Relation between night visit rates and deprivation measures in one general practice.
OBJECTIVE
To compare night visit rates in different electoral wards of one general practice with the Jarman and Townsend deprivation scores and unemployment rates.


METHODS
Analysis of computerised workload data.


METHODS
General practice in centre of Mansfield, Nottinghamshire.


METHODS
Visits made in 588 nights to the 11,998 patients on the practice list.


RESULTS
Night visit rates in 15 electoral wards varied from 19.6 to 55.3 visits per 1000 patients per year. The rates showed a significant association with the Townsend score (p = 0.004) and the unemployment rate (p = 0.03) but not with the Jarman score (p = 0.3). The Townsend score explained 49% of the variability; unemployment explained 31% and the Jarman score explained 9%.


CONCLUSIONS
Even in a general practice not eligible for deprivation payments there was a 2.8-fold variation in night visit rates between wards. In this practice the Townsend score was significantly better at predicting night visit rates than the Jarman score. This method of looking at internal variation in workloads in computerised practices could give more direct data on the relation between deprivation and general practice workload than has previously been available.
Carlisle
R D
RD
Department of Public Medicine, North Nottinghamshire Health Authority, Ransom Hospital.
Johnstone
S P
SP
Pearson
J C
JC
D004739:England; D005194:Family Practice / Q000706:statistics & numerical data*; D006792:House Calls / Q000706:statistics & numerical data*; D006801:Humans; D011204:Poverty Areas; D014478:Unemployment / Q000706:statistics & numerical data; D016526:Workload