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. Author manuscript; available in PMC: 2017 Dec 1.
Published in final edited form as: J Pediatr. 2016 Sep 30;179:178–184.e4. doi: 10.1016/j.jpeds.2016.08.093

Appendix Table 2.

Tympanostomy Tube Insertion England

All rates per 1,000 Population 2
to 8 years,
2007–2010		 Expected 2007–2010 (annual average) Observed 2007–2010
(annual average)		 Observed to Expected Ratio O:E 95% CIs
for +25 dbHL for +20 dbHL 25bB O:E ratio 20 dB O:E ratio for +25 dbHL for +20 dbHL
Primary Care Trust Number Rate Number Rate Number Rate upper 95%
CI		 lower 95%
CI		 upper 95%
CI		 lower 95%
CI
Ashton, Leigh and Wigan 24,590 184 7.5 242 9.8 120 4.88 0.653 0.497 0.769 0.536 0.585 0.408
Barking and Dagenham 19,028 147 7.7 193 10.2 29 1.50 0.194 0.148 0.265 0.123 0.202 0.093
Barnet 30,665 231 7.5 304 9.9 45 1.45 0.193 0.147 0.249 0.136 0.190 0.104
Barnsley 17,658 132 7.5 174 9.8 86 4.87 0.650 0.495 0.788 0.513 0.599 0.391
Bassetlaw 8,218 61 7.4 80 9.7 59 7.18 0.969 0.737 1.215 0.722 0.925 0.550
Bath and North East Somerset 12,457 92 7.4 121 9.7 28 2.25 0.305 0.232 0.418 0.192 0.318 0.146
Bedfordshire 34,556 257 7.4 337 9.8 153 4.43 0.596 0.454 0.691 0.502 0.525 0.382
Berkshire East 34,555 261 7.5 343 9.9 119 3.44 0.457 0.347 0.538 0.375 0.410 0.285
Berkshire West 38,620 290 7.5 381 9.9 157 4.07 0.541 0.412 0.626 0.457 0.476 0.347
Bexley 19,176 143 7.5 188 9.8 40 2.09 0.280 0.213 0.366 0.193 0.279 0.147
Birmingham East and North 41,127 310 7.5 407 9.9 157 3.82 0.506 0.385 0.585 0.427 0.445 0.325
Blackburn with Darwen Teaching 14,657 110 7.5 144 9.8 62 4.20 0.562 0.427 0.702 0.421 0.534 0.321
Blackpool 10,727 80 7.5 105 9.8 46 4.29 0.573 0.436 0.738 0.408 0.562 0.310
Bolton Teaching 23,502 176 7.5 231 9.8 81 3.43 0.457 0.348 0.557 0.357 0.424 0.272
Bournemouth and Poole Teaching 21,001 158 7.5 207 9.9 79 3.76 0.501 0.381 0.612 0.391 0.465 0.297
Bradford and Airedale Teaching 50,745 383 7.6 504 9.9 264 5.20 0.688 0.524 0.771 0.606 0.587 0.461
Brent Teaching 23,538 183 7.8 240 10.2 40 1.68 0.216 0.164 0.283 0.149 0.216 0.113
Brighton and Hove City 17,914 135 7.6 178 9.9 78 4.33 0.573 0.436 0.700 0.445 0.532 0.339
Bristol 31,406 239 7.6 315 10.0 97 3.09 0.405 0.308 0.486 0.325 0.370 0.247
Bromley 26,152 194 7.4 255 9.8 105 4.02 0.540 0.411 0.643 0.437 0.490 0.333
Buckinghamshire 44,918 330 7.3 434 9.7 159 3.54 0.482 0.367 0.557 0.407 0.423 0.310
Bury 15,727 117 7.5 154 9.8 72 4.58 0.613 0.466 0.754 0.472 0.574 0.359
Calderdale 17,159 128 7.5 169 9.8 98 5.68 0.760 0.578 0.910 0.609 0.692 0.464
Cambridgeshire 47,209 351 7.4 461 9.8 204 4.32 0.582 0.443 0.661 0.502 0.503 0.382
