Cardiovascular System: Greater London

Health written question – answered on 5th September 2013.

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Photo of Nick de Bois Nick de Bois Conservative, Enfield North

To ask the Secretary of State for Health how many (a) myocardial infarction and (b) suspected myocardial infarction emergency (i) attendances and (ii) admittances there were in each of the last three years at (A) The Royal Free Hospital, (B) Barnet and Chase Farm Hospital, (C) Whittington Hospital, (D) The Royal London (Barts) Hospital and (E) North Middlesex and University College Hospital London.

Photo of Anna Soubry Anna Soubry The Parliamentary Under-Secretary of State for Health

The information is not available in the format requested.

The following table provides data on the count of finished episodes with a primary diagnosis of myocardial infarction by the requested hospital providers for emergency via accident and emergency (A and E), and for emergency via all emergency admissions for 2009-10, 2010-11 and 2011-12.

It is not possible to separately identify myocardial infarction diagnosis as the A and E datasets use broad classifications. In addition, it is not possible to identify suspected myocardial infarction but, only those records where diagnosis has been recorded.

Count of finished admission episodes(1) with a primary diagnosis(2) of myocardial infarction by selected providers(3) for emergency admissions via A&E and all emergency admissions(4) for 2009-10 to 2011-12
Activity in English NHS hospitals and English NHS commissioned activity in the independent sector
  2009-10 2010-11 2011-12
Provider name Emergency admissions via A&E All emergency admissions Emergency admissions via A&E All emergency admissions Emergency admissions via A&E All emergency admissions
Barnet and Chase Farm Hospitals NHS Trust 404 426 341 375 319 355
Barts and The London NHS Trust 110 527 123 649 146 1,077
North Middlesex University Hospital NHS Trust 218 228 161 168 250 257
Royal Free Hampstead NHS Trust 126 232 194 339 175 383
The Whittington Hospital NHS Trust 93 99 109 112 107 110
University College London Hospitals NHS Foundation Trust 75 216 95 243 109 215
(1 )Finished admission episodes A finished admission episode (FAE) is the first period of inpatient care under one consultant within one health care provider. FAEs are counted against the year or month 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 period. (2 )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 hospital episode statistics (HES) data set and provides the main reason why the patient was admitted to hospital. ICD-10 Codes used: 121—Acute myocardial infarction 122—Subsequent myocardial infarction (3 )Hospital Provider A provider code is a unique code that identifies an organisation acting as a health care provider (eg NHS Trust or PCT). Data from some independent sector providers, where the onus for arrangement of dataflows is on the commissioner, may be missing. Care must be taken when using this data as the counts may be lower than true figures. (4 )Method of Admission The recorded method of admission to hospital and whether the admission was elective, emergency or maternity related. In this case the following code groups were used. Emergency Admissions via A&E 21—Emergency: via Accident and Emergency (A&E) services, including the casualty department of the provider All Emergency Admissions 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 outpatient clinic 28—Emergency: other means, including patients who arrive via the A&E department of another healthcare provider Note: Assessing growth through time (inpatients) HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity, (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

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