neqos children’s health indicators 13 dec 2010 1

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NEQOSChildren’s Health Indicators

13 Dec 2010

Indicators• PCH9.1 Overnight Paediatric beds (staffed) by trust• PCH9.1a Occupied beds per 100,000 population• PCH9.2a Overnight Paediatric bed (staffed) occupancy rate by trust• PCH9.2b Paediatric Throughput by trust• PCH12.1b Admissions by admission method by trust• PCH12.1 Admissions by admission method by site• QIPP1c Number of emergency admissions via A&E or GP referral only• QIPP1c2 Length of Stay for Children emergency admissions via A&E or GP referral only• PCH9.3 A&E attendance outcomes by paediatric patients by Trust• PCH8.11.2 Length of Stay for Children by trust• PCH9.4.2b Length of Stay for Children with Breathing Difficulties by trust• PCH9.4.2 Length of Stay for Children with Breathing Difficulties by site• PCH9.5.2b Length of Stay for gastrointestinal problems by trust• PCH9.5.2 Length of Stay for gastrointestinal problems by site• PCH9.6.2b Length of Stay for fever by trust• PCH9.6.2 Length of Stay for fever by site

PCH9.1 – Overnight Paediatric beds (staffed) by trust

Data Table 1: Overnight Paediatric beds (staffed) by trust

Data obtained from DH Website KH03 data 2004/05 to 2009/10

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Provider 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 100 100 97 87 84 76

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 122 100 101 95 95 89

GATESHEAD HEALTH NHS FOUNDATION TRUST 38 38 38 38 38 37

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 58 57 56 55 48 47

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 53 53 51 53 41 41

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 84 77 80 80 70 78

SOUTH TYNESIDE NHS FOUNDATION TRUST 32 32 28 27 27 27

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 219 217 212 214 219 214

NHS North East 707 675 664 650 622 610

NHS National 10,801 10,612 10,455 10,353 10,245 10,294

Children aged <16 years


Data Table 2: Overnight Paediatric beds (staffed) by trust (% change from baseline 2004/05)


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Provider 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 0.0% 0.0% -3.3% -13.3% -16.6% -24.1%

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 0.0% -18.0% -17.2% -22.1% -22.1% -26.7%

GATESHEAD HEALTH NHS FOUNDATION TRUST 0.0% 0.0% 0.3% 0.0% 0.3% -2.6%

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 0.0% -1.3% -2.8% -4.7% -17.3% -18.1%

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 0.0% -0.5% -3.7% -0.7% -22.5% -23.1%

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 0.0% -8.7% -5.2% -5.2% -17.3% -7.5%

SOUTH TYNESIDE NHS FOUNDATION TRUST 0.0% 0.0% -12.4% -15.6% -15.4% -15.6%

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 0.0% -0.6% -3.0% -2.0% 0.2% -2.2%

NHS North East 0.0% -4.5% -6.0% -8.1% -12.0% -13.7%

NHS National 0.0% -1.8% -3.2% -4.1% -5.1% -4.7%

NOTE – There has been continual decline in the number of staffed paediatric beds in the NE SHA, with the largest decline (compared to 2004/05 numbers) in South Tees Hospitals NHS FT. However, the average overnight occupancy rate (see PCH9.2a) does not reflect any negative impact due to the higher rate of decline.


Chart 1: Time Series Overnight Paediatric beds (staffed) by trust


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SOUTH TEES HOSPITALS NHS FOUNDATION TRUST

GATESHEAD HEALTH NHS FOUNDATION TRUST

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST

SOUTH TYNESIDE NHS FOUNDATION TRUST

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST


PCH9.1a – Occupied beds per 100,000 population

Data Table 1: Occupied beds per 100,000 population


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Provider 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 97 98 96 86 83 76

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 234 194 199 190 192 182

GATESHEAD HEALTH NHS FOUNDATION TRUST 115 117 119 120 121 117

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 109 109 108 107 93 92

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 63 63 62 64 50 50

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 170 158 168 171 151 170

SOUTH TYNESIDE NHS FOUNDATION TRUST 120 123 110 108 109 110

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 500 503 498 507 517 501

NHS North East 158 153 153 151 145 143

NHS National 119 117 116 115 113 113


NOTE – Despite a larger rate of decrease in the NE region compared to the national rate, the number of beds by population compared to national is still high. Furthermore, the very high variation across the region may be due to the presence of large centres that cover tertiary care but this is worth discussing.

It is also acknowledged that admissions to some hospitals, and especially Newcastle upon Tyne Hospitals FT and South Tees Hospitals FT, come from PCT areas other than the host PCT. However, it has not been possible to identify a consistent way of applying a rule of population split and therefore the activity reflected here is attributed per 100k of the host PCT population.


Chart 1: Time Series Occupied beds per 100,000 population


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PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust

Data Table 1: Average overnight paediatric bed (staffed) occupancy rate by trust


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Note: Missing data in 2008/09 marked with --

Provider 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 40.2% 41.2% 37.2% 45.8% -- 52.1%

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 41.6% 56.1% 56.2% 56.7% 56.5% 60.5%

GATESHEAD HEALTH NHS FOUNDATION TRUST 51.1% 49.3% 46.2% 42.0% -- 42.3%

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 70.9% 67.8% 62.9% 56.5% 62.6% 62.1%

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 41.5% 42.6% 39.0% 39.9% 44.1% 42.5%

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 40.4% 49.1% 43.0% 41.4% -- 36.6%

SOUTH TYNESIDE NHS FOUNDATION TRUST 48.1% 40.2% 49.9% 44.9% 50.3% 44.2%

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 66.2% 66.6% 67.6% 67.8% 67.0% 68.2%

NHS North East 52.1% 55.3% 53.9% 54.3% 42.2% 56.2%

NHS National 62.9% 63.9% 64.6% 65.6% 33.8% 68.6%



Data Table 2: Average overnight paediatric bed (staffed) occupancy rate by trust (numerator / denominator)


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Note: Missing data in 2008/09 marked with --


Provider 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 40 / 100 41 / 100 36 / 97 40 / 87 -- 40 / 76

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 51 / 122 56 / 100 57 / 101 54 / 95 54 / 95 54 / 89

