CIT ASE Event Slides
April 19th 2010 v6
1
PCH2.1: Elective surgical procedures under GA for children <5y
Table 1: Data Data obtained from HES: 2007/08, 2008/09, and 2009/10
2
Provider Q4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910
FREEMAN HOSPITAL 210 751 224 191 171 211 797 257 216 174
FRIARAGE HOSPITAL SITE 5 24 9 6 5 5 25
HEXHAM GENERAL HOSPITAL 2 20 5 1 1 2 9 1
NEWCASTLE DENTAL HOSPITAL 0 66 41 54 63 224 62 82 70
NEWCASTLE GENERAL HOSPITAL ACUTE SERVICES 50 181 60 55 50 41 206 39 20 8
NORTH TYNESIDE GENERAL HOSPITAL 36 152 34 27 37 26 124 15 28 22
QUEEN ELIZABETH HOSPITAL 28 3 1 4 1
SOUTH TYNESIDE DISTRICT HOSPITAL 3 21 6 4 8 0 18 6 4 3
SUNDERLAND EYE INFIRMARY 27 150 43 49 43 45 180 47 42 35
SUNDERLAND ROYAL HOSPITAL 195 669 178 204 150 160 692 207 177 165
THE ROYAL VICTORIA INFIRMARY 410 1509 421 392 396 403 1612 389 426 385
UNIVERSITY HOSPITAL OF HARTLEPOOL 8 54 9 13 14 7 43 13 19 38
UNIVERSITY HOSPITAL OF NORTH DURHAM 9 36 13 7 10 9 39 5 14 8
UNIVERSITY HOSPITAL OF NORTH TEES 54 162 50 36 36 44 166 50 38 42
WANSBECK HOSPITAL 18 60 17 19 13 17 66 16 20 13
SITE UNSPECIFIED -- RESULTS REPORTED BY TRUST:
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 93 394 103 98 96 105 402 113 81 75
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 225 816 201 208 219 196 824 167 202 208
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 0 0 3
NHS North East 1345 5027 1439 1354 1304 1334 5431 1387 1369 1250
NHS National 19776 77065 22086 21461 19238 19657 82442 21482 21020 18707
Total episodes with a main operation code associated with the use of GA
PCH2.1: Elective surgical procedures under GA for children <5y
Chart 1: Time Series
Data obtained from HES: 2007/08, 2008/09, and 2009/10
3
0
50
100
150
200
250
300
350
400
450
Ep
iso
des
wit
h s
urg
ical
pro
ced
ure
s -
-C
hild
ren
<5y
(el
ecti
ve)
Total episodes with a main operation code associated with the use of GA
PCH2.2: Elective surgical procedures under GA for children <3y
Table 1: Data Data obtained from HES: 2007/08, 2008/09, and 2009/10
4
Provider Q4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910
FREEMAN HOSPITAL 101 377 115 81 88 94 378 118 121 86
FRIARAGE HOSPITAL SITE 6 4 2 2 8
NEWCASTLE DENTAL HOSPITAL 0 12 8 10 8 38 16 23 13
NEWCASTLE GENERAL HOSPITAL ACUTE SERVICES 30 111 35 38 35 28 136 26 9 6
NORTH TYNESIDE GENERAL HOSPITAL 10 45 10 10 10 8 38 5 11 10
QUEEN ELIZABETH HOSPITAL 22 1 1
SOUTH TYNESIDE DISTRICT HOSPITAL 2 3 3
SUNDERLAND EYE INFIRMARY 12 70 20 23 29 21 93 23 21 20
SUNDERLAND ROYAL HOSPITAL 64 217 52 65 53 65 235 75 62 63
THE ROYAL VICTORIA INFIRMARY 282 1058 317 284 283 287 1171 293 301 275
UNIVERSITY HOSPITAL OF HARTLEPOOL 5 30 5 6 5 3 19 6 2 7
UNIVERSITY HOSPITAL OF NORTH DURHAM 3 4 1 3 2 1 7 1 1
UNIVERSITY HOSPITAL OF NORTH TEES 23 65 23 18 22 21 84 18 14 19
WANSBECK HOSPITAL 6 17 6 3 4 7 20 5 4 1
SITE UNSPECIFIED -- RESULTS REPORTED BY TRUST:
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 33 123 36 28 32 36 132 43 32 27
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 97 376 88 81 105 95 369 73 90 99
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 0 0 2
NHS North East 666 2523 724 650 684 674 2732 701 691 629
NHS National 9954 38650 11281 10709 9982 10246 42218 11174 10812 10027
Total episodes with a main operation code associated with the use of GA
PCH2.2: Elective surgical procedures under GA for children <3y
Chart 1: Time Series
Data obtained from HES: 2007/08, 2008/09, and 2009/10
5
0
50
100
150
200
250
300
350
Ep
iso
des
wit
h s
urg
ical
pro
ced
ure
s -
-C
hild
ren
<3y
(el
ecti
ve)
Total episodes with a main operation code associated with the use of GA
PCH3.1: Emergency surgical procedures under GA for children <5y
Table 1: Data Data obtained from HES: 2007/08, 2008/09, and 2009/10
6
Provider Q4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910
FREEMAN HOSPITAL 7 31 11 12 13 9 45 8 6 17
FRIARAGE HOSPITAL SITE 11 0
NEWCASTLE GENERAL HOSPITAL ACUTE SERVICES 18 25 25 28 15 17 85 33 30 24
NORTH TYNESIDE GENERAL HOSPITAL 3 232 9 6 6 6 27 10 4 2
QUEEN ELIZABETH HOSPITAL 3 16 3 8 5 3 19 5 3
SOUTH TYNESIDE DISTRICT HOSPITAL 4 109 3 5 1 9 7 3 5
SUNDERLAND EYE INFIRMARY 0 1 2 1 4 2
SUNDERLAND ROYAL HOSPITAL 25 432 36 37 19 28 120 39 46 36
THE ROYAL VICTORIA INFIRMARY 101 4 112 121 113 122 468 102 111 104
UNIVERSITY HOSPITAL OF HARTLEPOOL 1 49 1 1 3
UNIVERSITY HOSPITAL OF NORTH DURHAM 1 11 2 4 1 2 9 3 2 2
UNIVERSITY HOSPITAL OF NORTH TEES 6 2 17 17 10 15 59 23 12 6
WANSBECK HOSPITAL 2 147 3 4 3 10 3 6
SITE UNSPECIFIED -- RESULTS REPORTED BY TRUST:
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 35 156 51 38 29 19 137 24 47 24
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 53 1 64 60 58 51 233 67 87 63
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 3 0 1
NHS North East 259 1229 338 342 269 277 1226 324 357 289
NHS National 3565 15953 4868 4765 3766 3719 17118 4990 5152 3870
Total episodes with a main operation code associated with the use of GA
PCH3.1: Emergency surgical procedures under GA for children <5y
Chart 1: Time Series
Data obtained from HES: 2007/08, 2008/09, and 2009/10
7
0
20
40
60
80
100
120
140
Ep
iso
des
wit
h s
urg
ical
pro
ced
ure
s -
-C
hild
ren
<5y
(em
erg
nec
y)
Total episodes with a main operation code associated with the use of GA
PCH3.2: Emergency surgical procedures under GA for children <3y
Table 1: Data Data obtained from HES: 2007/08, 2008/09, and 2009/10
8
Provider Q4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910
FREEMAN HOSPITAL 5 25 10 12 12 8 42 6 6 14
FRIARAGE HOSPITAL SITE 4 0
NEWCASTLE GENERAL HOSPITAL ACUTE SERVICES 8 36 9 16 11 6 42 21 10 14
NORTH TYNESIDE GENERAL HOSPITAL 2 14 4 1 4 5 14 7 2
QUEEN ELIZABETH HOSPITAL 2 5 1 2 3
SOUTH TYNESIDE DISTRICT HOSPITAL 1 2 1 1 2 1
SUNDERLAND EYE INFIRMARY 1 1 2 1 4 1
SUNDERLAND ROYAL HOSPITAL 18 69 19 22 11 17 69 27 26 20
THE ROYAL VICTORIA INFIRMARY 81 320 83 87 89 93 352 80 76 83
UNIVERSITY HOSPITAL OF HARTLEPOOL 1 3 1 1 1
UNIVERSITY HOSPITAL OF NORTH DURHAM 1 2 0 1 1 1
UNIVERSITY HOSPITAL OF NORTH TEES 3 25 4 6 5 11 26 9 6 2
WANSBECK HOSPITAL 1 4 1 1 1
SITE UNSPECIFIED -- RESULTS REPORTED BY TRUST:
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 21 78 23 14 14 9 60 15 19 15
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 31 131 34 39 34 28 135 39 44 40
NHS North East 175 719 188 201 180 181 750 207 189 194
NHS National 2240 9521 2835 2802 2434 2382 10453 2908 2951 2558
Total episodes with a main operation code associated with the use of GA
PCH3.2: Emergency surgical procedures under GA for children <3y
Chart 1: Time Series
Data obtained from HES: 2007/08, 2008/09, and 2009/10
9
0
10
20
30
40
50
60
70
80
90
100
Ep
iso
des
wit
h s
urg
ical
pro
ced
ure
s -
-C
hild
ren
<3y
(em
erg
nec
y)
Total episodes with a main operation code associated with the use of GA
