Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 

Inpatient Admissions


Documents

The main documents which include information on inpatient admissions are as follows:

JSNA
Hull JSNA Toolkit: Inpatient Hospital Admissions as well as topic-specific Hull JSNA Toolkit reports
Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here)
Public Health Outcomes Framework Summary
JSNA Hull Atlas

For an explanation or definition of hospital clinical episodes, daycases, hospital admissions and associated information, see Glossary or Hull JSNA Toolkit: Inpatient Hospital Admissions. Within local analyses, in general, all admissions are used when examining admissions overall, but maternity admissions are excluded when examining elective and non-elective admissions.

The topic-specific Hull JSNA Toolkit reports include general information on inpatient admissions, such as the number of clinical episodes and hospital admissions for each main cause (i.e. disease or medical condition listed as the primary cause of admission). For causes where the number of admissions is sufficiently large, the admission rate for each ward is also given (for both elective and emergency admissions), and for each GP practice. Re-admission rates are also provided, and admission rates by deprivation quintile.

Some of the indicators within Public Health Outcomes Framework relate to hospital admissions, and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here)
and Public Health Outcomes Framework Summary.

Inpatient admission rates are presented within JSNA Hull Atlas at ward level for a number of main disease areas, including those indicators which are within the Public Health Outcomes Framework (except re-admissions).

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Accidents

Rates of inpatient admissions where the main or secondary diagnosis relates to an accident and admissions relative to deprivation, and the rates of those killed or seriously injured in traffic accidents are given in Hull JSNA Toolkit: Accidents. Details of the local Accident Prevention Strategy are also given within the Hull JSNA Toolkit: Accidents.

The crude rate of hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years and 15-24 years, and the number of people reported killed or seriously injured on the roads per 100,000 resident population are indicators within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. This is also given at ward level within the JSNA Hull Atlas.

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Alcohol-Related Admissions

The number and rate of alcohol-related hospital admissions is given in the JSNA, Hull JSNA Toolkit: Alcohol Consumption and the Alcohol Report 2013. The admissions relative to deprivation are given within Hull JSNA Toolkit: Alcohol Consumption.

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Asthma

The inpatient admission rate is given in Hull JSNA Toolkit: Asthma, and is also presented in relation to deprivation.

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Atrial Fibrillation

The inpatient admission rate is given in Hull JSNA Toolkit: Other Circulatory Diseases, and is also presented in relation to deprivation.

For further information on Atrial Fibrilation see Cardiovascular Diseases.

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Benchmarking

Comparator Areas gives details of the comparator areas which are similar to Hull and have been used for benchmarking within the topic-specific Hull JSNA Toolkit reports and other local reports. Various factors such as population, ethnicity, deprivation, housing stock, etc are examined in relation to the characteristics of Hull in the Comparator Areas and topic-specific Hull JSNA Toolkit reports. These comparator areas are also used within the local analysis of the Public Health Outcomes Framework indicators, and can be seen in the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here).

The general practices in Hull differ with regard to their registered population in terms of deprivation and age of patients. Whilst general practices can be compared, it is better and easier to try to compare like-with-like. As a result, the general practices in Hull have been grouped according to the average deprivation score of their patients and the average age of their patients. The General Practice Comparator Groupings document provides further details.

For associated information, also see Geo-demographic Segmentation.

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Breast Cancer

The inpatient admission rate is given in Hull JSNA Toolkit: Breast Cancer, and is also presented in relation to deprivation.

For further information on breast cancer see Cancer.

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Cancer, All

The number of inpatient admissions and admission rate for each main cancer site are given in Hull JSNA Toolkit: All Cancers, as well as Hull JSNA Toolkit: Lung Cancer, Hull JSNA Toolkit: Breast Cancer, Hull JSNA Toolkit: Prostate Cancer and Hull JSNA Toolkit: Colorectal Cancer, and are also presented in relation to deprivation. Rates are also presented at ward level and GP practice level, including an examination of elective and non-elective admission rates.

See also inpatient admissions due to breast cancer, colorectal cancer, lung cancer and prostate cancer.

For further information on cancer see Cancer.

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Cardiovascular Disease

The number of inpatient admissions and the admission rate for each main type of cardiovascular disease are given in Hull JSNA Toolkit: All Circulatory Disease, as well as Hull JSNA Toolkit: Coronary Heart Disease, Hull JSNA Toolkit: Stroke and Hull JSNA Toolkit: Other Circulatory Diseases, and are also presented in relation to deprivation. Rates are also presented at ward level and GP practice level, including an examination of elective and non-elective admission rates.

