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					   DHSSPS
Reference Costs
   2004/05
                                        CONTENTS

                                                                       Page No

Executive Summary                                                         2

Introduction                                                              3

Acute Services

The HPSS Trust Database                                                   5
The HPSS Schedule of Reference Costs                                      6


Community Services

The HPSS Schedule of Reference Costs                                     12




                                        Appendices

1A   HSS Trusts providing acute services data                            17
1B   HSS Trusts providing community services data                        18


Acute Services

2A   HPSS Schedule of Reference Costs – Elective Inpatients              19
2B   HPSS Schedule of Reference Costs – Non-elective Inpatients          32
2C   HPSS Schedule of Reference Costs – Day Cases                        46
2D   Excess Bed days                                                     56
2E   Combined index of acute service costs by Trust                     57
2F   Other – Critical Care, Renal Dialysis, Rehabilitation, U- codes     59
2G   Outpatient Attendances                                              61

Community Services

3A   HPSS Schedule of Reference Costs                                    62




                                              1
1. Executive Summary


1.1 The information in this report is based on costs and activity data supplied by Health and
   Personal Social Services Trusts for the financial year 2004/2005. The relevant Trusts are listed
   in Appendices 1A and 1B. The report provides unit costs (known as “reference costs”) for an
   extended range of services and builds further on the information provided in previous years.
   The information is in the form of an HPSS Schedule of Reference Costs, presented separately
   for acute and community services, providing unit cost information in respect of all acute
   hospital specialties provided as inpatient and daycase episodes, a range of other acute services,
   and for the majority of community services.


1.2 For acute services, the report provides detailed information on all specialties, covering
   approximately 421,500 hospital inpatient and day case episodes and 698,000 outpatient
   attendances across twelve Trusts. (This compares to some 415,000 episodes in respect of the
   same specialties for 2003/04). For community services, nineteen mandatory services have
   been covered based on information supplied by seventeen Trusts.


1.3 The data reveals continuing cost variations across a range of treatments for both acute and
   community services. In some cases the variations are justifiable because they may reflect, for
   example, additional investment in specific quality initiatives, requested by commissioners of
   healthcare to meet local health need. However, it is important that all Trusts and Boards and
   other relevant parties continually investigate variations to identify their causes and take
   positive action to address those that are not justifiable.


1.4 This unit cost information can be used as a contribution to the assessment of the relative
   financial performance achieved by HPSS Trusts and to achieving the most effective use of
   resources. To that end, an aggregate index of comparative unit costs for acute services is
   provided (Appendix 2E). However, the information should be used in conjunction with other
   performance indicators to give a rounded view of performance.


1.5 As previously indicated, the coverage contained in this year’s report has been extended. In the
   acute sector, surgical outpatient specialties are now costed at first and follow-up attendance
   level. A further two community services, Clinical Psychology and Family Planning Services,
   have also been added. DHSSPS will maintain and, where appropriate, further expand the
   collection of services covered within this publication in future years.



                                                   2
2. Introduction


2.1 All organisations need to understand what their unit costs are, where resources are used and
   what the resulting outputs are. This is particularly relevant in today’s health service, where
   ever-growing demands are being placed on limited resources. It is in this context that
   understanding unit costs and cost behaviour can help decision-makers across the health service
   to ensure that resources are used in a cost-effective way. Reference costs provide the basic
   costing information that informs this process. They act as a starting point for the interpretation
   of costs and for ascertaining the reasons for variations.


2.2 The unit costs reported herein are the result of detailed costing, in accordance with
   standardised guidance across Trusts, that seeks to take account of the range of complexity
   inherent in any grouping of medical procedures. They therefore assist Trusts to tackle
   unexpected cost variations by facilitating the sharing of benchmarking information that is
   derived on a like-for-like basis. They also provide individual Trusts with the opportunity to
   identify differences in costs over time and to understand the reasons behind them.
   Commissioners will obviously have an interest, too, in all these matters.


2.3 Although this report is concerned with unit costs, these should not be the sole focus. The
   quality of service provision and its contribution to achieving the best outcomes for
   patients/users is of fundamental importance and an assessment of the cost effectiveness of care
   requires these two elements to be jointly considered. Good quality and high costs do not
   always go together, nor do poor quality and low costs. Many factors influence this
   relationship, but reference costs will assist in ensuring that resources are utilised effectively
   and that the best care available is provided.


2.4 The   information    on    reference    costs       is   available   in   electronic   format   at:
   http://www.dhsspsni.gov.uk. It is presented in two ways:


   •   The HPSS Trust Databases for acute and for community. These include all the source data
       collected from Trusts. On the acute side, separate databases will contain source data for
       elective and non elective inpatients and daycases, outpatients and specialist services
       described in Section 4.5 of this document; and


   •   The HPSS Schedule of Reference Costs. The Acute Schedule for all specialties provides
       cost information relating to elective and non-elective inpatients and day cases, based on

                                                    3
approximately 421,500 episodes of inpatient and day case activity. These Schedules are
included in Appendices 2A to 2G and are explained in section 4. The Community
Schedule is included in Appendix 3A and is explained in section 5.




                                        4
3. Acute Services - The HPSS Trust Database


3.1 All twelve Trusts providing acute services submitted details by Healthcare Resource Group
   (HRG) for all acute specialties for inpatient and daycase episodes. These groupings of
   procedures provide a national standard framework that allows costs to be adjusted for
   differences in casemix. HRGs are defined with the input of clinicians and are designed to
   provide groupings of clinically similar treatments that use similar resources.


3.2 Whilst it is clearly important that unit costs are calculated on a consistent basis, this is not
   always straightforward, as different patients have different needs and require different
   treatments. Simply dividing the total cost by the total number of patients would clearly not
   reflect the varying needs and therefore the varying costs associated with their treatment. It is
   for this reason that Healthcare Resource Groups (HRGs) are used as the basis of the
   information provided herein.


3.3 The information returned by the Trusts, in relation to activity and costs data, has been included
   in the Trust database. Appendices 1A and 1B lists those Trusts included in the database.


3.4 The database includes the following detail for each Trust for inpatients and daycases:


   •   the cost of each HRG for 2004/05:
           − by type of admission; and
           − by specialty by type of admission.


   •   the number of episodes/attendances for each HRG for 2004/05:
           − by type of admission; and
           − by specialty by type of admission.


       In addition, a number of cost elements are extracted and shown separately. These include
       “excess bed days”, a number of specialist services and a small element of unclassifiable
       expenditure. These are detailed further in Section 4 of this document.


3.5 In the case of three of the twelve acute Trusts, services are delivered across multiple hospital
   sites. These sites may provide significantly different services with varying cost structures. The
   option exists for these Trusts to either aggregate their activity and costs up to overall Trust
   level or to break them down and present them separately for each hospital. Sperrin Lakeland

                                                  5
         Health and Social Services Trust has adopted the former approach. However, the activity and
         costs for United Hospitals Health and Social Services Trust are broken down across six sites-
         Antrim, Braid Valley, Mid Ulster, Moyle, Waveney and Whiteabbey – while the activity and
         costs for Down Lisburn Health and Social Services Trust are broken down across two sites –
         Downe and Lagan Valley.


4    Acute Services - The HPSS Schedule of Reference Costs


    4.1 The schedule is constructed from the database. It shows the average cost in the HPSS for a range
       of acute daycase, elective and non-elective treatments and procedures for the 2004/05 year. For
       each HRG, the following information is available:


         •   the average cost; and
         •   the highest and lowest costs.


    4.2 This information is shown separately for:


         •   elective inpatients - that is, those people admitted to hospital from waiting lists whose
             care requires staying in hospital for longer than a day; (Appendix 2A)
         •   non-elective inpatients – that is those people admitted for urgent or emergency treatment;
             (Appendix 2B) and
         •   day cases – those people treated without an overnight stay. (Appendix 2C)


    4.3 The schedule excludes excess bed day information (which is shown separately in Appendix 2D).
       Excess bed days are those bed days that are above the maximum of the range normally expected
       for any given HRG. These maxima or “trimpoints” are agreed for the HPSS in respect of each
       HRG. All episodes are included in the HRG information up to the trimpoint, but the excess bed
       days, i.e. the total number of days where the length of stay has been beyond the expected range,
       are excluded. We therefore separate the costs relating to an episode into a unit cost excluding
       the cost of excess bed days and a cost per excess bed day, where this applies. This avoids the
       distortion in unit costs, for comparative purposes, which would otherwise occur.


    4.4 Although, as discussed, these excess bed days are exceptional they are important in considering
       performance. HPSS Trusts and commissioners will want to examine the impact that these
       exceptional areas have. In particular, they may consider:



                                                       6
           •   the proportion of bed days and costs that exceed the trimpoint;
           •   whether this is more or less than expected;
           •   whether this reflects the difficulty and complexity of cases and variations in clinical
               practice.


 4.5 Aggregate index of Trust acute service unit costs
      It is possible to summarise the information detailed in Appendices 2A to 2D into an overall
      index of relative Trust unit cost performance.


      The Index gives a single figure for each Trust that compares the actual cost for its acute
      hospital activity (actual costs) with the notional cost of that same activity if it were
      calculated using the HPSS average costs (expected costs). The expected figure for each Trust
      is therefore the actual activity for that individual provider multiplied by the HPSS average
      cost as appropriate. The index score is the actual figure divided by the expected figure. In the
      Index:


       • A Trust with costs equal to the HPSS average for its activity will score 100;
       • A Trust with costs 20% above the HPSS average will score 120;
       • A Trust with costs 20% below the HPSS average will score 80.


      The index gives an indicator of the position of each Trust when compared to the N. Ireland
      average for the current range of services included within the scope of the index.


      This index is provided at Appendix 2E and provides an at-a-glance overview of the overall
      performance of each Trust in relative unit cost terms.


      The Department is currently developing future arrangements for commissioning and funding
      within the new HPSS structures arising from the Review of Public Administration. In the lead-in
      period Trusts, where there is scope to do so, will be expected to reduce their absolute and
      relative position within the reference cost index.


4.6   Specialist Services - In determining the costs of inpatient stays, certain services are extracted
      from the HRGs to reduce distortion and others are shown separately because bed days rather
      than episodes or attendances are more appropriate measures of activity.


                                                       7
Critical Care (Appendix 2F)
Some procedures may require a patient to stay in critical care. The costs of a stay in critical care
have been excluded from the other inpatient costs and are shown separately. These costs are
relatively high and apply to a relatively small number of patients. The inclusion, in HRGs, of
these costs would introduce high cost variability and limit the scope for meaningful
comparability between providers. Such costs are therefore now excluded from HRGs and are
reported on a cost per bed day basis.


Renal Dialysis (Appendix 2F)
Renal Dialysis sessions are excluded from renal HRGs. Costs relating to renal dialysis in any
specialty are shown as a cost per dialysis session, i.e. each session of dialysis treatment on a
given day for each patient.


Rehabilitation Services (Appendix 2F)
These costs were formerly reported in HRG S23, now defunct, or within the rehabilitation
specialty. Again, it was adjudged to be a more accurate reflection of the nature of this service to
report rehabilitation on a cost per bedday basis rather than on a cost per episode basis.


Inpatient U codes (Appendix 2F)
HRGs are assigned using procedure and diagnosis codes and U Codes are assigned to
unclassified data, where the procedure/diagnosis code is not recognised. Procedure/diagnosis
codes may not be recognised as a result of errors in coding, however innovative procedures
which have not yet been assigned HRG codes may also appear as U codes. U codes for
inpatients are not included in the schedule, as U codes have a trimpoint of zero, this means that
the whole length of stay assigned to these HRGs and all costs are analysed as excess beddays.
In order to fully reflect all coded expenditure, we are publishing a total cost of inpatient U
codes.

Daycase U codes are costed and are reported in the schedule by Finished Consultant Episode
(FCE) and unit cost. Overall, U codes represent less than 1% of expenditure costed within the
Acute reference costs.


Outpatient Services (Appendix 2G)
Outpatient attendance costs are included for first and for follow up attendances.




                                                8
Interpreting the Schedule and the Databases


4.7 The schedule and databases show wide variations in unit costs for many HRGs. The following
   examples illustrate the extent of the variations.


4.8 Example One: Non Elective Inpatient – Normal Delivery without complications or
   comorbidities (HRG N07)


   Maternity procedures are performed as an inpatient procedure, which includes an overnight stay.
   This procedure was performed across four specialties in 2003/04, with the majority of cases being
   performed in specialty 501 (Obstetrics). During 2003/2004 a total of 12,077 cases were
   undertaken as Non Elective procedures in specialty 501 at an aggregate cost of £19,012,221. As
   illustrated in figure 1, the highest cost is £2,078, the lowest cost is £1,218 and the HPSS average
   is £1,574. HRG N07 was performed across several specialties, with an average cost across all
   specialties of £1,573. This shows a slight decrease of both activity and cost on 2003/04, when
   11,102 episodes were performed in specialty 501 at an aggregate cost of £17,575,776, the highest
   cost was £2,086, the lowest cost was £1,286 and the HPSS average was £1,583. Across all
   specialities the average cost in 2002/2003 was £1,582.




                           Figure 1 - Specialty 501 N07 - Non Elective Normal Delivery without
                                               complication or comorbidity

                    2500
      Unit Cost £




                    2000
                    1500
                    1000
                     500
                       0
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                                                                        9
4.9 Example Two: Elective Inpatients – Inguinal, Umbilical or Femoral Hernia Repairs <70
   without complications or comorbidities (HRG F74)


   Hernia Procedures can be performed as elective inpatients. In 2004/05 this procedure was
   performed across three specialties, with the majority of cases being performed in specialty 100
   (General Surgery). During 2004/2005, a total of 909 episodes were performed as elective
   procedures in Specialty 100 at an aggregate cost of £1,326,446. As figure 2 shows, for elective
   inpatients in Specialty 100, the highest cost is £2,300, the lowest cost is £810 and the HPSS
   average is £1,459. Across all specialties, the average cost in 2004/05 was £1,462. This shows an
   increase of both activity and cost on 2003/04, when 897 episodes were performed in specialty 100
   at an aggregate cost of £1,325,785, the highest cost was £1,994, the lowest cost was £730 and the
   HPSS average was £1,478. Across all specialities the average cost in 2002/2003 was £1,479.




                            Figure 2 - Specialty 100 F74 - Elective Inguinal Umbilical or Femoral Hernia
                                                        Repairs <70 w/o cc
                         2500
                         2000
      U n it C o s t £




                         1500
                         1000
                          500
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                                                              10
Understanding the variances

4.11 There are a number of causes of varying costs. Some of these can be foreseen and are justifiable,
    but knowing and understanding the reasons for all significant variations is important for the cost
    effective management of HPSS services.


4.12 Some of the causes may include the following:


   •   Underlying differences in cost efficiency;


   •   Differences in clinical practice;


   •   Differences in the range and scale of services provided within an individual Trust;


   •   The quality of standards agreed with commissioners and reflected in service agreements; and


   •   Variations in case complexities within HRGs for very specialist activity.


4.13 It is for these reasons that all commissioners and providers of health care are encouraged to
    benchmark performance across a range of indicators. In addition, it should not be assumed that
    the lowest costs presented are achievable by all HSS Trusts in all circumstances nor that the
    highest costs necessarily reflect a more inefficient service. Treated appropriately, comparative
    unit costs provide an important vehicle for pinpointing the areas of service provision across the
    HPSS that merit further scrutiny with the aim of identifying scope for sharing of best practice and
    ultimately improving the service to patients.




                                                     11
5     The HPSS Schedule of Reference Costs – Community


     5.1 All seventeen Trusts providing community services submitted information for the Community
           Schedule of Reference Costs. Six of those Trusts were acute Trusts providing community
           services in a hospital setting. The information covered twenty-one mandatory services, and
           costs have been submitted on the following basis:


    Community Based Service                                       Basis
    Health Visiting, District Nursing, Community Psychiatric      Average cost per contact
    Nursing, Physiotherapy, Occupational Therapy, Speech
    Therapy, Learning Disability Nurses, Community
    Dentistry, Community Midwifery, Podiatry, Family
    Planning and Clinical Psychology
    Social Work (by POC): -                                       Cost per average active caseload
       •    Family & Childcare POC3
       •    Elderly POC4
       •    Mental Health POC5
       •    Learning Disability POC6
       •    Physical & Sensory Disability POC7
    Domiciliary Care                                              Average cost per hour worked
    Nursing Care (by POC):-                                       Average cost per occupied
       •    Family & Childcare POC 3                              resident week
       •    Elderly Mentally Infirm (EMI) POC 4
       •    Elderly Other POC 4
       •    Mental Health POC 5
       •    Learning Disability POC 6
       •    Physical & Sensory Disability POC 7
    Residential Care (by POC) :-                                  Average cost per occupied
    (as with Nursing Care)                                        resident week


    Statutory Daycare (by POC):-                                  Average cost per attendance
    (as with Nursing Care)
    Meals delivered to client homes                               Average cost per meal




                                                       12
Hospital Based Community Service          Basis                     Analysis categories
Mental Health Hospital Care
Inpatients                                Cost per occupied             •   Mental Illness
                                          place                         •   Addictions
                                                                        •   Rehab/continuing
                                                                            care
                                                                        •   ITU
Daycare                                   Cost per day                  •   Secure Units
                                          attendance                    •   Acute Care
                                                                        •   Other
                                                                        •   Child & Adolescent
                                                                            Psychiatry
                                                                        •   Forensic Psychiatry
                                                                        •   Psychotherapy
                                                                        •   Old Age Psychiatry
Learning Disability Hospital Services
Inpatients                                Cost per occupied week        •   Children – short stay
                                                                        •   Children – long stay
                                                                        •   Adults – short stay
                                                                        •   Adults – long stay


Daycare
Physical Disability Hospital Services
Inpatients                                Cost per occupied week        •   Elderly
                                                                        •   Adults




  Note: some services have nil returns. These have been excluded from Appendix 2E


5.2 Similar to the acute services, information returned by Trusts has been included in an HPSS
    Trust database for community services. Appendix 1B lists those Trusts included in the
    database.
                                              13
5.3 The schedule for community services has been calculated from the database and is included at
   Appendix 3A. For each service, the following information is available:


   •   the average cost; and
   •   the highest and lowest costs.


5.4 The unit costs of services in the acute sector are based on Healthcare Resource Groups
   (HRGs). These groupings have not yet been developed for community services, and therefore
   more traditional measurement units have been used – including the total number of face-to-
   face contacts, total number of hours worked, total number of resident weeks and total number
   of attendances.


5.5 These community services cover the provision of services in a community setting and hospital
   based community services provided as part of daycase or inpatient activity.


5.6 It is intended to refine the range of community and personal social services covered by the
   schedule in future years so that even more comprehensive information is provided.




                                               14
Interpreting the Schedule


5.7 The Schedule shows variations in costs between the highest and lowest cost for each service.
   Example 3 – District Nursing


   The Community Schedule shows variations in costs between the highest and lowest cost for each
   service. For example, during 2004/2005 a total of approximately 1.5m District Nursing contacts
   were made, at an aggregate cost of £48m. Figure 3 below shows the highest cost is £45, the lowest
   cost is £27 and the HPSS average is £32 per contact. This shows an apparent decrease in
   productivity on 2003/04, when 1.5m contacts were made at an aggregate cost of £44m, the highest
   cost was £36, the lowest cost was £25 and the HPSS average was £29.



                                               Figure 3 - District Nursing Cost Per Contact 2004/05
                               50
                               45
                               40
                               35
        £ Unit Cost




                               30
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                                                                               15
5.8 Example 4 – Podiatry


   For example, during 2004/2005 a total of approximately 313,097 Podiatry contacts were
   made, at an aggregate cost of £8m. Figure 4 below shows the highest cost is £29.93, the
   lowest cost is £21.60 and the HPSS average is £25.89 per contact. This shows an increase in
   on 2003/04, when 308,260 contacts were made at an aggregate cost of £7.5m, the highest cost
   was £27.68, the lowest cost was £18.35 and the HPSS average was £24.27.

                                        Figure 4 - Podiatry Cost per Contact 2004/05

                            35

                            30

                            25
       £ Unit Cost




                            20

                            15

                            10

                             5

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 5.9         As for acute services, the variations in costs offer an opportunity for HPSS providers and
             other interested parties to understand the reasons for the variations and benchmark their
             performance. Again, however, it should not be assumed that the lowest costs presented are
             achievable by all Trusts in all circumstances nor that the highest costs necessarily reflect a
             higher quality of service provision. For example, staff often have to travel between
             locations to provide the appropriate service to the local community, which increases costs
             in terms of both travelling expenses and also loss of productive staff time. This will
             naturally have a greater impact in more rural based Trusts.