GATESHEAD HEALTH NHS FOUNDATION TRUST 19 / 38 19 / 38 18 / 38 16 / 38 -- 16 / 37

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 41 / 58 39 / 57 35 / 56 31 / 55 30 / 48 29 / 47

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 22 / 53 23 / 53 20 / 51 21 / 53 18 / 41 17 / 41

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 34 / 84 38 / 77 34 / 80 33 / 80 -- 29 / 78

SOUTH TYNESIDE NHS FOUNDATION TRUST 15 / 32 13 / 32 14 / 28 12 / 27 14 / 27 12 / 27

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 145 / 219 145 / 217 143 / 212 145 / 214 147 / 219 146 / 214

NHS North East 368 / 707 373 / 675 358 / 664 353 / 650 262 / 622 343 / 610

NHS National 6799 / 10801 6781 / 10612 6754 / 10455 6789 / 10353 3462 / 10245 7062 / 10294


Chart 1: Time Series Average overnight paediatric bed (staffed) occupancy rate by trust


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* Missing data in 2008/09 for 3 trustsChildren aged <16 years

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Chart 2: Box Whisker Plot Average overnight paediatric bed (staffed) occupancy rate by trust

Data obtained from DH Website KH03 data 2009/10

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99.8% Confidence Interval Indicator Value Regional Mean


Chart 2: Funnel Plot (99.8% CIs) Average overnight paediatric bed (staffed) occupancy rate by trust

Data obtained from DH Website KH03 data 2009/10

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CDDFT

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Data

National Upper 3SD limit

National Average

National Lower 3SD limit

Source: DH KH03 (bed occupancy data) 2009/10

PCH9.2b – Paediatric throughput by trust

Data Table 1: Paediatric throughput by trust

Data obtained from DH Website KH03 data 2008/09 to 2009/10 and HES 2008/09 – 2009/10

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Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years)

Provider Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 FY 0910

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 0.59 0.54 0.53 0.62 0.57 0.59 0.63 0.61 0.67 0.62

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 0.54 0.52 0.52 0.55 0.53 0.56 0.56 0.52 0.61 0.56

GATESHEAD HEALTH NHS FOUNDATION TRUST 0.53 0.47 0.44 0.55 0.50 0.53 0.50 0.45 0.55 0.50

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 0.67 0.65 0.62 0.73 0.66 0.67 0.66 0.64 0.76 0.68

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 0.68 0.72 0.67 0.78 0.71 0.66 0.66 0.63 0.72 0.67

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 0.42 0.48 0.48 0.47 0.46 0.39 0.42 0.40 0.42 0.41

SOUTH TYNESIDE NHS FOUNDATION TRUST 0.53 0.45 0.48 0.56 0.50 0.55 0.51 0.48 0.60 0.53

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 0.41 0.40 0.40 0.42 0.40 0.41 0.43 0.42 0.42 0.42

NHS North East 0.50 0.49 0.48 0.53 0.50 0.50 0.51 0.49 0.54 0.51

NHS National 0.51 0.52 0.52 0.55 0.52 0.53 0.52 0.52 0.56 0.53


Data Table 2: Paediatric throughput by trust (numerator / denominator)


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Provider Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 49 / 84 46 / 84 45 / 84 52 / 84 48 / 84

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 51 / 95 50 / 95 50 / 95 52 / 95 51 / 95

GATESHEAD HEALTH NHS FOUNDATION TRUST 20 / 38 18 / 38 17 / 38 21 / 38 19 / 38

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 32 / 48 31 / 48 30 / 48 35 / 48 32 / 48

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 28 / 41 30 / 41 27 / 41 32 / 41 29 / 41

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 29 / 70 34 / 70 34 / 70 33 / 70 32 / 70

SOUTH TYNESIDE NHS FOUNDATION TRUST 14 / 27 12 / 27 13 / 27 15 / 27 14 / 27

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 89 / 219 87 / 219 87 / 219 91 / 219 89 / 219

NHS North East 313 / 622 306 / 622 301 / 622 331 / 622 313 / 622

NHS National 5266 / 10245 5366 / 10245 5277 / 10245 5592 / 10245 5375 / 10245

Provider Q1 0910 Q2 0910 Q3 0910 Q4 0910 FY 0910

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 45 / 76 48 / 76 46 / 76 51 / 76 48 / 76

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 50 / 89 50 / 89 46 / 89 55 / 89 50 / 89

GATESHEAD HEALTH NHS FOUNDATION TRUST 19 / 37 19 / 37 17 / 37 20 / 37 19 / 37

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 32 / 47 31 / 47 30 / 47 36 / 47 32 / 47

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 27 / 41 27 / 41 26 / 41 30 / 41 27 / 41

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 31 / 78 33 / 78 32 / 78 33 / 78 32 / 78

SOUTH TYNESIDE NHS FOUNDATION TRUST 15 / 27 14 / 27 13 / 27 16 / 27 14 / 27

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 89 / 214 91 / 214 91 / 214 91 / 214 90 / 214

NHS North East 308 / 610 313 / 610 300 / 610 331 / 610 313 / 610

NHS National 5421 / 10294 5387 / 10294 5304 / 10294 5783 / 10294 5474 / 10294


Chart 1: Time Series Paediatric Throughput by trust

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Chart 2: Box Whisker Plot Paediatric throughput by trust

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Data obtained from DH Website KH03 data 2009/10 and HES 2009/10


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99.8% Confidence Interval Indicator Value Regional Mean


PCH12.1b Admissions by admission method by trust

Data Table 1: Admissions by admission method by trust

Data obtained from HES 2009/10

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Provider

Elective - booked, from waiting list,

planned

Emergency - other means,

including patients who

arrive via A&E department of

another HC provider

Emergency - via A&E services,

including casualty

department of provider

Emergency - via Bed Bureau,

including Central Bureau

Emergency - via consultant out-patient clinic

Emergency - via General

Practitioner (GP)

