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Table 3 Achievement on clinical process and outcome indicators over timea

From: Does a local financial incentive scheme reduce inequalities in the delivery of clinical care in a socially deprived community? A longitudinal data analysis

Clinical Area Indicator Achievement Year 1 2007-08 Year 2 2008-09 Year 3 2009-10 Year 4 2010-11
Weight management BMI register >25 recorded within 5 years Mean percentage achievement (SD) 32.7 (7.7) 36.4 (7.4) 38.7 (9.5) NA
Mean practices in more deprived areas 31.2 (8.2) 34.9 (7.6) 36.7 (11.2) (−)
Mean practices in less deprived areas 34.2 (7.0) 38.0 (6.9) 40.7 (7.0) (−)
  BMI register >25 recorded last 15 months Mean percentage achievement (SD) 19.9 (6.1) 24.5 (6.7) 26.1 (8.0) NA
Mean practices in more deprived areas 19.4 (6.0) 23.6 (6.8) 26.1 (9.4) (−)
Mean practices in less deprived areas 20.5 (6.1) 25.4 (6.5) 26.1 (6.5) (−)
  BMI >25 intervention last 15 months Mean percentage achievement (SD) 21.1 (17.8) 61.1 (23.4) 57.4 (18.8) NA
Mean practices in more deprived areas 17.0 (15.2) 59.7 (23.6) 54.5 (21.1) (−)
Mean practices in less deprived areas 25.3 (19.4) 62.6 (23.5) 60.2 (16.0) (−)
Alcohol Register number of units last 27 months Mean percentage achievement (SD) 19.5 (14.8) 32.1 (17.2) 44.4 (20.9) 54.8 (20.4)
Mean practices in more deprived areas 13.1 (10.8) 23.8 (15.8) 39.4 (24.9) 54.9 (23.5)
Mean practices in less deprived areas 26.1 (15.6) 40.4 (14.5) 49.5 (14.5) 54.7 (16.6)
  Females >14 units and males >21 units offered brief intervention Mean percentage achievement (SD) 33.9 (28.5) 69.9 (23.4) 74.7 (24.2) 74.8 (20.7)
Mean practices in more deprived areas 26.4 (26.6) 70.6 (26.2) 71.8 (29.7) 71.0 (23.3)
Mean practices in less deprived areas 41.7 (28.6) 69.2 (20.4) 77.5 (17.0) 79.0 (16.8)
Learning disabilities Register over 18 years with a learning disability Mean percentage achievement (SD) .3 (.2) .4 (.3) .4 (.2) .5 (.3)
Mean practices in more deprived areas 0.28 (0.21) 0.33 (0.26) 0.34 (0.26) 0.51 (0.29)
Mean practices in less deprived areas 0.29 (0.23) 0.40 (0.24) 0.40 (0.23) 0.50 (0.27)
  Those on register with a review recorded in the preceding 15 months. Mean percentage achievement (SD) .9 (7.0) 54.2 (37.1) 59.2 (34.0) 58.8 (33.5)
Mean practices in more deprived areas 0.2 (1.2) 48.6 (38.4) 49.4 (37.9) 52.7 (36.7)
Mean practices in less deprived areas 1.6 (9.7) 59.7 (35.3) 69.0 (26.5) 65.4 (28.5)
Osteoporosis Register of females aged 65–74 with a fracture last 15 months Mean percentage achievement (SD) .6 (.8) 1.0 (1.0) 1.3 (1.1) .6 (.5)
Mean practices in more deprived areas 0.57 (0.89) 0.80 (1.14) 1.19 (1.44) 0.45 (0.52)
Mean practices in less deprived areas 0.66 (0.60) 1.17 (0.91) 1.48 (0.73) 0.72 (0.40)
  Proportion of register referred for a DEXA scan Mean percentage achievement (SD) 1.1 (6.3) 46.1 (45.1) 51.1 (42.4) 42.0 (39.2)
Mean practices in more deprived areas 1.3 (7.9) 32.0 (45.5) 39.0 (46.2) 29.0 (40.4)
Mean practices in less deprived areas 0.9 (4.2) 60.1 (40.7) 63.3 (34.7) 57.8 (32.2)
  Register aged >16 years who have at least one repeat prescription for oral prednisolone in last 6 months Mean percentage achievement (SD) .9 (1.3) .4 (.5) .2 (.2) .3 (1.1)
Mean practices in more deprived areas 0.31 (0.32) 0.29 (0.34) 0.21 (0.19) 0.23 (0.26)
Mean practices in less deprived areas 0.90 (1.72) 0.54 (0.57) 0.22 (0.15) 0.45 (1.55)
  Percentage on prednisolone register DEXA scan or referral in last 15 months Mean percentage achievement (SD) 16.6 (25.9) 65.0 (39.1) 58.0 (38.5) 66.3 (36.6)
Mean practices in more deprived areas 8.4 (17.3) 58.0 (40.8) 46.1 (41.3) 51.3 (42.0)
Mean practices in less deprived areas 24.2 (30.2) 71.3 (37.0) 69.9 (31.8) 82.5 (20.0)
  Percentage over 65 years prescribed prednisolone in the last 6 months, DEXA scan or referral in last 15 months, or assessed for osteoporosis risk. Mean percentage achievement (SD) 31.0 (34.4) 66.1 (39.4) 60.6 (41.4) 1.8 (3.2)
Mean practices in more deprived areas 31.4 (38.7) 56.3 (45.5) 49.6 (47.3) 1.1 (1.4)
Mean practices in less deprived areas 30.6 (30.3) 74.9 (30.9) 71.6 (31.3) 2.5 (4.3)
  Register over 75 years had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday Mean percentage achievement (SD) NA NA 1.1 (.9) 60.7 (43.5)
Mean practices in more deprived areas – (−) – (−) 0.7 (0.7) 36.5 (45.3)
Mean practices in less deprived areas – (−) – (−) 1.4 (0.9) 86.6 (20.6)
  Percentage over 75 years had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday, assessed and treated for Osteoporosis risk ever. Mean percentage achievement (SD) NA NA 4.7 (2.8) 56.3 (39.5)
Mean practices in more deprived areas – (−) – (−) 3.4 (2.7) 36.8 (41.0)
Mean practices in less deprived areas – (−) – (−) 6.2 (2.0) 77.2 (24.7)
Chlamydia Screening Register aged 15 to 24. Mean percentage achievement (SD) 100 (0) 100 (0) 100 (0) NA
Mean practices in more deprived areas 100 (0) 100 (0) 100 (0) (−)
Mean practices in less deprived areas 100 (0) 100 (0) 100 (0) (−)
  Proportion between 15–24 years offered screening and have a recorded result Mean percentage achievement (SD) 1.7 (1.7) 5.7 (4.9) 6.1 (4.9) 6.1 (7.5)
Mean practices in more deprived areas 1.53 (1.43) 4.45 (4.80) 6.10 (5.03) 6.61 (9.78)
Mean practices in less deprived areas 1.72 (1.87) 6.98 (4.67) 7.16 (4.43) 5.63 (3.77)
  1. aBlank cells indicate where the indicator was not yet introduced or had been withdrawn from the scheme