                                                          16
Appendix 1A

                            List of HSS Trusts providing Acute Services

  1.   Armagh and Dungannon HSS Trust

  2.   Altnagelvin Hospitals HSS Trust

  2.   Belfast City Hospital Trust

  3.   Causeway HSS Trust

  4.   Craigavon Area Hospital Group Trust

  5.   Down Lisburn HSS Trust

  6.   Greenpark HSS Trust

  7.   Mater Infirmorum Hospital HSS Trust

  8.   Newry and Mourne HSS Trust

  9.   Royal Group of Hospitals and Dental Hospital Trust

  10. Sperrin Lakeland HSS Trust

  11. Ulster Community and Hospitals HSS Trust

  12. United Hospitals HSS Trust




                                                17
Appendix 1B

                         List of HSS Trusts providing Community Services


1.    Armagh and Dungannon HSS Trust

2.    Causeway HSS Trust

3.    Craigavon and Banbridge Community HSS Trust

4.    Down Lisburn HSS Trust

5.    Foyle HSS Trust

6.    Homefirst Community HSS Trust

7.    Newry and Mourne HSS Trust

8.    North and West Belfast HSS Trust

9.    South and East Belfast HSS Trust

10.   Sperrin Lakeland HSS Trust

11.   Ulster Community and Hospitals Trust


List of Acute HSS Trusts Providing Hospital based or Community Midwifery Community Services



1.    Altnagelvin Hospitals HSS Trust

2.    Belfast City Hospital Trust

3.    Mater Infirmorum Hospital Trust

4.    Greenpark HSS Trust

5.    United Hospitals HSS Trust

6.    Royal Group of Hospitals HSS Trust




                                               18
Appendix 2A

                          Elective Inpatients - Northern Ireland 2004/2005

                                                                                     Range for all HPSS   Total Average
                                                              No. of      Mean            Trusts          No. of Length of
HRG                        HRG Label
                                                              FCE's     Average £   Minimum Maximum        Bed     Stay
Code
                                                                                        £      £          Days    (Days)

A01    Intracranial Procedures Except Trauma - Category 1         23        2366        526        3121     46         2
A02    Intracranial Procedures Except Trauma - Category 2         50        7647       1540       14407    278         6
A03    Intracranial Procedures Except Trauma - Category 3         79        7929       2215        8274    621         8
A04    Intracranial Procedures Except Trauma - Category 4         48       10054        641       10318    332         7
A05    Intracranial Procedures for Trauma w cc                     1        3265       3265        3265      1         1
A06    Intracranial Procedures for Trauma w/o cc                   1        4250       4250        4250      1         1
A07    Intermediate Pain Procedures                               74         562        274        2185     74         1
A08    Percutaneous Image Controlled Pain Procedures               4         537        333         604      4         1
A09    Peripheral Nerve Disorder w cc                              7        3690        324       13116     83        12
A10    Peripheral Nerve Disorder w/o cc                           52        1348        181        3690    223         4
A11    Muscular Disorders                                         17        2589        153        6875    149         9
A12    Disorder of Balance aetiology unknown w cc                 10        3029       1502        5163    152        15
A13    Disorder of Balance aetiology unknown w/o cc               13        1243        231        4903     42         3
A14    Brain Tumours or Cerebral Cysts >69 or w cc                68        5642        312        9172   1161        17
A15    Brain Tumours or Cerebral Cysts <70 w/o cc                 53        1518        231        7329    273         5
A16    Cerebral Degenerations >69 or w cc                         23        5097        394       11021    497        22
A17    Cerebral Degenerations <70 w/o cc                          35        2546        355        3223    287         8
       Multiple Sclerosis or other CNS Demyelinating
A18    Conditions                                                 33        2942       1219        4337    294         9
A19    Haemorrhagic Cerebrovascular Disorders                     22        3819        295       13706    260        12
A20    Transient Ischaemic Attack >69 or w cc                      1        1427       1427        1427      7         7
A21    Transient Ischaemic Attack <70 w/o cc                       2         297        219         375      2         1
       Non-Transient Stroke or Cerebrovascular Accident
A22    >69 or w cc                                                100       1821         442      12065    876          9
       Non-Transient Stroke or Cerebrovascular Accident
A23    <70 w/o cc                                                  6        1341        174        2419     26         4
A24    Cranial Nerve Disorders                                     6        2634        345        4584     25         4
A25    Nervous System Infections                                   6        2911        636        3785     56         9
A26    Encephalopathy                                              1         905        905         905      4         4
A27    Headache or Migraine >69 or w cc                           11         941        140        2539     34         3
A28    Headache or Migraine <70 w/o cc                            36        1010        394        1787    119         3
A29    Epilepsy >69 or w cc                                       12        2560        186        9581     96         8
A30    Epilepsy <70 w/o cc                                        44        1313        564        1354    186         4
A31    Head Injury with Brain Injury                               3         712        345        1420      6         2
A33    Head Injury without Significant Brain Injury w/o cc         1        5525       5525        5525      9         9
A34    Miscellaneous Disorders of Nervous System                  59        1778        394        5457    310         5
A37    Motor Neuron Disease                                       16        2723        780        4567    155        10
A38    Alzheimers Disease                                          1        6887       6887        6887     41        41
       Chemotherapy with a Nervous System Primary
A98    Diagnosis                                                  22        1069         515       1482      74         3
       Complex Elderly with a Nervous System Primary
A99    Diagnosis                                                  11        4010         292       5046    249        23
       Phakoemulsification Cataract Extraction and
B13    Insertion of Lens                                          932        787         646        999    932          1
B14    Non Phakoemulsification Cataract Surgery                     5        994         991        999      5          1
B15    Other Lens Surgery Low Complexity                           33       1015         423       1052     33          1
B16    Oculoplastic Low Complexity                                 89        925         218       1444     89          1
B17    Oculoplastic Intermediate Complexity                        21       1114         218       1603     21          1
B18    Oculoplastic High Complexity                                26       1459         847       1601     26          1
B19    Orbit / Lacrimal Low Complexity                             17        679         556        780     17          1

                                                             19
                                                                                     Range for all HPSS   Total Average
                                                              No. of      Mean            Trusts          No. of Length of
HRG                        HRG Label
                                                              FCE's     Average £   Minimum Maximum        Bed     Stay
Code
                                                                                        £      £          Days    (Days)
B20    Orbit / Lacrimal Intermediate Complexity                    40       1505       1501        1659     57          1
B21    Orbit / Lacrimal High Complexity                            76       2527        987        4461    109          1
B22    Cornea / Sclera Low Complexity                              12        666        423         986     12          1
B23    Cornea / Sclera Intermediate / High Complexity              48       1889       1856        2648     89          2
B24    Ocular Motility Intermediate Complexity                    190       1249       1240        1629    190          1
B25    Ocular Motility Redo / Adjustable / High Complexity         14        902        902         902     14          1
B26    Glaucoma / Uvea Low Complexity                               9        752        315         877      9          1
B27    Glaucoma / Uvea Intermediate Complexity                     79       1136       1056        2232    103          1
B28    Glaucoma / Uvea High Complexity                              2       1385       1385        1385      2          1
B29    Surgical Retina Low Complexity                              42        729        592         732     42          1
B30    Surgical Retina Intermediate Complexity                    144       1698        424        2144    248          2
B31    Surgical Retina High Complexity                             66       1618       1606        2404    134          2
B32    Non Surgical Ophthalmology with los <2 days                 36        213        117        1153     36          1
B33    Non Surgical Ophthalmology with los >1 day                  40       1074        413        3790    227          6
C04    Minor Mouth or Throat Procedures                            59        964        192        1312     59          1
       Minor Medical Head, Neck or Ear Diagnoses >69 or
C06    w cc                                                       17        1377         299       3446      52         3
       Minor Medical Head, Neck or Ear Diagnoses <70
C07    w/o cc                                                     185       1020         249       2729    242          1
C15    Minor Maxillo-facial/ENT procedures                         39       1541         982       2810     65          2
       Intermediate Medical Head, Neck or Ear Diagnoses
C16    w cc                                                       14        2471         394       4441      90         6
       Intermediate Medical Head, Neck or Ear Diagnoses
C17    w/o cc                                                      75       1353        249        2900    222         3
C20    Unknown C20                                                  1        671        671         671      1         1
C21    Intermediate Ear Procedures                                115       1897        513        2910    122         1
C22    Intermediate Nose Procedures                               903       1249        169        2451   1228         1
C25    Intermediate Maxillo-facial/ENT procedures                  95       2312       1153        4380    173         2
C26    Major Medical, Head, Neck or Ear Diagnoses w cc             12       6787       1500        7267    236        20
C27    Major Medical, Head, Neck or Ear Diagnoses w/o cc            8        769        178        2961     19         2
C31    Major Ear Procedures                                       515       2149        585       10265    746         1
C32    Major Nose Procedures                                      492       1982        169        4543    797         2
C35    Major Maxillo-facial/ENT Procedures                         89       3564        836        7206    249         3
       Complex Major Head, Neck or Ear Diagnoses >69
C36    or w cc                                                    79        8143         489      24014   1801        23
       Complex Major Head, Neck or Ear Diagnoses <70
C37    w/o cc                                                   23          3143        260        6916    144         6
C41    Complex Major Ear Procedures                             15          2365       1153        3492     26         2
C42    Complex Major Nose Procedures                           211          1832        513        3903    227         1
C45    ENT Complex Major Maxillo-facial Procedures               4          2221        329        4960     12         3
C54    Complex Major Mouth or Throat Procedures                 31         12731       1674       17091    584        19
C55    Minor Ear Procedures                                    238           844        218        1510    239         1
C56    Minor Nose Procedures                                   237           776        528        1546    238         1
C57    Major Mouth or Throat Procedures                        522          2408        292        5594   1281         2
C58    Intermediate Mouth or Throat Procedures                4464          1113        169        2682   4740         1
C59    Exteriorisation of Trachea                               30          3384        329       11218    229         8
C60    Cochlea Implants                                         15         46487      46487       46487     20         1
       Chemotherapy with a Mouth, Head, Neck or Ear
C98    Primary Diagnosis                                          133       1415        375        1439    546          4
D02    Complex Thoracic Procedures                                122       7629       1356        8639   1124          9
D03    Major Thoracic Procedures                                   86       4342        549        5788    486          6
D04    Intermediate Thoracic Procedures w cc                       27       3807       2717        4447    167          6
D05    Intermediate Thoracic Procedures w/o cc                     61       2620        941        3136    227          4
D06    Minor Thoracic Procedures                                   59        551        164        2755     59          1
D07    Fibreoptic Bronchoscopy                                     46        731        164        1153     46          1
                                                             20
                                                                                    Range for all HPSS   Total Average
                                                             No. of      Mean            Trusts          No. of Length of
HRG                        HRG Label
                                                             FCE's     Average £   Minimum Maximum        Bed     Stay
Code
                                                                                       £      £          Days    (Days)
D08    Rigid Bronchoscopy                                         26       1120        255        2643     26         1
D10    Pulmonary Embolis w cc                                      9       2613        425        3187     88        10
D11    Pulmonary Embolis w/o cc                                    7       2338        424        8611     80        11
D12    Lung Abscess-Empyema                                        5       2404        198        7848     48        10
D13    Lobar, Atypical or Viral Pneumonia w cc                    15       3988        226       21557    204        14
D14    Lobar, Atypical or Viral Pneumonia w/o cc                  22       2183        227        6376    150         7
D16    Bronchiectasis                                            136       2511        324        5105    942         7
D17    Cystic Fibrosis                                           148       4271        324        4298    962         7
D18    Pulmonary, Pleural or Other Tuberculosis                   15       1574        394        8062     66         4
D21    Asthma w cc                                                 3       2138       1696        3021     33        11
D22    Asthma w/o cc                                              16       1349        562        1955     76         5
D23    Pleural Effusion w cc                                      33       2303        983        4956    239         7
D24    Pleural Effusion w/o cc                                    54       2126        451        3679    350         6
D25    Respiratory Neoplasms                                     411       3313        247       10283   4064        10
D31    Sleep Disordered Breathing                                136        498        178        1153    136         1
D33    Other Respiratory Diagnoses >69 or w cc                    71       1478        475        3267    296         4
D34    Other Respiratory Diagnoses <70 w/o cc                     37       1721        250        3280    143         4
D37    Pulmonary Oedema                                           16       1351        189        5836     75         5
       Chronic Obstructive Pulmonary Disease or
D39    Bronchitis w cc                                           32        1784         345       5666    204          6
       Chronic Obstructive Pulmonary Disease or
D40    Bronchitis w/o cc                                         51        2344        517        5167    379         7
D41    Unspecified Acute Lower Respiratory Infection             81        2399        304        9581    659         8
D42    Bronchopneumonia w cc                                      3        4247       1963        6747     55        18
D43    Bronchopneumonia w/o cc                                   10        2015        689        5967     98        10
D44    Inhalation Lung Injury or Foreign Body w cc                7        3481       1555        6544    107        15
D45    Inhalation Lung Injury or Foreign Body w/o cc              5        2240        231        3901     42         8
D46    Fibrosis or Pneumoconiosis w cc                           14        2467        272        5508    165        12
D47    Fibrosis or Pneumoconiosis w/o cc                         18        1915        292        4965    126         7
D49    Pneumothorax w/o cc                                        5        1084        457        1612     14         3
D50    Respiratory Failure w cc                                   5        5286       1244        9271     69        14
D51    Respiratory Failure w/o cc                                 3        1061        403        1599     12         4
       Granulomatous, Allergic Alveolitis or Autoamune
D53    Lung Disease                                              28        2598         533       3897    186          7
       Chemotherapy with a Respiratory System Primary
D98    Diagnosis                                                 289        768         251       1639    645          2
       Complex Elderly with a Respiratory System Primary
D99    Diagnosis                                                  33       3439        178        9070    451        14
E03    Cardiac Valve Procedures                                  211      10025        251       10321   1481         7
E04    Coronary Bypass                                           383       8112       8112        8112   1966         5
E07    Pacemaker Implant for AMI, Heart Failure or Shock           9       5722       5444        6070     45         5
       Pacemaker Implant except for AMI, Heart Failure or
E08    Shock                                                     197       2737         322       3384    225          1
E08D   Pacemaker implant except for AMI, Heart Failure or
F      Shock - Defibrillator Implant and Explant only             78      14643      13877       17861    133          2
E09    Cardiac Pacemaker Replacement/Revision                    112       2358       1475        2491    112          1
E09D   Cardiac Pacemaker Replacement/Revision -
F      Defibrillator Implant and Explant only                     5       17844      17844       17844       5         1
E0X
DF     Other - Defibrillator Implant and Explant only             2       17541      13544       21538      4          2
E11    Acute Myocardial Infarction w cc                          34        1292        375        4207    169          5
E12    Acute Myocardial Infarction w/o cc                        31        1415        274        3611    147          5
       Cardiac Catheterisation and Angiography with
E13    complications                                             26        3146       2301        3391    145          6
       Cardiac Catheterisation and Angiography without
E14    complications                                             729       1214         322       1489    729          1
                                                            21
                                                                                     Range for all HPSS   Total Average
                                                              No. of      Mean            Trusts          No. of Length of
HRG                        HRG Label
                                                              FCE's     Average £   Minimum Maximum        Bed     Stay
Code
                                                                                        £      £          Days    (Days)
E15    Percutaneous Coronary Intervention                     1121          2562       1420        2747   1374         1
E17    Endocarditis                                              1           375        375         375      1         1
E18    Heart Failure or Shock >69 or w cc                       70          2944        189        4771    699        10
E19    Heart Failure or Shock <70 w/o cc                        24          2045        424        2831    152         6
E20    Deep Vein Thrombosis >69 or w cc                         11          2754       1492        4250    104         9
E21    Deep Vein Thrombosis <70 w/o cc                          10          2025        562        3883     63         6
       Ischaemic Heart Disease without intervention >69 or
E22    w cc                                                       104       1059         226       4031    301          3
       Ischaemic Heart Disease without intervention <70
E23    w/o cc                                                      82        873         313       1199    193          2
E24    Hypertension >69 or w cc                                    25       1469         537       7818    139          6
E25    Hypertension <70 w/o cc                                     36        711         283       2729    127          4
E28    Cardiac Arrest                                               2        340         192        489      2          1
E29    Arrhythmia or Conduction Disorders >69 or w cc             136       1067         189       5740    455          3
E30    Arrhythmia or Conduction Disorders <70 w/o cc              122        584         204       1220    200          2
E31    Syncope or Collapse >69 or w cc                             17       1288         313       3225     76          4
E32    Syncope or Collapse <70 w/o cc                              24        674         198       1262     53          2
E35    Chest Pain >69 or w cc                                      38        931         189       1319     95          3
E36    Chest Pain <70 w/o cc                                       49        733         178       1649    102          2
E37    Other Cardiac Diagnoses                                    118       1362         295       4434    472          4
       Electrophysiological and other Percutaneous
E38    Cardiac Procedures >18                                     105       2406       1040        2752    105          1
       Electrophysiological and other Percutaneous
E39    Cardiac Procedures <19                                      12       6501        145        7772     20         2
E40    Other Cardiothoracic or Circulatory Procedures >18          80       2713        199        7464    363         5
E41    Other Cardiothoracic or Circulatory Procedures <19          66       6490       1630        7072    217         3
E42    Valve Disorders                                             35       2160        250        3601    205         6
E43    Congenital Disorders                                       201       2404        145        3115    602         3
E99    Complex Elderly with a Cardiac Primary Diagnosis            50       2231        228        5235    446         9
F01    Oesophagus - Complex Procedures                             38       5615        666        8777    249         7
F02    Oesophagus - Very Major Procedures                          20       5233       1005        6611    133         7
F03    Oesophagus - Major Procedures or Prostheses                 19       4052        451        5439    177         9
F04    Therapeutic endoscopic procedures                          236       1210        446        1788    449         2
F06    Diagnostic Procedures, Oesophagus and Stomach              388        634        178        1848    388         1
F07    Disorders of the Oesophagus >69 or w cc                    168       2073        181       10429   1079         6
F08    Disorders of the Oesophagus <70 w/o cc                     107       1352        376        2262    385         4
F12    Stomach or Duodenum Very Major Procedures                   89       6206        713        8665   1094        12
       Stomach or Duodenum - Major Procedures >69 or w
F13    cc                                                         40        4401         319       6427    411        10
       Stomach or Duodenum - Major Procedures <70 or
F14    w/o cc                                                     73        3512         400       6953    379          5
       Stomach or Duodenum - Therapeutic Endoscopic or
F15    Intermediate Procedures                                     57        777        178        2091     57         1
F17    Stomach or Duodenum Disorders >69 or w cc                  200       1779        250        8186   1166         6
F18    Stomach or Duodenum Disorders <70 w/o cc                    92       1188        178        6195    340         4
F21    Small Intestine - Very Major Procedures                     34       6244       1276        8132    531        16
F22    Small Intestine - Major Procedures >69 or w cc              57       5020        836       19541    754        13
F23    Small Intestine - Major Procedures <70 w/o cc               81       3531        581        9534    667         8
F24    Small Intestinal Disorders (excluding IBD)                  10       1923        181        4290     83         8
F31    Large Intestine - Complex Procedures                       255       6686       3455       16303   3414        13
F32    Large Intestine - Very Major Procedures                    456       5354       3026        8936   5198        11
F33    Large Intestine - Major Procedures w cc                     50       4578       1870        8420    567        11
F34    Large Intestine - Major Procedures w/o cc                   99       3080        923        4276    605         6
       Large Intestine - Endoscopic or Intermediate
F35    Procedures                                                 411        769         219       1829    411          1

                                                             22
                                                                                     Range for all HPSS    Total Average
                                                              No. of      Mean            Trusts           No. of Length of
HRG                        HRG Label
                                                              FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                        £      £           Days    (Days)
F36    Large Intestinal Disorders >69 or w cc                     501       2080         389       4542    3341          7
F37    Large Intestinal Disorders <70 w/o cc                      166       1440         178       3749     648          4
       General Abdominal - Very Major or Major
F41    Procedures >69 or w cc                                     52        3277         345       8551     388          7
       General Abdominal - Very Major or Major
F42    Procedures <70 w/o cc                                      170       2646         727       4540     568          3
       General Abdominal - Endoscopic or Intermediate
F43    Procedures >69 or w cc                                     86        2352         245      12710     489          6
       General Abdominal - Endoscopic or Intermediate
F44    Procedures <70 w/o cc                                      211       1204        178        2520     392         2
F45    General Abdominal - Diagnostic Procedures                   54       2782        245       10497     438         8
F46    General Abdominal Disorders >69 or w cc                    190       1506         77        7934     932         5
F47    General Abdominal Disorders <70 w/o cc                     144       1214        281        3000     533         4
F48    Intestinal Infectious Disorders >69 or w cc                 14       2287        403        4386      97         7
F49    Intestinal Infectious Disorders <70 w/o cc                   3       2038       1509        2395      15         5
F51    Inflammatory Bowel Disease - Complex Procedures             56       6352       3221        8826     704        13
F52    Inflammatory Bowel Disease - Major Procedures               53       4336       2461        6135     572        11
       Inflammatory Bowel Disease - Endoscopic or
F53    Intermediate Procedures >69 or w cc                        63         965         250       2079     135          2
       Inflammatory Bowel Disease - Endoscopic or
F54    Intermediate Procedures <70 w/o cc                         101        775        250        1925     108          1
F55    Inflammatory Bowel Disease >69 or w cc                      65       1429        292        3434     364          6
F56    Inflammatory Bowel Disease <70 w/o cc                       84       1059        245        3426     349          4
F61    Gastrointestinal Bleed - Very Major Procedures               4       5398       3440        8584      33          8
       Gastrointestinal Bleed - Major or Therapeutic
F62    Endoscopic Procedures                                      18        1642         231       2649       56         3
       Gastrointestinal Bleed - Diagnostic Endoscopic or
F63    Intermediate Procedures                                     14        604        239        1110      14          1
F64    Gastrointestinal Bleed >69 or w cc                          28        994        462        2133      99          4
F65    Gastrointestinal Bleed <70 w/o cc                           10        872        140        1952      28          3
F71    Abdominal Hernia Procedures >69 or w cc                     88       2919       1508        5298     529          6
F72    Abdominal Hernia Procedures <70 w/o cc                     204       2217       1484        4265     732          4
       Inguinal Umbilical or Femoral Hernia Repairs >69 or
F73    w cc                                                       473       1662         939       2622    1113          2
       Inguinal Umbilical or Femoral Hernia Repairs <70
F74    w/o cc                                                     918       1462        810        2300    1449          2
F75    Herniotomy Procedures                                       67       1666        280        1849      68          1
F76    Hernia Disorders >69 or w cc                                30       1035        231        3875     107          4
F77    Hernia Disorders <70 w/o cc                                  7       1329        251        2464      25          4
F81    Appendicectomy Procedures >69 or w cc                        1       2707       2707        2707       6          6
F82    Appendicectomy Procedures <70 w/o cc                        32       2029        705        3458      92          3
F83    Appendix Disorders                                           3       1180        394        1723       8          3
F91    Anus - Major Procedures                                     63       1718        423        3124     176          3
F92    Anus - Intermediate Procedures >69 or w cc                  59       1410        423        2494     180          3
F93    Anus - Intermediate Procedures <70 w/o cc                  427       1154        564        1685     780          2
F94    Anus - Minor Procedures >69 or w cc                         19       1029        503        2143      59          3
F95    Anus - Minor Procedures <70 w/o cc                          93        707        280         965      95          1
F96    Anal Disorders                                              85       1090        272        3628     283          3
       Chemotherapy with a Digestive System Primary
F98    Diagnosis                                                  457        342         212         422    457          1
       Complex Elderly with Digestive System Primary
F99    Diagnosis                                                   10       4054        251       11026     182        18
G02    Liver - Complex Procedures                                  24       5236       2262        5861     255        11
G03    Liver - Very Major Procedures                               46       2782        280        5513     291         6
G04    Liver - Major Procedures >69 or w cc                        46        981        256        3886     132         3
G05    Liver - Major Procedures <70 w/o cc                        104        696        250        2472     187         2