Transfer of any admitted patient

from another hospital provider

Total

COUNTY DURHAM AND DARLINGTON NHS FT 1,998 1,106 3,889 0 163 4,111 81 11,348

SOUTH TEES HOSPITALS NHS FT 3,953 3,308 2,325 2,240 99 784 102 12,811

GATESHEAD HEALTH NHS FT 228 698 1,980 0 110 1,683 39 4,738

NORTH TEES AND HARTLEPOOL NHS FT 1,137 1,124 2,672 27 60 2,846 47 7,913

NORTHUMBRIA HEALTHCARE NHS FT 755 580 2,869 9 23 1,873 417 6,526

CITY HOSPITALS SUNDERLAND NHS FT 3,805 190 3,949 2 141 8 78 8,173

SOUTH TYNESIDE NHS FT 560 348 1,501 2 53 1,109 19 3,592

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 15,202 4,263 1,686 12 610 3,858 514 26,145

NE Region 27,638 11,617 20,871 2,292 1,259 16,272 1,297 81,246

National 481,541 128,902 428,051 6,087 14,344 198,080 22,769 1,279,774


Chart 1: Stacked Bar Admissions by admission method by trust


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Transfer of any admitted patient from another hospital provider

Emergency - via General Practitioner (GP)


Emergency - via Bed Bureau, including Central Bureau

Emergency - via A&E services, including casualty department of provider

Emergency - other means, including patients who arrive via A&E department of another HC provider

Elective - booked, from waiting list, planned


Chart 2: Stacked Bar % Admissions by admission method by trust


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Data Table 2: Admissions by admission method by trust (Elective or Emergency)


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Provider Elective Emergency Total

COUNTY DURHAM AND DARLINGTON NHS FT 1,998 9,269 11,267

SOUTH TEES HOSPITALS NHS FT 3,953 8,756 12,709

GATESHEAD HEALTH NHS FT 228 4,471 4,699

NORTH TEES AND HARTLEPOOL NHS FT 1,137 6,729 7,866

NORTHUMBRIA HEALTHCARE NHS FT 755 5,354 6,109

CITY HOSPITALS SUNDERLAND NHS FT 3,805 4,290 8,095

SOUTH TYNESIDE NHS FT 560 3,013 3,573

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 15,202 10,429 25,631

NE Region 27,638 52,311 79,949

National 481,541 775,464 1,257,005


Chart 3: Stacked Bar Admissions by admission method by trust (Elective or Emergency)


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Chart 4: Stacked Bar % Admissions by admission method by trust (Elective or Emergency)


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CDDFT STHFT GHFT NTHFT NHFT CHSFT STFT NUTFT NE Region National

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Site Level Coding IssuesUse of acute trust code in lieu of missing site code

• Analyses are based on the 5 digit site code in HES data supplied by organisations• Where HES data records have a blank site code, the 3-digit organisation code for

the acute trust was used instead• No double-counting of data was done – only HES data records with blank site

codes have been reported at the acute trust organisation level• Because multiple sites may exist at the acute trust, it was not possible to attribute

records with only acute trust organisation identifiers precisely to a site code• The site code labelled SOUTH TEES HOSPITALS NHS FT is likely referring to JAMES

COOK UNIVERSITY HOSPITAL, but no records in HES have a site name for the latter – therefore, South Tees has been coded by organisations in both the site code and the organisation code fields

Site Level Coding IssuesList of Acute Trusts and corresponding sites where data is only available at Acute Trust

levelAcute Trust Sites contained within coded at Acute level only

City Hospitals Sunderland NHS Foundation Trust •Ryhope General Hospital

NOTE – Sunderland Royal Hospital may be coded at site level and is not included in the Acute Trust level data.

County Durham and Darlington Foundation Trust •Darlington Memorial Hospital•University Hospital of North Durham•Bishop Auckland Hospital

•Chester-le-street community Hospital•Shotley Bridge Community Hospital

Gateshead NHS Foundation Trust •Queen Elizabeth Hospital•Bensham General Hospital

•Dunston Hill Hospital•QE Metro Riverside

Newcastle upon Tyne Hospitals NHS Foundation Trust •Campus for Ageing and Vitality•The Dental Hospital

•Newcastle Fertility Centre & Northern Genetics Service•Walkergate Hospital

NOTE – Royal Victoria Infirmary, Freeman Hospital and Newcastle General Hospital may be coded at site level and are not included in the Acute Trust level data.

Northumbria Healthcare NHS Foundation Trust •Alnwick Infirmary•Berwick Community Hospital•Blyth Community Hospital•Haltwhistle War Memorial

•Morpeth Cottage Hospital•Rothbury Community Hospital•Sir GB Hunter Memorial Hospital

NOTE – North Tyneside General, Hexham General Hospital and Wansbeck General Hospital may be coded at site level and are not included in the Acute Trust level data.

South Tees NHS Foundation Trust •James Cook University Hospital•Friarage Hospital

South Tyneside NHS Foundation Trust •Palmer Community Hospital•Primrose Hill Hospital

•Monkton Hall Hospital

•NOTE – South Tyneside District Hospital may be coded at site level and is not included in the Acute Trust level data.

PCH12.1 Admissions by admission method

Data Table 1: Admissions by admission method


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Provider

Elective - booked, from waiting list,

planned

Emergency - other means,

including patients who

arrive via A&E department of

another HC provider

Emergency - via A&E services,

including casualty

department of provider

Emergency - via Bed Bureau,

including Central Bureau


Emergency - via General

Practitioner (GP)

Transfer of any admitted patient

from another hospital provider

Total

FREEMAN HOSPITAL 2,884 337 26 0 107 74 149 3,577

HEXHAM GENERAL HOSPITAL 7 2 16 0 0 0 181 206

NEWCASTLE GENERAL HOSPITAL ACUTE SERVICES 1,847 625 1,292 3 126 45 165 4,103

NORTH TYNESIDE GENERAL HOSPITAL 382 540 2,438 9 7 1,871 194 5,441

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 393 165 284 0 3 510 38 1,393

SOUTH TYNESIDE DISTRICT HOSPITAL 45 0 0 0 0 0 0 45

SUNDERLAND ROYAL HOSPITAL 3,217 131 3,935 2 130 8 77 7,500

THE ROYAL VICTORIA INFIRMARY 9,064 3,282 363 8 376 3,732 198 17,023

UNIVERSITY HOSPITAL OF HARTLEPOOL 412 243 210 0 8 430 0 1,303

UNIVERSITY HOSPITAL OF NORTH DURHAM 182 59 1 0 1 0 0 243

UNIVERSITY HOSPITAL OF NORTH TEES 725 881 2,462 27 52 2,416 47 6,610

WANSBECK HOSPITAL 365 37 415 0 15 1 41 874

NO SITE CODE (ACUTE TRUST INSTEAD)

