Length of Stay analysis for hip replacements by Trust - United Kingdom

Length of stay between trusts has always shown great variation. There has been a larger focus in recent years at reducing length of stay to improve the patient experience by reducing the number of days spent in hospital, freeing up beds in hospital for new patients and therefore saving the trust money. This example analysis shows how the variation has reduced over time and how far more trusts are now appearing in the lowest band for length of stay for this particular procedure than five years ago. You can change region, or view national data.

Length of Stay for 2005/6 and 2009/10

  • 2009/10
  • 2005/6

Trust name Average Length of Stay
Brighton and Sussex
10.0
7.0
St Georges Healthcare
9.5
13.0
Central Manchester
8.0
7.0
Ealing
8.0
10.0
East and North Hertfordshire
8.0
7.0
Chesterfield Royal
7.0
8.0
Homerton
7.0
N/A
James Paget
7.0
5.0
Kings College
7.0
8.0
Newham
7.0
7.5
Norfolk and Norwich
7.0
8.0
Plymouth
7.0
8.0
Royal Bolton
7.0
7.0
Shrewsbury and Telford
7.0
8.0
South Tyneside
7.0
9.0
St Helens and Knowsley
7.0
9.0
Trafford Healthcare
7.0
8.0
University Of South Manchester
7.0
7.0
Warrington and Halton
7.0
7.0
The Whittington
7.0
10.0
Walsall
6.5
8.0
Airedale
6.0
8.0
Barking, Havering and Redbridge
6.0
8.0
Barnet and Chase Farm
6.0
7.0
Barnsley
6.0
5.0
Barts
6.0
9.0
Bedford
6.0
7.0
Colchester
6.0
7.0
Countess Of Chester
6.0
8.0
County Durham and Darlington
6.0
7.0
East Lancashire
6.0
8.5
Gloucestershire
6.0
6.0
Great Western
6.0
6.5
Heatherwood and Wexham Park
6.0
7.0
Hereford
6.0
6.0
Lancashire Teaching
6.0
8.0
The Lewisham
6.0
8.0
Mid Cheshire
6.0
8.0
Mid Yorkshire
6.0
6.0
North Cumbria
6.0
8.0
North Middlesex
6.0
10.0
Northern Lincolnshire and Goole
6.0
7.0
Nottingham
6.0
9.0
Pennine Acute
6.0
8.0
Peterborough and Stamford
6.0
8.0
Royal Cornwall
6.0
7.0
Royal Free Hampstead
6.0
8.5
Royal United Bath
6.0
8.0
Salisbury
6.0
8.0
Sheffield Teaching
6.0
8.0
Sherwood Forest
6.0
8.0
South London Healthcare
6.0
7.0
Southampton
6.0
6.0
Stockport
6.0
6.0
The Princess Alexandra
6.0
9.0
United Lincolnshire
6.0
6.0
University College London
6.0
7.0
University Of Morecambe Bay
6.0
8.0
Winchester and Eastleigh Healthcare
6.0
9.0
Wirral
6.0
7.0
Wrightington, Wigan and Leigh
6.0
10.0
York
6.0
6.0
Basildon and Thurrock
5.5
7.0
Tameside
5.5
9.0
Ashford and St Peters
5.0
7.0
Blackpool, Fylde and Wyre
5.0
9.0
Bradford Teaching
5.0
7.0
Buckinghamshire
5.0
6.0
Burton
5.0
7.5
Calderdale and Huddersfield
5.0
7.0
Cambridge
5.0
7.0
Chelsea and Westminster
5.0
8.0
Dartford and Gravesham
5.0
6.0
Derby
5.0
7.0
Doncaster and Bassetlaw
5.0
6.0
Dudley
5.0
7.0
East Kent
5.0
7.0
Frimley Park
5.0
7.0
Guys and St Thomas
5.0
9.0
Harrogate and District
5.0
6.0
Heart Of England
5.0
7.0
Hull and East Yorkshire
5.0
8.0
Imperial College Healthcare
5.0
7.0
Ipswich
5.0
7.0
Isle Of Wight
5.0
7.0
Kettering General
5.0
7.0
Luton and Dunstable
5.0
5.0
Maidstone and Tunbridge Wells
5.0
7.0
Medway
5.0
6.0
Mid Essex Services
5.0
8.0
Mid Staffordshire
5.0
7.0
Milton Keynes
5.0
6.0
The Newcastle Upon Tyne
5.0
7.0
North Bristol
5.0
9.0
North Tees and Hartlepool
5.0
8.0
North West London
5.0
8.0
Northampton General
5.0
7.0
Northern Devon Healthcare
5.0
6.0
Portsmouth
5.0
7.0
Royal Berkshire
5.0
7.0
Royal Liverpool and Broadgreen
5.0
8.0
The Royal Wolverhampton
5.0
9.0
Salford Royal
5.0
7.0
Sandwell and West Birmingham
5.0
9.0
Scarborough and North East Yorkshire
5.0
7.0
South Tees
5.0
6.0
Southend
5.0
8.0
Southport and Ormskirk
5.0
8.0
Surrey and Sussex Healthcare
5.0
6.0
The Hillingdon
5.0
8.0
University Coventry and Warwickshire
5.0
7.0
University Of North Staffordshire
5.0
7.0
West Hertfordshire
5.0
6.0
Western Sussex
5.0
7.0
Weston
5.0
6.0
Whipps Cross
5.0
7.0
Worcestershire Acute
5.0
6.0
Yeovil District
5.0
7.0
Basingstoke and North Hampshire
4.0
5.0
City Sunderland
4.0
7.0
Dorset County
4.0
7.0
East Cheshire
4.0
7.0
East Sussex
4.0
6.0
Epsom and St Helier
4.0
5.0
Gateshead Health
4.0
6.0
George Eliot
4.0
6.0
Hinchingbrooke
4.0
6.0
Leeds Teaching
4.0
5.0
Northumbria Healthcare
4.0
8.0
The Queen Elizabeth Kings Lynn
4.0
5.0
The Rotherham
4.0
6.0
Royal Bournemouth and Christchurch
4.0
7.0
Royal Devon and Exeter
4.0
7.0
Royal Surrey County
4.0
7.0
South Devon Healthcare
4.0
7.0
South Warwickshire
4.0
7.0
Taunton and Somerset
4.0
6.0
University Of Leicester
4.0
7.0
West Middlesex
4.0
N/A
West Suffolk
3.0
6.0
Oxford Radcliffe N/A
7.0