See also inpatient admissions due to atrial fibrilation, coronary heart disease (CHD), heart failure and stroke.

For further information on cardiovascular disease see Cardiovascular Disease.

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Chronic Obstructive Pulmonary Disease (COPD)

The inpatient admission rate is given in Hull JSNA Toolkit: Chronic Obstructive Pulmonary Disease, and is also presented in relation to deprivation.

Information is also presented within the Chronic Obstructive Pulmonary Disease Equity Audit completed December 2010.

For further information on Chronic Obstructive Pulmonary Disease see Chronic Obstructive Pulmonary Disease.

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Colorectal Cancer

The inpatient admission rate is given in Hull JSNA Toolkit: Colorectal Cancer, and is also presented in relation to deprivation.

For further information on colorectal cancer see Cancer.

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Comparison of Admission Rates

Inpatient admission rates provide useful information about the general level of illness and the use of hospital services within geographical areas. Patients admitted to a bed for elective surgery, but discharged the same day are classed as daycases, and these are included within inpatients in local analyses, unless otherwise stated. However, it is very important to note that admission rates depend on how willing people are to make use of medical services, the location and accessibility of services, as well as differences in referral patterns and practices within primary and secondary care. These factors may differ between geographical areas, and may explain different levels of hospital activity rather than differences in the prevalence of disease. For example, in general, people who live in more deprived areas are less likely to visit their GP than people with similar levels of symptoms who live in more affluent areas. Referral rates can vary dramatically among different GP practices which can influence admission rates. Therefore, findings should be interpreted cautiously with regard to comparing admission rates. Nevertheless, analysis of inpatient admission rates will give an indication of the usage of hospital services by patients or residents of different geographical areas. It is also possible that one or more patients could have been admitted a number of times over the three year period, and each admission would be included. This could inflate the numbers, and it is possible that the total number of admissions might be considerably lower for another time period if these patients were not included. However, it was thought best to present the data in terms of the total number of admissions over a period of time rather than the total number of patients admitted, as admissions will reflect service usage so this has generally been the case in local analyses.

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Coronary Heart Disease (CHD)

The inpatient admission rate is given in Hull JSNA Toolkit: Coronary Heart Disease, and is also presented in relation to deprivation. Rates are also presented at ward level and GP practice level, including an examination of elective and non-elective admission rates.

Information is also presented within the Coronary Heart Disease Equity Audit completed September 2005.

For further information on Coronary Heart Disease see Cardiovascular Diseases.

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Crime

The hospital admission rate of violent crime is an indicator within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. The hospital admission rate for violent crime is also given at ward level in the JSNA Hull Atlas.

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Deprivation

More information on how deprivation was measured is given in Deprivation and Hull JSNA Toolkit: Deprivation and Associated Measures.

Admission rates are analysed by deprivation for a number of diseases with the topic-specific Hull JSNA Toolkit reports and within the following health equity audits:

Stroke Equity Audit – September 2011
Hypertension Equity Audit – February 2011
Chronic Obstructive Pulmonary Disease Equity Audit – December 2010
Diabetes Equity Audit – October 2008
Mental Health Equity Audit – March 2007
Cancer Equity Audit – July 2006
Coronary Heart Disease Equity Audit – September 2005

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Diabetes

The inpatient admission rate is given in Hull JSNA Toolkit: Diabetes, and is also presented in relation to deprivation.

Information is also presented within the Diabetes Equity Audit completed October 2008.

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Elective Versus Non-elective

Within local analyses, in general, all admissions are used when examining admissions overall, but maternity admissions are excluded when examining elective and non-elective admissions. Non-elective admissions mainly consist of emergency admissions.

The number and percentage of hospital admissions by primary cause of admission are given in Hull JSNA Toolkit: Inpatient Hospital Admissions, as are admission rates at ward level and at GP practice level by type of admission (elective or non-elective).  Information is also given for the main diseases within the topic-specific Hull JSNA Toolkit reports. However, it is not possible to examine elective and non-elective admissions separately for the majority of diseases at ward or GP practice level as the numbers are too small. Numbers are sufficiently large for all cardiovascular disease, coronary heart disease, all cancers and respiratory disease, and the information is presented for these diseases.

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Falls

The inpatient admission rate is given in Hull JSNA Toolkit: Accidents.

The emergency admission rates for injuries due to falls among those aged 65+ years is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. This is also given at ward level within the JSNA Hull Atlas.