PCH8.1 LOS by Trust for Children for General Surgery
Table 1: Data Data obtained from HES 2009/10
Provider 0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST * *
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST * * *
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 96 36 35 15
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST * * *
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 80 25 33 17
SOUTH TYNESIDE NHS FOUNDATION TRUST 8 * 11 *
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 66 12 * *
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 8 * *
NHS North East 260 83 91 43
NHS National 10,163 6,164 4,502 1,651
* Data suppressed due to low cell count
Data obtained from HES: 2009/10Chart 1: Stacked bar
PCH8.1 LOS by Trust for Children for General Surgery
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
Data obtained from HES: 2009/10Chart 2: Stacked bar
PCH8.1 LOS by Trust for Children for General Surgery
0
20
40
60
80
100
120
140
160
180
200
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH8.2 LOS by Trust for Children for Orthopaedic Surgery
Table 1: Data
Provider 0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST19 * *
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST259 127 39 18
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST141 138 94 22
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST167 160 118 122
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST247 203 116 75
SOUTH TYNESIDE NHS FOUNDATION TRUST57 40 32 14
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST142 162 78 23
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST286 185 108 60
NHS North East1,318 1,018 587 334
NHS National 23,951 20,211 9,554 5,215
Data obtained from HES: 2009/10
* Data suppressed due to low cell count
Chart 1: Stacked bar
PCH8.2 LOS by Trust for Children for Orthopaedic Surgery
Data obtained from HES: 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
Chart 2: Stacked bar
PCH8.2 LOS by Trust for Children for Orthopaedic Surgery
Data obtained from HES: 2009/10
0
100
200
300
400
500
600
700
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH8.3 LOS by Trust for Children for Urology Surgery
Table 1: Data
Provider 0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST66
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST* * * *
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST118 20 *
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST55 *
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST24 8 *
NHS North East267 29 * 7
NHS National 10,332 1,727 591 417
Data obtained from HES: 2009/10
* Data suppressed due to low cell count
Chart 1: Stacked bar
PCH8.3 LOS by Trust for Children for Urology Surgery
Data obtained from HES: 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
Chart 2: Stacked bar
PCH8.3 LOS by Trust for Children for Urology Surgery
Data obtained from HES: 2009/10
0
20
40
60
80
100
120
140
160
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH8.4 LOS by Trust for Children for Plastic Surgery
Table 1: Data
Provider0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST*
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST690 152 145 63
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST516 88 47 12
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST381 40 23 6
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST
NHS North East1,589 280 215 81
NHS National16,989 4,558 2,110 881
Data obtained from HES: 2009/10
* Data suppressed due to low cell count
Chart 1: Stacked bar
PCH8.4 LOS by Trust for Children for Plastic Surgery
Data obtained from HES: 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
CDD
FT
CHSF
T
GH
FT
NH
FT
NTH
FT
NU
THFT
STFT
STH
FT
NE
Regi
on
Nati
onal
4+
2-3
1
0
Chart 2: Stacked bar
PCH8.4 LOS by Trust for Children for Plastic Surgery
Data obtained from HES: 2009/10
0
200
400
600
800
1000
1200
CDD
FT
CHSF
T
GH
FT
NH
FT
NTH
FT
NU
THFT
STFT
STH
FT
4+
2-3
1
0
PCH8.5 LOS by Trust for Children for Neurosurgery
Table 1: Data
Provider 0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 56 8 27 24
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 8 5 9 11
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST
NHS North East 64 13 36 35
NHS National 1,683 752 1,095 1,855
Data obtained from HES: 2009/10
Chart 1: Stacked bar
PCH8.5 LOS by Trust for Children for Neurosurgery
Data obtained from HES: 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
CDD
FT
CHSF
T
GH
FT
NH
FT
NTH
FT
NU
THFT
STFT
STH
FT
NE
Regi
on
Nati
onal
4+
2-3
1
0
Chart 2: Stacked bar
PCH8.5 LOS by Trust for Children for Neurosurgery
Data obtained from HES: 2009/10
0
20
40
60
80
100
120
140
CDD
FT
CHSF
T
GH
FT
NH
FT
NTH
FT
NU
THFT
STFT
STH
FT
4+
2-3
1
0
PCH8.6 LOS by Trust for Children for Ophthalmic Surgery
Table 1: Data
Provider 0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 259 11 8 *
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 106 * * *
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST75 5 *
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 270 * * *
NHS North East 710 24 16 5
NHS National 11,709 796 274 120
Data obtained from HES: 2009/10
* Data suppressed due to low cell count
Chart 1: Stacked bar
PCH8.6 LOS by Trust for Children for Ophthalmic Surgery
Data obtained from HES: 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
Chart 2: Stacked bar
PCH8.6 LOS by Trust for Children for Ophthalmic Surgery
Data obtained from HES: 2009/10
0
50
100
150
200
250
300
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH8.7 LOS by Trust for Children for ENT Surgery
Table 1: Data
Provider0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST805 440 80 10
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST485 412 42 13
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST243 166 10
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST511 494 80 20
NHS North East2,044 1,512 212 43
NHS National42,832 20,355 3,221 1,020
Data obtained from HES: 2009/10
PCH8.7 LOS by Trust for Children for ENT Surgery
Chart 1: Stacked bar Data obtained from HES: 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
PCH8.7 LOS by Trust for Children for ENT Surgery
Data obtained from HES: 2009/10Chart 2: Stacked bar
0
200
400
600
800
1000
1200
1400
1600
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH8.8 LOS by Trust for Children for Maxillo-Facial Surgery
Table 1: Data
Provider0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST26 21 4
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST437 21 6 *
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST
NHS North East463 42 10 *
NHS National 5,466 748 202 46
Data obtained from HES: 2009/10
* Data suppressed due to low cell count
PCH8.8 LOS by Trust for Children for Maxillo-Facial Surgery
