Local Administrative System Research Articles

The Effect of Local Subsidy Competition on Excess Capacity in China: Empirical Study Based on Propensity Score Matching-DID

Local governments subsidize enterprises directly or indirectly by various means, which may lead to the over-investment behaviors of enterprises and then induce serious overcapacity problem. How do local government behaviors affect the production and capacity decisions of the enterprises? Previous studies primarily focus on the impacts of institutional factors on overcapacity but ignore the problem of information asymmetry in the market. Moreover, only a few researchers have done the empirical studies on this topic. This paper combines Chinese unique institutional background and asymmetric information environment to build a two-period dynamic game model with incomplete information, so as to explore a new mechanism of the impact of local subsidy competition on overcapacity in China. We find that the excess capacity ratio induced by local subsidy competition is larger than the normal excess capacity ratio when the market information is asymmetric. And the more subsidies an enterprise receives, the more likely the industry has overcapacity. Based on the micro-data of enterprises from 2001 to 2007 in China, this paper uses the propensity score matching difference-in-difference method to do the empirical test. The results show that: for those enterprises who have received the subsidies, the overcapacity rate after the subsidies rises by about 1% to 3%. And compared with those non-subsidized enterprises, the overcapacity rate of subsidized enterprises rises by about 2% to 12%, which indicates that local subsidies could significantly inhibit the capacity utilization rate of enterprises and exacerbate the overcapacity. This paper provides not only empirical evidence for the impact of local subsidies on overcapacity, but also some policy implications for the governments to deal with overcapacity. Firstly, the interest distribution mechanism between central and local governments should be rationalized, such as improving Chinese financial management system, which could be an institutional method used to regulate the behavior of local governments. Secondly, it is necessary to strictly formulate and implement the local subsidy rules and the local administrative accountability system, so as to strictly inhibit the local irregular and excessive subsidies. Thirdly, an effective adjustment mechanism for the local subsidies ought to be established to adjust the local subsidy structure actively and exert the overall benefits of local subsidies. The marginal contributions of this paper are as follows: firstly, on the basis of Lin Yifu’s wave phenomenon”, this paper pays attention to the subsidy competition of local investments. We construct a dynamic game model with incomplete information to explore the new mechanism of how local subsidy competition affects the overcapacity. Moreover, we take the lead in using the propensity score matching difference-in-difference method to empirically test the impact of local subsidy competition on overcapacity, and focus on the changes in capacity utilization of enterprises before and after local subsidies. It not only can effectively alleviate the endogenous problem, but also provides some empirical and technical reference for follow-up research.

Local government administration systems and local government accounting information needs: is there a mismatch?

After several years of reforms inspired by the New Public Management approach, public sector accounting and performance measurement systems continue to differ among countries. Based on previous literature and data collected through a questionnaire, we perform an exploratory study on the relations between local government administrative systems and local government accounting information needs in a sample of European countries characterized by a legalistic orientation. Our results reveal that there is a frequent mismatch between the needed accounting and performance measurement information for internal and external purposes assessed on the basis of the administrative system in place and the accounting information and performance measurement information required by the law for decision-making and accountability. Moreover, as the results reveal, legislation in European local governments only sporadically stipulates the information suitable to satisfy the information needs created by the different levels of financial and organizational autonomy of local government administration systems to be available.

Implications for the Change of Local Administrative System in Korea: From the Third Republic to the 5th Republic

Implications for the Change of Local Administrative System in Korea: From the Third Republic to the 5th Republic

Exploring the concurrent validity of the nationwide assessment of permanent nursing home residence in Denmark - A cross-sectional data analysis using two administrative registries

