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Hospitals: Admissions

Volume 496: debated on Wednesday 15 July 2009

To ask the Secretary of State for Health how many patients were admitted to (a) West Suffolk, (b) Addenbrookes and (c) Ipswich hospital as a consequence of (i) alcoholic liver disease and (ii) cirrhosis in each of the last five years. (286262)

The following table shows the count of finished admission episodes with a primary diagnosis of alcohol liver disease or cirrhosis of the liver for Cambridge university hospitals NHS foundation trust (Addenbrook NHS trust pre 2004-05), Ipswich hospital trust and West Suffolk hospitals NHS trust.

Alcoholic liver diseaseCirrhosis of the liver2007-08Cambridge University HospitalsNHS Foundation Trust399404Ipswich Hospital NHS Trust8368West Suffolk Hospitals NHS Trust30272006-07Cambridge University HospitalsNHS Foundation Trust400447Ipswich Hospital NHS Trust5838West Suffolk Hospitals NHS Trust36282005-06Cambridge University HospitalsNHS Foundation Trust449359Ipswich Hospital NHS Trust4724West Suffolk Hospitals NHS Trust 26182004-05Cambridge University HospitalsNHS Foundation Trust302252Ipswich Hospital NHS Trust4525West Suffolk Hospitals NHS Trust27442003-04Addenbrookes NHS Trust1372412Ipswich Hospital NHS Trust4637West Suffolk Hospitals NHS Trust2829 1 Addenbrookes NHS trust becomes Cambridge university hospitals NHS foundation trust (post 2003-04).Notes:Finished admission episodesA 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. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.Primary diagnosisThe primary diagnosis is the first of up to 20 (14 from 2002-03. to 2006-07 and 7 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.Secondary diagnosesAs well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2006-07 and 6 prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.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/Strategic health authority (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 timeHES 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.Ungrossed dataFigures have not been adjusted for shortfalls in the data, i.e. the data are ungrossed. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.