Skip to main content

Injuries: Firearms

Volume 488: debated on Monday 23 February 2009

To ask the Secretary of State for Health how many people were (a) treated in accident and emergency departments and (b) admitted to hospital for (i) gunshot and (ii) knife wounds in each of the last five years. (249784)

Information on numbers treated in accident and emergency is not available as the information requested is not collected centrally. Information is available on patients who have been admitted to hospital for gunshot wounds and knife wounds—finished admission episodes.

The data for X99—assault by sharp object—has been included as it is the closest data code for intentional knife wounds. In order to enable comparison data for W26—contact with a knife, sword or dagger, has also been provided.

Reference should be made to all attached notes when reading this response.

Count of finished admission episodes with a gunshot wound or knife related injury by strategic health authority for period 2002-03 to 2006-07—national health service hospitals England and activity performed in the independent sector in England commissioned by English NHS

2006-07

2005-06

2004-05

2003-04

2002-03

Gunshot wounds*

1,315

1,233

1,163

1,370

1,287

Contact with knife sword or dagger**

5,284

5,321

4,939

4,921

4,805

Assault by sharp object**

5,720

5,496

5,072

4,774

4,275

Notes:

1. Finished admission episodes—A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.

2. Cause Code—Gunshot* wounds and Knife** related injuries. The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects.

3. Hospital Episode Statistics (HES) has used the following ICD-10 external cause codes when referring to gunshot wounds and knife related injuries.

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

Knife related injuries**:

W26—Contact with knife, sword or dagger

Z99—Assault by sharp object

Data Quality:

HES are compiled from data sent by over 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.

Ungrossed Data:

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

Source:

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

To ask the Secretary of State for Health pursuant to the answer of 20 January 2009, Official Report, columns 1372-78W, on injuries: firearms, how many cases of incidents classified under the (a) X93, (b) X94 and (c) X95 code there were in each hospital in each year. (254107)

Information is not available on the injuries at individual hospital level. The Hospital Episode Statistics collection does provide information by strategic health authority (SHA) of residence.

The following tables provide data for each of the requested codes for ten years. It should be noted that this list does not constitute the full set of codes used to identify gunshot wounds.

The structure of SHAs changed for data year 2006-07, with 28 SHAs merging to make just ten. The number of admissions does not represent the number of patients as a patient may have been admitted more than once.

Total number of admissions to hospital where the patient had a cause code of X931 broken down by strategic health authority of residence for the last 10 years—Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

