Information is collected on the number of finished admission episodes to hospital. A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
The following table provides data on finished admission episodes for gunshot wounds by each strategic health authority area of residence. It is not possible to provide a response to this question for each national health service trust as the numbers involved are mostly very small and many of them would need to be suppressed in order to preserve confidentiality. The ICD-10 codes used to identify a gunshot wound are included in the background notes to the table.
It is important that the footnotes and clinical codes are consulted when interpreting the data in the table.
Number of admissions SHA of residence 2006-07 2005-06 2004-05 2003-04 2002-03 2001-02 2000-01 1999-2000 1998-99 1997-98 Q01 Norfolk, Suffolk and Cambridgeshire SHA — 32 29 42 23 42 30 45 49 31 Q02 Bedfordshire and Hertfordshire SHA — 19 16 41 26 21 26 25 14 15 Q03 Essex SHA — 21 26 27 29 25 27 37 32 24 Q04 North West London SHA — 50 43 71 52 32 29 26 18 35 Q05 North Central London SHA — 31 25 38 29 51 29 23 14 22 Q06 North East London SHA — 64 48 69 74 59 47 41 26 24 Q07 South East London SHA — 75 52 55 55 56 45 38 42 43 Q08 South West London SHA — 34 21 23 21 21 13 23 13 18 Q09 Northumberland, Tyne and Wear SHA — 22 31 35 30 47 52 49 51 41 Q10 County Durham and Tees Valley SHA — 28 22 25 39 37 28 28 35 31 Q11 North and East Yorkshire and Northern Lincolnshire SHA — 41 35 46 41 47 40 29 32 15 Q12 West Yorkshire SHA — 69 64 82 83 101 67 63 54 57 Q13 Cumbria and Lancashire SHA — 42 54 51 57 63 62 52 44 53 Q14 Greater Manchester SHA — 101 108 111 115 123 110 146 96 97 Q15 Cheshire and Merseyside SHA — 108 98 116 85 97 69 74 72 58 Q16 Thames Valley SHA — 29 23 34 31 36 37 37 23 27 Q17 Hampshire and Isle of Wight SHA — 27 24 34 19 32 27 32 23 26 Q18 Kent and Medway SHA — 26 33 32 30 47 28 14 20 24 Q19 Surrey and Sussex SHA — 39 44 40 28 42 27 25 39 31 Q20 Avon, Gloucestershire and Wiltshire SHA — 40 39 40 43 48 31 39 27 34 Q21 South West Peninsula SHA — 22 27 36 26 24 29 31 24 25 Q22 Dorset and Somerset SHA — 28 14 14 11 29 14 13 23 15 Q23 South Yorkshire SHA — 50 55 40 62 61 48 42 38 24 Q24 Trent SHA — 52 46 74 83 69 46 66 63 54 Q25 Leicestershire, Northamptonshire and Rutland SHA — 19 22 25 16 28 28 27 25 32 Q26 Shropshire and Staffordshire SHA — 23 14 25 29 28 29 37 28 30 Q27 Birmingham and the Black Country SHA — 67 73 76 89 86 62 59 27 50 Q28 West Midlands South SHA — 38 44 37 28 21 24 26 22 18 Q30 North East SHA 71 — — — — — — — — — Q31 North West SHA 278 — — — — — — — — — Q32 Yorkshire and the Humber SHA 138 — — — — — — — — — Q33 East Midlands SHA 96 — — — — — — — — — Q34 West Midlands SHA 172 — — — — — — — — — Q35 East of England SHA 103 — — — — — — — — — Q36 London SHA 209 — — — — — — — — — Q37 South East Coast SHA 73 — — — — — — — — — Q38 South Central SHA 57 — — — — — — — — — Q39 South West SHA 79 — — — — — — — — — U England – Not otherwise specified 3 15 7 13 8 8 0 — — 2 Other/Unknown/Foreign SHAs 36 21 26 18 25 39 18 23 13 38 Total 1,315 1,233 1,163 1,370 1,287 1,420 1,122 1,170 987 994
SHA of Residence 2006-07 2005-06 2004-05 2003-04 2002-03 2001-02 2000-01 1999-2000 1998-99 1997-98 Q01 Norfolk, Suffolk and Cambridgeshire SHA — 1.41 1.29 1.89 1.05 1.93 1.38 2.09 2.28 1.46 Q02 Bedfordshire and Hertfordshire SHA — 1.16 0.98 2.53 1.61 1.31 1.63 1.58 0.89 0.96 Q03 Essex SHA — 1.27 1.58 1.65 1.78 1.55 1.68 2.32 2.02 1.52 Q04 North West London SHA — 2.73 2.38 3.95 2.89 1.79 1.65 1.51 1.06 2.07 Q05 North Central London SHA — 2.50 2.04 3.12 2.39 4.25 2.45 1.97 1.21 1.91 Q06 North East London SHA — 4.17 3.13 4.50 4.83 3.88 3.13 2.76 1.77 1.65 Q07 South East London SHA — 4.91 3.43 3.64 3.63 3.69 2.99 2.55 2.85 2.94 Q08 South