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Specialist Paediatric Surgery in the West Midlands
What the Data SaysOctober 2009
Purpose of this Session
• To create awareness of the data available today to support the workshop sessions
• Just come and ask
PCT Residents
Which hospitals do children go to ?
WM Hospitals
Which PCTs do children come from ?
Sub-SpecialtiesWhich hospitals do
which cases ?
POPULATION ESTIMATES
Birmingham East and North
0 6,5391 6,2062 6,1293 5,9954 5,7895 5,6506 5,2797 5,5458 5,5269 5,515
10 5,73111 5,50212 5,49313 5,57214 5,62215 5,61916 6,03817 5,947 W.Mids
18 5,798 23.7%
Birmingham East and NorthChildre
n 109,495Adults 291,885 source
Total 401,380OPCS 2007
Children27%
Adults73%
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 180.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1.4%
1.6%
1.8% Child Population
Birmingham East and North
England
West Mids
AGE
% o
f pop
ulati
on in
age
ban
d
2010 2015 2020 2025 2030-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
11.3%
8.9%
16.7%
4.0%
14.3%
2.7%
1.7%
Population changes from 2009 value, 0 to 19 age band
EnglandWest MidlandsPan Birmingham Black Country Cov WarkShrop Staffs Her and Worcs
source
CHILDREN’S HOSPITAL CAREFinished Consultant Episodes (FCE)
2007/08 surgery non-surgery total
with operation 42,472 23,365 65,837
no operation 9,098 93,834 102,932
total 51,570 117,199 168,769
West Midlands
2005/08 surgery non-surgery totalwith operation 39,955 15,706 55,661no operation 11,368 102,612 113,980
total 51,323 118,318 169,641
2006/07 surgery non-surgery totalwith operation 41,057 19,341 60,398no operation 10,113 95,635 105,748
total 51,170 114,976 166,146
2007/08 surgery non-surgery totalwith operation 42,472 23,365 65,837no operation 9,098 93,834 102,932
total 51,570 117,199 168,769
The BCH Surgery Share
9,109 22.2%1,329 13.1%
10,438 20.4%
10,107 23.8%1,398 15.4%
11,505 22.3%
WOLVERHAMPTON CITY PCT
2005/08 surgery non-surgery total with operation 1,943 1,182 3,125 no operation 452 6,782 7,234 total 2,395 7,964 10,359
The BCH Surgery Share
2006/07 surgery non-surgery total
265 13.4% with operation 1,971 1,196 3,16727 7.0% no operation 388 6,648 7,036
292 12.4% total 2,359 7,844 10,203 2007/08 surgery non-surgery total
241 13.2% with operation 1,831 989 2,82027 7.3% no operation 370 6,698 7,068
268 12.2% total 2,201 7,687 9,888
source
CASELOAD BY SPECIALTY
Telford and Wrekin
SpecialtyFCEs
2005_06FCEs
2006_07FCEs
2007_08GENERAL 424 332 294UROLOGY 69 102 112
TRANSPLANTATION 0 0 1BREAST SURGERY 0 0 0
COLORECTAL SURGERY 2 1 0HEPATOBILIARY & PANCREATIC SURGERY 0 0 0
GASTROINTESTINAL 6 46 2VASCULAR SURGERY 0 0 0
T&O 404 425 405ENT 464 491 433
OPHTHALMOLOGY 108 98 111ORAL SURGERY 99 90 111
DENTISTRY 9 10 4ORTHODONTICS 0 0 0
MAX-FACIAL 3 1 2NEUROSURGERY 32 31 11
PLASTICS 54 57 59BURNS 0 2 6
CARDIOTHORACIC SURGERY 12 7 1CARDIAC 1 0 6THORACIC 1 0 0
Total 1688 1693 1558
Sub-Specialty Caseload
source
The Sub-Specialties
Telford and Wrekin
SpecialtyFCEs
2005_06FCEs
2006_07FCEs
2007_08Rate/10k2005_07
Rate/10k2006_08
Rate/10k 2007_09
