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					         DHSSPS
         Reference Costs

         2001/02




Published : February 2003

Department of Health, Social Services and Public Safety, Castle Buildings, Stormont,
Belfast, BT4 3SJ
                                     CONTENTS

                                                                  Page No

Executive Summary                                                     2

Introduction                                                          4

Acute Services

     The HPSS Trust Database                                          6
     The HPSS Schedule of Reference Costs                             8


Community Services

     The HPSS Schedule of Reference Costs                            13




                                   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      35
2C   HPSS Schedule of Reference Costs – Day Cases                    52
2D   Excess Bed days                                                 64

Community Services

3A   HPSS Schedule of Reference Costs                                65




                                        1
1. Executive Summary


1.1 The information in this report is based on costs and activity supplied by Health
   and Personal Social Services Trusts, for the financial year 2001/2002. The
   report covers an extended range of services and builds on the information
   released last year. A list of Trusts submitting data is shown in Appendix 1.
   The information collected from the Trusts is presented as HPSS Schedules of
   Reference Costs, one for acute services and one for community services,
   which provide unit cost information in respect of all surgical specialties,
   general medicine and cardiology and for some community services.


1.2 For acute services, the report provides detailed information on a range of
   surgical, general medicine and cardiology treatments, covering approximately
   280,000 hospital inpatient and day case episodes, across the twelve Trusts
   involved in delivering the relevant specialties. For community services,
   fourteen mandatory services have been covered based on information supplied
   by eleven Trusts.


1.3 This report continues to reveal cost variations across a range of treatments for
   both acute and community services. Sometimes cost variations are acceptable
   because they may reflect, for example, 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 these variations to identify the reasons for them and to take
   positive action to address those variations that are not acceptable.


1.4 This unit cost information can therefore be used as a contribution to the
   assessment of the relative financial performance achieved by HPSS Trusts and
   to the achievement of the most effective use of resources. However, the
   information should be used in conjunction with other performance indicators
   to give a rounded view of performance.




                                       2
1.5 In line with the intentions expressed in the Reference Costs publication of
   2000/01, the coverage contained in this year’s report has been extended. In the
   acute sector, general medicine and cardiology are now included in addition to
   all surgical specialties and a further five community services have also been
   added. The DHSS&PS will continue to build on the extent of services covered
   within this publication in future years.




                                       3
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 to-
   day’s health service, where constant demands are being placed on scarce and
   limited resources. It is within 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 aim to provide
   the basic costing information that informs this process. They act as a starting
   point for the interpretation of costs and the reasons for variations.


2.2 The information contained in this report is the result of profiled rather than
   standard costing. It will therefore assist Trusts to tackle unacceptable cost
   variations by encouraging them to share benchmarking information on costs. It
   also provides Trusts with the opportunity to identify differences in costs 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 only
   area of concern. Costs are only part of the overall picture. The quality of
   service provision is also important and increasingly these two elements should
   be brought together so that an assessment of the cost effectiveness of care can
   be made. Good quality and high costs do not always go together nor does poor
   quality and low costs. Many factors influence this relationship but reference
   costs will assist in ensuring that resources are utilised effectively and help to
   ensure that the best care available is provided.


2.4 The information on reference costs is available in electronic format from the
   following website address: http://www.dhsspsni.gov.uk. To meet the needs of
   the different users, the cost information from Trusts is presented in two ways:


   •   The HPSS Trust Databases, one for acute and one for community. These
       include all the source data collected from Trusts; and



                                          4
   •   The HPSS Schedule of Reference Costs. The Acute Schedule for surgical
       specialties, general medicine and cardiology provides cost information
       relating to elective and non-elective inpatients and day cases, based on
       approximately 280,000 episodes of inpatient and day case activity. These
       Schedules are included in Appendix 2A, 2B and 2C and are explained in
       section 4. The Community Schedule is included in Appendix 3A and
       explained in section 5.


2.5 The information in this document has been prepared by Trusts in line with
   Departmental costing guidance for acute and community services, to aid
   comparability and consistency. The DHSS&PS has extended the coverage in
   this year’s publication by producing costs for general medicine and cardiology
   in addition to all surgical specialties, and including the costs of a further five
   community services. It is the intention of the DHSS&PS to continue the
   expansion of unit cost information in future years.




                                       5
3. The HPSS Trust Database - Acute


3.1 All twelve Trusts providing acute services submitted details by Healthcare
    Resource Group (HRG) for all surgical specialties, general medicine and
    cardiology. These groupings provide a national standard framework that
    allows costs to be adjusted for differences in casemix. The groupings are
    defined by clinicians, not accountants, and provide groupings of clinically
    similar treatments that use similar resources.


3.2 Whilst it is important that unit costs are calculated on a consistent basis, this is
    not always easy as different patients have different needs and often require
    different treatments. In this case dividing the total cost by the total number of
    patients would not reflect the varying needs and therefore the varying costs
    associated with their treatment. To allocate the same cost to each procedure is
    unrealistic and it is because of this that this report is using Healthcare
    Resource Groups (HRGs) as the basis of the information provided.


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


3.4 The database includes the following detail for each Trust:


•   the cost for each HRG in 2001/2002 by type of admission and the cost for each
    HRG in 2001/02 by specialty by type of admission; and


•   the number of episodes/attendances for each HRG in 2001/2002 by type of
    admission and the number of episodes/attendances for each HRG in 2001/02
    by specialty by type of admission.


3.5 With the exception of United Hospitals Health and Social Services Trust, the
    costs are shown at Trust level and therefore, in the case of certain Trusts, they
    represent a collation of the costs from individual hospital sites. These sites



                                         6
may provide significantly different services with varying cost structures,
which have been grouped to provide figures at the organisation level. This
affects particularly Down Lisburn Health and Social Services Trust and
Sperrin Lakeland Health and Social Care Trust. The costs for United Hospitals
Health and Social Services Trust are broken down across four sites – Antrim,
Mid Ulster, Moyle and Whiteabbey.




                                  7
4 The HPSS Schedule of Reference Costs - Acute


   4.1 The schedule is constructed from the database. It shows the average cost in the
       HPSS for a range of surgical, general medical and cardiology treatments and
       procedures for the 2001/02 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 people admitted to hospital from waiting
       lists and where their care requires staying in hospital for longer than a day;


   •   non-elective inpatients – that is those people admitted for urgent or
       emergency treatment; and


   •   day cases – those people treated without an overnight stay.


   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 normally expected for the HRG. These maxima or “trimpoints” are
       agreed for the HPSS for 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 longer than expected, are shown
       separately to prevent distortion.


   4.4 Although by their nature, 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:




                                           8
   •   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 In examining the costs of inpatient stays, it is important to ensure that all the
       relevant elements of cost are added together. However, some procedures may
       require a patient having to stay in critical care. The costs of a stay in critical
       care have been excluded from the other inpatient costs and will be shown
       separately in future years.


