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Hospitals: Admissions

Volume 494: debated on Thursday 25 June 2009

To ask the Secretary of State for Health how many hospital admissions there have been for diagnosis code (a) T40.0, (b) T40.1, (c) T40.2, (d) T40.3, (e) T40.4, (f) T40.5, (g) T40.6, (h) T40.7, (i) T40.8 and (j) T40.9 for (i) males and (ii) females aged (A) under 14, (B) 14 to 17 and (C) 18 years and over in (1) each region and (2) each primary care trust in each of the last five years. (280478)

The information has been placed in the Library. The information requested is shown in the tables by strategic health authority (SHA). Were the data presented by primary care trust, the majority of entries would be small numbers and would therefore be suppressed in order to preserve confidentiality.

To ask the Secretary of State for Health how many hospital admissions there have been for (a) measles, (b) mumps and (c) rubella for (i) males and (ii) females aged (A) under 10, (B) 10 to 13, (C) 14 to 17 and (D) 18 years and over in (1) each region and (2) each primary care trust in each of the last five years; and if he will make a statement. (280479)

The available information is given in the following tables. This covers activity in English national health service hospitals and English NHS commissioned activity in the independent sector.

Count of finished admission episodes where the admission was for measles, mumps or rubella

Measles

Sex/age

Male

Female

Unknown

0-9

10-13

14-17

18+

0-9

10-13

14-17

18+

18+

2007-08

147

5

10

37

114

4

12

27

2006-07

97

1

8

22

104

8

6

33

2005-06

36

7

5

11

38

3

2

7

2004-05

29

10

25

7

2003-04

42

3

10

38

5

3

10

Mumps

Sex/age

Male

Female

Unknown

0-9

10-13

14-17

18+

0-9

10-13

14-17

18+

18+

2007-08

28

7

7

71

22

10

6

46

1

2006-07

36

14

18

136

25

4

6

61

2005-06

59

34

155

754

34

20

49

204

2004-05

51

15

105

467

21

15

58

189

2003-04

15

6

11

51

21

3

13

26

Rubella

Sex/age

Male

Female

Unknown

0-9

10-13

14-17

18+

0-9

10-13

14-17

18+

18+

2007-08

8

1

4

8

8

2006-07

5

5

6

6

2005-06

9

1

4

3

3

2004-05

14

1

1

3

2

5

2003-04

13

2

7

2

5

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. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.

2. Primary and secondary diagnoses

The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital. As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2006-07 and six prior to 2002-03) secondary diagnosis fields in Hospital Episode Statistics (HES) that show other diagnoses relevant to the episode of care.

3. Codes used to denote measles, mumps or rubella

Measles B05.—Measles

Mumps B26.—Mumps

Rubella B06.—Rubella [German measles], P35.0 Congenital rubella syndrome.

If the patient has been admitted for treatment of measles, mumps or rubella, then the code for measles, mumps or rubella would be found in a primary position, except in the following cases:

a. Measles, mumps or rubella complicating pregnancy, childbirth and the puerperium; in this case, one of the following codes would precede the code for measles, mumps or rubella:

O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother; and

O98.5 Other viral diseases complicating pregnancy, childbirth and the puerperium.

b. In the case where a baby is admitted due to measles, mumps or rubella acquired after birth but within 28 days of birth (perinatal period), a code from the following categories would precede the code for measles, mumps or rubella, which would be in a secondary position:

P35-P39 Infections specific to the perinatal period.

4. Data quality

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.

5. 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 national health service practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.

6. Ungrossed data

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

Source:

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