Activity in English NHS hospitals and English NHS commissioned activity in the independent sector
Year (of end of first period of care in patient's hospital stay)
Age
2007-08
2006-07
2005-06
2004-05
2003-04
Under 15
127
137
164
221
178
15 to 64
1,559
1,559
1,564
1,514
1,732
65+
552
606
579
529
489
Unknown
3
-
1
-
-
Notes:
1. There is no way to distinguish between illegal and legal drugs and although the patient may be given a drug related diagnosis.
2. Finished admission episodes
A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
3. Data Quality
Hospital episode statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
4. Assessing growth through time
HES figures are available from 1989-90 onwards. During the years that these records have been collected from the NHS there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Changes in NHS practice also need to be borne in mind when analysing time series. For example a number of procedures may now be undertaken in outpatient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time.
5. Number of episodes in which the patient had a (named) primary or secondary diagnosis-drug related
These figures represent the number of episodes where the diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a HES record. Each episode is only counted once in each count, even if the diagnosis is recorded in more than one diagnosis field of the record.
21 July 2009 : Column 1585W
6. The ICD-10 codes used to identify a drug related diagnosis are as follows (alcohol and tobacco codes have been removed as requested). Please note: A 'drug' can be defined, broadly speaking, as any substance that alters normal bodily function. Therefore we have included codes relating to noxious substances and solvents. It is not possible to identify in ICD-10 all diseases caused by drugs (legal or illegal) and there is no way to guarantee, that the admission was drug related. For example, a patient admitted for inguinal hernia surgery may also be dependent on a drug.
F11-Mental and behavioural disorders due to use of opioids
F12-Mental and behavioural disorders due to use of cannabinoids
F13-Mental and behavioural disorders due to use of sedatives or hypnotics
F14-Mental and behavioural disorders due to use of cocaine
F15-Mental and behavioural disorders due to use of other stimulants, including caffeine
F16-Mental and behavioural disorders due to use of hallucinogens
F18-Mental and behavioural disorders due to use of volatile solvents
F19-Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances
F55-Abuse of non-dependence-producing substances
K71.0 Toxic liver disease with cholestasis
K71.1 Toxic liver disease with hepatic necrosis
K71.2 Toxic liver disease with acute hepatitis
K71.3 Toxic liver disease with chronic persistent hepatitis
K71.4 Toxic liver disease with chronic lobular hepatitis
K71.5 Toxic liver disease with chronic active hepatitis
K71.6 Toxic liver disease with hepatitis, not elsewhere classified
K71.7 Toxic liver disease with fibrosis and cirrhosis of liver
K71.8 Toxic liver disease with other disorders of liver
K71.9 Toxic liver disease, unspecified
T36-Poisoning by systemic antibiotics
T37-Poisoning by other systemic anti-infectives and antiparasitics
T38-Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere classified
T39-Poisoning by nonopioid analgesics, antipyretics and antirheumatics
T40-Poisoning by narcotics and psychodysleptics [hallucinogens]
T41-Poisoning by anaesthetics and therapeutic gases
T42-Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
T43-Poisoning by psychotropic drugs, not elsewhere classified
T44-Poisoning by drugs primarily affecting the autonomic nervous system
T45-Poisoning by primarily systemic and haematological agents, not elsewhere classified
T46-Poisoning by agents primarily affecting the cardiovascular system
T47-Poisoning by agents primarily affecting the gastrointestinal system
T48-Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system
T49-Poisoning by topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinolaryngological and dental drugs
T50-Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
T52-Toxic effect of organic solvents
T53-Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons
T54-Toxic effect of corrosive substances
T55-Toxic effect of soaps and detergents
T56-Toxic effect of metals
T57-Toxic effect of other inorganic substances
T58-Toxic effect of carbon monoxide
T59-Toxic effect of other gases, fumes and vapours
T60-Toxic effect of pesticides
T61-Toxic effect of noxious substances eaten as seafood
T62-Toxic effect of other noxious substances eaten as food
T63-Toxic effect of contact with venomous animals
T64-Toxic effect of aflatoxin and other mycotoxin food contaminants
T65-Toxic effect of other and unspecified substances
X40-Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics
X41-Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified
X42-Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified
21 July 2009 : Column 1586W
X43-Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system
X44-Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
X46-Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours
X47-Accidental poisoning by and exposure to other gases and vapours
X48-Accidental poisoning by and exposure to pesticides
X49-Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances
X60-Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics
X61-Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified
X62-Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified
X63-Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system
X64-Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
X66-Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours
X67-Intentional self-poisoning by and exposure to other gases and vapours
X68-Intentional self-poisoning by and exposure to pesticides
X69-Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
Y40-Systemic antibiotics
Y41-Other systemic anti-infectives and antiparasitics
Y42-Hormones and their synthetic substitutes and antagonists, not elsewhere classified
Y43-Primarily systemic agents
Y44-Agents primarily affecting blood constituents
Y45-Analgesics, antipyretics and anti-inflammatory drugs
Y46-Antiepileptic and antiparkinsonism drugs
Y47-Sedatives, hypnotics and antianxiety drugs
Y48-Anaesthetics and therapeutic gases
Y49-Psychotropic drugs, not elsewhere classified
Y50-Central nervous system stimulants, not elsewhere classified
Y51-Drugs primarily affecting the autonomic nervous system
Y52-Agents primarily affecting the cardiovascular system
Y53-Agents primarily affecting the gastrointestinal system
Y54-Agents primarily affecting water-balance and mineral and uric acid metabolism
Y55-Agents primarily acting on smooth and skeletal muscles and the respiratory system
Y56-Topical agents primarily affecting skin and mucous membrane and ophthalmological, otorhinolaryngological and dental drugs
Y57-Other and unspecified drugs and medicaments
Y58-Bacterial vaccines
Y59-Other and specified vaccines and biological substances
T80.0 Air embolism following infusion, transfusion and therapeutic injection
T80.1 Vascular complications following infusion, transfusion and therapeutic injection
T80.2 Infections following infusion, transfusion and therapeutic injection
T80.8 Other complications following infusion, transfusion and therapeutic injection
T80.9 Unspecified complication following infusion, transfusion and therapeutic injection
T88.0 Infection following immunization
T88.1 Other complications following immunization, not elsewhere classified
T88.2 Shock due to anaesthesia
T88.3 Malignant hyperthermia due to anaesthesia
T88.5 Other complications of anaesthesia
T88.6 Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
T88.7 Unspecified adverse effect of drug or medicament
Z71.5 Drug abuse counselling and surveillance
T96.X Sequelae of poisoning by drugs, medicaments and biological substances
T97.X Sequelae of toxic effects of substances chiefly non-medicinal as to source
Z50.3 Drug rehabilitation
21 July 2009 : Column 1587W
7. Suffolk PCT of residences
From 2006-07 onwards Suffolk as a whole was a PCT. Prior to this, Suffolk was made up of four PCTs. Reference should be made as follows for details.
