Table 1.

Standardised coefficients for the association between practice-level GP Patient Survey scores and diagnostic activity indicators^a,b

Indicators	Q4: Helpful receptionists		Q12: Access to appointments		Q9: Ability to see a preferred doctor		Q21: Composite doctor communication		Q23: Composite nurse communication communication
	OR/RR (95% CI)	P	OR/RR (95% CI)	P	OR/RR (95% CI)	P	OR/RR (95% CI)	P	OR/RR (95% CI)	P
Process indicators
Sigmoidoscopy rate	0.96 (0.94 to 0.98)	<0.0001	0.98 (0.96 to 0.99)	0.0087	0.97 (0.96 to 0.99)	0.0002	1.05 (1.03 to 1.06)	<0.0001	1.02 (1.01 to 1.04)	0.0065
Colonoscopy rate	1.00 (0.98 to 1.01)	0.8293	0.97 (0.96 to 0.99)	0.0002	0.98 (0.97 to 0.99)	0.0001	1.04 (1.03 to 1.05)	<0.0001	1.01 (1.00 to 1.02)	0.2031
Gastroscopy rate	0.99 (0.97 to 1.00)	0.0300	0.97 (0.96 to 0.98)	<0.0001	0.94 (0.93 to 0.95)	<0.0001	1.07 (1.06 to 1.08)	<0.0001	1.01 (1.00 to 1.03)	0.0183
Urgent referralc rate	0.99 (0.97 to 1.00)	0.0704	0.99 (0.98 to 1.01)	0.3887	0.86 (0.86 to 0.87)	<0.0001	1.11 (1.09 to 1.12)	<0.0001	1.03 (1.01 to 1.04)	0.0001
Urgent referralc rate (colorectal)	0.98 (0.96 to 0.99)	0.0082	1.00 (0.98 to 1.02)	0.8047	0.86 (0.85 to 0.88)	<0.0001	1.12 (1.11 to 1.14)	<0.0001	1.01 (1.00 to 1.03)	0.1408
Urgent referralc rate (lung)	0.99 (0.97 to 1.02)	0.6580	0.98 (0.96 to 1.01)	0.1800	0.92 (0.90 to 0.93)	<0.0001	1.08 (1.05 to 1.10)	<0.0001	1.01 (0.98 to 1.03)	0.6400
Urgent referralc rate (skin)	1.00 (0.97 to 1.02)	0.6808	0.98 (0.96 to 1.00)	0.0650	0.87 (0.85 to 0.88)	<0.0001	1.08 (1.06 to 1.11)	<0.0001	1.04 (1.02 to 1.06)	0.0004
Urgent referralc rate (breast)	1.02 (1.00 to 1.03)	0.0697	0.99 (0.97 to 1.00)	0.1286	0.91 (0.89 to 0.92)	<0.0001	1.04 (1.02 to 1.05)	<0.0001	1.03 (1.02 to 1.05)	<0.0001
Outcome indicators
Urgent referralc conversion rate	1.00 (0.99 to 1.02)	0.5372	1.00 (0.99 to 1.02)	0.5526	1.09 (1.07 to 1.10)	<0.0001	0.96 (0.95 to 0.98)	<0.0001	1.01 (0.99 to 1.02)	0.4287
Urgent referralc detection rate	1.01 (0.99 to 1.02)	0.5714	1.01 (0.99 to 1.03)	0.2695	0.95 (0.94 to 0.97)	<0.0001	1.06 (1.05 to 1.08)	<0.0001	0.99 (0.97 to 1.01)	0.3171
Emergency route to diagnosis	1.02 (1.00 to 1.04)	0.0312	0.98 (0.96 to 1.00)	0.0145	1.00 (0.99–1.02)	0.7575	0.96 (0.94 to 0.98)	<0.0001	1.00 (0.98 to 1.02)	0.9196
Referred route to diagnosis	0.98 (0.96 to 0.99)	0.0031	1.02 (1.01 to 1.04)	0.0096	0.97 (0.96–0.99)	0.0002	1.03 (1.02 to 1.05)	<0.0001	1.01 (1.00 to 1.03)	0.0879
Other route to diagnosis	1.01 (0.99 to 1.03)	0.2651	0.99 (0.97 to 1.02)	0.5776	1.03 (1.01–1.05)	0.0002	1.00 (0.98 to 1.01)	0.6434	0.98 (0.96 to 1.00)	0.0739

^aThe results are from ‘multivariate’ models including practice scores for all five aspects of experience shown and adjusted by the age–sex–deprivation make-up of practice populations. The main exposure variables for GP Patient Survey items are standardised coefficients (shrunken z scores) instead of the observed practice scores.

^bThe associations highlighted in bold correspond to odds ratio/rate ratio values ≥ a 4% difference from parity (that is, ≤0.96 or ≥1.04).

^cUrgent referral for suspected cancer is also known as ‘2-week wait’ referral. CI = confidence interval. OR = odds ratio. RR = rate ratio.