Table 2.
Values for suggested NHS performance indicators in England over five financial years
|
Financial year
|
Trend for average annual improvement*
|
|||||||
|---|---|---|---|---|---|---|---|---|
| Outcome | 1998-9 | 1999-2000 | 2000-1 | 2001-2 | 2002-3 (95% CI) | % | R2 | P value |
| Hospital case fatality† | ||||||||
| No of deaths | 180 485 | 174 089 | 161 745 | 161 690 | 162 722 | |||
| Death rate/100 000: | ||||||||
| England, indirectly standardised to 2001-2 | 1996.3 | 1932.0 | 1819.1 | 1796.3 | 1769.8 (1761.2 to 1778.4) | 3.1 | 0.926 | 0.009 |
| England, indirectly standardised to 1998-9 | 1995.9 | 1929.2 | 1811.6 | 1789.9 | 1764.7 (1756.1 to 1773.3) | 3.2 | 0.919 | 0.010 |
| England, directly standardised to pooled years 1998-2003 | 1986.0 | 1918.9 | 1805.2 | 1782.9 | 1757.2 (1749.5 to 1764.9) | 3.1 | 0.923 | 0.009 |
| SHA minimum (2001-2 as standard) | 1796.1 | 1754.3 | 1649.2 | 1575.9 | 1609.4 (1554.0 to 1666.4) | |||
| SHA maximum (2001-2 as standard) | 2202.8 | 2101.1 | 2003.0 | 1991.2 | 1959.9 (1905.1 to 2016.0) | |||
| % of deaths in admitting hospital | 84.4 | 84.6 | 84.6 | 85.1 | .85.4 | |||
| % of deaths after transfer | 1.7 | 1.9 | 2.0 | 2.0 | 2.2 | |||
| % of deaths after discharge | 13.9 | 13.5 | 13.5 | 12.9 | 12.4 | |||
|
Admissions for acute conditions treatable in primary care‡
|
|
|
|
|
|
|
|
|
| No of admissions | 189 410 | 185 413 | 180 987 | 179 183 | 181 550 | |||
| Admission rate/100 000: | ||||||||
| England | 387.7 | 379.2 | 369.4 | 364.7 | 368.7 (367.0 to 370.4) | 1.4 | 0.792 | 0.043 |
| SHA minimum | 280.4 | 274.0 | 269.2 | 251.7 | 251.6 (244.6 to 258.7) | |||
| SHA maximum | 537.3 | 521.1 | 496.8 | 493.7 | 504.0 (490.8 to 517.5) | |||
|
Admissions for chronic conditions treatable in primary care§
|
|
|
|
|
|
|
|
|
| No of admissions | 93 786 | 91 473 | 86 122 | 85 847 | 85 254 | |||
| Admission rate/100 000: | ||||||||
| England | 192.0 | 186.9 | 175.8 | 174.6 | 173.3 (172.1 to 174.5) | 2.7 | 0.878 | 0.019 |
| SHA minimum | 143.5 | 139.9 | 126.8 | 121.9 | 124.4 (119.6 to 129.3) | |||
| SHA maximum | 263.2 | 253.3 | 237.9 | 232.8 | 229.3 (220.5 to 238.4) | |||
SHA=Strategic health authorities (as at April 2003).
See bmj.com for further details on indicators.
Fitting a linear trend to log transformed rates.
Deaths in hospital and after discharge among patients of all ages, between 0 and 29 days (inclusive) of hospital admission. Rates indirectly standardised for age, sex, method of admission, and primary diagnosis per 100 000 continuous inpatient spells (excluding those with a diagnosis of cancer anywhere in the spell), standardised to 1998-9, 2001-2, or 1998-2003 as indicated. (Data sources: hospital episode statistics, Office for National Statistics.)
Emergency admissions for ear, nose, and throat conditions, kidney or urinary tract infections, and heart failure. Rates indirectly standardised for age and sex per 100 000 people of all ages, standardised to 2000-1. (Data source: hospital episode statistics, ICD-10 codes (for primary diagnosis) H66.0-H66.4, H66.9, J02.0, J02.8, J02.9, J03.0, J03.8, J03.9, J04.0, J06.0, J06.8, J06.9, J31.0-J31.2, N15.9, N39.0, N30.0, I50.0, I50.1, I50.9 or I11.)
Emergency admissions for asthma and diabetes. Rates indirectly standardised for age and sex per 100 000 people of all ages, standardised to 2000-1. (Data source: hospital episode statistics, ICD-10 codes (for primary diagnosis) J45-J46, E10-E14.)