General Practitioners (Hansard, 20 July 1994)

§ Mr. Ieuan Wyn Jones
To ask the Secretary of State for Health if she will publish details of the numbers of patients for each area and for England as a whole removed from general practitioners' lists for the latest available year; and how many and what proportion of these were removed without their consent.

§ Mr. Bowis
[holding answer 19 July 1994]: The information is shown in the table:
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Region (1) Registered Population (2) Total Number of patients deregistered from GP Lists (3) Column 2 as a percentage of Column 1 (4) Number of patients de-registered excluding at request of GP (5) Column 4 as a percentage of Column 2 (6) Number of patients de- registered at request of GP (7) Column 6 as a percentage of Column 2

Northern 3,152,959 359,784 11.4 356,466 99.1 3,318 0.9

Yorkshire 3,759,258 464,879 12.4 457,771 98.5 7,108 1.5

Trent 4,847,452 593,050 12.2 587,442 99.1 5,608 0.9

East Anglia 2,079,549 249,494 12.0 247,667 99.3 1,827 0.7

North-West Thames² 2,990,238 557,198 18.6 546,690 98.1 10,508 1.9

North-East Thames 4,209,244 665,292 15.8 651,376 97.9 13,916 2.1

South East Thames 3,994,252 529,485 13.3 523,796 98.9 5,689 1.1

South West Thames 3,196,570 524,493 16.4 521,030 99.3 3,463 0.7

Wessex 2,991,639 438,328 14.7 436,936 99.7 1,392 0.3

Oxford 2,676,585 365,527 13.7 362,980 99.3 2,547 0.7

South Western 3,550,215 475,284 13.4 473.098 99.5 2,186 0.5

West Midlands 5,454,584 689,416 12.6 678,618 98.4 10,798 1.6

Mersey 2,485,666 293,162 11.8 288,606 98.4 4,556 1.6

North Western 4,103,179 486,466 11.9 480,389 98.8 6,077 1.2

England 49,491,390 6,691,858 13.5 6,612,865 98.8 78,993 1.2

Note—Figures include patients who have left GP area/died.
² Does not include data for Hertfordshire as this is not available.

§ Ms Primarolo
To ask the Secretary of State for Health, pursuant to her answer of 10 December 1993,Official Report, column 354, what was the total number of general practitioners and the total number of secretaries, administrators, receptionists and practice managers by each family health services authority at (a) October 1993, (b) April 1994 and (c) October 1990.

§ Mr. Bowis
[holding answer 19 July 1994]: Information relating to October 1993 and October 1990 will be placed in the Library. Data for April 1994 are not yet available.

§ Ms Primarolo
To ask the Secretary of State for Health, pursuant to her answer of 20 June,Official Report, columns 26–27, (1) what is the average budget per patient for those of general practitioner fundholders in 1991–92, 1992–93 and 1993–94, for England and by region;
(2) what is the average budget per patient for general practitioner fundholders in 1991–92, 1992–93 and 1993–94 for England and by region.

§ Dr. Mawhinney
[holding answer 8 July 1994]: Regional information on average fundholder budget allocations per patient is not directly comparable because of variations locally in the methods of compiling fundholder population data and differences in regional information systems. In addition, variations in average budgets per patient between regions are influenced by a number of factors, including differences in the age structures and relative levels of morbidity of regions, variations in local provider prices, as well as differences in historic referral and prescribing levels between practices in the scheme.
Moreover, these data are not directly comparable over time as, from 1993–94, the scope of the general practitioner fundholder scheme was expanded to include the purchase of community health services; in addition, the minimum list size criterion for joining the scheme was reduced from 9,000 to 7,000 patients per fund.
With those caveats, the following table shows estimated average budget allocations per patient made by regional health authorities to general practitioner fundholders in 1991–92, 1992–93 and 1993–94.
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Estimated average budget allocations per patient made by regional health authorities to general practitioner fundholders 1991–92 to 1993–94

Region 1991–92 £ 1992–93 £ 1993–94 £

Northern 130 140 170

Yorkshire 120 140 160

Trent 110 120 140

East Anglian 120 130 160

North West Thames 110 120 160

North East Thames 110 100 130

South East Thames 100 110 150

South West Thames 100 110 140

Wessex 110 130 150

Oxford 100 110 130

South Western 100 120 150

West Midlands 120 130 150

Mersey 110 130 160

North Western 110 120 150

England 110 120 150

Region	(1) Registered Population	(2) Total Number of patients deregistered from GP Lists	(3) Column 2 as a percentage of Column 1	(4) Number of patients de-registered excluding at request of GP	(5) Column 4 as a percentage of Column 2	(6) Number of patients de- registered at request of GP	(7) Column 6 as a percentage of Column 2
Northern	3,152,959	359,784	11.4	356,466	99.1	3,318	0.9
Yorkshire	3,759,258	464,879	12.4	457,771	98.5	7,108	1.5
Trent	4,847,452	593,050	12.2	587,442	99.1	5,608	0.9
East Anglia	2,079,549	249,494	12.0	247,667	99.3	1,827	0.7
North-West Thames²	2,990,238	557,198	18.6	546,690	98.1	10,508	1.9
North-East Thames	4,209,244	665,292	15.8	651,376	97.9	13,916	2.1
South East Thames	3,994,252	529,485	13.3	523,796	98.9	5,689	1.1
South West Thames	3,196,570	524,493	16.4	521,030	99.3	3,463	0.7
Wessex	2,991,639	438,328	14.7	436,936	99.7	1,392	0.3
Oxford	2,676,585	365,527	13.7	362,980	99.3	2,547	0.7
South Western	3,550,215	475,284	13.4	473.098	99.5	2,186	0.5
West Midlands	5,454,584	689,416	12.6	678,618	98.4	10,798	1.6
Mersey	2,485,666	293,162	11.8	288,606	98.4	4,556	1.6
North Western	4,103,179	486,466	11.9	480,389	98.8	6,077	1.2
England	49,491,390	6,691,858	13.5	6,612,865	98.8	78,993	1.2

Estimated average budget allocations per patient made by regional health authorities to general practitioner fundholders 1991–92 to 1993–94
Region	1991–92 £	1992–93 £	1993–94 £
Northern	130	140	170
Yorkshire	120	140	160
Trent	110	120	140
East Anglian	120	130	160
North West Thames	110	120	160
North East Thames	110	100	130
South East Thames	100	110	150
South West Thames	100	110	140
Wessex	110	130	150
Oxford	100	110	130
South Western	100	120	150
West Midlands	120	130	150
Mersey	110	130	160
North Western	110	120	150
England	110	120	150