Data obtained from HES: 2009/10Chart 1: Stacked bar
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
PCH8.8 LOS by Trust for Children for Maxillo-Facial Surgery
Data obtained from HES: 2009/10Chart 2: Stacked bar
0
50
100
150
200
250
300
350
400
450
500
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH8.9 LOS by Trust for Children for Cardiac Surgery
Table 1: Data
Provider 0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST18 21 14 171
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST
NHS North East18 21 14 171
NHS National 407 234 203 1,561
Data obtained from HES: 2009/10
PCH8.9 LOS by Trust for Children for Cardiac Surgery
Data obtained from HES: 2009/10Chart 1: Stacked bar
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
PCH8.9 LOS by Trust for Children for Cardiac Surgery
Data obtained from HES: 2009/10Chart 2: Stacked bar
0
50
100
150
200
250
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH8.10 LOS by Trust for Children for Paediatric Surgery
Table 1: Data
Provider0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST1,527 353 273 301
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST
SOUTH TYNESIDE NHS FOUNDATION TRUST
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST*
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST157 9
NHS North East1,685 362 273 301
NHS National22,021 7,246 4,797 5,176
Data obtained from HES: 2009/10
* Data suppressed due to low cell count
PCH8.10 LOS by Trust for Children for Paediatric Surgery
Chart 1: Stacked bar Data obtained from HES: 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4+
2-3
1
0
PCH8.10 LOS by Trust for Children for Paediatric Surgery
Data obtained from HES: 2009/10Chart 2: Stacked bar
0
500
1000
1500
2000
2500
3000
CDDFT CHSFT GHFT NHFT NTHFT NUTHFT STFT STHFT
4+
2-3
1
0
PCH9.1 Overnight Paediatric beds by trust
Table 1: Data
40
Provider 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 131 111 108 97 87 84
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 94 122 100 101 95 95
GATESHEAD HEALTH NHS FOUNDATION TRUST 38 38 38 38 38 38
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 66 62 61 56 55 48
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 53 53 53 51 53 41
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 83 84 77 80 80 70
SOUTH TYNESIDE NHS FOUNDATION TRUST 31 32 32 28 27 27
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 214 219 217 212 214 219
NHS North East 709 721 687 664 650 627
NHS National 11835 11660 11404 11020 10865 10732
Data obtained from HES: 2009/10
PCH9.1 Overnight Paediatric beds by trust
Chart 1: Time Series
Data obtained from DH KH03 data: 2003/04 through 2008/09
41
0
25
50
75
100
125
150
175
200
225
250
Avera
ge N
um
ber
of A
vail
ab
le P
aed
iatr
ic B
ed
s
PCH9.2a Overnight Paediatric bed occupancy rate by trust
Table 1: Data Data obtained from HES: 2007/08, 2008/09, and 2009/10
42
Provider 2004/05 2005/06 2006/07 2007/08 * 2008/09
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 43.2% 43.5% 37.1% 46.0%
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 41.8% 56.0% 56.4% 56.8% 56.8%
GATESHEAD HEALTH NHS FOUNDATION TRUST 50.0% 50.0% 47.4% 42.1%
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 72.6% 70.5% 62.5% 56.4% 62.5%
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 41.5% 43.4% 39.2% 39.6% 43.9%
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 40.5% 49.4% 42.5% 41.3%
SOUTH TYNESIDE NHS FOUNDATION TRUST 46.9% 40.6% 50.0% 44.4% 51.9%
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 66.2% 66.8% 67.5% 67.8% 67.1%
NHS North East 52.6% 55.9% 53.8% 54.2% 41.9%
NHS National 64.3% 65.1% 65.3% 66.1% 34.8%
* Missing data in 2008/09
PCH9.2a Overnight Paediatric bed occupancy rate by trust
Chart 1: Time Series
Data obtained from DH KH03 data: 2003/04 through 2008/09
43
0%
10%
20%
30%
40%
50%
60%
70%
80%
Avera
ge d
ail
y P
aed
iatr
ic B
ed
Occu
pan
cy
Rate
* Missing data in 2008/09
PCH9.2a Overnight Paediatric bed occupancy rate by trust
Chart 2: Box and whisker plot
Data obtained from DH KH03 data: 2007/08
44
1 2 3 4 5 6 7 8
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%Av
erag
e da
ily P
aedi
atri
c Bed
Occ
upan
cy R
ate
PCH9.2a Overnight Paediatric bed occupancy rate by trust
Chart 3: Funnel plot
Data obtained from DH KH03 data: 2007/08
45
CDDFT
STFT
GHFT
NTHFT
NHFTCHSFT
STHFT
NUTHFT
0
10
20
30
40
50
60
70
80
90
100
0 50 100 150 200 250 300
Ave
rag
e p
erce
nt
of
ove
rnig
ht
bed
s o
ccu
pie
d
Average number of available overnight beds
Source: DH KH03 Beds Overnight data
PCH9.2b Paediatric bed throughput by trust, average
Table 1: Data Data obtained from HES: 2007/08, 2008/09
46
Provider Q1 0708 Q2 0708 Q3 0708 Q4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 0.54 0.53 0.64 0.56 0.57 0.54 0.53 0.62 0.59 0.57
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 0.51 0.49 0.54 0.50 0.51 0.52 0.52 0.55 0.54 0.53GATESHEAD HEALTH NHS FOUNDATION TRUST 0.46 0.41 0.50 0.44 0.45 0.47 0.44 0.55 0.52 0.49
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 0.57 0.54 0.62 0.57 0.58 0.65 0.62 0.73 0.67 0.66
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 0.56 0.55 0.62 0.58 0.58 0.72 0.67 0.78 0.68 0.71
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 0.37 0.40 0.40 0.40 0.39 0.48 0.48 0.47 0.42 0.46SOUTH TYNESIDE NHS FOUNDATION TRUST 0.49 0.47 0.52 0.44 0.48 0.45 0.48 0.56 0.52 0.50
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 0.37 0.38 0.42 0.39 0.39 0.40 0.40 0.42 0.41 0.40
NHS North East 0.46 0.45 0.51 0.47 0.47 0.49 0.48 0.53 0.50 0.50
NHS National 0.42 0.41 0.46 0.43 0.43 0.46 0.45 0.50 0.47 0.47
PCH9.2b Paediatric bed throughput by trust, average
Chart 1: Time Series Data obtained from HES: 2007/08, 2008/09 and KH03 Data 2007/08, 2008/09
47
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90R
atio
of
avg
dai
ly e
pis
od
es t
o a
vg d
aily
av
aila
ble
bed
s
PCH9.2b Paediatric bed throughput by trust, average
Chart 2: Box and whisker plot
48
1 2 3 4 5 6 7 8
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90
1.00
CDDFT STHFT GHFT NTHFT NHFT CHSFT STFT NUTHFT
Ratio
: av
g da
ily a
dmis
sion
s: a
vg d
aily
ava
ilabl
e ov
erni
ght b
eds
Data obtained from HES: 2008/09 and KH03 Data 2008/09
PCH9.2a Overnight Paediatric bed occupancy rate by trust
49
PCH9.2b Paediatric bed throughput by trust, average
We have noticed an inconsistency that overnight bed occupancy (self reported to DH on an annual basis) for Newcastle (NUTHFT) averages near 67%, while average daily throughput is closer to 40% . We have re-checked the data for these indicators and believe the calculations are correct. This could highlight an inconsistency in the reporting of bed occupancy rates to the Department of Health for NUTHFT. Would anyone be able to comment on this?
