1. NEQOS Children’s Health Indicators 13 Dec 2010 1

2. Indicators PCH9.1 Overnight Paediatric beds (staffed) by trust PCH9.1a Occupied beds per 100,000 population PCH9.2a Overnight Paediatric bed (staffed) occupancy rate by trust PCH9.2b Paediatric Throughput by trust PCH12.1b Admissions by admission method by trust PCH12.1 Admissions by admission method by site QIPP1c Number of emergency admissions via A&E or GP referral only QIPP1c2 Length of Stay for Children emergency admissions via A&E or GP referral only PCH9.3 A&E attendance outcomes by paediatric patients by Trust PCH8.11.2 Length of Stay for Children by trust PCH9.4.2b Length of Stay for Children with Breathing Difficulties by trust PCH9.4.2 Length of Stay for Children with Breathing Difficulties by site PCH9.5.2b Length of Stay for gastrointestinal problems by trust PCH9.5.2 Length of Stay for gastrointestinal problems by site PCH9.6.2b Length of Stay for fever by trust PCH9.6.2 Length of Stay for fever by site

3. PCH9.1 – Overnight Paediatric beds (staffed) by trust Data Table 1: Overnight Paediatric beds (staffed) by trust Data obtained from DH Website KH03 data 2004/05 to 2009/10 3 Children aged <16 years

4. PCH9.1 – Overnight Paediatric beds (staffed) by trust Data Table 2: Overnight Paediatric beds (staffed) by trust (% change from baseline 2004/05) Data obtained from DH Website KH03 data 2004/05 to 2009/10 4 Children aged <16 years NOTE – There has been continual decline in the number of staffed paediatric beds in the NE SHA, with the largest decline (compared to 2004/05 numbers) in South Tees Hospitals NHS FT. However, the average overnight occupancy rate (see PCH9.2a) does not reflect any negative impact due to the higher rate of decline.

5. PCH9.1 – Overnight Paediatric beds (staffed) by trust Chart 1: Time Series Overnight Paediatric beds (staffed) by trust Data obtained from DH Website KH03 data 2004/05 to 2009/10 5 Children aged <16 years

6. PCH9.1a – Occupied beds per 100,000 population Data Table 1: Occupied beds per 100,000 population Data obtained from DH Website KH03 data 2004/05 to 2009/10 6 Children aged <16 years NOTE – Despite a larger rate of decrease in the NE region compared to the national rate, the number of beds by population compared to national is still high. Furthermore, the very high variation across the region may be due to the presence of large centres that cover tertiary care but this is worth discussing. It is also acknowledged that admissions to some hospitals, and especially Newcastle upon Tyne Hospitals FT and South Tees Hospitals FT, come from PCT areas other than the host PCT. However, it has not been possible to identify a consistent way of applying a rule of population split and therefore the activity reflected here is attributed per 100k of the host PCT population.

7. PCH9.1a – Occupied beds per 100,000 population Chart 1: Time Series Occupied beds per 100,000 population Data obtained from DH Website KH03 data 2004/05 to 2009/10 7 Children aged <16 years

8. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Data Table 1: Average overnight paediatric bed (staffed) occupancy rate by trust Data obtained from DH Website KH03 data 2004/05 to 2009/10 8 Note: Missing data in 2008/09 marked with -- Children aged <16 years

9. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Data Table 2: Average overnight paediatric bed (staffed) occupancy rate by trust (numerator / denominator) Data obtained from DH Website KH03 data 2004/05 to 2009/10 9 Note: Missing data in 2008/09 marked with -- Children aged <16 years

10. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Chart 1: Time Series Average overnight paediatric bed (staffed) occupancy rate by trust Data obtained from DH Website KH03 data 2004/05 to 2009/10 10 * Missing data in 2008/09 for 3 trusts Children aged <16 years

11. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Chart 2: Box Whisker Plot Average overnight paediatric bed (staffed) occupancy rate by trust Data obtained from DH Website KH03 data 2009/10 11 Children aged <16 years

