Health: Elderly People

House of Lords written question – answered at on 23 April 2012.

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Photo of Lord Lester of Herne Hill Lord Lester of Herne Hill Liberal Democrat

To ask Her Majesty's Government how many (1) admissions, and (2) emergency admissions, took place for (a) hip replacement, (b) knee replacement, (c) coronary artery bypass graft, (d) cochlea implant, and (e) cholecystectomy procedures, for patients aged (i) 75-79, (ii) 80-84, (iii) 85-89, (iv) 90-94 and, (v) 95 years and over, in each of the last three years for which data are available.

Photo of Earl Howe Earl Howe The Parliamentary Under-Secretary of State for Health

The information is shown in the following tables.

Total number of finished admissions episodes1 (FAEs) and FAEs where the method of admission is emergency3 where a main operative procedure2 as identified has been carried out, by age group for 2008-09, 2009-10 and 2010-11.

Activity in English National Health Services Hospitals and English NHS commissioned activity in the independent sector.

Patient Age Group Hip replacement
2008-09 2009-10 2010-11
Total FAEs Emergency FAEs Total FAEs Emergency FAEs Total FAEs Emergency FAEs
75-79 15,917 4,670 15,890 4,769 16,420 4,731
80-84 13,054 6,435 13,215 6,546 13,960 6,649
85-89 9,904 6,900 10,067 7,123 9,976 7,031
90-94 3,633 3,130 3,670 3,187 4,263 3,669
95 & over 1,263 1,202 1,283 1,224 1,271 1,215

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

Patient Age Group Knee replacement
2008-09 2009-10 2010-11
Total FAEs Emergency FAEs Total FAEs Emergency FAEs Total FAEs Emergency FAEs
75-79 13,382 64 12,716 61 13,075 35
80-84 7,735 80 7,510 50 7,685 61
85-89 2,721 37 2,736 42 2,860 45
90-94 278 12 274 9 383 7
95 & over 20 4 31 3 21 3

Source Hospital Episode Statistics (HES), Health and Social Care Information Centre

Patient Age Group Coronary artery bypass graft
2008-09 2009-10 2010-11
Total FAEs Emergency FAEs Total FAEs Emergency FAEs Total FAEs Emergency FAEs
75-79 546 20 449 16 455 15
80-84 322 8 303 17 304 15
85-89 83 1 97 8 86 4
90-94 8 - 4 1 3 -
95 & over - - - - - -

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

Patient Age Group Cochlea Implant
2008-09 2009-10 2010-11
Total FAEs Emergency FAEs Total FAEs Emergency FAEs Total FAEs Emergency FAEs
75-79 33 - 35 - 32 -
80-84 20 1 16 - 16 -
85-89 7 - 5 - 7 -
90-94 2 - 2 - 3 -
95 & over - - - - - -

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

Patient Age Group Cholecystectomy
2008-09 2009-10 2010-11
Total FAEs Emergency FAEs Total FAEs Emergency FAEs Total FAEs Emergency FAEs
75-79 2,864 283 2,958 332 2,982 318
80-84 1,194 180 1,282 186 1,302 198
85-89 429 105 424 90 379 85
90-94 47 22 44 19 63 24
95 & over 4 2 8 3 6 4

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

1 FAE

An FAE is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.

2 Main procedure

The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (eg time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.

3 Emergency Admissions

An emergency admission is one where the admission method is recorded as one of the following codes:

21 Emergency - via Accident and Emergency (A&E) services, including the casualty department of the provider.

22 Emergency - via General Practitioner (GP)

23 Emergency - via Bed Bureau, including the Central Bureau

24 Emergency - via consultant out-patient clinic

28 Emergency - other means, including patients who arrive via the A&E department

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