HC Deb 23 January 2002 vol 378 cc945-9W
Mr. Laws

To ask the Secretary of State for Health (1) how many operations were postponed in each of the last five years by hospital authorities; and if he will make a statement; [11476]

(2) if he will rank each hospital in England by the number of postponed operations as a proportion of total operations, giving the relevant number for each hospital. [11477]

Mr. Hutton

We are committed to achieving the NHS Plan targets for improving performance on cancelled operations.

From April 2002, when a patient's operation is cancelled by the hospital on the day of surgery for non-clinical reasons, the hospital will have to offer

Cancelled operations for non clinical reasons, health authorities in England, 2000–01
Region Health authority Number of operations cancelled Number of elective FFCEs
England 77,818 5,294,362
South East Oxfordshire HA 2,221 46,605
London Camden and Islington HA 1,612 34,281
London Barking and Havering HA 1,984 45,169
North West Manchester Health 2,330 53,983
London Kensington, Chelsea and Westminster 1,349 33,477
South East Buckinghamshire HA 2,082 53,557
South East Isle of Wight health authority 412 10,940
South West Avon Health 3,544 109,329
London East London and The City HA 1,787 55,481
South East West Surrey Health Commission 1,705 58,500
North West Morecambe Bay HA 803 27,893
West Midlands Coventry Health 759 27,051
West Midlands Birmingham HA 2,633 95,257
Northern and Yorks Newcastle and North Tyneside HA 1,661 62,256
South East Berkshire HA 1,840 70,902

another binding date within a maximum of the next 28 days or fund the patient's treatment at the time and hospital of the patient's choice.

To ensure that this target is achieved, we have established a Theatre project, to develop good practice in operating theatres and ensure that this is spread throughout the national health service. This will improve the patient and carer experience; improve employee satisfaction and morale; optimise theatre utilisation, planning and scheduling; and reduce cancelled operations.

In addition, as part of the Government's £100 million strategy to reduce long waits in accident and emergency a 100 million programme of investment was announced. This will contribute to a drive to reduce hospital bed occupancy rates by purchasing additional operations in the private sector. This, alongside continued growth in general and acute hospital beds, will free up capacity in the NHS for emergency patients, help to eliminate long trolley waits and dramatically reduce—by up to 75 per cent.—the number of planned operations cancelled at the last minute.

The number of operations cancelled by hospitals, for non-clinical reasons in England, from 1996–97 to 2000–01 are given in the table.

Year Number of cancelled operations in year
1996–97 52,047
1997–98 50,505
1998–99 56,150
1999–2000 60,242
2000–01 77,818

Note:

Information collected by the Department of Health are numbers of operations cancelled for non-clinical reasons on the day of admission, or on the day of the operation.

Source:

Department of Health Patients Charter returns

The number and proportion of operations cancelled for non clinical reasons on the day of admission, or on the day of operation are given in the table.

The data supplied are for the latest available full year at health authority level. Trust level data have only been collected on a shadow basis since Quarter 1, 2001–02 and it is unclear how robust this is at this level at present. Also, when measuring relative performance, it is better to measure over a whole year, rather than a single quarter.