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General Practice

Admission rates at GP practice level are given for the main diseases within the section for that specific disease within the disease-specific Hull JSNA Toolkit reports. Where numbers are sufficiently large analysis is conducted by type of admission (elective or non-elective) in order to assess whether particular practices have especially high admission rates or high non-elective admission rates.

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Health Equity Audits

The following equity audits are available which all examined inpatient admissions in relation to age, gender and deprivation:

Stroke Equity Audit – September 2011
Hypertension Equity Audit – February 2011
Chronic Obstructive Pulmonary Disease Equity Audit – December 2010
Diabetes Equity Audit – October 2008
Mental Health Equity Audit – March 2007
Cancer Equity Audit – July 2006
Coronary Heart Disease Equity Audit – September 2005

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Heart Failure

The inpatient admission rate is given in Hull JSNA Toolkit: Other Circulatory Diseases, and is also presented in relation to deprivation.

For further information on heart failure see Cardiovascular Diseases.

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Hip Fractures

The inpatient admission rate is given in Hull JSNA Toolkit: Accidents and Hull JSNA Toolkit: Older People, and is also presented in relation to deprivation.

The emergency admission rates for hip fractures among those aged 65+ years is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. This is also given at ward level within the JSNA Hull Atlas.

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Lung Cancer

The inpatient admission rate is given in Hull JSNA Toolkit: Lung Cancer, and is also presented in relation to deprivation.

For further information on lung cancer see Cancer.

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Mental Health

The number of inpatient admissions and admission rate for each main type of mental illness are given in Hull JSNA Toolkit: Mental Health and Learning Disabilities as well as admission rates by ward for substance abuse, all other mental health excluding substance abuse, self-harm and dementia. Admission rates are also examined in relation to deprivation.

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Obesity

The inpatient admission rate is given in Hull JSNA Toolkit: Overweight and Obesity, and is also presented in relation to deprivation.

For further information on obesity see Obesity.

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Prostate Cancer

The inpatient admission rate is given in Hull JSNA Toolkit: Prostate Cancer, and is also presented in relation to deprivation.

For further information on prostate cancer see Cancer.

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Public Health Outcomes Framework

There are a number of indicators within Public Health Outcomes Framework related to hospital admission rates and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. These include emergency admission rates for injuries due to violent crime, accidents among children and young people, injuries due to falls among people aged 65+ years, hip fractures among those aged 65+ years, and emergency re-admissions within 30 days of discharge. These are also given at ward level within the JSNA Hull Atlas with the exception of re-admissions.

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Readmission to Hospital

The percentage of patients readmitted to hospital (emergency admissions) within 28 days of discharge from hospital is given in Hull JSNA Toolkit: Inpatient Hospital Admissions.

The percentage of patients readmitted to hospital (emergency admissions) within 30 days of discharge from hospital is an indicator within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Reason for Admission

The number and percentage of hospital admissions by primary cause of admission are given in Hull JSNA Toolkit: Inpatient Hospital Admissions. Admission rates at ward level, at GP practice level and/or by type of admission (elective or non-elective) are also given for the main diseases in the disease-specific Hull JSNA Toolkit reports. The level of detail depends on whether the number of admissions are sufficiently large to be presented at that particular level of detail. For example, if the number of non-elective admissions at ward level are too small to be presented then the number of admissions at ward level might be presented combining elective and non-elective admissions.

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Respiratory Disease, All

The inpatient admission rate is given in Hull JSNA Toolkit: All Respiratory Disease and Hull JSNA Toolkit: Chronic Obstructive Pulmonary Disease, and is also presented in relation to deprivation. Rates are also presented at ward level and GP practice level, including an examination of elective and non-elective admission rates.

See also inpatient admissions due to Asthma or Chronic Obstructive Pulmonary Disease (COPD).

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Stroke

The inpatient admission rate is given in Hull JSNA Toolkit: Stroke, and is also presented in relation to deprivation.

Information is also presented within the Stroke Equity Audit completed September 2011.

For further information on stroke see Cardiovascular Diseases.

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Substance Abuse

The inpatient admission rate is given in Hull JSNA Toolkit: Mental Health and Learning Disabilities, and is also presented in relation to deprivation.

For further information on substance abuse see Mental Health.

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Ward

Admission rates at ward level are given for the main diseases in the disease-specific Hull JSNA Toolkit reports. Where numbers are sufficiently large analysis is conducted by type of admission (elective or non-elective). Admission rates for the main diseases are also included within the JSNA Hull Atlas at ward level.

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