House of Commons - Health

Select Committee on Health Memoranda

Memorandum by the Department of Health

PUBLIC EXPENDITURE QUESTIONNAIRE 2001

Table 4.12.1

NHS Management Costs 1996-97 to 2000-01

Could the Department update the information given in Tables 4.12 showing activity data by region for 1999-2000 and 2000-01, including: total activity, with trends; activity by In, Day-Case and Outpatient; maternity and simple access data? Could the Department provide figures for the ratio of Finished Consultant Episodes (FCEs) to hospital spells by Region for the same period? To what extent do a relatively small number of providers depart from the overall pattern? Could the Department report on the progress made by the NHS Information Authority in reviewing clinical information, including the use of the FCE as a measure of activity?

1. The information requested is contained in the attached tables.

Table 4.13.1

Table 4.13.2

Table 4.13.3

Table 4.13.4

Table 4.13.5

Table 4.13.6

Table 4.13.7

Table 4.13.8

Table 4.13.9

HOSPITAL INPATIENT FINISHED CONSULTANT EPISODES

2. Tables 4.13.10 and 4.13.11 show hospital inpatient finished consultant episodes (FCEs) by method of admission and figures for the ratio of FCEs to hospital spells. (A hospital spell may comprise more than one FCE if responsibility for the patient is passed from one consultant to another). These data are for England and Regional Office areas for 1998-99 and 1999-2000. Data for 2000-01 is expected to be available for analysis in October.

Table 4.13.10

TOTAL ADMISSIONS, BY METHOD OF ADMISSION AND REGIONAL OFFICE

Source: Hospital Episode Statistics.
Note: all calculations are based on data which are unadjusted for shortfalls.

Table 4.13.11

EPISODES/SPELLS RATIOS, GENERAL & ACUTE PATIENTS, BY REGIONAL OFFICE, NHS HOSPITALS, ENGLAND, 1998-99 and 1999-2000

Source: Hospital Episode Statistics.
Note: all calculations are based on data which are unadjusted for shortfalls.

Table 4.13.12

THE 15 PROVIDER UNITS WITH THE HIGHEST FCEs/SPELLS RATIO 1999-00, AND WITH MORE THAN 10,000 FCEs—GENERAL & ACUTE

Source: Hospital Episode Statistics.
Note: all calculations are based on data which are unadjusted for shortfalls.

4.14 Average Daily Number of Beds

4.14a Could the Department provide information on ten year trends in bed availability and patient throughput for each major hospital sector and for each Region? Could information on bed occupancy (collected for the first time in 1996-97) and occupancy rates also be included?

4.14b Could the Department provide figures for the number of delayed discharges of patients from acute settings and a commentary on how these delays are being addressed?

1. The information requested is contained in the attached tables.

Table 4.14.1

AVERAGE DAILY NUMBER OF AVAILABLE AND OCCUPIED BEDS1 AND THROUGHPUT,2 BY SECTOR, NHS TRUSTS IN ENGLAND

  Footnotes:
  (1)  Number of bed days in the year divided by the number of days in the year. The return was revised in 1996-97 to specifically include the separate collection of beds in paediatric intensive care wards, and NHS managed beds in residential care.
  (2)  Number of finished consultant episodes for ordinary admissions per available bed. Figures exclude well babies.
  (3)  General and acute is defined as acute plus geriatric (excluding well babies).
  (4)  1996-97 is the first year for the collection of Bed Occupancy figures.
  (5)  "." denotes not applicable and ".." denotes not available.
  (6)   Source: KH03, KP70 & HES.
  (7)  1998-99* & 1999-00* data are derived from ungrossed Hospital Episode Statistics. From 1998-99 HES data are used to report hospital inpatient activity levels,because HES data are now more timely and more accurate. HES based data for 1997-98 differ from KP70 data because HES data consisently report activity according to the speciality of the consultant involved. Some Trusts report KP70 data for some specialties according to the specialty treatment.
  (8)  2000-01 Throughput figures are unavailable as HES figures are awaiting to be finalised.

Table 4.14.2

AVERAGE DAILY NUMBER OF AVAILABLE AND OCCUPIED BEDS1 AND THROUGHPUT,2 BY SECTOR, NHS TRUSTS IN NORTHERN AND YORKSHIRE

  Footnotes:
  (1)  Number of bed days in the year divided by the number of days in the year. The return was revised in 1996-97 to specifically include the separate collection of beds in paediatric intensive care wards, and NHS managed beds in residential care.
  (2)  Number of finished consultant episodes for ordinary admissions per available bed. Figures exclude well babies.
  (3)  General and acute is defined as acute plus geriatric (excluding well babies).
  (4)  1996-97 is the first year for the collection of Bed Occupancy figures.
  (5)  '.' denotes not applicable and '..' denotes not available.
  (6)   Source: KH03, KP70 & HES.
  (7)  1998-99* & 1999-2000* data are derived from ungrossed Hospital Episode Statistics.From 1998-99 HES data are used to report hospital inpatient activity levels,because HES data are now more timely and more accurate. HES based data for 1997-98 differ from KP70 data because HES data consisently report activity according to the speciality of the consultant involved. Some Trusts report KP70 data for some specialties according to the specialty treatment.
  (8)  2000-01 Throughput figures are unavailable as HES figures are awaiting to be finalised.

