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Childbirth: Greater London

Volume 470: debated on Friday 25 January 2008

To ask the Secretary of State for Health how many babies were born at (a) Barnet, (b) Royal Free and (c) Edgware hospitals in (i) each of the last three years and (ii) 2007-08 to date; in each hospital how many pregnancies resulted in complications; how many Caesarean sections were performed in each hospital; and if he will make a statement. (178077)

The information requested can be found in the following tables. However, the latest figures for birth rates at each hospital are only available to 2006-07.

Table 1: Count of finished consultant delivery episodes and total caesarean deliveries for Royal Free Hampstead national health service trust, Barnet hospital and Edgware hospital for 2006-07, 2005-06 and 2004-05. NHS hospitals England and activity performed in the independent sector in England commissioned by English NHS

Royal Free Hampstead NHS trust (RAL)

Barnet hospital (RVL01)

Edgware hospital (RVL07)1

Total finished consultant delivery episodes

Total caesarian deliveries

Total finished consultant delivery episodes

Total caesarian deliveries

Total finished consultant delivery episodes

Total caesarian deliveries

2006-07

3,227

810

3,651

733

233

6

2005-06

3,217

901

3,131

689

2004-05

3,178

858

3,027

757

1 No data available for this organisation for the periods 2005-06 and 2004-05.

Table 2: Count of finished consultant delivery episodes with complications (see separate diagnosis codes)

Total finished delivery episodes with complications (Diagnosis codes 060 - 075

Royal Free Hampstead NHS trust (RVL01)

Barnet hospital

Edgware hospital (RVL07)1

2006-07

2,159

2,680

153

2005-06

2,284

2,182

2004-05

2,071

2,141

1 No data available for this organisation for the periods 2005-06 and 2004-05.

Notes:

Data Quality

Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS Trusts, and Primary Care Trusts (PCTs) in England. Data is also received from a number of Independent sector organisations for activity commissioned by the English NHS. 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.

Maternity Coverage and data quality

The maternity tail data coverage is not as complete as the rest of HES data. There are a number of reasons for the coverage and data quality issues such as:

Trusts submitting a significantly higher number of delivery episodes compared to birth episodes

Trusts failing to submit data on the number of birth episodes where they record a high number of delivery episodes

Trusts failing to submit delivery—the reason for this is that approximately 20 trusts have a stand alone maternity system which is not linked to the Patient Administration System

Trusts identifying a high number of maternity beds available, but not recording any information about deliveries or births

Trusts identifying that they have no maternity beds available, but recording a high number of birth and delivery episodes

Some trusts have space in their maternity system to record 9 birth tails, whereas other systems have space for 18. As deliveries, miscarriages and abortions are all recorded in the birth tail, there are cases where 9 tails is not enough to record all of the relevant data

All Diagnoses count of episodes

These figures represent a count of all FCE’s where the diagnosis was mentioned in any of the 14 (7 prior to 2002-03) diagnosis fields in a HES record.

See table 3 for Diagnosis codes used.

Finished Consultant Episode (FCE)

An FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.

Episode Type:

2 - Deliver/ Event

5 - Other Delivery Event

Ungrossed Data

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

Source:

HES, The Information Centre for health and social care

Table 3

Diagnosis codes

060

Preterm delivery

061

Failed induction of labour

062

Abnormalities of forces of labour

063

Long labour

064

Obstruct labour due malposition and malpresentation of fetus

065

Obstructed labour due to maternal pelvic abnormality

066

Other obstructed labour

067

Labour and delivery comp by intrapartum haemorrh NEC

068

Labour and delivery complicated by fetal stress [distress]

069

Labour and delivery complicated by umbilical cord complications

070

Perinea/ laceration during delivery

071

Other obstetric trauma

072

Postpartum haemorrhage

073

Retained placenta and membranes without haemorrhage

074

Complications of anaesthesia during labour and delivery

075

Other complications of labour and delivery NEC