CITY HOSPITALS SUNDERLAND NHS FT 378 0 13 0 10 0 1 402

COUNTY DURHAM AND DARLINGTON NHS FT 1,981 1,106 3,889 0 163 4,111 81 11,331

GATESHEAD HEALTH NHS FT 228 698 1,980 0 110 1,683 39 4,738

NORTHUMBRIA HEALTHCARE NHS FT 1 1 0 0 1 1 1 5

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 3,635 3,143 2,041 2,240 96 274 64 11,493

SOUTH TYNESIDE NHS FT 560 348 1,501 2 53 1,109 19 3,592

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 1,407 19 5 1 1 7 2 1,442

NE Region 27,713 11,617 20,871 2,292 1,259 16,272 1,297 81,321

National 481,541 128,902 428,051 6,087 14,344 198,080 22,769 1,279,774

PCH12.1 Admissions by admission method by site

Chart 1: Stacked Bar Admissions by admission method by site


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Children aged <16 years (Note: un-coded site-level data is not presented)

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Chart 2: Stacked Bar % Admissions by admission method by site


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PCH12.1 Admissions by admission method

Data Table 2: Admissions by admission method (Elective or Emergency)


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Provider Elective Emergency Total

FREEMAN HOSPITAL 2,884 544 3,428

HEXHAM GENERAL HOSPITAL 7 18 25

NEWCASTLE GENERAL HOSPITAL ACUTE SERVICES 1,847 2,091 3,938

NORTH TYNESIDE GENERAL HOSPITAL 382 4,865 5,247

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 393 962 1,355

SOUTH TYNESIDE DISTRICT HOSPITAL 45 0 45

SUNDERLAND ROYAL HOSPITAL 3,217 4,206 7,423

THE ROYAL VICTORIA INFIRMARY 9,064 7,761 16,825

UNIVERSITY HOSPITAL OF HARTLEPOOL 412 891 1,303

UNIVERSITY HOSPITAL OF NORTH DURHAM 182 61 243

UNIVERSITY HOSPITAL OF NORTH TEES 725 5,838 6,563

WANSBECK HOSPITAL 365 468 833


CITY HOSPITALS SUNDERLAND NHS FT 378 23 401

COUNTY DURHAM AND DARLINGTON NHS FT 1,981 9,269 11,250

GATESHEAD HEALTH NHS FT 228 4,471 4,699

NORTHUMBRIA HEALTHCARE NHS FT 1 3 4

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 3,635 7,794 11,429

SOUTH TYNESIDE NHS FT 560 3,013 3,573

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 1,407 33 1,440

NE Region 27,713 52,311 80,024

National 481,541 775,464 1,257,005


Chart 3: Stacked Bar Admissions by admission method by site (Elective or Emergency)


29


0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

Adm

issi

ons b

y m

etho

d fo

r chi

ldre

n <1

6y

Emergency

Elective


Chart 4: Stacked Bar % Admissions by admission method by site (Elective or Emergency)


30


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Adm

issi

ons b

y m

etho

d fo

r chi

ldre

n <1

6y

Emergency

Elective

QIPP1c – Number of emergency admissions via A&E or GP referral only by trust

Data Table 1: Number of emergency admissions via A&E or GP referral only by trust

Data obtained from HES 2008/09 – 2009/10

31

Provider Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09 FY 0809 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 FY 0910

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 841 1,014 970 1,036 3,861 935 1,014 930 1,078 3,957

COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 2,179 1,795 1,690 2,304 7,968 1,861 2,024 1,854 2,261 8,000

GATESHEAD HEALTH NHS FOUNDATION TRUST 1,044 883 738 1,078 3,743 1,020 878 726 1,039 3,663

NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 1,462 1,230 1,115 1,556 5,363 1,388 1,312 1,144 1,674 5,518

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 1,142 1,121 1,044 1,340 4,647 1,277 1,117 988 1,360 4,742

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 860 876 856 870 3,462 792 826 643 848 3,109

SOUTH TYNESIDE NHS FOUNDATION TRUST 639 459 495 708 2,301 686 609 524 791 2,610

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 1,725 1,517 1,458 1,830 6,530 1,153 1,514 1,426 1,451 5,544

NHS North East 9,892 8,895 8,366 10,722 37,875 9,112 9,294 8,235 10,502 37,143

NHS National 155,117 145,410 135,443 170,880 606,850 159,904 149,528 138,608 178,091 626,131

Children aged <16 years, emergency admissions


Chart 1: Time Series Number of emergency admissions via A&E or GP referral only by trust

32

Data obtained from HES 2008/09 – 2009/10

0

500

1,000

1,500

2,000

2,500

Num

ber e

mer

genc

y ad

mis

sion

s via

A&

E or

GP

refe

rral











Chart 2: Stacked Bar Chart Number of emergency admissions via A&E or GP referral only by trust

33

Data obtained from HES 2009/10Children aged <16 years, emergency admissions

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

CHSFT CDDT CHFT NTHFT NHFT STHFT STFT NUTFT

Adm

issi

ons

via

A&

E or

GP

refe

rral




Chart 3: Stacked Bar Chart % of emergency admissions via A&E or GP referral only by trust

34


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CHSFT CDDT CHFT NTHFT NHFT STHFT STFT NUTFT

Adm

issi

ons

via

A&

E or

GP

refe

rral



QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only

Data Table 1: Length of stay for emergency admissions via A&E or GP referral only


35


Provider

0 days (via A&E)

0 days (via GP)

1 days (via A&E)

1 days (via GP)

2-3 days (via A&E)

2-3 days (via GP)

4+ days (via A&E)

4+ days (via GP)

Total admissions (via A&E)

Total admissions

(via GP)