2006-07

2005-06

2004-05

2003-04

2002-03

2001-02

2000-01

1999-2000

1998-99

1997-98

Resident in England total

44

42

34

48

46

40

31

27

20

21

Q01

Norfolk. Suffolk and Cambridgeshire Strategic HA

0

0

0

0

0

0

0

0

0

Q02

Bedfordshire and Hertfordshire Strategic HA

1

0

1

1

0

1

0

0

2

Q03

Essex Strategic HA

0

0

0

0

0

0

0

0

1

Q04

North West London Strategic HA

7

5

8

5

5

6

2

1

1

Q05

North Central London Strategic HA

0

0

2

1

1

1

0

2

0

Q06

North East London Strategic HA

1

2

1

7

3

3

1

1

0

Q07

South East London Strategic HA

3

2

4

2

3

3

2

0

0

Q08

South West London Strategic HA

2

2

1

1

1

3

1

2

0

Q09

Northumberland, Tyne and Wear Strategic HA

0

0

0

0

0

0

0

0

0

Q10

County Durham and Tees Valley Strategic HA

2

0

0

3

0

1

1

0

0

Q11

North and East Yorkshire and Northern Lincolnshire Strategic HA

1

2

2

0

0

0

3

2

1

Q12

West Yorkshire Strategic HA

7

6

16

16

11

3

7

4

2

Q13

Cumbria and Lancashire Strategic HA

1

0

1

0

0

0

0

0

0

Q14

Greater Manchester Strategic HA

4

4

3

1

2

1

6

2

4

Q15

Cheshire and Merseyside Strategic HA

1

2

5

2

2

2

0

3

2

Q16

Thames Valley Strategic HA

0

0

3

0

0

2

0

0

0

Q17

Hampshire and Isle of Wight Strategic HA

0

0

0

0

0

1

1

1

1

Q18

Kent and Medway Strategic HA

1

2

0

2

1

0

0

0

1

Q19

Surrey and Sussex Strategic HA

0

2

0

1

1

2

0

1

2

Q20

Avon. Gloucestershire and Wiltshire Strategic HA

1

0

0

0

0

0

0

0

0

Q21

South West Peninsula Strategic HA

0

0

0

0

0

0

0

0

0

Q22

Dorset and Somerset Strategic HA

0

0

0

0

0

0

0

1

0

Q23

South Yorkshire Strategic HA

0

0

0

2

1

0

1

0

0

Q24

Trent Strategic HA

2

1

0

0

1

0

0

0

2

Q25

Leicestershire, Northamptonshire and Rutland Strategic HA

2

0

0

1

1

0

0

0

0

Q26

Shropshire and Staffordshire Strategic HA

1

0

0

0

0

0

0

0

1

Q27

Birmingham and the Black Country Strategic HA

2

2

1

0

6

1

2

0

1

Q28

West Midlands South Strategic HA

1

1

0

1

0

1

0

0

0

Q30

North East SHA

0

Q31

North West SHA

11

Q32

Yorkshire and The Humber SHA

10

Q33

East Midlands SHA

2

Q34

West Midlands SHA

7

Q35

East of England SHA

0

Q36

London SHA

12

Q37

South East Coast SHA

2

Q38

South Central SHA

0

Q39

South West SHA

0

U

England—Not otherwise specified

0

2

1

0

0

1

0

0

0

0

Other unknown/foreign SHAs

2

2

3

1

1

2

0

1

0

2

Total number of admissions to hospital where the patient had a cause code of X941 broken down by strategic health authority of residence for the last 10 years—Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

2006-07

2005-06

2004-05

2003-04

2002-03

2001-02

2000-01

1999-2000

1998/99

1997/98

Resident in England total

52

51

51

49

54

61

48

61

42

49

Q01

Norfolk, Suffolk and Cambridgeshire Strategic HA

0

0

0

0

0

0

1

0

1

Q02

Bedfordshire and Hertfordshire Strategic HA

2

0

0

1

1

0

0

1

0

Q03

Essex Strategic HA

0

1

1

2

0

1

6

2

0

Q04

North West London Strategic HA

1

5

4

6

3

3

2

1

3

Q05

North Central London Strategic HA

3

2

1

0

4

0

1

1

2

Q06

North East London Strategic HA

4

3

3

3

0

4

3

2

2

Q07

South East London Strategic HA

3

1

3

5

0

5

0

2

1

Q08

South West London Strategic HA

1

0

0

3

0

0

1

0

0

Q09

Northumberland. Tyne and Wear Strategic HA

1

0

1

4

1

2

3

3

2

Q10

County Durham and Tees Valley Strategic HA

2

0

1

1

1

3

1

2

1

Q11

North and East Yorkshire and Northern Lincolnshire Strategic HA

4

2

2

1

4

1

1

5

1

Q12

West Yorkshire Strategic HA

7

7

11

12

13

12

11

6

7

Q13

Cumbria and Lancashire Strategic HA

0

0

1

2

0

0

1

0

1

Q14

Greater Manchester Strategic HA

4

2

2

7

7

3

2

4

4

Q15

Cheshire and Merseyside Strategic HA

4

7

4

1

4

3

2

0

1

Q16

Thames Valley Strategic HA

1

1

0

2

2

1

1

0

0

Q17

Hampshire and Isle of Wight Strategic HA

0

0

3

0

0

2

1

1

0

Q18

Kent and Medway Strategic HA

1

3

0

0

2

0

1

1

3

Q19

Surrey and Sussex Strategic HA

0

1

1

0

4

2

1

4

2

Q20

Avon, Gloucestershire and Wiltshire Strategic HA

0

1

1

1

1

0

1

0

2

Q21

South West Peninsula Strategic HA

0

0

0

0

0

0

1

1

0

Q22

Dorset and Somerset Strategic HA

3

0

1

0

3

0

1

0

0

Q23

South Yorkshire Strategic HA

1

4

1

1

1

0

6

2

1

Q24

Trent Strategic HA

1

3

2

0

3

2

2

0

4

Q25

Leicestershire, Northamptonshire and Rutland Strategic HA

2

0

1

1

0

1

2

2

5

Q26

Shropshire and Staffordshire Strategic HA

0

0

2

0

0

0

0

0

2

Q27

Birmingham and the Black Country Strategic HA

4

3

3

0

5

2

7

1

4

Q28

West Midlands South Strategic HA

1

3

0

0

2

1

2

1

0

Q30

North East SHA

3

Q31

North West SHA

14

Q32

Yorkshire and The Humber SHA

8

Q33

East Midlands SHA

4

Q34

West Midlands SHA

8

Q35

East of England SHA

3

Q36

London SHA

9

Q37

South East Coast SHA

2

Q38

South Central SHA

0

Q39

South West SHA

1

U

England—Not otherwise specified

0

1

2

0

1

0

0

0

0

0

Other/unknown/foreign SHAs

2

0

0

1

2

3

1

1

1

2

Total number of admissions to hospital where the patient had a cause code of X951 broken down by strategic health authority of residence for the last 10 years—Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