Comparison of median length of stay for hip replacement by Trust

SHA data for length of stay

SHA Name 2005/06 2006/07 2007/08 2008/09 2009/10
North East SHA 7 7 6 5 5
North West SHA 8 7 7 6 6
Yorkshire and The Humber SHA 7 6 6 5 5
East Midlands SHA 7 7 6 5 5
West Midlands SHA 7 6 5 5 5
East Of England SHA 7 7 6 6 5
London SHA 7 6 6 6 5
South East Coast SHA 7 6 5 5 5
South Central SHA 7 6 6 6 5
South West SHA 7 6 6 5 5
England 7 7 6 6 5

Measure: Length of stay

Description:
Elective hip replacement median length of stay.
Rationale:
Length of stay between trusts has always shown great variation. There has been a larger focus in recent years at reducing length of stay to improve the patient experience by reducing the number of days spent in hospital, freeing up beds in hospital for new patients and therefore saving the trust money. This example analysis shows how the variation has reduced over time and how far more trusts are now appearing in the lowest band for length of stay for this particular procedure than five years ago.
Technical definition

All inpatient spells with an elective admission method (codes: 11, 12 & 13) with primary procedure code for hip replacement (OPCS codes: W37-W39,W93-W95).

Note: Trusts with less than 40 spells per annum were excluded from the analysis

Basis
NHS Acute Trusts
Data sources & Time frame

April 2005 to March 2010 by financial 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.

Data licence acknowledgments

Hospital Episode Statistics (HES) - Hospital Admitted Patients - Copyright: Re-used with the permission of The Health and Social Care Information Centre. All rights reserved.

Secondary Uses Services (SUS) - Hospital Admitted Patients - Copyright: Re-used with the permission of The Health and Social Care Information Centre. All rights reserved.