GENERAL 424 332 294 104.2 81.6 72.3UROLOGY 69 102 112 17.0 25.1 27.5
TRANSPLANTATION 0 0 1 0.0 0.0 0.2BREAST SURGERY 0 0 0 0.0 0.0 0.0
COLORECTAL SURGERY 2 1 0 0.5 0.2 0.0HEPATOBILIARY & PANCREATIC SURGERY 0 0 0 0.0 0.0 0.0
GASTROINTESTINAL 6 46 2 1.5 11.3 0.5VASCULAR SURGERY 0 0 0 0.0 0.0 0.0
T&O 404 425 405 99.3 104.5 99.6ENT 464 491 433 114.1 120.7 106.4
OPHTHALMOLOGY 108 98 111 26.6 24.1 27.3ORAL SURGERY 99 90 111 24.3 22.1 27.3
DENTISTRY 9 10 4 2.2 2.5 1.0ORTHODONTICS 0 0 0 0.0 0.0 0.0
MAX-FACIAL 3 1 2 0.7 0.2 0.5NEUROSURGERY 32 31 11 7.9 7.6 2.7
PLASTICS 54 57 59 13.3 14.0 14.5BURNS 0 2 6 0.0 0.5 1.5
CARDIOTHORACIC SURGERY 12 7 1 3.0 1.7 0.2CARDIAC 1 0 6 0.2 0.0 1.5THORACIC 1 0 0 0.2 0.0 0.0
Total 1688 1693 1558 415.0 416.2 383.0
Sub-Specialty Caseload
Source
Paediatric
Total T&O for children living in:
348 HEREFORDSHIRE PCT740 SOUTH BIRMINGHAM PCT735 SHROPSHIRE COUNTY PCT684 WALSALL TEACHING PCT671 COVENTRY TEACHING PCT405 TELFORD AND WREKIN PCT443 WOLVERHAMPTON CITY PCT
665HEART OF BIRMINGHAM TEACHING
PCT715 DUDLEY PCT651 SANDWELL PCT
1043 BIRMINGHAM EAST AND NORTH PCT518 NORTH STAFFORDSHIRE PCT
801 STOKE ON TRENT PCT
1372 SOUTH STAFFORDSHIRE PCT
1178 WORCESTERSHIRE PCT1058 WARWICKSHIRE PCT432 SOLIHULL CARE TRUST
12459 All West Midlands
Paediatric Rate per 10,000 child
populationTotal T&O for children living in:
348 HEREFORDSHIRE PCT 31.8740 SOUTH BIRMINGHAM PCT 102.8735 SHROPSHIRE COUNTY PCT 104.4684 WALSALL TEACHING PCT 85.2671 COVENTRY TEACHING PCT 174.5405 TELFORD AND WREKIN PCT 91.2443 WOLVERHAMPTON CITY PCT 61.9
665HEART OF BIRMINGHAM TEACHING
PCT 102.5715 DUDLEY PCT 147.2651 SANDWELL PCT 85.2
1043 BIRMINGHAM EAST AND NORTH PCT 76.1518 NORTH STAFFORDSHIRE PCT 91.9
801 STOKE ON TRENT PCT 196.9
1372 SOUTH STAFFORDSHIRE PCT 215.4
1178 WORCESTERSHIRE PCT 99.41058 WARWICKSHIRE PCT 188.6432 SOLIHULL CARE TRUST 34.7
12459 All West Midlands 97.8source
T&O Access Rates by PCT
TO WHICH HOSPITALS ?
T&O PROVIDERS - South Staffs PCT Grand Total
MID STAFFORDSHIRE NHS FOUNDATION TRUST 394BURTON HOSPITALS NHS TRUST 233
HEART OF ENGLAND NHS FOUNDATION TRUST 141THE ROYAL ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST 116BIRMINGHAM CHILDREN'S HOSPITAL NHS FOUNDATION TRUST 77
THE ROYAL WOLVERHAMPTON HOSPITALS NHS TRUST 74ROBERT JONES AND AGNES HUNT ORTHOPAEDIC AND DISTRICT HOSPITAL NHS TRUST 62
UNIVERSITY HOSPITAL OF NORTH STAFFORDSHIRE NHS TRUST 56
WALSALL HOSPITALS NHS TRUST31
DUDLEY GROUP OF HOSPITALS NHS TRUST 30SOUTH STAFFORDSHIRE PCT 9
SHREWSBURY AND TELFORD HOSPITAL NHS TRUST 9UNIVERSITY HOSPITAL BIRMINGHAM NHS FOUNDATION TRUST 7
GEORGE ELIOT HOSPITAL NHS TRUST 4WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST 3
UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST 2#N/A 2
HEREFORD HOSPITALS NHS TRUST 1SOUTH WARWICKSHIRE GENERAL HOSPITALS NHS TRUST 1
SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST 1DERBY HOSPITALS NHS FOUNDATION TRUST 87
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST 11Other non-WM Hospitals 21
Total 1372
South Staffs PCTT&O
Hospital Providers
WHO IS DOING THE OPERATIONS?surgeons
APPENDICITIS