Interpreting the Schedule


   4.6 The schedule shows wide variations in unit costs for many HRGs. The
       following examples illustrate the extent of the variations.


   4.7 Example One: Daycase – Varicose Vein Procedures (HRG Q11)


   4.8 Varicose vein procedures can be performed as a daycase, without the need for
       an overnight stay. During 2001/2002 a total of 427 cases were undertaken as
       daycase procedures at an aggregate cost of £259,000. Figure 1 shows the
       highest cost is £1356, the lowest cost is £348 and the HPSS average is £606.
       This shows an increase on 2000/01, when 426 cases were undertaken at an
       aggregate cost of £232,000, the highest cost was £874, the lowest cost was
       £299 and the HPSS average was £545.




                                           9
                                    Figure 1 - Q11 Varicose Vein Procedures


1600

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    4.9 Example Two: Large Intestine – Very Major Procedures (HRG F32)


    4.10 Very major procedures of the large intestine can be performed as elective
              inpatients. During 2001/2002, a total of 414 episodes were performed as
              elective procedures at an aggregate cost of £1.9m. As figure 2 shows, for
              elective inpatients, the highest cost is £6,694, the lowest cost is £2,641 and
              the HPSS average is £4,472. This shows an increase on 2000/01, when 401
              episodes were performed at an aggregate cost of £1.7m, the highest cost was
              £8911, the lowest cost was £1803 and the HPSS average was £4142.




                                                 10
                Figure2 - F32 Large Intestine - Very Major Procedures

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   Understanding the variances


   4.11 There are a number of reasons why costs can differ. Some of these can be
       expected but knowing and understanding the reasons for the variations is
       important for the cost effective management of HPSS services.


   4.12 Some of the reasons may include the following:


       •   Underlying differences in cost efficiency;


       •   Differences in clinical practice;


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


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




                                               11
   •   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.




                                         12
5   The HPSS Schedule of Reference Costs – Community


    5.1 All eleven Trusts providing community services submitted information for the
       Community Schedule of Reference Costs. The information covered fourteen
       mandatory services, and costs have been submitted on the following basis:


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




                                          13
      Statutory Daycare (by POC):-                    Average cost per
      (as with Nursing Care)                          attendance
      Meals delivered to client homes                 Average cost per
                                                      meal


5.2 Similar to the acute services, the information returned by the Trusts has been
    included in the HPSS Trust database for community services. Appendix 1 lists
    those Trusts included in the database.


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 Armagh & Dungannon for both the Physiotherapy and
    Occupational Therapy services are affected by exceptional costs in relation to
    the disruptive effect of the progressive transfer of services from South Tyrone
    Hospital to Craigavon.      The value of these exceptional costs have been
    reported by Armagh & Dungannon Trust as £778,844 for Physiotherapy and
    £668,223 for Occupational Therapy and will be reviewed for 2002/03.


5.5 The costs of services for the acute sector were based on Healthcare Resource
    Groups (HRGs). These groupings have not been developed yet for community
    services, and therefore more traditional measurements have been used – being
    the total number of face to face contacts, total number of hours worked, total
    number of resident weeks and total number of attendances.


5.6 These community services cover the provision of services in a community
    setting, rather than as part of outpatient or inpatient activity. It is intended in
    future years to further expand the range of community and personal social




                                        14
                       services covered by the schedule so that even more comprehensive
                       information is provided on these services.




         Interpreting the Schedule


             5.7 The Schedule shows variations in costs between the highest and lowest cost
                       for each service. For example, during 2001/2002 a total of approximately
                       1,677,581 District Nursing contacts were made, at an aggregate cost of
                       £35.9m. Figure 3 below shows the highest cost is £26.38, the lowest cost is
                       £16.54 and the HPSS average is £21.39 per contact. This shows an increase
                       on 2000/01, when 1,603,780 contacts were made at an aggregate cost of
                       £32.6m, the highest cost was £24.81, the lowest cost was £15.98 and the HPSS
                       average was £20.32.




                                      Figure 3 - District Nursing - Cost per Contact

         30.00

         25.00

         20.00

         15.00

         10.00

          5.00

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             5.8 Residential Care POC 4 Other includes the costs of residential care for elderly
                       people, excluding the Elderly and Mentally Infirm who have been costed as a
                       separate grouping. In 2001/02 a total of 125,053 places were occupied at an


                                                           15
                    aggregate cost of £42.5m. Figure 4 below shows the highest cost is £388, the
                    lowest cost is £306 and the HPSS average is £340.



         Figure 4 - Residential Care POC 4 Other - Cost per Occupied
                                 Resident Week

             450
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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.   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




                                         18
                                          Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                 Range for all HPSS Trusts     Total No. Average
 HRG                                                                     No. of     Mean
                                     HRG Label                                                                                  of Bed   Length of
 Code                                                                    FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
A01     Intracranial Pxs Except Trauma - Cat 1                                 7         1984          793              2484         19          3
A02     Intracranial Pxs Except Trauma - Cat 2                                34         4779          246              5272        203          6
A03     Intracranial Pxs Except Trauma - Cat 3                                62         6202         4090             10254        564          9
A04     Intracranial Pxs Except Trauma - Cat 4                                46         7088          772              7476        383          8
A05     Intracranial Pxs for Trauma wcc                                        1          769          769               769          1          1
A06     Intracranial Pxs for Trauma w/o cc                                     4         3181          769              6326         21          5
A07     Intermediate Pain Pxs                                                 31          481          160               652         29          1
A08     Percutan Image Controlled Pain Pxs                                     2         1033         1033              1033          1          1
A09     Peripheral Nerve Disord >69 or wcc                                     7         1047          310              3635         32          5
A10     Peripheral Nerve Disord <70 w/o cc                                    12         1713          191              6237         67          6
A11     Neuromuscular Disorders                                                2         1003          365              1640          9          5
A12     Disord of Balance >69 or wcc                                           7         1586          191              4290         53          8
A13     Disord of Balance <70 w/o cc                                           5          705          309               906         16          3
A14     Brain Tumor/Cerebral Cysts >69 or wcc                                 13         2475          191              6497        108          8
A15     Brain Tumor/Cerebral Cysts <70 w/o cc                                 18         2187          191              4100        111          6
A16     Cerebral Degenerations >69 or wcc                                      3         4044          344              9978         55         18
A17     Cerebral Degenerations <70 w/o cc                                     14          283          182              1548         18          1
A18     MS/other CNS Demyelinating Cond                                       13          565          182              1377         42          3
A19     Haemorrhagic Cerebrovascular Disord                                    8         1251          286              1572         25          3
A20     Transient Ischaemic Attack >69 or wcc                                  5         1781          226              5287         34          7
A21     Transient Ischaemic Attack <70 w/o cc                                  2          615          458               772          7          4
A22     Non-Transient Stroke/CVA >69 or wcc                                   16         2422          283              9980        180         11
A23     Non-Transient Stroke/CVA <70 w/o cc                                    5         1563          233              3383         38          8
A24     Cranial Nerve Disorders                                                6         1345          195              3597         25          4
A25     Nervous Sys Infections                                                 5         2141          979              3168         51         10
A28     Headache/Migraine <70 w/o cc                                           8          743          182              1586         20          3
A29     Epilepsy >69 or w cc                                                   2         1756          811              2701         22         11
A30     Epilepsy <70 w/o cc                                                    9          461          191              1032         23          3
A34     Misc Disord of Nervous Sys                                            12         1218          191              3364         56          5
A98     Chemo w a Nervous Sys PDx                                              1          232          232               232          1          1
A99     Comp Eld w a Nervous Sys PDx                                           4        12751         1034             16656        451        113