BackgroundMany register studies make use of information about permanent nursing home residents. Statistics Denmark (StatD) identifies nursing home residents by two different indirect methods, one based on reports from the municipalities regarding home care in taken place in a nursing home, and the other based on an algorithm created by StatD.The aim of the present study was to validate StatD’s nursing home register using dedicated administrative municipality records on individual nursing home residents as gold standard.MethodsIn total, ten Danish municipalities were selected. Within each Danish Region, we randomly selected one municipality reporting to Stat D (Method 1) and one not reporting where instead an algorithm created by StatD was used to discover nursing home residents (Method 2). Method 1 means that municipalities reported to Stat D whether home care has taken place in a nursing home or in a private home. Method 2 is based on an algorithm created by Stat D for the municipalities where Method 1 is not applicable. Our gold standard was the information from the local administrative system in all ten selected municipalities. Each municipality provided a list with all individuals > 65 years living in a nursing home on January 1st, 2013 as well as the central personal number. This was compared to the list of individuals >65 living in nursing home facilities in the same ten municipalities on January 1st, 2013 retrieved from StatD.ResultsAccording to the data received directly from the municipalities, which was used as our gold Standard 3821 individuals were identified as nursing home residents. The StatD register identified 6,141 individuals as residents. Additionally, 556 of the individuals identified by the municipalities were not identified in the StatD register.Overall sensitivity for the ten municipalities in the StatD nursing home register was 0.85 (95% CI 0.84-0.87) and the PPV was 0.53 (95% CI 0.52-0.54). The municipalities for which nursing home status was based on the StatD algorithm (method 2) had a sensitivity of 0.84 (95% CI 0.82-0.86) and PPV of 0.48 (95% CI 0.46-0.50). Both slightly lower than the reporting municipalities (method 1) where the sensitivity was 0.87(95% CI 0.85-0.88) and the PPV was 0.57 (95% CI 0.56-0.59).Additionally, the sensitivity and PPV of the Stat D register varied heavily among the ten municipalities from 0.51 (95% CI 0.43-0.59) to 0.96 (95% CI 0.95-0.98) and PPV correspondingly, from 0.14 (95% CI: 0.11-0.17) to 0.73 (95% CI 0.69-0.77).ConclusionsThe overall PPV of StatD nursing home register was low and differences between municipalities existed. Even in countries with extensive nation-wide registers, validating studies should be conducted for outcomes based on these registers.

Cerebrospinal fluid pleocytosis level as a diagnostic predictor? A cross-sectional study

BackgroundLumbar puncture with quantification of leukocytes and differential count of cellular subsets in the cerebrospinal fluid is a standard procedure in cases of suspected neuroinfectious conditions. However, a number of non-infectious causes may result in a low leukocyte number (0–1000 cells/ml). We wanted to assess the diagnostic diversity of unselected adult patients with pleocytosis in the cerebrospinal fluid.MethodsThe study is based on data from cerebrospinal fluid (CSF) analyses of all adult patients (15 years or older) admitted to a large university hospital in Denmark during a two-year period (2008–2009). Data from the local patient administrative system supplied with data from patient charts were combined with laboratory data.ResultsA total of 5390 cerebrospinal fluid samples from 3290 patients were included. Pleocytosis >5 leucocytes/μl was found in samples from 262 patients of which 106 (40.5%) were caused by infection of the central nervous system (CNS), 20 (7.6%) by infection outside CNS, 79 (30.2%) due to non-infectious neurological diseases, 23 (8.8%) by malignancy, and 34 (13.0%) caused by other conditions. Significantly higher mean CSF leukocytes was found in patients suffering from CNS infection (mean 1135 cells/μl, p-value <0.0001).ConclusionsCNS infection, non-infectious neurological disease, malignancy, and infection outside CNS can cause pleocytosis of the cerebrospinal fluid. Leukocyte counts above 100/μl is mainly caused by CNS infection, whereas the number of differential diagnoses is higher if the CSF leukocyte counts is below 50/μl. These conditions are most commonly caused by non-infectious neurological diseases including seizures.