COUNTY DURHAM AND DARLINGTON NHS FT 1,817 2,152 1,423 1,352 484 451 163 156 3,887 4,111

SOUTH TEES HOSPITALS NHS FT 837 352 932 258 338 121 144 49 2,251 780

GATESHEAD HEALTH NHS FT 1,054 1,242 618 291 213 105 86 45 1,971 1,683

NORTH TEES AND HARTLEPOOL NHS FT 1,230 1,938 885 522 370 243 134 76 2,619 2,779

NORTHUMBRIA HEALTHCARE NHS FT 1,704 1,292 730 348 288 152 96 69 2,818 1,861

CITY HOSPITALS SUNDERLAND NHS FT 914 0 1,639 2 956 4 384 1 3,893 7

SOUTH TYNESIDE NHS FT 743 729 495 254 183 92 79 34 1,500 1,109

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 467 2,718 598 535 328 297 194 238 1,587 3,788

NE Region 8,766 10,423 7,320 3,562 3,160 1,465 1,280 668 20,526 16,118

National 167,553 105,839 140,203 52,910 70,888 25,415 32,675 11,187 411,319 195,351

QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only by trust

Chart 2: Stacked Bar Chart Length of stay for emergency admissions via A&E or GP referral only by trust

36


0

500

1000

1500

2000

2500

3000

3500

4000

4500


Leng

th o

f sta

y (d

ays)

for

em

erge

ncy

adm

issi

ons

< 16

y

4+ days (via GP)

2-3 days (via GP)

1 days (via GP)

0 days (via GP)

4+ days (via A&E)

2-3 days (via A&E)

1 days (via A&E)

0 days (via A&E)

QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only by trust

Chart 3: Stacked Bar Chart % Length of stay for emergency admissions via A&E or GP referral only by trust

37


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Leng

th o

f sta

y (d

ays)

for

em

erge

ncy

adm

issi

ons

< 16

y

4+ days (via GP)

2-3 days (via GP)

1 days (via GP)

0 days (via GP)

4+ days (via A&E)

2-3 days (via A&E)

1 days (via A&E)

0 days (via A&E)

PCH9.3 A&E attendance outcomes by paediatric patients by Trust

Table 1: Data A&E attendance outcomes by paediatric patients by Trust

38

Data obtained from HES 2009/10Children aged <16 years

Provider

Discharged - no follow up

reqd

Discharged - follow up by

GP

Referred to A&E

clinic/other professional

Admitted / became a

lodged patient

Left Department

before being treated/refused treatment

Transferred to other

Health Care Provider

Other and unknown

Total

CITY HOSPITALS SUNDERLAND NHS FT 16,028 926 2,144 4,684 167 110 1,628 25,687

COUNTY DURHAM AND DARLINGTON NHS FT 9,428 8,990 1,297 3,556 616 137 3,118 27,142

GATESHEAD HEALTH NHS FT 6,899 1,399 238 1,880 149 122 1,175 11,862

NORTH TEES AND HARTLEPOOL NHS FT 18,449 899 258 2,561 288 166 692 23,313

NORTHUMBRIA HEALTHCARE NHS FT 18,469 2,488 3,214 2,738 827 797 3,058 31,591

SOUTH TEES HOSPITALS NHS FT 13,565 3,552 623 2,943 313 2 3,882 24,880

SOUTH TYNESIDE NHS FT 2 6,853 337 1,402 375 110 1,206 10,285

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 3,908 6,427 177 1,786 573 43 1,212 14,126

NHS North East 86,748 31,534 8,288 21,550 3,308 1,487 15,971 168,886

NHS National 1,658,698 600,130 180,854 414,566 84,261 58,701 311,296 3,308,506

Data CommentaryThere are known data quality issues with the HES A&E data universe. The counts listed here are likely under-representative of true volumes and should be used with caution. For example, it is known that NUTH volumes are approximately 44% less when comparing HES A&E to the hospital PAS.

A&E attendances that result in hospital admission are highlighted in the amber box.


Chart 1: Stacked bar A&E attendance outcomes by paediatric patients by Trust

39

Data obtained from HES 2009/10Children aged <16 years

18.2%

13.1% 15.8%

11.0%

8.7%

11.8% 13.6%

12.6% 12.8% 12.5%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CHSF

T

CDD

FT

GH

FT

NTH

FT

NH

FT

STH

FT

STFT

NU

TFT

NE

REG

ION

NAT

ION

AL

Prim

ary

A&

E att

enda

nce

outc

ome

by t

rust Other and unknown

Transferred to other Health Care Provider

Left Department before being treated/refused treatmentAdmitted / became a lodged patient

Referred to A&E clinic/other professional

Discharged - follow up by GP

Discharged - no follow up reqd


Chart 2: Pie chart A&E attendance outcomes by paediatric patients by Trust (region and national views)

40


50%

18%

5%

13%

3%2% 9%

NHS NationalPrimary A&E attendance outcome

62%

4%

8%

18%

1%1%

6%

NHS NE SHAPrimary A&E attendance outcome


PCH8.11.2 – Length of Stay for Children by trust

Data Table 1: Length of Stay for Children by trust


41

Children aged <16 years, Emergency admissions

Provider 0 days 1 days 2-3 days 4+ daysTotal

Spells

COUNTY DURHAM AND DARLINGTON NHS FT 4,557 3,119 1,147 443 9,266

SOUTH TEES HOSPITALS NHS FT 4,494 2,446 1,094 564 8,598

GATESHEAD HEALTH NHS FT 2,829 1,064 395 174 4,462

NORTH TEES AND HARTLEPOOL NHS FT 3,873 1,618 782 322 6,595

NORTHUMBRIA HEALTHCARE NHS FT 3,308 1,247 532 198 5,285

CITY HOSPITALS SUNDERLAND NHS FT 1,073 1,710 1,021 425 4,229

SOUTH TYNESIDE NHS FT 1,671 845 331 165 3,012

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 5,292 2,004 1,426 1,302 10,024

NE Region 27,097 14,053 6,728 3,593 51,471

National 339,762 223,178 119,018 66,523 748,481


Chart 1: Stacked Bar Length of Stay for Children by trust


42


0

2,000

4,000

6,000

8,000

10,000

12,000


Tota

l spe

lls b

y le

ngth

of s

tay

(day

s)

<16y

4+ days

2-3 days

1 days

0 days


Chart 2: Stacked Bar % of Length of Stay for Children by trust


43


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


% s

pells

by

leng

th o

f sta

y (d

ays)

