Table 2.
Impact of changes in general practice scores for ability to see a preferred doctor (used as a proxy measure of relational continuity) and quality of doctor communicationa
| Ability to see a preferred doctor | ||||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Indicators | 25th percentile | 75th percentile | Difference (75th – 25th) | % Difference | 10th percentile | 90th percentile | Difference (90th – 10th) | % Difference |
| Process indicators | ||||||||
| Gastroscopy rate | 11.9 | 10.9 | −1.0 | −8.3 | 12.4 | 10.5 | −1.9 | −15.1 |
| Urgent referralb rate | 23.7 | 19.6 | −4.1 | −17.4 | 26.0 | 18.2 | −7.8 | −30.2 |
| Urgent referralbrate (colorectal) | 4.1 | 3.4 | −0.7 | −17.7 | 4.5 | 3.1 | −1.4 | −30.7 |
| Urgent referralb rate (lung) | 0.9 | 0.8 | −0.1 | −10.9 | 1.0 | 0.8 | −0.2 | −19.5 |
| Urgent referralb rate (skin) | 4.0 | 3.4 | −0.7 | −17.0 | 4.4 | 3.1 | −1.3 | −29.6 |
| Urgent referralb rate (breast) | 4.1 | 3.6 | −0.5 | −12.2 | 4.4 | 3.4 | −0.9 | −21.6 |
|
| ||||||||
| Outcome indicators | ||||||||
| Urgent referralb conversion rate | 9.7 | 10.6 | 1.0 | 10.1 | 9.2 | 11.1 | 1.8 | 19.9 |
| Urgent referralb detection rate | 48.3 | 46.7 | −1.6 | −3.3 | 49.1 | 46.1 | −3.0 | −6.0 |
| Doctor communication | ||||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Indicators | 25th percentile | 75th percentile | Difference (75th – 25th) | % Difference | 10th percentile | 90th percentile | Difference (90th – 10th) | % Difference |
| Process indicators | ||||||||
| Sigmoidoscopy rate | 4.5 | 4.7 | 0.2 | 5.3 | 4.4 | 4.8 | 0.5 | 11.1 |
| Colonoscopy rate | 6.8 | 7.1 | 0.3 | 4.6 | 6.6 | 7.2 | 0.6 | 9.4 |
| Gastroscopy rate | 11.1 | 12.0 | 0.9 | 8.1 | 10.6 | 12.4 | 1.8 | 17.0 |
| Urgent referralb rate | 21.2 | 23.7 | 2.5 | 12.0 | 19.7 | 24.8 | 5.1 | 25.7 |
| Urgent referralb rate (colorectal) | 3.7 | 4.2 | 0.5 | 14.0 | 3.4 | 4.4 | 1.0 | 30.4 |
| Urgent referralb rate (lung) | 0.9 | 0.9 | 0.1 | 8.5 | 0.8 | 1.0 | 0.1 | 17.9 |
| Urgent referralb rate (skin) | 3.6 | 4.0 | 0.3 | 9.5 | 3.5 | 4.1 | 0.7 | 20.1 |
| Urgent referralb rate (breast) | 3.9 | 4.0 | 0.2 | 4.1 | 3.8 | 4.1 | 0.3 | 8.5 |
|
| ||||||||
| Outcome indicators | ||||||||
| Urgent referralb conversion rate | 10.1 | 9.8 | −0.4 | −3.7 | 10.4 | 9.6 | −0.8 | −7.3 |
| Urgent referralb detection rate | 46.9 | 48.6 | 1.7 | 3.6 | 45.9 | 49.3 | 3.5 | 7.5 |
| Emergency route to diagnosis | 23.9 | 23.1 | −0.8 | −3.4 | 24.4 | 22.8 | −1.7 | −6.8 |
a
Practices with the same age–sex–deprivation population make-up are compared at different centiles of the distribution of either outcome. Reported values are adjusted for the five outcomes shown in Table 1 and are on the relevant scale for each indicator (either rate or proportion). Only significant effect sizes >1.04 or <0.96 are visualised.
b
Urgent referral for suspected cancer, otherwise also known as ‘2-week wait’ referrals.