GP No Follow-up Rate - London

This indicator provides an indication of the potential savings to be gained by reducing the number of first outpatient attendances that do not have any follow-up appointments or admissions within a given timeframe. The concept behind this is to not only review the appropriateness of some GP referrals but also to assess whether savings can be made to the health economy by caring for patients in primary care rather than in hospital. You can change region, or view national data.

Potential savings 2008/09

Potential savings that could be gained by reducing the number of first outpatient attendances that do not have any follow-up appointments or admissions.

PCT name Sum of Potential Saving (£)
City and Hackney
508,808
Wandsworth
399,944
Barnet
387,991
Lambeth
379,778
Haringey
364,926
Bromley
364,749
Southwark
332,729
Islington
301,515
Croydon
269,405
Brent
263,025
Enfield
251,442
Waltham Forest
248,605
Newham
237,017
Camden
232,022
Greenwich
225,687
Hounslow
222,216
Sutton and Merton
196,768
Lewisham
195,787
Ealing
194,499
Westminster
190,761
Richmond and Twickenham
172,001
Havering
170,041
Redbridge
168,903
Tower Hamlets
147,862
Kingston
132,128
Hillingdon
131,567
Hammersmith and Fulham
118,139
Kensington and Chelsea
115,818
Harrow
109,806
Barking and Dagenham
102,566
Bexley Care Trust
47,969
National average: 285,551

Search by specialty

Select a specialty from the dropdown to view data for each PCT specific to the relevant specialty chosen.

Methodology

Description
Provides an indication of the potential savings to be gained by reducing the number of first outpatient attendances that do not have any follow-up appointments or admissions.
Definition
The percentage of first outpatient attendances where there was not an outpatient follow up attendance to any specialty within 1 year or an admission to any specialty within 6 months. Savings are based on meeting National performance.
Rationale
This indicator reviews the number of outpatient attendances that could be assessed in primary care, rather than in hospital.
Direction
A high rate indicates that the PCT has more first attendances with no follow-ups than the national average. This means that there is greater potential for savings.
Calculation of Potential
Potential savings are calculated by multiplying the number of excess first attendances with no follow-ups (based on a GP practice's observed first attendances with no follow-ups minus expected first attendances with no follow-ups where the GP practice has a higher rate than the national average) by the average PbR tariff for that particular specialty.
Technical definition

The percentage of first outpatient attendances with no follow-ups is calculated as the number of first outpatient attendances that did not have an outpatient follow-up attendance to any specialty within 1 year or an admission to any specialty within 6 months of the original outpatient attendance, divided by the total number of outpatient first attendances. Rates are calculated for each GP practice and outpatient specialty.

The potential savings are based on comparing the observed number of outpatient attendances with no follow-ups to an expected number. The number of expected first attendances with no follow-ups is based National benchmarks which are adjusted for outpatient specialty and year.

The expected number of first attendances with no follow-ups is calculated as the national rate multiplied by the total number of first attendances for each GP practice by specialty. The difference between this expected number and the actual number of first outpatient attendances with no follow-ups gives an excess amount of first outpatient attendances with no follow-up. This excess amount is multiplied by the average PbR tariff to produce a potential saving.

It should be noted that although results are calculated at GP practice and specialty level, for presentation purposes, they have been aggregated into two results tables: one showing the results by PCT and specialty, the other by GP practice only. It is therefore not possible to derive the expected number of outpatient attendances with no follow-ups, the excess amount, and the potential savings directly from the two tables.

In line with HES protocol, single-handed GP Practices have not been identified in the GP practice results table. Cases where the GP practice was unknown, non-applicable (e.g. MoD, prison, dentist), or a single-handed practice have been aggregated under the category 'Null/Unknown/Other'.

Inclusions - Only where the referral source is a General Medical Practitioner for the original first outpatient attendance.

Exclusions - The following specialties were excluded from the analysis of the first outpatient attendance : Paediatric Medical Oncology (260), Medical Oncology (370), Gynaecological Oncology (503), Clinical Oncology (800).

Basis
Primary Care Trust
Data source & Time frame
SUS - 1st Outpatient Appointment in Financial Year 2008/09

Change region

Please select a region from the map to procede

Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Nunc eget vulputate est. Fusce a laoreet quam. Curabitur tristique magna erat, non sagittis magna.