Patients: Greater London Mr. Dismore To ask the Secretary of State for Health how many patients from the postcode (a) NW4, (b) NW7, (c) NW9 and (d) HA8 were treated at (i) Barnet Hospital, (ii) Chase Farm Hospital, (iii) the Royal Free Hospital and (iv) Northwick Park Hospital for (A) inpatient and (B) outpatient appointments in each of the last three years; and if he will make a statement. Mr. Mike O'Brien The information requested is not available in the format requested. Such information as is available is in the tables as follows: 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|Postcode |Code|Provider |2008-09|2007-08|2006-07| 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|Total | | |32,023 |24,814 |30,045 | 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| | | | | | | 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|HA8 |RVL |Barnet and Chase Farm Hospitals NHS Trust|7,031 |3,491 |6,117 | 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| |RV8 |North West London NHS Trust |3,201 |3,102 |3,412 | 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| |RAL |Royal Free Hampstead NHS Trust |2,176 |2,265 |1,970 | 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|NW4 |RVL |Barnet and Chase Farm Hospitals NHS Trust|1,114 |561 |1,106 | 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| |RV8 |North West London NHS Trust |207 |217 |271 | 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| |RAL |Royal Free Hampstead NHS Trust |3,253 |3,461 |3,416 | 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| | | | | | | 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|NW7 |RVL |Barnet and Chase Farm Hospitals NHS Trust|3,487 |1,618 |2,962 | 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| |RV8 |North West London NHS trust |151 |170 |219 | 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| |RAL |Royal Free Hampstead NHS trust |1,064 |1,229 |1,091 | 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| | | | | | | 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|NW9 |RVL |Barnet and Chase Farm Hospitals NHS Trust|3,154 |1,484 |2,557 | 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| |RV8 |North West London NHS Trust |5,162 |5,160 |5,089 | 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| |RAL |Royal Free Hampstead NHS Trust |2,023 |2,056 |1,835 | 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|Notes: 1. We are unable to provide information for specific hospitals. We have provided data for the care providers to which the hospitals belong. Barnet Hospital and Chase Farm hospital are part of the Barnet and Chase Farm hospitals NHS trust, the Royal Free hospital is part of the Royal Free Hampstead hospitals trust, and Northwick Park hospital belongs to the North West London hospitals NHS trust. 2. The data provided are for activity in English national health service hospitals and English NHS commissioned activity in the independent sector. 3. In-patients are defined as patients who are admitted to hospital and occupy a bed, including both admissions where an overnight stay is planned and day cases. 4. 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. It should be noted that admissions do not represent the number of in-patients, as a person may have more than one admission within the year. 5. 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 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. HES are compiled from data sent by more than 300 NHS trusts and primary care trusts 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. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.| | | | | | 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|Postcode |Code|Provider |2008-09 (Provisional)|2007-08|2006-07| 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|Total | | |157,350 |117,255|131,108| 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| | | | | | | 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|HA8 |RVL |Barnet and Chase Farm Hospitals NHS Trust|30,045 |14,788 |24,601 | 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| |RV8 |North West London NHS Trust |10,696 |10,555 |11,119 | 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| |RAL |Royal Free Hampstead NHS Trust |19,332 |17,280 |14,649 | 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| | | | | | | 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|NW4 |RVL |Barnet and Chase Farm Hospitals NHS Trust|5,087 |2,240 |3,992 | 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| |RV8 |North West London NHS Trust |824 |875 |815 | 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| |RAL |Royal Free Hampstead NHS Trust |20,194 |19,328 |17,347 | 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|NW7 |RVL |Barnet and Chase Farm Hospitals NHS Trust|13,506 |6,189 |10,656 | 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| |RV8 |North West London NHS Trust |674 |793 |770 | 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| |RAL |Royal Free Hampstead NHS trust |9,447 |8,793 |7,374 | 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|NW9 |RVL |Barnet and Chase Farm Hospitals NHS Trust|14,164 |6,702 |10,995 | 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| |RV8 |North West London NHS Trust |17,871 |16,334 |17,162 | 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| |RAL |Royal Free Hampstead NHS Trust |15,510 |13,378 |11,628 | 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|Notes: 1. We are unable to provide information for specific hospitals. We have provided data for the care providers to which the hospitals belong. Barnet Hospital and Chase Farm hospital are part of the Barnet and Chase Farm hospitals NHS trust, the Royal Free hospital is part of the Royal Free Hampstead hospitals trust, and Northwick Park hospital belongs to the North West London hospitals NHS trust. 2. The data provided are for activity in English NHS hospitals and English NHS commissioned activity in the independent sector. 3. Out-patient HES data were collected for the first time in 2003-04. It is not mandatory to code procedures on outpatient records and therefore only around 2 per cent. of records have completed clinical codes. We have no reliable existing data source to validate these data against, as Department of Health aggregate returns have never collected clinical codes; it is not clear how representative the figures are. The data represent a sample of out-patient attendances. Statistical estimates (such as median and 90th percentile waiting times for main operations) must be regarded as potentially unreliable until it is possible to assess the quality of local coding. 4. This provides a count of the number of planned/booked appointments for out-patients. The database is constructed of one row per appointment that was made, whether it was attended or not however only out-patients that did attend have been included in the above table. 5. The data are provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, i.e. November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be a variety of errors due to coding inconsistencies that have not yet been investigated and corrected. 6. 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 out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time. 7. HES are compiled from data sent by over 300 NHS trusts and primary care trusts 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. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.| | | | | | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------