http://www.isdscotland.org/ General Practice Health statistics Tue, 24 Apr 2012 01:00:00 GMT Tue, 24 Apr 2012 01:00:00 GMT http://www.isdscotland.org/rss ISD Scotland NSS.isdexternalwebsite@nhs.net (ISD Web Team) NSS.isdexternalwebsite@nhs.net (ISD Web Team) http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#665 There has been a steady increase in the headcount of GPs contracted to work in Scottish practices since the introduction of the General Medical Services contract in 2004, rising from 4,456 in 2004 to 4,937 in 2011 (an increase of 10.8%).In the same time period there has been a large rise in the number of salaried GP posts, from 188 in 2004 to 533 in 2011 (an increase of 184%). Tue, 20 Dec 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#665 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#675 GP and practice-employed nurses combined had an estimated 23.1 million face-to-face contacts with patients in 2010/11 (with a 95% confidence interval of 22.2 to 24.1 million) with the nurses having a 30% share in this. This represents a decrease of roughly 0.6 million compared to 2009/10 but a rise of over 0.4 million compared to 2008/09. This is largely due to the year 2009/10 having a relatively high consultation rate due to the pandemic flu outbreak whereas 2010/11 had a relatively low consultation rate in early winter due to the heavy snow.The estimated (average) number of GP or practice nurse contacts per patient in 2010/11 was 4.2. Of the patients registered with a practice, three times more males compared to females did not consult at all – the gender difference was particularly apparent in female reproductive age classes. Nearly 12% of the patients had 10 or more contacts (more females than males).The most commonly recorded reason to consult either a GP or practice-employed nurse was for "circulatory and respiratory symptoms and signs". For GPs separately, "digestive/abdominal symptoms and signs" topped the list and for the nurses "hypertension" (high blood pressure) was the most common reason for a consultation. This reflects the general character of GP workload as opposed to nurse workload, which focuses more on managing specific long-term conditions. Tue, 29 Nov 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#675 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#618 The average number of points achieved by GMS practices increased from 972.2 in 2009/10 to 976.3 in 2010/11 out of a maximum of 1,000 points in each year.The largest increase in points achieved for a group of indicators was in the Depression indicator group which showed an increase in average achievement of 1.4 points, from 45.4 to 46.8, out of a potential achievement of 50.The average QOF payment to a GMS practice for 2010/11 was £132,592. This was up slightly from £130,778 in 2009/10. Tue, 27 Sep 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#618 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#804 GP and practice-employed nurses combined had an estimated 24.2 million face-to-face contacts with patients in 2009/10, with the nurses having a 30% share in this. This represents an increase of roughly 1.0 million compared to the previous year and 2.5 million compared to 2003/04, continuing the upwards trend that was generally observed from 2003/04 to 2009/10 (with the exception of a dip in 2007/08). Of the patients registered with a practice, 85% had at least one face-to-face contact with a GP or practice-employed nurse in 2009/10 and 78% saw a GP at least once during the year. The most commonly recorded reason to consult either a GP or practice employed nurse was for “circulatory and respiratory symptoms and signs”. For GPs separately, “digestive/abdominal symptoms and signs” topped the list and for the nurses “hypertension” (high blood pressure) was the most common reason for a consultation. This reflects the general character of GP workload as opposed to nurse workload, which focuses more on managing specific long-term conditions. Tue, 22 Feb 2011 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#804 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#556 There has been a steady increase in the headcount of GPs contracted to work in Scottish practices since the introduction of the General Medical Services contract in 2004, rising from 4,456 in 2004 to 4,960 in 2010 (an increase of 11.3%).In the same time period there has been a large rise in the number of salaried GP posts, from 188 in 2004 to 527 in 2010 (an increase of 180%). Tue, 14 Dec 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#556 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#811 GMS practices in Scotland achieved an average of 972.2 QOF points in 2009/10 out of a possible maximum 1000. Although this is very similar to the 972.0 average for 2008/09 there were changes in achievement levels for some indicators. The average QOF payment to a GMS practice for 2009/10 was £130,778. This is up slightly from £129,434 in 2008/09 Tue, 28 Sep 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#811 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#781 Patient consultations with GPs for flu-like illness over the winter of 2009/10 were somewhat higher than in previous years with estimated weekly consultation rates peaking at 105 consultations per 100,000 registered patients. The main rise occurred in November 2009, which isunusually early in the season. This was for a large part due to recording of suspected H1N1 cases in younger age groups. For the 2009/10 season, the recorded vaccination uptake rate in patients aged 65 and over (one of the main groups included in Scottish Government vaccination targets) was 75.0%. Although slightly down from the previous year (which may relate to the H1N1 vaccination campaign overlapping with the tail end of the normal seasonal flu vaccination campaign) it was well over the target of 70%. For the first time the uptake rate in patients who were under 65 but considered (for other reasons) to be at increased risk of developing complications from flu was over 50% (53.4%). Provisional figures suggest that for the 2009/10 season more than 1.16 million seasonal flu vaccines were dispensed by community pharmacies to general practices across Scotland. This does NOT include specific H1N1 vaccines, which were provided completely separately. The total cost of the dispensed seasonal flu vaccines (including handling and other fees payable to community pharmacies), is expected to amount to approximately £6.8 million; an increase of £0.9 million, mainly due to a nearly 20% rise in Gross Ingredient Cost compared to the previous year. Tue, 31 Aug 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#781 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#788 Since 2006, NHS Boards have been delivering inequalities targeted cardiovascular health screenings through the Keep Well and Well North anticipatory care programs managed by NHS Health Scotland. These programs aim to reduce cardiovascular mortality through early detection of risk factors and other health problems.A total of 29,433 checks were carried out in 12 Health Boards in Scotland in the year to 31st March 2010, against a target of 28,000 checks for Scotland as whole. Tue, 27 Jul 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#788 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#796 The QOF-reported prevalence of many conditions has changed relatively little over the previous few years. Examples of these are Coronary Heart Disease, Chronic Obstructive Pulmonary Disease, Atrial Fibrillation, Dementia, Heart Failure, Epilepsy and Left Ventricular Dysfunction.Any reported changes in the prevalence figures over time are increases. In some cases these are due to the fact that the registers are cumulative. Other examples of prevalence rates increasing include asthma (up from 5.4% in 2004/05 to a provisional 5.9% in 2009/10), hypertension (up from 11.5% to 13.9%), hypothyroidism (up from 2.8% to 3.6%) and diabetes (up from 3.5% in 2006/07 to 4.5% in 2009/10).A new register has been included in the QOF for 2009/10. This requires practices to identify patients who have newly diagnosed hypertension and are therefore at risk of developing cardiovascular disease. Tue, 29 Jun 2010 09:30:00 GMT http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#796