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Publication, Part of

Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatients and Accident and Emergency Data - April 2012

Official statistics
Publication Date:
Geographic Coverage:
England
Geographical Granularity:
Country
Date Range:
01 Apr 2012 to 30 Apr 2012

Summary

Hospital Episodes Statistics (HES) is a data warehouse containing records of all patients admitted to NHS hospitals in England. It contains details of inpatient care, outpatient appointments and A&E attendance records. The Kennedy report recommended that HES should be "supported as a major national resource for the monitoring of a range of healthcare outcomes".

Hospital episode statistics (HES) statistics are produced and published on a monthly basis. This data is provisional and should therefore be treated as an estimate until the final National Statistics annual publications.

Key Facts

Monthly HES data for Inpatients

In the year from May 2011 to April 2012 there were:

  • 17.5 million finished consultant episodes (FCEs), 59.6 per cent (10.4 million) of which included at least one procedure or intervention, and 6.0 million of which were day cases.
  • 15.0 million finished admission episodes (FAEs), of which 5.2 million were emergency admissions.

Monthly HES - Inpatient Clinical coding coverage

The shortfall between the most recent month's data is more pronounced when considering clinical (procedures and diagnoses) coverage. 5.8 per cent more procedures and 10.2 per cent more diagnoses were coded in the HES data submitted to SUS by 21/06/2012 (Month 2) - extract used for this publication, compared to the HES data submitted to SUS by 18/05/2012 (Month 1) extract unpublished. We accordingly recommend extra caution using clinical codes for the most recent month's data.

Monthly HES for Outpatients

In the year from May 2011 to April 2012 there were:

  • 91.5 million outpatient appointments made, with 73.1 million (79.9 per cent) of these attended by the patient.
  • 6.8 million outpatient appointments not attended by the patient, representing 7.4 per cent of all appointments.

Provisional Monthly HES data for Accident and Emergency (Experimental Data)

In the year from May 2011 to April 2012 there were:

  • 17.6 million A&E attendances recorded in A&E HES. Of these 3.7 million (20.8 per cent) resulted in admission to hospital for inpatient treatment, 3.5 million (19.7 per cent) resulted in a GP follow up, and 6.8 million (38.7 per cent) were discharged with no follow up.

Key facts for admissions due to bites, strikes and stings from dogs, other mammals, non-venomous arthropods and other animals.

Provisional data for the period May 2011 to April 2012 shows:

  • Bites, strikes and stings accounted for 12,423 finished admission episodes, almost unchanged from the previous 12 month period when there were 12,436 admissions.
  • Being bitten or stuck by a dog accounted for over half (6,447; 52 per cent) of these admissions.
  • There was a clear seasonal trend for bites and stings from non-venomous arthropods with highest admissions in summer and lowest admissions in winter. Although less pronounced, admissions for dog bites or strikes were also lowest during winter months.
  • Rates of admission for bites or stings from non-venomous arthropods were highest in the 40-44 age group. For other mammals rates were highest in the 65-69 age groups. For dog bites and strikes the highest rate was for very young children (5 to 9).
  • Rates of admission for dog bites or strikes showed the most regional variation, with the highest rates in the North East, North West and Yorkshire and the Humber regions and lowest in London and the South East Coast. London showed the lowest rate of bites or strikes by other mammals but one of the highest rates for stings or bites by non-venomous arthropods.

Dog bites and strikes accounted for over half of admissions and show the most variation by age and region. Therefore further analysis is included for these admissions.

  • Dog bites accounted for 6,447 admissions, representing an increase of 5.2 per cent from the 6,127 admissions in the previous 12 month period.
  • Further analysis shows that overall slightly more males (52.4 per cent) were admitted for dog bites or strikes than females. Rates of admission were highest for young children, especially those aged 5 to 9. Rates of admission for men were similar between the ages of 15 and 50 before decreasing in older ages whereas for women, admission rates were highest for those in their late forties to early fifties.
  • The largest variation in dog bites or strikes between regions was seen in the younger age groups with higher rates of admissions in northern SHAs. For all age groups admissions were lowest in London and the South East Coast regions.
  • Plastic surgery was the treatment speciality with the highest rate of admissions for all age groups under 70 and was highest for those aged 0 to 9. The 0 to 9 age group also had the highest admission rate for the Oral or Maxillofacial surgery treatment speciality and this is consistent with sustaining more facial injuries. Admission rates in the Trauma and Orthopaedics treatment speciality were highest in the older age groups (especially 50 to 69) and this is consistent with sustaining more injuries to the body.

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Last edited: 5 February 2019 1:24 pm