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Hospitals: Admissions

Volume 489: debated on Tuesday 10 March 2009

To ask the Secretary of State for Health how many (a) children and (b) adults have been admitted to hospital for injuries sustained as a result of (i) assault by a blunt object, (ii) assault by a sharp object and (iii) gun shots where the incident occurred at a school in each of the last 10 years. (257730)

Information which has been provided includes a breakdown for children aged 15 and under, 16 to 17 and those aged 18 and over. It is not possible using the hospital episode statistics dataset to determine whether incidents have occurred in schools.

The data provided include all activity in national health service hospitals England and activity performed in the independent sector in England commissioned by the English NHS.

Reference should be made to the notes and clinical codes when interpreting the data.

Total number of admissions to hospital for injuries sustained by a gunshot wound, assault by a sharp or blunt object, broken down by age group for years 1996-97—2006-07

15 and under

16 and 17

18 and over

Other

Total

Assault by blunt objects

1996-97

165

172

2,503

56

2,896

1997-98

137

149

2,424

44

2,754

1998-99

105

132

2,172

6

2,415

1999-2000

120

128

2,364

5

2,617

2000-01

126

99

2,223

5

2,453

2001-02

139

136

2,342

11

2,628

2002-03

152

144

2,450

5

2,751

2003-04

139

147

2,683

2

2,971

2004-05

159

166

2,755

3

3,083

2005-06

224

175

2,944

2

3,345

2006-07

150

209

3,181

1

3,541

Assault by sharp objects

1996-97

114

247

3,529

52

3,942

1997-98

112

239

3,466

58

3,875

1998-99

88

191

3,370

18

3,667

1999-2000

118

248

3,738

21

4,125

2000-01

130

264

3,842

13

4,249

2001-02

132

283

4,198

29

4,642

2002-03

95

237

3,937

6

4,275

2003-04

110

296

4,358

10

4,774

2004-05

143

300

4,627

2

5,072

2005-06

169

374

4,949

4

5,496

2006-07

179

441

5,097

3

5,720

Gun shot wounds

1996-97

333

134

606

11

1,084

1997-98

260

112

613

9

994

1998-99

279

102

604

2

987

1999-2000

362

133

674

1

1,170

2000-01

287

140

693

2

1,122

2001-02

321

147

949

3

1,420

2002-03

253

163

870

1

1,287

2003-04

267

123

978

2

1,370

2004-05

199

108

855

1

1,163

2005-06

155

117

960

1

1,233

2006-07

181

145

988

1

1,315

Notes:

Assignment of Episodes to Years:

Years are assigned by the end of the first period of care in a patient’s hospital stay

Finished admission episodes:

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.

Cause Code—Blunt object, Sharp object and 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 and assault by sharp and blunt objects.

Blunt Object:

Y00—Assault by blunt object

Sharp Object:

X99—Assault by sharp object

Gunshot wound:

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 over 300 NHS trusts and primary care trusts (PCTs) in England. 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.

Assessing growth through time:

HES figures are available from 1989-90 onwards. During the years that these records have been collected by the NHS there have been ongoing improvements in quality and coverage. 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.

Ungrossed Data:

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

Source:

Hospital Episode Statistics (HES), The NHS information centre for health and social care.