Urban practices find it hardest to score pointsquality scores 2005/6 Effects of deprivation, top scores for Northern Ireland and prevalence changes

Quality scores 2005/6 Effects of deprivation, top scores for Northern Ireland and prevalence changes

Practices in urban areas in England score consistently lower than their counterparts in the affluent Home Counties or rural areas, quality framework data show.  

The 30 PCTs in the bottom 10 per cent for average quality scores in 2005/6 before reconfiguration are all in urban areas, often concentrated in major English cities.  

Almost one in three of these PCTs are in London, four are in and around Manchester, three in Liverpool and two in Sheffield. Other low-scoring PCTs are in Birmingham, Hull and smaller manufacturing towns.  

PCTs with high average achievement in the quality framework are largely in areas categorised by the Office of National Statistics as rural, affluent southern England or prospering small towns.  

The two lowest scoring areas in Northern Ireland also cover urban and deprived areas. Practices in north and west Belfast scored 950 points, and those in Craigavon and Bainbridge scored 938 points.  

In Wales low scores are closely linked to deprivation, but not specifically to cities, while in Scotland rural areas seem to score lowest, reversing the English trend.  

Head of the BMA’s health economics and research unit  Jon Ford said: ‘It is harder for urban environments to achieve high scores because of mobile populations.’ Average quality scores in the bottom 30 PCTs range from 910 points to 982.  

GPC negotiator Dr Richard Vautrey said: ‘It is much harder to provide medical services in urban areas. There is higher morbidity and patients don’t engage in the same way as in rural areas.’  

City and Hackney LMC chairman Dr Kambiz Boomla said the gap in scores was ‘in one sense obviously unfair’.  

He called for changes to exception reporting rules to exclude patients from quality data for a longer period of time after registration. Patients count towards quality scores after nine months.  

He added: ‘Enhanced schemes provide additional incentives for practices in challenging areas and compensate for low quality scores. But PCTs are finding this harder now the NHS is in deficit.’

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Former Brexit secretary backs vitamin D supplements to beat COVID-19

Former Brexit secretary backs vitamin D supplements to beat COVID-19

The NHS should provide 10 times the current daily recommended amount of vitamin D...

Identifying patients experiencing domestic violence and abuse in general practice

Identifying patients experiencing domestic violence and abuse in general practice

Dr Vasumathy Sivarajasingam describes a pilot project in her practice that used a...

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

High rates of COVID-19 infection and the impact of long COVID could 'wreak havoc'...

GPs can give COVID and flu jabs at same time, says NHS England

GPs can give COVID and flu jabs at same time, says NHS England

GPs can now administer COVID-19 and flu jabs at the same time, according to updated...

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Regions of England hit hardest by COVID-19 cases have fallen behind the rest of the...

COVID-19 pandemic drives first recorded dip in patients registered with GPs

COVID-19 pandemic drives first recorded dip in patients registered with GPs

A rise in deaths and reduced immigration during the COVID-19 pandemic saw the first-ever...