Table 2.
Health service ever used by patients with HF in NWL between 2015 and 2018
| Service | Year | |||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| 2015 | 2016 | 2017 | 2018 | |||||
|
|
|
|
|
|||||
| n (N = 23 828) | % | n (N = 27 443) | % | n (N = 31 554) | % | n (N= 34 651) | % | |
| Secondary care | ||||||||
| Emergency admission | 5163 | 21.7 | 6592 | 24.0 | 8276 | 26.2 | 9257 | 26.7 |
| Elective admission | 910 | 3.8 | 1495 | 5.4 | 1803 | 5.7 | 1798 | 5.2 |
| Unplanned A&E | 8238 | 34.6 | 10 697 | 39.0 | 12 250 | 38.8 | 14 145 | 40.8 |
| Outpatient (any specialty) | 13 492 | 56.6 | 18 560 | 67.6 | 22 115 | 70.1 | 24 283 | 70.1 |
| Outpatient (top 1) (cardiology) | 4117 | 17.3 | 6518 | 23.8 | 8040 | 25.5 | 8231 | 23.8 |
| Outpatient (top 2)a | 2645 | 11.1 | 4662 | 17.0 | 5600 | 17.7 | 6049 | 17.5 |
| Outpatient (top 3)a | 1992 | 8.4 | 3444 | 12.5 | 4127 | 13.1 | 5053 | 14.6 |
| Outpatient (top 4)a | 1645 | 6.9 | 3156 | 11.5 | 4018 | 12.7 | 4500 | 13.0 |
| Outpatient (top 5)a | 1563 | 6.6 | 2554 | 9.3 | 3220 | 10.2 | 3383 | 9.8 |
|
| ||||||||
| Primary care | ||||||||
| GP consultation | 16 014 | 67.2 | 17 573 | 64.0 | 19 494 | 61.8 | 20 741 | 59.9 |
| Echocardiogram | 1826 | 7.7 | 2016 | 7.3 | 2156 | 6.8 | 2178 | 6.3 |
| Echocardiogram abnormal | 1010 | 4.2 | 1066 | 3.9 | 1150 | 3.6 | 1113 | 3.2 |
|
| ||||||||
| Community | ||||||||
| Any | 8801 | 36.9 | 9869 | 36.0 | 11 195 | 35.5 | 13 762 | 39.7 |
| Nursing | 6590 | 27.7 | 5893 | 21.5 | 6311 | 20.0 | 8052 | 23.2 |
| Rehabilitation | 2052 | 8.6 | 2489 | 9.1 | 2065 | 6.5 | 2861 | 8.3 |
| Urgent | 918 | 3.9 | 811 | 3.0 | 999 | 3.2 | 1203 | 3.5 |
| Intermediate | 1841 | 7.7 | 1754 | 6.4 | 1397 | 4.4 | 1526 | 4.4 |
| Cardiology | 859 | 3.6 | 578 | 2.1 | 797 | 2.5 | 1005 | 2.9 |
| GP referral to cardiac rehabilitation | 4333 | 18.2 | 5465 | 19.9 | 6585 | 20.9 | 7187 | 20.7 |
| Diabetes | 1011 | 4.2 | 955 | 3.5 | 1171 | 3.7 | 1654 | 4.8 |
| Physio-/occupational therapy | 1091 | 4.6 | 1160 | 4.2 | 1148 | 3.6 | 1853 | 5.3 |
| Podiatry | 3760 | 15.8 | 4076 | 14.9 | 4404 | 14.0 | 5397 | 15.6 |
| Respiratory | 217 | 0.9 | 163 | 0.6 | 206 | 0.7 | 302 | 0.9 |
| Neurological | 1054 | 4.4 | 1427 | 5.2 | 1481 | 4.7 | 2138 | 6.2 |
| Urinary | 452 | 1.9 | 597 | 2.2 | 747 | 2.4 | 1374 | 4.0 |
| Speech language therapy | 108 | 0.5 | 68 | 0.2 | 60 | 0.2 | 102 | 0.3 |
| Falls | 165 | 0.7 | 332 | 1.2 | 365 | 1.2 | 450 | 1.3 |
| Diet and nutrition | 644 | 2.7 | 1399 | 5.1 | 1696 | 5.4 | 2197 | 6.3 |
| Home | 1229 | 5.2 | 1411 | 5.1 | 1738 | 5.5 | 1654 | 4.8 |
| Phone | 949 | 4.0 | 317 | 1.2 | 418 | 1.3 | 393 | 1.1 |
| Unknown | 178 | 0.7 | 203 | 0.7 | 206 | 0.7 | 248 | 0.7 |
|
| ||||||||
| Mental health | ||||||||
| Any | 1064 | 4.5 | 1421 | 5.2 | 1718 | 5.4 | 1557 | 4.5 |
| Outpatient | 354 | 1.5 | 360 | 1.3 | 428 | 1.4 | 169 | 0.5 |
| Community | 964 | 4.0 | 1305 | 4.8 | 1589 | 5.0 | 1489 | 4.3 |
| Urgent | 387 | 1.6 | 695 | 2.5 | 950 | 3.0 | 631 | 1.8 |
| Specialist | 62 | 0.3 | 197 | 0.7 | 253 | 0.8 | 78 | 0.2 |
