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This is a report on admitted patient care activity in English NHS hospitals and English NHS-commissioned activity in the independent sector. This annual publication covers the financial year ending March 2022. It contains final data and replaces the provisional data that are released each month. The data are taken from the Hospital Episodes Statistics (HES) data warehouse. HES contains records of all admissions, appointments and attendances for patients at NHS hospitals in England. The HES data used in this publication are called 'Finished Consultant Episodes', and each episode relates to a period of care for a patient under a single consultant at a single hospital. Therefore this report counts the number of episodes of care for admitted patients rather than the number of patients. This publication shows the number of episodes during the period, with a number of breakdowns including by patient's age, gender, diagnosis, procedure involved and by provider. Hospital Adult Critical Care (ACC) data are now included within this report, following the discontinuation of the 'Hospital Adult Critical Care Activity' publication. The ACC data tables are not a designated National Statistic and they remain separate from the APC data tables. The ACC data used in this publication draws on records submitted by providers as an attachment to the admitted patient care record. These data show the number of adult critical care records during the period, with a number of breakdowns including admission details, discharge details, patient demographics and clinical information. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This document will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England. Supplementary analysis has been produced, by NHS Digital, containing experimental statistics using the Paediatric Critical Care Minimum Data Set (PCCMDS) data, collected by NHS Digital, against activity published in NHS Reference Costs. This analysis seeks to assist users of the data in understanding the data quality of reported paediatric critical care data. Also included within this release, is supplementary analysis that has been produced in addition to the Retrospective Review of Surgery for Urogynaecological Prolapse and Stress Urinary Incontinence using Tape or Mesh: Hospital Episode Statistics (HES), Experimental Statistics, April 2008 - March 2017. It contains a count of Finished Consultant Episodes (FCEs) where a procedure for urogynaecological prolapse or stress urinary incontinence using tape or mesh has been recorded during the April 2021 to March 2022 period. Please Note: A summary of information relating to procedures for the treatment of Stress Urinary Incontinence is published here for transparency and scrutiny. Follow up is taking place with individual Trusts to confirm that specific treatment is as described for activity occurring since April 2021. This will lead to more accurate information on these procedures that occurred since April 2021 being being available in the future. In collating this information, it has already become clear that some Trusts mis-coded these procedures in Commissioning Data Set return used to produce these statistics. Alongside this the clinical coding guidance has been refined to enable more accurate identification of specific treatments. The data published here has been published for transparency purposes. However, for these reasons small numbers reported on treatments for this condition should be used as a starting point for further investigation rather than a definitive view.
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This report shows monthly numbers of NHS Hospital and Community Health Services (HCHS) staff working in NHS Trusts and other core organisations in England (excluding primary care staff). Data are available as headcount and full-time equivalents and for all months from 30 September 2009 onwards. These data are a summary of the validated data extracted from the NHS HR and Payroll system. Additional statistics on staff in NHS Trusts and other core organisations and information for NHS Support Organisations and Central Bodies are published each: September (showing June statistics) December/January (showing September statistics) March (showing December statistics) June (showing March statistics) Quarterly NHS Staff Earnings, monthly NHS Staff Sickness Absence reports, and data relating to the General Practice workforce and the Independent Healthcare Provider workforce are also available via the Related Links below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678.
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Publication changes: Please read the section on 'Notes on changes to publications' within the PDF report as this highlights changes to data currently published and potentially future reports. This report shows monthly numbers of NHS Hospital and Community Health Service (HCHS) staff groups working in Trusts and CCGs in England (excluding primary care staff). Data is available as headcount and full-time equivalents. This data is an accurate summary of the validated data extracted from the NHS's HR and Payroll system. In addition to the regular monthly reports there are a series of quarterly reports which include statistics on staff in Trusts and CCGs and information for NHS Support Organisations and Central Bodies. The quarterly analysis is published each September (June data), December (September data), March (December data) and June (March data). Additional healthcare workforce data relating to GPs and the Independent Healthcare Provider workforce are also available via the Related Links below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678
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The NHS Outcomes Framework (NHS OF) is a set of indicators developed by the Department of Health and Social Care to monitor the health outcomes of adults and children in England. The framework provides an overview of how the NHS is performing. This report provides information about the indicators updated in this release. Proposals for changes to the NHS Outcomes Framework were proposed as part of a wide ranging consultation on statistical outputs that ran from December 2023 to March 2024. The results of this consultation are now in their final stages of approval. The latest publication updates five of the NHS OF indicators that are expected to continue in future, regardless of the results of the consultation.
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The General Practice Workforce series of Official Statistics presents a snapshot of the primary care general practice workforce. A snapshot statistic relates to the situation at a specific date, which for these workforce statistics is now the last calendar day each month. This monthly snapshot reflects the general practice workforce at 31 January 2025. These statistics present full-time equivalent (FTE) and headcount figures by four staff groups, (GPs, Nurses, Direct Patient Care (DPC) and administrative staff), with breakdowns of individual job roles within these high-level groups. For the purposes of NHS workforce statistics, we define full-time working to be 37.5 hours per week. Full-time equivalent is a standardised measure of the workload of an employed person. Using FTE, we can convert part-time and additional working hours into an equivalent number of full-time staff. For example, an individual working 37.5 hours would be classed as 1.0 FTE while a colleague working 30 hours would be 0.8 FTE. The term “headcount” relates to distinct individuals, and as the same person may hold more than one role, care should be taken when interpreting headcount figures. Please refer to the Using this Publication section for information and guidance about the contents of this publication and how it can and cannot be used. England-level time series figures for all job roles are available in the Excel bulletin tables back to September 2015 when this series of Official Statistics began. The Excel file also includes Sub-ICB Location-level FTE and headcount breakdowns for the current reporting period. CSVs containing practice-level summaries and Sub-ICB Location-level counts of individuals are also available. Please refer to the Publication content, analysis, and release schedule in the Using this publication section for more details of what’s available. We are continually working to improve our publications to ensure their contents are as useful and relevant as possible for our users. We welcome feedback from all users to PrimaryCareWorkforce@nhs.net.