Note to NEQOS
Newcastle
Newcastle
PCH9.3 A&E paediatric attendance outcome by trust
Table 1: Data
50
Data obtained from HES 2009/10
Provider Discha
rged
- no fo
llow
up reqd
Discha
rged
- fo
llow u
p
by GP
Referre
d to A
&E
clin
ic/o
ther
profe
ssio
nal
Admitt
ed /
becam
e a
lodge
d pat
ient
Left D
epar
tmen
t befo
re
being tr
eate
d/refu
sed
treat
men
t
Transf
erre
d to o
ther
Health
Car
e Pro
vide
r
Other a
nd unkn
own
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 14287 695 751 1947 224 133 1
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 14269 1988 4965 2067 707 635 10
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 10541 2784 3614 2228 257 2 5
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 9537 564 2436 2290 125 76 24
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 7521 7149 3549 2752 493 110 3
GATESHEAD HEALTH NHS FOUNDATION TRUST 5202 1125 1084 1396 122 98 2
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 1819 5499 968 1242 382 41 53
SOUTH TYNESIDE NHS FOUNDATION TRUST 1 5239 1192 1037 325 85 4
NHS North East63177 25043 18559 14959 2635 1180 102
NHS National1246348 452085 336185 302739 66121 42955 46940
* Data suppressed due to low cell count
PCH9.3 A&E paediatric attendance outcome by trust
Chart 1: Stacked bar
51
Data obtained from HES 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
NTHFT NHFT STHFT CHSFT CDDFT GHFT NUTHFT STFT NE AVG UK AVG
Other and unknown
Transferred to other Health Care Provider
Left Department before being treated/refused treatment
Admitted / became a lodged patient
Referred to A&E clinic/other professional
Discharged - follow up by GP
Discharged - no follow up reqd
PCH9.3 A&E paediatric attendance outcome, region and national view
Chart 2: Pie chart
52
Data obtained from HES 2009/10
50%
18%
13%
12%
3%
2%2%
NHS National
Discharged - no follow up reqd
Discharged - follow up by GP
Referred to A&E clinic/other professional
Admitted / became a lodged patient
Left Department before being treated/refused treatment
Transferred to other Health Care Provider
Other and unknown
50%
20%
15%
12%
2%
1%
0%
NHS NE SHA
Discharged - no follow up reqd
Discharged - follow up by GP
Referred to A&E clinic/other professional
Admitted / became a lodged patient
Left Department before being treated/refused treatment
Transferred to other Health Care Provider
Other and unknown
PCH9.4.1 Admissions with Breathing Difficulties (<16)
Table 1: Data Data obtained from HES: 2008/09, 2009/10
ProviderQ4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST32.0% 31.3% 24.0% 23.0% 52.4% 33.0% 33.9% 11.9% 12.9% 25.8%
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST29.9% 29.1% 25.3% 23.8% 48.7% 36.1% 33.7% 11.7% 12.5% 29.4%
GATESHEAD HEALTH NHS FOUNDATION TRUST34.7% 32.6% 26.4% 27.6% 53.2% 38.6% 37.5% 28.0% 33.5% 42.7%
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST31.9% 34.9% 22.5% 24.1% 49.5% 39.8% 35.0% 12.8% 13.9% 27.7%
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST38.4% 35.9% 24.7% 29.5% 63.3% 43.1% 41.0% 13.9% 18.0% 29.4%
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST27.5% 29.3% 20.2% 21.0% 45.7% 27.4% 28.7% 25.9% 26.8% 46.1%
SOUTH TYNESIDE NHS FOUNDATION TRUST31.4% 34.4% 24.1% 24.7% 54.2% 34.2% 35.9% 19.2% 24.7% 58.3%
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST14.9% 19.5% 11.6% 13.4% 34.8% 23.1% 21.1% 8.6% 8.9% 16.3%
NHS North East28.9% 29.7% 21.5% 22.2% 48.8% 33.5% 32.1% 13.3% 14.6% 27.4%
NHS National30.3% 31.0% 23.8% 24.3% 47.9% 32.1% 32.5% 17.5% 19.3% 37.4%
PCH9.4.1 Admissions with Breathing Difficulties (<16)
Data obtained from HES: 2008/09, 2009/10Chart 1: Time Series
0%
10%
20%
30%
40%
50%
60%
70%%
of <
16 B
reat
hing
Diffi
culty
Adm
issi
ons
PCH9.4.1 Admissions with Breathing Difficulties (<16)
Chart 2: Box and whisker plot Data obtained from HES: 2008/09, 2009/10
1 2 3 4 5 6 7 8
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
CDDFT STHFT GHFT NTHFT NHFT CHSFT STFT NUTHFT
% o
f <16
Bre
athi
ng D
ifficu
lty A
dmis
sion
s
PCH9.4.1 Admissions with Breathing Difficulties (<16)
Chart 3: Funnel Plot Data obtained from HES: 2008/09, 2009/10
CDDFTSTHFT
GHFT
NTHFTNHFT
CHSFT
STFT
NUTHFT
0
10
20
30
40
50
0 2000 4000 6000 8000 10000 12000 14000% o
f <
16
adm
issi
on
s fo
r B
reat
hin
g D
iffi
cult
ies
Number of <16 admissions
Source: HES Q4 0809 to Q3 0910
PCH9.4.2 LOS for Children with Breathing Difficulties
Table 1: Data
Provider0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST369 143 44 7
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST714 258 117 30
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST740 290 162 57
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST682 224 179 117
SOUTH TYNESIDE NHS FOUNDATION TRUST289 149 78 27
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST875 464 217 90
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST847 588 192 80
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST175 364 192 65
NHS North East4,691 2,480 1,181 473
NHS National61,928 41,175 21,070 9,922
Data obtained from HES: 2009/10
PCH9.4.2 LOS for Children with Breathing Difficulties
Chart 1: Stacked bar Data obtained from HES: 2009/10
0%10%20%30%40%50%60%70%80%90%
100%
4+ days
2-3 days
1 day
0 days
PCH9.4.2 LOS for Children with Breathing Difficulties
Chart 2: Stacked bar Data obtained from HES: 2009/10
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
4+ days
2-3 days
1 day
0 days
PCH9.5.1 Admissions with Gastrointestinal problems (<16)
Table 1: Data Data obtained from HES: 2008/09, 2009/10
ProviderQ4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST27.2% 23.4% 25.2% 18.2% 17.7% 26.4% 21.9% 12.9% 7.9% 9.0%
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST26.4% 21.6% 23.5% 16.9% 17.3% 31.1% 22.4% 13.1% 9.5% 9.4%
GATESHEAD HEALTH NHS FOUNDATION TRUST30.8% 24.0% 25.4% 17.6% 17.1% 24.2% 21.2% 26.6% 18.3% 21.8%
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST34.5% 28.1% 29.5% 20.5% 20.2% 32.0% 25.5% 12.5% 11.1% 10.1%
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST27.7% 22.1% 27.1% 17.0% 19.0% 29.3% 23.1% 13.2% 8.9% 10.5%
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST24.0% 16.8% 18.4% 16.0% 16.1% 24.7% 18.5% 17.9% 17.3% 14.9%
SOUTH TYNESIDE NHS FOUNDATION TRUST30.6% 24.5% 25.9% 18.8% 20.4% 27.9% 23.3% 24.3% 21.3% 19.0%
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