                                                             23
                                                                                     Range for all HPSS    Total Average
                                                              No. of      Mean            Trusts           No. of Length of
HRG                        HRG Label
                                                              FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                        £      £           Days    (Days)
G06    Acute Liver Disorders                                    26           771        219        3528      93         4
G07    Chronic Liver Disorders >69 or w cc                      74          1876        251        8586     561         8
G08    Chronic Liver Disorders <70 w/o cc                       49           966        178        3652     226         5
G11    Biliary Tract - Complex Procedures                       22          4898       4165        6157     262        12
G12    Biliary Tract - Very Major Procedures                    54          3562        504        7407     461         9
G13    Cholecystectomy >69 or w cc                             331          2513       1551        6337    1408         4
G14    Cholecystectomy <70 w/o cc                             1505          2013        462        5665    3367         2
G15    Therapeutic Pancreatic or Biliary Procedures            374           981        178        3899     972         3
G16    Diagnostic Pancreatic or Biliary Procedures w cc         21          1126        226        6671      73         3
G17    Diagnostic Pancreatic or Biliary Procedures w/o cc       73           776        226        1887     157         2
G18    Biliary Tract Disorders >69 or w cc                      95          1120        228        3897     357         4
G19    Biliary Tract Disorders <70 w/o cc                       87           784        228        3101     220         3
G20    Biliary Tract Neoplasms                                  28          2077        250        4510     208         7
G21    Pancreas - Complex Procedures                            10          4941       2262        5634     124        12
G22    Pancreas - Very Major Procedures                         16          5487       1968        6798     217        14
G23    Pancreatic Disorders                                     11          1471        451        3225      46         4
G24    Chronic Pancreatic Disease >69                           35          2113        300        7801     274         8
G25    Chronic Pancreatic Disease <70                           23          1626        226        2756     125         5
       Therapeutic Pancreatic or Billary Procedures with
G26    Neoplasms                                                  19        2185        250        7132     134          7
G27    Procedures on the Spleen                                   12        3425       1257        6083      85          7
       Chemotherapy with a Hepato-Biliary or Pancreatic
G98    System Primary Diagnosis                                    7         345         345         345       7         1
       Complex Elderly with a Hepato-Biliary or Pancreatic
G99    System Primary Diagnosis                                     4        812        178        1023      15          4
H01    Bilateral Primary Hip Replacement                            1       4028       4028        4028       4          4
H04    Primary Knee Replacement                                   848       5410       5336        5806    5695          7
       Primary or Revisional Shoulder, Elbow, or Ankle
H07    Replacements                                                33       5934       2806        6197     201          6
H08    Joint Replacements or Revisions, Site Unspecified            9       4974        658        6231      57          6
H09    Anterior Cruciate Ligament Reconstruction                    2       3013       3013        3013       2          1
H10    Arthroscopies                                              663       1728        594        1846     663          1
H11    Foot Procedures - Category 1                               116       1668        389        1883     207          2
H12    Foot Procedures - Category 2                               261       2486        528        2747     640          2
H13    Hand Procedures - Category 1                               218        957        280        2225     221          1
H14    Hand Procedures - Category 2                               262       2090        750        2445     483          2
       Soft Tissue or Other Bone Procedures - Category 1
H16    >69 or w cc                                                42        2853       1650        6622     188          4
       Soft Tissue or Other Bone Procedures - Category 1
H17    <70 w/o cc                                                 470       2290         423       3510    1090          2
       Soft Tissue or Other Bone Procedures - Category 2
H18    >69 or w cc                                                43        3990       1975        4815     306          7
       Soft Tissue or Other Bone Procedures - Category 2
H19    <70 w/o cc                                                 366       3410       1520        4762    1217          3
       Muscle, Tendon or Ligament Procedures - Category
H20    1                                                          148       1920         341       3134     313          2
       Muscle, Tendon or Ligament Procedures - Category
H21    2                                                           32       2698       1860        5213     123          4
H22    Minor Procedures to the Musculoskeletal System             226        683        195        1533     226          1
H23    Soft Tissue Disorders >69 or w cc                           15       2164        219        4715      93          6
H24    Soft Tissue Disorders <70 w/o cc                            39        850        272        1340      85          2
       Inflammatory Spine, Joint or Connective Tissue
H25    Disorders >69 or w cc                                      154       3240         164       3997    1379          9
       Inflammatory Spine, Joint or Connective Tissue
H26    Disorders <70 w/o cc                                       310        420         140         981    310          1


                                                             24
                                                                                       Range for all HPSS    Total Average
                                                                No. of      Mean            Trusts           No. of Length of
HRG                         HRG Label
                                                                FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                          £      £           Days    (Days)
       Non-Inflammatory Bone or Joint Disorders >69 or w
H27    cc                                                           106       2262         195       6097     704          7
       Non-Inflammatory Bone or Joint Disorders <70 w/o
H28    cc                                                           135       1077        324        1391     359         3
H29    Congenital Hip Dislocation with Open Procedures               42       3687       2624        3786     208         5
H30    Infections of Bones or Joints                                 39       5627        645        7975     598        15
H31    Musculoskeletal Signs and Symptoms >69 or w cc                20       2202        505        3860     127         6
H32    Musculoskeletal Signs and Symptoms <70 w/o cc                 71        438        315         520      71         1
H35    Open Lower Limb Fractures or Dislocations                      3       4573       4573        4573      28         9
H36    Closed Pelvis or Lower Limb Fractures >69 or w cc             32       4013        535       11926     473        15
H37    Closed Pelvis or Lower Limb Fractures <70 w/o cc             111       2769       1871        4013     602         5
H38    Open Upper Limb Fractures or Dislocations                      2       2900       1752        4048      13         7
       Closed Upper Limb Fractures or Dislocations >69 or
H39    w cc                                                         29        2041         379       2668     144          5
       Closed Upper Limb Fractures or Dislocations <70
H40    w/o cc                                                       111       1851         524       3778     287          3
       Sprains, Strains, or Minor Open Wounds >69 or w
H41    cc                                                           17         897         231       3406       53         3
H42    Sprains, Strains, or Minor Open Wounds <70 w/o cc            11         647         299       1093       17         2
       Major Cranial, Visceral or Blood Vessel Injury >69 or
H43    w cc                                                          1         647         647         647       2         2
       Major Cranial, Visceral or Blood Vessel Injury <70
H44    w/o cc                                                         6       1438        299        4574      20         3
H45    Minor Fractures or Dislocations                              116       1029        965        1409     161         1
H48    Other Wounds or Injuries                                       2       1320        508        2132       7         4
H49    Multiple Injury >69                                            4       4504       1362       12180      61        15
H50    Multiple Injury <70                                           15       3290        501        5925     145        10
H51    Removal of Fixation Device >69 or w cc                        32       2393       1141        3983     184         6
H52    Removal of Fixation Device <70 w/o cc                        389       1378        813        1721     389         1
       Pathological Fractures or Malignancy of Bone and
H53    Connective Tissue >69 or w cc                                44        4140         313       9135     612        14
       Pathological Fractures or Malignancy of Bone and
H54    Connective Tissue <70 w/o cc                               17          2161        313        5223     107         6
H63    Head Injury >69 or w cc                                     1          1652       1652        1652       9         9
H64    Head Injury <70 w/o cc                                      2           251        251         251       2         1
H70    Resurfacing of Hip                                         46          4353       4353        4353     226         5
H71    Revisional Procedures to Hips                             122          7536       4879        8354    1310        11
H72    Revisional Procedures to Knees                             42          8416       6001        9273     513        12
H80    Primary Hip Replacement Cemented                         1381          5345       5322        7059    8702         6
H81    Primary Hip Replacement Uncemented                          7          4751       4751        4751      40         6
       Extracapsular Neck of Femur Fracture with Fixation
H82    w cc                                                          1        4027       4027        4027        8         8
       Extracapsular Neck of Femur Fracture with Fixation
H83    w/o cc                                                        1        6087       6087        6087       26       26
       Intracapsular Neck of Femur Fracture with Fixation
H84    w cc                                                          2        2584       2584        2584       16         8
       Intracapsular Neck of Femur Fracture with Fixation
H85    w/o cc                                                        2        2045       1805        2285        7         4
       Neck of Femur Fracture with Hip Replacement w/o
H87    cc                                                            2        3820       3319        4322      14          7
H88    Other Neck of Femur Fracture w cc                            25        2448        561        7917     230          9
H89    Other Neck of Femur Fracture w/o cc                          15        3149        733        5075     136          9
       Chemotherapy with a Musculoskeletal System
H98    Primary Diagnosis                                            44         367         345         410      44         1
       Complex Elderly with a Musculoskeletal System
H99    Primary Diagnosis                                             12       4497        421        9125     223        19
J01    Complex Breast Reconstruction using Flaps                    126       4449       1747        5447     804         6

                                                               25
                                                                                     Range for all HPSS    Total Average
                                                              No. of      Mean            Trusts           No. of Length of
HRG                        HRG Label
                                                              FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                        £      £           Days    (Days)
J04    Intermediate Breast Surgery w cc                            38       1840        561        2278     108         3
J05    Intermediate Breast Surgery w/o cc                         147       1300        280        1841     150         1
J06    Minor Breast Surgery w cc                                   12       1448        635        1693      23         2
J07    Minor Breast Surgery w/o cc                                105       1061        490        1577     172         2
J08    Non-Malignant Breast Disorders                               6        790        251        1500      15         3
J09    Malignant Breast Disorders >69 or w cc                     196       6042        293        6485    3488        18
J10    Malignant Breast Disorders <70 w/o cc                       17        327        178         718      17         1
J11    Lymph Dissection Procedures                                 36       4105       1046        6878     243         7
J12    Drainage of Ascites                                         66       3085        261       18899     643        10
J20    Other Burn with 1 Significant Graft Procedure >49           11       6865       6865        6865      95         9
       Other Burn with 1 Significant Graft Procedure >18
J21    <50                                                        11        6976       6976        6976       97         9
J22    Other Burn with 1 Significant Graft Procedure <19          16        4688       4688        4688       60         4
       Other Burn with Multiple Significant Graft
J23    Procedures >49                                              1        4278       4278        4278        0         0
J26    Other Burn without Significant Graft Procedure >49          5         374        251         404        6         1
       Other Burn without Significant Graft Procedure >18
J27    <50                                                          3       2660       2660        2660      13         4
J28    Other Burn without Significant Graft Procedure <19           5        467        394         577       5         1
J29    Major Reconstructive Surgery                                18       9007        991       18957     356        20
J30    Major Skin Procedures >49 or w cc                          167       4154       1857       14507    1511         9
J31    Major Skin Procedures <50 w/o cc                            40       3604        685        6671     213         5
J32    Intermediate Skin Procedures                                21       4479       1172        6888      93         4
J33    Minor Skin Procedures - Category 3                          63       1290        251        2199      63         1
J34    Minor Skin Procedures - Category 2 w cc                     17       2777        583        5785     115         7
J35    Minor Skin Procedures - Category 2 w/o cc                   89        996        218        2095      90         1
J36    Minor Skin Procedures - Category 1 w cc                     80       1934        423        4278     358         4
J37    Minor Skin Procedures - Category 1 w/o cc                  432        905        218        1933     454         1
J38    Skin Ulcers                                                 53       3210        186        9211     674        13
J39    Major Dermatological Conditions >69 or w cc                190       2523        178        2805    2111        11
J40    Major Dermatological Conditions <70 w/o cc                 421       1964        394        7838    3524         8
J41    Major Skin Infections >69 or w cc                           23       3036        416        8723     243        11
J42    Major Skin Infections <70 w/o cc                            14       1345        178        4067      77         6
J43    Major Skin Tumours                                          72       4113        636       11684     877        12
       Minor Dermatological Conditions or Benign
J44    Tumours                                                    107       1382        178        3441     551          5
J45    Minor Skin Infections                                       13        876        250        2498      46          4
J46    Total Mastectomy w cc                                      131       3448       1962        6805     810          6
J47    Total Mastectomy w/o cc                                    382       2937       2132        6338    1979          5
J48    Partial/Subtotal Mastectomy w cc                           102       2680       1513        7302     512          5
J49    Partial/Subtotal Mastectomy w/o cc                         466       2265        750        6584    1882          4
J50    Other Major Breast Surgery                                 102       2955       1685        3864     358          4
       Chemotherapy with a Skin, Breast or Burn Primary
J98    Diagnosis                                                  54         333         212         422      54         1
       Complex Elderly with a Skin, Breast or Burn Primary
J99    Diagnosis                                                    7       3472         355      10180      61          9
K01    Thyroid Procedures                                         184       3184         169       4021     696          4
K02    Parathyroid Procedures                                      71       2604         934       3446     273          4
K03    Adrenal Procedures                                          14       5306         345       5866      82          6
K04    Anterior Pituitary Disorders                                16        620         505       2340      63          4
K07    Fluid or Electrolyte Disorders >69 or w cc                  38       1312         397       4097     233          6
K08    Fluid or Electrolyte Disorders <70 w/o cc                   24        875         292       2774      80          3
K09    Disorders of Nutrition                                      36       2160         461       5100     304          8
K10    Inborn Errors of Metabolism                                 15        251         140        652      16          1


                                                             26
                                                                                   Range for all HPSS    Total Average
                                                            No. of      Mean            Trusts           No. of Length of
HRG                       HRG Label
                                                            FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                      £      £           Days    (Days)
       Diabetes with Hypoglycaemic Emergency >69 or w
K11    cc                                                        4        1496         462       2732       31         8
       Diabetes with Hypoglycaemic Emergency <70 w/o
K12    cc                                                       10         533         375         800      29         3
       Diabetes with Hyperglycaemic Emergency >69 or w
K13    cc                                                        1        2639       2639        2639       13       13
       Diabetes with Hyperglycaemic Emergency <70 w/o
K14    cc                                                        1         455         455         455       2         2
       Diabetes and Other Hyperglycaemic Disorder >69
K15    or w cc                                                  34         930         219       2356     165          5
       Diabetes and Other Hyperglycaemic Disorder <70
K16    w/o cc                                                   59         770        200        1346     262          4
K17    Diabetes with Lower Limb Complications                   57        1564        397        7706     377          7
K18    Non Pituaritary Endocrine Neoplasms >69 or w cc          42        1663        212        4411     243          6
K19    Non Pituaritary Endocrine Neoplasms <70 w/o cc           50         912        324        2153     199          4
K20    Non Surgical Thyroid Disorders >69 or w cc               17        1089        618        4289      91          5
K21    Non Surgical Thyroid Disorders <70 w/o cc                27         180        140         431      51          2
K22    Other Endocrine Disorders >69 or w cc                     8        1532       1030        4617      69          9
K23    Other Endocrine Disorders < 70 w/o cc                    19         673        324        1500      73          4
       Chemotherapy with an Endocrine or Metabolic
K98    System Primary Diagnosis                                 35         235         212         345      35         1
       Complex Elderly with an Endocrine or Metabolic
K99    System Primary Diagnosis                                   4       6722       2984        8827      72        18
L01    Kidney Transplant                                         38      29078       1230       34015     282         7
L02    Kidney Major Open Procedure >49 or w cc                  135       4635       1712       10181    1288        10
L03    Kidney Major Open Procedure <50 w/o cc                    56       4742       2532        6072     369         7
L04    Kidney Major Endoscopic Procedure                         97       2793        520        7898     581         6
       Kidney Intermediate Endoscopic Procedure >69 or
L05    w cc                                                     64        2114         231      12362     313          5
       Kidney Intermediate Endoscopic Procedure <70 w/o
L06    cc                                                       69        1170         251       1910     163          2
       Non OR Admission for Kidney or Urinary Tract
L07    Neoplasms >69 or w cc                                    139       2528         247       7207    1075          8
       Non OR Admission for Kidney or Urinary Tract
L08    Neoplasms <70 w/o cc                                      63       1146        294        2615     195         3
L09    Kidney or Urinary Tract Infections >69 or w cc            39       1788        226        2781     257         7
L10    Kidney or Urinary Tract Infections <70 w/o cc             44       1555        497        3589     194         4
L11    Ureter Open Procedure                                     41       4725       1060       12720     408        10
L12    Ureter Major Endoscopic Procedure                        151       1914       1323        3251     475         3
L13    Ureter Intermediate Endoscopic Procedure                 256       1461        528        3460     634         2
L14    Bladder Major Open Procedures or Reconstruction           25       4272       1340        7567     218         9
L15    Urinary Diversion without Cystectomy                      26       6728       5872        8981     391        15
L16    Bladder Intermediate Open Procedure                        8       1304        508        3095       8         1
L17    Bladder Major Endoscopic Procedure                       495       1945        280        3600    1977         4
L18    Bladder Intermediate Endoscopic Procedure w cc            71       1718        423        2878     292         4
L19    Bladder Intermediate Endoscopic Procedure w/o cc         252       1221        423        1979     519         2
L20    Bladder Minor Endoscopic Procedure w cc                  290       1372        423        3435     954         3
L21    Bladder Minor Endoscopic Procedure w/o cc                449        778        164        1351     460         1
       Bladder or Urinary Mechanical Problems >69 or w
L22    cc                                                       54        1044        251        2806     189          4
L23    Bladder or Urinary Mechanical Problems <70 w/o cc        23         681        251        1513      51          2
L24    Ureteric or Bladder Disorders                            76        1061        175        2897     245          3
L25    Bladder Neck Open Procedures Male                        68        4312       3031        4694     483          7
L26    Bladder Neck Open Procedures Female                      12        3579        718        5236      95          8
       Prostate Transurethral Resection Procedure >69 or
L27    w cc                                                     407       2512       1820        3348    2084          5

                                                           27
                                                                                   Range for all HPSS    Total Average
                                                            No. of      Mean            Trusts           No. of Length of
HRG                        HRG Label
                                                            FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                      £      £           Days    (Days)
       Prostate Transurethral Resection Procedure <70
L28    w/o cc                                                   185       2123         584       3282     725          4
       Prostate or Bladder Neck Intermediate Endoscopic
L29    Procedure (Male and Female)                              106       1632         629       3262     365          3
       Prostate or Bladder Neck Minor Endoscopic
L30    Procedure (Male and Female)                               28        673        631         943      28         1
L31    Malignant Prostate Disorders                             142       5298        231        7797    2197        15
L32    Non-Malignant Prostate Disorders                          26       1101        293        2010      88         3
L33    Urethra Major Open Procedures                             15       4035       3055        6003     101         7
       Urethra Intermediate or Minor Procedures >69 or w
L34    cc                                                       99        1516         415       2378     302          3
       Urethra Intermediate or Minor Procedures <70 w/o
L35    cc                                                       118        841         319       1633     119          1
L36    Urethra Disorders                                         13        690         254       2412      29          2
L37    Penis Major or Intermediate Open Procedures               27       2529         836       5264     130          5
L38    Penis Minor Open Procedure > 69 or w cc                   34       1181         377       2213      71          2
L39    Penis Minor Open Procedure <70 w/o cc                    119        945         280       1704     119          1
L40    Penis Disorders                                           10       1302         373       3101      44          4
L41    Vasectomy Procedures                                      22        790         251       1551      22          1
       Scrotum Testis or Vas Deferens Open Procedures
L42    >69 or w cc                                              45        1266         561       2428       92         2
       Scrotum Testis or Vas Deferens Open Procedures
L43    <70 w/o cc                                               295       1063        280        1940     300          1
L44    Scrotum Testis or Vas Deferens Disorders                  31        875        251        1184      83          3
L45    Extracorporeal Lithotripsy                                26        922        508        3047      26          1
L46    Renal Replacement Associated Procedures                  295       2003        251        3315     899          3
L47    Renal Replacement Therapy w cc                           107        733        485        5137     192          2
L48    Renal Replacement Therapy w/o cc                          49        457        227        4551      67          1
L49    Acute Renal Failure >69 or w cc                           12       2436        278        3975     105          9
L50    Acute Renal Failure <70 w/o cc                             1       1154       1154        1154       5          5
L51    Chronic Renal Failure                                    362        582        198        2395     639          2
L52    Renal General Disorders >69 or w cc                       64       1666        251        6288     336          5
L53    Renal General Disorders <70 w/o cc                        31        946        274        2488      83          3
L54    Urinary Tract Findings >69 or w cc                        23       1086        462        1235      88          4
L55    Urinary Tract Findings <70 w/o cc                         14        722        281        1759      25          2
L66    Urethra Major Open Procedure - paediatric                 44       3175       1192        3417      98          2
       Cystectomy with Urinary Diversion and
L68    Reconstruction                                           21        8697       1596       12985     443        21
L69    Urinary Tract Stone Disease                              34         758        219        1632      91         3
       Chemotherapy with a Urinary Tract or Male
L98    Reproductive System Primary Diagnosis                    181        963         299         970    506          3
       Complex Elderly with a Urinary Tract or Male
L99    Reproductive System Primary Diagnosis                  22          2243        375        6246     203         9
M01    Lower Genital Tract Minor Procedures                  100           833        218        1197     100         1
M02    Lower Genital Tract Intermediate Procedures           367           778        512        1214     369         1
M03    Lower Genital Tract Major Procedures                 1444          2561        847        5036    6691         5
M04    Lower Genital Tract Complex Major Procedures            4          7384       4068        8490      75        19
M05    Upper Genital Tract Minor Procedures                 1323           836        280        1509    1328         1
M06    Upper Genital Tract Intermediate Procedures           799          1323        831        1776     856         1
                                                                                                         1006
M07    Upper Genital Tract Major Procedures                 1697          3215       2279        4481       8         6
M08    Upper Genital Tract Complex Major Procedures           13          6583       3498        7737     198        15
M09    Threatened or Spontaneous Abortion                     31           487        266        1378      37         1
M10    Surgical Termination of Pregnancy                       1          1008       1008        1008       2         2
M11    Medical Termination of Pregnancy                       10          1062        412        2593      11         1


