Respiratory System Stephen Hammond To ask the Secretary of State for Health pursuant to the answer of 20 April 2009, Official Report, column 479W, on respiratory system, to how many patients in each age group the figures on (a) hospital and (b) admission episodes related in each case. Phil Hope The following table shows hospital episodes and admission episodes for diseases of the respiratory system by age group. Data have been provided for the hospitals referred to in the answer of 20 April 2009, Official Report, column 479W. 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| | |Finished consultant episode|Finished admission episode| 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|Provider |Provider code age on admission|2007-2008 |2006-2007 |2005-2006|2004-2005|2003-2004|2007-2008|2006-2007|2005-2006|2004-2005|2003-2004| 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|England |0-4 |166.834 |158,687 |160,414|145,440|151,275|159,767|152,598|155,488|140,894|146,920| 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| |5-14 |88,979 |353,433 |91,257|85,227|82,492|86,104|303,515|88,909|83,223|80,651| 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| |15-44 |371,268 |407,415 |331,310|294,025|266,354|319,752|311,264|285,875|255,202|233,088| 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| |45-64 |437,064 |88,955 |368,283|329,234|297,838|335,215|86,183|283,516|253,918|231,791| 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| |65-74 |384,229 |364,437 |337,372|311,341|288,567|270,674|256,448|238.312|220,632|205.615| 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| |75-84 |474,390 |452,019 |426,243|397,711|364,725|303,678|290,360|275,833|260,636|241,755| 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| |85-120 |268,279 |242,555 |224,093|195,762|179,883|156,279|144,382|135,189|120,915|113,351| 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| |Age not known |2,963 |1,699 |1,184|1,213|1,479|2,139|1,206|866|930|1,148| 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|Ashford and St. Peter’s Hospitals NHS Trust RTK |0-4 |745 |639 |597|631|585|744|639|596|619|585| 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| |5-14 |401 |368 |385|473|350|401|368|385|473|350| 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| |15-44 |1,355 |1,154 |1,323|1,216|847|1,276|1,119|1,214|1,111|762| 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| |45-64 |1,523 |1,224 |1,405|1,197|1,017|1,372|1,125|1,205|973|811| 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| |65-74 |1,394 |1,119 |1,459|1,386|1,237|1,211|994|1,225|1,088|930| 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| |75-84 |2,174 |1,853 |2,085|2,078|1,746|1,737|1,571|1,663|1,557|1,258| 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| |85-120 |1,594 |1,473 |1,502|1,290|1,088|1,202|1,227|1,180|958|747| 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| |Age not known |0 |0 |0|0|0|0|0|0|0|0| 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|Ealing Hospital NHS Trust RC3 |0-4 |524 |536 |564|570|5,17|524|531|564|569|514| 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| |5-14 |348 |276 |352|407|2,55|346|275|352|407|255| 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| |15-44 |1,859 |1,646 |1,459|1,446|1,241|1,635|1,456|1,337|1,347|1,169| 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| |45-64 |1,603 |1,384 |1,179|1,018|976|1,208|1,088|1,028|881|871| 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| |65-74 |1,454 |1,198 |929|962|809|1,017|869|768|809|697| 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| |75-84 |1,650 |1,444 |1,147|1,040|984|1,088|928|887|881|621| 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| |85-120 |910 |722 |654|579|494|521|417|519|478|422| 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| |Age not known |3 |2 |0|1|1|2|1|0|1|1| 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|The Hillingdon Hospital NHS Trust RAS |0-4 |344 |277 |293|275|246|344|276|284|275|244| 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| |5-14 |174 |161 |160|104|87|173|158|155|104|87| 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| |15-44 |1,487 |1,005 |954|674|599|1,386|905|868|565|553| 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| |45-64 |1,440 |1,308 |1,096|849|634|1,298|1,148|945|686|563| 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| |65-74 |1,234 |1,129 |1,002|848|673|1,058|984|849|639|572| 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| |75-84 |1,563 |1,457 |1,411|1,314|883|1,233|1,154|1,097|935|746| 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| |85-120 |1,055 |882 |973|803|568|777|613|709|523|470| 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| |Age not known |0 |0 |0|1|0|0|0|0|1|0| 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|Richmond and Twickenham PCT SM6 |0-4 |0 |0 |0|0|0|0|0|0|0|0| 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| |5-14 |0 |0 |0|0|0|0|0|0|0|0| 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| |15-44 |0 |0 |0|0|0|0|0|0|0|0| 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| |45-64 |0 |0 |*|*|0|0|0|*|*|0| 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| |65-74 |0 |* |*|*|*|*|*|*|*|*| 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| |75-84 |0 |* |24|25|*|*|*|24|25|*| 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| |85-120 |0 |10 |46|28|31|10|10|46|28|31| 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| |Age not known |0 |0 |0|0|0|0|0|0|0|0| 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|West Middlesex University Hospital NHS Trust RFW |0-4 |582 |386 |568|566|481|581|386|568|565|481| 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| |5-14 |346 |185 |343|312|315|344|184|341|311|315| 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| |15-44 |1,763 |720 |1,446|903|705|1,382|529|1,105|732|684| 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| |45-64 |1,612 |666 |1,447|873|623|954|384|906|612|547| 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| |65-74 |1,459 |700 |1,321|902|568|704|373|685|567|467| 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| |75-84 |1,888 |833 |1,833|1,174|705|850|411|890|674|572| 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| |85-120 |1,412 |603 |1,112|760|506|593|265|506|408|388| 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| |Age not known |49 |29 |25|12|0|28|16|11|4|0| 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|Notes:Ungrossed dataFigures have not been adjusted for shortfalls in data (ie the data are ungrossed).Finished Consultant Episode (FCE)A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Please note that the figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.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. Please note that admissions do not represent the number of inpatients, as a person may have more than one admission within the year.Number of episodes in which the patient had a (named) primary or secondary diagnosisThese figures represent the number of episodes where the diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if the diagnosis is recorded in more than one diagnosis field of the record.1 The following ICD-10 codes have been used:J00-J99—‘Diseases of the respiratory disease’. Please see the following table for J00-J99 sheet for ICD-code descriptions.Data qualityHES are compiled from data sent by more than 300 National Health Service 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.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.Small numbersTo protect patient confidentiality, figures between 1 and 5 have been suppressed and replaced with “*” (an asterisk). Where it was possible to identify numbers from the total due to a single suppressed number in a row or column, an additional number (the next smallest) has been suppressed.Source:Hospital Episode Statistics HES. The NHS Information Centre for health and social care.| | | ||||||||| 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------------------------------------------------------------------------------------------------ |Diagnosis code|Primary description | ------------------------------------------------------------------------------------------------ |J00 |Acute nasopharyngitis (common cold) | ------------------------------------------------------------------------------------------------ |J01 |Acute sinusitis | ------------------------------------------------------------------------------------------------ |J02 |Acute pharyngitis | ------------------------------------------------------------------------------------------------ |J03 |Acute tonsillitis | ------------------------------------------------------------------------------------------------ |J04 |Acute laryngitis and tracheitis | ------------------------------------------------------------------------------------------------ |J05 |Acute obstructive laryngitis (croup) and epiglottitis | ------------------------------------------------------------------------------------------------ |J06 |Acute upper respiratory infections of multiple and unspecified sites | ------------------------------------------------------------------------------------------------ |J10 |Influenza due to identified influenza virus | ------------------------------------------------------------------------------------------------ |J11 |Influenzavirus not identified | ------------------------------------------------------------------------------------------------ |J12 |Viral pneumonia, not elsewhere classified | ------------------------------------------------------------------------------------------------ |J13 |Pneumonia due to Streptococcus pneumoniae | ------------------------------------------------------------------------------------------------ |J14 |Pneumonia due to Haemophilus influenzae | ------------------------------------------------------------------------------------------------ |J15 |Bacterial pneumonianot elsewhere classified | ------------------------------------------------------------------------------------------------ |J16 |Pneumonia due to other infectious organisms NEC | ------------------------------------------------------------------------------------------------ |J17 |Pneumonia in diseases classified elsewhere | ------------------------------------------------------------------------------------------------ |J18 |Pneumoniaorganism unspecified | ------------------------------------------------------------------------------------------------ |J20 |Acute bronchitis | ------------------------------------------------------------------------------------------------ |J21 |Acute bronchiolitis | ------------------------------------------------------------------------------------------------ |J22 |Unspecified acute lower respiratory infection | ------------------------------------------------------------------------------------------------ |J30 |Vasomotor and allergic rhinitis | ------------------------------------------------------------------------------------------------ |J31 |Chronic rhinitisnasopharyngitis and pharyngitis | ------------------------------------------------------------------------------------------------ |J32 |Chronic sinusitis | ------------------------------------------------------------------------------------------------ |J33 |Nasal polyp | ------------------------------------------------------------------------------------------------ |J34 |Other disorders of nose and nasal sinuses | ------------------------------------------------------------------------------------------------ |J35 |Chronic diseases of tonsils and adenoids | ------------------------------------------------------------------------------------------------ |J36 |Peritonsillar abscess | ------------------------------------------------------------------------------------------------ |J37 |Chronic laryngitis and laryngotracheitis | ------------------------------------------------------------------------------------------------ |J38 |Diseases of vocal cords and larynx not elsewhere class | ------------------------------------------------------------------------------------------------ |J39 |Other diseases of upper respiratory tract | ------------------------------------------------------------------------------------------------ |J40 |Bronchitis not specified as acute or chronic | ------------------------------------------------------------------------------------------------ |J41 |Simple and mucopurulent chronic bronchitis | ------------------------------------------------------------------------------------------------ |J42 |Unspecified chronic bronchitis | ------------------------------------------------------------------------------------------------ |J43 |Emphysema | ------------------------------------------------------------------------------------------------ |J44 |Other chronic obstructive pulmonary disease | ------------------------------------------------------------------------------------------------ |J45 |Asthma | ------------------------------------------------------------------------------------------------ |J46 |Status asthmaticus | ------------------------------------------------------------------------------------------------ |J47 |Bronchiectasis | ------------------------------------------------------------------------------------------------ |J60 |Coalworker’s pneumoconiosis | ------------------------------------------------------------------------------------------------ |J61 |Pneumoconiosis due to asbestos and other mineral fibres | ------------------------------------------------------------------------------------------------ |J62 |Pneumoconiosis due to dust containing silica | ------------------------------------------------------------------------------------------------ |J63 |Pneumoconiosis due to other inorganic dusts | ------------------------------------------------------------------------------------------------ |J64 |Unspecified pneumoconiosis | ------------------------------------------------------------------------------------------------ |J65 |Pneumoconiosis associated with tuberculosis | ------------------------------------------------------------------------------------------------ |J66 |Airway disease due to specific organic dust | ------------------------------------------------------------------------------------------------ |J67 |Hypersensitivity pneumonitis due to organic dust | ------------------------------------------------------------------------------------------------ |J68 |Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours| ------------------------------------------------------------------------------------------------ |J69 |Pneumonitis due to solids and liquids | ------------------------------------------------------------------------------------------------ |J70 |Respiratory conditions due to other external agents | ------------------------------------------------------------------------------------------------ |J80 |Adult respiratory distress syndrome | ------------------------------------------------------------------------------------------------ |J81 |Pulmonary oedema | ------------------------------------------------------------------------------------------------ |J82 |Pulmonary eosinophilia, not elsewhere classified | ------------------------------------------------------------------------------------------------ |J84 |Other interstitial pulmonary diseases | ------------------------------------------------------------------------------------------------ |J85 |Abscess of lung and mediastinum | ------------------------------------------------------------------------------------------------ |J86 |Pyothorax | ------------------------------------------------------------------------------------------------ |J90 |Pleural effusionnot elsewhere classified | ------------------------------------------------------------------------------------------------ |J91 |Pleural effusion in conditions classified elsewhere | ------------------------------------------------------------------------------------------------ |J92 |Pleural plaque | ------------------------------------------------------------------------------------------------ |J93 |Pneumothorax | ------------------------------------------------------------------------------------------------ |J94 |Other pleural conditions | ------------------------------------------------------------------------------------------------ |J95 |Postprocedural respiratory disorders NEC | ------------------------------------------------------------------------------------------------ |J96 |Respiratory failure not elsewhere classified | ------------------------------------------------------------------------------------------------ |J98 |Other respiratory disorders | ------------------------------------------------------------------------------------------------ |J99 |Respiratory disorders in diseases classified elsewhere | ------------------------------------------------------------------------------------------------