A Study on the Problem of Integration of Local Autonomy and Local Self-Government of Education in “Special Act on Decentralization and Reformation of the Local Administrative System”

최근 헌법개정논의의 중심에는 정부형태 뿐만 아니라 지방분권에 관한 논의가 대세를 이루고 있다. 지방분권은 곧 지방자치의 실질화를 의미하는 것이기에 지방자치 개념을 어떻게 이해하느냐에 따라 ‘지방분권’의 형태는 달라 질 수 있다. 특히 지방자치와 교육자치, 지방자치와 지방교육자치의 관계를 정립하지 않고는 지방분권의 논의가 제대로 이루어 질 수 없다. 최근 지방자치와 교육자치의 관계에 관한 논의는 지방자치와 지방교육자치의 연계 · 통합에 관한 논의를 중심으로 해서 이루어져 왔다. 지방자치와 지방교육자치의 연계 · 통합에 관한 논의는 2010년 「지방교육자치에 관한 법률」 개정과 2013년 「지방분권 및 지방행정체제개편에 관한 특별법」이 제정되면서부터 본격적으로 시작하였는데, 그 논의는 주로 교육감 선출방식을 중심으로 한 양자의 연계 · 통합의 문제로 모아지고 있다. 교육감의 선출방식을 통한 연계․통합에 대한 논의는 지방교육발전에 필요한 다양한 교육적 자원을 효율적으로 확보하기 위하여 지방자치단체로 부터 교육에 대한 관심과 협력을 획득할 수 있다는 점에서 그 필요성은 인정될 수 있다. 그러나 이 경우에도 교육자치 행정상의 사무 처리의 합리성과 효율성을 제고할 수 있다고 판단되는 경우에 한해서 연계 · 통합의 필요성이 인정될 수 있을 뿐이다. 그러나 그 논의가 오히려 지방교육자치의 자주성 · 전문성 · 정치적 중립성을 약화시켜 교육자치의 독자성을 사실상 부정하는 쪽으로 진행된다면 문제가 되지 않을 수 없다. 따라서 지방자치와 지방교육자치의 연계 · 통합의 논의는 지방자치로 부터 교육자치 이념을 긍정하면서 교육자치행정의 특수성을 인정하는 데서부터 시작하여야 할 것이다.

The Management of Koryŏ: Local Administration (Kunhyŏn) and Its Operation

During its five-hundred-year history the Koryŏ's local administration (kunhyŏn) system experienced a gradual evolution. By 1018 through a series of reforms its major contours emerged. Local administrations were subdivided into capitals, greater prefectures, districts, prefectures, counties, and garrisons. However, within the local administration the most important division was between the control counties that received officials dispatched from the central government and the subordinate counties that did not. From the middle of Koryŏ the role of the circuit gradually became more important, as it functioned as a superior administrative unit and became fully institutionalized by the end of Koryŏ. Lower level administrative units within the local administration were the ch'on, li, and tong, but special administrative units were divided among the stations, townships, pugok, so, chang, ch'ŏ, ch'ang, chin, and to. As the kingdom met new challenges the number of control counties expanded so that by the end of Koryŏ there were over 500 control counties and the number of subordinate counties decreased. The Chosŏn local administration system consolidated its regional governance into 330 counties together with a circuit administration of 8 circuits.

Between Grassroots Expectations, Political Visions, and the Contemporary Local State: The Everyday Challenges of Indigenous/Peasant Organizations in the Bolivian Andes

Has the increased political influence of indigenous/peasant organizations on the local state in the Bolivian Andes helped them better address persistent poverty among the grassroots? The insights we gained in Northern Potosi show that there are two major movements with divergent political visions (framed around class or “peasantness”), and thus two long-term strategies for vivir bien. But both represent the same grassroots realities, and their communal leaders seek to apply similar practices (e.g. improving agricultural production or accessing off-farm employment in the mines of Mallku Khota). They also face the same difficulties—leading to complaints from their constituencies about the lack of actual support in the productive sphere. We find that this contradiction between political influence and grassroots criticism emerges less from the movements’ ideological struggles over agrarian change, and more from everyday problems, including the difficulties their local representatives face as part of the complex local administrative system, the persistence of cumbersome bureaucratic procedures, and movements’ obstructive practices of competition. Such mundane issues, we argue, are as important as issues of ideology in debates about agrarian/rural struggles.

