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Who are Frequent Attenders to GPs?
I.e. Who goes to their GP most often?
Frequent attenders in primary care are patients using GP services much more than average (e.g. 10+ times yearly).
They are often older, female, with complex, long-term conditions (e.g. diabetes, chronic pain, heart and respiratory disease), and significant mental health needs (depression, anxiety) – alongside social factors like isolation or unmet support.
This combination can lead to frequent GP attendance for both physical and psychological concerns.
Key Characteristics
- Demographics: Often older (especially >65 years) and female, though children are also frequent attenders (especially if <2 years old).
- Chronic Health Conditions: High prevalence of multiple chronic illnesses (hypertension, diabetes, COPD, asthma, osteoarthritis (OA), ischaemic heart disease (IHD), COPD, GI disorders, chronic pain, and mental health disorders (depression, anxiety).
- Socio-economic Factors: May come from lower socioeconomic backgrounds and experience social isolation or unmet support needs.
Attendance Patterns
These patients use a disproportionate amount of resources (40-50% of visits), often contacting practice staff more than just the GP, and may have many diagnoses on theor problem lists.
Reasons for Attendance
- Medical Complexity: Managing multiple physical health problems.
- Mental Health: Anxiety, depression, and psychological distress.
- Social Needs: Isolation, loneliness, or needing support beyond purely medical care.
- Unexplained Physical Symptoms. These are sometimes called Medically Unexplained Physical Symptoms (MUPS).
Why it Matters
Frequent attenders account for a large proportion of GP appointments, impacting service efficiency.
Understanding them helps practices design better, personalised care, potentially reducing reliance on emergency services.