Camden 16,415 124 7.6 163 10.0 21 1.28 0.169 0.128 0.241 0.097 0.183 0.074
Central and Eastern Cheshire 35,337 261 7.4 344 9.7 137 3.86 0.522 0.397 0.609 0.435 0.464 0.331
Central Lancashire 35,959 269 7.5 353 9.8 138 3.84 0.513 0.391 0.599 0.428 0.456 0.326
City and Hackney Teaching 22,414 173 7.7 228 10.2 27 1.18 0.153 0.116 0.211 0.095 0.161 0.072
Cornwall and Isles of Scilly 37,292 274 7.3 359 9.6 187 5.01 0.684 0.520 0.781 0.586 0.595 0.446
County Durham 36,930 275 7.5 362 9.8 232 6.28 0.843 0.641 0.951 0.735 0.723 0.559
Coventry Teaching 25,797 195 7.6 256 9.9 110 4.24 0.561 0.427 0.666 0.456 0.507 0.347
Croydon 30,581 231 7.5 303 9.9 72 2.35 0.312 0.238 0.384 0.240 0.292 0.183
Cumbria Teaching 34,669 256 7.4 336 9.7 216 6.23 0.844 0.642 0.956 0.732 0.727 0.557
Darlington 8,312 62 7.5 82 9.9 34 4.09 0.545 0.415 0.728 0.362 0.554 0.276
Derby City 20,048 151 7.5 198 9.9 119 5.94 0.789 0.600 0.930 0.648 0.708 0.493
Derbyshire County 53,933 399 7.4 524 9.7 232 4.30 0.582 0.443 0.657 0.507 0.500 0.386
Devon 51,396 377 7.3 496 9.7 354 6.89 0.938 0.714 1.035 0.841 0.788 0.640
Doncaster 23,489 175 7.5 230 9.8 124 5.28 0.707 0.538 0.831 0.583 0.633 0.444
Dorset 27,413 201 7.3 264 9.6 66 2.39 0.326 0.248 0.405 0.247 0.308 0.188
Dudley 24,365 181 7.4 238 9.8 135 5.54 0.745 0.567 0.871 0.620 0.663 0.472
Ealing 27,174 210 7.7 276 10.1 42 1.55 0.200 0.152 0.261 0.140 0.199 0.106
East Lancashire Teaching 32,177 238 7.4 313 9.7 465 14.45 1.951 1.485 2.127 1.775 1.619 1.351
East Riding of Yorkshire 25,693 189 7.4 249 9.7 144 5.60 0.760 0.578 0.884 0.636 0.673 0.484
East Sussex Downs and Weald 24,318 178 7.3 234 9.6 95 3.91 0.533 0.406 0.640 0.426 0.487 0.324
Eastern and Coastal Kent 48,493 358 7.4 471 9.7 132 2.71 0.367 0.279 0.429 0.304 0.327 0.231
Enfield 35,288 266 7.5 349 9.9 271 7.68 1.020 0.776 1.141 0.899 0.868 0.684
Gateshead 18,147 136 7.5 179 9.9 48 2.62 0.349 0.266 0.448 0.250 0.341 0.190
Gloucestershire 37,128 273 7.3 359 9.7 77 2.06 0.280 0.213 0.343 0.218 0.261 0.166
Great Yarmouth and Waveney 22,709 169 7.4 222 9.8 130 5.72 0.771 0.587 0.903 0.639 0.687 0.486
Greenwich Teaching 19,740 151 7.7 199 10.1 86 4.33 0.566 0.431 0.686 0.446 0.522 0.340
Halton and St Helens 23,827 179 7.5 235 9.9 51 2.14 0.285 0.217 0.363 0.207 0.276 0.157
Hammersmith and Fulham 15,833 120 7.6 158 10.0 96 6.06 0.798 0.607 0.957 0.639 0.728 0.486
Hampshire 79,497 586 7.4 770 9.7 36 0.45 0.061 0.047 0.081 0.041 0.062 0.031
Haringey Teaching 41,148 311 7.6 409 9.9 346 8.41 1.112 0.846 1.228 0.995 0.934 0.757
Harrow 19,617 149 7.6 196 10.0 18 0.89 0.117 0.089 0.172 0.062 0.131 0.047
Hartlepool 10,786 81 7.5 106 9.9 18 1.62 0.216 0.165 0.318 0.115 0.242 0.088