12. PCH9.2a Average overnight paediatric bed (staffed) occupancy rate by trust Chart 2: Funnel Plot (99.8% CIs) Average overnight paediatric bed (staffed) occupancy rate by trust Data obtained from DH Website KH03 data 2009/10 12 Children aged <16 years

13. PCH9.2b – Paediatric throughput by trust Data Table 1: Paediatric throughput by trust Data obtained from DH Website KH03 data 2008/09 to 2009/10 and HES 2008/09 – 2009/10 13 Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years)

14. PCH9.2b – Paediatric throughput by trust Data Table 2: Paediatric throughput by trust (numerator / denominator) Data obtained from DH Website KH03 data 2008/09 to 2009/10 and HES 2008/09 – 2009/10 14 Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years)

15. PCH9.2b – Paediatric throughput by trust Chart 1: Time Series Paediatric Throughput by trust 15 Data obtained from DH Website KH03 data 2008/09 to 2009/10 and HES 2008/09 – 2009/10 Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years)

16. PCH9.2b – Paediatric throughput by trust Chart 2: Box Whisker Plot Paediatric throughput by trust 16 Data obtained from DH Website KH03 data 2009/10 and HES 2009/10 Measures shown are the ratio of average daily Paediatric episodes to average available beds (children < 16 years)

17. PCH12.1b Admissions by admission method by trust Data Table 1: Admissions by admission method by trust Data obtained from HES 2009/10 17 Children aged <16 years

18. PCH12.1b Admissions by admission method by trust Chart 1: Stacked Bar Admissions by admission method by trust Data obtained from HES 2009/10 18 Children aged <16 years

19. PCH12.1b Admissions by admission method by trust Chart 2: Stacked Bar % Admissions by admission method by trust Data obtained from HES 2009/10 19 Children aged <16 years

20. PCH12.1b Admissions by admission method by trust Data Table 2: Admissions by admission method by trust (Elective or Emergency) Data obtained from HES 2009/10 20 Children aged <16 years

21. PCH12.1b Admissions by admission method by trust Chart 3: Stacked Bar Admissions by admission method by trust (Elective or Emergency) Data obtained from HES 2009/10 21 Children aged <16 years

22. PCH12.1b Admissions by admission method by trust Chart 4: Stacked Bar % Admissions by admission method by trust (Elective or Emergency) Data obtained from HES 2009/10 22 Children aged <16 years

23. Site Level Coding Issues Use of acute trust code in lieu of missing site code Analyses are based on the 5 digit site code in HES data supplied by organisations Where HES data records have a blank site code, the 3-digit organisation code for the acute trust was used instead No double-counting of data was done – only HES data records with blank site codes have been reported at the acute trust organisation level Because multiple sites may exist at the acute trust, it was not possible to attribute records with only acute trust organisation identifiers precisely to a site code The site code labelled SOUTH TEES HOSPITALS NHS FT is likely referring to JAMES COOK UNIVERSITY HOSPITAL, but no records in HES have a site name for the latter – therefore, South Tees has been coded by organisations in both the site code and the organisation code fields

24. Site Level Coding Issues List of Acute Trusts and corresponding sites where data is only available at Acute Trust level Acute TrustSites contained within coded at Acute level only City Hospitals Sunderland NHS Foundation Trust Ryhope General Hospital NOTE – Sunderland Royal Hospital may be coded at site level and is not included in the Acute Trust level data. County Durham and Darlington Foundation Trust Darlington Memorial Hospital University Hospital of North Durham Bishop Auckland Hospital Chester-le-street community Hospital Shotley Bridge Community Hospital Gateshead NHS Foundation Trust Queen Elizabeth Hospital Bensham General Hospital Dunston Hill Hospital QE Metro Riverside Newcastle upon Tyne Hospitals NHS Foundation Trust Campus for Ageing and Vitality The Dental Hospital Newcastle Fertility Centre & Northern Genetics Service Walkergate Hospital NOTE – Royal Victoria Infirmary, Freeman Hospital and Newcastle General Hospital may be coded at site level and are not included in the Acute Trust level data. Northumbria Healthcare NHS Foundation Trust Alnwick Infirmary Berwick Community Hospital Blyth Community Hospital Haltwhistle War Memorial Morpeth Cottage Hospital Rothbury Community Hospital Sir GB Hunter Memorial Hospital NOTE – North Tyneside General, Hexham General Hospital and Wansbeck General Hospital may be coded at site level and are not included in the Acute Trust level data. South Tees NHS Foundation Trust James Cook University Hospital Friarage Hospital South Tyneside NHS Foundation Trust Palmer Community Hospital Primrose Hill Hospital Monkton Hall Hospital NOTE – South Tyneside District Hospital may be coded at site level and is not included in the Acute Trust level data.