2006-07

2005-06

2004-05

2003-04

2002-03

2001-02

2000-01

1999-2000

1998-99

1997-98

Resident in England Total

125

127

122

134

119

119

75

82

51

66

Q01

Norfolk, Suffolk and Cambridgeshire Strategic HA

0

2

1

0

2

2

1

1

0

Q02

Bedfordshire and Hertfordshire Strategic HA

2

0

4

2

1

1

2

0

1

Q03

Essex Strategic HA

0

0

1

2

0

3

1

3

1

Q04

North West London Strategic HA

14

6

7

5

6

5

7

1

6

Q05

North Central London Strategic HA

3

3

3

0

3

3

1

1

4

Q06

North East London Strategic HA

6

3

6

7

8

2

4

4

0

Q07

South East London Strategic HA

24

15

14

15

10

10

3

6

2

Q08

South West London Strategic HA

4

3

5

3

0

0

5

2

4

Q09

Northumberland, Tyne and Wear Strategic HA

1

6

2

1

5

5

6

3

3

Q10

County Durham and Tees Valley Strategic HA

0

0

3

3

3

1

4

4

3

Q11

North and East Yorkshire and Northern Lincolnshire Strategic HA

1

0

3

3

1

2

1

0

0

Q12

West Yorkshire Strategic HA

4

5

10

8

19

5

3

3

3

Q13

Cumbria and Lancashire Strategic HA

3

2

3

1

1

1

1

2

3

Q14

Greater Manchester Strategic HA

13

11

13

8

11

9

11

3

9

Q15

Cheshire and Merseyside Strategic HA

12

18

16

9

14

5

7

3

7

Q16

Thames Valley Strategic HA

2

3

3

2

2

3

2

2

0

Q17

Hampshire and Isle of Wight Strategic HA

0

0

2

0

0

1

1

1

0

Q18

Kent and Medway Strategic HA

3

2

7

3

5

0

0

0

1

Q19

Surrey and Sussex Strategic HA

5

3

1

1

0

2

7

0

1

Q20

Avon, Gloucestershire and Wiltshire Strategic HA

8

8

1

7

1

3

1

2

2

Q21

South West Peninsula Strategic HA

2

0

0

0

0

0

1

1

0

Q22

Dorset and Somerset Strategic HA

0

0

0

1

1

1

0

2

0

Q23

South Yorkshire Strategic HA

6

4

1

2

2

1

1

1

2

Q24

Trent Strategic HA

2

3

7

8

4

2

1

1

2

Q25

Leicestershire, Northamptonshire and Rutland Strategic HA

1

2

0

3

1

1

0

1

0

Q26

Shropshire and Staffordshire Strategic HA

1

0

1

1

1

1

1

0

0

Q27

Birmingham and the Black Country Strategic HA

8

15

11

24

17

6

8

4

11

Q28

West Midlands South Strategic HA

0

8

5

0

0

0

2

0

0

Q30

North East SHA

6

Q31

North West SHA

29

Q32

Yorkshire and The Humber SHA

13

Q33

East Midlands SHA

4

Q34

West Midlands SHA

18

Q35

East of England SHA

8

Q36

London SHA

31

Q37

South East Coast SHA

9

Q38

South Central SHA

2

Q39

South West SHA

5

U

England—Not otherwise specified

0

2

0

4

0

1

0

0

0

1

Other/unknown/foreign SHAs

4

3

3

1

3

9

2

4

2

1

Report title

X93

X94

X95

Q01

Norfolk, Suffolk and Cambridgeshire HA

2

Q02

Bedfordshire and Hertfordshire HA

1

1

Q03

Essex HA

1

3

Q04

North West London HA

6

3

5

Q05

North Central London HA

1

3

Q06

North East London HA

3

4

2

Q07

South East London HA

3

5

10

Q08

South West London HA

3

0

Q09

Northumberland, Tyne and Wear HA

2

5

Q10

County Durham and Tees Valley HA

1

3

1

Q11

North and East Yorkshire and Northern Lincolnshire HA

1

2

Q12

West Yorkshire HA

3

12

5

Q13

Cumbria And Lancashire HA

1

Q14

Greater Manchester HA

1

3

9

Q15

Cheshire and Merseyside HA

2

3

5

Q16

Thames Valley HA

2

1

3

Q17

Hampshire and Isle Of Wight HA

1

2

1

Q19

Surrey and Sussex HA

2

2

2

Q20

Avon, Gloucestershire and Wiltshire HA

3

Q22

Dorset and Somerset HA

1

Q23

South Yorkshire HA

1

Q24

Trent HA

2

2

Q25

Leicestershire, Northamptonshire and Rutland HA

1

1

Q26

Shropshire and Staffordshire HA

1

Q27

Birmingham and The Black Country HA

1

2

6

Q28

Coventry, Warwickshire, Herefordshire and Worcestershire HA

1

1

Y

Not known

1

2

Other/unknown/foreign SHAs

2

3

9

Notes: Ungrossed dataFigures have not been adjusted for shortfalls in data (ie the data are ungrossed). Finished admission episodesA finished admission episode is the first period of inpatient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year. Cause Code1The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. Hospital Episode Statistics (HES) has used the following ICD-10 external cause codes as requested for this parliamentary question. It should be noted that this is not the full list of codes used to identify gunshot wounds and so the data should not be used to illustrate this. X93—Assault by handgun discharge X94—Assault by rifle, shotgun and larger firearm discharge X95—Assault by other and unspecified firearm discharge.

Data qualityHES are compiled from data sent by more than 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 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 qualityPCT and SHA data was 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 general practitioner (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.