                                                                       19
                                          Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                 Range for all HPSS Trusts     Total No. Average
 HRG                                                                     No. of     Mean
                                     HRG Label                                                                                  of Bed   Length of
 Code                                                                    FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
B01     Trabeculectomy                                                        46         1145         1060              1548         46          1
B02     Phako Cataract Extract w Lens Implant                                944          968          905               979        944          1
B03     Other Cataract Extract w Lens Implant                                  8         1014          774              1048          8          1
B04     Other Ophthalmic Pxs - Cat 1                                          14          862          276               959         14          1
B05     Other Ophthalmic Pxs - Cat 2                                         105          953          715              2252        105          1
B06     Other Ophthalmic Pxs - Cat 3                                          36          905          583               945         36          1
B07     Other Ophthalmic Pxs - Cat 4                                         300         1042          760              1620        300          1
B08     Other Ophthalmic Pxs - Cat 5                                         139         1519         1336              2237        230          2
B09     Other Ophthalmic Pxs - Cat 6                                         233         1809         1769              2103        410          2
B10     Maj Ophthalmic N-Surg Adms                                             1          365          365               365          1          1
B11     Inter Ophthalmic N-Surg Adms                                          16          310          172               451         16          1
B12     Minor Ophthalmic N-Surg Adms                                          10          531          358               609         18          2
C01     Ear Pxs - Category 1                                                 138          687          602              1835        138          1
C02     Nose Pxs - Category 1                                                173          672          522              1900        174          1
C04     Mouth/Throat Pxs - Cat 1                                              19          623          226              1107         19          1
C06     Mth Hd Nk/Ear Dx - Cat 1 >69 or wcc                                   14         1258          237              2355         36          3
C07     Mth Hd Nk/Ear Dx - Cat 1 <70 w/o cc                                  162          767          196               953        198          1
C11     Ear Pxs - Category 2                                                  13          829          246              1067         13          1
C12     Nose Pxs - Category 2                                                 16          795          788               857         17          1
C14     Mouth/Throat Pxs - Cat 2                                             540         1147          193              5108        544          1
C15     ENT Bone Pxs - Category 2                                             34         1220          617              1680         54          2
C16     Mth Hd Nk/Ear Dx - Cat 2 >69 or wcc                                   19         1474          229              3480         76          4
C17     Mth Hd Nk/Ear Dx - Cat 2 <70 w/o cc                                   91          906          172              2587        194          2
C21     Ear Pxs - Category 3                                                  86         1441          899              2419         89          1
C22     Nose Pxs - Category 3                                                858         1036          924              2305       1215          1
C24     Mouth/Throat Pxs - Cat 3                                            3457          993          354              3538       4792          1
C25     ENT Bone Pxs - Category 3                                             69         1235          994              1498        120          2
C26     Mth Hd Nk/Ear Dx - Cat 3 >69 or wcc                                    8         1295          193              1851         24          3
C27     Mth Hd Nk/Ear Dx - Cat 3 <70 w/o cc                                    6          884          365              1479         19          3
C31     Ear Pxs - Category 4                                                 624         1764         1329              2906       1010          2
C32     Nose Pxs - Category 4                                                444         1555         1150              2644        736          2

                                                                       20
                                        Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                               Range for all HPSS Trusts     Total No. Average
 HRG                                                                   No. of     Mean
                                    HRG Label                                                                                 of Bed   Length of
 Code                                                                  FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
C34     Mouth/Throat Pxs - Cat 4                                           295         1533          694              3564        609          2
C35     ENT Bone Pxs - Category 4                                           62         2961         1407              4962        187          3
C36     Mth Hd Nk/Ear Dx - Cat 4 >69 or wcc                                 15         4709          230              5964        272         18
C37     Mth Hd Nk/Ear Dx - Cat 4 <70 w/o cc                                 18         3450          190              7026        163          9
C41     Ear Pxs - Category 5                                                33        17244         1319             28229        107          3
C42     Nose Pxs - Category 5                                              133         1763         1157              3859        230          2
C43     Mouth/Throat Pxs - Cat 5 >69 or wcc                                 41         3298          899              4705        241          6
C44     Mouth/Throat Pxs - Cat 5 <70 w/o cc                                152         2571         1377              4824        457          3
C45     ENT Bone Pxs - Category 5                                            4         1597          595              3965         11          3
C54     Mouth/Throat Pxs - Cat 6                                            45         7043         2802             19401        647         14
C98     Chemo w a Mth Hd Nk/Ear PDx                                          7          258          258               258          7          1
D02     Complex Thoracic Pxs                                               125         5347         2609              6945       1093          9
D03     Major Thoracic Pxs                                                  57         3548          276              4723        362          6
D04     Intermediate Thoracic Pxs w cc                                      22         2614          493              5890        164          7
D05     Intermediate Thoracic Pxs w/o cc                                   110         2318          582              2588        524          5
D06     Minor Thoracic Pxs                                                  58          235          167              1498         58          1
D07     Fibreoptic Bronchoscopy                                             23          461          166              2162         23          1
D08     Rigid Bronchoscopy                                                  45          731          226              1181         45          1
D09     Pulmonary Embolus - Died                                             1         1435         1435              1435          7          7
D10     Pulmonary Embolus >69 or wcc                                         5         2508          762              3394         58         12
D11     Pulmonary Embolus <70 w/o cc                                         3          788          453              1131         10          3
D12     Lung Abscess-Empyema                                                 3         1216          224              1721         21          7
D13     Lobar Atyp/Viral Pneumon >69 or wcc                                 12         1879          205              4915        104          9
D14     Lobar Atyp/Viral Pneumon <70 w/o cc                                 10         1327         1073              2545         67          7
D15     Bronchopneumonia                                                     7          807          191              2644         24          3
D16     Bronchiectasis                                                      26         1443          182              2942        188          7
D17     Cystic Fibrosis                                                      1          820          820               820          4          4
D18     Pulmonary/Pleural Tuberculosis                                       4         2233          410              6729         42         11
D20     Chron Obstruct Pulmonary Dis/Bronch                                 46         1450          177              2974        338          7
D21     Asthma >49 or w cc                                                  50         1043          276              4296        260          5
D22     Asthma <50 w/o cc                                                    9          936          308              2036         45          5