The Management of Koryǒ: Local Administration (Kunhyŏn), and Its Operation

During its five-hundred-year history the Koryŏ’s local administration (kunhyǒn) system experienced a gradual evolution. By 1018 through a series of reforms its major contours emerged. Local administrations were subdivided into capitals, greater prefectures, districts, prefectures, counties, and garrisons. However, within the local administration the most important division was between the control counties that received officials dispatched from the central government and the subordinate counties that did not. From the middle of Koryǒ the role of the circuit gradually became more important, as it functioned as a superior administrative unit and became fully institutionalized by the end of Koryǒ. Lower level administrative units within the local administration were the ch’on, li, and tong, but special administrative units were divided among the stations, townships, pugok, so, chang, ch’ŏ, ch’ang, chin, and to. As the kingdom met new challenges the number of control counties expanded so that by the end of Koryŏ there were over 500 control counties and the number of subordinate counties decreased. The Chosŏn local administration system consolidated its regional governance into 330 counties together with a circuit administration of 8 circuits.

백제의 지방통치제도에 미친 중국왕조의 영향 : 漢代~南北朝時代 지방통치기구와의 비교를 중심으로

This article compares and examines the organization and duties of local government officials during Baekje (百濟) and Lianghan (兩漢)-Weijin (魏晉)- Nanbeichao (南北朝) Periods with the aim of examining the so-called “three classes interpretation” of the local administrative system in the kingdom of Baekje.BR Local administration during the Baekje Period was composed of three classes for the military system - Bang (方: province), Gun (郡: county) and Seong (城: castle) - and two classes for the civil administrative system - Bang, Gun and Seong, Eup (邑: town).BR In Baekje the post of bangryeong (方領) was institutionally influenced by governor-general(州牧: zhoumu ) of the Later Han dynasty, and gun of Baekje by xian(縣: prefectures) of dynastic China since Han dynasty. Baekje was mainly influenced by Chinese local government officials of Lelangjun(樂浪郡) and Daifangjun(帶方郡). The author concludes from the above comparision that the local administrative organization of Baekje was not influenced by China’s three class system of zhou-jun-xian (州郡縣: province, county and prefecture) instituted during the Nanbeichao period, but rather by the two class jun-xian (郡縣: county and prefecture) system, which predated it.

Determinants of Internal Audit Effectiveness in Decentralized Local Government Administrative Systems

&lt;p&gt;This paper examines the determinants of internal audit effectiveness in decentralized local government administrative systems of Ghana. Ghana’s local government system is structured into metropolitan, municipal, and district assemblies (MMDAs). For the purpose of the study, we focused on the Ashanti region of Ghana which has the highest number of MMDAs. The motivation for the study is derived from the increased interest in the internal audits of local government units. Using a descriptive survey, the data gathered, through the use of questionnaire, revealed that majority of the internal audit staff of MMDAs in the Ashanti Region of Ghana possess the requisite professional proficiency. Contrary to the perception that audit quality in the public sector is usually compromised, the study revealed that there exists high quality of audit work due to compliance with the international standards on auditing and local audit legislations. Professional proficiency, organizational independence, and career advancement were found to have statistically significant positive relationship with internal audit effectiveness, whiles top management support was found to have no effect on internal audit effectiveness.&lt;/p&gt;

Administración pública local y construcción de la central hidroeléctrica en la Amazonia

Exponemos los resultados de una observación exploratoria en la que se analizan los impactos funcionales en el sistema administrativo como consecuencia de la construcción de la Central Hidroeléctrica de Belo Monte (CHB) en el municipio de Altamira (Amazonia oriental brasileña). En la perspectiva teórico-conceptual de la teoría de sistemas sociales de Niklas Luhmann, realizamos una observación del sistema administrativo local sobre sus operaciones y funciones, en base a cuatro códigos preestablecidos: toma de decisiones, contingencia, significación simbólica del proyecto y planificación. Las conclusiones permiten entrever en un aplano conceptual la utilidad de los conceptos sistémicos de Luhmann, y en el empírico, una planificación y administración pública municipal reactivas.

