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Written question asked by Lord Lester of Herne Hill (Liberal Democrat), in the House of Lords. It was answered by Earl Howe (Conservative) on Monday, 23 April 2012.


Health: Elderly People

Question
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.
Answer

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" "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" "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" "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" "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" "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" "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" "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" "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" "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" "24 Emergency - via consultant out-patient clinic""28 Emergency - other means, including patients who arrive via the A&E department" "28 Emergency - other means, including patients who arrive via the A&E department"


Secondary information

Type
Written question
Reference
16785; 736 c338-9WA
Session
2010-12
Subjects
Older people Surgery
Contains statistics
Yes
Link
View this Written question on www.publications.parliament.uk