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Written question asked by Virendra Sharma (Labour) on Thursday, 27 October 2011, in the House of Commons. It was due for an answer on Monday, 31 October 2011. It was answered by Paul Burstow (Liberal Democrat) on Wednesday, 2 November 2011 on behalf of the Department of Health.


Pain

Question
To ask the Secretary of State for Health how many (a) elective and (b) emergency (i) admissions and (ii) bed days were recorded for patients with a primary diagnosis of chronic pain in each primary care trust in the last year for which figures are available.
Answer

The information requested is in the following table.

Number of finished admission episodes¹ and number of finished consultant episode (FCE) bed days² by method of admission³ with a primary diagnosis of chronic pain4 by primary care trust of residence5 2009-10
Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
Finished admission episodes FCE bed days
Primary care trust Elective Emergency Unknown Elective Emergency Unknown
East Midlands SHA
Bassetlaw PCT * 0 0 0 0 0
Derby City PCT * * 0 0 31 0
Derbyshire County PCT 9 8 0 25 22 0
Leicester city PCT * * 0 0 2 0
Leicestershire County and Rutland PCT 6 11 * 39 49 57
Northamptonshire Teaching PCT * * 0 0 72 0
Nottingham City PCT 7 * 0 0 1 0
Nottinghamshire County Teaching PCT * 6 0 20 72 0
East of England SHA
Bedfordshire PCT 18 * 0 37 6 0
Cambridgeshire PCT 22 9 0 0 60 0
East and North Hertfordshire PCT 20 * 0 11 27 0
Great Yarmouth and Waveney PCT * * 0 12 15 0
Luton PCT * * 0 0 40 0
Mid Essex PCT 23 0 0 0 0 0
Norfolk PCT 47 9 * 60 109 27
North East Essex PCT 7 0 0 0 0 0
Peterborough PCT * * 0 25 9 0
South East Essex PCT 9 7 0 38 55 0
South West Essex PCT 16 * 0 18 90 0
Suffolk PCT 16 8 0 29 69 0
West Essex PCT 11 * 0 30 12 0
West Hertfordshire PCT 10 * 0 20 2 0
London SHA
Barking and Dagenham PCT 12 0 0 3 0 0
Barnet PCT 16 * 0 18 24 0
Bexley Care Trust 18 * * 3 3 1
Brent Teaching PCT 10 * 0 1 34 0
Bromley PCT 13 * 0 0 22 0
Camden PCT 30 0 0 2 0 0
City and Hackney Teaching PCT 9 * 0 0 4 0
Croydon PCT 11 * 0 25 8 0
Ealing PCT 7 11 0 10 134 0
Enfield PCT 37 * 0 15 4 0
Greenwich Teaching PCT 19 * 0 16 22 0
Hammersmith and Fulham PCT * * 0 0 16 0
Haringey Teaching PCT 14 * 0 0 6 0
Harrow PCT 12 * 0 19 13 0
Havering PCT 13 * 0 8 0 0
Hillingdon PCT 12 * 0 0 0 0
Hounslow PCT 8 * 0 12 32 0
Islington PCT 24 * 0 0 36 0
Kensington and Chelsea PCT * * 0 45 4 0
Lambeth PCT 13 0 0 0 25 0
Lewisham PCT 29 * 0 4 7 0
Newham PCT 6 * 0 0 3 0
Redbridge PCT 8 * 0 0 62 0
Richmond and Twickenham PCT * 0 0 0 0 0
Southwark PCT 25 * 0 0 15 0
Sutton and Merton PCT 11 * 0 24 8 0
Tower hamlets PCT * * 0 0 2 0
Waltham forest PCT 18 * 0 4 47 0
Wandsworth PCT 9 * 0 17 20 0
Westminster PCT 6 * 0 4 0 0
North East SHA
County Durham PCT 16 7 * 21 21 2
Gateshead PCT 0 8 0 0 29 0
Middlesbrough PCT 0 * 0 0 5 0
Newcastle PCT 0 * 0 0 3 0
North Tyneside PCT * * 0 0 0 0
Northumberland Care Trust * 0 0 3 0 0
Redcar and Cleveland PCT * * 0 2 16 0
South Tyneside PCT * * 0 0 8 0
Stockton-on-Tees Teaching PCT 0 * 0 0 2 0
Sunderland Teaching PCT * * 0 1 16 0
North West SHA
Ashton, Leigh and Wigan PCT 45 * 0 4 7 0
Blackburn with Darwen PCT * * 0 0 4 0
Blackpool PCT 0 * 0 0 16 0
Bolton PCT 77 * 0 0 68 0
Bury PCT 130 * 0 0 5 0
Central and Eastern Cheshire PCT 37 8 0 1 34 0
Central Lancashire PCT 65 * 0 9 28 0
Cumbria Teaching PCT 6 6 * 33 22 46
East Lancashire Teaching PCT 8 * 0 0 15 0
Halton and St Helens PCT 32 * 0 9 25 0
Heywood, Middleton and Rochdale PCT 134 * 0 2 5 0
Knowsley PCT 0 * 0 0 6 0
Liverpool PCT * * 0 36 6 0
Manchester PCT 128 * 0 17 2 0
North Lancashire Teaching PCT 28 0 0 6 0 0
Oldham PCT 16 * * 16 1 25
Salford PCT 609 0 0 10 0 0
Sefton PCT 0 * 0 0 67 0
Stockport PCT 80 6 0 0 171 0
Tameside and Glossop PCT 224 * 0 11 61 0
Trafford PCT 105 6 0 0 77 0
Warrington PCT 43 * 0 4 10 0
Wirral PCT 10 * 0 22 39 0
South Central SHA
Berkshire West PCT 12 0 0 0 0 0
