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Specialist Paediatric Surgery in the West Midlands What the Data Says October 2009

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Page 1: Specialist Paediatric Surgery presentation - Specialist Paediatric

Specialist Paediatric Surgery in the West Midlands

What the Data SaysOctober 2009

Page 2: Specialist Paediatric Surgery presentation - Specialist Paediatric

Purpose of this Session

• To create awareness of the data available today to support the workshop sessions

• Just come and ask

Page 3: Specialist Paediatric Surgery presentation - Specialist Paediatric

PCT Residents

Which hospitals do children go to ?

WM Hospitals

Which PCTs do children come from ?

Sub-SpecialtiesWhich hospitals do

which cases ?

Page 4: Specialist Paediatric Surgery presentation - Specialist Paediatric

POPULATION ESTIMATES

Page 5: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 6: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 7: Specialist Paediatric Surgery presentation - Specialist Paediatric

CHILDREN’S HOSPITAL CAREFinished Consultant Episodes (FCE)

Page 8: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 9: Specialist Paediatric Surgery presentation - Specialist Paediatric

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%

Page 10: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 11: Specialist Paediatric Surgery presentation - Specialist Paediatric

CASELOAD BY SPECIALTY

Page 12: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 13: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 14: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 15: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 16: Specialist Paediatric Surgery presentation - Specialist Paediatric

T&O Access Rates by PCT

Page 17: Specialist Paediatric Surgery presentation - Specialist Paediatric

TO WHICH HOSPITALS ?

Page 18: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 19: Specialist Paediatric Surgery presentation - Specialist Paediatric

South Staffs PCTT&O

Hospital Providers

Page 20: Specialist Paediatric Surgery presentation - Specialist Paediatric

WHO IS DOING THE OPERATIONS?surgeons

Page 21: Specialist Paediatric Surgery presentation - Specialist Paediatric

APPENDICITIS

16 OPCS4 codes16 ICD10 codes

Page 22: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 23: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 24: Specialist Paediatric Surgery presentation - Specialist Paediatric

ELECTIVE ADMISSIONS

Page 25: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 26: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 27: Specialist Paediatric Surgery presentation - Specialist Paediatric

DAYCASES

Page 28: Specialist Paediatric Surgery presentation - Specialist Paediatric

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

Page 29: Specialist Paediatric Surgery presentation - Specialist Paediatric

ELECTIVES & EMERGENCIES IN DETAIL

Local Provision, BCH, Other WM Hosp & Out of Area (OoA)General & Urology – ENT – T & O - Plastics

Page 30: Specialist Paediatric Surgery presentation - Specialist Paediatric
Page 31: Specialist Paediatric Surgery presentation - Specialist Paediatric

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%

Page 32: Specialist Paediatric Surgery presentation - Specialist Paediatric

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%