                                                                     21
                                        Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                               Range for all HPSS Trusts     Total No. Average
 HRG                                                                   No. of     Mean
                                    HRG Label                                                                                 of Bed   Length of
 Code                                                                  FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
D23     Pleural Effusion/Pleurisy >69 or wcc                                32         1144          334              6109        182          6
D24     Pleural Effusion/Pleurisy <70 w/o cc                                24         1218          272              2600        104          4
D25     Respiratory Neoplasms                                              172         1681          177              4632       1155          7
D26     Fibrosis/Pneumoconiosis                                             17         1480          162              5883        127          7
D27     Extrin Allerg Alveolitis/Pulm Eosinophil                             1         1428         1428              1428          3          3
D28     Granulomatous/Other Lung Dis                                        21         1635          752              5374        138          7
D30     Pneumothorax                                                         4          999          162              2256         20          5
D31     Sleep Disordered Breathing                                          76          654          392              1983        158          2
D32     Respiratory Failure                                                  5         1927          803              4059         42          8
D33     Other Respiratory Dx >69 or wcc                                     31         1388          381              2257        142          5
D34     Other Respiratory Dx <70 w/o cc                                     41         1184          276              1490        132          3
D98     Chemo w a Respiratory Sys PDx                                       10          614          162              1511         34          3
D99     Comp Eld w a Respiratory Sys PDx                                    10         1458          446              3219         77          8
E03     Cardiac Valve Pxs                                                  183         7147         4495              7384        957          5
E04     Coronary Bypass                                                    298         5772         4671              5775       1232          4
E05     Other Cardiothor Pxs w Cardiopul Supp                               69         3488          298              5207        174          3
E06     Other Cardiothor Pxs w/o Cardiopul Supp                              4         2305         1453              4413         25          6
E07     Pacemkr Implant for AMI Heart Fail/Shock                            11         5053         4690              6687         44          4
E08     Pacemkr Implnt excpt for AMI Hrt Fail/Shock                        317         3901          347              4634        467          1
E09     Cardiac Pacemkr Replacement/Revisn                                  96         2187         2153              5289         96          1
E10     Other Circulatory Pxs                                               45          637          233              2165         85          2
E11     Acute Myocardial Infarction wcc                                     11         1369          330              2184         57          5
E12     Acute Myocardial Infarction w/o cc                                  47         1042          205              3120        182          4
E13     Cardiac Catheterisation w Complicat                                 33         1853         1165              2768        130          4
E14     Cardiac Catheterisation w/o Complicat                             2653          869          226              1165       2653          1
E15     Percutan Translum Coronary Angioplasty (PTCA)                      863         2220         2106              2270       1186          1
E16     Other Percutan Cardiac Pxs                                         153         2967         1754              4045        153          1
E17     Endocarditis                                                        40          897          298              6961        160          4
E18     Heart Fail/Shock >69 or wcc                                         81         2188          541              7671        668          8
E19     Heart Fail/Shock <70 w/o cc                                         24         1723          293              3157        147          6
E20     Deep Vein Thrombosis >69 or wcc                                     10          815          228              2077         44          4

                                                                     22
                                         Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                Range for all HPSS Trusts     Total No. Average
 HRG                                                                    No. of     Mean
                                     HRG Label                                                                                 of Bed   Length of
 Code                                                                   FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
E21     Deep Vein Thrombosis <70 w/o cc                                       3         1945         1834              2167         23          8
E22     Coronary Atherosclerosis >69 or wcc                                  35         1418          182              3120        151          4
E23     Coronary Atherosclerosis <70 w/o cc                                  56          623          291              2287        137          2
E24     Hypertension >69 or wcc                                              18          877          177              1810         64          4
E25     Hypertension <70 w/o cc                                              30          834          334              2050        105          4
E26     Congenital/Valvular Disord >69 or wcc                                25         2229          390              2704        208          8
E27     Congenital/Valvular Disord <70 w/o cc                               104          988          390              2183        316          3
E28     Cardiac Arrest                                                        2          872          369              1375          7          4
E29     Arrhythmia/Conduction Disord >69 or wcc                             151          642          162              2401        411          3
E30     Arrhythmia/Conduction Disord <70 w/o cc                             133          404          182               772        215          2
E31     Syncope/Collapse >69 or wcc                                          11          850          217              3280         46          4
E32     Syncope/Collapse <70 w/o cc                                          15          579          144              1292         36          2
E33     Angina >69 or w cc                                                   56          833          373              1983        205          4
E34     Angina <70 w/o cc                                                    62          705          191              1570        171          3
E35     Chest Pain >69 or w cc                                               21          757          205              1242         55          3
E36     Chest Pain <70 w/o cc                                                55          467          180               979         96          2
E37     Other Cardiac Diagnoses                                              59         1599          191              5825        325          6
E99     Comp Eld w a Cardiac PDx                                             25         2308          162              3708        244         10
F01     Oesophagus - Complex Pxs                                             62         6109         1553              9478        796         13
F02     Oesophagus - Very Major Pxs                                          25         5004         1910              5604        257         10
F03     Oesoph - Maj Pxs/Prostheses                                          13         2246          499              3576         87          7
F04     Oesoph - Therapeut Endo/Inter Pxs wcc                                41         1652          193              3103        192          5
F05     Oesoph - Therapeut Endo/Inter Pxs w/o cc                            190         1007          177              1840        394          2
F06     Oesophagus - Diagnostic Pxs                                         273          541          150              1964        273          1
F07     Disord of the Oesoph >69 or wcc                                     107         1863          154              3152        710          7
F08     Disord of the Oesoph <70 w/o cc                                      81         1442          193              2068        409          5
F11     Stomach or Duodenum - Complex Pxs                                    26         5224          551             10295        333         13
F12     Stom/Duod - Very Maj Pxs                                             66         4976         3194              8165        957         15
F13     Stom/Duod - Maj Pxs >49 or wcc                                       65         3647          499             15179        558          9
F14     Stom/Duod - Maj Pxs <50 w/o cc                                       47         2921         1444              4261        245          5
F15     Stom/Duod - Therapeut Endo/Inter Pxs                                 34          559          167              1010         34          1