25. PCH12.1 Admissions by admission method Data Table 1: Admissions by admission method Data obtained from HES 2009/10 25 Children aged <16 years

26. PCH12.1 Admissions by admission method by site Chart 1: Stacked Bar Admissions by admission method by site Data obtained from HES 2009/10 26 Children aged <16 years (Note: un-coded site-level data is not presented)

27. PCH12.1 Admissions by admission method by site Chart 2: Stacked Bar % Admissions by admission method by site Data obtained from HES 2009/10 27 Children aged <16 years (Note: un-coded site-level data is not presented)

28. PCH12.1 Admissions by admission method Data Table 2: Admissions by admission method (Elective or Emergency) Data obtained from HES 2009/10 28 Children aged <16 years

29. PCH12.1 Admissions by admission method by site Chart 3: Stacked Bar Admissions by admission method by site (Elective or Emergency) Data obtained from HES 2009/10 29 Children aged <16 years (Note: un-coded site-level data is not presented)

30. PCH12.1 Admissions by admission method by site Chart 4: Stacked Bar % Admissions by admission method by site (Elective or Emergency) Data obtained from HES 2009/10 30 Children aged <16 years (Note: un-coded site-level data is not presented)

31. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Data Table 1: Number of emergency admissions via A&E or GP referral only by trust Data obtained from HES 2008/09 – 2009/10 31 Children aged <16 years, emergency admissions

32. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Chart 1: Time Series Number of emergency admissions via A&E or GP referral only by trust 32 Data obtained from HES 2008/09 – 2009/10 Children aged <16 years, emergency admissions

33. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Chart 2: Stacked Bar Chart Number of emergency admissions via A&E or GP referral only by trust 33 Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

34. QIPP1c – Number of emergency admissions via A&E or GP referral only by trust Chart 3: Stacked Bar Chart % of emergency admissions via A&E or GP referral only by trust 34 Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

35. QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only Data Table 1: Length of stay for emergency admissions via A&E or GP referral only Data obtained from HES 2009/10 35 Children aged <16 years, emergency admissions

36. QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only by trust Chart 2: Stacked Bar Chart Length of stay for emergency admissions via A&E or GP referral only by trust 36 Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

37. QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only by trust Chart 3: Stacked Bar Chart % Length of stay for emergency admissions via A&E or GP referral only by trust 37 Data obtained from HES 2009/10 Children aged <16 years, emergency admissions

38. PCH9.3 A&E attendance outcomes by paediatric patients by Trust Table 1: Data A&E attendance outcomes by paediatric patients by Trust 38 Data obtained from HES 2009/10 Children aged <16 years Data Commentary There are known data quality issues with the HES A&E data universe. The counts listed here are likely under-representative of true volumes and should be used with caution. For example, it is known that NUTH volumes are approximately 44% less when comparing HES A&E to the hospital PAS. A&E attendances that result in hospital admission are highlighted in the amber box.

