Table 1.
Rates of exception reporting and characteristics of included patients, 2006/2007 to 2011/2012
| 2006/2007 | 2007/2008 | 2008/2009 | 2009/2010 | 2010/2011 | 2011/2012 | |
|---|---|---|---|---|---|---|
| Populations—all practices | ||||||
| No of practices | 569 | 566 | 565 | 556 | 534 | 499 |
| Total list size | 5 321 351 | 5 370 801 | 5 449 547 | 5 432 224 | 5 301 520 | 5 069 748 |
| Patients with at least one of the 16 conditions (%) | 30.1 | 30.0 | 30.1 | 30.0 | 29.8 | 29.3 |
| Populations—ONS linkage | ||||||
| No of practices | 333 | 336 | 335 | 332 | 313 | 289 |
| Total list size | 3 257 681 | 3 362 641 | 3 408 043 | 3 415 997 | 3 271 321 | 3 157 801 |
| Patients with at least one of the 16 conditions (%) | 29.5 | 29.3 | 29.3 | 29.1 | 29.0 | 28.4 |
| Exceptions: clinical contraindication | ||||||
| Patients with one or more (%) | 12.6 | 12.3 | 11.9 | 12.3 | 12.4 | 12.4 |
| Patients with more than one (%) | 3.7 | 3.8 | 3.4 | 3.3 | 3.2 | 3.2 |
| Exceptions: informed dissent | ||||||
| Patients with one or more (%) | 8.0 | 8.6 | 8.3 | 8.6 | 9.2 | 9.0 |
| Patients with more than one (%) | 1.7 | 2.1 | 2.0 | 1.9 | 2.0 | 2.0 |
| Exceptions: reason unknown (general) | ||||||
| Patients with one or more (%) | 0.2 | 0.2 | 0.2 | 0.1 | 0.1 | 0.1 |
| Patients with more than one (%) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Exceptions: all reasons* | ||||||
| Patients with one or more (%) | 19.1 | 19.3 | 18.8 | 19.3 | 19.9 | 19.8 |
| Patients with more than one (%) | 6.1 | 6.5 | 5.9 | 5.8 | 6.0 | 5.8 |
| Exceptions: clinical contraindication AND informed dissent | ||||||
| Patients with one or more (%) | 1.6 | 1.7 | 1.6 | 1.6 | 1.7 | 1.6 |
| Patients with more than one (%) | 0.2 | 0.2 | 0.2 | 0.2 | 0.2 | 0.2 |
| By region: percentage of patients with one or more exception (all reasons*) | ||||||
| English regions | ||||||
| North East | 18.2 | 19.0 | 17.3 | 19.0 | 19.0 | 18.7 |
| North West | 19.6 | 19.7 | 19.1 | 19.6 | 20.0 | 19.5 |
| Yorkshire and Humber | 17.8 | 18.6 | 18.1 | 18.3 | 18.7 | 20.5 |
| East Midlands | 21.9 | 19.6 | 22.2 | 20.1 | 20.5 | 20.7 |
| West Midlands | 15.8 | 16.6 | 16.3 | 16.8 | 18.4 | 18.6 |
| East England | 17.8 | 18.7 | 18.3 | 18.8 | 19.3 | 18.6 |
| South West | 19.6 | 20.8 | 20.7 | 21.3 | 22.5 | 23.3 |
| South Central | 17.0 | 16.8 | 16.7 | 17.4 | 18.0 | 17.1 |
| London | 18.8 | 17.8 | 16.4 | 17.1 | 17.8 | 16.8 |
| South East | 16.9 | 16.4 | 15.4 | 17.0 | 17.6 | 17.1 |
| Country aggregates | ||||||
| England | 18.2 | 18.3 | 17.8 | 18.4 | 19.1 | 18.7 |
| Northern Ireland | 19.3 | 20.8 | 20.0 | 18.9 | 17.3 | 18.4 |
| Scotland | 22.2 | 21.8 | 22.0 | 23.3 | 24.3 | 25.5 |
| Wales | 23.5 | 24.3 | 22.7 | 22.7 | 23.1 | 22.7 |
| By practice area deprivation quintile: percentage of patients with one or more exception (all reasons*) | ||||||
| 1 (least deprived) | 18.0 | 18.0 | 17.3 | 17.3 | 18.3 | 18.1 |
| 2 | 18.0 | 19.0 | 18.6 | 18.9 | 19.6 | 20.1 |
| 3 | 19.9 | 19.7 | 18.8 | 19.5 | 20.4 | 20.4 |
| 4 | 19.9 | 19.6 | 19.4 | 19.9 | 20.1 | 19.1 |
| 5 | 19.6 | 20.0 | 19.5 | 20.8 | 21.4 | 21.4 |
| By patient area deprivation quintile: percentage of patients with one or more exception (all reasons*)† | ||||||