지방자치단체 통합의 과제와 추진방안에 관한 연구 -안동시와 예천군을 중심으로-

경상북도는 2015년 10월 도청을 이전하고 2027년 인구 10만의 진정한 자족도시 건설을 목표로 신도시를 조성하고 있다. 그러나 신도시는 행정구역이 이원화 되어 있는 관계로 도시건설에서부터 운영에 이르기 까지 많은 문제가 제기되고 있는 실정이다. 이와 같은 문제를 해결하기 위해 본 논문에서는 행정구역개편 추진위원회에서 발표한 지방행정체제 개편 기본계획 중 2012년 중점 과제로 선정된 시 군 구 통합에 관한 내용을 중심으로 연구 범위를 설정하고, 도청신도시가 건설되고 있는 안동시와 예천군을 연구대상으로 분석하였다. 주요 연구 내용은 지방행정체제 개편의 이론적 모델, 지방행정체계개편 기본계획, 안동시와 예천군의 행정구역 개편의 필요성과 방향을 분석하여 도청신도시가 정체성을 확립하고 지속가능한 경북의 신 성장 거점도시로 성장할 수 있는 방안으로 행정 구역 통합을 제안하였다. Gyeongsangbuk-do moved its provincial office in October, 2015 and has been building a new town with a goal to construct a truly self-sufficient city with the population of 100,000 people before 2027. However, a new town tends to be dualized in terms of its administrative districts, so it is raising a lot of problems regarding from city construction up to operation. In order to solve those problems, this author has selected Si Gun Gu integration that was chosen as a major task to do in 2012 among the basic plans to revise the local administration system announced by the promotional committee to reorganize administrative districts as the range of this research and analyzed how it is going on in Andong-si and Yecheon-gun where a provincial office new town is being constructed. The main contents of this study regard the theoretical model to reform the local administration system, basic plans to revise the local administration system, and necessity and directions for reorganizing administrative districts in Andong-si and Yecheon-gun. Based on that, this author suggests integration of administrative districts as a way for a provincial office new town to establish its identity and grow as a sustainable, new growth focus city in Gyeongsangbuk-do.

Fiscal Decentralization in the Republic of Moldova

The course towards modernization of public administration in the Republic of Moldova describes a new stage in the development of the rule of law, of the democratic system and effective provision of constitutional rights and freedoms in the Republic of Moldova. From this perspective, the concept meets the motivations, objectives and criteria necessary for the creation of a lean, efficient and appropriate to the objective of Moldovan modernization and Europeanization, system, in the context of EU-Moldova Action Plan implementation, and expansion, starting with 2007 of EU to the western borders of the Republic of Moldova.The need for a strategic vision for the development of local and regional public administration system defines political effort to speed up internal changes and consolidation of the rule of law, optimization of public authorities system, and clearly defining the role of state and local administration in the society. Local and regional public administration system reform complements previous effort of developing and implementing the Strategy on central administration reform (2005), identifies main strategic development objectives in the context of previously ratified conventions related to international community, reevaluates previous recommendations provided to central authorities by Congress of Local and Regional Authorities of the Council of Europe, at the same time, estimating the effort required for setting up a modern system of public administration in the Republic of Moldova. Decentralization leads to establishment of a political and administrative environment consistent with the principle of subsidiarity. Decentralized and autonomous local authorities can contribute more effectively to poverty reduction by providing social services to the most vulnerable groups, in a more efficient, flexible and innovative way. Decentralization is a tool for conflict mediation, providing democratic structures and methods of participation in the governance. Decentralized administration is defined, as well, as a transfer of tasks, resources and powers from the state to the primary and intermediate level within cooperation and solidarity relations.The importance of Fiscal Decentralization reform in the Republic of Moldova is clearly envisaged in the pursued strategic objectives.Decentralization can only be effective if the LPA can collect a significant amount of revenues directly from beneficiaries of public services on administered territory. The connection between the beneficiary and taxpayer is relevant from public finances perspective and illustrates the direct link between taxes and benefits for the local community. This provides additional leverage to LPA, including attracting investors and respectively, local economic development.

