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Hospital inpatient care: almost 900 more admissions per day compared to previous year

25 February 2015 · HSCIC releases new detailed data on Admitted Patient Care and Maternity

*HSCIC must be quoted as the source of these figures

*Regional data are available within the reports

New figures show that NHS hospitals in England dealt with 15.5 million3 admissions4 in 2013-14 - the equivalent of 42,400 per day. The figure is 870 more per day on average than in 2012-135, according to a report by the Health and Social Care Information Centre (HSCIC).

Today's report, Hospital Episode Statistics, Admitted Patient Care, England - 2013-14, includes national and regional statistics6 on admissions relating to time waited, diagnosis and procedure, consultant main speciality and external cause codes7.

The report shows an increase of 2.1 per cent (316,400) in hospital admissions from 2012-13 (15.1 million). It also shows that in 2013-14:

Admitted Patient Care:

  • The greatest number of admissions by age band8 was for patients aged 65 to 69 (1.3 million). This age band also saw the greatest increase in the number of admissions, up 5.5 per cent (66,000) from 1.2 million in 2012-13.
  • Female patients accounted for 56.0 per cent of admissions (8.7 million).
  • Regionally, Durham, Darlington and Tees Area Team (AT)9 had the highest rate of admissions at 340 per 1,000 residents10 (400,400 admissions). Thames Valley AT had the lowest rate of admissions per population at 230 per 1,000 residents (479,200 admissions).
  • The most commonly recorded external causes were falls11, at 421,800 admissions - an increase of 2.7 per cent (11,000) from 2012-13 (410,900). Patients aged 65 or over accounted for the majority of admissions for falls at 63.2 per cent (266,600).

A separate report, NHS Maternity Statistics - England, 2013-14, is also published today. It shows that in 2013-14:

Maternity:

  • The number of deliveries12 that took place in NHS hospitals (646,900) was the smallest number recorded in Hospital Episode Statistics since 2006-0713. This figure has decreased by 3.6 per cent (24,400 deliveries) since 2012-13 (671,300).
  • Deliveries decreased across all age groups from 2012-13, but particularly among young mothers, with 15 to 19 year olds down 14.2 per cent (4,340) to 26,300. Deliveries to mothers aged 20 to 24 reduced by 8.6 per cent (10,300) to 110,000.
  • Mothers aged 30 to 34 accounted for the highest percentage of deliveries at 30.1 per cent (194,400).
  • 386,900 (60.9 per cent) deliveries in NHS hospitals were spontaneous14. West Yorkshire AT had the highest proportion of spontaneous deliveries, 67.3 per cent (19,700), while London AT had the lowest, 56.9 per cent (68,000).
  • The percentage of caesarean deliveries continued to increase slightly at 26.2 per cent (166, 100), a 0.6 percentage point increase from 2012-13 (167,300) and a 1.2 percentage point increase from 2011-12 (163,900).
  • The greatest proportion of deliveries by caesarean was to residents of London AT at 28.8 per cent (34,400). London AT also had the highest rate of all deliveries to mothers in their 40s at 10 per 1,000 female residents aged between 40 and 49. The lowest proportion of deliveries by caesarean was to residents of West Yorkshire AT at 21.8 per cent (6,380).

You can view the full reports at:

· Admitted Patient Care: http://www.hscic.gov.uk/pubs/hes1314da

· NHS Maternity Statistics: http://www.hscic.gov.uk/pubs/maternity1314da

ENDS


Notes to editors

1. The Health and Social Care Information Centre (HSCIC) was established on April 1 2013 as an Executive Non Departmental Public Body (ENDPB). It is England's trusted data source, delivering high quality information and IT systems to drive better patient services, care and outcomes. Its work includes publishing more than 220 statistical publications annually; providing a range of specialist data services; managing informatics projects and programmes and developing and assuring national systems against appropriate contractual, clinical safety and information standards.

2. Hospital Episode Statistics (HES) is a data warehouse containing details of all admissions to NHS hospitals in England. It includes private patients treated in NHS hospitals, patients who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS.

3. Figures above 1 million have been rounded to the nearest 100,000.

Figures above 10,000 have been rounded to the nearest 100

Figures under 10,000 have been rounded to the nearest 10.

Rates per population have been rounded to the nearest 10.

Percentages are based on exact figure and rounded to one decimal place.

Exact figures are within the report.

4. 'Admissions' - the total number of finished admission episodes including emergency admissions. Please note that these data should not be described as a count of people as the same person may have been admitted or treated on more than one occasion.

5. In 2012-13 there were 15.1 million hospital admissions, the equivalent of 41,500 per day. The same rounding applies to these figures as per footnote three above.

6. Regional data included within this report are at Area Team8 and provider level.

7. Time waited: the period between the date of the decision to admit and the date of actual admission. Days of deferment and suspension are not included. The time waited statistics produced from HES are not comparable with the official waiting time figures produced by NHS England. The latter provide an indication of the numbers waiting to be admitted on a particular date, and how long they have been waiting up to that date.

Diagnosis: each hospital episode statistics record captures up to 20 diagnosis values, recording the primary reason the patient is being treated, any relevant secondary diagnoses, and external causes of admission to hospital should they exist.

Procedure: each HES record can have up to 24 procedures or interventions recorded. The primary procedure is the most resource intensive procedure performed during the hospital episode, while the secondary procedures are available to capture further information about the primary procedure and any less resource intensive procedures performed.

Consultant main speciality: main specialty reflects the specialty of the consultant or health professional with prime responsibility for the patient. The main specialties, recognised by the Royal Colleges and Faculties, reflect broad ranges of skills and expertise, and provide a summary of areas of treatment. The specialty codes consist of three numbers, and are followed by a description.

External cause codes: external cause codes are recorded in the 19 secondary diagnosis fields which make it possible to record additional information in the episode. The codes reflect the cause of a patient's attendance in hospital and are recorded using the V01 to Y98 ICD-10 codes.

8. Excluding new born babies.

9. Area Team of residence contains episodes grouped according to the area team (AT) containing the patient's normal home address. This reflects where the patients lived but does not necessarily reflect where they were treated, as they may have travelled to another AT for treatment.

10. Population estimates are for mid-2013 from the Office of National Statistics. Rates have been calculated using the total population within the same category, e.g. all persons in London Area Team.

The estimated resident population of an area includes all people who usually live there, whatever their nationality. People arriving into an area from outside the UK are only included in the population estimates if their total stay in the UK is 12 months or more. Visitors and short term migrants (those who enter the UK for 3 to 12 months for certain purposes) are not included. Similarly, people who leave the UK are only excluded from the population estimates if they remain outside the UK for 12 months or more. This is consistent with the United Nations recommended definition of an international long-term migrant.

Members of UK and non-UK armed forces stationed in the UK are included in the population and UK forces stationed outside the UK are excluded. Students are taken to be resident at their term time address.

11. Just under 8 per cent of admissions had a recorded external cause (1.2 million), and falls account for 34 per cent of these.

12. A delivery episode is the hospital episode where a mother gives birth to a baby. The baby will also have a hospital episode, known as a birth episode. This report is based on hospital deliveries. Deliveries are a subset of finished consultant episodes (FCE); a period of admitted patient care under one consultant within one healthcare provider.

13. The number of deliveries in 2006-07 was 629,200.

14. Different types of deliveries are:

Spontaneous

Instrumental

Caesarean

Other

Unknown

Note that percentage calculations exclude unknowns.

15. For media enquiries please contact media@hscic.gov.uk or 0300 30 33 888.

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