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Report Overview

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Chart

Lower 3SD 99.8%
Lower 2SD 95%
Upper 2SD 95%
Upper 3SD 99.8%
Organisational Value
National Mean
National Target
Local Target
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Indicator Metadata

Trend

Upper 3SD 99.8%
National Mean
Trend legend
Organisation Value
Lower 3SD 99.8%
National Target
Local Target
Name Period Value Mean Chart Trend

Helping people recover from episodes of ill health or following injury

Control limit values do not take into account Specialist Trust data and are provided for context only, based on the national cohort.

i

Q4 1516 0.97 0.91
Numerator:

Number of emergency re-admissions within 30 days of discharge

Numerator Data Source:

HES (Admitted Patient Care)

Numerator Data Source Owner:

NHS Digital

Denominator:

Number of discharges following an elective admission

Denominator Data Source:

HES (Admitted Patient Care)

Denominator Data Source Owner:

NHS Digital

Numerator Inclusions Exclusions:

The number of finished and unfinished continuous inpatient (CIP) spells that are emergency admissions and occur within 0-29 days (inclusive) of the last, previous discharge from hospital (see denominator), including those where the patient dies, but excluding the following: those with a main specialty upon readmission coded under obstetric and those where the readmitting spell has a diagnosis of cancer (other than benign or in situ) or chemotherapy for cancer coded anywhere in the spell. The numerator is the number of denominator CIP spells where: Diagnosis of cancer (ICD-10 codes C00-C97, D37-D48) or chemotherapy for cancer (ICD-10 code Z51.1) is not coded in any position in the readmission spell AND the first episode in readmission CIP spell ADMIDATE minus last episode in admission CIP spell DISDATE is between 0 and 29 days inclusive AND the first episode in the readmission CIP spell has: ADMIMETH = 21, 22, 23, 24, 28, 2A, 2B, 2C, 2D AND DIAG_01 does not begin with ‘O’ AND MAINSPEF not 501, 560, 610

Denominator Inclusions Exclusions:

The number of finished CIP spells within selected medical and surgical specialties. Day cases, spells with a discharge coded as death, maternity spells (based on specialty, episode type, diagnosis), and those with mention of a diagnosis of cancer or chemotherapy for cancer anywhere in the spell are excluded. Patients with mention of a diagnosis of cancer or chemotherapy for cancer anywhere in the 365 days prior to admission are excluded. The first episode in the CIP spell has: ADMIMETH = 11, 12, 13 AND EPITYPE = 1 AND CLASSPAT = 1 AND AGE = 0-15 or 7001-7007, 16-74, 75+; AND DOB not 01/01/1900 or 01/01/1901 AND SEX = 1 or 2 AND EPIORDER = 1 AND EPISTART is valid AND DIAG_01 does not begin with ‘O’ AND the last episode in the CIP spell has: DISDATE is valid and < 31/03/YYYY+1 AND EPITYPE = 1 AND MAINSPEF not 501, 560, 610 AND DISMETH = 1, 2 or 3 Spells with any mention of a diagnosis of cancer (ICD-10 codes C00-C97, D37-D48) or chemotherapy for cancer (ICD-10 code Z51.1) are also excluded from the denominator, as are patients with mention of a diagnosis of cancer or chemotherapy for cancer anywhere in the 365 days prior to admission. Additionally, the following exclusions are applied (main specialty, first valid procedure and primary diagnosis): (Episode where the first valid procedure took place MAINSPEF = 100, 101, 110, 120, 130, 140, 141, 142, 143, 150, 160, 170, 180 or 502 AND first valid procedure is not NULL) OR (First episode in CIP spell MAINSPEF = 100, 101, 110, 120, 130, 140, 141, 142, 143, 150, 160, 170, 180 or 502 OR (First episode in CIP spell MAINSPEF = 190, 191, 300, 301, 302, 303, 304, 305, 310, 311, 312, 313, 314, 315, 320, 330, 340, 350, 360, 361, 370, 371, 400, 401, 410, 420, 421, 430, 450, 460, 800, 810 or 823 and first episode in CIP spell DIAG_01 is not NULL)).

Assessment Of Risk:

NONE

Time Period:

Monthly

Notes:

Available Subscriber Drill-downs: CCG, Purcode, GP, Site, Specialty, Directorate_Mspef, Directorate_Tspef, Consultant, Age Group, Sex, CCS Group, Day of Week Available Subscriber Views: Map

i

Q4 1516 1.91 1.86
Numerator:

Number of emergency re-admissions within 30 days of discharge

Numerator Data Source:

HES (Admitted Patient Care)

Numerator Data Source Owner:

NHS Digital

Denominator:

Number of discharges following an elective admission

Denominator Data Source:

HES (Admitted Patient Care)

Denominator Data Source Owner:

NHS Digital

Numerator Inclusions Exclusions:

The number of finished and unfinished continuous inpatient (CIP) spells that are emergency admissions and occur within 0-29 days (inclusive) of the last, previous discharge from hospital (see denominator), including those where the patient dies, but excluding the following: those with a main specialty upon readmission coded under obstetric and those where the readmitting spell has a diagnosis of cancer (other than benign or in situ) or chemotherapy for cancer coded anywhere in the spell. The numerator is the number of denominator CIP spells where: Diagnosis of cancer (ICD-10 codes C00-C97, D37-D48) or chemotherapy for cancer (ICD-10 code Z51.1) is not coded in any position in the readmission spell AND the first episode in readmission CIP spell ADMIDATE minus last episode in admission CIP spell DISDATE is between 0 and 29 days inclusive AND the first episode in the readmission CIP spell has: ADMIMETH = 21, 22, 23, 24, 28, 2A, 2B, 2C, 2D AND DIAG_01 does not begin with ‘O’ AND MAINSPEF not 501, 560, 610

