Publication, Part of Emergency readmissions to hospital within 30 days of discharge
Compendium - Emergency readmissions to hospital within 30 days of discharge
Experimental statistics, Open data
Summary
The indicators presented measure the percentage of emergency admissions to any hospital in England occurring within 30 days of the last, previous discharge from hospital over the period 2013/14 to 2023/24.
There are 4 datasets that include breakdowns by the following geographies: region, Office for National Statistics (ONS) area classifications, NHS England regions, local authority of residence, NHS and private hospital providers, sub-Integrated Care Boards (sub-ICB) and Integrated Care Boards (ICB). Breakdowns are also published by Index of Multiple Deprivation (IMD) Quintiles.
(1) Emergency readmissions to hospital within 30 days of discharge (I02040 & I00712)
Also broken down by: (a) age bands: All, <16 years, 16+ years, 16-74 years; 75+ years (b) sex: male only, female only and persons.
(2) Emergency readmissions to hospital within 30 days of discharge by diagnosis for all ages (I02041)
Diagnoses included are: (a) Fractured proximal femur broken down by sex: male only, female only and persons (b) Stroke broken down by sex: male only, female only and persons.
(3) Emergency readmissions to hospital within 30 days of discharge by procedure for all ages (I02042)
Procedures included are: (a) Primary hip replacement surgery broken down by sex: male only, female only and persons (b) Hysterectomy broken down by female only.
(4) Reasons for Readmission contextual indicator (I02043)
Highlights
Same Day Emergency Care (SDEC) Activity
Same Day Emergency Care (SDEC) is the provision of same day care for emergency patients who would otherwise be admitted to hospital. It aims to benefit both patients and the healthcare system by reducing waiting times and hospital admissions, where appropriate.
Under this care model, patients presenting at hospital with relevant conditions can be rapidly assessed, diagnosed, and treated without being admitted to a ward, and if clinically safe to do so, will go home on the same day that their care is provided.
We need to be able to analyse SDEC related activity to make effective and informed data driven decisions within the NHS. This requires that we capture all SDEC activity in a consistent format via submission through one single data source to create the data assets and products that are needed. At present SDEC activity is being recorded either in the Commissioning Data Sets which are used to create HES in the Admitted Patient Care (APC) or Outpatient (OP) data flows by organisations, or not at all.
As a result, over the last few years, the HES APC data used to calculate these indicators has included an inconsistent mix of SDEC activity. Some NHS Trusts including and others not including their activity over different time periods and volumes. At present we don't have a clear picture of this and its impact.
To address this in future, an information standards notice has been published that will see the recording and submission of SDEC activity occur within the Emergency Care Data Set (ECDS) data submission. This requires all organisations to record SDEC activity as part of their submission by 1 July 2024 at the latest.
More details are available on the Impact of changes to recording of Same Day Emergency Care Activity on Hospital Episode Statistics (HES) data page.
Exclusion of Mental Health Trusts and Activity
All the Emergency Readmissions indicators use Hospital Episode Statistics (HES) data as their primary data source. Mental health providers have historically submitted to both HES and to the Mental Health Services Data Set (MHSDS). To reduce the burden on these providers it was decided that while they are mandated to submit to MHSDS they are not also required to submit the same activity to HES. Some providers who previously submitted to HES have now stopped doing so. As a result, the statistics published in this series are impacted, particularly the trend data, by the change in the overall casemix. Therefore, the specification has been modified so that the following are excluded:
- Providers that have submitted activity to the Mental Health Services Dataset (MHSDS) and are no longer submitting data to HES.
- Mental health activity from all providers based on Mental Health Services Treatment Function Codes.
A methodological change document is provided to describe how these changes impacted the results of these indicators from the Compendium publication in 2023 onwards.
NHS Outcomes Framework Indicator 3b
As part of the work currently being undertaken to develop and rationalise the NHS Outcomes Framework publication it has been decided to include indicator 3b Emergency readmissions within 30 days of discharge from hospital (I00712) into this publication under I02040.
Signposting will be provided from the NHS Outcomes Framework to this page.
HES Data Quality
It is advisable, when interpreting the indicators within this publication, to also consult the data quality reports provided by HES.
Data Sets
- Emergency readmissions to hospital within 30 days of discharge : indirectly standardised percent trends broken down by age bands and sex (I02040 / I00712)
- Emergency readmissions to hospital within 30 days of discharge by diagnosis : indirectly standardised percent trends broken down by sex (I02041)
- Emergency readmissions to hospital within 30 days of discharge by procedure : indirectly standardised percent trends broken down by sex (I02042)
- Reason for Emergency Readmission (Contextual Indicator, I02043)
Resources
Last edited: 9 December 2024 2:42 pm