                                                                      23
                                          Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                 Range for all HPSS Trusts     Total No. Average
 HRG                                                                     No. of     Mean
                                     HRG Label                                                                                  of Bed   Length of
 Code                                                                    FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
F16     Stom/Duod - Diagnos Pxs                                              101          427          150              1208        101          1
F17     Stom/Duod Disord >69 or wcc                                           93         1506          241              3295        610          7
F18     Stom/Duod Disord <70 w/o cc                                           74         1243          226              3412        346          5
F21     Small Intestine - Very Maj Pxs                                        23         4497         2362             10896        300         13
F22     Small Intestine - Maj Pxs >49 or wcc                                  92         3789         1761              7499       1097         12
F23     Small Intestine - Maj Pxs <50 w/o cc                                  45         3451         1351              7325        364          8
F24     Small Intestinal Disord (excluding IBD)                               14         1518          182              3921         87          6
F31     Large Intestine - Comp Pxs                                           252         5109         3701             10935       3383         13
F32     Large Intestine - Very Maj Pxs                                       414         4472         2641              6694       4916         12
F33     Large Intestine - Maj Pxs wcc                                         48         3686          769              7726        514         11
F34     Large Intestine - Maj Pxs w/o cc                                     114         1403          387              2761        160          1
F35     Large Intestine - Endo/Inter Pxs                                     349          657          150              1161        349          1
F36     Large Intestinal Disord >69 or wcc                                   377         1292          205              3607       1775          5
F37     Large Intestinal Disord <70 w/o cc                                   156          960          257              1565        527          3
F41     Gen Abdom - Very Maj/Maj Pxs >69 or wcc                               34         2638          493              5061        282          8
F42     Gen Abdom - Very Maj/Maj Pxs <70 w/o cc                              217         2008          345              5527        789          4
F43     Gen Abdom - Endo/Inter Pxs >69 or wcc                                 80         1820          177              5050        465          6
F44     Gen Abdom - Endo/Inter Pxs <70 w/o cc                                279          865          250              2362        499          2
F45     Gen Abdom - Diagnos Pxs                                               28         1572          239              6583        160          6
F46     Gen Abdom Disord >69 or wcc                                          123         1181          144              6770        574          5
F47     Gen Abdom Disord <70 w/o cc                                          121          829          191              1762        365          3
F48     Intestinal Inf Disord >69 or wcc                                       7         1823          648              2462         45          6
F49     Intestinal Inf Disord <70 w/o cc                                       7         1376          648              2840         40          6
F51     Inflam Bowel Dis - Comp Pxs                                           46         5330         2066              6608        660         14
F52     Inflam Bowel Dis - Maj Pxs                                            51         3861         2321              6320        490         10
F53     Inflam Bowel Dis - Endo/Inter Pxs >69 or wcc                          43         1097          191              1562        137          3
F54     Inflam Bowel Dis - Endo/Inter Pxs <70 w/o cc                         123          591          168               965        143          1
F55     Inflam Bowel Dis >69 or wcc                                           58         1536          182              2681        396          7
F56     Inflam Bowel Dis <70 w/o cc                                           78         1399          324              2097        493          6
F61     Gastro Bleed - Very Maj Pxs                                           25         2628          193             10192        202          8
F62     Gastro Bleed - Maj/Therapeut Endo Pxs                                 14          855          191              1473         31          2

                                                                       24
                                         Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                Range for all HPSS Trusts     Total No. Average
 HRG                                                                    No. of     Mean
                                     HRG Label                                                                                 of Bed   Length of
 Code                                                                   FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
F63     Gastro Bleed - Diagnos Endo/Inter Pxs                                17          435          166               709         17          1
F64     Gastro Bleed >69 or wcc                                              17          863          345              1685         75          4
F65     Gastro Bleed <70 w/o cc                                               9          529          212              1025         21          2
F71     Abdom Hernia Pxs >69 or wcc                                          56         2335          977              4625        333          6
F72     Abdom Hernia Pxs <70 w/o cc                                         131         1778          345              3777        503          4
F73     Ing Umbil/Femral Hernia Repr >69 or wcc                             382         1491          934              2352       1112          3
F74     Ing Umbilical/Femoral Hernia Repr <70 w/o cc                        865         1253          347              1881       1476          2
F75     Herniotomy Pxs                                                       57         1002          345              1289         57          1
F76     Hernia Disord >69 or wcc                                             40          993          154              1769        150          4
F77     Hernia Disord <70 w/o cc                                             18          792          194              1520         51          3
F81     Appendicectomy Pxs >69 or wcc                                         4         1581         1206              2327         13          3
F82     Appendicectomy Pxs <70 w/o cc                                        35         1735          862              2798        106          3
F83     Appendix Disorders                                                    1         1034         1034              1034          3          3
F91     Anus - Major Pxs                                                     52         1013          202              2813        124          2
F92     Anus - Inter Pxs >49 or wcc                                         115         1076          610              1779        302          3
F93     Anus - Inter Pxs <50 w/o cc                                         329          897          475              1144        568          2
F94     Anus - Minor Pxs >69 or wcc                                          22          819          400              1091         47          2
F95     Anus - Minor Pxs <70 w/o cc                                          84          543          276               826         86          1
F96     Anal Disorders                                                       82         1022          365              2653        273          3
F99     Comp Eld w Digestive Sys PDx                                          8          928          182              1351         33          4
G02     Liver - Complex Pxs                                                  15         3558          862              9228        182         12
G03     Liver - Very Major Pxs                                               33         1742          551              3156        205          6
G04     Liver - Maj Pxs >69 or wcc                                           50         1534          381              5091        280          6
G05     Liver - Maj Pxs <70 w/o cc                                          122          496          212              1622        205          2
G06     Acute Liver Disorders                                                37         1148          162              2538        202          5
G07     Chron Liver Disord >69 or wcc                                        44         1732          245              8755        345          8
G08     Chron Liver Disord <70 w/o cc                                        39         1080          191              2638        197          5
G11     Biliary Tract - Comp Pxs                                             13         3789         2224              5057        176         14
G12     Biliary Tract - Very Maj Pxs                                         51         3402          453              6099        496         10
G13     Biliary Tract - Maj Pxs >69 or wcc                                  261         2204          385              3263       1252          5
G14     Biliary Tract - Maj Pxs <70 w/o cc                                 1200         1779          977              3334       3373          3