Table 4.14.3

AVERAGE DAILY NUMBER OF AVAILABLE AND OCCUPIED BEDS1 AND THROUGHPUT,2 BY SECTOR, NHS TRUSTS IN TRENT

  Footnotes:
  (1)  Number of bed days in the year divided by the number of days in the year. The return was revised in 1996-97 to specifically include the separate collection of beds in paediatric intensive care wards, and NHS managed beds in residential care.
  (2)  Number of finished consultant episodes for ordinary admissions per available bed. Figures exclude well babies.
  (3)  General and acute is defined as acute plus geriatric (excluding well babies).
  (4)  1996-97 is the first year for the collection of Bed Occupancy figures.
  (5)  "." denotes not applicable and ".." denotes not available.
  (6)   Source: KH03, KP70 & HES.
  (7)  1998-99* & 1999-2000* data are derived from ungrossed Hospital Episode Statistics.From 1998-99 HES data are used to report hospital inpatient activity levels,because HES data are now more timely and more accurate. HES based data for 1997-98 differ from KP70 data because HES data consisently report activity according to the speciality of the consultant involved. Some Trusts report KP70 data for some specialties according to the specialty treatment.
  (8)  2000-01 Throughput figures are unavailable as HES figures are awaiting to be finalised.

Table 4.14.4

AVERAGE DAILY NUMBER OF AVAILABLE AND OCCUPIED BEDS1 AND THROUGHPUT,2 BY SECTOR, NHS TRUSTS IN WEST MIDLANDS

  Footnotes:
  (1)  Number of bed days in the year divided by the number of days in the year. The return was revised in 1996-97 to specifically include the separate collection of beds in paediatric intensive care wards, and NHS managed beds in residential care.
  (2)  Number of finished consultant episodes for ordinary admissions per available bed. Figures exclude well babies.
  (3)  General and acute is defined as acute plus geriatric (excluding well babies).
  (4)  1996-97 is the first year for the collection of Bed Occupancy figures.
  (5)  "." denotes not applicable and ".." denotes not available.
  (6)   Source: KH03, KP70 & HES.
  (7)  1998-99* & 1999-2000* data are derived from ungrossed Hospital Episode Statistics. From 1998-99 HES data are used to report hospital inpatient activity levels,because HES data are now more timely and more accurate. HES based data for 1997-98 differ from KP70 data because HES data consisently report activity according to the speciality of the consultant involved. Some Trusts report KP70 data for some specialties according to the specialty treatment.
  (8)  2000-01 Throughput figures are unavailable as HES figures are awaiting to be finalised.

Table 4.14.5

AVERAGE DAILY NUMBER OF AVAILABLE AND OCCUPIED BEDS1 AND THROUGHPUT,2 BY SECTOR, NHS TRUSTS IN NORTH WEST

  Footnotes:
  (1)  Number of bed days in the year divided by the number of days in the year. The return was revised in 1996-97 to specifically include the separate collection of beds in paediatric intensive care wards, and NHS managed beds in residential care.
  (2)  Number of finished consultant episodes for ordinary admissions per available bed. Figures exclude well babies.
  (3)  General and acute is defined as acute plus geriatric (excluding well babies).
  (4)  1996-97 is the first year for the collection of Bed Occupancy figures.
  (5)  "." denotes not applicable and ".." denotes not available.
  (6)   Source: KH03, KP70 & HES.
  (7)  1998-99* & 1999-2000* data are derived from ungrossed Hospital Episode Statistics. From 1998-99 HES data are used to report hospital inpatient activity levels,because HES data are now more timely and more accurate. HES based data for 1997-98 differ from KP70 data because HES data consisently report activity according to the speciality of the consultant involved. Some Trusts report KP70 data for some specialties according to the specialty treatment.
  (8)  2000-01 Throughput figures are unavailable as HES figures are awaiting to be finalised.

Table 4.14.6

AVERAGE DAILY NUMBER OF AVAILABLE AND OCCUPIED BEDS1 AND THROUGHPUT,2 BY SECTOR, NHS TRUSTS IN EASTERN

  Footnotes:
  (1)  Number of bed days in the year divided by the number of days in the year. The return was revised in 1996-97 to specifically include the separate collection of beds in paediatric intensive care wards, and NHS managed beds in residential care.
  (2)  Number of finished consultant episodes for ordinary admissions per available bed. Figures exclude well babies.
  (3)  General and acute is defined as acute plus geriatric (excluding well babies).
  (4)  1996-97 is the first year for the collection of Bed Occupancy figures.
  (5)  "." denotes not applicable and ".." denotes not available.
  (6)   Source: KH03, KP70 & HES.
  (7)  1998-99* & 1999-2000* data are derived from ungrossed Hospital Episode Statistics. From 1998-99 HES data are used to report hospital inpatient activity levels,because HES data are now more timely and more accurate.
HES based data for 1997-98 differ from KP70 data because HES data consisently report activity according to the speciality of the consultant involved. Some Trusts report KP70 data for some specialties according to the specialty treatment.
  (8)  2000-01 Throughput figures are unavailable as HES figures are awaiting to be finalised.



© Parliamentary copyright 2002	Prepared 17 January 2002