<1

6y

4+ days

2-3 days

1 days

0 days

PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust

Data Table 1: Length of Stay for Children with Breathing Difficulties by trust


44


Provider 0 days 1 days 2-3 days 4+ days Total

COUNTY DURHAM AND DARLINGTON NHS FT 1,142 795 266 136 2,339

SOUTH TEES HOSPITALS NHS FT 1,232 633 298 131 2,294

GATESHEAD HEALTH NHS FT 791 305 126 56 1,278

NORTH TEES AND HARTLEPOOL NHS FT 1,047 399 226 85 1,757

NORTHUMBRIA HEALTHCARE NHS FT 988 361 155 49 1,553

CITY HOSPITALS SUNDERLAND NHS FT 213 481 303 100 1,097

SOUTH TYNESIDE NHS FT 441 208 97 44 790

THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 944 327 255 186 1,712

NE Region 6,798 3,509 1,726 787 12,820

National 85,094 55,435 29,592 15,096 185,217


Chart 1: Stacked Bar Length of Stay for Children with Breathing Difficulties by trust


45


0

500

1,000

1,500

2,000

2,500


Tota

l spe

lls b

y le

ngth

of s

tay

(day

s)

Brea

thin

g D

ifficu

lties

for

chi

ldre

n <1

6y

4+ days

2-3 days

1 days

0 days


Chart 2: Stacked Bar % Length of Stay for Children with Breathing Difficulties by trust


46


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


% s

pells

by

leng

th o

f sta

y (d

ays)

Br

eath

ing

Diffi

culti

es fo

r chi

ldre

n <1

6y

4+ days

2-3 days

1 days

0 days

PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site

Data Table 1: Length of Stay for Children with Breathing Difficulties by site


47



FREEMAN HOSPITAL 6 18 15 10 49

HEXHAM GENERAL HOSPITAL 1 0 0 0 1

NEWCASTLE GENERAL HOSPITAL ACUTE SERVICES 91 112 108 71 382

NORTH TYNESIDE GENERAL HOSPITAL 939 359 154 49 1,501

SOUTH TEES HOSPITALS NHS FT 120 96 44 15 275

SUNDERLAND ROYAL HOSPITAL 213 481 303 100 1,097

THE ROYAL VICTORIA INFIRMARY 846 196 131 105 1,278

UNIVERSITY HOSPITAL OF HARTLEPOOL 221 1 0 0 222

UNIVERSITY HOSPITAL OF NORTH TEES 826 398 226 85 1,535

WANSBECK HOSPITAL 48 2 1 0 51



GATESHEAD HEALTH NHS FT 791 305 126 56 1,278



THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 1 1 1 0 3

NE Region 3,311 1,663 982 435 6,391

National 85,094 55,435 29,592 15,096 185,217


Chart 1: Stacked Bar Length of Stay for Children with Breathing Difficulties by site


48

Children aged <16 years, Emergency admissions (Note: un-coded site-level data is not presented)

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

Tota

l spe

lls b

y le

ngth

of s

tay

(day

s)

Brea

thin

g D

ifficu

lties

for c

hild

ren

<16y

4+ days

2-3 days

1 days

0 days


Chart 2: Stacked Bar % Length of Stay for Children with Breathing Difficulties by site


49

Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% s

pells

by

leng

th o

f sta

y (d

ays)

Br

eath

ing

Diffi

culti

es fo

r chi

ldre

n <1

6y

4+ days

2-3 days

1 days

0 days

PCH9.5.2b – Length of Stay for gastrointestinal problems by trust

Data Table 1: Length of Stay for gastrointestinal problems by trust


50



COUNTY DURHAM AND DARLINGTON NHS FT 677 486 167 70 1,400

SOUTH TEES HOSPITALS NHS FT 816 335 148 64 1,363

GATESHEAD HEALTH NHS FT 496 174 62 21 753

NORTH TEES AND HARTLEPOOL NHS FT 686 259 128 44 1,117

NORTHUMBRIA HEALTHCARE NHS FT 603 212 97 29 941

CITY HOSPITALS SUNDERLAND NHS FT 114 253 156 70 593


THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 651 206 160 124 1,141

NE Region 4,311 2,079 964 436 7,790

National 48,715 32,066 17,406 7,160 105,347


Chart 1: Stacked Bar Length of Stay for gastrointestinal problems by trust


51


0

200

400

600

800

1,000

1,200

1,400

1,600


Tota

l spe

lls b

y le

ngth

of s

tay

(day

s)

GI p

robl

ems f

or c

hild

ren

<16y

4+ days

2-3 days

1 days

0 days


Chart 2: Stacked Bar % Length of Stay for gastrointestinal problems by trust


52


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


% s

pells

by

leng

th o

f sta

y (d

ays)

G

I pro

blem

s for

chi

ldre

n <1

6y

4+ days

2-3 days

1 days

0 days

PCH9.5.2 – Length of Stay for gastrointestinal problems by site

Data Table 1: Length of Stay for gastrointestinal problems by site


53





NORTH TYNESIDE GENERAL HOSPITAL 578 209 97 29 913

SOUTH TEES HOSPITALS NHS FT 61 59 28 8 156

SUNDERLAND ROYAL HOSPITAL 114 253 156 70 593

THE ROYAL VICTORIA INFIRMARY 623 176 141 109 1,049


UNIVERSITY HOSPITAL OF NORTH TEES 526 259 127 44 956



COUNTY DURHAM AND DARLINGTON NHS FT 677 486 167 70 1,400

GATESHEAD HEALTH NHS FT 496 174 62 21 753

SOUTH TEES HOSPITALS NHS FT 755 276 120 56 1,207



NE Region 4,311 2,079 964 436 7,790

National 48,715 32,066 17,406 7,160 105,347


Chart 1: Stacked Bar Length of Stay for gastrointestinal problems by site


54


0

200

400

600

800

1,000

1,200

Tota

l spe

lls b

y le

ngth

of s

tay

(day

s)

GI p

robl

ems f

or c

hild

ren

<16y

4+ days

2-3 days

1 days

0 days


Chart 2: Stacked Bar % Length of Stay for gastrointestinal problems by site


55


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% s

pells

by

leng

th o

f sta

y (d

ays)

