hypertensive patients (%) | 3.3 | 5.1*** | 3.3 | 11.4*** | 3.1 | 8.2*** | 3.0 | 6.3*** | 3.2 | 5.7*** | Alternative Provider of Medical Services worse in 5 years | |
| HbA1c control in diabetes patients (%) | 59.3 | 54.9*** | 69.3 | 57.9*** | 69.8 | 63.1*** | 71.3 | 65.0*** | 67.9 | 63.4*** | Alternative Provider of Medical Services worse in 5 years | |
| Exception reporting of diabetes patients (%) | 7.9 | 9.7** | 7.7 | 19.0*** | 7.7 | 15.6*** | 6.9 | 12.3*** | 7.2 | 11.2*** | Alternative Provider of Medical Services worse in 5 years | |
| Cervical screening coverage (%) | 77.5 | 73.0*** | 77.4 | 64.2*** | 77.2 | 72.0*** | 77.4 | 73.9*** | 76.9 | 74.4*** | Alternative Provider of Medical Services worse in 5 years | |
| Cervical screening exception reporting (%) | 4.7 | 6.0* | 5.0 | 12.7*** | 5.1 | 10.2*** | 4.0 | 7.9*** | 4.2 | 7.8*** | Alternative Provider of Medical Services worse in 5 years | |
| Cost and efficiency | Ambulatory care sensitive condition admission rate | 13.8 | 17.2*** | 13.9 | 16.6*** | 14.7 | 19.3*** | 14.4 | 19.8*** | 14.0 | 19.2*** | Alternative Provider of Medical Services worse in 5 years |
| % Low-cost statin | 73.8 | 74.5 | 75.1 | 78.1*** | 75.7 | 78.6*** | 76.1 | 79.1*** | n/a | n/a | Alternative Provider of Medical Services better in 3 years | |
| Tonsillectomy admission rate | 0.71 | 0.79 | 0.70 | 0.90*** | 0.65 | 0.86*** | 0.65 | 0.84*** | 0.66 | 0.77** | Alternative Provider of Medical Services worse in 4 years | |
| Access | Able to get appointment (%) | 83.3 | 76.1*** | 80.9 | 77.5*** | 80.8 | 82.8* | 89.3 | 85.6*** | 88.4 | 83.5*** | Alternative Provider of Medical Services worse in 4 years, better in 1 |
| Satisfied with opening hours (%) | 81.2 | 80.0 | 81.8 | 84.1*** | 81.1 | 88.5*** | 83.5 | 88.1*** | 82.5 | 87.2*** | Alternative Provider of Medical Services better in 4 years | |
| Patient experience | Able to see preferred doctor (%) | 75.5 | 60.2*** | 74.8 | 61.5*** | 73.5 | 62.5*** | 68.2 | 56.2*** | 65.9 | 51.6*** | Alternative Provider of Medical Services worse in 5 years |
| Recommending GP (%) | n/a | n/a | 83.4 | 77.7*** | 83.2 | 81.8 | 82.0 | 78.6*** | 80.4 | 76.2*** | Alternative Provider of Medical Services worse in 4 years | |
| Overall satisfaction (%) | 90.9 | 85.4*** | 90.4 | 86.9*** | 90.2 | 88.3*** | 89.7 | 87.4*** | 88.6 | 85.4*** | Alternative Provider of Medical Services worse in 5 years | |
*
p < 0.05,
**
p < 0.01,
***
p < 0.001