| Count of Finished Consultant Episodes( 1) with a primary diagnosis( 2) of obesity( 4 ) and a main or secondary procedure( 3) of bariatric surgery( 4 ) broken down by SHA of residence( 5) for 1997-98 to 2008-09 - Activity in English national health service hospitals and English NHS commissioned activity in the independent sector |
| Strategic health authority (SHA) |
| 2008-09 | 2007-08 | 2006-07 | 2005-06 | 2004-05 | 2003-04 | 2002-03 | 2001-02 | 2000-01 | 1999- 20 00 | 1998-99 | 1997-98 |
|
England total
| |
4,221
|
2,695
|
1,934
|
1,032
|
736
|
469
|
340
|
280
|
257
|
196
|
196
|
148
|
|
Norfolk, Suffolk and Cambridgeshire SHA
|
Q01
|
-
|
-
|
-
|
40
|
25
|
12
|
9
|
6
|
7
|
2
|
4
|
6
|
|
Bedfordshire and Hertfordshire SHA
|
Q02
|
-
|
-
|
-
|
28
|
18
|
9
|
6
|
8
|
7
|
2
|
3
|
2
|
|
Essex SHA
|
Q03
|
-
|
-
|
-
|
12
|
13
|
7
|
5
|
3
|
5
|
4
|
1
|
1
|
|
North West London SHA
|
Q04
|
-
|
-
|
-
|
69
|
46
|
11
|
13
|
5
|
7
|
3
|
1
|
1
|
|
North Central London SHA
|
Q05
|
-
|
-
|
-
|
29
|
16
|
12
|
5
|
2
|
3
|
5
|
-
|
2
|
|
North East London SHA
|
Q06
|
-
|
-
|
-
|
24
|
10
|
4
|
3
|
1
|
2
|
1
|
2
|
-
|
|
South East London SHA
|
Q07
|
-
|
-
|
-
|
32
|
27
|
18
|
11
|
13
|
18
|
11
|
4
|
3
|
|
South West London SHA
|
Q08
|
-
|
-
|
-
|
33
|
22
|
11
|
11
|
5
|
8
|
7
|
2
|
4
|
|
Northumberland, Tyne and Wear SHA
|
Q09
|
-
|
-
|
-
|
58
|
33
|
23
|
11
|
9
|
8
|
8
|
10
|
10
|
|
County Durham and Tees Valley SHA
|
Q10
|
-
|
-
|
-
|
21
|
15
|
7
|
5
|
7
|
6
|
3
|
4
|
2
|
|
North and East Yorkshire and Northern Lincolnshire SHA
|
Q11
|
-
|
-
|
-
|
136
|
63
|
37
|
20
|
19
|
8
|
15
|
12
|
4
|
|
West Yorkshire SHA
|
Q12
|
-
|
-
|
-
|
59
|
51
|
65
|
40
|
38
|
56
|
42
|
31
|
30
|
|
Cumbria and Lancashire SHA
|
Q13
|
-
|
-
|
-
|
13
|
18
|
17
|
11
|
14
|
9
|
14
|
7
|
7
|
|
Greater Manchester SHA
|
Q14
|
-
|
-
|
-
|
20
|
21
|
15
|
9
|
4
|
9
|
5
|
7
|
6
|
|
Cheshire and Merseyside SHA
|
Q15
|
-
|
-
|
-
|
8
|
33
|
32
|
41
|
36
|
24
|
7
|
18
|
8
|
|
Thames Valley SHA
|
Q16
|
-
|
-
|
-
|
13
|
9
|
6
|
9
|
6
|
7
|
4
|
-
|
-
|
|
Hampshire and Isle of Wight SHA
|
Q17
|
-
|
-
|
-
|
2
|
4
|
3
|
-
|
1
|
-
|
3
|
4
|
2
|
|
Kent and Medway SHA
|
Q18
|
-
|
-
|
-
|
12
|
18
|
5
|
5
|
9
|
4
|
3
|
3
|
3
|
|
Surrey and Sussex SHA
|
Q19
|
-
|
-
|
-
|
33
|
21
|
16
|
13
|
13
|
9
|
7
|
5
|
-
|
|
Avon, Gloucestershire and Wiltshire SHA
|
Q20
|
-
|
-
|
-
|
57
|
19
|
12
|
1
|
3
|
-
|
3
|
3
|
4
|
|
South West Peninsula SHA
|
Q21
|
-
|
-
|
-
|
33
|
22
|
13
|
12
|
24
|
7
|
12
|
6
|
5
|
|
Dorset and Somerset SHA
|
Q22
|
-
|
-
|
-
|
31
|
13
|
4
|
3
|
1
|
4
|
2
|
2
|
-
|
|
South Yorkshire SHA
|
Q23
|
-
|
-
|
-
|
107
|
88
|
63
|
43
|
24
|
22
|
15
|
17
|
23
|
|
Trent SHA
|
Q24
|
-
|
-
|
-
|
85
|
42
|
20
|
22
|
14
|
14
|
6
|
7
|
10
|
|
Leicestershire, Northamptonshire and Rutland SHA
|
Q25
|
-
|
-
|
-
|
19
|
33
|
11
|
8
|
2
|
4
|
-
|
5
|
3
|
|
Shropshire and Staffordshire SHA
|
Q26
|
-
|
-
|
-
|
23
|
21
|
18
|
11
|
3
|
3
|
3
|
11
|
3
|
|
Birmingham and the Black Country SHA
|
Q27
|
-
|
-
|
-
|
25
|
20
|
12
|
10
|
7
|
3
|
7
|
25
|
7
|
|
West Midlands South SHA
|
Q28
|
-
|
-
|
-
|
9
|
15
|
6
|
3
|
2
|
3
|
2
|
2
|
2
|
|
North East SHA
|
Q30
|
268
|
217
|
132
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
North West SHA
|
Q31
|
316
|
75
|
77
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
7 Jan 2010 : Column 625W
7 Jan 2010 : Column 626W
|
Yorkshire and the Humber SHA
|
Q32
|
584
|
491
|
439
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
East Midlands SHA
|
Q33
|
550
|
279
|
205
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
West Midlands SHA
|
Q34
|
445
|
345
|
244
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
East of England SHA
|
Q35
|
243
|
117
|
87
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
London SHA
|
Q36
|
909
|
582
|
299
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
South East Coast SHA
|
Q37
|
446
|
281
|
139
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
South Central SHA
|
Q38
|
157
|
127
|
110
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
South West SHA
|
Q39
|
302
|
181
|
202
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
England-Not otherwise specified
|
U
|
1
|
0
|
0
|
1
|
0
|
0
|
0
|
1
|
0
|
0
|
0
|
0
|
|
Other, foreign and unknown SHAs
| |
52
|
24
|
12
|
6
|
24
|
29
|
12
|
10
|
9
|
6
|
10
|
7
|
(1) Finished Consultant Episode (FCE)
A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. 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.