Case Study of Central and Local Government Finance in Japan

This paper aims to provide an overview of the basics of Japan’s local public administration and finance system and to analyze how Japan’s municipalities restore their fiscal balance after a fiscal shock. In Japan, local governments play a major role in redistribution. Combined with regional disparities in tax capacities and an inflexible local tax system, there is a large vertical fiscal gap in Japan between the central and local governments — a gap that necessitates the transfer of funds from central to local governments. Under this system, the fiscal adjustments in Japan’s municipalities occur mainly via changes in government investment, and they account for 63%–95% of adjustments in permanent unit innovations in grants and own-source revenue. In contrast to the role of expenditure, the municipalities’ own-source revenue plays a limited role in balancing the local budget. The results of this study also reveal that 40% of the increase in own-source revenue is offset by a reduction in grants. Furthermore, municipalities can induce grants by expanding government current expenditure. Finally, this study offers and discusses some policy implications.

Реформы местного управления в Петровскую эпоху: парадоксы централизации

The article attempts to resolve the question of the efficiacy of the local administrative system that arose in the course of Peter the Great’s reforms. In the opinion of the author, two administrative systems existed in Russia in the first quarter of the 18th century: institutions created under the influence of Western models that were supposed to deal with everyday issues of governance and establishments that were targeted at problems which arose suddenly. The former type might be dubbed ‘ordinary institutions’ and the latter ‘extraordinary institutions’. In the complex conditions of the first quarter of the 18th century, the ordinary institutions of local administration demonstrated low levels of efficiacy. The system of military chancelleries that preceded them had performed more optimally. The full mobilisation of the state’s resources could only be accomplished via a network of extraordinary institutions. These controlled their ordinary counterparts, stimulating them via intense administrative pressure: however, they simultaneously made work more difficult, since they interfered regularly in their spheres of competence. In practice, this complicated administrative conglometrate destroyed the ideal model of ‘correct’ administration that lay at the basis of the Polizeistaat created by Peter, although it did achieve some short-term successes. In the final years of Peter’s reign, the contradictions between the ordinary and extraordinary institutions, between cameralist ideals and the practice of ‘manual control’, caused the administrative machinery to clatter to a standstill. Peter’s immediate successors demolished his bureaucratic agglomerate quickly and without any particular regret: they soon strove to build a new, simpler administrative system that united within it both the traditions of the military chancelleries and collegial innovations.

Comparative Study of Local Administration System of the South and North Korea in Prepare for Unification

Comparative Study of Local Administration System of the South and North Korea in Prepare for Unification

New Metropolitan Regime of Turkey: Authoritarian Urbanization via (Local) Governmental Restructuring

In December 2012, approximately 1,5 years before the March 2014 Local Elections and 2 years before the August 2014 Presidential Elections, Turkish Grand National Assembly –of the single party AKP majority government- enacted a Law not only establishing 14 new Metropolitan Municipalities in addition to the 16 former, but also annihilating 30 Provincial Local Governments, 1.635 Town Municipalities, and 16.580 Village Local Administrations, which makes almost the half of Turkey’s local governments. The Law, at the same time, made amendments to the legislation on local governments. As a consequence of this arrangement which represents the largest restructuration of the (local) administrative system all throughout the Republican history, Turkey’s urban population artificially increased to 91% from 77% in 2012, and 77% of Turkey’s population started to live in metropolitan areas. This paper analyses the demographic, administrative, local governmental changes brought by the new system, and tries to make clear its wider context in terms of late AKP government’s economic and urban policies, and authoritarian tendencies.