                                                           28
                                                                                    Range for all HPSS    Total Average
                                                             No. of      Mean            Trusts           No. of Length of
HRG                        HRG Label
                                                             FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                       £      £           Days    (Days)
       Non-Surgical Treatment of Lower Genital Tract
M12    Disorders                                                 18         751         326       2897       42         2
       Non-Surgical Treatment of Genital Prolapse or
M13    Incontinence                                              19         703         293       1551       40         2
       Non-Surgical Treatment of Fibroids, Menstrual
M14    Disorders, or Endometriosis                               39         857         318       2067       98         3
       Non-Surgical Treatment of Ovary, Tube, or Pelvis
M15    Disorders                                                 22        1102         250       2553       81         4
       Non-Surgical Treatment of Gynaecological
M16    Malignancy w cc                                           99        4073         544       8833    1228        12
       Non-Surgical Treatment of Gynaecological
M17    Malignancy w/o cc                                         45        1379         274       2058     197          4
       Non-Surgical Treatment of Other Gynaecological
M18    Conditions                                                25         976        247        1938      68          3
M19    Gynaecological Radiotherapy                               46        1491       1491        1491     199          4
       Chemotherapy with a Female Reproductive System
M98    Primary Diagnosis                                         252        344         307         364    252          1
       Complex Elderly with a Female Reproductive
M99    System Primary Diagnosis                                    2       7399       1703       13094      44        22
N02    Neonates with Multiple Minor Diagnoses                     18        394        394         394      18         1
N03    Neonates with one Minor Diagnosis                          87        425        394        1059      93         1
N04    Neonates with Multiple Major Diagnoses                      1       3665       3665        3665       7         7
N05    Neonates with one Major Diagnosis                          34        409        394         908      35         1
N06    Normal Delivery w cc                                        3       2599       2407        2982      14         5
N07    Normal Delivery w/o cc                                    199       1756        460        2099     571         3
N08    Assisted Delivery w cc                                      1       2825       2825        2825       4         4
N09    Assisted Delivery w/o cc                                   35       2030       1238        3070     118         3
N10    Caesarean Section w cc                                      3       2716       2716        2716      14         5
N11    Caesarean Section w/o cc                                   79       2641        908        3522     353         4
N12    Antenatal Admissions not Related to Delivery Event        108       1089        198        2460     270         3
P01    Asthma or Wheezing                                         56        540        394        2068      68         1
P02    Cystic Fibrosis                                           133       5466        505        6856    1237         9
P03    Upper Respiratory Tract Disorders                         112        691        356        3829     158         1
       Lower Respiratory Tract Disorders without Acute
P04    Bronchiolitis                                              91       1313         394       6374     220          2
P05    Major Infections (including Immune Disorders)              12       2421         454       7177      65          5
P06    Minor Infections (including Immune Disorders)             104        634         394       1309     148          1
P07    Neoplasms                                                  95        606         251       1176      95          1
P08    Febrile Convulsions                                        37        910         394       2753      62          2
P09    Nervous System Disorders                                   44        458         212        981      44          1
P11    Endocrine Disorders (excluding Diabetes Mellitus)          20        358         140        636      20          1
P12    Major Gastrointestinal or Metabolic Disorders             118        964         178       2835     233          2
P13    Other Gastrointestinal or Metabolic Disorders             483        746         265       3923     755          2
P14    Ingestion Poisoning or Allergies                            4        601         441        654       4          1
P15    Accidental Injury without Brain Injury                    110       1091         251       1545     110          1
P16    Child Welfare and Protection                                1        394         394        394       1          1
P17    Behavioural Disorders                                      24       3640         394      12009     209          9
P18    Developmental Disorders                                     3       3697         454       5318      11          4
P19    Major Congenital Conditions                                58       1203         355       2707     129          2
P20    Other Congenital Conditions                                96        889         260       3183     178          2
P21    Renal Disease                                              18        470         278        692      23          1
P22    Renal Disease with Renal Failure                           40       1569         394       4093     123          3
P23    Blood Cell Disorders                                       42        580         198        957      42          1
       Skin, Musculoskeletal, or Connective Tissue
P24    Disorders                                                 138        969         231       4275     264          2
P25    Cardiac Conditions                                         17       1167         394       3264      29          2
                                                            29
                                                                                    Range for all HPSS    Total Average
                                                             No. of      Mean            Trusts           No. of Length of
HRG                        HRG Label
                                                             FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                       £      £           Days    (Days)
P26    Infectious and Non-Infectious Gastroenteritis             50         746         231       1847      81          2
P27    Acute Bronchiolitis                                       19        1226         394       3547      40          2
P28    Epilepsy Syndrome                                         62        1945         212       3560     153          2
P29    Diabetes Mellitus                                         21         833         394       5301      39          2
P31    Head Injury without Brain Injury                           2         322         251        394       2          1
       Chemotherapy with a Disease of Childhood Primary
P98    Diagnosis                                                 162        576        198         972     162         1
Q01    Emergency Aortic Surgery                                    5       4502       1121        7684      36         7
Q02    Elective Abdominal Vascular Surgery                       134       7435        280        8918    1563        12
Q03    Lower Limb Arterial Surgery                               107       6741       2836        8082    1407        13
Q04    Bypasses to Tibial Arteries                                 8       8279       6060        9377     121        15
Q05    Extracranial or Upper Limb Arterial Surgery               142       4882        227        9989     805         6
Q06    Miscellaneous Vascular Procedures                         141       2260        178        7758     328         2
Q09    Procedures on the Lymphatic System w cc                    68       3596        345       16128     480         7
Q10    Procedures on the Lymphatic System w/o cc                 169       1801        228        5525     408         2
Q11    Varicose Vein Procedures                                  837       1606        601        2801    1330         2
Q12    Therapeutic Endovascular Procedures                       293       4321        701        6607    2023         7
Q13    Diagnostic Radiology - Arteries or Lymphatics w cc         60       1943        479        2950     232         4
       Diagnostic Radiology - Arteries or Lymphatics w/o
Q14    cc                                                        261       1483        645        1791     512         2
Q15    Amputations                                                91       8312       1057       18065    2152        24
       Foot Procedures for Diabetes or Arterial Disease,
Q16    and Procedures to Amputation Stumps                        39       4094         645       5583     396        10
Q17    Non-Surgical Peripheral Vascular Disease w cc             191       1261         397       4555     808         4
Q18    Non-Surgical Peripheral Vascular Disease w/o cc           220       1326         313       2539     961         4
Q19    Vascular Access for Renal Replacement Therapy             132       2972         186      13303     575         4
       Chemotherapy with a Vascular System Primary
Q98    Diagnosis                                                  1         848         848         848       4         4
       Complex Elderly with a Vascular System Primary
Q99    Diagnosis                                                   3       3337       3337        3337      34        11
R01    Minor Spinal Procedures                                    12        822        283        1395      12         1
R02    Surgery for Prolapsed Intervertebral Disc                 186       3207       2689        7330     706         4
       Decompression and Effusion for Degenerative
R03    Spinal Disorders                                          107       6676       2770        8820     724          7
       Vertebral Column Injury without Procedure >69 or w
R05    cc                                                          2       9173       1295       17052      53        27
R09    Revisional Spinal Procedures                               14       6554       3891       12092     106         8
R10    Surgery for Scoliosis or Other Spinal Deformity             6       8842       8842        8842      28         5
R11    Spinal Cord Surgery                                        25       8093       2893       11923     219         9
R12    Cervical Spinal Disorders >69 or w cc                       7       3987       2488        4374      85        12
R13    Cervical Spinal Disorders <70 w/o cc                        5       1450       1262        1894      20         4
R14    Spinal Tumours                                              7       4386       3533        5445      86        12
R15    Thoracic or Lumbar Spinal Disorders >69 or w cc            30       3451        416        6128     302        10
R16    Thoracic or Lumbar Spinal Disorders <70 w/o cc            121       1542        253        2057     494         4
R17    Non-Traumatic Spinal Cord Disorders                         9       2770        345        5399      92        10
R18    Scoliosis or Other Spinal Deformity                        26       1985        682        3957     159         6
R19    Intermediate Spinal Procedures                             18       1707       1025        4091      18         1
R98    Chemotherapy with a Spinal Primary Diagnosis               25       1185       1185        1185      86         3
S04    Coagulation Disorders                                      47        491        231         957      47         1
S05    Red Blood Cell Disorders >69 or w cc                      187        927        181        4509     655         4
S06    Red Blood Cell Disorders <70 w/o cc                        78        294        140         846      78         1
S07    Other Haematological or Splenic Disorders w cc             23       1596        198        3462     122         5
S08    Other Haematological or Splenic Disorders w/o cc           16       1717        454        4246      82         5
S09    Bone Marrow Graft                                          20       8084       1399        8436     453        23
S10    Manifestations of HIV/AIDS                                  1       2757       2757        2757       8         8
                                                            30
                                                                                 Range for all HPSS    Total Average
                                                          No. of      Mean            Trusts           No. of Length of
HRG                        HRG Label
                                                          FCE's     Average £   Minimum Maximum         Bed     Stay
Code
                                                                                    £      £           Days    (Days)
S11    Disorders of Immunity without HIV/AIDS                  9         253         178        431       9          1
S12    Septicaemia                                            95        1014         253       6794     323          3
S13    Pyrexia of Unknown Origin                              19        1148         251       1723      64          3
S14    Other Viral Illness                                    12         928         212       1875      31          3
S15    Other Non-Viral Infections                             21         984         375       3829      68          3
       Poisoning, Toxic, Environmental and Unspecified
S16    Effects                                              12           383         212        610      19         2
S19    Complications of Procedures                         245          1333         212       3829     961         4
S21    Convalescent or Other Relief Care                    28          4816         266      15417    1615        58
S22    Planned Procedures Not Carried Out                 2036           370          99       1382    2038         1
S24    Respite Care                                        589          3818         356       8625    8329        14
S26    Shock and Anaphylaxis                                 2           456         345        568       3         2
       Malignant Disorder of the Lymphatic/
S27    Haematological Systems with los <2 days                69         337         198         957      69         1
       Malignant Disorder of the Lymphatic/
S28    Haematological Systems with los >1 day                 290       4592         514       5599    3972        14
S29    Other Admissions Related to Neoplasms                   76       2569         313       5309     619         8
S31    Admission for Unexplained Symptons                      98       1192         226       7025     376         4
S32    Abnormal Findings without Diagnosis                     54       1183         243       3303     168         3
S33    Examination, Follow up and Special Screening           196        367         140       1066     206         1
S34    Other Procedures and Health Care Problems               15        770         278       3716      21         1
S35    Other Specified Admissions and Counselling              44       1543         212       5943     322         7
S36    Diagnostic Extraction of Bone Marrow                    32        437         164       1707      32         1
       Chemotherapy with a Haematology, Infectious
       Disease, Poisoning, or Non-specific Primary
S98    Diagnosis                                              172        367         140         957    172          1
       Complex Elderly with a Haematology, Infectious
       Disease, Poisoning, or Non-specific Primary
S99    Diagnosis                                              85        4079         253      11638    1427        17




                                                         31
  Appendix 2B
                          Non-Elective Inpatients - Northern Ireland 2004/2005


                                                                                Range for all HPSS             Average
                                                                         Mean         Trusts       Total No.
HRG                                                          No. of                                            Length
                           HRG Label                                    Average                     of Bed
Code                                                         FCE's              Minimum Maximum                of Stay
                                                                           £                         Days
                                                                                    £          £                (Days)
       Intracranial Procedures Except Trauma -
A01    Category 1                                                 23      3802      1540      5259       95         4
       Intracranial Procedures Except Trauma -
A02    Category 2                                                 130     6322      1769      6913      948         7
       Intracranial Procedures Except Trauma -
A03    Category 3                                                 134     9810       987     10153     1384        10
       Intracranial Procedures Except Trauma -
A04    Category 4                                                  77    11705      3768     11809      718         9
A05    Intracranial Procedures for Trauma w cc                     24     8009      1654      8285      209         9
A06    Intracranial Procedures for Trauma w/o cc                   74     7054       439      7173      499         7
A07    Intermediate Pain Procedures                                11      730       219      3085       18         2
A09    Peripheral Nerve Disorder w cc                              68     2320       300     10852      623         9
A10    Peripheral Nerve Disorder w/o cc                           246      997       189      4006     1209         5
A11    Muscular Disorders                                          47     2496       159      3804      436         9
A12    Disorder of Balance aetiology unknown w cc                 152     1243       253      3858      887         6
A13    Disorder of Balance aetiology unknown w/o cc               373      710       190      2966     1085         3
A14    Brain Tumours or Cerebral Cysts >69 or w cc                168     3681       355      9905     2407        14
A15    Brain Tumours or Cerebral Cysts <70 w/o cc                 164     2051       262      4396     1421         9
A16    Cerebral Degenerations >69 or w cc                         214     3360        92     13378     3224        15
A17    Cerebral Degenerations <70 w/o cc                           93     1614       195      6296      609         7
       Multiple Sclerosis or other CNS Demyelinating
A18    Conditions                                                 155     2709       186      7762     1624        10
A19    Haemorrhagic Cerebrovascular Disorders                     829     2426       137      7616     8040        10
A20    Transient Ischaemic Attack >69 or w cc                     580      997       183      5643     2662         5
A21    Transient Ischaemic Attack <70 w/o cc                      264      688       194      3148      808         3
       Non-Transient Stroke or Cerebrovascular
A22    Accident >69 or w cc                                   2063        3232       280      9163    32382        16
       Non-Transient Stroke or Cerebrovascular
A23    Accident <70 w/o cc                                     666        1604       253      4579     4924         7
A24    Cranial Nerve Disorders                                  95         973        79      5958      360         4
A25    Nervous System Infections                               268        2530       250     20289     2038         8
A26    Encephalopathy                                           66        1154       219      4824      314         5
A27    Headache or Migraine >69 or w cc                        331         810       159     10494     1124         3
A28    Headache or Migraine <70 w/o cc                        1571         584       245      3989     3480         2
A29    Epilepsy >69 or w cc                                    695        1147       405      4117     3512         5
A30    Epilepsy <70 w/o cc                                    1438         584       177      2383     3537         2
A31    Head Injury with Brain Injury                           340        3312       250      8505     3480        10
A32    Head Injury without Significant Brain Injury w cc        24        2873       253      7647      204         9
A33    Head Injury without Significant Brain Injury w/o cc     120         937       195      3458      409         3
A34    Miscellaneous Disorders of Nervous System               484        1127       251      6373     2240         5
A37    Motor Neuron Disease                                     38        3575       231      6146      555        15
A38    Alzheimers Disease                                       95        5505       253     35904     2453        26
       Chemotherapy with a Nervous System Primary
A98    Diagnosis                                                  29      2121      1696      3348      209         7
       Complex Elderly with a Nervous System Primary
A99    Diagnosis                                              1101        4041        92     18866    20919        19
       Phakoemulsification Cataract Extraction and
B13    Insertion of Lens                                           5       874       843       999        5         1
B15    Other Lens Surgery Low Complexity                          12      1149       423      1249       12         1
B16    Oculoplastic Low Complexity                                51       862       484      1892       52         1
B17    Oculoplastic Intermediate Complexity                        5       955       329      1506        5         1
                                                             32
                                                                            Range for all HPSS             Average
                                                                     Mean         Trusts       Total No.
HRG                                                      No. of                                            Length
                         HRG Label                                  Average                     of Bed
Code                                                     FCE's              Minimum Maximum Days           of Stay
                                                                       £
                                                                                £          £                (Days)
B18    Oculoplastic High Complexity                            3      1018       329      1363        3         1
B19    Orbit / Lacrimal Low Complexity                         4       842       659      1394        4         1
B20    Orbit / Lacrimal Intermediate Complexity               14      2161      2161      2161       51         4
B21    Orbit / Lacrimal High Complexity                       22      3013      1692      5335       64         3
B22    Cornea / Sclera Low Complexity                         12       947       178      2667       12         1
B23    Cornea / Sclera Intermediate / High Complexity          8      1706      1630      2236       23         3
B24    Ocular Motility Intermediate Complexity                 1      1204      1204      1204        1         1
       Ocular Motility Redo / Adjustable / High
B25    Complexity                                               1      329       329       329        1         1
B26    Glaucoma / Uvea Low Complexity                          31      826       315       924       31         1
B27    Glaucoma / Uvea Intermediate Complexity                 35     1344       627      1958       64         2
B28    Glaucoma / Uvea High Complexity                          1     1947      1947      1947        1         1
B29    Surgical Retina Low Complexity                          65      845       592       917       65         1
B30    Surgical Retina Intermediate Complexity                 57     1651       768      1868      136         2
B31    Surgical Retina High Complexity                         63     1863      1863      1863      176         3
B32    Non Surgical Ophthalmology with los <2 days            173      287       164       943      173         1
B33    Non Surgical Ophthalmology with los >1 day             275     1174       408      5798     1336         5
C03    Unknown C03                                              1      675       675       675        1         1
C04    Minor Mouth or Throat Procedures                       124      983       164      2719      124         1
       Minor Medical Head, Neck or Ear Diagnoses >69
C06    or w cc                                                64       915       181      2899      311         5
       Minor Medical Head, Neck or Ear Diagnoses <70
C07    w/o cc                                                 206      749       226      2209      419         2
C15    Minor Maxillo-facial/ENT procedures                     12     1393       675      2539       25         2
       Intermediate Medical Head, Neck or Ear
C16    Diagnoses w cc                                         87      1476       220      7057      435         5
       Intermediate Medical Head, Neck or Ear
C17    Diagnoses w/o cc                                   1283         974       203      6712     3080         2
C21    Intermediate Ear Procedures                           6        1639      1200      2330        6         1
C22    Intermediate Nose Procedures                        148        1658       178      4156      372         3
C25    Intermediate Maxillo-facial/ENT procedures          292        2511      1021      4710      589         2
C26    Major Medical, Head, Neck or Ear Diagnoses w cc      36        1623       204      4022      256         7
       Major Medical, Head, Neck or Ear Diagnoses w/o
C27    cc                                                     156      933       164      7525      547         4
C31    Major Ear Procedures                                     9     3794      1533     11121       29         3
C32    Major Nose Procedures                                   72     1905       436      3710      233         3
C35    Major Maxillo-facial/ENT Procedures                     29     3745      1343      5864      102         4
       Complex Major Head, Neck or Ear Diagnoses >69
C36    or w cc                                                37      6896       198     17515      727        20
       Complex Major Head, Neck or Ear Diagnoses <70
C37    w/o cc                                                  45     2241       274      3879      330         7
C41    Complex Major Ear Procedures                             4     2259       231      3760        7         2
C42    Complex Major Nose Procedures                            6     1683      1140      2013       11         2
C54    Complex Major Mouth or Throat Procedures                 3    10807     10807     10807       41        14
C55    Minor Ear Procedures                                    81      845       169      1989       86         1
C56    Minor Nose Procedures                                  205      784       178      1238      209         1
C57    Major Mouth or Throat Procedures                       108     2167       356      4285      331         3
C58    Intermediate Mouth or Throat Procedures                423      972       177      2740      482         1
C59    Exteriorisation of Trachea                              65     6730       164     21626     1147        18
       Chemotherapy with a Mouth, Head, Neck or Ear
C98    Primary Diagnosis                                      11      1703       231      2843       61         6
       Complex Elderly with a Mouth, Head, Neck or Ear
C99    Primary Diagnosis                                      14      1147       231      4476       58         4
D02    Complex Thoracic Procedures                            18      8460       251     14030      192        11
D03    Major Thoracic Procedures                              48      5702      1343      6537      420         9
D04    Intermediate Thoracic Procedures w cc                  13      3060       403      5919      127        10
                                                         33
                                                                              Range for all HPSS             Average
                                                                       Mean         Trusts       Total No.
HRG                                                        No. of                                            Length
                          HRG Label                                   Average                     of Bed
Code                                                       FCE's              Minimum Maximum Days           of Stay
                                                                         £
                                                                                  £          £                (Days)
D05    Intermediate Thoracic Procedures w/o cc                37        3188       462      4253      221         6
D06    Minor Thoracic Procedures                              64         425       177      2465       64         1
D07    Fibreoptic Bronchoscopy                               136         663       178      1153      136         1
D08    Rigid Bronchoscopy                                     24         936       228      1827       24         1
D10    Pulmonary Embolis w cc                                129        1832       290      3794     1031         8
D11    Pulmonary Embolis w/o cc                              231        1703        92      5341     1708         7
D12    Lung Abscess-Empyema                                   56        3464       231      7500      652        12
D13    Lobar, Atypical or Viral Pneumonia w cc               797        2264       253      8118     8023        10
D14    Lobar, Atypical or Viral Pneumonia w/o cc            1247        1383       293      5865     7561         6
D16    Bronchiectasis                                        230        2010       228      7854     1854         8
D17    Cystic Fibrosis                                        19        3240       251      4179      103         5
D18    Pulmonary, Pleural or Other Tuberculosis               65        2895       394      6916      742        11
D21    Asthma w cc                                           258        1330       379      4936     1532         6
D22    Asthma w/o cc                                         990         802       164      2490     3575         4
D23    Pleural Effusion w cc                                 176        2358       211      7951     1696        10
D24    Pleural Effusion w/o cc                               257        2064       425     10227     1980         8
D25    Respiratory Neoplasms                                1162        2351       231      8086    11631        10
D31    Sleep Disordered Breathing                             29         285       173      1153       30         1
D33    Other Respiratory Diagnoses >69 or w cc               551        1271       251      6706     3021         5
D34    Other Respiratory Diagnoses <70 w/o cc                426         786       136      4434     1397         3
D37    Pulmonary Oedema                                      183        1602       964      4268     1164         6
       Chronic Obstructive Pulmonary Disease or
D39    Bronchitis w cc                                      1439        1645       253      7121    10758         7
       Chronic Obstructive Pulmonary Disease or
D40    Bronchitis w/o cc                                    3269        1260       245      6970    18529         6
D41    Unspecified Acute Lower Respiratory Infection        4020        1415       344      5280    25665         6
D42    Bronchopneumonia w cc                                 187        2516       178     20946     2071        11
D43    Bronchopneumonia w/o cc                               211        1650       219      4301     1627         8
D44    Inhalation Lung Injury or Foreign Body w cc           236        2878       626     16395     3033        13
D45    Inhalation Lung Injury or Foreign Body w/o cc         163        2287       253      8062     1637        10
D46    Fibrosis or Pneumoconiosis w cc                       117        2849       601      7951     1446        12
D47    Fibrosis or Pneumoconiosis w/o cc                     165        1980       189      9000     1333         8
D48    Pneumothorax w cc                                      36        3076       423     13784      379        11
D49    Pneumothorax w/o cc                                   181        1350       316      3915      837         5
D50    Respiratory Failure w cc                              108        2188       290      7981      937         9
D51    Respiratory Failure w/o cc                             79        1823       189      4703      611         8
D52    Plurisy                                                25         809       185      2794       84         3
       Granulomatous, Allergic Alveolitis or Autoamune
D53    Lung Disease                                             82      1710       181      6207      553         7
       Chemotherapy with a Respiratory System Primary
D98    Diagnosis                                                138     1054       198      1416      498         4
       Complex Elderly with a Respiratory System
D99    Primary Diagnosis                                    2326        2314        92      7594    25589        11
E03    Cardiac Valve Procedures                               32        9703      9703      9703      217         7
E04    Coronary Bypass                                        61        8570       178      8709      450         7
       Pacemaker Implant for AMI, Heart Failure or
E07    Shock                                                    22      5292       499      8572      230        10
       Pacemaker Implant except for AMI, Heart Failure
E08    or Shock                                                 306     2529       228      3298      497         2
E08D   Pacemaker implant except for AMI, Heart Failure
F      or Shock - Defibrillator Implant and Explant only        35     17301     15532     18628      122         3
E09    Cardiac Pacemaker Replacement/Revision                    9      2199      1892      2369        9         1
E09D   Cardiac Pacemaker Replacement/Revision -
F      Defibrillator Implant and Explant only                    1     18474     18474     18474        1         1
E0X
DF     Other - Defibrillator Implant and Explant only            8     20826     19463     23098       98        12
                                                           34
                                                                               Range for all HPSS             Average
                                                                        Mean         Trusts       Total No.
HRG                                                         No. of                                            Length
                          HRG Label                                    Average                     of Bed
Code                                                        FCE's              Minimum Maximum Days           of Stay
                                                                          £
                                                                                   £          £                (Days)
E11    Acute Myocardial Infarction w cc                       951        2053        92      9271     7509         8
E12    Acute Myocardial Infarction w/o cc                    2348        1369       163      4791    11850         5
       Cardiac Catheterisation and Angiography with
E13    complications                                             49      3946      1659      5364      443         9
       Cardiac Catheterisation and Angiography without
E14    complications                                         1114         993       163      1395     1114         1
E15    Percutaneous Coronary Intervention                     716        2984       651      3832     1463         2
E15D   Percutaneous Coronary Intervention - Defibrillator
F      Implant and Explant only                                 2       19221     19221     19221        8         4
E17    Endocarditis                                            27        6292       324     19583      547        20
E18    Heart Failure or Shock >69 or w cc                    2295        1880       280      8062    18642         8
E19    Heart Failure or Shock <70 w/o cc                      553        1487       324      4876     3261         6
E20    Deep Vein Thrombosis >69 or w cc                       366        1628       250      6745     2716         7
E21    Deep Vein Thrombosis <70 w/o cc                        286        1204       257      3282     1529         5
       Ischaemic Heart Disease without intervention >69
E22    or w cc                                               2202         952       163      3505     8417         4
       Ischaemic Heart Disease without intervention <70
E23    w/o cc                                                2006         628       212      2635     4735         2
E24    Hypertension >69 or w cc                               168        1200       228      4154      889         5
E25    Hypertension <70 w/o cc                                188         784       204      4065      560         3
E28    Cardiac Arrest                                          77         902       228      4362      271         4
E29    Arrhythmia or Conduction Disorders >69 or w cc        2161        1096       251      4530     9639         4
E30    Arrhythmia or Conduction Disorders <70 w/o cc         1646         608       251      2203     3743         2
E31    Syncope or Collapse >69 or w cc                       1715         937       173      4692     7167         4
E32    Syncope or Collapse <70 w/o cc                        1287         453       231      4198     2393         2
E35    Chest Pain >69 or w cc                                2223         576       251      2067     5299         2
E36    Chest Pain <70 w/o cc                                 4497         416       219      2659     7530         2
E37    Other Cardiac Diagnoses                                703        1309       245      5958     3466         5
       Electrophysiological and other Percutaneous
E38    Cardiac Procedures >18                                    30      1703       163      2776       30         1
       Other Cardiothoracic or Circulatory Procedures
E40    >18                                                       176     3304       877      6986     1595         9
       Other Cardiothoracic or Circulatory Procedures
E41    <19                                                     92        3152       253      7568      499         5
E42    Valve Disorders                                        150        2285       212      7112     1130         8
E43    Congenital Disorders                                   119        4559       198      6536      708         6
E99    Complex Elderly with a Cardiac Primary Diagnosis      1620        2277       251      7658    16507        10
F01    Oesophagus - Complex Procedures                         11        9421      3983     20793      108        10
F02    Oesophagus - Very Major Procedures                       5        7485      1908      8879       46         9
F03    Oesophagus - Major Procedures or Prostheses             16        4391       250      6916      169        11
F04    Therapeutic endoscopic procedures                      228        1174       250      3228      481         2
       Diagnostic Procedures, Oesophagus and
F06    Stomach                                               1797         548       164      1586     1797         1
F07    Disorders of the Oesophagus >69 or w cc                728        1511       195      5257     4293         6
F08    Disorders of the Oesophagus <70 w/o cc                 442         836       276      2359     1253         3
F12    Stomach or Duodenum Very Major Procedures               58        6577      1350     13008      769        13
       Stomach or Duodenum - Major Procedures >69 or
F13    w cc                                                      124     5201       508     15528     1710        14
       Stomach or Duodenum - Major Procedures <70 or
F14    w/o cc                                                    157     4023       429      9701      888         6
       Stomach or Duodenum - Therapeutic Endoscopic
F15    or Intermediate Procedures                             195         585       175      1490      195         1
F17    Stomach or Duodenum Disorders >69 or w cc             1866        1367       278      3929    10300         6
F18    Stomach or Duodenum Disorders <70 w/o cc              1533         826       250      4357     4469         3
F21    Small Intestine - Very Major Procedures                133        5668       574     13133     1596        12
F22    Small Intestine - Major Procedures >69 or w cc          79        5947      1569     23014     1071        14
                                                            35
                                                                              Range for all HPSS             Average
                                                                       Mean         Trusts       Total No.
HRG                                                        No. of                                            Length
                          HRG Label                                   Average                     of Bed
Code                                                       FCE's              Minimum Maximum Days           of Stay
                                                                         £
                                                                                  £          £                (Days)
F23    Small Intestine - Major Procedures <70 w/o cc             51     4802      1201     10062      543        11
F24    Small Intestinal Disorders (excluding IBD)               193     1755       189      4300     1234         6
F31    Large Intestine - Complex Procedures                      99     7976       178     18594     1634        17
F32    Large Intestine - Very Major Procedures                  340     6569       652     13610     4523        13
F33    Large Intestine - Major Procedures w cc                   54     6602       231     13255      948        18
F34    Large Intestine - Major Procedures w/o cc                 80     2885       462      4227      499         6
       Large Intestine - Endoscopic or Intermediate
F35    Procedures                                            513         645       177      1067      513         1
F36    Large Intestinal Disorders >69 or w cc               1871        1865        92     13880    13284         7
F37    Large Intestinal Disorders <70 w/o cc                1072         964       177      3458     3658         3
       General Abdominal - Very Major or Major
F41    Procedures >69 or w cc                                   135     5681      1679     14529     1884        14
       General Abdominal - Very Major or Major
F42    Procedures <70 w/o cc                                    155     3641       465     10256     1220         8
       General Abdominal - Endoscopic or Intermediate
F43    Procedures >69 or w cc                                   98      3567       250     15391     1150        12
       General Abdominal - Endoscopic or Intermediate
F44    Procedures <70 w/o cc                                 167        1393       339      2971      450         3
F45    General Abdominal - Diagnostic Procedures             136        2851       585     10001     1455        11
F46    General Abdominal Disorders >69 or w cc              2679        1233       271      6869    12075         5
F47    General Abdominal Disorders <70 w/o cc               4265         799       226      5318    11935         3
F48    Intestinal Infectious Disorders >69 or w cc           327        1950       183      5520     2820         9
F49    Intestinal Infectious Disorders <70 w/o cc            243         926       226      5988      834         3
       Inflammatory Bowel Disease - Complex
F51    Procedures                                               18      5434       283      9731      218        12
F52    Inflammatory Bowel Disease - Major Procedures            44      6422       231     18678      742        17
       Inflammatory Bowel Disease - Endoscopic or
F53    Intermediate Procedures >69 or w cc                      118     1109       250      2998      353         3
       Inflammatory Bowel Disease - Endoscopic or
F54    Intermediate Procedures <70 w/o cc                    198         617       226      1971      275         1
F55    Inflammatory Bowel Disease >69 or w cc               1159        1233       290      4793     6253         5
F56    Inflammatory Bowel Disease <70 w/o cc                1036         865       249      1986     3484         3
F61    Gastrointestinal Bleed - Very Major Procedures         24        3397       581      8188      152         6
       Gastrointestinal Bleed - Major or Therapeutic
F62    Endoscopic Procedures                                    131     1199       239      2626      404         3
       Gastrointestinal Bleed - Diagnostic Endoscopic or
F63    Intermediate Procedures                                  197      511       178       848      197         1
F64    Gastrointestinal Bleed >69 or w cc                       993     1157       204      3943     4591         5
F65    Gastrointestinal Bleed <70 w/o cc                        604      669       180      2049     1475         2
F71    Abdominal Hernia Procedures >69 or w cc                   24     3534      1054      6104      191         8
F72    Abdominal Hernia Procedures <70 w/o cc                    37     2195       750      4540      142         4
       Inguinal Umbilical or Femoral Hernia Repairs >69
F73    or w cc                                                  105     2349      1285      4893      474         5
       Inguinal Umbilical or Femoral Hernia Repairs <70
F74    w/o cc                                                109        1604       528      2539      291         3
F75    Herniotomy Procedures                                  30        1864      1110      1904       30         1
F76    Hernia Disorders >69 or w cc                          236        1320       192      3852     1237         5
F77    Hernia Disorders <70 w/o cc                           146         722       198      1537      344         2
F81    Appendicectomy Procedures >69 or w cc                 113        2727       666      5094      602         5
F82    Appendicectomy Procedures <70 w/o cc                 1577        2120      1052      4836     5139         3
F83    Appendix Disorders                                    108        1099       177      4103      394         4
F91    Anus - Major Procedures                                50        1338       423      2851      127         3
F92    Anus - Intermediate Procedures >69 or w cc             47        1416       313      2144      171         4
F93    Anus - Intermediate Procedures <70 w/o cc             608         968       642      1514     1115         2
F94    Anus - Minor Procedures >69 or w cc                    13        1487       945      2998       44         3
F95    Anus - Minor Procedures <70 w/o cc                     29         706       280      1016       36         1
                                                           36
                                                                              Range for all HPSS             Average
                                                                       Mean         Trusts       Total No.
HRG                                                        No. of                                            Length
                          HRG Label                                   Average                     of Bed
Code                                                       FCE's              Minimum Maximum Days           of Stay
                                                                         £
                                                                                  £          £                (Days)
F96    Anal Disorders                                           730      988       163      1865     2447         3
       Chemotherapy with a Digestive System Primary
F98    Diagnosis                                                53       328       178       395       92         2
       Complex Elderly with Digestive System Primary
F99    Diagnosis                                                266     2357       253      9262     2663        10
G02    Liver - Complex Procedures                                19     5188       324      8693      313        16
G03    Liver - Very Major Procedures                             26     3528       370      6503      328        13
G04    Liver - Major Procedures >69 or w cc                      41     3647      1121      6132      564        14
G05    Liver - Major Procedures <70 w/o cc                       30     1289       711      3257      121         4
G06    Acute Liver Disorders                                    163     1631       253      7313     1060         7
G07    Chronic Liver Disorders >69 or w cc                      500     2396       253      8136     5106        10
G08    Chronic Liver Disorders <70 w/o cc                       360     1699       231      6450     2590         7
G11    Biliary Tract - Complex Procedures                        12     7598      1962      9611      236        20
G12    Biliary Tract - Very Major Procedures                     28     6393       251     19512      351        13
G13    Cholecystectomy >69 or w cc                              123     4311       462      7389     1217        10
G14    Cholecystectomy <70 w/o cc                               217     2888      1590      4375     1060         5
G15    Therapeutic Pancreatic or Biliary Procedures             456     1684       356      3934     2221         5
G16    Diagnostic Pancreatic or Biliary Procedures w cc          44     3403       228      7378      530        12
       Diagnostic Pancreatic or Biliary Procedures w/o
G17    cc                                                     97        1815       356      4296      529         5
G18    Biliary Tract Disorders >69 or w cc                  1085        1605       239      4985     6718         6
G19    Biliary Tract Disorders <70 w/o cc                   1296        1014       228      2632     4759         4
G20    Biliary Tract Neoplasms                               108        2344       911      6500     1022         9
G21    Pancreas - Complex Procedures                          18        7009      1270     25992      299        17
G22    Pancreas - Very Major Procedures                       14        6882       300     10211      289        21
G23    Pancreatic Disorders                                  603        1586       226      5872     3374         6
G24    Chronic Pancreatic Disease >69                        242        2575       253      7429     2512        10
G25    Chronic Pancreatic Disease <70                        408        1088       189      2335     1576         4
       Therapeutic Pancreatic or Billary Procedures with
G26    Neoplasms                                                35      2826       581      6096      323         9
G27    Procedures on the Spleen                                 16      6318       938     20012      157        10
       Chemotherapy with a Hepato-Biliary or Pancreatic
G98    System Primary Diagnosis                                 14       291       227       373       14         1
       Complex Elderly with a Hepato-Biliary or
G99    Pancreatic System Primary Diagnosis                      36      2814       231      7822      440        12
H01    Bilateral Primary Hip Replacement                         1      1557      1557      1557        8         8
H04    Primary Knee Replacement                                  2      5240      5240      5240       11         6
       Primary or Revisional Shoulder, Elbow, or Ankle
H07    Replacements                                              3      4696      3748      6181       35        12
       Joint Replacements or Revisions, Site
H08    Unspecified                                               1     10860     10860     10860       26        26
H10    Arthroscopies                                            32      1312       630      2044       32         1
H11    Foot Procedures - Category 1                              8      1473      1110      1656       24         3
H12    Foot Procedures - Category 2                              1      2434      2434      2434        6         6
H13    Hand Procedures - Category 1                              8      1181       807      1988        8         1
H14    Hand Procedures - Category 2                             17      1941      1668      4962       51         3
H15    Hand Procedures - Category 3                              1      2961      2961      2961        9         9
       Soft Tissue or Other Bone Procedures - Category
H16    1 >69 or w cc                                            15      3417       517      4576      123         8
       Soft Tissue or Other Bone Procedures - Category
H17    1 <70 w/o cc                                             93      2308      1067      4572      373         4
       Soft Tissue or Other Bone Procedures - Category
H18    2 >69 or w cc                                            60      2854      1775      8458      396         7
       Soft Tissue or Other Bone Procedures - Category
H19    2 <70 w/o cc                                             684     1599       836      3787     1541         2


