HC Deb 02 July 2001 vol 371 cc22-5W
Miss McIntosh

To ask the Secretary of State for Health what the(a) longest and (b) shortest waiting times were for (i) heart operations, (ii) hip replacements and (iii) cancer treatment (A) in North Yorkshire and (B) nationally in (1) 1997, (2) 1998, (3) 1999, (4) 2000 and (5) 2001. [6]

Mr. Hutton

The tables show waiting times for waiting list and booked admissions to National Health Service hospitals in England and the Northern and Yorkshire region for the years 1997–98 to 1999–2000 for hip replacements, heart operations, and cancer treatment. Data have been given on the distribution of waiting times to give a more informative picture than the two most extreme results. Data for 2000–01 are not yet available.

Waiting list and booked admissions by waiting time for primary hip replacement operations only or revisions, by health authority area of residence—NHS hospitals, England 1997–98 to 1999–2000
1997–98 1998–99 1999–2000
North Yorkshire HA England North Yorkshire HA England North Yorkshire England
Episodes with a valid waiting time 430 29,979 3,973 33,563 567 33,526
Waiting time
Up to six weeks 84 3,617 584 3,825 82 3,865
Six weeks to three months 78 4,164 552 4,239 89 4,375
Three to six months 102 7,062 840 7,227 110 7,106
Six to nine months 68 5,478 641 5,930 89 5,820
Nine months to one year 34 4,434 702 5,116 87 4,681
Over one year 64 5,224 654 7,226 110 7,679
Not known 23 1,105 325 1,052 152 1,150

Notes:

An FCE is defined as a period of patient care under one consultant in one health care provider. The figures do not represent the number of patients, as one person may have several episodes within the year.

The main operation is the first of four operation fields in the HES data set, and is usually the most resource intensive procedure performed during the episode.

Operation (OPCS4R) and diagnosis (ICD10) codes used are as follows:

Primary hip replacement operations—operation codes W37–39 and W46–48, excluding emergency admissions, and those with primary diagnosis S72 (fractured neck of femur). Revision operations—W37.3, W38.3, W39.3, W46.3, W47.3, W48.3, excluding emergency admissions and those with a primary diagnosis of S72 (fractured neck of femur).

Waiting time statistics from HES are not the same as the published waiting list statistics. HES provides counts and waiting times for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment at a given point in time and how long they have been on the waiting list. Also, HES calculates the waiting time as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.

Data in this table are not adjusted for shortfalls.

Patients whose waiting time is 'not known' are from a waiting list or booked admission where the date of decision to admit was invalid, therefore a duration of elective wait cannot be calculated.

Source:

Hospital Episode Statistics (HES), Department of Health.

Waiting list and booked admissions for heart operations by waiting time and health authority area of residence—NHS hospitals, England 1997–98 to 1999–2000
1997–98 1998–99 1999–2000
North Yorkshire HA England North Yorkshire HA England North Yorkshire HA England
Episodes with a valid waiting time 577 93,599 797 107,741 958 107,868
Waiting time
Up to six weeks 267 38,106 356 42,314 398 43,216
Six weeks to three months 83 20,718 116 23,755 152 25,376
Three to six months 93 16,557 129 20,348 181 20,346
Six to nine months 55 7,914 65 8,860 72 8,509
Nine months to one year 38 6,157 73 7,231 77 5,539
Over one year 41 4,147 58 5,233 78 4,882
Not known 226 9,908 674 8,340 617 9,656

Notes:

An FCE is defined as a period of patient care under one consultant in one health care provider. The figures do not represent the number of patients, as one person may have several episodes within the year.

The main operation is the first of four operation fields in the HES data set and is usually the most resource intensive procedure performed during the episode.

Operation (OPCS4R) codes used are as follows K01–K71.

Waiting time statistics from HES are not the same as the published waiting list statistics. HES provides counts and waiting times for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment at a given point in time and how long they have been on the waiting list. Also, HES calculates the waiting time as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.

Patients whose waiting time is 'not known' are from a waiting list or booked admission where the date of decision to admit was invalid, therefore a duration of elective wait cannot be calculated.

Data in this table are not adjusted for shortfalls.

Source:

Hospital Episode Statistics (HES), Department of Health.

Waiting list and booked admissions for cancer patients by waiting time, main diagnosis/operation and health authority area of residence—NHS hospitals, England 1997–98 to 1999–2000
Episodes with a valid waiting time Up to six weeks Six weeks to three months Three to six months Six to nine months Nine months to one year Over one year Not known
1997–98
North Yorkshire HA
Cancer (1) 4,275 3,541 437 178 52 48 19 1,052
Cancer (2) 3,640 2,958 401 163 51 48 19 847
England
Cancer (1) 378,013 333,352 28,614 10,766 2,950 1,234 1,097 88,667
Cancer (2) 293,533 252,988 25,674 9,961 2,756 1,155 999 66,058
1998–99
North Yorkshire HA
Cancer (1) 5,364 4,625 329 200 71 89 50 2,215
Cancer (2) 4,875 4,162 312 197 69 88 47 2,070
England
Cancer (1) 344,548 298,459 30,401 10,861 2,593 1,147 1,087 90,569
Cancer (2) 303,471 260,301 28,094 10,428 2,499 1,113 1,036 69,455
1999–2000
North Yorkshire HA
Cancer (1) 6,763 5,895 478 236 75 50 29 2,146
Cancer (2) 6,057 5,230 446 232 73 49 27 1,964
England
Cancer (1) 333,806 289,163 30,903 9,921 2,240 770 809 89,699
Cancer (2) 294,935 253,251 28,498 9,523 2,159 734 770 67,106

Notes:

An FCE is defined as a period of patient care under one consultant in one health care provider. The figures do not represent the number of patients, as one person may have several episodes within the year.

The main operation is the first of four operation fields in the HES data set and is usually the most resource intensive procedure performed during the episode.

The main diagnosis is the first of seven diagnosis fields in the HES data set and provides the main reason why the patient was in hospital. Operation (OPCS4R) and diagnosis (ICD10) codes used are as follows:

Cancer (1)—Diagnosis 'COO-C97 Malignant/Neoplasms'

Cancer (2)—Diagnosis 'COO-C97 Malignant/Neoplasms' with any surgical operation or procedure.

Waiting time statistics from HES are not the same as the published waiting list statistics. HES provides counts and waiting times for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment at a given point in time and how long they have been on the waiting list. Also, HES calculates the waiting time as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.

Data in this table are not adjusted for shortfalls.

Patients whose waiting time is 'not known' are from a waiting list or booked admission where the date of decision to admit was invalid, therefore a duration of elective wait cannot be calculated.

Source:

Hospital Episode Statistics (HES), Department of Health.

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