| Dementia | 527 | 2.2 | 585 | 2.1 | 706 | 2.2 | 732 | 2.1 |
| Learning disability | 33 | 0.1 | 39 | 0.1 | 48 | 0.2 | 29 | 0.1 |
| Psychology | 91 | 0.4 | 236 | 0.9 | 279 | 0.9 | 261 | 0.8 |
| Review | 109 | 0.5 | 159 | 0.6 | 214 | 0.7 | 92 | 0.3 |
| Consultation | 51 | 0.2 | 82 | 0.3 | 118 | 0.4 | 951 | 2.7 |
| Treatment | 61 | 0.3 | 84 | 0.3 | 110 | 0.3 | 117 | 0.3 |
| Assessment | 151 | 0.6 | 254 | 0.9 | 309 | 1.0 | 267 | 0.8 |
| Unknown | <5 | 0.0 | <5 | 0.0 | — | 0.0 | — | 0.0 |
|
| ||||||||
| Social care | ||||||||
| Any | 1042 | 4.4 | 1236 | 4.5 | 1912 | 6.1 | 1350 | 3.9 |
| Nursing | 89 | 0.4 | 109 | 0.4 | 169 | 0.5 | 128 | 0.4 |
| Personal care | 709 | 3.0 | 890 | 3.2 | 1485 | 4.7 | 1057 | 3.1 |
| Food | 68 | 0.3 | 82 | 0.3 | 44 | 0.1 | 10 | 0.0 |
| Domestic | 165 | 0.7 | 238 | 0.9 | 350 | 1.1 | 253 | 0.7 |
| Transport | 78 | 0.3 | 78 | 0.3 | 99 | 0.3 | 70 | 0.2 |
| Disability | 181 | 0.8 | 230 | 0.8 | 277 | 0.9 | 248 | 0.7 |
| Occupational therapy | 8 | 0.0 | 15 | 0.1 | 18 | 0.1 | 28 | 0.1 |
| Memory and cognition | 53 | 0.2 | 76 | 0.3 | 104 | 0.3 | 63 | 0.2 |
| Assisted equipment technology | 129 | 0.5 | 28 | 0.1 | 47 | 0.1 | 7 | 0.0 |
| Nursing home | 58 | 0.2 | 76 | 0.3 | 123 | 0.4 | 80 | 0.2 |
| Mental health | 43 | 0.2 | 49 | 0.2 | 95 | 0.3 | 36 | 0.1 |
| Community | 250 | 1.0 | 122 | 0.4 | 198 | 0.6 | 232 | 0.7 |
| Social | 64 | 0.3 | 87 | 0.3 | 165 | 0.5 | 88 | 0.3 |
| Carer | 127 | 0.5 | 125 | 0.5 | 142 | 0.5 | 159 | 0.5 |
| Housing and living | 119 | 0.5 | 66 | 0.2 | 98 | 0.3 | 41 | 0.1 |
| Unknown | 68 | 0.3 | 110 | 0.4 | 119 | 0.4 | 66 | 0.2 |
|
| ||||||||
| Number of services used | ||||||||
| 0 | 2602 | 10.9 | 2567 | 9.4 | 2891 | 9.2 | 3067 | 8.9 |
| 1 | 7036 | 29.5 | 7438 | 27.1 | 8572 | 27.2 | 9267 | 26.7 |
| 2 | 8200 | 34.4 | 10 549 | 38.4 | 12 211 | 38.7 | 13 710 | 39.6 |
| >3 | 5990 | 25.1 | 6889 | 25.1 | 7880 | 24.9 | 8607 | 24.8 |
|
| ||||||||
| Service type | ||||||||
| None | 2602 | 10.9 | 2567 | 9.4 | 2891 | 9.2 | 3067 | 8.9 |
| Secondary care only | 2508 | 10.5 | 3569 | 13.0 | 4586 | 14.5 | 5020 | 14.5 |
| Primary care only | 4134 | 17.3 | 3443 | 12.5 | 3538 | 11.2 | 3600 | 10.4 |
| Other services only | 460 | 1.9 | 467 | 1.7 | 486 | 1.5 | 682 | 2.0 |
| Secondary care and primary care | 5298 | 22.2 | 7331 | 26.7 | 8465 | 26.8 | 8606 | 24.8 |
| Secondary care and other services | 2244 | 9.4 | 3267 | 11.9 | 4097 | 13.0 | 5141 | 14.8 |
| Primary care and other services | 1133 | 4.8 | 606 | 2.2 | 614 | 1.9 | 781 | 2.3 |
| All three | 5449 | 22.9 | 6193 | 22.6 | 6877 | 21.8 | 7754 | 22.4 |
a
Top five outpatient specialties by year: 2015 ranking: 1) cardiology; 2) general surgery; 3) ophthalmology; 4) trauma and orthopaedics; 5) allied health professional episode. 2016 to 2018 ranking: 1) cardiology; 2) ophthalmology; 3) general surgery; 4) allied health professional episode; 5) radiology. A&E = accident and emergency department. HF = heart failure. NWL = North West London.