Panchayati Raj Institutions and Women’s Land Ownership

Women’s right to property, especially agricultural land, is positively linked to a better quality of life as well as welfare of the family, gender equality and reducing their vulnerability to domestic violence and their house chore drudgeries. Nonetheless, ensuring women’s rights to land has remained a challenge, which mainly revolves around implementation and enforcement of various laws and policies across many countries; India is no exception. This article shares various initiatives of a state-level network and its impact on women’s land ownership in Gujarat state of India. A major learning is to capture and influence the ‘middle space’, that is, a space between social action at the grassroots and changes in policy is very important for ensuring women’s land ownership. The larger question is ‘whether these experiences and learning are trendsetting’ in a given local governance (Panchayati Raj) and land administration system, which has to be moved by a gamut of grassroots’ initiatives and grabbing opportunities provided by state government initiatives for women.

OC-048 Does the performance of faecal calprotectin testing in primary care differentiate patients with inflammatory bowel disease?: Abstract OC-048 Table 1

Introduction Measurement of faecal calprotectin (FC) may identify those harbouring inflammatory bowel disease (IBD). Use of the test is supported by NICE guidance (DG11) but evidence of its performance, in “real-life”, in patients presenting to primary care, is limited. Aim To assess the yield of IBD from FC testing in primary care. Method FC testing (Immunodiagnostics Phical Calprotectin ELISA) was made available to clinicians in October 2013. The results of all FC assays from 1.10.13 to 28.2.14 were reviewed retrospectively with results of GI investigations. Results Of FC measurements undertaken in 526 patients, 26 could not be identified on the local patient administration system, 57 were initiated in secondary care, 23 had known IBD and outcomes were not available for 22 patients with a raised FC (median 90 μg/g); range 54–995). These were excluded. 398 patients had FC requested in primary care (158 male; median age 42; range 6–91). FC was “positive” (>50 μg/g) in 132/398 (33.2%; median age 44 (range 6–91); median FC 128.5 μg/g (51–1770). 122/132 with positive FC underwent further investigation; 94 (77%) had lower GI endoscopy: IBD (7), colorectal cancer (2), adenoma (8), nil significant (77). 87/94 had lower GI endoscopy for a false positive FC (no IBD). 49/266 FC-negative patients also underwent lower GI endoscopy (median age 47; range 19–76) finding IBD (2), diverticulitis (1), adenomas (2), nil significant (43). 3/266 FC negative patients had IBD. IBD was diagnosed in 11/398 (2.3%; 4 ulcerative colitis (UC), 3 Crohn’s disease (CD), 2 collagenous colitis, 2 lymphocytic colitis (Table 1)). 8/11 were FC positive (range 67–1170); 3 were FC negative. At a 50 μg/g threshold, sensitivity for detecting IBD was 72.7%, specificity 68%, positive predictive value (PPV) 6.1%, negative predictive value 98.9%. Conclusion FC testing in primary care has lower sensitivity and specificity than in secondary care and poor PPV for detecting IBD. False positive FC is associated with more lower GI investigation than previously estimated. This experience differs from data used to inform NICE DG11. Strategies to target use to those with higher pre-test probability of IBD are needed. Disclosure of interest S. Conroy: None Declared, M. Hale: None Declared, S. Cross: None Declared, K. Swallow: None Declared, R. Sidhu: None Declared, R. Sargur: None Declared, A. Lobo Consultant for: Takeda UK and Vifor Pharma.