Age | Children | 2.78 | — |
People who are older and frail | 97.22 | — |
|
Medical factors | Cancer | 2.78 | 3.33 |
Complex patients on >5 medications | 58.33 | 80.00 |
Diabetes, including those newly started on insulin | 0 | — |
Drug addiction or those with alcohol dependency | 0 | — |
Heart failure | 0 | — |
Immunosuppression | 0 | — |
Learning disabilities and cognitive disorders (including dementia) | 16.67 | 6.67 |
Orthopaedic | 0 | — |
Palliative care | 0 | — |
Patients on anticoagulants | 2.78 | 0 |
Patients requiring services such as physiotherapy following surgery | 0 | — |
Patients who are frequently admitted to hospital | 5.56 | 3.33 |
Patients who have had a recent change to their medication | 5.56 | 3.33 |
Chronic kidney disease | 0 | — |
Poor vision or hearing | 2.78 | 3.33 |
Pregnancy | 2.78 | 0 |
Psychiatric illness | 0 | — |
Stroke | 2.78 | 0 |
|
Social factors | Illiteracy | 5.56 | 3.33 |
Low socioeconomic status | 0 | — |
Patients who are non-English speakers, ethnic minorities, and refugees | 33.33 | 43.33 |
Out-of-area discharges | 0 | — |
Patients being partly managed by private health services | 0 | — |
Patients who are new to the practice or unsure about the NHS health system | 0 | — |
Patients who live on boundaries of CCG catchment areas | 0 | — |
Patients with no fixed abode | 8.33 | 10.00 |
Patients with poor mobility | 0 | — |
Patients with poor understanding of their health conditions | 8.33 | 6.67 |
Patients who are socially isolated (including housebound) | 19.44 | 20.00 |
Vulnerable adults requiring social care support and safeguarding cases | 25.00 | 16.67 |
|
Medications or groups of medications | Antibiotics | 0 | — |
Anticoagulants (including warfarin, clopidogrel, rivaroxaban and other NOACs, DOACs) | 44.44 | 76.67 |
Anti-epileptic medications | 2.78 | 0 |
Antihypertensive medications (including ACEi, ARB) | 5.56 | 0 |
Antipsychotics | 2.78 | 3.33 |
DMARDs | 8.33 | 3.33 |
Eye drops | 0 | — |
Hormone tablets initiated by sex reassignment clinics | 2.78 | 0 |
Hypoglycaemics and insulin | 0 | — |
Immunosuppressants | 2.78 | 0 |
Injectables | 5.56 | 3.33 |
Melatonin | 0 | — |
Pain medications (including opioids) | 11.11 | 3.33 |
Sedatives (including benzodiazepines) | 2.78 | 6.67 |
Statins | 0 | — |
Steroids (oral and topical) | 0 | — |
Unlicensed medications of various specialties | 11.11 | 3.33 |