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NEQOS Children’s Health Indicators

NEQOS Children’s Health Indicators

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NEQOS Children’s Health Indicators

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  1. NEQOSChildren’s Health Indicators 13 Dec 2010

  2. Indicators • PCH9.1 Overnight Paediatric beds (staffed) by trust • PCH9.1a Occupied beds per 100,000 population • PCH9.2a Overnight Paediatric bed (staffed) occupancy rate by trust • PCH9.2b Paediatric Throughput by trust • PCH12.1b Admissions by admission method by trust • PCH12.1 Admissions by admission method by site • QIPP1c Number of emergency admissions via A&E or GP referral only • QIPP1c2 Length of Stay for Children emergency admissions via A&E or GP referral only • PCH9.3 A&E attendance outcomes by paediatric patients by Trust • PCH8.11.2 Length of Stay for Children by trust • PCH9.4.2b Length of Stay for Children with Breathing Difficulties by trust • PCH9.4.2 Length of Stay for Children with Breathing Difficulties by site • PCH9.5.2b Length of Stay for gastrointestinal problems by trust • PCH9.5.2 Length of Stay for gastrointestinal problems by site • PCH9.6.2b Length of Stay for fever by trust • PCH9.6.2 Length of Stay for fever by site

  3. PCH9.1 – Overnight Paediatric beds (staffed) by trust Data Table 1: Overnight Paediatric beds (staffed) by trust Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  4. PCH9.1 – Overnight Paediatric beds (staffed) by trust Data Table 2: Overnight Paediatric beds (staffed) by trust (% change from baseline 2004/05) NOTE – There has been continual decline in the number of staffed paediatric beds in the NE SHA, with the largest decline (compared to 2004/05 numbers) in South Tees Hospitals NHS FT. However, the average overnight occupancy rate (see PCH9.2a) does not reflect any negative impact due to the higher rate of decline. Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  5. PCH9.1 – Overnight Paediatric beds (staffed) by trust Chart 1: Time Series Overnight Paediatric beds (staffed) by trust Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  6. PCH9.1a – Occupied beds per 100,000 population Data Table 1: Occupied beds per 100,000 population NOTE – Despite a larger rate of decrease in the NE region compared to the national rate, the number of beds by population compared to national is still high. Furthermore, the very high variation across the region may be due to the presence of large centres that cover tertiary care but this is worth discussing. It is also acknowledged that admissions to some hospitals, and especially Newcastle upon Tyne Hospitals FT and South Tees Hospitals FT, come from PCT areas other than the host PCT. However, it has not been possible to identify a consistent way of applying a rule of population split and therefore the activity reflected here is attributed per 100k of the host PCT population. Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  7. PCH9.1a – Occupied beds per 100,000 population Chart 1: Time Series Occupied beds per 100,000 population Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  8. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Data Table 1: Average overnight paediatric bed (staffed) occupancy rate by trust Note: Missing data in 2008/09 marked with -- Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  9. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Data Table 2: Average overnight paediatric bed (staffed) occupancy rate by trust (numerator / denominator) Note: Missing data in 2008/09 marked with -- Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  10. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Chart 1: Time Series Average overnight paediatric bed (staffed) occupancy rate by trust * Missing data in 2008/09 for 3 trusts Data obtained from DH Website KH03 data 2004/05 to 2009/10 Children aged <16 years

  11. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Chart 2: Box Whisker Plot Average overnight paediatric bed (staffed) occupancy rate by trust Data obtained from DH Website KH03 data 2009/10 Children aged <16 years

  12. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Chart 2: Funnel Plot (99.8% CIs) Average overnight paediatric bed (staffed) occupancy rate by trust Data obtained from DH Website KH03 data 2009/10 Children aged <16 years

  13. PCH9.2b – Paediatric throughput by trust Data Table 1: Paediatric throughput by trust Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years) Data obtained from DH Website KH03 data 2008/09 to 2009/10 and HES 2008/09 – 2009/10

  14. PCH9.2b – Paediatric throughput by trust Data Table 2: Paediatric throughput by trust (numerator / denominator) Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years) Data obtained from DH Website KH03 data 2008/09 to 2009/10 and HES 2008/09 – 2009/10

  15. PCH9.2b – Paediatric throughput by trust Chart 1: Time Series Paediatric Throughput by trust Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years) Data obtained from DH Website KH03 data 2008/09 to 2009/10 and HES 2008/09 – 2009/10

  16. PCH9.2b – Paediatric throughput by trust Chart 2: Box Whisker Plot Paediatric throughput by trust Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years) Data obtained from DH Website KH03 data 2009/10 and HES 2009/10

  17. PCH12.1b Admissions by admission method by trust Data Table 1: Admissions by admission method by trust Data obtained from HES 2009/10 Children aged <16 years

  18. PCH12.1b Admissions by admission method by trust Chart 1: Stacked Bar Admissions by admission method by trust Data obtained from HES 2009/10 Children aged <16 years

  19. PCH12.1b Admissions by admission method by trust Chart 2: Stacked Bar % Admissions by admission method by trust Data obtained from HES 2009/10 Children aged <16 years

  20. PCH12.1b Admissions by admission method by trust Data Table 2: Admissions by admission method by trust (Elective or Emergency) Data obtained from HES 2009/10 Children aged <16 years

  21. PCH12.1b Admissions by admission method by trust Chart 3: Stacked Bar Admissions by admission method by trust (Elective or Emergency) Data obtained from HES 2009/10 Children aged <16 years