16 OPCS4 codes16 ICD10 codes
Which Hospitals are Doing the Procedure ?West Midland PCT Resident Children Only
1232 operations in 2007/08
APPENDIX % of all ops number of ops
BIRMINGHAM CHILDREN'S HOSPITAL NHS FOUNDATION TRUST 9% 113UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST 7% 88
UNIVERSITY HOSPITAL OF NORTH STAFFORDSHIRE NHS TRUST 8% 96HEART OF ENGLAND NHS FOUNDATION TRUST 13% 166
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST 12% 144SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST 5% 67
SHREWSBURY AND TELFORD HOSPITAL NHS TRUST 5% 58THE ROYAL WOLVERHAMPTON HOSPITALS NHS TRUST 4% 46
DUDLEY GROUP OF HOSPITALS NHS TRUST 8% 104WALSALL HOSPITALS NHS TRUST 6% 68
MID STAFFORDSHIRE NHS FOUNDATION TRUST 5% 56BURTON HOSPITALS NHS TRUST 3% 39
UNIVERSITY HOSPITAL BIRMINGHAM NHS FOUNDATION TRUST 2% 26HEREFORD HOSPITALS NHS TRUST 3% 32
SOUTH WARWICKSHIRE GENERAL HOSPITALS NHS TRUST 4% 46GEORGE ELIOT HOSPITAL NHS TRUST 3.5% 43
UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST 0.6% 7NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST 0.1% 1
GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 0.3% 4ROYAL LIVERPOOL CHILDRENS NHS TRUST 0.3% 4
EAST CHESHIRE NHS TRUST 0.4% 5OXFORD RADCLIFFE HOSPITALS NHS TRUST 0.1% 1
Which Hospitals are Doing the Procedure ?West Midland PCT Resident Children Only
1473 operations in 2007/08
CIRCUMCISON % of all ops number of ops
BIRMINGHAM CHILDREN'S HOSPITAL NHS FOUNDATION TRUST 11% 158UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST 5% 76
UNIVERSITY HOSPITAL OF NORTH STAFFORDSHIRE NHS TRUST 4% 64HEART OF ENGLAND NHS FOUNDATION TRUST 6% 88
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST 10% 144SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST 5% 80
SHREWSBURY AND TELFORD HOSPITAL NHS TRUST 8% 116THE ROYAL WOLVERHAMPTON HOSPITALS NHS TRUST 4% 52
DUDLEY GROUP OF HOSPITALS NHS TRUST 10% 152WALSALL HOSPITALS NHS TRUST 22% 319
MID STAFFORDSHIRE NHS FOUNDATION TRUST 4% 64THE ROYAL ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST 0% 0
BURTON HOSPITALS NHS TRUST 1% 19UNIVERSITY HOSPITAL BIRMINGHAM NHS FOUNDATION TRUST 0% 6
HEREFORD HOSPITALS NHS TRUST 3% 48SOUTH WARWICKSHIRE GENERAL HOSPITALS NHS TRUST 2% 29
ROBERT JONES AND AGNES HUNT ORTHOPAEDIC AND DISTRICT HOSPITAL NHS TRUST 0.0% 0
GEORGE ELIOT HOSPITAL NHS TRUST 2.0% 30
ELECTIVE ADMISSIONS
Elective Surgery - Children (0-18) - West Midlands LCCBs Shropshire &
Staffordshire
General &
Urology 1721
ENT 3029 T&O 1768 Plastics 527 Other 1685 Black Country Birmingham
General &
Urology 1210 General &
Urology 2130 ENT 1497 ENT 3104 T&O 829 T&O 1719 Plastics 410 Plastics 1024 Other 1246 Other 1860
Hereford & Worcester
Coventry & Warwickshire
General & Urology 881
General & Urology 850
ENT 1094 ENT 1395 T&O 730 T&O 823 Plastics 259 Plastics 552 Other 810 Other 1158
Elective Surgery - Children (0-18) West Midlands LCCBs
Shropshire &Staffordshire
elective
opslocalhosp
General & Urology 1721 1059
ENT 3029 2677 T&O 1768 1474 Plastics 527 232 Other 1685 986 Black Country Birmingham
elective
opslocalhosp
elective ops
localhosp
General &
