HC Deb 11 December 2002 vol 396 cc387-8W
Mr. John Smith

To ask the Secretary of State for Health (1) how many NHS patients treated for(a) a hip replacement, (b) a knee replacement and (c) a hip fracture contracted a deep vein thrombosis in each of the last five years; [85613]

(2) how many orthopaedic departments in the NHS have venous thromboembolism prevention protocols; [85612]

(3) how many (a) knee and (b) hip replacements were performed in the NHS in each of the last five years; and how many hip fractures were treated in the NHS in each of those years. [85618]

Mr. Hutton

The Department does not collect information centrally on prevention protocols for venal thromboembolism. Information is collected on the number of hip replacements, hip fractures, hip and knee operations where deep vein thrombosis was recorded and cases where hip fractures and deep vein thrombosis were recorded in the same episode.

The following tables show the information recorded on each of these in the last five years by national health service hospitals in England.

Finished consultant episodes (FCEs) where a hip replacement operation was recorded in NHS hospitals, England
Number of hip replacements
1996–97 64,505
1997–98 62,257
1998–99 68,726
1999–2000 69,600
2000–01 73,444

FCEs where hip fracture was the main diagnosis in NHS hospitals, England
Number
1996–97 62,194
1997–98 63,824
1998–99 64,967
1999–2000 66,321
2000–01 68,693

FCEs where Deep Vein Thrombosis was recorded in NHS hospitals, England
Knee replacement Hip replacement Hip fracture
1996–97 280 316 355
1997–98 275 304 397
1998–99 317 350 384
1999–2000 354 327 406
2000–01 407 315 413

Notes:

1. The count is restricted to patients who were actually diagnosed with DVT within the same episode as if DVT developed after the patient had left the hospital, this will not show up in the record.

2. ICD-10 (diagnosis) code 180.2—Phlebitis and thrombophlebitis of other deep vessels of lower extremities.

3. The primary diagnosis is the first of several diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.

4. A 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.

5. Data in these tables are grossed for both coverage and unknown/invalid clinical data.

Source:

Hospital Episode Statistics (HES), Department of Health