                                                                      25
                                          Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                 Range for all HPSS Trusts     Total No. Average
 HRG                                                                     No. of     Mean
                                      HRG Label                                                                                 of Bed   Length of
 Code                                                                    FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
G15     Therapeut Pancreatic/Biliary Pxs                                     397          741          203              4254       1109          3
G16     Diagnos Pancreatic/Biliary Pxs wcc                                    25         1253          170              3346        128          5
G17     Diagnos Pancreatic/Biliary Pxs w/o cc                                114          716          193              2659        288          3
G18     Biliary Tract Disord >69 or wcc                                       67          977          154              3094        285          4
G19     Biliary Tract Disord <70 w/o cc                                       91          635          177              2375        268          3
G20     Biliary Tract Neoplasms                                               14          997          162              2292         67          5
G21     Pancreas - Complex Pxs                                                20         3918         1377              7217        263         13
G22     Pancreas - Very Maj Pxs                                               17         2196          453              3953        139          8
G23     Pancreatic Disorders                                                   9          761          190              3620         31          3
G24     Chron Pancreatic Dis >69                                              22         1435          180              4466        154          7
G25     Chron Pancreatic Dis <70                                              31         1001          230              1932        138          4
H02     Primary Hip Replacement                                              985         4832         2394              5096       6755          7
H04     Primary Knee Replacement                                             551         5299         4843              5781       4113          7
H05     Complex Hip or Knee Revisions                                          4         5684         2136              8403         29          7
H06     Revisn Pxs to Hips/Knees                                             187         5355         1236              7590       1884         10
H07     Px/Revisn Shoulder Elbow /Ankle Replace                               36         5431         4242              5539        260          7
H08     Joint Replace/Revisns Site Unspecified                                 6         5061          986              6587         60         10
H09     Anterior Cruciate Ligament Reconstruct                                 7         2648         1804              2788         27          4
H10     Arthroscopies                                                        404         1442          481              1564        404          1
H11     Foot Pxs - Category 1                                                 85         1892          551              2281        169          2
H12     Foot Pxs - Category 2                                                164         2241          689              2829        475          3
H13     Hand Pxs - Category 1                                                189          736          181              1511        208          1
H14     Hand Pxs - Category 2                                                214         1944          523              2550        445          2
H15     Hand Pxs - Category 3                                                 16         1478          870              2085         33          2
H16     Soft Tiss/Other Bone Pxs - Cat 1 >69 or wcc                           54         2911          354              5068        403          7
H17     Soft Tissue/Other Bone Pxs - Cat 1 <70 w/o cc                        394         1992          181              4064       1036          3
H18     Soft Tiss/Other Bone Pxs - Cat 2 >69 or wcc                           30         4826         1655              6122        360         12
H19     Soft Tissue/Other Bone Pxs - Cat 2 <70 w/o cc                        325         2776         1097              3193       1208          4
H20     Muscle Tendon/Ligament Pxs - Cat 1                                   104         1851          212              2813        252          2
H21     Muscle Tendon/Ligament Pxs - Cat 2                                    25         3032         1010              5192        120          5
H22     Minor Pxs to the Musculoskel Sys                                     125          726          184               810        125          1

                                                                       26
                                         Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                Range for all HPSS Trusts     Total No. Average
 HRG                                                                    No. of     Mean
                                    HRG Label                                                                                  of Bed   Length of
 Code                                                                   FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
H23     Soft Tissue Disord >69 or wcc                                         9          669          177              2495         30          3
H24     Soft Tissue Disord <70 w/o cc                                        13          619          194               681         31          2
H25     Infm Spine Joint/Conn Tiss Disord >69 or wcc                         36         1656          205              2857        281          8
H26     Inf Spne Joint/Conn Tiss Disrd <70 or w/o cc                         26          280          196              1002         30          1
H27     Non-Inf Back Bone /Joint Disord >69 or wcc                           74         1491          552              4645        396          5
H28     Non-Infl Back Bone /Joint Disord <70 w/o cc                         129         1053          310              1167        354          3
H29     Congenital Hip Dislocation w Open Pxs                                46         4113         2695              4400        307          7
H30     Infections of Bones/Joints                                           31         1965          190              3620        213          7
H31     Musculoskel Signs & Symptoms >69 or wcc                              21          927          241              1520         63          3
H32     Musculoskel Signs & Symptoms <70 w/o cc                              56          868          229              1025        143          3
H33     Nk of Femur Fracture >69 or wcc                                      29         2975          424              7198        298         10
H34     Nk of Femur Fracture <70 w/o cc                                      10         2930          184              6032         61          6
H35     Open Lower Limb #/Dislocations                                        2         3750         1019              6482         15          8
H36     Closed Pelvis/Lower Limb # >69 or wcc                                29         4281          829              5023        366         13
H37     Closed Pelvis/Lower Limb # <70 w/o cc                                97         2031          535              2800        333          3
H39     Closed Upper Limb #/Dislocations >69 or wcc                          32         1802          535              2314        127          4
H40     Closed Upper Limb #/Dislocat <70 w/o cc                             131         1507          493              1779        278          2
H41     Sprains Strain /Minor Open Wounds >69 or wcc                          5          959          184              2167         17          3
H42     Sprains Strains /Minr Open Wounds <70 w/o cc                         24          357          194               979         24          1
H43     Maj Cranial Visc/Blood Vess Inj >69 or wcc                            1         2638         2638              2638         10         10
H44     Maj Cranial Visc/Blood Vessel Inj <70 w/o cc                          3          440          396               528          4          1
H45     Minor Fractures or Dislocations                                     113          993          370              1808        154          1
H48     Other Wounds or Injuries                                              3          946          310              2036         12          4
H49     Multiple Injury >69                                                   3         1904          310              5035         18          6
H50     Multiple Injury <70                                                  16         2057          290              4877        102          6
H51     Removal of Fixation Device >69 or wcc                                54         1723         1022              2125        177          3
H52     Removal of Fixation Device <70 w/o cc                               294         1218          686              1526        509          2
H53     Path #/Malig of Bone & Conn Tiss >69 or wcc                          16         2627          950              8625        187         12
H54     Path #/Malig of Bone & Conn Tiss <70 w/o cc                           9         1745          381              2665         39          4
H98     Chemo w a Musculoskel Sys PDx                                         2          545          162               928          5          3
H99     Comp Eld w a Musculoskel Sys PDx                                      5         2905          977              4645         48         10

                                                                      27
                                           Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                  Range for all HPSS Trusts     Total No. Average
 HRG                                                                      No. of     Mean
                                      HRG Label                                                                                  of Bed   Length of
 Code                                                                     FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
J01     Comp Breast Reconstruct using Flaps                                    73         4141         2579              5844        540          7
J02     Maj Breast Surg incl Plastic Pxs >49 or wcc                           764         2204         1709              3615       4009          5
J03     Maj Breast Surg incl Plastic Pxs <50 w/o cc                           257         2143         1545              2843       1086          4
J04     Inter Breast Surg >49 or wcc                                          100         1200          367              2401        207          2
J05     Inter Breast Surg <50 w/o cc                                          116          964          276              2587        130          1
J06     Minor Breast Surg >69 or wcc                                           37         1261          459              4433        105          3
J07     Minor Breast Surg <70 w/o cc                                          145          906          362              1376        249          2
J08     Non-Malig Breast Disord                                                 8          442          276              1375         13          2
J09     Malig Breast Disord >69 or wcc                                         20         1734          276              6193        132          7
J10     Malig Breast Disord <70 w/o cc                                         21          247          172               387         21          1
J11     Lymph Dissection Pxs                                                   59         3038          689              5112        303          5
J12     Soft Tissue Pxs                                                        34         1579          381              5448        237          7
J15     Maj Burn >19% TBSA w/o Sig Grft Px <17                                  2          608          608               608          3          2
J18     Maj Burn >19% TBSA w Sig Grft Px <17                                    1         4698         4698              4698         10         10
J20     Other Burn w 1 Sig Grft Px >69                                          7         4492         1673              9118         82         12
J21     Other Burn w 1 Sig Grft Px >16 <70                                     13         3950         3950              3950        106          8
J22     Other Burn w 1 Sig Grft Px <17                                         10         3240         3240              3240         64          6
J26     Other Burn w/o Sig Grft Px >69                                          2         2430         2430              2430         12          6
J27     Other Burn w/o Sig Grft Px >16 <70                                      2          883          405              1361          5          3
J28     Other Burn w/o Sig Grft Px <17                                          4          572          195              1620          7          2
J29     Maj Reconstructive Surg                                                25         5233         1945              7938        396         16
J30     Maj Skin Pxs >49 or wcc                                               217         3070          545              8986       2164         10
J31     Maj Skin Pxs <50 w/o cc                                                65         2153          345              3821        312          5
J32     Intermediate Skin Pxs                                                  14         2826         1809              3448         66          5
J33     Minor Skin Pxs - Cat 3                                                 39          747          345              1134         44          1
J34     Minor Skin Pxs - Cat 2 wcc                                             12         1613          664              3963         44          4
J35     Minor Skin Pxs - Cat 2 w/o cc                                          91          686          238              1276         93          1
J36     Minor Skin Pxs - Cat 1 wcc                                             62         1605          184              4182        258          4
J37     Minor Skin Pxs - Cat 1 w/o cc                                         405          711          184              1405        451          1
J38     Skin Ulcers                                                            33         2065          228             10596        296          9
J39     Maj Dermatological Cond >69 or wcc                                      1          226          226               226          1          1