21.0% 17.1% 18.4% 13.3% 14.7% 21.3% 17.0% 8.9% 5.9% 6.3%
NHS North East27.0% 21.9% 23.7% 16.9% 17.5% 26.9% 21.3% 13.3% 9.6% 9.7%
NHS National24.5% 20.2% 21.2% 16.6% 16.4% 24.7% 27.0% 15.0% 11.6% 11.3%
PCH9.5.1 Admissions with Gastrointestinal problems (<16)
Chart 1: Time Series Data obtained from HES: 2008/09, 2009/10
0%
5%
10%
15%
20%
25%
30%
35%
40%%
<16
Adm
issi
ons w
ith G
astr
oint
estin
al P
robl
ems
PCH9.5.1 Admissions with Gastrointestinal problems (<16)
Chart 2: Box and whisker plot Data obtained from HES: 2008/09, 2009/10
1 2 3 4 5 6 7 8
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
0%
5%
10%
15%
20%
25%
30%
CDDFT STHFT GHFT NTHFT NHFT CHSFT STFT NUTHFT
% <
16 A
dmis
sion
s with
Gas
troi
ntes
tinal
Pro
blem
s
PCH9.5.1 Admissions with Gastrointestinal problems (<16)
Chart 3: Funnel Plot Data obtained from HES: 2008/09, 2009/10
CDDFTSTHFT
GHFT
NTHFTNHFT
CHSFT
STFT
NUTHFT
0
10
20
30
40
50
0 2000 4000 6000 8000 10000 12000 14000% o
f <
16
adm
issi
on
s fo
r G
astr
oin
test
inal
Pro
ble
ms
Number of <16 admissions
Source: HES Q4 0809 to Q3 0910
PCH9.5.2 LOS for Children with Gastrointestinal Problems
Table 1: Data
Data obtained from HES 2009/10
Provider0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST257 89 35 12
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST379 129 59 24
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST471 163 90 25
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST445 131 91 71
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST574 236 112 43
SOUTH TYNESIDE NHS FOUNDATION TRUST175 104 36 11
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST475 346 119 50
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST85 165 101 51
NHS North East2,861 1,363 643 287
NHS National31,050 20,307 11,467 4,847
Data obtained from HES: 2009/10
PCH9.5.2 LOS for Children with Gastrointestinal Problems
Chart 1: Stacked bar
Data obtained from HES 2009/10
Data obtained from HES: 2009/10
0%10%20%30%40%50%60%70%80%90%
100%
4+ days
2-3 days
1 day
0 days
Chart 2: Stacked bar
PCH9.5.2 LOS for Children with Gastrointestinal Problems
Data obtained from HES 2009/10
Data obtained from HES: 2009/10
0
200
400
600
800
1,000
1,200
4+ days
2-3 days
1 day
0 days
PCH9.6.1 Admissions with Feverish Illness (<16)
Table 1: Data Data obtained from HES: 2008/09, 2009/10
ProviderQ4 0708 FY 0708 Q1 0809 Q2 0809 Q3 0809 Q4 0809 FY 0809 Q1 0910 Q2 0910 Q3 0910
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST40.6% 38.2% 31.9% 27.3% 59.1% 41.3% 40.7% 16.1% 17.0% 27.8%
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST33.2% 31.7% 29.0% 27.2% 53.0% 39.4% 37.4% 13.5% 13.1% 30.1%
GATESHEAD HEALTH NHS FOUNDATION TRUST46.9% 40.6% 38.6% 33.9% 62.9% 46.2% 46.5% 34.7% 37.3% 46.1%
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST39.3% 42.2% 30.3% 31.9% 55.6% 47.2% 42.2% 17.4% 16.4% 30.1%
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST45.2% 43.1% 30.8% 34.2% 69.8% 46.9% 46.4% 14.2% 17.6% 27.7%
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST32.4% 32.1% 24.0% 23.1% 50.7% 34.3% 33.0% 22.9% 22.7% 42.5%
SOUTH TYNESIDE NHS FOUNDATION TRUST34.1% 40.1% 32.5% 29.1% 60.5% 43.5% 43.0% 28.2% 31.2% 62.8%
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST19.2% 23.4% 16.7% 18.3% 40.2% 28.9% 26.4% 10.9% 11.2% 17.9%
NHS North East35.1% 35.0% 27.9% 26.9% 54.9% 39.8% 38.0% 16.1% 16.6% 28.6%
NHS National34.1% 34.2% 27.9% 25.9% 51.3% 35.6% 35.6% 18.8% 20.1% 35.0%
PCH9.6.1 Admissions with Feverish Illness (<16)
Chart 1: Time Series Data obtained from HES: 2008/09, 2009/10
0%
10%
20%
30%
40%
50%
60%
70%
80%%
<16
Adm
issi
ons w
ith F
ever
ish
Illne
ss
PCH9.6.1 Admissions with Feverish Illness (<16)
Chart 2: Box and whisker plot Data obtained from HES: 2008/09, 2009/10
1 2 3 4 5 6 7 8
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
CDDFT STHFT GHFT NTHFT NHFT CHSFT STFT NUTHFT
% <
16 A
dmis
sion
s with
Fev
eris
h Ill
ness
PCH9.6.1 Admissions with Feverish Illness (<16)
Chart 3: Funnel Plot Data obtained from HES: 2008/09, 2009/10
CDDFTSTHFT
GHFT
NTHFTNHFT
CHSFT
STFT
NUTHFT
0
10
20
30
40
50
0 2000 4000 6000 8000 10000 12000 14000
% o
f <
16
adm
issi
on
s fo
r F
ever
ish
Ill
nes
s
Number of <16 admissions
Source: HES Q4 0809 to Q3 0910
PCH9.6.2 LOS for Children with Feverish Illness
Table 1: Data
Data obtained from HES 2009/10
Provider0 days 1 day 2-3 days 4+ days
GATESHEAD HEALTH NHS FOUNDATION TRUST464 145 34 7
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST751 214 93 33
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST941 288 170 62
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST904 225 169 120
SOUTH TYNESIDE NHS FOUNDATION TRUST394 160 63 28
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST986 439 214 104
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST1,059 672 218 87
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST171 294 177 70
NHS North East5,670 2,437 1,138 511
NHS National65,895 36,814 20,060 10,767
Data obtained from HES: 2009/10
PCH9.6.2 LOS for Children with Feverish Illness
Chart 1: Stacked bar
Data obtained from HES 2009/10
Data obtained from HES: 2009/10
0%10%20%30%40%50%60%70%80%90%
100%
4+ days
2-3 days
1 day
0 days
Chart 2: Stacked bar
PCH9.6.2 LOS for Children with Feverish Illness
Data obtained from HES 2009/10
Data obtained from HES: 2009/10
0
500
1,000
1,500
2,000
2,500
4+ days
2-3 days
1 day
0 days
PCH9.7 ASE Paediatric first outpatient appointment by trust
Table 1: Data Data obtained from HES: 2009/10
74
Data obtained from HES 2009/10
ProviderFirst
AppointmentFollow-up
Ratio follow-up/first
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 19681 49589 2.52
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 15916 33132 2.08
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 11827 31593 2.67
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 11798 24827 2.10
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 4994 12110 2.42
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 6072 10339 1.70
SOUTH TYNESIDE NHS FOUNDATION TRUST 3686 6008 1.63
GATESHEAD HEALTH NHS FOUNDATION TRUST 4120 10833 2.63
NHS NORTH EAST 78157 178431 2.28
NHS NATIONAL 1653317 3105101 1.88
PCH9.7 ASE Paediatric first outpatient appointment by trust
Chart 1: Histogram and ratio Data obtained from HES: 2009/10
75
2.5
2.1
2.7
2.1
2.4
