5. ACTIVITY AND PERFORMANCE
5.1.9 By sector, in each year from 1997-98,
(a) how many available beds were there (b) how many beds were
occupied (c) what was the occupancy rate and (d) average length
of stay? (Q48)
Answer
1. The information requested is given in
table 48.
2. Beds figures are taken from the annual
KH03 data collection. This is not a national statistic, however
it is a long standing and reliable data collection.
3. Length of stay data are sourced from
Hospital Episode Statistics (HES).
4. The data shows a gradual decrease in
the number of beds available overnight since 1997-98. This trend
has been seen since records began in 1960. Almost half of the
decrease in beds seen since 1997- 98 is accounted for by the decrease
in the number of mental health beds. Over the same period the
number of day-only beds available have increased.
5. NHS Information Centre figures show the
average length of stay in hospital has decreased between 1997-98
and 2007-08, from 9.1 days to 5.9 days.
6. In line with the increase in day case
rates, day-only beds have expanded by over 3,200 or 45% from 7,125
in 1997-98 to 10,511 in 2007-08.
7. Geriatric, mental illness and learning
disability beds have been specifically reduced due to the growth
of care in the community and the NHS re-focusing on the provision
of medical services.
8. In the future, bed numbers may continue
to fall as primary care and community services are enhanced. The
White Paper, Our Health, Our Care, Our Say, set out the
Department of Health's intention to accelerate the move to design
services around the patient, rather than the needs of the patient
being forced to fit around the service already provided.
Table 48
AVERAGE DAILY NUMBER OF AVAILABLE AND OCCUPIED
BEDS AND AVERAGE LENGTH OF STAY BY SECTOR (ENGLAND)
|
| Year | All specialties
(exc day only)
| General
& acute
| Acute | Geriatric
| Mental
illness
| Learning
disability
| Maternity | Day only
|
|
| Number of available beds |
| 1997-98 | 193,625
| 138,047 | 107,807
| 30,240 | 36,601
| 8,197 | 10,781
| 7,125 |
| 1998-99 | 190,006
| 136,426 | 107,729
| 28,697 | 35,692
| 7,491 | 10,398
| 7,568 |
| 1999-2000 | 186,290
| 135,080 | 107,218
| 27,862 | 34,173
| 6,834 | 10,203
| 7,938 |
| 2000-01 | 186,091
| 135,794 | 107,956
| 27,838 | 34,214
| 6,316 | 9,767
| 8,155 |
| 2001-02 | 184,871
| 136,583 | 108,535
| 28,047 | 32,783
| 5,694 | 9,812
| 8,036 |
| 2002-03 | 183,826
| 136,679 | 108,706
| 27,973 | 32,753
| 5,038 | 9,356
| 8,544 |
| 2003-04 | 184,019
| 137,247 | 109,793
| 27,454 | 32,252
| 5,212 | 9,309
| 8,813 |
| 2004-05 | 180,966
| 136,184 | 109,544
| 26,641 | 31,286
| 4,415 | 9,081
| 9,160 |
| 2005-06 | 175,436
| 132,826 | 108,134
| 24,692 | 29,802
| 3,927 | 8,881
| 9,726 |
| 2006-07 | 167,019
| 126,976 | 104,079
| 22,897 | 27,914
| 3,486 | 8,643
| 10,342 |
| 2007-08 | 160,297
| 121,780 | 101,080
| 20,700 | 26,929
| 3,147 | 8,441
| 10,511 |
| Average annual change | -1.9%
| -1.2% | -0.6%
| -3.7% | -3.0%
| -9.1% | -2.4%
| 4.0% |
| Number of occupied beds |
| 1997-98 | 156,549
| 111,112 | 85,038
| 26,074 | 31,647
| 7,221 | 6,568
| 5,812 |
| 1998-99 | 156,669
| 112,486 | 86,991
| 25,495 | 31,219
| 6,447 | 6,517
| 6,390 |
| 1999-2000 | 154,137
| 112,279 | 87,409
| 24,869 | 29,775
| 5,834 | 6,248
| 6,619 |
