Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatients and Accident and Emergency Data - April 2013 to June 2013

Monthly HES data for Admitted Patient Care

In the year from July 2012 to June 2013 there were:

• 17.8 million finished consultant episodes (FCEs), 60.1 per cent (10.7 million) of which included at least one procedure or intervention, and 6.1 million of which were day cases.
• 15.2 million finished admission episodes (FAEs), of which 5.3 million were emergency admissions.

Monthly HES - Admitted Patient Care Clinical Coding Coverage

The shortfall between the most recent month's data is more pronounced when considering clinical (procedures and diagnoses) coverage. 5.2 per cent more procedures and 6.9 per cent more diagnoses were coded in the HES data submitted to SUS by 19/06/2013 (Month 4) - extract used for this publication, compared to the HES data submitted to SUS by 17/05/13 (Month 3) used for the previous publication. We accordingly recommend extra caution using clinical codes for the most recent months data.

Monthly HES data for Outpatients

In the year from July 2012 to June 2013 there were:

• 94.7 million outpatient appointments made, with 76.0 million (80.2 per cent) of these attended by the patient.
• 6.9 million outpatient appointments not attended by the patient, representing 7.3 per cent of all appointments.

Provisional Monthly HES data for Accident & Emergency (Experimental data)

In the year from July 2012 to June 2013 there were:

• 18.3 million A&E attendances recorded in A&E HES. Of these, 3.8 million (20.8 per cent) resulted in admission to hospital for inpatient treatment, 3.6 million (19.8 per cent) resulted in a GP follow up and 7.1 million (39.1 per cent) were discharged with no follow up.

• Admitted Patient Care

  TOI - Children in Hospital Episode Statistics

  • There were 2.5m finished consultant episodes (FCEs) in the 12 month period July 2012 to June 2013 for children aged 0-19. This was a very small increase of 0.1 per cent on the previous 12 months and came from the 1-4 and 5-9 year old age groups (up 3.5 per cent and 4.9 per cent respectively) while FCEs for the other age groups fell.
  • For FCEs for children aged 1-4, the most common primary diagnoses were viral infections, respiratory conditions and acute tonsillitis. For children aged 5-9 the most common primary diagnoses were for dental caries, acute tonsillitis and nonsuppurative otitis media . The most common primary diagnosis for 10-14 and 15-19 year olds was for abdominal and pelvic pain. Boys had more primary diagnoses which related to fractures and this difference was more pronounced for older children.
  • For FCEs where a cause was recorded, the most common causes for boys and girls were similar up to age 9. For older children, girls were more likely than boys to have a cause relating to intentional self-harm (5 per cent of all FCEs for 15-19 year old girls), whereas boys were more likely than girls to have a cause recorded relating to assault (2 per cent of all FCEs for 15-19 year old boys). Similar differences were also apparent for 10-14 year olds but they were more pronounced for 15-19 year olds.

  Outpatient Attendances

  • There were 9.4m outpatient attendances for children aged 0-19 which was an increase of 3.7 per cent on the previous 12 months. All age groups showed an increase with the largest proportionate increase being for 5-9 year olds (up 6.4 per cent).
  • The "did not attend" rate at outpatient appointments was similar for boys and girls for those aged under 1, 1-4 and 5-9. A gap appeared for 10-14 year olds and got larger for 15-19 year olds with boys in this older age group having the highest "did not attend" rate at 14 per cent.

  A&E Attendances

  • There were 4.8m attendances at A&E for children aged 0-19 which was an increase of 1.0 per cent on the previous 12 months. This increase came from the under 1 year olds, 1-4 and 5-9 year old age groups (up 5.9 per cent, 3.6 per cent and 5.3 per cent, respectively) while attendances at A&E for 10-14 and 15-19 year olds fell (down 3.1 per cent for both groups).
  • Boys had more attendances at A&E than girls for all age groups apart from 15-19 year olds. There were differences in when children attended A&E but most school age groups had a peak in visits to A&E between 9-10am and 4-5pm.