List inflation

1. List inflation Sandy Fitzpatrick Head of Information and Registration Unit Business Services Organisation

2. Content • Introduction to Family Practitioner Services • List inflation – causes • List inflation – measurement • List inflation – treatment

3. Family Practitioner Services • On 1st April 2009 there were 1,855,974 people registered with a GP practice • In the 2008-09 financial year there were: • 32 million prescription items dispensed • One million claims for dental treatments • 600k ophthalmic claims • 166k patient amendments and almost 58k new patient registrations • £716m spent on Family Practitioner Services • Over 84% of the population in NI had some form of interaction with a family practitioner

4. Unique individuals using/accessing Family Practitioner Services in 2008-09

7. List inflation – Causes • Population movement without our knowledge e.g., • People emigrating • Migrants returning home • Deaths of residents outside the jurisdiction • Non entitled users – Republic of Ireland residents accessing NI health services

8. List inflation – Measurement • Principle measure is by comparing the NISRA population estimate to the count of persons registered with a GP • It occurs across the UK • It varies by area and by level of deprivation • It varies by age and sex

15. Least deprived Most deprived Dr. Dermot O’Reilly

16. List inflation – Treatment • Administrative processes within UK • Risk profiling registrations by considering a range of datasets and the patient activity • National duplicate registration initiatives • Seek funding for list cleansing project

19. Questions