(2) Primary diagnosis
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.
(3) Number of episodes with a (named) main or secondary procedure The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients under going a 'cataract operation' would tend to have at least two procedures-removal of the faulty lens and the fitting of a new one-counted in a single episode.
(4) Obesity and Bariatric Surgery Codes
Obesity: ICD-10 code used for obesity was E66.
Bariatric Surgery Procedure Codes:
Recent guidance from the standards and classification team at Connecting for Health has led to a revision of the definition for 'Bariatric Surgery'. Due to these changes revised data has been provided. (See: OPCS-4 explanatory notes for more details on the bariatric surgery procedure codes)
The OPCS-4 procedure codes below are used to denote bariatric surgery.
The OPCS-4 procedure codes (1996-97 to 2005-06, and 2006-07 to 2008-09) are: G28.1, G28.2, G28.3, G28.8, G28.9, G30.1, G30.2, G30.8, G30.9, G31.1, G31.2, G31.3, G31.4, G31.8, G31.9, G31.0, G32.1, G32.2, G32.3, G32.8, G32.9, G32.0, G33.1, G33.2, G33.3, G33.8, G33.9, G33.0, G38.8, G48.1, G48.2.
The following additional four digit OPCS-4 codes have been added due to the use of OPCS-4.3 in 2006-07 data:
G28.4, G28.5, G30.3, G30.4, G31.5, G31.6, G32.4, G32.5, G33.5, G33.6, G38.7, G71.6
Additional OPCS-4.4 codes used for the 2007-08 and 2008-09 data are: G27.1, G27.2, G27.3, G27.4, G27.5,
G27.8 and G27.9.
(5) SHA/primary care trust (PCT) of residence
The SHA or PCT containing the patient's normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another SHA/PCT for treatment.
PCT/SHA data quality
In July 2006, the NHS reorganised SHA and PCT in England from 28 SHAs into 10, and from 303 PCTs into 152. As a result data from 2006-07 onwards are not directly comparable with previous years. Data have been presented for those SHA/PCTs which have valid data for the breakdown presented here. As a result some SHA/PCTs may be missing from the list provided.
Assessing growth through time
HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data.
Strategic Health Authority Configuration
In 2006-07 there was a SHA configuration change, where 28 SHAs merged into 10. For this reason, 2006-07 is based on the new configuration.
Bariatric Surgery Procedure Codes:
The OPCS-4 procedure codes below are used to denote bariatric surgery.
The OPCS-4 procedure codes (1996-97 to 2005-06, and 2006-07 to 2008-09) are:
G28.1 Partial gastrectomy and anastomosis of stomach to duodenum
G28.2 Partial gastrectomy and anastomosis of stomach to transposed jejunum
G28.3 Partial gastrectomy and anastomosis of stomach jejunum nec
G28.8 Other specific partial excision of stomach
G28.9 Unspecified partial excision of stomach
G30.1 Gastroplasty nec
G30.2 Partitioning of stomach nec
G30.8 Other specified plastic operations on stomach
G30.9 Unspecified plastic operations on stomach
G31.1 Bypass of stomach by anastomosis of oesophagus to duodenum
G31.2 Bypass of stomach by anastomosis of stomach to duodenum
G31.3 Revision of anastomosis of stomach to duodenum
G31.4 Conversion to anastomosis of stomach to duodenum
G31.8 Other specified connection of stomach to duodenum
G31.9 Unspecified connection of stomach to duodenum
G31.0 Conversion from previous anastomosis of stomach to duodenum
G32.1 Bypass of stomach by anastomosis of stomach to transposed jejunum
G32.2 Revision of anastomosis of stomach to transposed jejunum
G32.3 Conversion to anastomosis of stomach to transposed jejunum
G32.8 Other specified connection of stomach to transposed jejunum
G32.9 Unspecified connection of stomach to transposed jejunum
G32.0 Conversion from previous anastomosis of stomach to transposed jejunum
G33.1 Bypass of stomach by anastomosis of stomach to jejunum nec
G33.2 Revision of anastomosis of stomach to jejunum nec
G33.3 Conversion of anastomosis of stomach to jejunum nec
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