Hastings and Rother 11,403 84 7.4 110 9.7 25 2.19 0.298 0.226 0.414 0.181 0.315 0.138
Havering 16,833 125 7.4 164 9.7 50 2.94 0.397 0.302 0.507 0.286 0.386 0.218
Heart of Birmingham Teaching 27,867 211 7.6 278 10.0 40 1.44 0.189 0.144 0.248 0.131 0.189 0.099
Herefordshire 17,538 130 7.4 171 9.8 89 5.07 0.683 0.520 0.825 0.542 0.628 0.412
Hertfordshire (PCTs East and North; West Hert 72,470 539 7.4 708 9.8 117 1.61 0.217 0.165 0.257 0.178 0.195 0.135
Heywood, Middleton and Rochdale 37,900 284 7.5 374 9.9 48 1.27 0.169 0.129 0.217 0.121 0.165 0.092
Hillingdon 21,929 165 7.5 217 9.9 42 1.89 0.251 0.191 0.327 0.175 0.249 0.133
Hounslow 21,237 164 7.7 215 10.1 50 2.33 0.303 0.230 0.387 0.218 0.294 0.166
Hull Teaching 20,146 153 7.6 201 10.0 125 6.20 0.816 0.621 0.958 0.673 0.729 0.512
Isle of Wight National Health Service 12,047 90 7.5 118 9.8 26 2.16 0.290 0.220 0.401 0.178 0.305 0.136
Islington 12,410 95 7.6 124 10.0 23 1.85 0.243 0.185 0.343 0.144 0.261 0.110
Kensington and Chelsea 12,993 97 7.5 128 9.8 19 1.42 0.190 0.145 0.277 0.103 0.210 0.079
Kingston 12,885 97 7.5 127 9.9 66 5.08 0.676 0.514 0.839 0.513 0.638 0.390
Kirklees 30,182 226 7.5 297 9.8 171 5.67 0.756 0.575 0.869 0.643 0.661 0.489
Knowsley 18,760 140 7.5 184 9.8 56 2.99 0.399 0.304 0.503 0.295 0.383 0.224
Lambeth 20,160 156 7.7 205 10.2 25 1.24 0.161 0.122 0.223 0.098 0.170 0.074
Leeds 47,841 360 7.5 473 9.9 279 5.83 0.775 0.590 0.866 0.684 0.659 0.521
Leicester City 35,409 269 7.6 354 10.0 156 4.41 0.580 0.441 0.670 0.489 0.510 0.372
Leicestershire County and Rutland 46,092 341 7.4 449 9.7 310 6.73 0.908 0.691 1.009 0.807 0.767 0.614
Lewisham 30,527 231 7.6 303 9.9 55 1.79 0.236 0.180 0.299 0.173 0.227 0.132
Lincolnshire Teaching 43,198 320 7.4 420 9.7 214 4.95 0.669 0.509 0.759 0.580 0.577 0.441
Liverpool 36,432 273 7.5 359 9.9 98 2.69 0.359 0.273 0.430 0.288 0.327 0.219
Luton 22,492 171 7.6 225 10.0 87 3.85 0.505 0.384 0.611 0.399 0.465 0.303
Manchester Teaching 33,141 256 7.7 336 10.1 140 4.22 0.547 0.417 0.638 0.457 0.485 0.348
Medway 26,516 200 7.5 263 9.9 93 3.49 0.463 0.352 0.557 0.369 0.424 0.281
Mid Essex 28,169 208 7.4 274 9.7 149 5.29 0.715 0.544 0.830 0.601 0.632 0.457
Middlesbrough 16,463 123 7.5 162 9.8 57 3.43 0.458 0.349 0.578 0.339 0.440 0.258
Milton Keynes 19,847 150 7.5 197 9.9 100 5.04 0.668 0.509 0.799 0.538 0.608 0.409
Newcastle 20,488 154 7.5 202 9.9 96 4.69 0.624 0.475 0.749 0.500 0.570 0.380
Newham 25,195 196 7.8 257 10.2 74 2.94 0.378 0.288 0.465 0.292 0.353 0.222
Norfolk 46,473 346 7.5 455 9.8 241 5.19 0.696 0.530 0.784 0.608 0.596 0.463
North East Essex 30,659 227 7.4 298 9.7 114 3.70 0.500 0.380 0.592 0.408 0.450 0.310