                                                           37
                                                                               Range for all HPSS             Average
                                                                        Mean         Trusts       Total No.
HRG                                                         No. of                                            Length
                          HRG Label                                    Average                     of Bed
Code                                                        FCE's              Minimum Maximum Days           of Stay
                                                                          £
                                                                                   £          £                (Days)
       Muscle, Tendon or Ligament Procedures -
H20    Category 1                                                34      2037       423      3668      104         3
       Muscle, Tendon or Ligament Procedures -
H21    Category 2                                                 12     2887       493      8005       92         8
H22    Minor Procedures to the Musculoskeletal System             89      498       178      1107       89         1
H23    Soft Tissue Disorders >69 or w cc                         409      997       231      4569     1843         5
H24    Soft Tissue Disorders <70 w/o cc                          386      561       250      3148      836         2
       Inflammatory Spine, Joint or Connective Tissue
H25    Disorders >69 or w cc                                     486     1707       204      6256     3486         7
       Inflammatory Spine, Joint or Connective Tissue
H26    Disorders <70 w/o cc                                      336      319       164      1394      354         1
       Non-Inflammatory Bone or Joint Disorders >69 or
H27    w cc                                                      364     1899       290      5605     3177         9
       Non-Inflammatory Bone or Joint Disorders <70
H28    w/o cc                                                    174      631       189      1597      358         2
H30    Infections of Bones or Joints                             198     2284       454     19526     1563         8
H31    Musculoskeletal Signs and Symptoms >69 or w cc            275     1573       251      4510     1843         7
H32    Musculoskeletal Signs and Symptoms <70 w/o cc             115      380       164       711      141         1
H35    Open Lower Limb Fractures or Dislocations                  43     3759       251      5256      327         8
       Closed Pelvis or Lower Limb Fractures >69 or w
H36    cc                                                     813        4094       220     10527    12052        15
H37    Closed Pelvis or Lower Limb Fractures <70 w/o cc      1507        2735       251     12511     9220         6
H38    Open Upper Limb Fractures or Dislocations               23        2394      1042      3321      115         5
       Closed Upper Limb Fractures or Dislocations >69
H39    or w cc                                                   730     2279       181      7005     5607         8
       Closed Upper Limb Fractures or Dislocations <70
H40    w/o cc                                                    808     1554       205      7951     2223         3
       Sprains, Strains, or Minor Open Wounds >69 or w
H41    cc                                                    1009        1087       295      9019     4515         4
       Sprains, Strains, or Minor Open Wounds <70 w/o
H42    cc                                                    1557         441       163      1883     2325         1
       Major Cranial, Visceral or Blood Vessel Injury >69
H43    or w cc                                                   211     1652       250      4385     1341         6
       Major Cranial, Visceral or Blood Vessel Injury <70
H44    w/o cc                                                    414      859       290      5362     1116         3
H45    Minor Fractures or Dislocations                           500     1257       205      3072      916         2
H47    Traumatic Amputations                                      19     1937       397      2522       53         3
H48    Other Wounds or Injuries                                   72      660       178      2606      148         2
H49    Multiple Injury >69                                       414     4029       226     16342     6376        15
H50    Multiple Injury <70                                       782     2597       192     25186     5621         7
H51    Removal of Fixation Device >69 or w cc                     20     3953      1188      4332      244        12
H52    Removal of Fixation Device <70 w/o cc                      47     1122       630      1184       47         1
       Pathological Fractures or Malignancy of Bone and
H53    Connective Tissue >69 or w cc                             234     2620       247      8104     2696        12
       Pathological Fractures or Malignancy of Bone and
H54    Connective Tissue <70 w/o cc                            50        1749       228      7398      323         6
H63    Head Injury >69 or w cc                                450         741       250      5763     1251         3
H64    Head Injury <70 w/o cc                                1418         299       178      1153     1447         1
H71    Revisional Procedures to Hips                          144        4373       696      5846     1067         7
H72    Revisional Procedures to Knees                           3       10692      5544     13266       76        25
H80    Primary Hip Replacement Cemented                        32        5349      1577      6645      300         9
H81    Primary Hip Replacement Uncemented                       4        4396       584      7354       29         7
       Extracapsular Neck of Femur Fracture with
H82    Fixation w cc                                             72      4906      4609      9710     1060        15
       Extracapsular Neck of Femur Fracture with
H83    Fixation w/o cc                                           74      4371      3866     12007      866        12


