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Hull and East Yorkshire Hospitals NHS Trust: Surgery

Volume 459: debated on Wednesday 18 April 2007

To ask the Secretary of State for Health how many operations were carried out by private hospitals on behalf of Hull and East Yorkshire Hospitals NHS Trust in each of the last five years. (129482)

To ask the Secretary of State for Health how many operations were carried out by Hull and East Yorkshire Hospitals NHS Trust for (a) heart surgery, (b) ophthalmology surgery, (c) knee surgery, (d) hip replacements and (e) urology surgery in each of the last five years; and what the average waiting time was for each category of operation in each year. (129483)

The information requested is set out in the following tables.

Count of total procedures for selected groups of procedures for finished consultant episodes carried out in Hull and East Yorkshire Hospitals Trust for 2001-02 to 2005-06—NHS Hospitals, England

Heart surgery

Ophthalmology surgery

Knee surgery

Hip replacements

Urology surgery

2001-02

5,510

4,957

1,796

612

6,722

2002-03

5,864

7,633

1,794

581

7,056

2003-04

5,950

7,426

1,582

655

7,770

2004-05

6,363

7,674

1,406

,700

7,475

2005-06

6,012

8,088

1,375

749

7,922

Notes:

1. Finished consultant episode (FCE). An FCE is defined as a period of admitted patient care under one consultant within one healthcare.

2. All operations count of mentions. These figures represent a count of all mentions of an operation in any of the 12 (4 prior to 2002-03) operation fields in the Hospital Episode Statistics (HES) data set. Therefore, if an operation is mentioned in more than one operation field during an episode, all operations are counted.

3. Main operation. The main operation is the first recorded operation in the HES data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, e.g. time waited, but the figures for “all operations count of episodes” give a more complete count of episodes with an operation.

4. Secondary procedure. As well as the main operative procedure, there are up to 11 (3 prior to 2002-03) secondary operation fields in HES that show secondary or additional procedures performed on the patient during the episode of care.

5. Data quality. HES are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England. The Information Centre for care and social services 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.

6. Ungrossed data. Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).

Codes:

Provider code RWA Hull and East Yorkshire Hospitals Trust

Heart surgery defined by OPCS 4.2 codes KOI to K71

Ophthalmology surgery defined by OPCS 4.2 codes C01 to C86

Knee surgery defined by OPCS 4.2 codes W06.3, W40, W41, W42, W70, W78.3, W82, W85, W87

Hip replacements defined by OPCS 4.2 codes W37, W38, W39, W46, W47, W48

Urology surgery defined by OPCS 4.2 codes M01 to M83

Source:

Hospital Episode Statistics (HES), The Information Centre for health and social care

The following table shows the median time waited for finished in-year admission episodes with an admission method of 11 or 12 and a main operation of heart surgery at Hull and East Yorkshire Hospitals NHS Trust for 2001-02 to 2005-06.

Median (days)

Total episodes

2001-02

92

2,557

2002-03

100

2,883

2003-04

99

2,817

2004-05

88

3,347

2005-06

85

3,709

Notes:

1. Heart surgery defined by OPCS 4.2 codes KOI to K71

2. Admission methods 11 elective—from waiting list and 12 elective--booked

The following table shows the median time waited for finished in-year admission episodes within an admission method of 11 or 12 and a main operation of ophthalmology surgery at the Hull and East Yorkshire Hospitals NHS Trust for 2001-02 to 2005-06.

Median (days)

Total episodes

2001-02

181

2,524

2002-03

160

3,127

2003-04

135

3,107

2004-05

74

3,207

2005-06

49

3,402

Notes:

1. Ophthalmology surgery defined by OPCS 4.2 codes C01 to C86

2. Admission methods 11 elective—from waiting list and 12 elective—booked

The following table shows the median time waited for finished in-ear admission episodes within an admission method of 11 or 12 and a main operation of knee surgery at the Hull and East Yorkshire Hospitals NHS Trust for 2001-02 to 2005-06.

Median (days)

Total episodes

2001-02

142

1,076

2002-03

156

1,092

2003-04

192

1,062

2004-05

175

1,186

2005-06

155

1,198

Notes:

1. Knee surgery defined by OPCS 4.2 codes W06.3, W40, W41, W42, W70, W78.3, W82, W85, W87

2. Admission methods 11 elective—from waiting list and 12 elective—booked

The following table shows the median time waited for finished in-year admission episodes within an admission method of 11 or 12 and a main operation of hip replacement at the Hull and East Yorkshire Hospitals NHS Trust for 2001-02 to 2005-06.

Median (days)

Total episodes

2001-02

133

365

2002-03

126

342

2003-04

148

396

2004-05

157

359

2005-06

163

360

Notes:

1. Hip replacements defined by OPCS 4.2 codes W37, W38, W39, W46, W47, W48

2. Admission methods 11 elective—from waiting list and 12 elective—booked

The following table shows the median time waited for finished in-year admission episodes within an admission method of 11 or 12 and a main operation of urology surgery at the Hull and East Yorkshire Hospitals NHS Trust for 2001-2002 to 2005-2006.

Median (days)Total episodes2001-02742,5352002-03233,7272003-04363,9412004-05424,1642005-06483,747 Notes:1. Urology surgery defined by OPCS 4.2 codes M01 to M832. Admission methods 11 elective—from waiting list and 12 elective—booked3. Finished in-year admissions. A finished in-year admission is the first period of inpatient care under one consultant within one health care provider, excluding admissions beginning before 1 April at the start of the data year. Please note that admissions do not represent the number of inpatients, as a person may have more than one admission within the year.4. Main operation. The main operation is the first recorded operation in the Hospital Episode Statistics (HES) data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, e.g. time waited, but the figures for “all operations count of episodes” give a more complete count of episodes with an operation.5. Time waited (days). Time waited statistics from HES are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.6. Data quality. 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.7. Ungrossed data. Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).Source:Hospital Episode Statistics (HES), The Information Centre for health and social care

To ask the Secretary of State for Health how many Hull and East Yorkshire NHS trust patients had their operation cancelled on the day of the operation in each of the last five years, broken down by operation type. (129506)

It is not possible to provide the information in the format requested as numbers of cancelled operations are not collected by type.

However, the number of last minute cancellations for non clinical reasons for the Hull and East Yorkshire National Health Service Hospitals Trust is set out in the following table.

Last minute cancellations

Number

2001-02

783

2002-03

877

2003-04

867

2004-05

1,045

2005-06

825

2006-071

429

1 Data for 2006-07 is for the first three quarters only.

Source:

Department of Health dataset QMC