1.71.6
2.6
2.3
1.9
0
0.5
1
1.5
2
2.5
3
0
10000
20000
30000
40000
50000
60000
NU
THFT
STFT
CHSF
T
CDD
FT
NTH
FT
NH
FT
STH
FT
GH
FT
NE
AVG
ENG
AV
G
Num
ber o
f epi
sode
s
First Appointment
Follow-up
Ratio follow-up/first
DATA SPECIFICATIONSHIGH LEVEL NOTES
76
Data Specifications – Selection of relevant OPCS codes
• OPCS codes that appeared in the HES 2009/10 episodes activity for children <5y were reviewed in consultation with a Consultant Anaesthetist to identify a set of codes that are associated with the use of GA
• The resulting list totals 150 OPCS main operation codes, some of which are considered valid only if they were performed with a same-day secondary operation with OPCS code in the Y80 series (administration of anaesthetic codes)
• HES episodes data were cross-referenced to this list and only episodes with OPCS codes on the list were counted
77
Data Specifications – PCH2.1
• Data Source:Hospital Episode Statistics (HES) 2007/08, 2008/09, and 2009/10
• Indicator:Total number of episodes with elective surgical procedures performed on patients whose age at start of episode < 5yElective – Method of admission “admimeth” in (11,12,13,81)OPCS code – Main operative procedure “oper_01” in agreed list of codes (and oper_02 to check for Y80.x codes)Age < 5y – Age at start of episode "startage" < 5 and 7000 series (<1y)
• Data Handling Notes:Count only records with a valid operation dateOPCS codes limited to those agreed with NE that are associated with the use of GAOrdinary and day case admissions onlyUsed site code “sitetret” from HES – if blank, use 5-digit organisation code “procode”
78
Data Specifications – PCH2.2
• Data Source:Hospital Episode Statistics (HES) 2007/08, 2008/09, and 2009/10
• Indicator:Total number of episodes with elective surgical procedures performed on patients whose age at start of episode < 3yElective – Method of admission “admimeth” in (11,12,13,81)OPCS code – Main operative procedure “oper_01” in agreed list of codes (and oper_02 to check for Y80.x codes)Age < 3y – Age at start of episode "startage" < 3 and 7000 series (<1y)
• Data Handling Notes:Count only records with a valid operation dateOPCS codes limited to those agreed with NE that are associated with the use of GAOrdinary and day case admissions onlyUsed site code “sitetret” from HES – if blank, use 5-digit organisation code “procode”
79
Data Specifications – PCH3.1
• Data Source:Hospital Episode Statistics (HES) 2007/08, 2008/09, and 2009/10
• Indicator:Total number of episodes with emergency surgical procedures performed on patients whose age at start of episode < 5yEmergency – Method of admission “admimeth” in (21, 22, 23, 24, 28)OPCS code – Main operative procedure “oper_01” in agreed list of codes (and oper_02 to check for Y80.x codes)Age < 5y – Age at start of episode "startage" < 5 and 7000 series (<1y)
• Data Handling Notes:Count only records with a valid operation dateOPCS codes limited to those agreed with NE that are associated with the use of GAOrdinary and day case admissions onlyUsed site code “sitetret” from HES – if blank, use 5-digit organisation code “procode”
80
Data Specifications – PCH3.2
• Data Source:Hospital Episode Statistics (HES) 2007/08, 2008/09, and 2009/10
• Indicator:Total number of episodes with emergency surgical procedures performed on patients whose age at start of episode < 3yEmergency – Method of admission “admimeth” in (21, 22, 23, 24, 28)OPCS code – Main operative procedure “oper_01” in agreed list of codes (and oper_02 to check for Y80.x codes)Age < 3y – Age at start of episode "startage" < 3 and 7000 series (<1y)
• Data Handling Notes:Count only records with a valid operation dateOPCS codes limited to those agreed with NE that are associated with the use of GAOrdinary and day case admissions onlyUsed site code “sitetret” from HES – if blank, use 5-digit organisation code “procode”
81
Data Specifications – PCH8.1
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for General Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 100 (general surgery)
82
Data Specifications – PCH8.2
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Orthopaedic Surgury
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 110 (trauma & orthopaedics), 214 (Paediatric
trauma & orthopaedics)
83
Data Specifications – PCH8.3
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Urology Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 101 (urology), 211 (paediatric urology)
84
Data Specifications – PCH8.4
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Plastic Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 160 (plastic surgery), 219 (paediatric plastic
surgery)
85
Data Specifications – PCH8.5
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Neurosurgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 150 (neurosurgery), 218 (paediatric
neurosurgery)
86
Data Specifications – PCH8.6
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Ophthalmic Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 130 (ophthalmology), 216 (paediatric
ophthalmology), 460 (medical ophthalmology)
87
Data Specifications – PCH8.7
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for ENT Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 120 (ENT), 215 (paediatric ENT)
88
Data Specifications – PCH8.8
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Maxillo-facial Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 144 (maxillo-facial surgery), 217 (maxillo-
facial surgery)
89
Data Specifications – PCH8.9
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Cardiac Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 170 (cardiothoracic surgery), 172 (cardiac
surgery), 174 (cardiothoracic transplantation), 221 (paediatric cardiac surgery)
90
Data Specifications – PCH8.10
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:Length of stay by trust for children for Paediatric Surgery
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each
episode), grouped by 0 days, 1 day, 2-3 days and 4+ days• Age at start of episode “startage” < 16• Treatment specialty “tretspef” = 171 (paediatric surgery)
91
Data Specifications – PCH9.1
• Data Source:Department of Health KH03 Beds Overnight data, 2003/04, 2004/05, 2005/06,
2006/07, 2007/08, 2008/09
• Indicator:Average daily number of available Paediatric beds per annum.