G

I pro

blem

s for

chi

ldre

n <1

6y

4+ days

2-3 days

1 days

0 days

PCH9.6.2b – Length of Stay for fever by trust

Data Table 1: Length of Stay for fever by trust


56





GATESHEAD HEALTH NHS FT 1,022 363 115 59 1,559

NORTH TEES AND HARTLEPOOL NHS FT 1,352 438 239 102 2,131

NORTHUMBRIA HEALTHCARE NHS FT 1,188 402 161 54 1,805

CITY HOSPITALS SUNDERLAND NHS FT 246 480 302 108 1,136


THE NEWCASTLE UPON TYNE HOSPITALS NHS FT 1,334 393 263 205 2,195

NE Region 8,661 3,975 1,809 871 15,316

National 100,040 58,699 31,102 16,731 206,572


Chart 1: Stacked Bar Length of Stay for fever by trust


57


0

500

1,000

1,500

2,000

2,500

3,000

3,500


Tota

l spe

lls b

y le

ngth

of s

tay

(day

s)

Feve

rish

Illn

ess

for c

hild

ren

<16y

4+ days

2-3 days

1 days

0 days


Chart 2: Stacked Bar % Length of Stay for fever by trust


58


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


% sp

ells

by

leng

th o

f sta

y (d

ays)

Fe

veri

sh Il

lnes

s fo

r chi

ldre

n <1

6y

4+ days

2-3 days

1 days

0 days

PCH9.6.2 – Length of Stay for fever by site

Data Table 1: Length of Stay for fever by site


59





NORTH TYNESIDE GENERAL HOSPITAL 1,142 399 161 54 1,756

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 137 98 48 17 300

SUNDERLAND ROYAL HOSPITAL 246 480 302 108 1,136

THE ROYAL VICTORIA INFIRMARY 1,223 236 138 113 1,710


UNIVERSITY HOSPITAL OF NORTH TEES 1,071 437 239 102 1,849




GATESHEAD HEALTH NHS FT 1,022 363 115 59 1,559




NE Region 8,661 3,975 1,809 871 15,316

National 100,040 58,699 31,102 16,731 206,572


Chart 1: Stacked Bar Length of Stay for fever by site


60


0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

Tota

l spe

lls b

y le

ngth

of s

tay

(day

s)

Feve

rish

Illn

ess f

or c

hild

ren

<16y

4+ days

2-3 days

1 days

0 days


Chart 2: Stacked Bar % Length of Stay for fever by site


61


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% s

pells

by

leng

th o

f sta

y (d

ays)

Fe

veri

sh Il

lnes

s for

chi

ldre

n <1

6y

4+ days

2-3 days

1 days

0 days

62

DATA SPECIFICATIONSHIGH LEVEL NOTES

63


• Data Source:Department of Health KH03 Beds Overnight data 2004/05, 2005/06, 2006/07,

2007/08, 2008/09, 2009/10

• Indicator:Average daily number of available Paediatric beds per annum by trust

• Data Handling Notes:In order to indentify Paediatric beds the following ward designations were used:• (1) Intensive care: neonates• (2) Intensive care: paediatric • (8) Other general & acute: neonates and children

64


• Data Source:Department of Health KH03 Beds Overnight data 2004/05, 2005/06, 2006/07,

2007/08, 2008/09, 2009/10ONS population data mid 2004 to mid 2009 (yearly data files)

• Indicator:Average daily number of available Paediatric beds per annum by 100,000 population

• Data Handling Notes:Age <16yIn order to indentify Paediatric beds the following ward designations were used:• (1) Intensive care: neonates• (2) Intensive care: paediatric • (8) Other general & acute: neonates and childrenONS population data is reported at the PCT-level. Acute trusts were, therefore, mapped to one or more distinct PCTs in order to associate ONS population data to the acute trust level. See next slide for mapping details.

65

PCH9.1a – Occupied beds per 100,000 population (cont’d)

• Data Handling Notes:Acute trust to PCT mapping:

CODE TRUST PCT(s)RE9 SOUTH TYNESIDE NHS FT South TynesideRLN CITY HOSPITALS SUNDERLAND NHS FT Sunderland TeachingRR7 GATESHEAD HEALTH NHS FT GatesheadRTD NEWCASTLE UPON TYNE HOSPITALS NHS FT NewcastleRTF NORTHUMBRIA HEALTHCARE NHS FT 1) Northumberland Care Trust 2) North TynesideRTR SOUTH TEES HOSPITALS NHS TRUST 1) Middlesbrough 2) Redcar and ClevelandRVW NORTH TEES AND HARTLEPOOL NHS FT 1) Hartlepool 2) Stockton-on-Tees TeachingRXP COUNTY DURHAM AND DARLINGTON NHS FT 1) County Durham 2) Darlington

• Where PCH9.1 reports the average number of daily paediatric beds available per annum at the acute trust level, PCH9.1a reports that same number adjusted to a population of 100,000 where the population of the one or more PCTs has been mapped to the acute trust.

66

PCH9.2a – Overnight Paediatric bed (staffed) occupancy rate by trust

• Data Source:Department of Health KH03 Beds Overnight data, 2004/05, 2005/06, 2006/07,

2007/08, 2008/09, 2009/10

• Indicator:Overnight Paediatric bed (staffed) occupancy rate by trust

• Data Handling Notes:In order to stratify by Paediatric beds the following ward designations were used:• (1) Intensive care: neonates• (2) Intensive care: paediatric • (8) Other general & acute: neonates and children

67

PCH9.2b – Paediatric Throughput by trust

• Data Source:Department of Health KH03 Beds Overnight data 2008/09, 2009/10HES 2008/09, 2009/10

• Indicator:Ratio of average daily Paediatric episodes to average available beds per day

• Data Handling Notes:In order to stratify by Paediatric beds the following ward designations were used:• (1) Intensive care: neonates• (2) Intensive care: paediatric • (8) Other general & acute: neonates and children

Number of paediatric admissions is defined as all in year episodes where: • Age at start of episode “startage” < 16Divided by 365, giving average episodes per day.