                                                            38
                                                                              Range for all HPSS             Average
                                                                       Mean         Trusts       Total No.
HRG                                                        No. of                                            Length
                          HRG Label                                   Average                     of Bed
Code                                                       FCE's              Minimum Maximum Days           of Stay
                                                                         £
                                                                                  £          £                (Days)
       Intracapsular Neck of Femur Fracture with
H84    Fixation w cc                                            221     4602      2764      6477     2799        13
       Intracapsular Neck of Femur Fracture with
H85    Fixation w/o cc                                          263     4007      1216      4342     2590        10
       Neck of Femur Fracture with Hip Replacement w
H86    cc                                                       241     5010      4765      9339     3219        13
       Neck of Femur Fracture with Hip Replacement
H87    w/o cc                                                   268     4856      4613      5087     3261        12
H88    Other Neck of Femur Fracture w cc                        807     4193       231     10806    14403        18
H89    Other Neck of Femur Fracture w/o cc                      846     2192       313      6794     6904         8
       Chemotherapy with a Musculoskeletal System
H98    Primary Diagnosis                                        19       281       164       373       19         1
       Complex Elderly with a Musculoskeletal System
H99    Primary Diagnosis                                    1199        4768       490     12983    21783        18
J04    Intermediate Breast Surgery w cc                        5        2486       761      3870       40         8
J05    Intermediate Breast Surgery w/o cc                      8         997       280      2179        8         1
J06    Minor Breast Surgery w cc                              17        2159       841      6830       95         6
J07    Minor Breast Surgery w/o cc                            94        1123       480      3154      191         2
J08    Non-Malignant Breast Disorders                         59         586       212      2305      115         2
J09    Malignant Breast Disorders >69 or w cc                219        2334       292      8419     2042         9
J10    Malignant Breast Disorders <70 w/o cc                  45         256       178       345       66         1
J12    Drainage of Ascites                                   181        3713       227     11042     2434        13
       Major Burn >29% TBSA without Significant Graft
J13    Procedure >49                                             1       615       615       615        1         1
       Major Burn >29% TBSA without Significant Graft
J14    Procedure >18 <50                                         2       588       253       923        5         3
       Major Burn >29% TBSA without Significant Graft
J15    Procedure <19                                             1      6147      6147      6147       10        10
       Major Burn >29% TBSA with Significant Graft
J17    Procedure >18 <50                                         3     25793     25793     25793      110        37
J19    Other Burn with Inhalation Injury                         5       828       324      2305        7         1
J20    Other Burn with 1 Significant Graft Procedure >49        13     12423     12423     12423      231        18
       Other Burn with 1 Significant Graft Procedure >18
J21    <50                                                      13     12472     12472     12472      232        18
J22    Other Burn with 1 Significant Graft Procedure <19         8      7089      7089      7089       62         8
       Other Burn with Multiple Significant Graft
J24    Procedures >18 <50                                        1     13350     13350     13350       15        15
       Other Burn without Significant Graft Procedure
J26    >49                                                      35      3262       231      7097      268         8
       Other Burn without Significant Graft Procedure
J27    >18 <50                                                  49      1200       178      2460      124         3
       Other Burn without Significant Graft Procedure
J28    <19                                                       64      981       253      2140      113         2
J29    Major Reconstructive Surgery                              62     5239       517     21391      842        14
J30    Major Skin Procedures >49 or w cc                        125     3816       439     10359     1220        10
J31    Major Skin Procedures <50 w/o cc                         124     2309       517     14236      594         5
J32    Intermediate Skin Procedures                               7     2556      1158      3115        9         1
J33    Minor Skin Procedures - Category 3                       102     1095       319      2117      120         1
J34    Minor Skin Procedures - Category 2 w cc                  181     2078       253      7430     1017         6
J35    Minor Skin Procedures - Category 2 w/o cc                635      821        84      1647      709         1
J36    Minor Skin Procedures - Category 1 w cc                  108     1720       253      4278      517         5
J37    Minor Skin Procedures - Category 1 w/o cc                504     1001       178      2347      700         1
J38    Skin Ulcers                                              224     2503       292     13162     2328        10
J39    Major Dermatological Conditions >69 or w cc              104     1486       254      6977      585         6
J40    Major Dermatological Conditions <70 w/o cc               182     1072       253      5948      562         3
J41    Major Skin Infections >69 or w cc                        846     1602       514      9581     5821         7
J42    Major Skin Infections <70 w/o cc                         593      987       231      7544     2158         4
                                                           39
                                                                            Range for all HPSS             Average
                                                                     Mean         Trusts       Total No.
HRG                                                      No. of                                            Length
                         HRG Label                                  Average                     of Bed
Code                                                     FCE's              Minimum Maximum Days           of Stay
                                                                       £
                                                                                £          £                (Days)
J43    Major Skin Tumours                                     38      2718       293      6749      411        11
       Minor Dermatological Conditions or Benign
J44    Tumours                                                298      985       163      4603     1170         4
J45    Minor Skin Infections                                  219      855       189      3101      636         3
J46    Total Mastectomy w cc                                    1     8751      8751      8751       10        10
J47    Total Mastectomy w/o cc                                  4     3094      2509      3774       21         5
J49    Partial/Subtotal Mastectomy w/o cc                       3     2305      1358      2779       15         5
J50    Other Major Breast Surgery                               1     4984      4984      4984        2         2
       Chemotherapy with a Skin, Breast or Burn
J98    Primary Diagnosis                                      54       274       212       422       54         1
       Complex Elderly with a Skin, Breast or Burn
J99    Primary Diagnosis                                       75     3095       274     11315     1105        15
K01    Thyroid Procedures                                      13     2465       226      5221       71         5
K02    Parathyroid Procedures                                   2     2006      1005      3008        7         4
K03    Adrenal Procedures                                       2    14903      4002     25803       41        21
K04    Anterior Pituitary Disorders                            13     1464       181      3810       89         7
K07    Fluid or Electrolyte Disorders >69 or w cc             833     1703       136     10180     6340         8
K08    Fluid or Electrolyte Disorders <70 w/o cc              198      877       204      3916      743         4
K09    Disorders of Nutrition                                 189     1961       290      6207     1557         8
K10    Inborn Errors of Metabolism                             85      258       163       654      106         1
       Diabetes with Hypoglycaemic Emergency >69 or
K11    w cc                                                   282     1020       250      3142     1337         5
       Diabetes with Hypoglycaemic Emergency <70 w/o
K12    cc                                                     225      565       250      1723      475         2
       Diabetes with Hyperglycaemic Emergency >69 or
K13    w cc                                                   119     1599       253      3976      868         7
       Diabetes with Hyperglycaemic Emergency <70
K14    w/o cc                                                 285      818       251      4603     1089         4
       Diabetes and Other Hyperglycaemic Disorder >69
K15    or w cc                                                363     1305       295      4209     2133         6
       Diabetes and Other Hyperglycaemic Disorder <70
K16    w/o cc                                                 345      810       337      1943     1271         4
K17    Diabetes with Lower Limb Complications                 214     2169       415      9673     2101        10
K18    Non Pituaritary Endocrine Neoplasms >69 or w cc         37     2321       300      7581      359        10
K19    Non Pituaritary Endocrine Neoplasms <70 w/o cc          18     1423       231      3446      122         7
K20    Non Surgical Thyroid Disorders >69 or w cc              53     1796       228      5866      415         8
K21    Non Surgical Thyroid Disorders <70 w/o cc               38      238       163       460       41         1
K22    Other Endocrine Disorders >69 or w cc                   30     1669       175      5080      204         7
K23    Other Endocrine Disorders < 70 w/o cc                   55      821       228      2720      200         4
       Chemotherapy with an Endocrine or Metabolic
K98    System Primary Diagnosis                               19       263       178       373       20         1
       Complex Elderly with an Endocrine or Metabolic
K99    System Primary Diagnosis                               157     2672       251      9905     1854        12
L01    Kidney Transplant                                       14    36596     36596     36596      131         9
L02    Kidney Major Open Procedure >49 or w cc                 32     5385       313      9976      475        15
L03    Kidney Major Open Procedure <50 w/o cc                   5     3835      2580      5089       40         8
L04    Kidney Major Endoscopic Procedure                       53     3491       324      6104      525        10
       Kidney Intermediate Endoscopic Procedure >69
L05    or w cc                                                29      3221       251      5951      253         9
       Kidney Intermediate Endoscopic Procedure <70
L06    w/o cc                                                 19      2493       940      5519      117         6
       Non OR Admission for Kidney or Urinary Tract
L07    Neoplasms >69 or w cc                                  200     2123       224      7636     1741         9
       Non OR Admission for Kidney or Urinary Tract
L08    Neoplasms <70 w/o cc                                 53        1096       462      2238      181         3
L09    Kidney or Urinary Tract Infections >69 or w cc     1800        1590       320      6452    13005         7
L10    Kidney or Urinary Tract Infections <70 w/o cc       769         902       275      2488     2692         4
                                                         40
                                                                             Range for all HPSS             Average
                                                                      Mean         Trusts       Total No.
HRG                                                       No. of                                            Length
                         HRG Label                                   Average                     of Bed
Code                                                      FCE's              Minimum Maximum Days           of Stay
                                                                        £
                                                                                 £          £                (Days)
L11    Ureter Open Procedure                                     2     6163      4894      7432       25        13
L12    Ureter Major Endoscopic Procedure                       136     1827       561      2658      487         4
L13    Ureter Intermediate Endoscopic Procedure                200     1644       411      3684      738         4
       Bladder Major Open Procedures or
L14    Reconstruction                                           4      5585      2947      8300       57        14
L15    Urinary Diversion without Cystectomy                     6      5990      4072     12474       86        14
L16    Bladder Intermediate Open Procedure                      4      1054       817      1750        4         1
L17    Bladder Major Endoscopic Procedure                      63      3349      2484      5594      540         9
L18    Bladder Intermediate Endoscopic Procedure w cc          52      2775      1009      7961      442         9
       Bladder Intermediate Endoscopic Procedure w/o
L19    cc                                                       47     1484       626      2280      160         3
L20    Bladder Minor Endoscopic Procedure w cc                 349     1935       319      6631     1985         6
L21    Bladder Minor Endoscopic Procedure w/o cc               329      754       219      1296      388         1
       Bladder or Urinary Mechanical Problems >69 or w
L22    cc                                                      389     1267       307      3601     1801         5
       Bladder or Urinary Mechanical Problems <70 w/o
L23    cc                                                      165      839       212      3680      390         2
L24    Ureteric or Bladder Disorders                            90      942       178      2148      296         3
L25    Bladder Neck Open Procedures Male                         1     1843      1843      1843        5         5
       Prostate Transurethral Resection Procedure >69
L27    or w cc                                                 38      3725      2666      4854      346         9
       Prostate Transurethral Resection Procedure <70
L28    w/o cc                                                   6      2984      1712      3373       39         7
       Prostate or Bladder Neck Intermediate
L29    Endoscopic Procedure (Male and Female)                  12      2327      1300      3553       71         6
       Prostate or Bladder Neck Minor Endoscopic
L30    Procedure (Male and Female)                               5      823       423      1106        5         1
L31    Malignant Prostate Disorders                            270     2410       239      6530     2705        10
L32    Non-Malignant Prostate Disorders                         87     1243       178      3219      387         4
L33    Urethra Major Open Procedures                             3     1574       893      2541       11         4
       Urethra Intermediate or Minor Procedures >69 or
L34    w cc                                                    17      1721       750      2210       70         4
       Urethra Intermediate or Minor Procedures <70 w/o
L35    cc                                                      23       777       329      1270       23         1
L36    Urethra Disorders                                       15      1242       283      2648       97         6
L37    Penis Major or Intermediate Open Procedures              8      4294      1216      8131       70         9
L38    Penis Minor Open Procedure > 69 or w cc                  9      1194       839      1802       25         3
L39    Penis Minor Open Procedure <70 w/o cc                   39       876       251      2125       39         1
L40    Penis Disorders                                         13       733       251      3569       31         2
L41    Vasectomy Procedures                                     1       846       846       846        1         1
       Scrotum Testis or Vas Deferens Open Procedures
L42    >69 or w cc                                             25      1570       251      2875       72         3
       Scrotum Testis or Vas Deferens Open Procedures
L43    <70 w/o cc                                              250     1126       231      1901      255         1
L44    Scrotum Testis or Vas Deferens Disorders                310      740       187      1879      779         3
L45    Extracorporeal Lithotripsy                               32      917       508      1003       32         1
L46    Renal Replacement Associated Procedures                 110     3079       813      4577      722         7
L47    Renal Replacement Therapy w cc                          213     1022       383      5577      599         3
L48    Renal Replacement Therapy w/o cc                         68      352       178       761       77         1
L49    Acute Renal Failure >69 or w cc                         305     1544       251      7333     1956         6
L50    Acute Renal Failure <70 w/o cc                           34     1166       212      3593      162         5
L51    Chronic Renal Failure                                   777      643       253      2795     1988         3
L52    Renal General Disorders >69 or w cc                     246     1353       177      4669     1288         5
L53    Renal General Disorders <70 w/o cc                      283      967       231      3528      949         3
L54    Urinary Tract Findings >69 or w cc                      255     1150       200      3824     1327         5
L55    Urinary Tract Findings <70 w/o cc                       114      718       200      2136      278         2
                                                          41
                                                                             Range for all HPSS             Average
                                                                      Mean         Trusts       Total No.
HRG                                                       No. of                                            Length
                         HRG Label                                   Average                     of Bed
Code                                                      FCE's              Minimum Maximum Days           of Stay
                                                                        £
                                                                                 £          £                (Days)
L66    Urethra Major Open Procedure - paediatric                1      3125      3125      3125        1         1
       Cystectomy with Urinary Diversion and
L68    Reconstruction                                            3    11077      5590     13821       90        30
L69    Urinary Tract Stone Disease                             938      696       178      1500     2242         2
       Chemotherapy with a Urinary Tract or Male
L98    Reproductive System Primary Diagnosis                   50      1011       231      1395      169         3
       Complex Elderly with a Urinary Tract or Male
L99    Reproductive System Primary Diagnosis                 461       2189       253      7718     4549        10
M01    Lower Genital Tract Minor Procedures                  118        838       255      1827      118         1
M02    Lower Genital Tract Intermediate Procedures           109        794       251      1474      124         1
M03    Lower Genital Tract Major Procedures                   14       3597      1606      6994       89         6
M05    Upper Genital Tract Minor Procedures                 1872        795       178      1854     1972         1
M06    Upper Genital Tract Intermediate Procedures           310       1263       227      2110      408         1
M07    Upper Genital Tract Major Procedures                  187       3157       419      5639     1211         6
M08    Upper Genital Tract Complex Major Procedures            1       8814      8814      8814       22        22
M09    Threatened or Spontaneous Abortion                    597        553       251      2023      968         2
M10    Surgical Termination of Pregnancy                       3        774       774       774        5         2
M11    Medical Termination of Pregnancy                       38        757       249      2593       56         1
       Non-Surgical Treatment of Lower Genital Tract
M12    Disorders                                               81       775       204      3049      193         2
       Non-Surgical Treatment of Genital Prolapse or
M13    Incontinence                                             3       954       434      1693        6         2
       Non-Surgical Treatment of Fibroids, Menstrual
M14    Disorders, or Endometriosis                             261      675       178      1983      534         2
       Non-Surgical Treatment of Ovary, Tube, or Pelvis
M15    Disorders                                               495      862       226      2315     1383         3
       Non-Surgical Treatment of Gynaecological
M16    Malignancy w cc                                         146     3019       530      9905     1549        11
       Non-Surgical Treatment of Gynaecological
M17    Malignancy w/o cc                                       105     1748       231      3863      611         6
       Non-Surgical Treatment of Other Gynaecological
M18    Conditions                                              52       801       253      3049      117         2
M19    Gynaecological Radiotherapy                              1      4479      4479      4479       13        13
       Chemotherapy with a Female Reproductive
M98    System Primary Diagnosis                                21       332       227       423       21         1
       Complex Elderly with a Female Reproductive
M99    System Primary Diagnosis                                8       2276      1270      4985       72         9
N01    Neonates - Died <2 days old                             1        441       441       441        1         1
N02    Neonates with Multiple Minor Diagnoses                 82       1299       567      1961      233         3
N03    Neonates with one Minor Diagnosis                     416        919       413      5247      790         2
N04    Neonates with Multiple Major Diagnoses                 34       9783      1070     18631      782        23
N05    Neonates with one Major Diagnosis                     100       2789       394     17840      548         5
N06    Normal Delivery w cc                                  488       2116       737      3305     2129         4
N07    Normal Delivery w/o cc                              12137       1573       231      3269    32185         3
N08    Assisted Delivery w cc                                151       2555      1911      6028      787         5
N09    Assisted Delivery w/o cc                             2461       2168       728      3033     9458         4
N10    Caesarean Section w cc                                534       3799      2612      5732     3984         7
N11    Caesarean Section w/o cc                             4886       2854       441      4186    23909         5
       Antenatal Admissions not Related to Delivery
N12    Event                                                6433        850       102      1875    14627         2
P01    Asthma or Wheezing                                   1260        755       253      1612     2076         2
P02    Cystic Fibrosis                                        29       5414       219      9337      288        10
P03    Upper Respiratory Tract Disorders                    2795        686       178      3505     4130         1
       Lower Respiratory Tract Disorders without Acute
P04    Bronchiolitis                                        1590       1288       274      6996     4373         3
P05    Major Infections (including Immune Disorders)         237       2007       178      7830     1051         4

                                                          42
                                                                              Range for all HPSS             Average
                                                                       Mean         Trusts       Total No.
HRG                                                        No. of                                            Length
                          HRG Label                                   Average                     of Bed
Code                                                       FCE's              Minimum Maximum Days           of Stay
                                                                         £
                                                                                  £          £                (Days)
P06    Minor Infections (including Immune Disorders)        2510         840       219      3301     4672         2
P07    Neoplasms                                              62         572       163      1004       67         1
P08    Febrile Convulsions                                   740         718       228      3257     1175         2
P09    Nervous System Disorders                              138         429       178      1153      149         1
P11    Endocrine Disorders (excluding Diabetes Mellitus)      22         411       163       692       23         1
P12    Major Gastrointestinal or Metabolic Disorders         186        1129       356      2407      503         3
P13    Other Gastrointestinal or Metabolic Disorders        3228         711       226      2877     5731         2
P14    Ingestion Poisoning or Allergies                      882         308       163       655      927         1
P15    Accidental Injury without Brain Injury               1803         877       178      1678     1809         1
P16    Child Welfare and Protection                            4        1874       394      3462       14         4
P17    Behavioural Disorders                                  53        1729       198      7222      255         5
P18    Developmental Disorders                                 3        3498       441      8900       27         9
P19    Major Congenital Conditions                            81        2354       394      6263      369         5
P20    Other Congenital Conditions                            38        1337       293      2772      110         3
P21    Renal Disease                                         222         387       219       836      245         1
P22    Renal Disease with Renal Failure                       55        1999       231      3741      225         4
P23    Blood Cell Disorders                                  115         468       178      1153      116         1
       Skin, Musculoskeletal, or Connective Tissue
P24    Disorders                                             499         799       189      3697      868         2
P25    Cardiac Conditions                                     63         928       178      2750      110         2
P26    Infectious and Non-Infectious Gastroenteritis        1911         743       253      2301     3108         2
P27    Acute Bronchiolitis                                  1008        1437       636      4756     2973         3
P28    Epilepsy Syndrome                                     423        1137       181      3657      906         2
P29    Diabetes Mellitus                                     423        1050       339      3498     1134         3
P30    Head Injury with Brain Injury                          47        1281       231      9445      143         3
P31    Head Injury without Brain Injury                       73        1057       262      2701      178         2
       Chemotherapy with a Disease of Childhood
P98    Primary Diagnosis                                         33      561       212       982       33         1
Q01    Emergency Aortic Surgery                                  39     4276       280      6289      112         3
Q02    Elective Abdominal Vascular Surgery                       53     7726      2223      9391      617        12
Q03    Lower Limb Arterial Surgery                              121     8955       510     11697     2107        17
Q04    Bypasses to Tibial Arteries                               12    12707      3083     14446      336        28
Q05    Extracranial or Upper Limb Arterial Surgery               31     4772       658      6305      186         6
Q06    Miscellaneous Vascular Procedures                        104     1949       423      9433      358         3
Q09    Procedures on the Lymphatic System w cc                   36     3061      1473      5883      357        10
Q10    Procedures on the Lymphatic System w/o cc                 47     1765       448      4469      199         4
Q11    Varicose Vein Procedures                                  47     1476       251      3868      142         3
Q12    Therapeutic Endovascular Procedures                      138     6273       186      8341     1784        13
       Diagnostic Radiology - Arteries or Lymphatics w
Q13    cc                                                       48      4595      1778      9346      586        12
       Diagnostic Radiology - Arteries or Lymphatics w/o
Q14    cc                                                       106     2030        79      2936      469         4
Q15    Amputations                                              160    10780      1123     31001     4746        30
       Foot Procedures for Diabetes or Arterial Disease,
Q16    and Procedures to Amputation Stumps                       52     6064       849     10014      913        18
Q17    Non-Surgical Peripheral Vascular Disease w cc            455     1717       204      6206     2883         6
Q18    Non-Surgical Peripheral Vascular Disease w/o cc          470     1130       189      5590     2006         4
Q19    Vascular Access for Renal Replacement Therapy             90     4671       231     19630      783         9
       Complex Elderly with a Vascular System Primary
Q99    Diagnosis                                                 28     2124       228      9516      237         8
R01    Minor Spinal Procedures                                  151      395       164      1465      151         1
R02    Surgery for Prolapsed Intervertebral Disc                 46     6701      4092      9072      323         7
       Decompression and Effusion for Degenerative
R03    Spinal Disorders                                         101     9777      8820     16579     1235        12


                                                           43
                                                                             Range for all HPSS             Average
                                                                      Mean         Trusts       Total No.
HRG                                                       No. of                                            Length
                         HRG Label                                   Average                     of Bed
Code                                                      FCE's              Minimum Maximum Days           of Stay
                                                                        £
                                                                                 £          £                (Days)
       Vertebral Column Injury with Fusion or
R04    Decompression                                           29      9001      8445     12031      341        12
       Vertebral Column Injury without Procedure >69 or
R05    w cc                                                    195     3374       464     11886     2735        14
       Vertebral Column Injury without Procedure <70
R06    w/o cc                                               228        1577       198      4385     1269         6
R07    Spinal Cord Injury with Fusion or Decompression        1        9012      9012      9012        1         1
R08    Spinal Cord Injury without Procedure                  24        2879       231     10137      223         9
R09    Revisional Spinal Procedures                           4       11215      7854     12335       39        10
R10    Surgery for Scoliosis or Other Spinal Deformity        4       10404     10404     10404       35         9
R11    Spinal Cord Surgery                                   22       11323      2441     15562      334        15
R12    Cervical Spinal Disorders >69 or w cc                 36        1097       189      4631      143         4
R13    Cervical Spinal Disorders <70 w/o cc                  64         630       181      2383      117         2
R14    Spinal Tumours                                         8        3193      1631      4622       73         9
R15    Thoracic or Lumbar Spinal Disorders >69 or w cc      409        1710       226      6452     3010         7
R16    Thoracic or Lumbar Spinal Disorders <70 w/o cc       511         978       224      2529     1496         3
R17    Non-Traumatic Spinal Cord Disorders                   62        4583       292     23155     1100        18
R18    Scoliosis or Other Spinal Deformity                   35        1556       195      4400      220         6
R19    Intermediate Spinal Procedures                         8        2940       331      4312        8         1
R98    Chemotherapy with a Spinal Primary Diagnosis           1        1378      1378      1378        4         4
R99    Complex Elderly with a Spinal Primary Diagnosis       17        3071       178      9339      226        13
S04    Coagulation Disorders                                138         305       163       943      139         1
S05    Red Blood Cell Disorders >69 or w cc                1141        1184       137      4962     5861         5
S06    Red Blood Cell Disorders <70 w/o cc                  370         275       163       737      468         1
S07    Other Haematological or Splenic Disorders w cc       149        1336       219      3770      776         5
S08    Other Haematological or Splenic Disorders w/o cc     135        1332       422      3087      649         5
S09    Bone Marrow Graft                                      3        7447      7447      7447       63        21
S11    Disorders of Immunity without HIV/AIDS                 5         274       212       423        6         1
S12    Septicaemia                                          389        2026       253      7996     3434         9
S13    Pyrexia of Unknown Origin                            268         965       438      4509      822         3
S14    Other Viral Illness                                  480         758       163      8395     1365         3
S15    Other Non-Viral Infections                           127        1465       195      4255      782         6
       Poisoning, Toxic, Environmental and Unspecified
S16    Effects                                             4883         332        92      2395     7138         1
S19    Complications of Procedures                         1117        1062       159      4616     3692         3
S21    Convalescent or Other Relief Care                    169        5023       324     17442     4170        25
S22    Planned Procedures Not Carried Out                   201         333       178       737      205         1
S24    Respite Care                                          95        2322       178      7418      857         9
S26    Shock and Anaphylaxis                                 81         405       159       848      135         2
       Malignant Disorder of the Lymphatic/
S27    Haematological Systems with los <2 days                 261      262       163      1153      261         1
       Malignant Disorder of the Lymphatic/
S28    Haematological Systems with los >1 day                  814     3413       497     11282     9140        11
S29    Other Admissions Related to Neoplasms                   165     2490       163      8038     1655        10
       Other Congenital Conditions Persisting in
S30    Adulthood                                              1        1091      1091      1091        3         3
S31    Admission for Unexplained Symptons                  1231        1404        92      5240     7746         6
S32    Abnormal Findings without Diagnosis                  201        1023       266      4086      953         5
S33    Examination, Follow up and Special Screening         270         385        79      1049      379         1
S34    Other Procedures and Health Care Problems              9        2040       528      4544       68         8
S35    Other Specified Admissions and Counselling           526        2269       183     10265     5663        11
S36    Diagnostic Extraction of Bone Marrow                 118         482       164      1371      125         1
       Chemotherapy with a Haematology, Infectious
       Disease, Poisoning, or Non-specific Primary
S98    Diagnosis                                               139      334       163       475      139         1

                                                          44
                                                                           Range for all HPSS             Average
                                                                    Mean         Trusts       Total No.
HRG                                                     No. of                                            Length
                         HRG Label                                 Average                     of Bed
Code                                                    FCE's              Minimum Maximum Days           of Stay
                                                                      £
                                                                               £          £                (Days)
       Complex Elderly with a Haematology, Infectious
       Disease, Poisoning, or Non-specific Primary
S99    Diagnosis                                             616     2873       195     12554     8829        14




