This publication reports on Admitted Patient Care activity in England for the financial year 2024-25 This report includes but is not limited to analysis of hospital episodes by patient demographics, diagnoses, external causes/injuries, operations, bed days, admission method, time waited, specialty, provider level analysis and Adult Critical Care (ACC). It describes NHS Admitted Patient Care Activity, Adult Critical Care activity and performance in hospitals in England. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care and may also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England. The data source for this publication is Hospital Episode Statistics (HES). It contains final data and replaces the provisional data that are released each month. HES contains records of all admissions, appointments and attendances at NHS-commissioned hospital services 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 breakdowns including by patient's age, gender, diagnosis, procedure involved and by provider. Please send queries or feedback via email to enquiries@nhsdigital.nhs.uk. Author: Secondary Care Open Data and Publications, NHS England. Lead Analyst: Karl Eichler

The number of admissions has increased year-on-year from 2000 to 2020. Due to the COVID-19 pandemic, hospital admission dropped in 2020/21. In 2024/25 there were around **** million admissions* to NHS hospitals in England, showing that admission numbers have reached and exceeded pre-pandemic levels. Of these, *** million were emergency admissions.

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.

Emergency hospital admission rates for all conditions and all ages. Data is available from Health and Social Care Information Centre Indicator Portal and Hospital episode statistics legacy website containing content from the London Health Observatory]. Indirectly age and sex standardised rates.

The total number of admissions to private/independent hospitals or clinics in the United Kingdom has increased in 2024 for the ****** consecutive year to ******* episodes, despite the dip in numbers in 2020. Ireland saw the largest growth in terms of percentage increase, with an **** percent increase in 2024 compared to the previous year. England, of course, saw the largest absolute increase in number of admissions in the private sector.

This dataset provides counts of Finished Admission Episodes (FAE) at MSOA level and higher geographies. The information covers the following specified diagnosis, cause and operative procedures: 1) Coronary Heart Disease; 2) Cerbrovascular Disease (including Stroke); 3) Cancer (excluding non-melanoma skin cancer); 4) Falls (basic accidental falls); 5) Coronary Artery Bypass Graft (CABG) and Percutaneous Transluminal Coronary Angioplasty (PTCA) (Heart); 6) Hip Replacement; 7) Knee Replacement; 8) Cataracts. Source: The Information Centre for health and social care (IC) Publisher: Neighbourhood Statistics Geographies: Local Authority District (LAD), Government Office Region (GOR), National Geographic coverage: England Time coverage: 2004/05 to 2007/08 Type of data: Administrative data

Public Health England (PHE) has published the Local Alcohol Profiles for England (LAPE) data update for May 2016.

The LAPE interactive tool presents data for 25 alcohol-related indicators and allows users to view and analyse data in a user-friendly format. The http://www.lape.org.uk">LAPE website also provides links to further supporting and relevant information to aid understanding of alcohol-related harm in a local population.

http://fingertips.phe.org.uk/profile/local-alcohol-profiles">View the Local Alcohol Profiles for England data tool

This latest data release includes:

• the addition of 2014 to 2015 data to the alcohol-related hospital admission indicators
• 3 new indicators showing alcohol-related admissions by age
• a new indicator relating to alcohol-related cancer incidence

This dataset consists of information on hospital admissions relating to being obese based on patient's gender and age. Data is taken from the Hospital Episode Statistics (HES) databank produced by NHS Digital.

During the financial year 2024/25, the busiest hospital provider in England was the ************************************************ with over *** thousand admissions. This trust encompasses four hospitals in the Birmingham area, one of the largest urban areas in England. The second-busiest trust this year was the ******************************************, with approximately *** thousand admissions. Accident and emergency admissionsIn the second quarter of 2024/25, there were around *** million accident and emergency (A&E) attendees in England (including at A&E departments not in hospitals). After the drop in A&E attendances during the COVID-pandemic, numbers have risen again to previous levels, with a trend towards an increasing number of individuals seeking emergency care. Around ****percent of A&E attendees in England in 2024/5 were first diagnosed with a lower respiratory infection. Furthermore, over**** percent were found to have ‘no abnormality detected’ which could be detrimental to a service that is already stretched. Waiting too longOver the last few years in the A&E department, the NHS has been falling behind the target that ** percent of patients should be seen within **** hours of arrival. The last time this target was reached was back in July 2015. Not just the A&E department, but other services also require lengthy waits. It is no wonder that the levels of satisfaction with the way the NHS runs is at an all-time low.