  22. PCH12.1b Admissions by admission method by trust Chart 4: Stacked Bar % Admissions by admission method by trust (Elective or Emergency) Data obtained from HES 2009/10 Children aged <16 years

  23. Site Level Coding IssuesUse of acute trust code in lieu of missing site code • Analyses are based on the 5 digit site code in HES data supplied by organisations • Where HES data records have a blank site code, the 3-digit organisation code for the acute trust was used instead • No double-counting of data was done – only HES data records with blank site codes have been reported at the acute trust organisation level • Because multiple sites may exist at the acute trust, it was not possible to attribute records with only acute trust organisation identifiers precisely to a site code • The site code labelled SOUTH TEES HOSPITALS NHS FT is likely referring to JAMES COOK UNIVERSITY HOSPITAL, but no records in HES have a site name for the latter – therefore, South Tees has been coded by organisations in both the site code and the organisation code fields

  24. Site Level Coding IssuesList of Acute Trusts and corresponding sites where data is only available at Acute Trust level

  25. PCH12.1 Admissions by admission method Data Table 1: Admissions by admission method Data obtained from HES 2009/10 Children aged <16 years

  26. PCH12.1 Admissions by admission method by site Chart 1: Stacked Bar Admissions by admission method by site Data obtained from HES 2009/10 Children aged <16 years (Note: un-coded site-level data is not presented)

  27. PCH12.1 Admissions by admission method by site Chart 2: Stacked Bar % Admissions by admission method by site Data obtained from HES 2009/10 Children aged <16 years (Note: un-coded site-level data is not presented)

  28. PCH12.1 Admissions by admission method Data Table 2: Admissions by admission method (Elective or Emergency) Data obtained from HES 2009/10 Children aged <16 years

  29. PCH12.1 Admissions by admission method by site Chart 3: Stacked Bar Admissions by admission method by site (Elective or Emergency) Data obtained from HES 2009/10 Children aged <16 years (Note: un-coded site-level data is not presented)

  30. PCH12.1 Admissions by admission method by site Chart 4: Stacked Bar % Admissions by admission method by site (Elective or Emergency) Data obtained from HES 2009/10 Children aged <16 years (Note: un-coded site-level data is not presented)

  31. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Data Table 1: Number of emergency admissions via A&E or GP referral only by trust Data obtained from HES 2008/09 – 2009/10 Children aged <16 years, emergency admissions

  32. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Chart 1: Time Series Number of emergency admissions via A&E or GP referral only by trust Data obtained from HES 2008/09 – 2009/10 Children aged <16 years, emergency admissions

  33. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Chart 2: Stacked Bar Chart Number of emergency admissions via A&E or GP referral only by trust Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

  34. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Chart 3: Stacked Bar Chart % of emergency admissions via A&E or GP referral only by trust Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

  35. QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only Data Table 1: Length of stay for emergency admissions via A&E or GP referral only Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

  36. QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only by trust Chart 2: Stacked Bar Chart Length of stay for emergency admissions via A&E or GP referral only by trust Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

  37. QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only by trust Chart 3: Stacked Bar Chart % Length of stay for emergency admissions via A&E or GP referral only by trust Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

  38. PCH9.3 A&E attendance outcomes by paediatric patients by Trust Table 1: Data A&E attendance outcomes by paediatric patients by Trust Data Commentary There are known data quality issues with the HES A&E data universe. The counts listed here are likely under-representative of true volumes and should be used with caution. For example, it is known that NUTH volumes are approximately 44% less when comparing HES A&E to the hospital PAS. A&E attendances that result in hospital admission are highlighted in the amber box. Data obtained from HES 2009/10 Children aged <16 years

  39. PCH9.3 A&E attendance outcomes by paediatric patients by Trust Chart 1: Stacked bar A&E attendance outcomes by paediatric patients by Trust Data obtained from HES 2009/10 Children aged <16 years

  40. PCH9.3 A&E attendance outcomes by paediatric patients by Trust Chart 2: Pie chart A&E attendance outcomes by paediatric patients by Trust (region and national views) Data obtained from HES 2009/10 Children aged <16 years

  41. PCH8.11.2 – Length of Stay for Children by trust Data Table 1: Length of Stay for Children by trust Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions

  42. PCH8.11.2 – Length of Stay for Children by trust Chart 1: Stacked Bar Length of Stay for Children by trust Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions

  43. PCH8.11.2 – Length of Stay for Children by trust Chart 2: Stacked Bar % of Length of Stay for Children by trust Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions

  44. PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust Data Table 1: Length of Stay for Children with Breathing Difficulties by trust Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions

  45. PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust Chart 1: Stacked Bar Length of Stay for Children with Breathing Difficulties by trust Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions

  46. PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust Chart 2: Stacked Bar % Length of Stay for Children with Breathing Difficulties by trust Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions

  47. PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site Data Table 1: Length of Stay for Children with Breathing Difficulties by site Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions

  48. PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site Chart 1: Stacked Bar Length of Stay for Children with Breathing Difficulties by site Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions (Note: un-coded site-level data is not presented)

  49. PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site Chart 2: Stacked Bar % Length of Stay for Children with Breathing Difficulties by site Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

  50. PCH9.5.2b – Length of Stay for gastrointestinal problems by trust Data Table 1: Length of Stay for gastrointestinal problems by trust Data obtained from HES 2009/10 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)