39. PCH9.3 A&E attendance outcomes by paediatric patients by Trust Chart 1: Stacked bar A&E attendance outcomes by paediatric patients by Trust 39 Data obtained from HES 2009/10 Children aged <16 years

40. PCH9.3 A&E attendance outcomes by paediatric patients by Trust Chart 2: Pie chart A&E attendance outcomes by paediatric patients by Trust (region and national views) 40 Data obtained from HES 2009/10 Children aged <16 years

41. PCH8.11.2 – Length of Stay for Children by trust Data Table 1: Length of Stay for Children by trust Data obtained from HES 2009/10 41 Children aged <16 years, Emergency admissions

42. PCH8.11.2 – Length of Stay for Children by trust Chart 1: Stacked Bar Length of Stay for Children by trust Data obtained from HES 2009/10 42 Children aged <16 years, Emergency admissions

43. PCH8.11.2 – Length of Stay for Children by trust Chart 2: Stacked Bar % of Length of Stay for Children by trust Data obtained from HES 2009/10 43 Children aged <16 years, Emergency admissions

44. PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust Data Table 1: Length of Stay for Children with Breathing Difficulties by trust Data obtained from HES 2009/10 44 Children aged <16 years, Emergency admissions

45. PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust Chart 1: Stacked Bar Length of Stay for Children with Breathing Difficulties by trust Data obtained from HES 2009/10 45 Children aged <16 years, Emergency admissions

46. PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust Chart 2: Stacked Bar % Length of Stay for Children with Breathing Difficulties by trust Data obtained from HES 2009/10 46 Children aged <16 years, Emergency admissions

47. PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site Data Table 1: Length of Stay for Children with Breathing Difficulties by site Data obtained from HES 2009/10 47 Children aged <16 years, Emergency admissions

48. PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site Chart 1: Stacked Bar Length of Stay for Children with Breathing Difficulties by site Data obtained from HES 2009/10 48 Children aged <16 years, Emergency admissions (Note: un-coded site-level data is not presented)

49. PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site Chart 2: Stacked Bar % Length of Stay for Children with Breathing Difficulties by site Data obtained from HES 2009/10 49 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

50. PCH9.5.2b – Length of Stay for gastrointestinal problems by trust Data Table 1: Length of Stay for gastrointestinal problems by trust Data obtained from HES 2009/10 50 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

51. PCH9.5.2b – Length of Stay for gastrointestinal problems by trust Chart 1: Stacked Bar Length of Stay for gastrointestinal problems by trust Data obtained from HES 2009/10 51 Children aged <16 years, Emergency admissions

52. PCH9.5.2b – Length of Stay for gastrointestinal problems by trust Chart 2: Stacked Bar % Length of Stay for gastrointestinal problems by trust Data obtained from HES 2009/10 52 Children aged <16 years, Emergency admissions

53. PCH9.5.2 – Length of Stay for gastrointestinal problems by site Data Table 1: Length of Stay for gastrointestinal problems by site Data obtained from HES 2009/10 53 Children aged <16 years, Emergency admissions

54. PCH9.5.2 – Length of Stay for gastrointestinal problems by site Chart 1: Stacked Bar Length of Stay for gastrointestinal problems by site Data obtained from HES 2009/10 54 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

55. PCH9.5.2 – Length of Stay for gastrointestinal problems by site Chart 2: Stacked Bar % Length of Stay for gastrointestinal problems by site Data obtained from HES 2009/10 55 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

56. PCH9.6.2b – Length of Stay for fever by trust Data Table 1: Length of Stay for fever by trust Data obtained from HES 2009/10 56 Children aged <16 years, Emergency admissions

57. PCH9.6.2b – Length of Stay for fever by trust Chart 1: Stacked Bar Length of Stay for fever by trust Data obtained from HES 2009/10 57 Children aged <16 years, Emergency admissions

58. PCH9.6.2b – Length of Stay for fever by trust Chart 2: Stacked Bar % Length of Stay for fever by trust Data obtained from HES 2009/10 58 Children aged <16 years, Emergency admissions

59. PCH9.6.2 – Length of Stay for fever by site Data Table 1: Length of Stay for fever by site Data obtained from HES 2009/10 59 Children aged <16 years, Emergency admissions

60. PCH9.6.2 – Length of Stay for fever by site Chart 1: Stacked Bar Length of Stay for fever by site Data obtained from HES 2009/10 60 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