                                                                        28
                                       Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                              Range for all HPSS Trusts     Total No. Average
 HRG                                                                  No. of     Mean
                                   HRG Label                                                                                 of Bed   Length of
 Code                                                                 FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
J40     Maj Dermatological Cond <70 w/o cc                                  3          626          587               688          9          3
J41     Maj Skin Infections >69 or wcc                                     14         1691          172              3916        105          8
J42     Maj Skin Infections <70 w/o cc                                     22          797          271              3180         73          3
J43     Major Skin Tumours                                                 14         2005          241              3121        106          8
J44     Minor Dermatological Cond/Benign Tumor                             39         1440          195              2711        211          5
J45     Minor Skin Infections                                              29          736          162              3171         80          3
J98     Chemo w a Skin Breast/Burn PDx                                      2          219          196               242          3          2
K01     Thyroid Pxs                                                       181         2271          886              3593        655          4
K02     Parathyroid Pxs                                                    48         2074         1405              2324        174          4
K03     Adrenal Pxs                                                        13         3787          453              4201         55          4
K04     Anterior Pituitary Disord                                           2          783          783               783          8          4
K05     Other Endocrin Disord >69 or wcc                                   29         1233          190              2638        162          6
K06     Other Endocrin Disord <70 w/o cc                                   28          891          290              4496         94          3
K07     Fluid/Electrolyte Disord >69 or wcc                                26          281          172               820         39          2
K08     Fluid/Electrolyte Disord <70 w/o cc                                26          388          292              2036         54          2
K09     Disorders of Nutrition                                             78         1096          177              4669        409          5
K10     Inborn Errors of Metabolism                                        79          194          172               979         81          1
K11     Diab w Hypoglycaemic Emerg >69 or wcc                               2          878          783               973         10          5
K12     Diab w Hypoglycaemic Emerg <70 w/o cc                               3          503          344               820          8          3
K15     Diab & Other Hyperglycaem Disord >69 or wcc                        17         1046          531              1762         93          5
K16     Diab & Other Hyperglycaem Disord <70 w/o cc                        39          814          354              1230        170          4
K17     Diab w Lower Limb Complicat                                        42         1059          622              3527        173          4
K99     Comp Eld w an Endocrin/Metabol Sys PDx                              1          885          885               885          5          5
L01     Kidney Transplant                                                   1         2678         2678              2678          7          7
L02     Kidney Maj Open Px >49 or wcc                                     126         3935         2072              6963       1149          9
L03     Kidney Maj Open Px <50 w/o cc                                      73         3480         1197              5124        448          6
L04     Kidney Major Endoscopic Px                                         65         2368          191              3921        396          6
L05     Kidney Inter Endo Px >69 or wcc                                    21          981          193              2600         79          4
L06     Kidney Inter Endo Px <70 w/o cc                                    31          594          166              1179         49          2
L07     Non OR Kidny/Urnry Trct Neop >69 or wcc                            71         1621          194              4435        374          5
L08     Non OR Adm 4 Kidny/Urin Tract Neop <70 w/o cc                      50         1438          401              1781        133          3

                                                                    29
                                        Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                               Range for all HPSS Trusts     Total No. Average
 HRG                                                                   No. of     Mean
                                    HRG Label                                                                                 of Bed   Length of
 Code                                                                  FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
L09     Kidney/Urin Tract Infections >69 or wcc                             20         1173          134              2204         88          4
L10     Kidney/Urin Tract Infections <70 w/o cc                             35         1161          685              1473        127          4
L11     Ureter Open Px                                                      23         3775         2796              4648        159          7
L12     Ureter Major Endoscopic Px                                         142         1359          345              1528        416          3
L13     Ureter Intermediate Endoscopic Px                                  118          987          345              1099        249          2
L14     Bladder Maj Open Pxs/Reconstruct                                    38         4582         1404              8707        396         10
L15     Cystectomy/Urin Diversn exclud Reconstruct                          83         6017          524              7333       1309         16
L16     Bladder Intermediate Open Px                                        43         1060          385              1745         57          1
L17     Bladder Major Endoscopic Px                                        444         1762         1025              2411       1801          4
L18     Bladder Inter Endo Px wcc                                           63         1297          431              2118        224          4
L19     Bladder Inter Endo Px w/o cc                                       313         1029          466              1817        699          2
L20     Bladder Minor Endo Px wcc                                          132         1178          220              2689        418          3
L21     Bladder Minor Endo Px w/o cc                                       474          634          191              1200        492          1
L22     Bladder/Urin Mech Problems >69 or wcc                               46          767          213              2123        130          3
L23     Bladder/Urin Mech Problems <70 w/o cc                               47          756          134              1190        131          3
L24     Ureteric/Bladder Disord                                             60          612          190              1128        128          2
L25     Prost/Blad Nk Open Px (Male & Fem) >69 or wcc                       20         4134         3039              4621        165          8
L26     Prost/Blad Nk Open Px (Male & Fem) <70 w/o cc                       59         3825         1104              7882        410          7
L27     Prostate Transureth Resect Px >69 or wcc                           443         2110         1215              2881       2301          5
L28     Prostate Transureth Resec Px <70 w/o cc                            202         1909         1345              2424        885          4
L29     Prost/Blad Nk Inter Endo Px (Male & Fem)                            77         1285          681              2655        271          4
L30     Prost/Blad Nk Minor Endo Px (Male & Fem)                            47          399          181               800         47          1
L31     Malignant Prostate Disorders                                       101         1066          283              3406        394          4
L32     Non-Malig Prostate Disord                                           54          788          212              3404        144          3
L33     Urethra Major Open Px                                               52         2151          590              3057        132          3
L34     Urethra Inter/Minor Pxs >69 or wcc                                  82         1163          539              1691        224          3
L35     Urethra Inter/Minor Pxs <70 w/o cc                                 107          636          316              1196        122          1
L36     Urethra Disorders                                                   24          501          195               760         41          2
L37     Penis Maj/Inter Open Pxs                                            30         1472          696              2321         90          3
L38     Penis Minor Open Px > 69 or wcc                                     30          772          353              1471         59          2
L39     Penis Minor Open Px <70 w/o cc                                      90          623          276              1294         93          1