• Data Handling Notes:In order to stratify by Paediatric beds the following ward designations were used:• (1) Intensive care: neonates• (2) Intensive care: paediatric • (7) Younger physically disabled• (8) Other general & acute: neonates and children
92
Data Specifications – PCH9.2a
• Data Source:Department of Health KH03 Beds Overnight data, 2004/05, 2005/06, 2006/07,
2007/08, 2008/09
• Indicator:Average daily number of occupied Paediatric overnight beds per annum.
• Data Handling Notes:In order to stratify by Paediatric beds the following ward designations were used:• (1) Intensive care: neonates• (2) Intensive care: paediatric • (7) Younger physically disabled• (8) Other general & acute: neonates and children
2008/09 data is incomplete, it has only been reported for some trusts
93
Data Specifications – PCH9.2b
• Data Source:Department of Health KH03 Beds Overnight data, 2007/08, 2008/09
• Indicator:Ratio of average daily Paediatric episodes to average available beds per day
• Data Handling Notes:In order to stratify by Paediatric beds the following ward designations were used:• (1) Intensive care: neonates• (2) Intensive care: paediatric • (7) Younger physically disabled• (8) Other general & acute: neonates and children
Number of paediatric admissions is defined as all in year episodes where: • Age at start of episode “startage” < 16Divided by 365, giving average episodesper day.
94
Data Specifications – PCH9.3
• Data Source:Hospital Episodes Statistics A&E Universe (HES) 2009/10
• Indicator:A&E attendances by trust, grouped by outcome
• Data Handling Notes:• Age on arrival “arrivalage” < 16
Attendance disposal “aeattenddisp” for individual attendance outcomes :o Admitted to hospital of the same health care provider (01 = Admitted to hospital bed / became a
lodged patient of the same health care provider)o Discharged – follow up by GP (02 = Discharged – follow-up treatment to be provided by general
practitioner)o Discharged – no follow up required (03 = Discharged – did not require any follow-up treatment)o Referred to A&E clinic/other professional (04 = Referred to A&E clinic, 05 = Referred to fracture clinic,
06 = Referred to other outpatient clinic, 11 = Referred to other healthcare professional)o Transferred to another Health Care Provider (07 = Transferred to other healthcare provider)o Other and unknown (10 = Died in department, 14 = Other, 99 = Not known)o Left Department before being treated/refused treatment (12 = Left department before being treated,
13 = Left department having refused treatment)
In order to stratify by trust the following field is required:• Provider code “procode” 5-digit code 95
Data Specifications – PCH9.4.1
• Data Source:Hospital Episodes Statistics, 2007/08, 2008/09, 2009/10
• Indicator:Percentage of admitted emergency paediatric patients with a primary diagnosis of breathing difficulty
• Data Handling Notes:
Total emergency admissions
• Age at admission “admiage” < 16• Primary diagnosis “diag_01” / “diag4” =
o R060 (dyspnea)o J45*, J46* (Asthma)o A37* (Whooping cough)o J00* - J22* (Respiratory infections)o B349 with secondary diagnosis of R062 (Viral Wheeze)o R061 (Stridor)
• Admission method “admimeth” = emergency
In order to stratify by procedure and by trust the following fields are required:• Provider code “OrgID” 3-digit code
Data Specifications – PCH9.4.2
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:LOS for children with a primary diagnosis at emergency admission of a breathing difficulty
• Data Handling Notes:o Length of stay (where length of stay = discharge date – admission date for each episode), grouped by
0 days, 1 day, 2-3 days and 4+ dayso o Age at admission “admiage” < 16o Primary diagnosis “diag_01” / “diag4” =
o R060 (dyspnea)o J45*, J46* (Asthma)o A37* (Whooping cough)o J00* - J22* (Respiratory infections)o B349 with secondary diagnosis of R062 (Viral Wheeze)o R061 (Stridor)
o In order to stratify by procedure and by trust the following fields are required:o Provider code “OrgID” 3-digit codeo Admission method “admimeth” = emergencyo Additionally, the following fields are required:o Date of admission “admidate”o Date of discharge “disdate”
Data Specifications – PCH9.5.1
• Data Source:Hospital Episodes Statistics, 2007/08, 2008/09, 2009/10
• Indicator:Percentage of emergency admissions for children with a primary diagnosis of gastrointestinal problems
• Data Handling Notes:Total emergency admissions
• Age at admission “admiage” < 16• Primary diagnosis “diag_01” / “diag4” =
o A00* Cholerao A01* Typhoid and Paratyphoid Feverso A02* Other Salmonella Infectionso A03* Shigellosiso A04* Other Bacterial Intestinal Infectionso A05* Other Bacterial Foodborne Intoxicationso A06* Amoebiasiso A07* Other Protozoal Intestinal Diseaseso A08* Viral and Other Specified Intestinal Infectionso A09* Diarrhea and Gastroenteritis of Presumed Infectious Origino K21* GORDo K50*, K51*, Crohns and UCo K528, K529 other specified and Noninfective gastroenteritis and colitis, unspecifiedo K25*-K38* Appendicitiso K561 Intussusceptionso K590 Constipationo R100 – R104 Abdominal paino R14* Flatulence & related conditions• Admission method “admimeth” = emergency
In order to stratify by procedure and by trust the following fields are required:• Provider code “OrgID” 3-digit code
Data Specifications – PCH9.5.2
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:LOS for children with a primary diagnosis at emergency admission of gastrointestinal problems
• Data Handling Notes:Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ dayso Age at admission “admiage” < 16o Primary diagnosis “diag4” in list of ICD10 codes:o A00* Cholera. A01* Typhoid and Paratyphoid Fevers. A02* Other Salmonella Infections, A03* Shigellosisl, A04* Other
Bacterial Intestinal Infections, .A05* Other Bacterial Foodborne Intoxications, A06* Amoebiasis, A07* Other Protozoal Intestinal Diseases, A08* Viral and Other Specified Intestinal Infections, A09* Diarrhea and Gastroenteritis of Presumed Infectious Origin
o K21* GORD, K50*, K51*, Crohns and UC, K528, K529 other specified and Noninfective gastroenteritis and colitis, unspecified, K25*-K38* Appendicitis. K561 Intussusceptions, K590 Constipation
o R100 – R104 Abdominal pain. o R14* Flatulence & related conditionso Admission method “admimeth” = emergency
o o In order to stratify by procedure and by trust the following fields are required:o Provider code “OrgID” 3-digit codeo Additionally, the following fields are required:o Date of admission “admidate”o Date of discharge “disdate