68

PCH12.1b – Admissions by admission method by trust

• Data Source:Hospital Episodes Statistics, 2009/10

• Indicator:Admissions by admission method (to provide insight to % and number children who go to the current Paediatric assessment units via GP referral or emergency unit/A&E)

• Data Handling Notes:Age at start of episode “startage” < 16Admission methods from HES have been categorised as shown on next slide

69

PCH12.1 – Admissions by admission method by site

• Data Source:Hospital Episodes Statistics, 2009/10

• Indicator:Admissions by admission method (to provide insight to % and number children who go to the current Paediatric assessment units via GP referral or emergency unit/A&E)

• Data Handling Notes:Age at start of episode “startage” < 16Admission methods from HES have been categorised as shown on next slide

70

PCH12.1 – Admissions by admission method (cont’d)

• Data Handling Notes:Only the following admission methods from HES have been used, categorised as follows:

Admission methods of Maternity, Unknown and “Other – babies born in HC or outside of HC Provider have been excluded here, but may be included in the totals.

HES Admission Code Category

Elective - booked Elective - booked, from waiting list, planned

Elective - from waiting list Elective - booked, from waiting list, planned

Elective - planned Elective - booked, from waiting list, plannedEmergency - other means, including patients who arrive via A&E department of another

Emergency - other means, including patients who arrive via A&E department of another





Emergency - via consultant out-patient clinic Emergency - via consultant out-patient clinic

Emergency - via General Practitioner (GP) Emergency - via General Practitioner (GP)Transfer of any admitted patient from another hospital provider


14 June 2010 71

QIPP1c – Number of emergency admissions via A&E or GP referral only

• Data Source:HES 2008/09, 2009/10

• Indicator:Number of emergency admissions by trust, by quarter (Emergency admissions via A&E or GP referral only)

• Data Handling Notes:Age <16yADMIMETH = emergency admission code 21 or 22Count of in-year admissions

14 June 2010 72

QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only

• Data Source:HES 2008/09, 2009/10

• Indicator:Length of stay for emergency admissions by trust, by quarter (Emergency admissions via A&E or GP referral only)

• Data Handling Notes:Age <16yADMIMETH = emergency admission code 21 or 22Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days

73

PCH9.3 – A&E attendance outcomes by paediatric patients by Trust

• Data Source:Hospital Episodes Statistics A&E Universe (HES) 2009/10

• Indicator:A&E attendance outcomes by paediatric patients by Trust

• Data Handling Notes:Age on arrival “arrivalage” < 16Total attendances by attendance disposal categoryData grouped as follows:

HES Attendance Disposal Analysis Grouping of Attendance DisposalDischarged - no follow up reqd Discharged - no follow up reqdDischarged - follow up by GP Discharged - follow up by GPReferred to A&E Clinic Referred to A&E clinic/other professional Referred to other health care professional Referred to A&E clinic/other professional Admitted / became a lodged patientAdmitted / became a lodged patientLeft Department before being treated Left Department before being treated/refused treatmentLeft Department having refused treatment Left Department before being treated/refused treatmentTransferred to other Health Care Provider Transferred to other Health Care ProviderDied in Department Other and unknownNot known Other and unknownOther Other and unknownReferred to Fracture Clinic Other and unknownReferred to other OP Clinic Other and unknown

PCH8.11.2 – Length of Stay for by trust

• Data Source:Hospital Episodes Statistics 2009/10

• Indicator:LOS for children (emergency admissions)

• Data Handling Notes:o Length of stay (where length of stay = discharge date – admission date for each episode), grouped by

0 days, 1 day, 2-3 days and 4+ dayso Age at admission “admiage” < 16o Admission method “admimeth” = emergency



• Indicator:LOS for children with a primary diagnosis at emergency admission of a breathing difficulty


0 days, 1 day, 2-3 days and 4+ dayso Age at admission “admiage” < 16o Primary diagnosis “in list of ICD10 codes:

o R060 (dyspnea)o J45*, J46* (Asthma)o A37* (Whooping cough)o J00* - J22* (Respiratory infections)o B349 with secondary diagnosis of R062 (Viral Wheeze)o R061 (Stridor)

o Admission method “admimeth” = emergency



• Indicator:LOS for children with a primary diagnosis at emergency admission of a breathing difficulty


0 days, 1 day, 2-3 days and 4+ dayso Age at admission “admiage” < 16o Primary diagnosis “in list of ICD10 codes:

o R060 (dyspnea)o J45*, J46* (Asthma)o A37* (Whooping cough)o J00* - J22* (Respiratory infections)o B349 with secondary diagnosis of R062 (Viral Wheeze)o R061 (Stridor)




• Indicator:LOS for children with a primary diagnosis at emergency admission of gastrointestinal problems

• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ dayso Age at admission “admiage” < 16o Primary diagnosis in list of ICD10 codes:

o A00* Cholera. A01* Typhoid and Paratyphoid Fevers. A02* Other Salmonella Infections, A03* Shigellosisl, A04* Other Bacterial Intestinal Infections, .A05* Other Bacterial Foodborne Intoxications, A06* Amoebiasis, A07* Other Protozoal Intestinal Diseases, A08* Viral and Other Specified Intestinal Infections, A09* Diarrhea and Gastroenteritis of Presumed Infectious Origin

o K21* GORD, K50*, K51*, Crohns and UC, K528, K529 other specified and Noninfective gastroenteritis and colitis, unspecified, K25*-K38* Appendicitis. K561 Intussusceptions, K590 Constipation

o R100 – R104 Abdominal pain. o R14* Flatulence & related conditions




• Indicator:LOS for children with a primary diagnosis at emergency admission with a primary diagnosis of feverish illness

• Data Handling Notes:Total emergency admissions

• Age at admission “admiage” < 16• Primary diagnosis in list of ICD10 codes:

O R50* Fever of other and unknown origin o A39 * Meningococcalo A40* -A41* Septicaemia o A488 Other specified bacterialo A490, A491, A492 Staph, Strep and HiB o A499 Bacterial unspecifiedo A85* - A87* Viral encephalitis o B05* Measleso B06* Rubella o B26* Mumpso B27* CMV o B30*, B34* Adenoviruso B99* Other unspecified infectious disease o J00* - J22* Respiratory infections


neqos children’s health indicators 13 dec 2010 1

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