61. PCH9.6.2 – Length of Stay for fever by site Chart 2: Stacked Bar % Length of Stay for fever by site Data obtained from HES 2009/10 61 Children aged <16 years, Emergency admissions, (Note: un-coded site-level data is not presented)

62. DATA SPECIFICATIONS HIGH LEVEL NOTES 62

63. PCH9.1 – Overnight Paediatric beds (staffed) by trust Data Source: Department of Health KH03 Beds Overnight data 2004/05, 2005/06, 2006/07, 2007/08, 2008/09, 2009/10 Indicator: Average daily number of available Paediatric beds per annum by trust Data Handling Notes: In order to indentify Paediatric beds the following ward designations were used: (1) Intensive care: neonates (2) Intensive care: paediatric (8) Other general & acute: neonates and children 63

64. PCH9.1a – Occupied beds per 100,000 population Data Source: Department of Health KH03 Beds Overnight data 2004/05, 2005/06, 2006/07, 2007/08, 2008/09, 2009/10 ONS population data mid 2004 to mid 2009 (yearly data files) Indicator: Average daily number of available Paediatric beds per annum by 100,000 population Data Handling Notes: Age <16y In order to indentify Paediatric beds the following ward designations were used: (1) Intensive care: neonates (2) Intensive care: paediatric (8) Other general & acute: neonates and children ONS population data is reported at the PCT-level. Acute trusts were, therefore, mapped to one or more distinct PCTs in order to associate ONS population data to the acute trust level. See next slide for mapping details. 64

65. PCH9.1a – Occupied beds per 100,000 population (cont’d) Data Handling Notes: Acute trust to PCT mapping: CODETRUSTPCT(s) RE9SOUTH TYNESIDE NHS FTSouth Tyneside RLNCITY HOSPITALS SUNDERLAND NHS FTSunderland Teaching RR7GATESHEAD HEALTH NHS FTGateshead RTDNEWCASTLE UPON TYNE HOSPITALS NHS FTNewcastle RTFNORTHUMBRIA HEALTHCARE NHS FT1) Northumberland Care Trust2) North Tyneside RTRSOUTH TEES HOSPITALS NHS TRUST1) Middlesbrough2) Redcar and Cleveland RVWNORTH TEES AND HARTLEPOOL NHS FT1) Hartlepool2) Stockton-on-Tees Teaching RXPCOUNTY DURHAM AND DARLINGTON NHS FT1) County Durham2) Darlington Where PCH9.1 reports the average number of daily paediatric beds available per annum at the acute trust level, PCH9.1a reports that same number adjusted to a population of 100,000 where the population of the one or more PCTs has been mapped to the acute trust. 65

66. PCH9.2a – Overnight Paediatric bed (staffed) occupancy rate by trust Data Source: Department of Health KH03 Beds Overnight data, 2004/05, 2005/06, 2006/07, 2007/08, 2008/09, 2009/10 Indicator: Overnight Paediatric bed (staffed) occupancy rate by trust Data Handling Notes: In order to stratify by Paediatric beds the following ward designations were used: (1) Intensive care: neonates (2) Intensive care: paediatric (8) Other general & acute: neonates and children 66

67. PCH9.2b – Paediatric Throughput by trust Data Source: Department of Health KH03 Beds Overnight data 2008/09, 2009/10 HES 2008/09, 2009/10 Indicator: Ratio of average daily Paediatric episodes to average available beds per day Data Handling Notes: In order to stratify by Paediatric beds the following ward designations were used: (1) Intensive care: neonates (2) Intensive care: paediatric (8) Other general & acute: neonates and children Number of paediatric admissions is defined as all in year episodes where: Age at start of episode “startage” < 16 Divided by 365, giving average episodes per day. 67

68. PCH12.1b – Admissions by admission method by trust Data Source: Hospital Episodes Statistics, 2009/10 Indicator: Admissions by admission method (to provide insight to % and number children who go to the current Paediatric assessment units via GP referral or emergency unit/A&E) Data Handling Notes: Age at start of episode “startage” < 16 Admission methods from HES have been categorised as shown on next slide 68