Data Specifications – PCH9.6.1
• Data Source:Hospital Episodes Statistics, 2007/08, 2008/09, 2009/10
• Indicator:Percentage of emergency admissions for children with a primary diagnosis of feverish illness
• Data Handling Notes:Total emergency admissions
• Age at admission “admiage” < 16• Primary diagnosis “diag_01” / “diag4” =
O R50* Fever of other and unknown origino A39 * Meningococcalo A40* -A41* Septicaemiao A488 Other specified bacterialo A490, A491, A492 Staph, Strep and HiBo A499 Bacterial unspecifiedo A85* - A87* Viral encephalitiso B05* Measleso B06* Rubellao B26* Mumpso B27* CMVo B30*, B34* Adenoviruso B99* Other unspecified infectious diseaseo J00* - J22* Respiratory infections
• Admission method “admimeth” = emergency
In order to stratify by procedure and by trust the following fields are required:• Provider code “OrgID” 3-digit code
Data Specifications – PCH9.6.2
• Data Source:Hospital Episodes Statistics, 2009/10
• Indicator:LOS for children with a primary diagnosis at emergency admission of feverish illness
• Data Handling Notes: Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days o Age at admission “admiage” < 16o Primary diagnosis “diag4” in list of ICD10 codes:o R50* Fever of other and unknown origino A39 * Meningococcal, A40* -A41* Septicaemia, A488 Other specified bacterial, A490, A491, A492 Staph, Strep and
HiB, A499 Bacterial unspecified, A85* - A87* Viral encephalitiso B05* Measles, B06* Rubella, B26* Mumps, B27* CMV, B30*, B34* Adenovirus, B99* Other unspecified infectious
diseaseo J00* - J22* Respiratory infections
o In order to stratify by procedure and by trust the following fields are required:o Provider code “OrgID” 3-digit codeo Additionally, the following fields are required:o Date of admission “admidate”o Date of discharge “disdate”
DATA SPECIFICATIONSDETAILED NOTES
102
Data Specifications – HES code details
Hospital Episode Statistics (HES) 2007/08, 2008/09, and 2009/10 (to Dec 2010)• Fields extracted:
Age at start of episodeElective and EmergencyMethod of admissionProcode5 Description [5-digit provider code name]5 digit provider codeMain operative procedureDate of main operation1st secondary operative procedureDate of 1st secondary operationSiteret Description [Site code name]Site code of treatmentTreatment specialtyTotal Episodes [Counts number of episodes with required OPCS code]
• Key Selection Criteria:Age at start of episode in (1, 2, 3, 4, 7001 – 7007) [ages less than 5y]Patient classification in (1, 2) [Ordinary and day case]Date of main operation is not NULL [Date of main operative procedure is not blank]
103
Variation in approach versus previous NE analysis – Part 1
OPCS codes used in current analysis that were excluded from previous NE analysis
104
S065 Excision of lesion of skin of head or neck NEC S151 Biopsy of lesion of skin of head or neck NEC
X482 Change of plaster cast U091 Computed tomography of pelvis
U051 Computed tomography of head U215 Contrast fluoroscopy NEC
S069 Unspecified other excision of lesion of skin A842 Electromyography
U055 Magnetic resonance imaging of spine E096 Laser destruction of lesion of external nose
U071 Computed tomography of chest S565 Attention to dressing of skin of head or neck NEC
S091 Laser destruction of lesion of skin of head or neck S701 Avulsion of nail
X483 Removal of plaster cast M492 Change of suprapubic tube into bladder
S092 Laser destruction of lesion of skin NEC U128 Other specified diagnostic imaging of genitourinary system
U212 Computerised tomography NEC X493 Removal of splint NEC
X481 Application of plaster cast S101 Cauterisation of lesion of skin of head or neck NEC
S662 Repair of nail bed U136 Computed tomography of bone
U133 Magnetic resonance imaging of bone U061 Computed tomography of sinuses
M478 Other specified urethral catheterisation of bladder U011 Computed tomography of whole body
U103 Cardiac magnetic resonance imaging U114 Computed Tomography scan of cerebral vessels
U072 Magnetic resonance imaging of chest S083 Curettage of lesion of skin of head or neck NEC
U081 Computed tomography of abdomen NEC X411 Insertion of ambulatory peritoneal dialysis catheter
E098 Other specified operations on external nose U162 Magnetic resonance cholangiopancreatography
S068 Other specified other excision of lesion of skin U371 Magnetic resonance imaging of kidneys
U117 Magnetic resonance angiography U088 Other specified diagnostic imaging of abdomen
S575 Attention to dressing of skin NEC U018 Other specified diagnostic imaging of whole body
X461 Donation of bone marrow F167 Polishing teeth
S132 Punch biopsy of lesion of skin NEC X412 Removal of ambulatory peritoneal dialysis catheter
S131 Punch biopsy of lesion of skin of head or neck S141 Shave biopsy of lesion of skin of head or neck
S152 Biopsy of lesion of skin NEC S063 Shave excision of lesion of skin of head or neck
Note: current analysis is based on total episodes -- previous NE analysis is based on sum of total procedures per episode
Variation in approach versus previous NE analysis – Part 2
OPCS codes used in previous NE analysis that were excluded from current analysis
105
A203 Monitoring of pressure in ventricle of brain
A541 Injection of destructive substance into cerebrospinal fluid
A559 Unspecified diagnostic spinal puncture
A848 Other specified neurophysiological operations
C273 Irrigation of nasolacrimal duct
C274 Removal of tube from nasolacrimal duct
C275 Probing of nasolacrimal duct NEC
C434 Subconjunctival injection
D071 Irrigation of external auditory canal for removal of wax
G211 Intubation of oesophagus for ph manometry
G345 Attention to gastrostomy tube
G453 Fibreoptic endoscopic insertion of Bravo pH capsule into upper gastrointestinal tract
H012 Emergency excision of abnormal appendix NEC
H159 Unspecified other exteriorisation of colon
H625 Irrigation of bowel NEC
L912 Insertion of central venous catheter NEC
L913 Attention to central venous catheter NEC
L914 Removal of central venous catheter
L916 Cannulation of vein NEC
L951 Venography
S403 Tape closure of skin of head or neck
S431 Removal of clip from skin of head or neck
T124 Insertion of tube drain into pleural cavity
T744 Injection of therapeutic substance into tendon NEC
W351 Introduction of therapeutic substance into bone
X562 Endotracheal intubation
Note: current analysis is based on total episodes -- previous NE analysis is based on sum of total procedures per episode