Clinical areaAsthma (n = 7438)COPD (n = 7446)CHD (n = 7452)Diabetes (n = 7441)Hypertension (n = 7440)Hypothyroid (n = 7445)Mental health (n = 7452)Stroke (n = 7451)
CharacteristicββSE(β)βSE(β)ββSE(β)βSE(β)βSE(β)βSE(β)βSE(β)βSE(β)
Intercept73.6871.02381.8140.95482.7950.38285.1360.61992.5680.26994.5760.33982.8070.99276.5310.43
Bias adjustment
 Denominator used4.930c0.3762.484c0.2591.275c0.1111.421c0.1420.439c0.0980.906c0.10410.513c0.5501.971c0.178
Area
 Density (people per hectare 2001)–0.2140.167–0.433b0.156–0.156a0.066–0.1350.115–0.176a0.075–0.200b0.070–0.0340.241–0.1500.122
 Index of Multiple Deprivation–1.089c0.169–0.767c0.184–0.1230.105–0.2460.1310.0530.0750.0920.065–0.884c0.226–0.348b0.107
Patients
 ≥65 years of age–0.542b0.168–0.1480.1610.452a0.2010.2560.1960.1320.322–0.0990.209–0.850b0.264–0.1740.174
 % Member of racial or ethnic minority–0.0580.225–0.393a0.195–0.1310.102–0.0750.222–0.194a0.084–0.1420.0870.3640.229–0.361a0.160
Disease prevalence
 Unadjusted prevalence0.1710.256–0.564b0.201–0.758b0.290–0.4060.404–0.2880.4610.2750.3930.912b0.3110.570b0.212
Practice
 Size of practice population–0.844c0.146–0.0710.135–0.148b0.050–0.0520.078–0.213c0.057–0.0870.054–0.417a0.203–0.181a0.082
 List size per FTE GP–0.172a0.078–0.0410.069–0.0240.036–0.1200.072–0.0140.0520.0190.0220.249c0.0720.0070.057
 Single-handed practice0.6100.471–0.6620.491–0.1100.212–0.6810.353–0.4310.233–0.3260.259–1.1560.668–0.2390.288
 Primary medical services contract–0.3310.2890.1780.240–0.1250.1110.2020.175–0.1160.1140.0720.118–0.816a0.392–0.1220.164
GPs
 ≥45 years of age–0.1670.155–0.1990.129–0.179c0.052–0.0950.092–0.1070.056–0.0920.0500.2360.245–0.1010.087
 % Female GPs0.1400.1550.426b0.1420.136a0.0590.394c0.1120.220b0.0710.328c0.0640.529a0.2090.278b0.094
 % GPs qualified in UK0.1510.2091.040c0.1720.385c0.0640.613c0.1300.378c0.0690.367c0.0830.0480.2450.864c0.122
Practice nurses
List size per FTE practice nurse (Quintiles)
 1st ≤3038.010.4021.0542.032a0.9330.902a0.3681.935b0.6040.4690.2570.773a0.311–0.1131.0550.6140.425
 2nd 3038.02–3901.480.2851.0371.8540.9990.844a0.3761.777a0.6180.4160.2570.6240.3241.2461.0330.5740.438
 3rd 3901.49–4823.44–0.1321.0601.2700.98807020.3871.505a0.6300.2370.2780.4940.3730.2381.0090.2850.448
 4th 4823.45–6210.680.4931.0491.0911.0040.5620.3931.430a0.6270.1080.2780.4890.3480.8881.0570.1100.448
 5th ≥6210.690.1341.0670.6521.0140.5160.3771.0730.626–0.0590.2860.3600.3500.8651.0390.2930.447
 No practice nurse0.0000.0000.0000.0000.0000.0000.0000.000
Glocal test for effect if nurse staffing –2 log likelihood (IGLS)
 Model without practice nurse variable56674.87554382.72741977.8748650.39542035.92642503.21562172.30148558.688
 Model with practice nurse variable56670.93454355.8241962.69148622.94142018.65242492.77762163.65348550.57
 Difference in log likelihood (5df)3.94126.90715.19627.45417.27410.4388.6488.188
P = 0.56P<0.0001P = 0.0096P<0.0001P = 0.0040P = 0.064P = 0.12P = 0.15
Variance
 PCT level3.6890.6274.3730.5301.5360.1777.6931.3530.7130.1060.5840.1238.1151.3451.9520.270
 Practice level92.1173.16559.1992.77111.8881.12430.8561.95312.7731.58812.6422.113165.3016.17627.0911.551
  • df = degrees of freedom. CHD = coronary heart disease. COPD = chronic obstructive pulmonary disease. FTE = full-time equivalent. SE = standard error.

  • a aP<0.05;

  • b bP<0.01;

  • c cP<0.001.