Change in length of Stay between 2005/6 - 2009/10

Trust name LoS 2005/06 LoS 2006/07 LoS 2007/08 LoS 2008/09 LoS 2009/10
Homerton N/A N/A 6.0 7.0 7.0
West Middlesex N/A N/A 4.0 5.0 4.0
Barnsley 5.0 4.5 5.0 6.0 6.0
Basingstoke and North Hampshire 5.0 5.0 5.0 5.0 4.0
Epsom and St Helier 5.0 5.0 5.0 4.0 4.0
James Paget 5.0 8.0 7.0 7.0 7.0
Leeds Teaching 5.0 4.0 5.0 4.0 4.0
Luton and Dunstable 5.0 5.0 5.0 5.0 5.0
The Queen Elizabeth Kings Lynn 5.0 4.0 4.0 4.0 4.0
Buckinghamshire 6.0 5.0 5.0 5.0 5.0
Dartford and Gravesham 6.0 5.0 5.0 5.0 5.0
Doncaster and Bassetlaw 6.0 6.0 6.0 5.0 5.0
East Sussex 6.0 5.0 5.0 4.0 4.0
Gateshead Health 6.0 6.0 5.0 4.0 4.0
George Eliot 6.0 6.0 4.0 4.0 4.0
Gloucestershire 6.0 6.0 6.0 6.0 6.0
Harrogate and District 6.0 6.0 5.0 5.0 5.0
Hereford 6.0 5.0 6.0 6.0 6.0
Hinchingbrooke 6.0 5.0 4.0 4.0 4.0
Medway 6.0 6.0 5.0 4.0 5.0
Mid Yorkshire 6.0 6.0 5.0 6.0 6.0
Milton Keynes 6.0 6.0 5.0 5.0 5.0
Northern Devon Healthcare 6.0 6.0 5.5 6.0 5.0
The Rotherham 6.0 6.0 6.0 5.0 4.0
South Tees 6.0 5.0 5.0 6.0 5.0
Southampton 6.0 6.0 7.0 7.0 6.0
Stockport 6.0 6.0 6.0 6.0 6.0
Surrey and Sussex Healthcare 6.0 6.0 6.0 5.0 5.0
Taunton and Somerset 6.0 5.0 5.0 5.0 4.0
United Lincolnshire 6.0 6.0 6.0 6.0 6.0
West Hertfordshire 6.0 6.0 5.0 5.0 5.0
West Suffolk 6.0 5.0 5.0 4.0 3.0
Weston 6.0 6.0 5.0 5.0 5.0
Worcestershire Acute 6.0 6.0 6.0 6.0 5.0
York 6.0 6.0 6.0 5.0 6.0
Great Western 6.5 6.0 5.0 5.0 6.0
Ashford and St Peters 7.0 5.0 4.0 4.0 5.0
Barnet and Chase Farm 7.0 6.0 6.0 6.0 6.0
Basildon and Thurrock 7.0 6.0 6.0 5.0 5.5
Bedford 7.0 7.0 6.0 6.0 6.0
Bradford Teaching 7.0 6.0 5.0 5.0 5.0
Brighton and Sussex 7.0 9.0 11.0 9.0 10.0
Calderdale and Huddersfield 7.0 7.0 6.0 5.0 5.0
Cambridge 7.0 7.0 6.0 5.0 5.0
Central Manchester 7.0 7.0 8.0 7.0 8.0
City Sunderland 7.0 7.0 5.0 4.0 4.0
Colchester 7.0 6.0 6.0 6.0 6.0
County Durham and Darlington 7.0 6.0 7.0 7.0 6.0
Derby 7.0 6.0 5.0 5.0 5.0
Dorset County 7.0 6.0 5.0 5.0 4.0
Dudley 7.0 7.0 6.0 5.0 5.0
East and North Hertfordshire 7.0 7.0 7.0 7.0 8.0
East Cheshire 7.0 7.0 6.0 5.0 4.0
East Kent 7.0 5.0 5.0 5.0 5.0
Frimley Park 7.0 6.0 6.0 5.0 5.0
Heart Of England 7.0 7.0 5.0 6.0 5.0
Heatherwood and Wexham Park 7.0 7.0 7.0 6.0 6.0
Imperial College Healthcare 7.0 6.0 6.0 6.0 5.0
Ipswich 7.0 6.0 6.0 6.0 5.0
Isle Of Wight 7.0 6.0 5.0 5.0 5.0
Kettering General 7.0 7.0 7.0 6.0 5.0
Maidstone and Tunbridge Wells 7.0 6.0 6.0 5.0 5.0
Mid Staffordshire 7.0 6.0 5.0 5.0 5.0
The Newcastle Upon Tyne 7.0 6.0 6.0 5.0 5.0
Northampton General 7.0 6.0 6.0 6.0 5.0
Northern Lincolnshire and Goole 7.0 6.0 5.0 5.0 6.0
Oxford Radcliffe 7.0 7.0 N/A N/A N/A
Portsmouth 7.0 7.0 6.0 6.5 5.0
Royal Berkshire 7.0 7.0 6.0 5.0 5.0
Royal Bolton 7.0 7.0 6.0 7.0 7.0
Royal Bournemouth and Christchurch 7.0 7.0 5.0 5.0 4.0
Royal Cornwall 7.0 6.0 6.0 6.0 6.0