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Directly age and sex standardised admission rate for emergency admissions for acute conditions that should not usually require hospital admission per 100,000 registered patients, 95% confidence intervals (CI). March 2022 - The coronavirus (COVID-19) pandemic began to have an impact on Hospital Episode Statistics (HES) data late in the 2019-20 financial year, which continued into the 2020-21 financial year. This means we are seeing different patterns in the submitted data, for example, fewer patients being admitted to hospital, and therefore statistics which contain data from this period should be interpreted with care. Further information is available in the annual HES publication: https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2020-21/covid-19-impact As of the October 2020 release, the CCG OIS is now published on an annual basis, as a result provisional data periods will no longer be published. The annual update will be based on finalised data for the April to March reporting period each year. As of the March 2020 release, the data included in the December 2019 publication for the 2018/19, July 2018 to June 2019 (Provisional) and October 2018 to September 2019 (Provisional) data periods has been revised. This is due to a revision of a large proportion of records for East Sussex Healthcare NHS Trust (RXC) which had missing information for the condition the patient was in hospital for and other conditions the patients suffer from. The revised data for these reporting periods also differs from that originally published in December 2019 in that the HES database is routinely updated (overwritten) on a monthly basis for the year in progress. Data for the two provisional periods remain provisional, but is now more complete than it was when the December 2019 publication was released. This effect cannot be readily separated from the effect of the East Sussex Healthcare NHS Trust (RXC) resubmission which also took place after processing for the December 2019 publication. Legacy unique identifier: P01844
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The tables provide data for adults (defined as people aged 16 and over) and children (defined as people aged between 0 and 15).
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This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2017-18, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2018. Data is included from both the Hospital Episodes Statistics (HES) data warehouse and the Maternity Services Data Set (MSDS). HES contains records of all admissions, appointments and attendances for patients admitted to NHS hospitals in England. The HES data used in this publication are called 'delivery episodes'. The MSDS collects records of each stage of the maternity service care pathway in NHS-funded maternity services, and includes information not recorded in HES. The MSDS is a maturing, national-level dataset. As the number of deliveries recorded in the MSDS is only 78 per cent of the number of deliveries recorded in HES, the partial coverage of the MSDS both geographically and over time means that figures from the MSDS should not be interpreted as England level figures for 2017-18. This publication shows the number of HES delivery episodes during the period, with a number of breakdowns including by method of onset of labour, delivery method and place of delivery. It also shows the number of MSDS deliveries recorded during the period, with breakdowns including the baby's first feed type and the smoking status of women in early pregnancy. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This document will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England.
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This is a report on admitted patient care activity in English NHS hospitals and English NHS-commissioned activity in the independent sector. This annual publication covers the financial year ending March 2022. It contains final data and replaces the provisional data that are released each month. The data are taken from the Hospital Episodes Statistics (HES) data warehouse. HES contains records of all admissions, appointments and attendances for patients at NHS hospitals in England. The HES data used in this publication are called 'Finished Consultant Episodes', and each episode relates to a period of care for a patient under a single consultant at a single hospital. Therefore this report counts the number of episodes of care for admitted patients rather than the number of patients. This publication shows the number of episodes during the period, with a number of breakdowns including by patient's age, gender, diagnosis, procedure involved and by provider. Hospital Adult Critical Care (ACC) data are now included within this report, following the discontinuation of the 'Hospital Adult Critical Care Activity' publication. The ACC data tables are not a designated National Statistic and they remain separate from the APC data tables. The ACC data used in this publication draws on records submitted by providers as an attachment to the admitted patient care record. These data show the number of adult critical care records during the period, with a number of breakdowns including admission details, discharge details, patient demographics and clinical information. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This document will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England. Supplementary analysis has been produced, by NHS Digital, containing experimental statistics using the Paediatric Critical Care Minimum Data Set (PCCMDS) data, collected by NHS Digital, against activity published in NHS Reference Costs. This analysis seeks to assist users of the data in understanding the data quality of reported paediatric critical care data. Also included within this release, is supplementary analysis that has been produced in addition to the Retrospective Review of Surgery for Urogynaecological Prolapse and Stress Urinary Incontinence using Tape or Mesh: Hospital Episode Statistics (HES), Experimental Statistics, April 2008 - March 2017. It contains a count of Finished Consultant Episodes (FCEs) where a procedure for urogynaecological prolapse or stress urinary incontinence using tape or mesh has been recorded during the April 2021 to March 2022 period. Please Note: A summary of information relating to procedures for the treatment of Stress Urinary Incontinence is published here for transparency and scrutiny. Follow up is taking place with individual Trusts to confirm that specific treatment is as described for activity occurring since April 2021. This will lead to more accurate information on these procedures that occurred since April 2021 being being available in the future. In collating this information, it has already become clear that some Trusts mis-coded these procedures in Commissioning Data Set return used to produce these statistics. Alongside this the clinical coding guidance has been refined to enable more accurate identification of specific treatments. The data published here has been published for transparency purposes. However, for these reasons small numbers reported on treatments for this condition should be used as a starting point for further investigation rather than a definitive view.