69. PCH12.1 – Admissions by admission method by site Data Source: Hospital Episodes Statistics, 2009/10 Indicator: Admissions by admission method (to provide insight to % and number children who go to the current Paediatric assessment units via GP referral or emergency unit/A&E) Data Handling Notes: Age at start of episode “startage” < 16 Admission methods from HES have been categorised as shown on next slide 69

70. PCH12.1 – Admissions by admission method (cont’d) Data Handling Notes: Only the following admission methods from HES have been used, categorised as follows: Admission methods of Maternity, Unknown and “Other – babies born in HC or outside of HC Provider have been excluded here, but may be included in the totals. 70

71. QIPP1c – Number of emergency admissions via A&E or GP referral only Data Source: HES 2008/09, 2009/10 Indicator: Number of emergency admissions by trust, by quarter (Emergency admissions via A&E or GP referral only) Data Handling Notes: Age <16y ADMIMETH = emergency admission code 21 or 22 Count of in-year admissions 7114 June 2010

72. QIPP1c2 – Length of stay for emergency admissions via A&E or GP referral only Data Source: HES 2008/09, 2009/10 Indicator: Length of stay for emergency admissions by trust, by quarter (Emergency admissions via A&E or GP referral only) Data Handling Notes: Age <16y ADMIMETH = emergency admission code 21 or 22 Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days 7214 June 2010

73. PCH9.3 – A&E attendance outcomes by paediatric patients by Trust Data Source: Hospital Episodes Statistics A&E Universe (HES) 2009/10 Indicator: A&E attendance outcomes by paediatric patients by Trust Data Handling Notes: Age on arrival “arrivalage” < 16 Total attendances by attendance disposal category Data grouped as follows: HES Attendance DisposalAnalysis Grouping of Attendance DisposalDischarged - no follow up reqdDischarged - follow up by GP Referred to A&E ClinicReferred to A&E clinic/other professional Referred to other health care professionalReferred to A&E clinic/other professionalAdmitted / became a lodged patient Left Department before being treatedLeft Department before being treated/refused treatment Left Department having refused treatmentLeft Department before being treated/refused treatmentTransferred to other Health Care Provider Died in DepartmentOther and unknown Not knownOther and unknown OtherOther and unknown Referred to Fracture ClinicOther and unknown Referred to other OP ClinicOther and unknown 73

74. PCH8.11.2 – Length of Stay for by trust Data Source: Hospital Episodes Statistics 2009/10 Indicator: LOS for children (emergency admissions) Data Handling Notes: o Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days o Age at admission “admiage” < 16 o Admission method “admimeth” = emergency

75. PCH9.4.2b – Length of Stay for Children with Breathing Difficulties by trust Data Source: Hospital Episodes Statistics 2009/10 Indicator: LOS for children with a primary diagnosis at emergency admission of a breathing difficulty Data Handling Notes: o Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days o Age at admission “admiage” < 16 o Primary diagnosis “in list of ICD10 codes: o R060 (dyspnea) o J45*, J46* (Asthma) o A37* (Whooping cough) o J00* - J22* (Respiratory infections) o B349 with secondary diagnosis of R062 (Viral Wheeze) o R061 (Stridor) o Admission method “admimeth” = emergency

76. PCH9.4.2 – Length of Stay for Children with Breathing Difficulties by site Data Source: Hospital Episodes Statistics 2009/10 Indicator: LOS for children with a primary diagnosis at emergency admission of a breathing difficulty Data Handling Notes: o Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days o Age at admission “admiage” < 16 o Primary diagnosis “in list of ICD10 codes: o R060 (dyspnea) o J45*, J46* (Asthma) o A37* (Whooping cough) o J00* - J22* (Respiratory infections) o B349 with secondary diagnosis of R062 (Viral Wheeze) o R061 (Stridor) o Admission method “admimeth” = emergency