Cancelled operations for non clinical reasons, health authorities in England, 2000–01
Region Health authority Number of operations cancelled Number of elective FFCEs
London Merton, Sutton and Wandsworth HA 1,466 57,234
London Redbridge and Waltham Forest HA 1,038 41,173
Trent Sheffield Health 1,398 63,312
Northern and Yorks Wakefield HA 966 44,929
Northern and Yorks North Cumbria HA 767 36,658
Eastern South Essex HA 1,299 62,700
London Brent and Harrow HA 924 45,050
Eastern Cambridgeshire HA 1,467 71,878
South East Southampton and South West Hampshire HA 1,154 56,744
West Midlands Herefordshire HA 356 17,874
South East East Sussex, Brighton and Hove HA 1,426 74,472
North West St. Helen's and Knowsley HA 808 42,287
London Bromley Health 615 32,294
London Lambeth, Southwark and Lewisham HA 1,339 72,930
North West South Cheshire HA 1,165 65,410
London Hillingdon HA 390 22,314
Eastern North Essex HA 1,246 73,330
South West South and West Devon HA 1,199 75,509
North West Wigan and Bolton HA 1,032 65,140
London Croydon HA 430 29;115
London Ealing, Hammersmith and Hounslow HA 953 65,954
Eastern Bedfordshire HA 694 48,050
West Midlands North Staffordshire HA 766 53,096
South West Wiltshire HA 790 56,159
Northern and Yorks Tees HA 998 71,489
North West Sefton HA 479 35,247
Eastern Suffolk Health 955 70,600
London Barnet HA 380 28,289
London Enfield and Haringey HA 592 44,446
North West North Cheshire 464 36,014
North West Stockport HA 404 31,938
South East East Kent HA 785 62,601
South East West Kent HA 1,027 82,201
South East East Surrey HA 436 36,748
West Midlands Dudley HA 360 31,192
North West South Lancashire HA 426 37,544
North West West Pennine HA 609 54,518
South East Portsmouth and South East Hampshire HA 599 54,445
Northern and Yorks Calderdale and Kirklees HA 744 68,558
South West North and East Devon HA 728 68,201
South East West Sussex HA 111 73,713
South West Gloucestershire Health 669 63,844
Trent Leicester HA 987 98,558
North West Liverpool HA 571 57,304
Eastern East and North Hertfordshire HA 490 50,395
North West Salford and Trafford HA 507 52,744
London Kingston and Richmond HA 277 29,046
Northern and Yorks North Yorkshire HA 791 85,967
Eastern Norfolk HA 824 91,868
North West East Lancashire HA 579 64,553
South East Northamptonshire HA 489 56,267
Eastern West Hertfordshire HA 425 49,189
North West North West Lancashire HA 492 56,948
Trent North Nottinghamshire Health 360 42,899
South West Somerset HA 510 61,908
Trent North Derbyshire Health 339 41,266
South West Dorset HA 877 107,048
West Midlands South Staffordshire HA 516 63,007
Trent Doncaster HA 344 42,050
South East North and Mid Hampshire HA 422 51,813
Northern and Yorks Leeds HA 602 76,594
London Bexley and Greenwich HA 320 41,486
Trent Nottingham HA 501 65,289
South West Cornwall and Isles of Scilly HA 464 66,340
Trent Lincolnshire Health 508 73,846
Trent South Humber 292 42,831
West Midlands Worcestershire HA 337 51,010
Northern and Yorks Bradford HA 451 68,547
North West Wirral Health 223 33,958
West Midlands Shropshire HA 285 44,946
West Midlands Walsall HA 149 25,046
Trent Rotherham HA 159 27,569
Cancelled operations for non clinical reasons, health authorities in England, 2000–01
Region Health authority Number of operations cancelled Number of elective FFCEs
Northern and Yorks Sunderland HA 206 35,723
West Midlands Sandwell HA 181 34,708
West Midlands Warwickshire HA 278 55,312
Northern and Yorks East Riding HA 323 66,467
Northern and Yorks Gateshead and South Tyneside HA 200 50,945
Northern and Yorks County Durham HA 265 72,516
West Midlands Wolverhampton HA 83 24,085
Trent Southern Derbyshire Health 231 72,049
Trent Barnsley HA 37 31,364
Northern and Yorks Northumberland HA 48 53,177
North West Bury and Rochdale HA 31 48,197
West Midlands 1 Solihull HA 0 19,676
1 Solihull does not have any acute trusts.

Notes:

  1. 1. Information collected by the Department of Health are numbers of operations cancelled for non-clinical reasons on the day of admission, or on the day of the operation.
  2. 2. Activity figures are elective first finished consultant episodes (FFCEs)
  3. 3. Figures are trust level aggregated to host health authority.

Sources:

Department of Health Patients Charter returns

Department of Health Hospital Episode Statistics

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