As of October 6, 2022, 11,641 confirmed COVID-19 patients were in hospital in the United Kingdom. The number of COVID patients in hospitals first peaked at over 21.6 thousand on April 12, 2020 and dropped as low as 772 on September 11, 2020. However, the number of patients reached a new peak in the winter of 2020/21 with over 39.2 thousand patients in hospital on January 18, 2021.

The total number of cases in the UK can be found here. For further information about the coronavirus (COVID-19) pandemic, please visit our dedicated Facts and Figures page.

Hospital Episodes Statistics (HES) is a data warehouse containing records of all patients admitted to NHS hospitals in England. It contains details of every hospital stay in English NHS Hospitals and English NHS commissioned activity in the independent sector.

This is the annual, national data broken down to the procedures, operations and interventions level.

Hospital Episode Statistics (HES) is a database containing details of all admissions, A and E attendances and outpatient appointments at NHS hospitals in England.

Initially this data is collected during a patient's time at hospital as part of the Commissioning Data Set (CDS). This is submitted to NHS Digital for processing and is returned to healthcare providers as the Secondary Uses Service (SUS) data set and includes information relating to payment for activity undertaken. It allows hospitals to be paid for the care they deliver.

This same data can also be processed and used for non-clinical purposes, such as research and planning health services. Because these uses are not to do with direct patient care, they are called 'secondary uses'. This is the HES data set.

HES data covers all NHS Clinical Commissioning Groups (CCGs) in England, including:

• private patients treated in NHS hospitals
• patients resident outside of England
• care delivered by treatment centres (including those in the independent sector) funded by the NHS

Each HES record contains a wide range of information about an individual patient admitted to an NHS hospital, including:

• clinical information about diagnoses and operations
• patient information, such as age group, gender and ethnicity
• administrative information, such as dates and methods of admission and discharge
• geographical information such as where patients are treated and the area where they live

We apply a strict statistical disclosure control in accordance with the NHS Digital protocol, to all published HES data. This suppresses small numbers to stop people identifying themselves and others, to ensure that patient confidentiality is maintained.

Timescales for dissemination can be found under 'Our Service Levels' at the following link: https://digital.nhs.uk/services/data-access-request-service-dars/data-access-request-service-dars-process

People aged between 56 and 65 years in the United Kingdom were the most accepting of using technology if it helped them to avoid hospital admissions. Around ** percent of over ** year olds said they would agree to using technology to avoid hospital admission.

In 2015/16 there were approximately 2.36 million adults admitted to hospital in England due to an illness caused by smoking. By 2022/23 the number of hospital admissions as a result of smoking had increased to approximately 2.54 million, the largest number during the provided time period. Smoking prevalence across age groups in England In England in 2022, 21 percent of men and 15 percent of women aged between 25 and 34 years were current smokers. This is the highest share of male smokers across the age groups, while the age group of 45 to 54 years had the second-largest proportion of female smokers at 18 percent. Situation north of the border In Scotland, the share of regular smokers was quite evenly distributed among all ages, except for those aged over 75 years who were smoking less. In 2023, 16 percent of men and 13 percent of women overall in Scotland were current smokers. 

This dataset provides counts of Finished Admission Episodes (FAE) broken down by age group (0-64 years and 65+ years) and sex at LA level and higher geographies. The information covers the following specified diagnosis, cause and operative procedures: 1) Coronary Heart Disease; 2) Cerbrovascular Disease (including Stroke); 3) Cancer (excluding non-melanoma skin cancer); 4) Falls (basic accidental falls); 5) Coronary Artery Bypass Graft (CABG) and Percutaneous Transluminal Coronary Angioplasty (PTCA) (Heart); 6) Hip Replacement; 7) Knee Replacement; 8) Cataracts. Source: The Information Centre for health and social care (IC) Publisher: Neighbourhood Statistics Geographies: Local Authority District (LAD), Government Office Region (GOR), National Geographic coverage: England Time coverage: 2004/05 to 2007/08 Type of data: Administrative data