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Heart Diseases: Health Services

Health written question – answered on 18th June 2009.

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Photo of Andrew George Andrew George Liberal Democrat, St Ives

To ask the Secretary of State for Health pursuant to the answer of 21 May 2009, Official Report, column 1596W, on heart disease

(1) how many finished consultant episodes for congenital heart disease in those aged 16 years old there were in each primary care trust area in 2007-08;

(2) how many of those consultant episodes involving a consultant whose specialism was paediatric cardiology there were in each NHS hospital trust.

Photo of Ann Keen Ann Keen Parliamentary Under-Secretary, Department of Health

The following tables and notes show how many finished consultant episodes for congenital heart disease in those aged 16 years old there were in primary care trust areas (where data have been submitted) in 2007-08. They also show, for grown-ups with congenital heart disease, how many consultant episodes involved a consultant whose specialism was paediatric cardiology in each national health service hospital trust.

Count of finished consultant episodes for congenital heart disease * for those aged 16 only, by primary care trust (PCT) of treatment, 2007-08. Activity in English NHS hospitals and English NHS commissioned activity in the independent sector
PCT code PCT name Total episodes
5D7 Newcastle PCT *
5J9 Darlington PCT *
5K7 Camden PCT 31
5L1 Southampton City PCT *
5LA Kensington and Chelsea PCT 26
5LD Lambeth PCT *
5LE Southwark PCT 7
5M1 South Birmingham PCT *
5MX Heart of Birmingham Teaching PCT 7
5N1 Leeds PCT 8
5N4 Sheffield PCT *
5N6 Derbyshire County PCT *
5N9 Lincolnshire Teaching PCT *
5NL Liverpool PCT 10
5NT Manchester PCT *
5NV North Yorkshire and York PCT *
5P2 Bedfordshire PCT *
5P8 Hastings and Rother PCT *
5PC Leicester City PCT 10
5PW North East Essex PCT *
5QE Oxfordshire PCT *
5QJ Bristol PCT *
5QQ Devon PCT *
Total 130
Count of finished consultant episodes for congenital heart disease* for those aged 16 and over by paediatric cardiology specialty and hospital provider, 2007-08. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
Hospital provider code Hospital provider name Total e pisodes
RA7 United Bristol Healthcare NHS Trust 56
RBS Royal Liverpool Children's NHS Trust 15
RHM Southampton University Hospitals NHS Trust *
RJ1 Guy's and St Thomas' NHS Foundation Trust 61
RP4 Great Ormond Street Hospital For Children NHS Trust 264
RQ3 Birmingham Children's Hospital NHS Foundation Trust 13
RR8 Leeds Teaching Hospitals NHS Trust 76
RT3 Royal Brompton and Harefield NHS Trust 14
RTH Oxford Radcliffe Hospitals NHS Trust *
RWE University Hospitals Of Leicester NHS Trust 84
Total 593
Notes: Consultant main specialty This defines the specialty under which the consultant responsible for the care of the patient at that time is registered. Care is needed when analysing Hospital Episode Statistics (HES) data by specialty, or by groups of specialties (such as "acute"). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other patient or service information. Ungrossed data Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). Finished Consultant Episode (FCE). A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one health care provider. FCEs are counted against the year in which they end. The figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Primary diagnosis The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital. *The following ICD-10 codes have been used: Q20—Congenital malformations of cardiac chambers and connections Q21—Congenital malformations of cardiac septa Q22—Congenital malformations of pulmonary and tricuspid valves Q23—Congenital malformations of aortic and mitral valves Q24—Other congenital malformations of heart. Data quality HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) 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. Small numbers To protect patient confidentiality, figures between 1 and 5 have been suppressed and replaced with "*" (an asterisk). Where it was possible to identify numbers from the total due to a single suppressed number in a row or column, an additional number (the next smallest) has been suppressed. PCT/SHA data quality PCT and SHA data were added to historic data years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of general practitioner (GP) practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data. Hospital providers A provider code is a unique code that identifies an organisation acting as a health care provider (e.g. NHS trust or PCT). Hospital providers can also include Treatment Centres (TC). Treatment Centres (also known as Diagnostic Centres) provide elective (planned) surgery for a range of conditions, mainly for day surgery or short-term hospital stay patients. Some Treatment Centres are attached to hospital trusts and HES enables data for these to be separately identified from the rest of the health care provider's data. It does this by adding TC to the trust code; if there is more than one per Trust T1, T2, T3 etc. are suggested unless already in use by the trust. Activity performed in the remainder of the trust is identified by the health care provider code being followed by an 'X'. Hospital providers beginning with an 'N' indicates an independent sector health care provider. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

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