1. Gastrointestinal (GI)

2. Problems of the gastro intestinal system – by procedure
NDHT
RDE
PHNT
G45 : DIAGNOSTIC FIBREOPTIC ENDOSCOPIC EXAM/UPPER GASTROINTE
907
2,664
1,134
H22 : DIAGNOSTIC ENDOSCOPIC EXAMINATION OF COLON
496
1,532
1,650
H25 : DIAG.ENDO.EXAM/LOWER BOWEL USING FIBREOPTIC SIGMOIDOSCO
678
1,182
316
T20 : PRIMARY REPAIR OF INGUINAL HERNIA
257
588
309
J18 : EXCISION OF GALL BLADDER
234
475
344
H20 : ENDOSCOPIC EXTIRPATION OF LESION OF COLON
163
371
354
No procedure
112
380
256
H52 : DESTRUCTION OF HAEMORRHOID 36
313 33
T24 : PRIMARY REPAIR OF UMBILICAL HERNIA 71
135
105
Total
3520
10122
5794
Table above shows top nine most common procedures
RD&E undertake more procedures than PHNT and NDHT combined. Relatively high volumes of:
DIAGNOSTIC FIBREOPTIC ENDOSCOPIC EXAM/UPPER GASTROINTE
DIAG.ENDO.EXAM/LOWER BOWEL USING FIBREOPTIC SIGMOIDOSCO

3. Problems of the gastro intestinal system – by procedure
Rate per 100,000 population
Procedure (main)
Eastern Locality
Northern Locality
Western Locality
G45 : DIAGNOSTIC FIBREOPTIC ENDOSCOPIC EXAM/UPPER GASTROINTE
687.0
580.1
348.0
H22 : DIAGNOSTIC ENDOSCOPIC EXAMINATION OF COLON
407.3
323.1
522.1
H25 : DIAG.ENDO.EXAM/LOWER BOWEL USING FIBREOPTIC SIGMOIDOSCO
312.7
427.2
117.6
T20 : PRIMARY REPAIR OF INGUINAL HERNIA
154.9
157.7
160.1
J18 : EXCISION OF GALL BLADDER
125.0
144.4
127.7
H20 : ENDOSCOPIC EXTIRPATION OF LESION OF COLON
95.9
101.7
103.0
H52 : DESTRUCTION OF HAEMORRHOID
94.3
28.3
21.9
T24 : PRIMARY REPAIR OF UMBILICAL HERNIA
34.3
44.5
48.9
No procedure
100.3
81.2
74.5
Grand Total
2644.9
2335.9
1926.5
Table above shows top eight most common procedures
Eastern Locality undertake the most procedures per head of population with the Northern Locality recording the second highest rate.

4. EXCISION OF GALL BLADDER
procedure
RBZ - NORTHERN DEVON HEALTHCARE NHS TRUST
RH8 - ROYAL DEVON AND EXETER NHS FOUNDATION TRUST
RK9 - PLYMOUTH HOSPITALS NHS TRUST
Volume
234
475
344
Total cost
£496,595
£963,945
£701,502
Cost per procedure
£2,122
£2,029
£2,039
The total cost was £2, in 2014/15 at an average cost of £2,053.00
RD&E undertake the highest number of excisions of the gall bladder and 475 were undertaken in 2014/15
This was 45% of the CCG total

5. EXCISION OF GALL BLADDER
Rate per 100,000 population
Procedure (main)
Eastern Locality
Northern Locality
Western Locality
Volume
125.0
144.4
127.7
Total cost
£252,416
£309,991
£249,568
Cost per procedure
£2,019
£2,147
£1,954
The total cost was £2, in 2014/15 at an average of cost of £2,020.00
Northern Locality undertake that highest number of excisions of the gall bladder at a rate of per 100,000 population in 2014/15

6. Problems of the gastro intestinal system – by diagnosis
Procedure
NDHT
RDE
PHNT
K57 : Diverticular disease of intestine
289
792
568
K21 : Gastro-oesophageal reflux disease
249
706
268
K40 : Inguinal hernia
319
703
399
I84 : Haemorrhoids
163
697
132
K62 : Other diseases of anus and rectum
153
685
225
K50 : Crohn's disease [regional enteritis] 66
675
328
K51 : Ulcerative colitis 60
573
177
K80 : Cholelithiasis
223
492
403
K29 : Gastritis and duodenitis 67
441 84
R19 : Oth symptoms & signs involving digestive system and abdomen
275
428
503
Total
3520
10122
5794
Table above shows top ten most common diagnoses
Relatively high volumes in RD&E are for diagnosis of:
K21 : Gastro-oesophageal reflux disease
K40 : Inguinal hernia
I84 : Haemorrhoids
K62 : Other diseases of anus and rectum
K50 : Crohn's disease [regional enteritis]
K51 : Ulcerative colitis

7. Problems of the gastro intestinal system – by diagnosis
Main diagnosis
Rate per 100,000 population
Eastern Locality
Northern Locality
Western Locality
K40 : Inguinal hernia
191.0
198.0
195.2
K57 : Diverticular disease of intestine
210.8
187.1
173.9
R19 : Oth symptoms & signs involving digestive system and abdomen
114.4
171.5
157.0
K21 : Gastro-oesophageal reflux disease
183.2
165.5
81.3
K80 : Cholelithiasis
134.9
140.8
142.3
I84 : Haemorrhoids
207.2
110.7
60.2
K62 : Other diseases of anus and rectum
181.4
109.5
84.1
K50 : Crohn's disease [regional enteritis]
171.3
69.2
98.2
K63 : Other diseases of intestine
97.2
130.0
K51 : Ulcerative colitis
150.5
40.3
55.4
Total
2722.9
2343.8
1951.2

8. Problems of the gastro intestinal system – average LOS
RD&E tend to have the shortest LOS with NDHT the longest
This could be driven by types of work undertaken
NDHT have relatively high numbers of patients staying between 2-6 days

9. Problems of the gastro intestinal system – age profile
NDHT show a relative peak in activity for patients aged between 65 and 80
This would possibly explain their relatively high average LOS