Royal Devon and Exeter 7.0 6.0 5.0 5.0 4.0
Royal Surrey County 7.0 6.0 5.0 5.0 4.0
Salford Royal 7.0 6.0 6.0 5.0 5.0
Scarborough and North East Yorkshire 7.0 7.0 6.0 6.0 5.0
South Devon Healthcare 7.0 6.0 6.0 5.0 4.0
South London Healthcare 7.0 6.0 7.0 6.0 6.0
South Warwickshire 7.0 4.0 4.0 4.0 4.0
University College London 7.0 7.0 6.0 6.0 6.0
University Coventry and Warwickshire 7.0 6.0 5.0 5.0 5.0
University Of Leicester 7.0 6.0 5.0 4.0 4.0
University Of North Staffordshire 7.0 5.0 5.0 5.0 5.0
University Of South Manchester 7.0 8.0 7.0 6.0 7.0
Warrington and Halton 7.0 7.0 6.0 7.0 7.0
Western Sussex 7.0 6.0 6.0 5.0 5.0
Whipps Cross 7.0 7.0 6.0 5.5 5.0
Wirral 7.0 7.0 6.0 6.0 6.0
Yeovil District 7.0 6.0 6.0 5.0 5.0
Burton 7.5 7.0 5.0 5.0 5.0
Newham 7.5 6.0 7.0 7.0 7.0
Airedale 8.0 7.0 6.0 6.0 6.0
Barking, Havering and Redbridge 8.0 7.0 7.0 6.0 6.0
Chelsea and Westminster 8.0 8.0 7.0 6.0 5.0
Chesterfield Royal 8.0 8.0 7.0 7.0 7.0
Countess Of Chester 8.0 7.0 6.0 7.0 6.0
Hull and East Yorkshire 8.0 7.0 6.0 6.0 5.0
Kings College 8.0 8.0 8.0 7.0 7.0
Lancashire Teaching 8.0 7.0 6.5 7.0 6.0
The Lewisham 8.0 6.0 7.0 7.0 6.0
Mid Cheshire 8.0 7.0 6.0 5.0 6.0
Mid Essex Services 8.0 6.0 5.0 5.0 5.0
Norfolk and Norwich 8.0 8.0 7.0 7.0 7.0
North Cumbria 8.0 7.0 7.0 7.0 6.0
North Tees and Hartlepool 8.0 6.0 5.0 5.0 5.0
North West London 8.0 6.0 5.0 6.0 5.0
Northumbria Healthcare 8.0 8.0 7.0 5.0 4.0
Pennine Acute 8.0 8.0 7.0 6.0 6.0
Peterborough and Stamford 8.0 7.0 7.0 6.0 6.0
Plymouth 8.0 7.0 6.0 7.0 7.0
Royal Liverpool and Broadgreen 8.0 6.0 6.0 6.0 5.0
Royal United Bath 8.0 8.0 7.0 7.0 6.0
Salisbury 8.0 7.0 6.0 6.0 6.0
Sheffield Teaching 8.0 7.0 7.0 6.0 6.0
Sherwood Forest 8.0 7.0 7.0 6.0 6.0
Shrewsbury and Telford 8.0 7.0 7.0 7.0 7.0
Southend 8.0 7.0 6.0 5.0 5.0
Southport and Ormskirk 8.0 8.0 6.0 5.0 5.0
The Hillingdon 8.0 7.0 6.0 5.0 5.0
Trafford Healthcare 8.0 8.0 8.0 6.0 7.0
University Of Morecambe Bay 8.0 7.0 6.0 6.0 6.0
Walsall 8.0 7.0 7.0 6.0 6.5
East Lancashire 8.5 8.0 7.0 7.0 6.0
Royal Free Hampstead 8.5 7.0 7.0 6.0 6.0
Barts 9.0 8.0 6.0 7.0 6.0
Blackpool, Fylde and Wyre 9.0 8.0 6.0 5.0 5.0
Guys and St Thomas 9.0 7.0 6.0 6.0 5.0
North Bristol 9.0 8.0 7.0 6.0 5.0
Nottingham 9.0 7.0 6.0 6.0 6.0
The Royal Wolverhampton 9.0 8.0 6.0 6.0 5.0
Sandwell and West Birmingham 9.0 8.0 7.0 6.0 5.0
South Tyneside 9.0 8.0 8.0 8.0 7.0
St Helens and Knowsley 9.0 8.0 8.0 8.0 7.0
Tameside 9.0 8.0 8.0 6.0 5.5
The Princess Alexandra 9.0 8.0 7.0 7.0 6.0
Winchester and Eastleigh Healthcare 9.0 8.0 7.0 7.0 6.0
Ealing 10.0 8.0 10.0 8.0 8.0
North Middlesex 10.0 8.0 7.0 6.0 6.0
The Whittington 10.0 8.0 8.0 8.0 7.0
Wrightington, Wigan and Leigh 10.0 8.0 7.0 6.0 6.0
St Georges Healthcare 13.0 13.0 13.5 10.0 9.5

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