North East Lincolnshire 15,379 115 7.4 151 9.8 33 2.11 0.284 0.216 0.381 0.186 0.290 0.142
North Lancashire Teaching 19,517 143 7.3 188 9.6 84 4.28 0.584 0.444 0.709 0.459 0.539 0.349
North Lincolnshire 14,656 109 7.4 143 9.8 33 2.25 0.303 0.230 0.406 0.200 0.309 0.152
North Somerset 15,102 112 7.4 147 9.7 47 3.11 0.421 0.320 0.541 0.301 0.411 0.229
North Staffordshire 15,371 113 7.4 149 9.7 22 1.43 0.195 0.148 0.276 0.113 0.210 0.086
North Tyneside 14,820 111 7.5 146 9.8 97 6.51 0.871 0.662 1.044 0.697 0.794 0.531
North Yorkshire and York 45,510 336 7.4 442 9.7 120 2.64 0.357 0.271 0.420 0.293 0.320 0.223
Northamptonshire Teaching 57,534 428 7.4 563 9.8 288 5.01 0.673 0.512 0.750 0.595 0.571 0.453
Northumberland 31,739 235 7.4 309 9.7 264 8.32 1.123 0.855 1.258 0.988 0.957 0.752
Nottingham City 21,519 163 7.6 214 10.0 173 8.04 1.062 0.808 1.219 0.904 0.928 0.688
Nottinghamshire County Teaching 42,661 317 7.4 417 9.8 91 2.12 0.285 0.217 0.344 0.226 0.262 0.172
Oldham 28,553 213 7.5 280 9.8 245 8.58 1.148 0.874 1.291 1.005 0.983 0.765
Oxfordshire 41,870 313 7.5 411 9.8 102 2.44 0.326 0.248 0.389 0.263 0.296 0.200
Peterborough 24,121 182 7.5 239 9.9 170 7.05 0.935 0.711 1.075 0.795 0.818 0.605
Plymouth Teaching 17,743 134 7.6 176 9.9 42 2.34 0.310 0.236 0.404 0.216 0.307 0.164
Portsmouth City Teaching 15,601 117 7.5 154 9.9 112 7.18 0.954 0.726 1.130 0.778 0.859 0.592
Redbridge 22,203 168 7.6 221 9.9 43 1.94 0.256 0.195 0.333 0.180 0.253 0.137
Redcar and Cleveland 14,654 109 7.4 143 9.8 61 4.16 0.559 0.425 0.699 0.419 0.532 0.319
Richmond and Twickenham 15,170 113 7.4 148 9.8 49 3.23 0.434 0.330 0.555 0.312 0.422 0.238
Rotherham 19,653 146 7.4 192 9.8 42 2.11 0.284 0.216 0.370 0.198 0.282 0.150
Salford 18,096 137 7.6 180 10.0 53 2.93 0.386 0.294 0.490 0.282 0.373 0.215
Sandwell 24,242 183 7.6 241 9.9 66 2.72 0.360 0.274 0.447 0.273 0.340 0.208
Sefton 21,661 161 7.4 211 9.8 62 2.84 0.382 0.291 0.478 0.287 0.363 0.218
Sheffield 34,390 257 7.5 338 9.8 59 1.72 0.229 0.174 0.288 0.171 0.219 0.130
Shropshire County 26,001 193 7.4 253 9.7 207 7.96 1.075 0.818 1.220 0.929 0.929 0.707
Solihull 17,348 128 7.4 168 9.7 112 6.46 0.878 0.668 1.041 0.716 0.792 0.545
Somerset 32,906 242 7.4 318 9.7 50 1.50 0.205 0.156 0.261 0.148 0.199 0.112
South Birmingham 29,896 224 7.5 295 9.9 162 5.42 0.722 0.550 0.833 0.611 0.634 0.465
South East Essex 26,653 198 7.4 261 9.8 159 5.97 0.801 0.609 0.925 0.677 0.704 0.515
South Gloucestershire 21,942 162 7.4 213 9.7 75 3.40 0.459 0.349 0.563 0.355 0.428 0.270
South Staffordshire 39,796 294 7.4 386 9.7 61 1.53 0.207 0.158 0.259 0.155 0.197 0.118
South Tyneside 19,724 147 7.4 193 9.8 207 10.50 1.412 1.074 1.604 1.221 1.220 0.929
