National time trend analysis of potentially overused elective treatments.
Search by treatment
Select a procedure from the dropdown to view data for each PCT specific to the relevant treatment chosen.
Search by PCT
Select a PCT from the dropdown to view data for each treatment.
- Analysis of the number of elective treatments per 1,000 population.
Spells: total number of spells for each treatment.
Population: total registered population within each PCT (female only where relevant).
Rate per 1,000 pop: total number of spells divided by PCT population multiplied by 1,000 for each treatment.
- Technical definition of treatments
All spells with an elective admission method code (11-13) and a dominant procedure code or HRG v3.5 code of one of the below treatments:
Abdominal excision of uterus: OPCS code Q07
Dilation and curettage/hysteroscopy: OPCS codes Q103, Q18 and ICD10 Code O04 is not primary diagnosis
Inguinal, umbilical and femoral hernia: HRG v3.5 codes F73,F74
Knees: HRG v3.5 codes H03,H04
Lumbar spine procedures: OPCS codes V25,V26,V28,V33,V34,V363,V382-6,V393-7,V404,V40-V41(+Z665), V433,V44-V46(+Z665),V473,V485-6,V493,V50(+Z665),V52(+Z675),V54(+Z665),V563,V573,V583,V593,V603,V613,V623,V633,V66-V67
Myringotomy with/without grommets: OPCS code D15 (excluding E081,E201,F291,F34,D191 in any position)
Primary hip replacements: HRG v3.5 codes H80,H81
Tonsillectomy: OPCS codes F341,F344
Vaginal excision of uterus (without repair of prolapsed): OPCS code Q08 (excluding P23 in any position)
Varicose veins: HRG v3.5 code Q11
- NHS Primary Care Trusts
- Data sources & Time frame
January 2006 - December 2010 by calendar year
Data between April 2005 and March 2008 is frozen.
April 2005 - March 2006 - Hospital Episode Statistics (HES)
April 2006 - March 2009 - Frozen Secondary Uses Services (SUS) - Hospital Admitted Patients
SUS extracts are used from April 2009 onwards - non frozen SUS extract.
Secondary Uses Services (SUS) Commissioning Data set - non frozen SUS extract.
- Data licence acknowledgments
- Secondary Uses Services (SUS) - Hospital Admitted Patients - Copyright: Re-used with the permission of The Health and Social Care Information Centre. All rights reserved.
Treatments are based on procedures initially identified by Croydon PCT (the "Croydon List") and a synthesis of other such lists from PCTs across the country. The Croydon List procedures 'were selected based on reviews of current PCT exclusion/clinical exception/priority setting policies as well as a review of the evidence, such as NICE guidelines and reviews undertaken by Public Health Departments.1'
Small numbers (i.e. counts between 1 and 5) have been masked with '*' and rates per population affected by this have been masked with '**'.
1 London Health Observatory - Commissioning for equity series - Save to invest, Developing Criteria-based commissioning for planned healthcare in London, N. Malhotra, R. Feleke, February 2007