2006-07 onwards
5PT-Suffolk PCT
Pre 2005-06
5JR-Suffolk Coastal
5JQ-Ipswich
5JT-Central Suffolk
5JW-Suffolk West
8. Ungrossed Data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). Sources:
Hospital Episode Statistics (HES), The Information Centre for health and social care
NHS Information centre for health and social care.
21 July 2009 : Column 1588W
Stephen Hammond:
To ask the Secretary of State for Health how many (a) hospital admissions and (b) finished consultant episodes there were (i) in England and (ii) at (A) Ashford Hospital, (B) Hillingdon Hospital, (C) Ealing Hospital, (D) West Middlesex University Hospital and (E) Teddington Memorial Hospital in each of the last five years. [288419]
Mr. Mike O'Brien:
Data on hospital admission are not collected at individual hospital level. The information collected is at national health service trust or primary care trust (PCT) level. Data on hospital admissions in the relevant provider NHS trusts and PCT and for England are shown in the following tables.
Count of Finished Admission Episodes and Finished Consultant Episodes for England and Selected NHS Trusts: Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
England
Ashford and St. Peter's NHS Trust
Hillingdon Hospital NHS Trust
Finished admission episodes
Finished consultant episodes
Finished admission episodes
Finished consultant episodes
Finished admission episodes
Finished consultant episodes
2007-08
13,479,828
15,359,062
64,454
68,405
55,673
59,939
2006-07
12,976,273
14,784,581
59,689
62,272
53,645
57,757
2005-06
12,678,628
14,423,506
61,623
65,593
50,810
55,353
2004-05
12,101,986
13,706,450
60,939
65,743
46,414
51,304
2003-04
11,809,017
13,295,166
58,857
64,299
42,224
45,788
Ealing Hospital NHS Trust
Richmond and Twickenham PCT
Finished admission episodes
Finished consultant episodes
Finished admission episodes
Finished consultant episodes
2007-08
41,471
47,567
361
361
2006-07
38,171
43,195
416
416
2005-06
33,428
36,329
444
444
2004-05
31,211
33,692
470
470
2003-04
29,912
32.233
355
355
Notes: Finished admission episodes (a)
A finished admission episode is the first period of inpatient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year. Finished Consultant Episode (FCE) (b)
A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Please note that the figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data quality
Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain. Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time. Hospital Providers
A provider code is a unique code that identifies an organisation acting as a health care provider (e.g. NHS Trust or PCT). Hospital providers can also include Treatment Centres (TC). Treatment Centres (also known as Diagnostic Centres) provide elective (planned) surgery for a range of conditions, mainly for day surgery or short-term hospital stay patients.
Some Treatment Centres are attached to hospital trusts and HES enables data for these to be separately identified from the rest of the healthcare provider's data. It does this by adding TC to the Trust code; if there is more than one per Trust T1, T2, T3 etc are suggested unless already in use by the Trust. Activity performed in the remainder of the Trust is identified by the health care provider code being followed by an 'X'.
Hospital providers beginning with an 'N' indicates an independent sector health care provider. Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care
21 July 2009 : Column 1589W
Hospitals: Waiting Lists
Mr. McLoughlin:
To ask the Secretary of State for Health what the average waiting time for (a) in-patient admissions and (b) first outpatient appointments was in each speciality in (i) Derbyshire County Primary Care Trust and (ii) England in the latest period for which figures are available. [288795]
Mr. Mike O'Brien:
The Department does not collect in-patient and out-patient data at specialty level, except for trauma and orthopaedics. The latest data for May 2009, showing in-patient and out-patient median waiting times for Derbyshire County primary care trust (PCT) and England is shown in the following tables.
Median in-patient waiting time for elective admission (weeks) May 2009 (commissioner based)
Specialty
Derbyshire County PCT
England
Trauma and Orthopaedics
5.2
5.4
All Specialties
3.6
4.3
Source:
Department of Health Monthly Waiting List Collection MMRCOM
Median out-patient waiting time for elective admission (weeks) May 2009 (commissioner based)
Specialty
Derbyshire County PCT
England
Trauma and Orthopaedics
2.4
2.9
All Specialties
2.3
2.8
Source:
Department of Health Monthly Waiting List Collection MMRCOM
