Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatients and Accident and Emergency Data - April 2012 to March 2013

Monthly HES data for Inpatients
In the year from April 2012 to March 2013 there were:

• 17.7 million finished consultant episodes (FCEs), 59.8 per cent (10.6 million) of which included at least one procedure or intervention, and 6.1 million of which were day cases.

• 15.1 million finished admission episodes (FAEs), of which 5.3 million were emergency admissions.

Monthly HES - Inpatient Clinical coding coverage
The shortfall between the most recent month's data is more pronounced when considering clinical (procedures and diagnoses) coverage.  more procedures and N/A more diagnoses were coded in the HES data submitted to SUS by 22/5/2013 (Month 13) - extract used for this publication, compared to the HES data submitted to SUS by 19/4/2013 (Month 12) used for 13th June 2013 publication.  We accordingly recommend extra caution using clinical codes for the most recent months data.

Monthly HES for Outpatients
In the year from April 2012 to March 2013 there were:
• 92.8 million outpatient appointments made, with 74.4 million (80.1 per cent) of these attended by the patient.
• 6.8 million outpatient appointments not attended by the patient, representing 7.3 per cent of all appointments.

Provisional Monthly HES data for Accident and Emergency
In the year from April 2012 to March 2013 there were:
• 18.3 million A&E attendances recorded in A&E HES. Of these 3.8 million (20.8 per cent) resulted in admission to hospital for inpatient treatment, 3.7 million (20.0 per cent) resulted in a GP follow up, and 7.1 million (39.0 per cent) were discharged with no follow up.

TOI: Assaults             
In the period April 2012 to March 2013:            
• Assaults accounted for 32,979 finished admission episodes (FAEs), a 14.9 per cent decrease on the previous 12 month period when there were 38,766 FAEs.

• FAEs due to assault are far more common amongst males than females. Males represented 82.2 per cent of all such admissions.

• Admissions for assaults were highest for people aged 15 to 29 - 51.5 per cent (13,922) of male admissions were aged 15 to 29 compared to 41.2 per cent (2,412) of female admissions aged 15 to 29. The population rate demonstrates that males 15 to 29 experience higher rates of admissions for assaults than females.

• Standardised admission rates for assaults were highest in the North West SHA (9.9 per 10,000 population; 6,943 FAEs) followed by the North East SHA (9.7 per 10,000; 2,440 FAEs). The rates for assaults were lowest in the South Central SHA (3.5 per 10,000; 1,443 FAEs). The average admission rate for England was 6.2 per 10,000 (32,979 FAEs). Standardised admission rates for assaults in the previous 12 month period were highest in the North East SHA (11.7 per 10,000) followed by the North West SHA (11.6 per 10,000).

• 80.9 per cent of assault admissions arrived via A&E (compared to 81.6 per cent in the previous 12 months). The remaining cases include GP referrals and people being admitted for follow-up treatment.

• Most FAEs due to assault were recorded as 'Assault by bodily force' (64.7 per cent; 21,345 FAEs). Followed by 'Assault by sharp object' (11.6 per cent; 3,833 FAEs) and 'Assault by unspecified means' (8.0 per cent; 2,638 FAEs). For the majority of assault types the number of FAEs is less than one hundred.

• Non-elective FAEs due to assault on a weekend (Saturday and Sunday) accounted for 37.4 per cent (12,343 FAEs) of all FAEs for assault. For all non-elective FAEs only 11.8 per cent (1,788,649 FAEs) occurred on a weekend.