TABLE 1

Practice-Level ED Visit Rates, Hospitalization Rates, and Demographic Characteristics According to Patient-Reported GP Access

VariablePatient-Reported Access
<75% (n = 414)75% to 80% (n = 662)80% to 85% (n = 1341)85% to 90% (n = 2352)90% to 95% (n = 2437)95% to 100% (n = 829)
Crude ED visit rates383 (317–460)373 (296–444)350 (277–428)327 (257–405)297 (234–376)277 (218–346)
Crude unplanned hospitalization rates
 Total67.0 (48.1–88.0)62.4 (47.5–82.6)62.7 (46.6–84.7)61.8 (46.3–80.7)60.9 (46.1–78.2)55.5 (42.7–74.3)
 Short stay48.9 (32.9–67.7)45.7 (31.8–63.6)47.3 (31.1–66.9)47.0 (30.9–64.7)47.1 (32.5–62.7)42.6 (30.6–57.8)
 Long stay14.0 (10.1–18.9)13.8 (10.5–17.8)13.9 (10.6–17.7)12.9 (9.7–16.7)12.3 (9.2–15.9)11.4 (8.0–15.2)
Crude short hospitalization rates
 Chronic condition19.6 (14.3–25.8)18.2 (13.1–23.9)17.7 (12.8–24.3)17.2 (12.1–22.7)16.3 (11.7–22.0)15.1 (10.4–20.4)
 Infectious disease31.6 (20.1–42.9)27.9 (19.6–39.5)28.6 (19.5–41.0)27.7 (19.2–39.0)27.7 (19.0–37.9)25.1 (17.0–35.3)
 Injury9.1 (6.7–12.8)9.3 (6.5–12.2)9.7 (7.0–12.8)9.7 (7.1–12.8)9.6 (7.0–12.5)9.3 (6.8–13.0)
Crude ACS condition hospitalization rates
 Diabetes0.0 (0.0–0.7)0.0 (0.0–0.8)0.0 (0.0–0.7)0.0 (0.0–0.7)0.0 (0.0–0.7)0.0 (0.0–0.6)
 Asthma2.4 (0.9–4.4)2.0 (0.8–3.6)1.8 (0.7–3.2)1.5 (0.5–2.9)1.3 (0.0–2.6)0.9 (0.0–2.3)
 Urinary tract infection0.8 (0.0–1.8)0.8 (0.0–1.6)0.8 (0.0–1.7)0.8 (0.0–1.6)0.7 (0.0–1.6)0.0 (0.0–1.5)
 Intestinal infection2.2 (0.8–3.9)2.0 (0.8–4.0)2.0 (0.8–3.9)2.0 (0.7–3.7)2.0 (0.7–3.6)1.7 (0.0–3.5)
% ED visits OOH59.4 (55.8–63.5)58.2 (54.5–61.9)57.1 (53.5–60.9)56.3 (52.6–60.2)55.6 (51.8–59.4)55.4 (51.4–58.9)
% GP population aged <15 y21.2 (17.7–25.7)18.5 (16.1–22.0)17.9 (15.9–20.3)17.0 (15.2–19.1)16.4 (14.8–18.1)16.0 (14.2–17.8)
% GP population aged ≥65 ye8.8 (6.0–12.4)11.8 (8.3–15.8)14.0 (10.1–17.4)15.9 (12.3–19.1)17.6 (14.3–20.9)18.8 (15.7–22.4)
Deprivation, n (%)a
 1 (least deprived)8 (1.9)29 (4.4)143 (10.7)473 (20.1)664 (27.3)285 (34.4)
 214 (3.4)76 (11.5)183 (13.7)486 (20.7)618 (25.4)239 (28.8)
 365 (15.7)131 (19.8)289 (21.6)490 (20.9)502 (20.6)133 (16.0)
 492 (22.2)173 (26.2)355 (26.5)495 (21.1)372 (15.3)108 (13.0)
 5 (most deprived)235 (56.8)252 (38.1)368 (27.5)405 (17.2)279 (11.5)64 (7.7)
Urban409 (98.8)636 (96.1)1251 (93.3)2075 (88.2)1889 (77.5)537 (64.8)
  • Data are presented as median (IQR) unless otherwise indicated. The data are of all ED visits and unplanned hospitalizations of children aged <15 years in England between April 2011 and March 2012. Practice rates are per 1000 child population. Short hospitalizations are unplanned hospitalizations lasting <2 days; long hospitalizations are unplanned hospitalizations for ≥2 days. Patient-reported access is the percentage of family practice patients, responding to the GPPS,27 who were “able to get an appointment to see or speak to a GP or nurse on their last attempt” categorized into 6 groups; <75% represents the practices with the lowest reported access and 95% to 100% the highest reported access.

  • a Deprivation data are the practice Index of Multiple Deprivation scores (2010)28 categorized into 5 groups according to quintiles.