Buckinghamshire PCT 8 * 0 0 8 0
Hampshire PCT 60 13 * 213 91 58
Isle of Wight NHS PCT 0 * 0 0 15 0
Milton Keynes PCT * * 0 2 6 0
Oxfordshire PCT * 6 0 5 86 0
Portsmouth City Teaching PCT * 0 0 14 0 0
Southampton City PCT * * 0 12 2 0
Swindon PCT * * 0 19 3 0
South East Coast SHA
Berkshire East PCT * * 0 0 27 0
Brighton and Hove City PCT * * 0 3 12 0
East Sussex Downs and Weald PCT 10 * 0 19 13 0
Eastern and Coastal Kent PCT 15 7 0 44 133 0
Hastings and Rother PCT * * 0 0 6 0
Medway PCT 8 * 0 19 7 0
Surrey PCT 51 9 0 247 31 0
West Kent PCT 34 6 0 3 42 0
West Sussex PCT 34 10 0 5 36 0
South West SHA
Bath and North East Somerset PCT 0 * 0 0 2 0
Bournemouth and Poole Teaching PCT * * 0 16 22 0
Bristol PCT 15 6 0 0 63 0
Cornwall and Isles of Scilly PCT 9 * 0 40 21 0
Devon PCT 10 7 * 48 16 5
Dorset PCT 6 * 0 21 54 0
Gloucestershire PCT 8 6 0 2 36 0
North Somerset PCT * * 0 2 22 0
Plymouth Teaching PCT * 0 0 0 0 0
Somerset PCT 13 16 0 22 150 0
South Gloucestershire PCT * * 0 0 110 0
Torbay Care Trust * * 0 21 6 0
Wiltshire PCT * * 0 78 17 0
West Midlands SHA
Birmingham East and North PCT * * 0 15 39 0
Coventry Teaching PCT * 0 0 37 0 0
Dudley PCT * * 0 21 6 0
Heart of Birmingham Teaching PCT 12 * 0 44 0 0
Herefordshire PCT * * 0 21 1 0
North Staffordshire PCT * * 0 0 1 0
Sandwell PCT 16 * 0 1 4 0
Shropshire County PCT 6 * 0 6 2 0
South Birmingham PCT * * 0 17 27 0
South Staffordshire PCT 26 * 0 14 74 0
Stoke on Trent PCT * * 0 18 2 0
Telford and Wrekin PCT * 0 0 4 0 0
Walsall Teaching PCT * 0 0 0 0 0
Warwickshire PCT 15 6 0 43 51 0
Wolverhampton City PCT * * 0 0 46 0
Worcestershire PCT 49 * 0 152 40 0
Yorkshire and Humber SHA
Barnsley PCT * * * 5 7 4
Bradford and Airedale Teaching PCT 26 9 * 0 49 24
Calderdale PCT * * 0 0 2 0
Doncaster PCT * * * 4 25 11
East Riding of Yorkshire PCT 23 23 0 30 299 0
Hull Teaching PCT * 19 0 16 276 0
Kirklees PCT * * 0 0 74 0
Leeds PCT 25 8 * 38 122 15
Lincolnshire Teaching PCT 22 14 0 5 185 0
North East Lincolnshire Care Trust Plus * 0 0 0 0 0
North Lincolnshire PCT * 0 0 0 0 0
North Yorkshire and York PCT 8 8 * 1 109 6
Rotherham PCT 10 9 0 1 37 0
Sheffield PCT 29 10 0 34 105 0
Wakefield District PCT * * 0 5 19 0
¹ Finished admission episodes
A finished admission episode (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 Episode duration (FCE bed days)
Episode duration is calculated as the difference in days between the episode start date and the episode end date, where both are given. Episode duration is based on finished consultant episodes and only applies to ordinary admissions, ie day cases are excluded (unless otherwise stated).
³ Method of admission
This is the sum of the episode duration for all finished consultant episodes that ended within the financial year. This field does not include bed days where the episode was unfinished at the end of the financial year. To identify bed days as emergency bed days we have filtered the total bed days figures by admission method indicating the admission was an emergency (codes 21 to 24 and 28).
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"
4 Primary diagnosis
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 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:
R52.1 - Chronic intractable pain
R52.2 - Other chronic pain"
5 SHA/PCT of residence
The strategic health authority (SHA) or primary care trust (PCT) containing the patient's normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another SHA/PCT for treatment.
Note:
Small numbers
To protect patient confidentiality, figures between 1 and 5 have been replaced with ““*”” (an asterisk). Where it was still possible to identify numbers from the total an additional number (the next smallest) has been replaced.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

Secondary information

Type
Written question
Reference
78006; 534 c630-6W
Session
2010-12
Subjects
Health services Pain
Link
View this Written question on www.publications.parliament.uk