Denominator Inclusions Exclusions:

The number of finished CIP spells within selected medical and surgical specialties. Day cases, spells with a discharge coded as death, maternity spells (based on specialty, episode type, diagnosis), and those with mention of a diagnosis of cancer or chemotherapy for cancer anywhere in the spell are excluded. Patients with mention of a diagnosis of cancer or chemotherapy for cancer anywhere in the 365 days prior to admission are excluded. The first episode in the CIP spell has: ADMIMETH = 21, 22, 23, 24, 28, 2A, 2B, 2C, 2D AND EPITYPE = 1 AND CLASSPAT = 1 AND AGE = 0-15 or 7001-7007, 16-74, 75+; AND DOB not 01/01/1900 or 01/01/1901 AND SEX = 1 or 2 AND EPIORDER = 1 AND EPISTART is valid AND DIAG_01 does not begin with ‘O’ AND the last episode in the CIP spell has: DISDATE is valid and < 31/03/YYYY+1 AND EPITYPE = 1 AND MAINSPEF not 501, 560, 610 AND DISMETH = 1, 2 or 3 Spells with any mention of a diagnosis of cancer (ICD-10 codes C00-C97, D37-D48) or chemotherapy for cancer (ICD-10 code Z51.1) are also excluded from the denominator, as are patients with mention of a diagnosis of cancer or chemotherapy for cancer anywhere in the 365 days prior to admission. Additionally, the following exclusions are applied (main specialty, first valid procedure and primary diagnosis): (Episode where the first valid procedure took place MAINSPEF = 100, 101, 110, 120, 130, 140, 141, 142, 143, 150, 160, 170, 180 or 502 AND first valid procedure is not NULL) OR (First episode in CIP spell MAINSPEF = 100, 101, 110, 120, 130, 140, 141, 142, 143, 150, 160, 170, 180 or 502 OR (First episode in CIP spell MAINSPEF = 190, 191, 300, 301, 302, 303, 304, 305, 310, 311, 312, 313, 314, 315, 320, 330, 340, 350, 360, 361, 370, 371, 400, 401, 410, 420, 421, 430, 450, 460, 800, 810 or 823 and first episode in CIP spell DIAG_01 is not NULL)).

Assessment Of Risk:

NONE

Time Period:

Monthly

Notes:

Available Subscriber Drill-downs: CCG, Purcode, GP, Site, Specialty, Directorate_Mspef, Directorate_Tspef, Consultant, Age Group, Sex, CCS Group, Day of Week Available Subscriber Views: Map

i

Q4 1516 86.9 84.5
Numerator:

Number of BADs procedures performed as a daycase

Numerator Data Source:

HES (Admitted Patient Care)

Numerator Data Source Owner:

NHS Digital

Denominator:

Total number of BADs procedures

Denominator Data Source:

HES (Admitted Patient Care)

Denominator Data Source Owner:

NHS Digital

Numerator Inclusions Exclusions:

Number of BADS procedures given in denominator performed as a daycase: CLASSPAT = 2 (day case)

Denominator Inclusions Exclusions:

ADMIMETH = 11, 12, 13 (Elective admission) OPCS codes from the BADs handbook 4th Edition

Assessment Of Risk:

NONE

Time Period:

Monthly

Notes:

Available Subscriber Drill-downs: CCG, Purcode, GP, Site, Specialty, Directorate_Mspef, Directorate_Tspef, Consultant, Age Group, Sex, CCS Group, Day of Week, BADS Procedure Available Subscriber Views: Map

How to Interpret The Charts

Statistical Process Control (SPC) Chart

These charts are constructed using statistical process control (SPC) principles and use control limits to indicate variation from the national mean. The display shows both two standard deviation (95%) control limits and three standard deviation (99.8%) control limits. Values within these limits (the light grey section) are said to display ‘normal cause variation’ in that variation from the mean can be considered to be random. Values outside these limits (in the light green or orange sections) are said to display ‘special cause variation’ at a two standard deviation level, and a cause other than random chance should be considered. Values outside these sections (in the dark green or red sections) also display ‘special cause variation’ but against a more stringent test.

Variation at the two standard deviation level can be considered to raise an alert, and variation at the three standard deviation level to raise an alarm.

  • The two charts on the left show a trust whose performance on this indicator is better than the national picture by a degree that is unlikely to be explained by random chance
  • The two charts on the left shows a trust whose performance on this indicator does not differ from the national picture by more than can be explained by random chance
  • The two charts on the left show a trust whose performance on this indicator is worse than the national picture by a degree that is unlikely to be explained by random chance
  • The chart on the left is for an indicator that does not have a desired direction for improvement. The Trust shown in this example is within the expected range based on the national picture.
  1. Section title listing NHS outcome framework domain.

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  2. Indicator name

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  3. Period for which data is displayed

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  4. Actual value for this indicator

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  5. The mean value for all acute trusts in England

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  6. SPC Chart displaying variance for each indicator

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  7. Where data is available indicators will have an SPC sparkline showing the previous 12 data points. These are a condensed way to show variation and trend of Trust position against national expected limits.

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  8. If a trust is in this range their rate is much better than expected by chance (99.8% or 3SD)

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  9. If a trust is in this range their rate is better than expected by chance (2SD or 95%)

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  10. If a trust is in this range their rate is worse than expected by chance (2SD or 95%)

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  11. If a trust is in this range their rate is much worse than expected by chance (99.8% or 3SD)

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  12. The vertical bar represents the average value for all acute Trusts in England

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  13. This diamond represents the value for the acute trust.

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