                                                        45
Appendix 2C
                               Daycases - Northern Ireland 2004/2005


                                                                                           Range for all
                                                                                 Mean      HPSS Trusts
HRG                                                                    No. of
                                 HRG Label                                      Average
Code                                                                   FCE's              Minimu   Maxim
                                                                                   £
                                                                                           m£       um £
A01    Intracranial Procedures Except Trauma - Category 1                  9        637      306    1097
A07    Intermediate Pain Procedures                                     1533        432      227    1593
A08    Percutaneous Image Controlled Pain Procedures                      37       2366      358    6612
A09    Peripheral Nerve Disorder w cc                                      1        154      154     154
A10    Peripheral Nerve Disorder w/o cc                                  176        492       33    1035
A11    Muscular Disorders                                                  4        258      123     516
A13    Disorder of Balance aetiology unknown w/o cc                       10        329      135     784
A14    Brain Tumours or Cerebral Cysts >69 or w cc                         6        212      212     212
A15    Brain Tumours or Cerebral Cysts <70 w/o cc                         13        198      154     235
A16    Cerebral Degenerations >69 or w cc                                  5        516      516     516
A17    Cerebral Degenerations <70 w/o cc                                  41        294      135     784
A18    Multiple Sclerosis or other CNS Demyelinating Conditions          140        493       78     586
A22    Non-Transient Stroke or Cerebrovascular Accident >69 or w cc        3        257      132     332
A24    Cranial Nerve Disorders                                             1        197      197     197
A25    Nervous System Infections                                          30        674      516     780
A28    Headache or Migraine <70 w/o cc                                    16        721      135    1463
A30    Epilepsy <70 w/o cc                                                 3        249       78     516
A34    Miscellaneous Disorders of Nervous System                          81        331       80    2250
A37    Motor Neuron Disease                                                1        516      516     516
A98    Chemotherapy with a Nervous System Primary Diagnosis               59        340       78     659
B13    Phakoemulsification Cataract Extraction and Insertion of Lens    6062        598      481     968
B14    Non Phakoemulsification Cataract Surgery                           19        786      536     968
B15    Other Lens Surgery Low Complexity                                 980        367      238     967
B16    Oculoplastic Low Complexity                                      1689        414      240     962
B17    Oculoplastic Intermediate Complexity                              175        586      240    1299
B18    Oculoplastic High Complexity                                      112        710      298    1595
B19    Orbit / Lacrimal Low Complexity                                   246        364      334    1299
B20    Orbit / Lacrimal Intermediate Complexity                           22        643      380    1056
B21    Orbit / Lacrimal High Complexity                                   16        630      576    1299
B22    Cornea / Sclera Low Complexity                                     53        423      350     695
B23    Cornea / Sclera Intermediate / High Complexity                      9        775      329    1439
B24    Ocular Motility Intermediate Complexity                           235        959      536    1483
B25    Ocular Motility Redo / Adjustable / High Complexity                31        792      306    1249
B26    Glaucoma / Uvea Low Complexity                                    123        269      123     330
B27    Glaucoma / Uvea Intermediate Complexity                           101        842      377    1330
B28    Glaucoma / Uvea High Complexity                                     3        575      575     575
B29    Surgical Retina Low Complexity                                   2596        295      128     739
B30    Surgical Retina Intermediate Complexity                           165        504      319    1268
B31    Surgical Retina High Complexity                                     4        453      453     453
B32    Non Surgical Ophthalmology with los <2 days                       765        209       80    1463
C04    Minor Mouth or Throat Procedures                                  397        439      136    1655
C06    Minor Medical Head, Neck or Ear Diagnoses >69 or w cc               4        249      175     461
C07    Minor Medical Head, Neck or Ear Diagnoses <70 w/o cc               46        386       39     903
C15    Minor Maxillo-facial/ENT procedures                                17        533      139    1631
C16    Intermediate Medical Head, Neck or Ear Diagnoses w cc               4        212      212     212
C17    Intermediate Medical Head, Neck or Ear Diagnoses w/o cc            24        374      135     903
C21    Intermediate Ear Procedures                                       112       1379      535    2669
C22    Intermediate Nose Procedures                                      301        977      241    1743
                                                      46
                                                                                           Range for all
                                                                                 Mean      HPSS Trusts
HRG                                                                    No. of
                                 HRG Label                                      Average
Code                                                                   FCE's              Minimu   Maxim
                                                                                   £
                                                                                           m£       um £
C25    Intermediate Maxillo-facial/ENT procedures                          9        553      178    1061
C26    Major Medical, Head, Neck or Ear Diagnoses w cc                     1        212      212     212
C27    Major Medical, Head, Neck or Ear Diagnoses w/o cc                   6        191      150     212
C31    Major Ear Procedures                                               60       1154      612    2310
C32    Major Nose Procedures                                             107        938      383    3579
C35    Major Maxillo-facial/ENT Procedures                                 7        752      184     988
C36    Complex Major Head, Neck or Ear Diagnoses >69 or w cc               3        376      184     731
C37    Complex Major Head, Neck or Ear Diagnoses <70 w/o cc                4        248      161     323
C41    Complex Major Ear Procedures                                        9        938      903     991
C42    Complex Major Nose Procedures                                      13       1108      429    2669
C55    Minor Ear Procedures                                             2198        735      120    1619
C56    Minor Nose Procedures                                            1266        652      120    1469
C57    Major Mouth or Throat Procedures                                   98        968      185    3341
C58    Intermediate Mouth or Throat Procedures                          3586        542      120    1915
C59    Exteriorisation of Trachea                                          2       1038      935    1140
       Chemotherapy with a Mouth, Head, Neck or Ear Primary
C98    Diagnosis                                                         220        242      212     247
D03    Major Thoracic Procedures                                           2        620      332     907
D05    Intermediate Thoracic Procedures w/o cc                             8        641      263    1097
D06    Minor Thoracic Procedures                                          77        564      212    3737
D07    Fibreoptic Bronchoscopy                                          1348        478      260    1097
D08    Rigid Bronchoscopy                                                106        763      319    1097
D14    Lobar, Atypical or Viral Pneumonia w/o cc                           1        784      784     784
D16    Bronchiectasis                                                      1        933      933     933
D17    Cystic Fibrosis                                                   337        379      144     380
D22    Asthma w/o cc                                                       1         78       78      78
D24    Pleural Effusion w/o cc                                             5        361      212     817
D25    Respiratory Neoplasms                                              87        446      118     966
D31    Sleep Disordered Breathing                                          1        784      784     784
D33    Other Respiratory Diagnoses >69 or w cc                             2        195      154     235
D34    Other Respiratory Diagnoses <70 w/o cc                              9        431      154     784
D40    Chronic Obstructive Pulmonary Disease or Bronchitis w/o cc          2        562      340     784
D41    Unspecified Acute Lower Respiratory Infection                       3        626      252     966
D53    Granulomatous, Allergic Alveolitis or Autoamune Lung Disease       30        749       78     772
D98    Chemotherapy with a Respiratory System Primary Diagnosis          733        376       63     659
E08    Pacemaker Implant except for AMI, Heart Failure or Shock           80       5237     1391    5387
E09    Cardiac Pacemaker Replacement/Revision                              8       3112     1639    3602
E13    Cardiac Catheterisation and Angiography with complications         22       1371      666    2383
E14    Cardiac Catheterisation and Angiography without complications    2325       1326      257    2302
E15    Percutaneous Coronary Intervention                                 11       4192      666    5376
E18    Heart Failure or Shock >69 or w cc                                 48        154      154     154
E19    Heart Failure or Shock <70 w/o cc                                   2        154      154     154
E20    Deep Vein Thrombosis >69 or w cc                                    2        154      154     154
E21    Deep Vein Thrombosis <70 w/o cc                                     8        268      154     306
E22    Ischaemic Heart Disease without intervention >69 or w cc            6        592      416     966
E23    Ischaemic Heart Disease without intervention <70 w/o cc            10        444       50     547
E25    Hypertension <70 w/o cc                                             1        471      471     471
E28    Cardiac Arrest                                                      1        154      154     154
E29    Arrhythmia or Conduction Disorders >69 or w cc                    268        361       49     666
E30    Arrhythmia or Conduction Disorders <70 w/o cc                     401        367       49     666
E32    Syncope or Collapse <70 w/o cc                                      6        533      135    1463
E35    Chest Pain >69 or w cc                                              3        536      471     666
E36    Chest Pain <70 w/o cc                                              29        376       49     471
E37    Other Cardiac Diagnoses                                           206        277      154     471
                                                      47
                                                                                            Range for all
                                                                                  Mean      HPSS Trusts
HRG                                                                     No. of
                                 HRG Label                                       Average
Code                                                                    FCE's              Minimu   Maxim
                                                                                    £
                                                                                            m£       um £
       Electrophysiological and other Percutaneous Cardiac Procedures
E38    >18                                                                  14      2256      892    5667
       Electrophysiological and other Percutaneous Cardiac Procedures
E39    <19                                                                  1        907      907     907
E40    Other Cardiothoracic or Circulatory Procedures >18                 146       1029      227    2791
E41    Other Cardiothoracic or Circulatory Procedures <19                  16       3050      234    3663
E43    Congenital Disorders                                                 5        586      135     817
E99    Complex Elderly with a Cardiac Primary Diagnosis                     2        154      154     154
F01    Oesophagus - Complex Procedures                                      1       1000     1000    1000
F02    Oesophagus - Very Major Procedures                                   1        462      462     462
F03    Oesophagus - Major Procedures or Prostheses                          2        779      462    1097
F04    Therapeutic endoscopic procedures                                  339        619      263    1106
F06    Diagnostic Procedures, Oesophagus and Stomach                    18845        403      159    2002
F07    Disorders of the Oesophagus >69 or w cc                             30        299       78     659
F08    Disorders of the Oesophagus <70 w/o cc                              56        372      100     903
F12    Stomach or Duodenum Very Major Procedures                            1        583      583     583
F13    Stomach or Duodenum - Major Procedures >69 or w cc                   1       1580     1580    1580
F14    Stomach or Duodenum - Major Procedures <70 or w/o cc                 1        364      364     364
       Stomach or Duodenum - Therapeutic Endoscopic or Intermediate
F15    Procedures                                                         197        502      259    1149
F17    Stomach or Duodenum Disorders >69 or w cc                           50        279      100    1097
F18    Stomach or Duodenum Disorders <70 w/o cc                            50        218      100     659
F23    Small Intestine - Major Procedures <70 w/o cc                        9       1082      101    1928
F24    Small Intestinal Disorders (excluding IBD)                          13        193      100     340
F33    Large Intestine - Major Procedures w cc                              6        953      524    2593
F34    Large Intestine - Major Procedures w/o cc                          306        672      323    2593
F35    Large Intestine - Endoscopic or Intermediate Procedures          12300        546      252    1386
F36    Large Intestinal Disorders >69 or w cc                             161        339       63     731
F37    Large Intestinal Disorders <70 w/o cc                               79        333      118     731
F41    General Abdominal - Very Major or Major Procedures >69 or w cc       4        851      583    1208
F42    General Abdominal - Very Major or Major Procedures <70 w/o cc      137       1022      184    1763
       General Abdominal - Endoscopic or Intermediate Procedures >69
F43    or w cc                                                              14       871      154    2218
       General Abdominal - Endoscopic or Intermediate Procedures <70
F44    w/o cc                                                              419       829      323    2116
F45    General Abdominal - Diagnostic Procedures                            43       558      212     933
F46    General Abdominal Disorders >69 or w cc                              21       349       77    1035
F47    General Abdominal Disorders <70 w/o cc                               52       302       63    1097
F49    Intestinal Infectious Disorders <70 w/o cc                            2       243      154     332
F52    Inflammatory Bowel Disease - Major Procedures                         4      1113      583    1928
       Inflammatory Bowel Disease - Endoscopic or Intermediate
F53    Procedures >69 or w cc                                              243       543      332    1132
       Inflammatory Bowel Disease - Endoscopic or Intermediate
F54    Procedures <70 w/o cc                                             1564        540      323    1299
F55    Inflammatory Bowel Disease >69 or w cc                               9        224      144     594
F56    Inflammatory Bowel Disease <70 w/o cc                               92        214       77    1358
F61    Gastrointestinal Bleed - Very Major Procedures                       2        364      364     364
       Gastrointestinal Bleed - Major or Therapeutic Endoscopic
F62    Procedures                                                           15       587      306     999
       Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate
F63    Procedures                                                          275       470      237    1345
F64    Gastrointestinal Bleed >69 or w cc                                    3       337      100     731
F65    Gastrointestinal Bleed <70 w/o cc                                     1        98       98      98
F72    Abdominal Hernia Procedures <70 w/o cc                               60       921      323    1716
F73    Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc             99       996      583    1716

                                                     48
                                                                                              Range for all
                                                                                    Mean      HPSS Trusts
HRG                                                                       No. of
                                 HRG Label                                         Average
Code                                                                      FCE's              Minimu   Maxim
                                                                                      £
                                                                                              m£       um £
F74    Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc              818       1043      453    1967
F75    Herniotomy Procedures                                                158       1046      385    1469
F76    Hernia Disorders >69 or w cc                                           4        261      132     348
F77    Hernia Disorders <70 w/o cc                                            9        290       78     583
F82    Appendicectomy Procedures <70 w/o cc                                   2        654      374     934
F91    Anus - Major Procedures                                               34        759      535    1203
F92    Anus - Intermediate Procedures >69 or w cc                            12        626      383    1192
F93    Anus - Intermediate Procedures <70 w/o cc                            367        724      323    1844
F94    Anus - Minor Procedures >69 or w cc                                   39        589      360    1013
F95    Anus - Minor Procedures <70 w/o cc                                   310        549      154    1132
F96    Anal Disorders                                                        16        334      154     744
F98    Chemotherapy with a Digestive System Primary Diagnosis              4517        371       78     731
G03    Liver - Very Major Procedures                                          1        417      417     417
G04    Liver - Major Procedures >69 or w cc                                   1        332      332     332
G05    Liver - Major Procedures <70 w/o cc                                   15        352      274     474
G06    Acute Liver Disorders                                                  2        532      132     933
G07    Chronic Liver Disorders >69 or w cc                                   24        213      212     252
G08    Chronic Liver Disorders <70 w/o cc                                    14        227       63     865
G13    Cholecystectomy >69 or w cc                                            2        583      583     583
G14    Cholecystectomy <70 w/o cc                                            78       1242      227    1931
G15    Therapeutic Pancreatic or Biliary Procedures                          83        950      294    1380
G17    Diagnostic Pancreatic or Biliary Procedures w/o cc                    15        768      332    1091
G18    Biliary Tract Disorders >69 or w cc                                    2        243      149     338
G19    Biliary Tract Disorders <70 w/o cc                                     4        303      149     382
G20    Biliary Tract Neoplasms                                                3        212      212     212
G23    Pancreatic Disorders                                                   1        164      164     164
G24    Chronic Pancreatic Disease >69                                        11        343       63     731
G25    Chronic Pancreatic Disease <70                                        18        300       63    1035
G26    Therapeutic Pancreatic or Billary Procedures with Neoplasms            6       1840     1840    1840
       Chemotherapy with a Hepato-Biliary or Pancreatic System Primary
G98    Diagnosis                                                            321        242       59     659
H10    Arthroscopies                                                        667       1253     1087    1276
H11    Foot Procedures - Category 1                                          72        847      184    1345
H12    Foot Procedures - Category 2                                           4       1392      543    1947
H13    Hand Procedures - Category 1                                         845        741      462    1844
H14    Hand Procedures - Category 2                                         171       1103      391    1923
H15    Hand Procedures - Category 3                                           1        184      184     184
H16    Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc         20        693      118    1102
H17    Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc         219        865      118    1923
H18    Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc          2       1638      298    2977
H19    Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc          30       1110      385    1824
H20    Muscle, Tendon or Ligament Procedures - Category 1                   235        412      101    1579
H21    Muscle, Tendon or Ligament Procedures - Category 2                     2        631      227    1035
H22    Minor Procedures to the Musculoskeletal System                      4024        365      101    1220
H23    Soft Tissue Disorders >69 or w cc                                     74        353       33    1035
H24    Soft Tissue Disorders <70 w/o cc                                     381        354       33    1463
       Inflammatory Spine, Joint or Connective Tissue Disorders >69 or
H25    w cc                                                                  302       689       33     933
       Inflammatory Spine, Joint or Connective Tissue Disorders <70 w/o
H26    cc                                                                  2846        711       33     933
H27    Non-Inflammatory Bone or Joint Disorders >69 or w cc                 157        382       33     772
H28    Non-Inflammatory Bone or Joint Disorders <70 w/o cc                  254        349       33     772
H30    Infections of Bones or Joints                                         28        750      144     772
H31    Musculoskeletal Signs and Symptoms >69 or w cc                        44        306       33     772
                                                     49
                                                                                          Range for all
                                                                                Mean      HPSS Trusts
HRG                                                                   No. of
                                HRG Label                                      Average
Code                                                                  FCE's              Minimu   Maxim
                                                                                  £
                                                                                          m£       um £
H32    Musculoskeletal Signs and Symptoms <70 w/o cc                     362       366       33     772
H37    Closed Pelvis or Lower Limb Fractures <70 w/o cc                    7      1173      195    1449
H39    Closed Upper Limb Fractures or Dislocations >69 or w cc             1      1923     1923    1923
H40    Closed Upper Limb Fractures or Dislocations <70 w/o cc             16      1181      332    1339
H41    Sprains, Strains, or Minor Open Wounds >69 or w cc                  4       608      332     772
H42    Sprains, Strains, or Minor Open Wounds <70 w/o cc                  19       809      202    2185
H44    Major Cranial, Visceral or Blood Vessel Injury <70 w/o cc           1       175      175     175
H45    Minor Fractures or Dislocations                                    46      1171      154    1428
H50    Multiple Injury <70                                                 1      1349     1349    1349
H51    Removal of Fixation Device >69 or w cc                              8      1260      818    1756
H52    Removal of Fixation Device <70 w/o cc                             234      1113      553    1337
       Pathological Fractures or Malignancy of Bone and Connective
H53    Tissue >69 or w cc                                                 34       212      212     212
       Pathological Fractures or Malignancy of Bone and Connective
H54    Tissue <70 w/o cc                                                 45        240       78     772
H64    Head Injury <70 w/o cc                                             2        182      161     202
H72    Revisional Procedures to Knees                                     1       1224     1224    1224
H89    Other Neck of Femur Fracture w/o cc                                1       2508     2508    2508
H98    Chemotherapy with a Musculoskeletal System Primary Diagnosis     223        192       63     659
J01    Complex Breast Reconstruction using Flaps                          1        689      689     689
J04    Intermediate Breast Surgery w cc                                   3        352      184     689
J05    Intermediate Breast Surgery w/o cc                               244        772      298    1287
J06    Minor Breast Surgery w cc                                          1       1097     1097    1097
J07    Minor Breast Surgery w/o cc                                      126        812      212    1265
J08    Non-Malignant Breast Disorders                                     4        556      197    1097
J09    Malignant Breast Disorders >69 or w cc                           110        246      154     731
J10    Malignant Breast Disorders <70 w/o cc                           1070        253       63     731
J11    Lymph Dissection Procedures                                        1        748      748     748
J12    Drainage of Ascites                                               77        568      212    1012
J20    Other Burn with 1 Significant Graft Procedure >49                  1        298      298     298
J21    Other Burn with 1 Significant Graft Procedure >18 <50              2        298      298     298
J27    Other Burn without Significant Graft Procedure >18 <50             2        298      298     298
J28    Other Burn without Significant Graft Procedure <19                 2        230      230     230
J29    Major Reconstructive Surgery                                       1        298      298     298
J30    Major Skin Procedures >49 or w cc                                 73        618      298    1132
J31    Major Skin Procedures <50 w/o cc                                   9        531      298     868
J32    Intermediate Skin Procedures                                       5       1131      298    3882
J33    Minor Skin Procedures - Category 3                              1176        326      212    1171
J34    Minor Skin Procedures - Category 2 w cc                           14        567       84    1097
J35    Minor Skin Procedures - Category 2 w/o cc                       5630        135       84    2284
J36    Minor Skin Procedures - Category 1 w cc                          169        425      212    1760
J37    Minor Skin Procedures - Category 1 w/o cc                       5555        522      120    1923
J39    Major Dermatological Conditions >69 or w cc                        5        524      105     772
J40    Major Dermatological Conditions <70 w/o cc                        21        495      132     780
J41    Major Skin Infections >69 or w cc                                  3        419      154     772
J42    Major Skin Infections <70 w/o cc                                   5        418      132     772
J43    Major Skin Tumours                                                21        241      197     427
J44    Minor Dermatological Conditions or Benign Tumours                101        297       81     772
J45    Minor Skin Infections                                              5        290      196     346
J46    Total Mastectomy w cc                                              1       1635     1635    1635
J47    Total Mastectomy w/o cc                                           15       1200      184    3046
J48    Partial/Subtotal Mastectomy w cc                                   1        227      227     227
J49    Partial/Subtotal Mastectomy w/o cc                                17        818      689     933
J50    Other Major Breast Surgery                                         1        227      227     227
                                                    50
                                                                                           Range for all
                                                                                 Mean      HPSS Trusts
HRG                                                                    No. of
                                HRG Label                                       Average
Code                                                                   FCE's              Minimu   Maxim
                                                                                   £
                                                                                           m£       um £
J98    Chemotherapy with a Skin, Breast or Burn Primary Diagnosis       2778        360       63     731
K01    Thyroid Procedures                                                  4        875      583    1084
K04    Anterior Pituitary Disorders                                        1        784      784     784
K07    Fluid or Electrolyte Disorders >69 or w cc                         11        225      212     354
K08    Fluid or Electrolyte Disorders <70 w/o cc                           4        247      212     354
K09    Disorders of Nutrition                                             24        386      354    1132
K10    Inborn Errors of Metabolism                                      1146        224       77     974
K12    Diabetes with Hypoglycaemic Emergency <70 w/o cc                    1        784      784     784
K15    Diabetes and Other Hyperglycaemic Disorder >69 or w cc              1        471      471     471
K16    Diabetes and Other Hyperglycaemic Disorder <70 w/o cc               4        521      154     772
K18    Non Pituaritary Endocrine Neoplasms >69 or w cc                     2        178      144     212
K19    Non Pituaritary Endocrine Neoplasms <70 w/o cc                      1        212      212     212
K20    Non Surgical Thyroid Disorders >69 or w cc                         11        202      144     215
K21    Non Surgical Thyroid Disorders <70 w/o cc                         121        215      144     215
K22    Other Endocrine Disorders >69 or w cc                               4        347      347     347
K23    Other Endocrine Disorders < 70 w/o cc                               1         78       78      78
       Chemotherapy with an Endocrine or Metabolic System Primary
K98    Diagnosis                                                           79       165       78    1593
L03    Kidney Major Open Procedure <50 w/o cc                               1       548      548     548
L04    Kidney Major Endoscopic Procedure                                    5       968      843    1469
L05    Kidney Intermediate Endoscopic Procedure >69 or w cc                 1       422      422     422
L06    Kidney Intermediate Endoscopic Procedure <70 w/o cc                  6       571      321     987
       Non OR Admission for Kidney or Urinary Tract Neoplasms >69 or
L07    w cc                                                                69       308      123     731
       Non OR Admission for Kidney or Urinary Tract Neoplasms <70
L08    w/o cc                                                             93        284      212     731
L09    Kidney or Urinary Tract Infections >69 or w cc                     11        171      123     321
L10    Kidney or Urinary Tract Infections <70 w/o cc                      35        134       70     338
L11    Ureter Open Procedure                                               1        534      534     534
L12    Ureter Major Endoscopic Procedure                                  23        782      321    1469
L13    Ureter Intermediate Endoscopic Procedure                          223        456      257    1132
L15    Urinary Diversion without Cystectomy                                3       1847     1686    1928
L16    Bladder Intermediate Open Procedure                                82        432      432     432
L17    Bladder Major Endoscopic Procedure                                 21        656      321    1132
L18    Bladder Intermediate Endoscopic Procedure w cc                     30        633      321    1137
L19    Bladder Intermediate Endoscopic Procedure w/o cc                  375        608      306    1345
L20    Bladder Minor Endoscopic Procedure w cc                           432        517      163     926
L21    Bladder Minor Endoscopic Procedure w/o cc                        6791        466      169    1158
L22    Bladder or Urinary Mechanical Problems >69 or w cc                 33        139       70     227
L23    Bladder or Urinary Mechanical Problems <70 w/o cc                 153        119       70     306
L24    Ureteric or Bladder Disorders                                      25        377       70    2250
L26    Bladder Neck Open Procedures Female                                 1        504      504     504
L27    Prostate Transurethral Resection Procedure >69 or w cc              1        109      109     109
       Prostate or Bladder Neck Intermediate Endoscopic Procedure
L29    (Male and Female)                                                   20       571      281    1132
       Prostate or Bladder Neck Minor Endoscopic Procedure (Male and
L30    Female)                                                            793       441      235    1013
L31    Malignant Prostate Disorders                                       105       263       63     731
L32    Non-Malignant Prostate Disorders                                     7       142       70     338
L33    Urethra Major Open Procedures                                        1       109      109     109
L34    Urethra Intermediate or Minor Procedures >69 or w cc               125       581      321    1134
L35    Urethra Intermediate or Minor Procedures <70 w/o cc                238       598      270    1423
L36    Urethra Disorders                                                    3       234      178     346
L37    Penis Major or Intermediate Open Procedures                         17       538      227    2593

