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Accident and Emergency Departments: Admissions

Volume 465: debated on Tuesday 23 October 2007

To ask the Secretary of State for Health what percentage of (a) type 1 accident and emergency attendances and (b) 999 calls resulted in a subsequent emergency admission on the grounds of a diagnosis of (i) stroke, (ii) heart attack and (iii) serious head injury in the most recent year for which figures are available. (156790)

The information is not collected in the format requested.

Data are provided for the numbers of finished admission episodes admitted via accident and emergency (A&E) based on codes related to the headings of stroke, heart attack and head injury (see notes for list of codes). Emergency admissions via routes other than A&E have not been included.

These are a count of the admissions to a hospital bed only, following attendance at A&E. It is not possible to distinguish whether an admission from an A&E department was following a 999 call.

Information has also been provided on the number of type 1 A&E attendances and number of ambulance emergency calls and emergency incidents.

Count of finished admission episodes (FAE) via A&E for selected primary diagnoses1, national health service hospitals, England, 2005-06

Count of FAE

Stroke

57,814

Heart Attack

61,974

Head Injury

124,759

1 Count of finished admission episodes (FAE) via A&E for selected primary diagnoses Primary Diagnoses International Classification of Diseases (ICD-10) codes: Stroke: 160 Subarachnoid haemorrhage 161 Intracerebral haemorrhage 162 Other non-traumatic intracranial haemorrhage 163 Cerebral infarction 164 Stroke, not specified as haemorrhage or infarction. Heart Attack121 Acute myocardial infarction 122 Subsequent myocardial infarction. Head Injury: S00 Superficial injury of head S01 Open wound of head S02 Fracture of skull and facial bones S03 Dislocation, sprain and strain of joints and ligaments of head S04 Injury of cranial nerves S05 Injury of eye and orbit S06 Intracranial injury S07 Crushing injury of head S08 Traumatic amputation of part of head S09 Other and unspecified injuries of the head T00.0 Superficial injuries involving head with neck T01.0 Open wounds involving head with neck T02.0 Fractures involving head with neck T03.0 Dislocations, sprains and strains involving head with neck T04.0 Crushing injuries involving head with neck T06.0 Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck level. Emergency admission defined as admission method 21 and 28: 21 = Emergency: Via A&E services, including the casualty department of the provider 28 = Emergency: Other means, including patients who arrive via the A&E department of another health care provider. Finished admission episodes A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year. Diagnosis (Primary Diagnosis) The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital. Ungrossed Data Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). Data Quality HES are complied from data sent by over 300 NHS trusts and primary care trusts 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. Source:Hospital Episode Statistics (HES), The Information Centre for health and social care.

Number of attendances at Type 1 A&E Departments, England

2005-06

13,553,686

2006-07

13,602,589

Source: Department of Health Dataset QMAE.

Emergency calls to ambulance services, England

Number (million)

2005-06

5.96

2006-07

6.33

Emergency incidents1, England

Number (million)

2005-06

4.77

2006-07

5.07

1 Calls resulting in an emergency response arriving at the scene of the incident. Source: The Information Centre for health and social care. Ambulance services—England—2006-07.