South West Essex 28,837 215 7.5 283 9.8 68 2.36 0.316 0.241 0.391 0.241 0.298 0.183
Southampton City 20,999 159 7.6 209 9.9 127 6.05 0.800 0.609 0.939 0.661 0.714 0.503
Southwark 21,205 165 7.8 217 10.2 34 1.60 0.206 0.157 0.275 0.137 0.209 0.104
Stockport 22,557 169 7.5 222 9.8 22 0.98 0.130 0.099 0.185 0.076 0.141 0.058
Stockton-on-Tees Teaching (PCT North Tees) 17,089 128 7.5 168 9.8 93 5.44 0.729 0.555 0.877 0.581 0.667 0.442
Stoke on Trent 18,945 143 7.6 188 9.9 61 3.19 0.423 0.322 0.529 0.316 0.403 0.241
Suffolk 40,633 303 7.5 398 9.8 277 6.82 0.914 0.696 1.021 0.807 0.777 0.614
Sunderland Teaching 27,429 204 7.5 269 9.8 94 3.43 0.460 0.350 0.553 0.367 0.420 0.279
Surrey 73,089 543 7.4 713 9.8 446 6.10 0.822 0.625 0.898 0.746 0.683 0.567
Sutton and Merton 48,006 360 7.5 473 9.9 95 1.97 0.262 0.200 0.315 0.210 0.240 0.159
Swindon 21,459 163 7.6 214 10.0 33 1.54 0.203 0.154 0.272 0.134 0.207 0.102
Tameside and Glossop 19,620 147 7.5 193 9.8 79 4.03 0.537 0.409 0.656 0.419 0.499 0.319
Telford and Wrekin 15,765 118 7.5 155 9.8 88 5.58 0.748 0.569 0.904 0.592 0.688 0.451
Torbay 10,401 77 7.4 102 9.8 68 6.54 0.878 0.668 1.086 0.670 0.826 0.510
Tower Hamlets 17,958 138 7.7 182 10.1 72 3.98 0.517 0.394 0.637 0.398 0.485 0.303
Trafford 19,392 146 7.5 192 9.9 90 4.62 0.614 0.467 0.741 0.487 0.564 0.371
Wakefield District 23,506 175 7.4 230 9.8 76 3.21 0.432 0.329 0.529 0.335 0.403 0.255
Walsall Teaching 23,499 176 7.5 231 9.8 88 3.72 0.498 0.379 0.602 0.394 0.458 0.300
Waltham Forest 22,069 169 7.7 223 10.1 48 2.15 0.280 0.213 0.360 0.201 0.274 0.153
Wandsworth 22,052 172 7.8 226 10.2 57 2.58 0.331 0.252 0.417 0.246 0.318 0.187
Warrington 17,896 134 7.5 177 9.9 62 3.46 0.461 0.351 0.576 0.347 0.438 0.264
Warwickshire 34,692 257 7.4 337 9.7 135 3.89 0.526 0.400 0.615 0.438 0.468 0.333
West Essex 28,160 209 7.4 275 9.8 95 3.37 0.454 0.346 0.545 0.363 0.415 0.276
West Kent 48,555 360 7.4 474 9.8 241 4.96 0.669 0.509 0.753 0.584 0.573 0.445
West Sussex 59,676 441 7.4 580 9.7 270 4.52 0.612 0.466 0.685 0.539 0.521 0.410
Western Cheshire 28,231 209 7.4 275 9.8 90 3.19 0.430 0.327 0.518 0.341 0.394 0.259
Westminster 15,265 116 7.6 152 10.0 29 1.90 0.250 0.190 0.341 0.159 0.260 0.121
Wiltshire 31,893 234 7.3 308 9.6 72 2.26 0.308 0.234 0.379 0.237 0.288 0.180
Wirral 27,820 207 7.4 272 9.8 120 4.30 0.578 0.440 0.682 0.475 0.519 0.361
Wolverhampton City 21,186 159 7.5 209 9.9 82 3.85 0.511 0.389 0.622 0.401 0.473 0.305
Worcestershire 36,964 274 7.4 360 9.8 151 4.09 0.551 0.419 0.638 0.463 0.486 0.352
 1 year numbers and rates per 1,000 4,137,795 30,949 7.4 40,676 9.8 16,604 4.01 3.36
 4 year 16,551,180