                                                    51
                                                                                           Range for all
                                                                                 Mean      HPSS Trusts
HRG                                                                    No. of
                                HRG Label                                       Average
Code                                                                   FCE's              Minimu   Maxim
                                                                                   £
                                                                                           m£       um £
L38    Penis Minor Open Procedure > 69 or w cc                            34        536      321    1132
L39    Penis Minor Open Procedure <70 w/o cc                             658        645      306    1399
L40    Penis Disorders                                                     3        227      123     346
L41    Vasectomy Procedures                                             1828        651      323    1259
L42    Scrotum Testis or Vas Deferens Open Procedures >69 or w cc         22        795      462    1663
L43    Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc         524        870      321    1579
L44    Scrotum Testis or Vas Deferens Disorders                            9        304      123    1035
L45    Extracorporeal Lithotripsy                                        684        437      275    1844
L46    Renal Replacement Associated Procedures                            84       1543      354    2295
L47    Renal Replacement Therapy w cc                                      6       1343      939    3365
L48    Renal Replacement Therapy w/o cc                                   16       1256      306    3308
L49    Acute Renal Failure >69 or w cc                                     1        354      354     354
L51    Chronic Renal Failure                                             488        424      144     437
L52    Renal General Disorders >69 or w cc                                 2         97       70     123
L53    Renal General Disorders <70 w/o cc                                 10       1017       70    2250
L54    Urinary Tract Findings >69 or w cc                                 13        199       70     340
L55    Urinary Tract Findings <70 w/o cc                                  52        117       70     354
L66    Urethra Major Open Procedure - paediatric                          38       1725     1070    2593
L69    Urinary Tract Stone Disease                                         8        173      123     321
       Chemotherapy with a Urinary Tract or Male Reproductive System
L98    Primary Diagnosis                                                 850        268       63     659
M01    Lower Genital Tract Minor Procedures                              589        642      323    1095
M02    Lower Genital Tract Intermediate Procedures                      1526        593      368    2593
M03    Lower Genital Tract Major Procedures                               56        909      323    2593
M05    Upper Genital Tract Minor Procedures                             4134        701      323    1097
M06    Upper Genital Tract Intermediate Procedures                      1833        845      403    1251
M07    Upper Genital Tract Major Procedures                               31       1137      382    3341
M09    Threatened or Spontaneous Abortion                                  1        306      306     306
M10    Surgical Termination of Pregnancy                                   2        665      306    1024
M12    Non-Surgical Treatment of Lower Genital Tract Disorders             5        355      135     675
M13    Non-Surgical Treatment of Genital Prolapse or Incontinence         11         80       70     123
       Non-Surgical Treatment of Fibroids, Menstrual Disorders, or
M14    Endometriosis                                                       15       385      247     668
M15    Non-Surgical Treatment of Ovary, Tube, or Pelvis Disorders           1       331      331     331
M16    Non-Surgical Treatment of Gynaecological Malignancy w cc            27       207       78     212
M17    Non-Surgical Treatment of Gynaecological Malignancy w/o cc          65       241       63     731
M18    Non-Surgical Treatment of Other Gynaecological Conditions            5       380      306     675
       Chemotherapy with a Female Reproductive System Primary
M98    Diagnosis                                                        1254        212      128     212
N02    Neonates with Multiple Minor Diagnoses                              1        135      135     135
N03    Neonates with one Minor Diagnosis                                  23        257      146     784
N07    Normal Delivery w/o cc                                             10        613      258     809
N12    Antenatal Admissions not Related to Delivery Event               1093        330      154     910
P01    Asthma or Wheezing                                                 31        138      138     138
P02    Cystic Fibrosis                                                    24        377      361     380
P03    Upper Respiratory Tract Disorders                                  42        158       79     784
P04    Lower Respiratory Tract Disorders without Acute Bronchiolitis      12        300      138     784
P05    Major Infections (including Immune Disorders)                       3        776      772     784
P06    Minor Infections (including Immune Disorders)                      90        412      123    2250
P07    Neoplasms                                                         411        210       63    1059
P08    Febrile Convulsions                                                17        451      135    1463
P09    Nervous System Disorders                                           55        236       80    1463
P11    Endocrine Disorders (excluding Diabetes Mellitus)                  48        631      150     784
P12    Major Gastrointestinal or Metabolic Disorders                      25        402      144    1463
                                                    52
                                                                                              Range for all
                                                                                    Mean      HPSS Trusts
HRG                                                                       No. of
                                 HRG Label                                         Average
Code                                                                      FCE's              Minimu   Maxim
                                                                                      £
                                                                                              m£       um £
P13    Other Gastrointestinal or Metabolic Disorders                        114        186      100    2250
P14    Ingestion Poisoning or Allergies                                      11        215      159     784
P15    Accidental Injury without Brain Injury                                56        851      135    1307
P17    Behavioural Disorders                                                  3        623      135    1463
P18    Developmental Disorders                                                5        345      235     784
P19    Major Congenital Conditions                                           24        497      135    2250
P20    Other Congenital Conditions                                           23        393      104    2250
P21    Renal Disease                                                         25        295       71     933
P22    Renal Disease with Renal Failure                                      22       1046      437    2250
P23    Blood Cell Disorders                                                1220        209      118     784
P24    Skin, Musculoskeletal, or Connective Tissue Disorders                178        681      138    1132
P25    Cardiac Conditions                                                     7        548      135     817
P26    Infectious and Non-Infectious Gastroenteritis                         18        179      138     784
P27    Acute Bronchiolitis                                                    4        141      135     159
P28    Epilepsy Syndrome                                                     23        769      135    1463
P29    Diabetes Mellitus                                                      2        175      154     197
P98    Chemotherapy with a Disease of Childhood Primary Diagnosis           516        220       78    1593
Q02    Elective Abdominal Vascular Surgery                                    2        212      212     212
Q06    Miscellaneous Vascular Procedures                                     58        726      323    2088
Q09    Procedures on the Lymphatic System w cc                                7        867      227    1345
Q10    Procedures on the Lymphatic System w/o cc                            101        799      184    2496
Q11    Varicose Vein Procedures                                             591        953      118    1728
Q12    Therapeutic Endovascular Procedures                                    6        931      872     943
Q14    Diagnostic Radiology - Arteries or Lymphatics w/o cc                  12        969      867    1537
Q15    Amputations                                                            3        481      184    1076
       Foot Procedures for Diabetes or Arterial Disease, and Procedures
Q16    to Amputation Stumps                                                    8       645      227    1105
Q17    Non-Surgical Peripheral Vascular Disease w cc                           9       281      154     772
Q18    Non-Surgical Peripheral Vascular Disease w/o cc                       137       867      154    1279
Q19    Vascular Access for Renal Replacement Therapy                          85       758      118    1469
Q98    Chemotherapy with a Vascular System Primary Diagnosis                   1       306      306     306
R01    Minor Spinal Procedures                                               142       546      227    1656
R02    Surgery for Prolapsed Intervertebral Disc                              21       783      783     783
R03    Decompression and Effusion for Degenerative Spinal Disorders            2       751      385    1116
R04    Vertebral Column Injury with Fusion or Decompression                    5      1116     1116    1116
R09    Revisional Spinal Procedures                                            1       760      760     760
R11    Spinal Cord Surgery                                                     1       163      163     163
R12    Cervical Spinal Disorders >69 or w cc                                   6       499      235    1035
R13    Cervical Spinal Disorders <70 w/o cc                                   25       728      195    1035
R15    Thoracic or Lumbar Spinal Disorders >69 or w cc                        34       720      195    1035
R16    Thoracic or Lumbar Spinal Disorders <70 w/o cc                        492       715       59     903
R17    Non-Traumatic Spinal Cord Disorders                                    13       448      195     516
R18    Scoliosis or Other Spinal Deformity                                     7       359      135     772
R19    Intermediate Spinal Procedures                                         40       603      195    1116
R98    Chemotherapy with a Spinal Primary Diagnosis                            5        91       78     144
S04    Coagulation Disorders                                                 427       249      118     865
S05    Red Blood Cell Disorders >69 or w cc                                  855       243       55    1593
S06    Red Blood Cell Disorders <70 w/o cc                                   861       314       78    1593
S07    Other Haematological or Splenic Disorders w cc                         19       211      154     516
S08    Other Haematological or Splenic Disorders w/o cc                       11       287      154     666
S11    Disorders of Immunity without HIV/AIDS                                565       503       78     974
S13    Pyrexia of Unknown Origin                                               6       286      135     784
S14    Other Viral Illness                                                     1       197      197     197
S15    Other Non-Viral Infections                                              3       128       98     154
                                                      53
                                                                                         Range for all
                                                                               Mean      HPSS Trusts
HRG                                                                  No. of
                                HRG Label                                     Average
Code                                                                 FCE's              Minimu   Maxim
                                                                                 £
                                                                                         m£       um £
S16    Poisoning, Toxic, Environmental and Unspecified Effects           5        257       78     780
S19    Complications of Procedures                                      41        332       50    2250
S22    Planned Procedures Not Carried Out                             2879        267       50    1099
       Malignant Disorder of the Lymphatic/ Haematological Systems
S27    with los <2 days                                               2640        253       57    1593
S29    Other Admissions Related to Neoplasms                            24        331      195     731
S31    Admission for Unexplained Symptons                               15        217       78     760
S32    Abnormal Findings without Diagnosis                              20        173       78     458
S33    Examination, Follow up and Special Screening                    379        279       78    2250
S34    Other Procedures and Health Care Problems                        39        562       98    2250
S35    Other Specified Admissions and Counselling                        4        129      123     135
S36    Diagnostic Extraction of Bone Marrow                            507        353      118    2208
       Chemotherapy with a Haematology, Infectious Disease,
S98    Poisoning, or Non-specific Primary Diagnosis                   2579        470       63    1593
       Complex Elderly with a Haematology, Infectious Disease,
S99    Poisoning, or Non-specific Primary Diagnosis                      14       252      252     252
U01    Invalid Primary Diagnosis                                        172       291       80     867
U07    Poorly Coded Primary Diagnosis                                   264       198       50    2250
U08    Poorly Coded Dominant Procedure                                  300       327      109     547




                                                    54
Errata reported for 2004/05 is as follows:
       •   Down Lisburn Trust has advised that, owing to exceptional circumstances, the detailed coding of
           procedures necessary to derive 2004/05 reference costs for Maternity Services in Lagan Valley
           Hospital was not available. Therefore these services in Lagan Valley Hospital are not included in
           the 2004/05 Reference Costs. The Trust has been asked to correct this situation for 2005/06.




                                                     55
Appendix 2D
                              Excess Bed days - Northern Ireland 2004/05

                                      Excess Bed Average     Total                 Excess Bed Day
                     No.of  Total No.                                    Total
                                      Days as a % Cost per Excess                    Cost as % of
  NHS Trust         Excess   of Bed                                    Inpatient
                                      of Total No. Bed Day Bed Day                  Total Inpatient
                   Bed Days   Days                                     Cost £000
                                      of Bed Days     £    Cost £000                     Cost
Altnagelvin         26,590   138,589     19.19     248.92    6,619      48,007           14
Antrim              20,781   109,365     19.00     243.20    5,054      33,033           15
Armagh &
Dungannon           4,892    11,503      42.53     204.44   1,000        2,352           43
BCH                 52,155   218,207     23.90     272.99   14,238       76,895          19
Braid Valley         6,707   12,519      53.57     246.45   1,653        3,074           54
Causeway            11,806   57,111      20.67     301.22   3,556       23,573           15
Craigavon           39,501   174,505     22.64     213.69   8,441       46,302           18
Downe                5,220   20,119      25.95     286.08   1,493        6,235           24
Greenpark           16,917   56,698      29.84     342.66   5,797       30,011           19
Lagan Valley        10,687   43,014      24.85     250.51   2,677       12,242           22
Mater               12,152   71,614      16.97     229.58   2,790       19,956           14
Mid Ulster          14,903   47,014      31.70     202.53   3,018       12,167           25
Moyle                7,209   12,814      56.26     195.85   1,412        2,509           56
Newry & Mourne      10,809    61,429     17.60     260.80    2,819       21,463          13
Royal               41,536   239,909     17.31     285.48   11,858      117,075          10
Sperrin Lakeland    15,152    94,850     15.97     264.24    4,004       30,152          13
Ulster              33,344   185,285     18.00     225.58   7,522       53,357           14
Whiteabbey          22,822   57,849      39.45     189.77   4,331       12,140           36




                                                    56
Appendix 2E

                        Combined Index of Acute Service Costs by Trust.


                                                          Combined
                            Trust            Expected (£)    Actual (£)        Index
                    Armagh &
                    Dungannon                    2,258,167        2,732,445       121
                    Causeway                    23,653,632       28,519,443       121
                    Greenpark                   36,026,581       41,369,923       115
                    RGH                        131,212,397      149,557,325       114
                    Sperrin Lakeland            31,109,461       35,413,130       114
                    Down Lisburn                24,298,837       25,615,118       105
                    BCH                         91,406,752       91,500,915       100
                    Newry & Mourne              25,977,045       25,448,921        98
                    Altnagelvin                 66,010,065       64,087,476        97
                    United                      83,683,610       77,840,946        93
                    Mater                       26,410,595       24,503,989        93
                    CAH                         68,555,329       58,114,616        85
                    Ulster                      81,655,586       67,553,812        83
                    Total                      692,258,058      692,258,058       100

The Index gives a single figure for each Trust that compares the actual cost for its activity
(actual costs) with the same activity calculated using the HPSS average costs (expected costs). The expected
figure for each Trust is therefore the actual activity for that individual provider multiplied by the HPSS
average cost as appropriate. The Index score is the actual figure divided by the expected figure.


In the Index:
       • A Trust with costs equal to the HPSS average for its activity will score 100;
       • A Trust with costs 20% above the HPSS average will score 120;
       • A Trust with costs 20% below the HPSS average will score 80.


Each Index gives an indicator of the position of each Trust when compared to the N. Ireland average
for the current range of services included within the Index.


Included and excluded services
The index includes acute inpatient, day case services and the following outpatient specialties;


      100 General Surgery
      101 Urology
      110 T & O surgery
      120 ENT

                                                       57
      130 Ophthalmology
      140 Oral surgery
      142 Paediatric dentistry
      143 Orthodontics
      150 Neurosurgery
      160 Plastic surgery
      170 Cardiac surgery
      171 Paediatric surgery
      172 Thoracic surgery
      190 Anaesthetics
      191 Pain management
      330 Dermatology


The remaining outpatient specialties are excluded. Other excluded services are; critical care, renal
dialysis, rehabilitation, chemotherapy, radiotherapy and acute hospital daycare.




                                                  58
Appendix 2F
                       Other – Critical Care, Renal Dialysis, Rehabilitation, U – Codes
                                                   2004/05

             N. IRELAND SCHEDULE OF REFERENCE COSTS - SPECIALIST SERVICES

                                                                             Range for all HPSS Trusts
                                      Total No. of Occupied
        Critical Care Services               Beddays          Mean Average    Minimum       Maximum

                                                                   £             £              £

Intensive care units                         20,161              1,687         1,226          2,022

Coronary Intensive care                      8,201                719           678            734

High dependency unit                         10,513               640           436            943

Paediatric Intensive care                    1,579               1,835         1,835          1,835

Neonatal Care Services                       25,128               580           450           1,199




                                                                             Range for all HPSS Trusts

             Renal Dialysis           Total No. of Sessions   Mean Average    Minimum       Maximum

                                            Caseload               £             £              £

Inpatients                                   39,821               200           200            379

Daycases                                     49,513               233           205            280




                                                                             Range for all HPSS Trusts

                                      Total No. of Occupied
        Rehabilitation Services              Beddays          Mean Average    Minimum       Maximum

                                                                   £             £              £

Stroke - Children                               -                  -             -              -

Stroke - Adults                              14,030               196           168            237

Other Neurological - Adults                  3,614                376           376            376

Spinal Injuries                              3,845                436           436            436

Elderly                                      48,494               200           128            353

Other                                        2,164                359           359            359




                                                       59
Appendix 2F

       Other – Critical Care, Renal Dialysis, Rehabilitation, U – Codes (Continued)

                 U codes – Inpatient cost including excess beddays

                                                Cost of U codes
                                                   2004/05
                    Armagh & Dungannon                    112,239
                    Altnagelvin                           238,049
                    Antrim                                 18,924
                    BCH                                   308,017
                    Braid Valley                           41,352
                    Causeway                              336,604
                    Craigavon                              21,758
                    Downe                                 302,174
                    Greenpark                             973,761
                    Lagan Valley                           39,736
                    Mater                                 260,417
                    Mid Ulster                              9,873
                    Moyle                                       0
                    Newry & Mourne                        230,628
                    Royal                                 423,642
                    Sperrin                                59,219
                    Ulster                                  5,330
                    Whiteabbey                             94,570

                    Average per Hospital                  193,127
                    Total                               3,476,292




                                           60
Appendix 2G Outpatient Attendances

                   Northern Ireland Average First and Follow-up Attendance costs
                  2004/05 NI Outpatient average        £ Cost per attendance
                               costs                   First         Follow - up
                  100 General Surgery                        156               103
                  101 Urology                                190                84
                  110 T & O surgery                          152               102
                  120 ENT                                    143                97
                  130 Ophthalmology                           68                59
                  140 Oral surgery                            95                82
                  142 Paediatric dentistry                    97                61
                  143 Orthodontics                           328                78
                  150 Neurosurgery                           141               136
                  160 Plastic surgery                         75                52
                  170 Cardiac surgery                        323               323
                  171 Paediatric surgery                     149               160
                  172 Thoracic surgery                       213               213
                  190 Anaesthetics                           136               136
                  191 Pain management                        146               125
                  330 Dermatology                             79                51




                                                 61
Appendix 3A
                             HPSS Schedule of Community Reference Costs

  N. IRELAND SCHEDULE OF REFERENCE COSTS - COMMUNITY SERVICES
                             2004/05

                                                                          Range for all HPSS Trusts

              Service                  No. of contacts     Mean Average   Minimum        Maximum

                                                                £             £              £

Health Visiting                            570,449            37.66         26.86          56.80

District Nursing                          1,520,620           31.78         26.79          45.26

Community Psychiatric Nursing              189,679            78.60         63.87         121.32

Physiotherapy                              301,382            30.12          8.58         115.24

Occupational Therapy                       192,088            80.18         59.64         174.87

Speech Therapy                             186,684            58.58         36.59          92.86

Podiatry                                   313,097            25.89         21.60          29.93

Community Midwifery                        318,093            25.33         16.53          42.78

Community Dentistry                        201,692            47.16         28.05          71.43

Learning Disability Nurses                 45,993             79.44         39.29         111.10

Family Planning                            68,395             34.98         16.81          55.61

Clinical Psychology                        32,131             173.12        81.80        1,207.95



                                                                          Range for all HPSS Trusts

              Service             Total Average Active     Mean Average   Minimum        Maximum

                                          Caseload              £             £              £

Social Work POC 3                          23,363              1995         1,471          4,594

Social Work POC 4                          35,921              511           188           2,323

Social Work POC 5                           6,496              1090          497           2,382

Social Work POC 6                           9,538              921           488           1,494

Social Work POC 7                          13,465              774           372           1,131




                                                                          Range for all HPSS Trusts

              Service                Total hours worked    Mean Average   Minimum        Maximum

                                                                £             £              £

Domiciliary care                         11,945,935           11.08          8.55          13.56




                                                      62
                                                                          Range for all HPSS Trusts

             Service                Number of meals        Mean Average   Minimum        Maximum

                                                                £             £              £

Meals delivered to client homes         1,320,153              2.49          1.11           3.86



                                                                          Range for all HPSS Trusts

             Service              Number of attendances    Mean Average   Minimum        Maximum

                                                                £             £              £

Community Addiction Teams                32,131               85.76         45.63         245.62




                                                                          Range for all HPSS Trusts

             Service               Number of occupied      Mean Average   Minimum        Maximum

                                     resident weeks             £             £              £

Nursing Care POC 5                       12,870                469           424            517

Nursing Care POC 6                       33,511                560           454            749

Nursing Care POC 7                       15,048                530           459            620

Nursing Care POC 4 EMI                   90,194                455           425            485

Nursing Care POC 4 Other                 228,283               458           410            588




                                                                          Range for all HPSS Trusts

             Service               Number of occupied      Mean Average   Minimum        Maximum

                                     resident weeks             £             £              £

Residential Care POC 3                   12,941               2,140         1,362          2,980

Residential Care POC 5                   26,478                357           190            518

Residential Care POC 6                   55,756                547           293            966

Residential Care POC 7                    4,523                599           396            836

Residential Care POC 4 EMI               43,469                446           259            851

Residential Care POC 4 other             128,696               397           333            450




                                                      63
                                                                          Range for all HPSS Trusts

               Service                 Number of           Mean Average   Minimum        Maximum

                                      attendances               £             £              £

Statutory Day Care POC 3                 19,955               89.32         64.28         115.68

Statutory Day Care POC 5                122,379               46.14         35.04          54.42

Statutory Day Care POC 6                671,806               44.59         32.60          57.80

Statutory Day Care POC 7                101,669               61.81         46.12         157.88

Statutory Day Care POC 4 EMI             5,752                62.62         39.46          74.10

Statutory Day Care POC 4 Other          214,456               45.16         35.38          61.09




                                                                          Range for all HPSS Trusts

               Service                 Number of           Mean Average    Minimum       Maximum

      Mental Health Inpatient    occupied patient weeks         £             £              £

Addictions                               1,295                1,556         1,164          3,201

Rehab                                    12,225               1,199          811           1,790

ITU                                      2,728                2,364         1,584          3,477

Secure Units                             4,630                 444           444            444

Acute Care                               26,499               1,405         1,158          1,868

Child & Adolescent Psychiatry             582                 2,939         1,096          3,299

Forensic Psychiatry                      1,156                 845           445           1,919

Old age psychiatry                       22,295               1,209          844           2,055

Other                                    8,531                1,396         1,098          3,450




                                                                          Range for all HPSS Trusts

               Service                 Number of           Mean Average    Minimum       Maximum

        Mental Health Daycare       day attendances             £             £              £

Addictions                                997                  235          234.89         234.89

Rehab                                    13,223                 77          48.95          397.04

Acute Care                               22,614                 96          57.83          162.55

Child & Adolescent Psychiatry             947                  104          104.24         104.24

Old age psychiatry                       2,564                  91          91.26          91.26




                                                      64
                                                                           Range for all HPSS Trusts

             Service                     Number of          Mean Average   Minimum        Maximum

   Learning Disability Inpatient   occupied patient weeks        £             £              £

Children Short Stay                         568                1,525         1,029          4,336

Children Long Stay                          611                1,623          986           1,640

Adult Short Stay                           1,928               1,148         1,046          1,308

Adult Long stay                           23,994               1,143          962           1,241




                                                                           Range for all HPSS Trusts

             Service                   Number of Day        Mean Average   Minimum        Maximum

   Learning Disability Daycare          Attendances              £             £              £

Daycare                                   74,064                 31            26            47




                                                                           Range for all HPSS Trusts

             Service                     Number of          Mean Average   Minimum        Maximum

   Physical Disability Inpatient   occupied patient weeks        £             £              £

Adults                                     2,425               1,787         1,448          4,551




                                                      65

				
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