77. PCH9.5.2b – Length of Stay for gastrointestinal problems by trust Data Source: Hospital Episodes Statistics 2009/10 Indicator: LOS for children with a primary diagnosis at emergency admission of gastrointestinal problems Data Handling Notes: Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days o Age at admission “admiage” < 16 o Primary diagnosis in list of ICD10 codes: o A00* Cholera. A01* Typhoid and Paratyphoid Fevers. A02* Other Salmonella Infections, A03* Shigellosisl, A04* Other Bacterial Intestinal Infections,.A05* Other Bacterial Foodborne Intoxications, A06* Amoebiasis, A07* Other Protozoal Intestinal Diseases, A08* Viral and Other Specified Intestinal Infections, A09* Diarrhea and Gastroenteritis of Presumed Infectious Origin o K21* GORD, K50*, K51*, Crohns and UC, K528, K529 other specified and Noninfective gastroenteritis and colitis, unspecified, K25*- K38* Appendicitis. K561 Intussusceptions, K590 Constipation o R100 – R104 Abdominal pain. o R14* Flatulence & related conditions o Admission method “admimeth” = emergency

78. PCH9.5.2 – Length of Stay for gastrointestinal problems by site Data Source: Hospital Episodes Statistics 2009/10 Indicator: LOS for children with a primary diagnosis at emergency admission of gastrointestinal problems Data Handling Notes: Length of stay (where length of stay = discharge date – admission date for each episode), grouped by 0 days, 1 day, 2-3 days and 4+ days o Age at admission “admiage” < 16 o Primary diagnosis in list of ICD10 codes: o A00* Cholera. A01* Typhoid and Paratyphoid Fevers. A02* Other Salmonella Infections, A03* Shigellosisl, A04* Other Bacterial Intestinal Infections,.A05* Other Bacterial Foodborne Intoxications, A06* Amoebiasis, A07* Other Protozoal Intestinal Diseases, A08* Viral and Other Specified Intestinal Infections, A09* Diarrhea and Gastroenteritis of Presumed Infectious Origin o K21* GORD, K50*, K51*, Crohns and UC, K528, K529 other specified and Noninfective gastroenteritis and colitis, unspecified, K25*- K38* Appendicitis. K561 Intussusceptions, K590 Constipation o R100 – R104 Abdominal pain. o R14* Flatulence & related conditions o Admission method “admimeth” = emergency

79. PCH9.6.2b – Length of Stay for fever by trust Data Source: Hospital Episodes Statistics 2009/10 Indicator: LOS for children with a primary diagnosis at emergency admission with a primary diagnosis of feverish illness Data Handling Notes: Total emergency admissions Age at admission “admiage” < 16 Primary diagnosis in list of ICD10 codes: O R50* Fever of other and unknown origino A39 * Meningococcal oA40* -A41* Septicaemiao A488 Other specified bacterial oA490, A491, A492 Staph, Strep and HiBo A499 Bacterial unspecified oA85* - A87* Viral encephalitiso B05* Measles oB06* Rubellao B26* Mumps oB27* CMVo B30*, B34* Adenovirus oB99* Other unspecified infectious diseaseo J00* - J22* Respiratory infections o Admission method “admimeth” = emergency

80. PCH9.6.2 – Length of Stay for fever by site Data Source: Hospital Episodes Statistics 2009/10 Indicator: LOS for children with a primary diagnosis at emergency admission with a primary diagnosis of feverish illness Data Handling Notes: Total emergency admissions Age at admission “admiage” < 16 Primary diagnosis in list of ICD10 codes: O R50* Fever of other and unknown origino A39 * Meningococcal oA40* -A41* Septicaemiao A488 Other specified bacterial oA490, A491, A492 Staph, Strep and HiBo A499 Bacterial unspecified oA85* - A87* Viral encephalitiso B05* Measles oB06* Rubellao B26* Mumps oB27* CMVo B30*, B34* Adenovirus oB99* Other unspecified infectious diseaseo J00* - J22* Respiratory infections o Admission method “admimeth” = emergency