Urology 1210 1059 General &
Urology 2130 3234 ENT 1497 1573 ENT 3104 3507 T&O 829 627 T&O 1719 2491 Plastics 410 86 Plastics 1024 1954 Other 1246 1172 Other 1860 2692
Hereford & Worcester
Coventry & Warwickshire
elective ops
localhosp
elective ops
localhosp
General &
Urology 881 529
General & Urology 850 489
ENT 1094 955 ENT 1395 1241 T&O 730 392 T&O 823 659 Plastics 259 21 Plastics 552 407 Other 810 563 Other 1158 905
DAYCASES
Daycase Surgery - Children (0-18) West Midlands LCCBs
Shropshire &Staffordshire
elective
opslocalhosp
General & Urology 1387 956
ENT 2061 1873
T&O 914 760
Plastics 365 199
Other 1385 907
Black Country Birmingham
elective
opslocalhosp
elective ops
localhosp
General &
Urology 1002 958 General &
Urology 1644 2363
ENT 719 757 ENT 1913 2154
T&O 461 381 T&O 1053 1431
Plastics 296 46 Plastics 750 1382
Other 1070 1111 Other 1431 1867
Hereford & Worcester
Coventry & Warwickshire
elective ops
localhosp
elective ops
localhosp
General &
Urology 736 482 General &
Urology 623 416
ENT 534 454 ENT 664 581
T&O 459 263 T&O 394 321
Plastics 187 19 Plastics 367 282
Other 662 523 Other 935 791
ELECTIVES & EMERGENCIES IN DETAIL
Local Provision, BCH, Other WM Hosp & Out of Area (OoA)General & Urology – ENT – T & O - Plastics
General Surgery & Urology Elective Surgery
2007/08
Resident of
Bham Black Country
Shrop & Staffs H&W C&W
Treated At
Hospital In
BCH 1198 347 379 328 166Bham 716 23 51 18 8
Black Country 173 824 62 0 0Shrop & Staffs 1 2 1056 0 0
H&W 4 3 9 505 8C&W 10 0 1 0 478OOA 28 11 160 30 190
General Surgery & Urology Elective Surgery
2007/08
Resident of
Bham Black Country
Shrop & Staffs H&W C&W
Treated At
Hospital In
BCH 56% 29% 22% 37% 20%
Bham 34% 2% 3% 2% 1%
Black Country 8% 68% 4% 0% 0%
Shrop & Staffs 0% 0% 61% 0% 0%
H&W 0% 0% 1% 57% 1%
C&W 0% 0% 0% 0% 56%
OOA 1% 1% 9% 3% 22%
General Surgery & Urology Elective Surgery 2007/08
Resident of General & Surgery Urology Emerg Surgery
2007/08
Resident of
Bham Black Country
Shrop & Staffs H&W C&W Bham Black
CountryShrop &
Staffs H&W C&W
Treated At
Hospital In
BCH 1198 347 379 328 166
Treated At
Hospital In
BCH 403 88 54 52 14
Bham 716 23 51 18 8 Bham 490 9 31 2 4Black
Country 173 824 62 0 0 Black Country 39 352 27 6 2Shrop &
Staffs 1 2 1056 0 0 Shrop & Staffs 0 2 480 1 0
H&W 4 3 9 505 8 H&W 9 1 1 268 14
C&W 10 0 1 0 478 C&W 5 0 0 0 313
OOA 28 11 160 30 190 OOA 26 19 108 25 66
WM total 2130 1210 1718 881 850 WM total 972 471 701 354 413
rate/10,000 55.1 63.6 50.0 54.0 44.6 rate/10,000 25.2 24.8 20.4 21.7 21.7
General Surgery & Urology Elective Surgery 2007/08
Resident of General Surgery & Urology
Emerg Surgery 2007/08
Resident of
Bham Black Country
Shrop & Staffs H&W C&W Bham Black
CountryShrop &
Staffs H&W C&W
Treated At
Hospital In
BCH 56% 29% 22% 37% 20%
Treated At
Hospital In
BCH 41% 19% 8% 15% 3%
Bham 34% 2% 3% 2% 1% Bham 50% 2% 4% 1% 1%Black
Country 8% 68% 4% 0% 0% Black Country 4% 75% 4% 2% 0%
Shrop & Staffs 0% 0% 61% 0% 0% Shrop & Staffs 0% 0% 68% 0% 0%
H&W 0% 0% 1% 57% 1% H&W 1% 0% 0% 76% 3%
C&W 0% 0% 0% 0% 56% C&W 1% 0% 0% 0% 76%
OOA 1% 1% 9% 3% 22% OOA 3% 4% 15% 7% 16%