| 1 (least deprived) | 16.6 | 16.8 | 16.2 | 16.6 | 17.8 | 17.3 |
| 2 | 18.0 | 18.1 | 17.8 | 18.1 | 19.1 | 18.9 |
| 3 | 18.5 | 18.6 | 18.3 | 18.8 | 19.9 | 19.8 |
| 4 | 19.0 | 18.9 | 18.4 | 18.9 | 19.6 | 19.1 |
| 5 | 19.2 | 19.1 | 18.8 | 19.9 | 20.1 | 19.7 |
| By sex: percentage of patients with one or more exception (all reasons*) | ||||||
| Female | 17.9 | 18.0 | 17.6 | 18.0 | 18.7 | 18.8 |
| Male | 20.7 | 20.9 | 20.3 | 21.0 | 21.5 | 21.2 |
| By smoking status: percentage of patients with one or more exception (all reasons*) | ||||||
| Never | 17.3 | 17.4 | 16.8 | 17.1 | 17.8 | 17.6 |
| Ex-smoker | 21.3 | 21.6 | 20.9 | 21.4 | 21.9 | 21.6 |
| Smoker | 17.8 | 17.4 | 17.1 | 18.0 | 18.7 | 19.1 |
| Missing | 11.2 | 10.5 | 9.8 | 9.8 | 10.2 | 10.0 |
| By death in next year: percentage of patients with one or more exception (all reasons*) | ||||||
| Alive | 18.6 | 18.7 | 18.3 | 18.9 | 19.5 | . |
| Dead | 41.8 | 42.0 | 40.5 | 41.0 | 41.4 | . |
| By condition: percentage prevalence rates in patients with one or more exception (all reasons*) | ||||||
| Atrial fibrillation | 40.5 | 42.4 | 41.0 | 41.3 | 41.4 | 40.7 |
| Asthma | 26.5 | 25.7 | 25.4 | 25.9 | 26.7 | 26.8 |
| Hypertension | 23.8 | 24.7 | 23.9 | 24.5 | 25.0 | 24.5 |
| Cancer | 19.8 | 20.3 | 19.6 | 19.9 | 20.4 | 19.8 |
| Coronary heart disease | 47.2 | 47.8 | 45.6 | 45.8 | 45.7 | 44.3 |
| Heart failure | 47.8 | 47.9 | 47.0 | 49.7 | 48.4 | 46.2 |
| Chronic kidney disease | 35.8 | 37.0 | 34.4 | 34.5 | 34.4 | 33.3 |
| COPD | 45.7 | 46.0 | 44.8 | 46.6 | 45.8 | 43.5 |
| Dementia | 38.5 | 38.8 | 36.8 | 37.5 | 38.3 | 36.7 |
| Depression | 14.3 | 14.1 | 14.0 | 14.9 | 16.0 | 16.5 |
| Diabetes mellitus | 36.7 | 38.3 | 36.8 | 38.6 | 38.6 | 36.7 |
| Epilepsy | 28.9 | 28.8 | 28.4 | 27.8 | 28.5 | 30.2 |
| Learning disability | 15.7 | 15.9 | 15.4 | 14.9 | 15.8 | 16.4 |
| Severe mental illness | 26.3 | 26.9 | 25.7 | 26.9 | 27.2 | 28.9 |
| Stroke | 42.0 | 42.1 | 40.1 | 40.1 | 40.6 | 39.1 |
| Hypothyroidism | 19.3 | 19.7 | 18.9 | 19.2 | 19.7 | 19.4 |
| Means (SDs) for patients with one or more exceptions (all reasons*) | ||||||
| Age‡ | 61.4 (20.4) | 62.1 (19.9) | 61.9 (19.8) | 61.8 (19.6) | 61.9 (19.5) | 61.6 (19.3) |
| No of morbidities‡ | 2.3 (1.4) | 2.3 (1.4) | 2.3 (1.4) | 2.3 (1.4) | 2.3 (1.4) | 2.3 (1.4) |
| BMI§ | 28.4 (6.4) | 28.6 (6.6) | 28.7 (6.7) | 28.9 (6.8) | 28.9 (6.6) | 29.0 (6.7) |
| BMI missing (%) | 50.0 | 51.2 | 50.9 | 50.8 | 50.7 | 50.2 |
| Means (SDs) for patients without an exception | ||||||
| Age‡ | 52.9 (19.7) | 53.0 (19.5) | 53.4 (19.5) | 53.6 (19.4) | 54.0 (19.2) | 54.5 (19.1) |
| No of morbidities‡ | 1.5 (0.9) | 1.5 (0.9) | 1.5 (0.9) | 1.5 (0.9) | 1.6 (0.9) | 1.6 (0.9) |
| BMI§ | 28.4 (6.4) | 28.5 (6.5) | 28.7 (6.6) | 28.8 (6.7) | 28.9 (6.6) | 28.9 (6.6) |
| BMI missing (%) | 60.6 | 62.7 | 61.3 | 61.2 | 60.6 | 59.5 |
*Clinical contraindication, informed dissent or reason unknown. Logistical exceptions were not included in analyses.
†Available for ONS linked patients only.
‡Data were complete for age and number of morbidities.
§Partially imputed using the mibmi algorithm.
BMI, body mass index; COPD, chronic obstructive pulmonary disease; ONS, Office of National Statistics.