| 2000-01 | 156,290
| 114,982 | 89,730
| 25,252 | 29,918
| 5,504 | 5,886
| 6,891 |
| 2001-02 | 157,330
| 117,437 | 91,676
| 25,761 | 29,045
| 4,942 | 5,907
| 6,950 |
| 2002-03 | 156,933
| 118,278 | 92,712
| 25,565 | 28,654
| 4,315 | 5,686
| 6,900 |
| 2003-04 | 157,862
| 119,296 | 93,971
| 25,325 | 28,285
| 4,385 | 5,896
| 7,333 |
| 2004-05 | 154,215
| 117,270 | 92,948
| 24,323 | 27,481
| 3,737 | 5,727
| 7,457 |
| 2005-06 | 148,465
| 113,891 | 91,290
| 22,600 | 25,510
| 3,291 | 5,774
| 8,325 |
| 2006-07 | 141,133
| 108,370 | 87,474
| 20,896 | 24,232
| 2,964 | 5,567
| 9,006 |
| 2007-08 | 135,132
| 103,915 | 85,119
| 18,795 | 23,244
| 2,576 | 5,397
| 9,276 |
| Average annual change | -1.5%
| -0.7% | 0.0%
| -3.2% | -3.0%
| -9.8% | -1.9%
| 4.8% |
| Occupancy rate |
| 1997-98 | 80.9%
| 80.5% | 78.9%
| 86.2% | 86.5%
| 88.1% | 60.9%
| 81.6% |
| 1998-99 | 82.5%
| 82.5% | 80.8%
| 88.8% | 87.5%
| 86.1% | 62.7%
| 84.4% |
| 1999-2000 | 82.7%
| 83.1% | 81.5%
| 89.3% | 87.1%
| 85.4% | 61.2%
| 83.4% |
| 2000-01 | 84.0%
| 84.7% | 83.1%
| 90.7% | 87.4%
| 87.1% | 60.3%
| 84.5% |
| 2001-02 | 85.1%
| 86.0% | 84.5%
| 91.8% | 88.6%
| 86.8% | 60.2%
| 86.5% |
| 2002-03 | 85.4%
| 86.5% | 85.3%
| 91.4% | 87.5%
| 85.6% | 60.8%
| 80.8% |
| 2003-04 | 85.8%
| 86.9% | 85.6%
| 92.2% | 87.7%
| 84.1% | 63.3%
| 83.2% |
| 2004-05 | 85.2%
| 86.1% | 84.9%
| 91.3% | 87.8%
| 84.6% | 63.1%
| 81.4% |
| 2005-06 | 84.6%
| 85.7% | 84.4%
| 91.5% | 85.6%
| 83.8% | 65.0%
| 85.6% |
| 2006-07 | 84.5%
| 85.3% | 84.0%
| 91.3% | 86.8%
| 85.0% | 64.4%
| 87.1% |
| 2007-08 | 84.3%
| 85.3% | 84.2%
| 90.8% | 86.3%
| 81.8% | 63.9%
| 88.2% |
| Average annual change | 0.4%
| 0.6% | 0.7%
| 0.5% | 0.0%
| -0.7% | 0.5%
| 0.8% |
| Length of stay (days) |
| 1997-98 | 9.1
| 7.0 | 5.7
| 22.6 | 63.8
| 176.9 | 2.3
| n/a |
| 1998-99 | 8.8
| 6.8 | 5.6
| 22.2 | 63.9
| 175.4 | 2.2
| n/a |
| 1999-2000 | 8.2
| 6.8 | 5.6
| 21.9 | 58.8
| 97.5 | 2.2
| n/a |
| 2000-01 | 8.6
| 7.0 | 5.8
| 23.4 | 65.9
| 133.2 | 2.1
| n/a |
| 2001-02 | 8.5
| 7.1 | 5.9
| 23.4 | 61.9
| 116.1 | 2.1
| n/a |
| 2002-03 | 8.3
| 7.0 | 5.9
| 23.1 | 59.4
| 101.4 | 2.0
| n/a |
| 2003-04 | 7.7
| 6.8 | 5.8
| 21.7 | 63.8
| 52.4 | 1.9
| n/a |
| 2004-05 | 7.4
| 6.3 | 5.4
| 20.1 | 66.8
| 74.3 | 1.7
| n/a |
| 2005-06 | 6.9
| 5.9 | 5.1
| 19.0 | 68.3
| 102.7 | 1.6
| n/a |
| 2006-07 | 6.3
| 5.5 | 4.8
| 17.3 | 74.2
| 86.4 | 1.5
| n/a |
| 2007-08 | 5.9
| 5.3 | 4.6
| 16.3 | 66.0
| 55.6 | 1.4
| n/a |
| Average annual change | -4.2%
| -2.7% | -2.1%
| -3.2% | 0.3%
| -10.9% | -4.8%
| |
|
| Source: |
| Knowledge and Intelligence, DH |
| The NHS Information Centre for Health and Social Care
|
KH03, Hospital Episode Statistics (HES)
http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/Beds/index.htm
|
| Footnotes: |
| 1. Average (mean) length of stay for ordinary admissions. All figures exclude well babies.
|
| 2. General and acute is defined as acute plus geriatric.
|
| 3. Acute defined as Main Specialty Code in list: 100-421, 450, 460, 502, 620, 800-901.
|
| 4. Geriatric defined as Main Specialty Code equal to 430.
|
| 5. Maternity defined as Main Specialty Code in list: 501, 560, 610.
|
| 6. Mental Illness defined as Main Specialty Code in list: 710, 711, 712, 713, 715.
|
| 7. Learning Disability defined as Main Specialty Code equal to 700.
|
|
