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 1 st 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. Dr. Dermot OReilly Least deprivedMost deprived

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