West London SHA — 2.57 1.60 1.76 1.61 1.61 1.01 1.80 1.03 1.43 Q09 Northumberland, Tyne and Wear SHA — 1.58 2.23 2.51 2.15 3.37 3.72 3.49 3.61 2.89 Q10 County Durham and Tees Valley SHA — 2.43 1.91 2.18 3.40 3.23 2.44 2.44 3.04 2.69 Q11 North and East Yorkshire and Northern Lincolnshire SHA — 2.44 2.10 2.79 2.50 2.89 2.47 1.80 1.99 0.93 Q12 West Yorkshire SHA — 3.22 3.02 3.90 3.96 4.85 3.23 3.04 2.60 2.75 Q13 Cumbria and Lancashire SHA — 2.16 2.79 2.65 2.98 3.31 3.26 2.74 2.31 2.79 Q14 Greater Manchester SHA — 3.97 4.26 4.39 4.57 4.89 4.37 5.80 3.81 3.85 Q15 Cheshire and Merseyside SHA — 4.59 4.17 4.93 3.62 4.12 2.93 3.14 3.04 2.44 Q16 Thames Valley SHA — 1.35 1.08 1.61 1.47 1.71 1.77 1.78 1.11 1.31 Q17 Hampshire and Isle of Wight SHA — 1.48 1.33 1.89 1.06 1.80 1.52 1.81 1.31 1.49 Q18 Kent and Medway SHA — 1.60 2.05 2.00 1.89 2.97 1.78 0.90 1.29 1.55 Q19 Surrey and Sussex SHA — 1.50 1.70 1.55 1.09 1.64 1.06 0.98 1.55 1.24 Q20 Avon, Gloucestershire and Wiltshire SHA — 1.79 1.76 1.82 1.97 2.21 1.43 1.81 1.26 1.60 Q21 South West Peninsula SHA — 1.35 1.67 2.25 1.63 1.52 1.85 2.00 1.56 1.63 Q22 Dorset and Somerset SHA — 2.31 1.16 1.16 0.92 2.43 1.18 1.11 1.96 1.29 Q23 South Yorkshire SHA — 3.88 4.30 3.14 4.88 4.82 3.79 3.31 2.98 1.88 Q24 Trent SHA — 1.92 1.71 2.77 3.13 2.62 1.76 2.53 2.42 2.08 Q25 Leicestershire, Northamptonshire and Rutland SHA — 1.18 1.38 1.58 1.02 1.80 1.81 1.75 1.63 2.10 Q26 Shropshire and Staffordshire SHA — 1.52 0.93 1.67 1.94 1.88 1.95 2.50 1.89 2.04 Q27 Birmingham and the Black Country SHA — 2.93 3.20 3.34 3.92 3.80 2.73 2.59 1.18 2.19 Q28 West Midlands South SHA — 2.45 2.85 2.40 1.83 1.38 1.58 1.72 1.46 1.20 Q30 North East SHA 2.78 — — — — — — — — — Q31 North West SHA 4.06 — — — — — — — — — Q32 Yorkshire and The Humber SHA 2.68 — — — — — — — — — Q33 East Midlands SHA 2.20 — — — — — — — — — Q34 West Midlands SHA 3.20 — — — — — — — — — Q35 East of England SHA 1.84 — — — — — — — — — Q36 London SHA 2.78 — — — — — — — — — Q37 South East Coast SHA 1.72 — — — — — — — — — Q38 South Central SHA 1.43 — — — — — — — — — Q39 South West SHA 1.54 — — — — — — — — — Notes: Ungrossed data Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). Finished admission episodes A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. Please note that admissions do not represent the number of inpatients, as a person may have more than one admission within the year. * Cause Code - Gunshot Wounds The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. HES has used the following ICD-10 external cause codes when referring to gunshot wounds Gunshot wounds: W32.- Handgun discharge W33.- Rifle, shotgun and larger firearm discharge W34.- Discharge from other and unspecified firearms X72- Intentional self-harm by handgun discharge X73- Intentional self-harm by rifle, shotgun and larger firearm discharge X74- Intentional self-harm by other and unspecified firearm discharge X93- Assault by handgun discharge X94- Assault by rifle, shotgun and larger firearm discharge X95- Assault by other and unspecified firearm discharge Y22.- Handgun discharge, undetermined intent Y23.- Rifle, shotgun and larger firearm discharge, undetermined intent Y24- Other and unspecified firearm discharge, undetermined intent Y35.0 Legal intervention involving firearm discharge Y36.4 War operations involving firearm discharge and other forms of conventional warfare. Data quality Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS 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. PCT/SHA data quality PCT and SHA data were added to historic data years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of GP practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data. Assessing growth through time HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.