Publication, Part of Hospital Admitted Patient Care Activity
Hospital Admitted Patient Care Activity, 2022-23
National statistics, Accredited official statistics
Update to excel output
We have made an update to the Hospital Providers and ICB of Responsibility excel output. If you have downloaded these files prior to 15:00 on 21st September 2023, please re-download the file and ensure you are using the one which has 'v2' at the end of the file name.
21 September 2023 11:52 AM
Format change to ICD-10 Diagnosis and OPCS-4 Procedure codes.
This is a format only change. The 4 digit ICD-10 diagnosis codes and the 4 digit OPCS-4 procedure codes were originally published without the separating "." between the 3rd and 4th character. If you have downloaded the following files prior to 9th Feb 2024 please refresh them from the resource links below:
Hospital Admitted Patient Care Activity, 2022-23: Diagnosis
Hospital Admitted Patient Care Activity, 2022-23: Procedures and interventions
Hospital Admitted Patient Care Activity, 2022-23: Open Data - Diagnosis
Hospital Admitted Patient Care Activity, 2022-23: Open Data - Procedures
9 February 2024 11:04 AM
About this publication
This publication reports on Admitted Patient Care activity in England for the financial year 2022-23.
This report includes but is not limited to analysis of hospital episodes by patient demographics, diagnoses, external causes/injuries, operations, bed days, admission method, time waited, specialty, provider level analysis and Adult Critical Care (ACC). It describes NHS Admitted Patient Care Activity, Adult Critical Care activity and performance in hospitals in England.
The data sources for this publication are Hospital Episode Statistics (HES).
Further details can be found on the supporting information.
Hospital Episode Statistics (HES)
This comes from the HES data warehouse containing details of all admissions and outpatient appointments at National Health Service (NHS) hospitals in England. It includes private patients treated in NHS hospitals, patients who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS.
HES datasets are the data source for a wide range of healthcare analyses for the NHS, Government and many other organisations and individuals. HES is sourced from the Secondary Uses Service (SUS) database, which is collected from hospitals’ patient administration systems on a monthly basis at record level.
Each record in HES includes a wide range of information including details of the patient (age, gender, geographic details), when they were treated and what they were treated for.
Episodes
Records in the HES Admitted Patient Care (APC) database, which form the basis of this publication, are called ‘hospital episodes’, and each hospital episode relates to a period of care for a patient under a single consultant within one hospital provider. A stay in hospital from admission to discharge is called a ‘spell’ and can be made up of one or more episodes of care. This publication looks at completed episodes, called Finished Consultant Episodes (FCEs), which are periods of care under one consultant at a single provider. A stay in hospital from admission to discharge, also known as a spell, can be made up of one or more FCEs. The first episode in any spell is known as the Finished Admission Episode (FAE).
Adult Critical Care (ACC)
From 2016-17 onwards, Adult Critical Care (ACC) is a subset of APC data. An Intensive Care Unit (ICU) or High Dependency Unit (HDU) ward in a hospital, known as a critical care unit, provides support, monitoring and treatment for critically ill patients requiring constant support and monitoring to maintain function in at least one organ, and often in multiple organs. Medical equipment is used to take the place of patients’ organs during their recovery.
Some critical care units are attached to condition-specific treatment units, such as heart, kidney, liver, breathing, circulation or nervous disorders. Others specialise in neonatal care (babies), paediatric care (children) or patients with severe injury or trauma.
Accident and Emergency Care activity
Accident and Emergency Care activity is reported in separate publication series. It includes data from Emergency Care Data Set (ECDS) and the Monthly Situation Reports (MSitAE).
Data Quality
The quality of HES data is the responsibility of the NHS providers who submit the data to SUS. These data are required to be accurate to enable them to be correctly paid for the activity they undertake. NHS England has a well-developed data quality assurance process for the SUS and HES data and the data quality of provisional data is reported monthly to improve the quality before the annual finalisation. Details about the quality of HES data can be found on the supporting information page and the monthly data reports are available.
Missing data: Frimley Health NHS Foundation Trust (RDU) were unable to submit complete data from June 2022-March 2023 which has impacted the national counts – users are advised to take this into account particularly when seeking to interpret trends over time and comparisons between regions due to the impact of this missing data. More detail about this issue can be found on the supporting information page and national total estimates can be found in the summary excel output.
Outputs included
For the 2022/23 publication, the format for the outputs has been updated to meet Open Data Standards and user feedback we have received. Below is a list of the outputs in the publication.
Summary tables
FCEs, FAEs, Admission method, 2013-14 to 2022-23 |
Count of FCEs, by age and sex, 2022-23 |
FAEs by Month and Admission Method, 2022-23 |
Admissions by Ethnicity, Admissions by IMD Decile and rate per 100,000 population, 2022-23 |
Count of FCEs by patient classification, 2012-23 to 2022-23 |
Count of critical care records, 2013-14 to 2022-23 |
Count of critical care records by age and sex, 2022-23 |
Count of critical care records and the average length of stay, by start day and discharge day, 2022-23 |
Publication excel tables:
- ICB of responsibility.
- Diagnosis.
- External Causes.
- Hospital Providers.
- Main Specialty and Treatment Specialty. (previously two files)
- Procedures and Interventions.
- Adult Critical Care (ACC).
- Demographics: Ethnicity and Index of Multiple Deprivation (IMD).
- Metadata
Open data csv files:
- Provider-level Analysis csv. (includes ICB of responsibility)
- Open data: diagnosis
- Open data: procedures and interventions
- Open data: other. (includes external cause, demographics and specialty)
Last edited: 26 February 2024 5:43 pm