                                                                     30
                                       Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                              Range for all HPSS Trusts     Total No. Average
HRG                                                                   No. of     Mean
                                   HRG Label                                                                                 of Bed   Length of
Code                                                                  FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
L40    Penis Disorders                                                      7          592          233              1204         13          2
L41    Vasectomy Pxs                                                       39          726          345               870         39          1
L42    Scrotum Testis/Vas Def Maj Open Px >69 or wcc                       54         1141          517              2327        138          3
L43    Scrotum Testis/Vas Def Maj Open Px <70 w/o cc                      304          907          276              1556        323          1
L44    Scrotum Testis/Vas Def Disord                                       15          666          190              2325         35          2
L45    Extracorporeal Lithotripsy                                          36          795          507              1424         36          1
L46    Renal Replacement Associated Pxs                                    13          651          387              1843         22          2
L47    Renal Replacement Therapy wcc                                       62          197          144               205        116          2
L48    Renal Replacement Therapy w/o cc                                    61          207          144               864         86          1
L49    Acute Renal Fail >69 or wcc                                          1         1473         1473              1473          6          6
L50    Acute Renal Fail <70 w/o cc                                         21          420          205               456         43          2
L51    Chronic Renal Failure                                              238          448          134              2287        508          2
L52    Renal Gen Disord >69 or wcc                                         72          767          134              2286        242          3
L53    Renal Gen Disord <70 w/o cc                                         49          571          283              1524        114          2
L54    Renal Findings >69 or wcc                                           19          807          221              1004         53          3
L55    Renal Findings <70 w/o cc                                           17          698          134              1166         40          2
L99    Comp Eld w a Urin Tract/Male Reprod Sys PDx                          4         1782          932              2715         32          8
M01    Lower Genital Tract Minor Pxs                                      101          626          134              1328        110          1
M02    Lower Genital Tract Inter Pxs                                      495          692          446              1485        541          1
M03    Lower Genital Tract Maj Pxs                                       1196         2091         1400              3508       5725          5
M04    Lower Genital Tract Comp Maj Pxs                                     6         6354         6354              6354        109         18
M05    Upper Genital Tract Minor Pxs                                      720          607          227              1205        772          1
M06    Upper Genital Tract Inter Pxs                                     1667          735          193              1497       1865          1
M07    Upper Genital Tract Maj Pxs                                       1872         2673          759              3526      11316          6
M08    Upper Genital Tract Comp Maj Pxs                                    23         4278         3816              4347        227         10
M09    Threatened/Spontaneous Abortion                                     22          474          261              1094         36          2
M11    Medical Termination of Pregnancy                                    11          525          198              1268         14          1
M12    N-Surg Treat of Lower Genital Tract Disord                           9          452          229              1190         18          2
M13    N-Surg Treat of Genital Prolapse/Incontinence                       17          356          198               709         21          1
M14    N-Surg Treat of Fibrds Menst Disord /Endomet                        37          593          198              1805         77          2
M15    N-Surg Treat of Ovary Tube /Pelvis Disord                           19          898          193              2118         69          4

                                                                    31
                                        Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                               Range for all HPSS Trusts     Total No. Average
HRG                                                                    No. of     Mean
                                   HRG Label                                                                                  of Bed   Length of
Code                                                                   FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
M16    Non-Surg Treat of Gynae Malig >69 or wcc                             24         1562          172              5772        179          7
M17    N-Surg Treat of Gynae Malig <70 w/o cc                               20          704          137              1653         55          3
M18    N-Surg Treat of Other Gynae Cond                                     23         1126          221              2610         81          4
M98    Chemo w a Fem Reprod Sys PDx                                          2          472          451               493          2          1
M99    Comp Eld w a Fem Reprod Sys PDx                                       2         2190          985              3394         17          9
N03    Neonates w one Minor Diag                                             1         1551         1551              1551          2          2
N07    Normal Delivery w/o cc                                               22          717          395              1056         29          1
N09    Assisted Delivery w/o cc                                              1         2463         2463              2463          5          5
N12    Other Maternity Events                                               49          814          144              1739        102          2
P02    Cystic Fibrosis                                                       2         3483         3483              3483         14          7
P03    Upper Respiratory Tract Disord                                        6          601          399              1033          9          2
P04    Lower Respiratory Tract Disord                                        1         2002         2002              2002          3          3
P05    Maj Infections (incl Immune Disord)                                   2          419          177               661          3          2
P06    Minor Infections (incl Immune Disord)                                15          731          195              1053         31          2
P07    Neoplasms                                                            17         1229          229              1655         49          3
P09    Maj Nervous Sys Disord                                                3         2207          310              6003         16          5
P10    Other Nervous Sys Disord                                              5          293          229               310          5          1
P12    Maj Gastro/Metabol Disord                                            27         1842          679              1947        102          4
P13    Other Gastro/Metabol Disord                                          48         1080          195              1164        117          2
P14    Ingestion Poison/Allergies                                            2          230          226               234          2          1
P15    Accidental Injury                                                    66          905          451              1052         66          1
P19    Major Congenital Conditions                                          20         1362          310              1999         63          3
P20    Other Congenital Conditions                                          64          900          190              1518        132          2
P21    Renal Disease                                                         5          538          400               573          5          1
P22    Renal Dis w Renal Fail                                                3         2708         2708              2708         18          6
P23    Blood Cell Disorders                                                  1          451          451               451          1          1
P24    Skin Musculoskel /Connect Tissue Disord                               1          344          344               344          2          2
P25    Cardiac Conditions                                                   14         1352          429              1423         57          4
P98    Chemo w a Dis of Childhood PDx                                        2          587          451               722          4          2
Q01    Emergency Aortic Surgery                                              3         1604          915              2983         11          4
Q02    Elective Abdom Vascular Surg                                         95         6857          453              9860       1140         12

                                                                     32
                                        Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                               Range for all HPSS Trusts     Total No. Average
 HRG                                                                   No. of     Mean
                                    HRG Label                                                                                 of Bed   Length of
 Code                                                                  FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
Q03     Lower Limb Arterial Surg                                           123         4946         1698              6946       1523         12
Q04     Bypasses to Tibial Arteries                                         21         9104         1351             12314        526         25
Q05     Extracranial/Upper Limb Arterial Surg                              147         3396          796              4211        875          6
Q06     Miscellaneous Major Vascular Pxs                                     7         3221          246              6000         50          7
Q07     Misc Inter/Minor Vascular Pxs                                      148         2369          407              6144        766          5
Q08     Pxs on the Spleen                                                   13         3217          868              4308        112          9
Q09     Pxs on the Lymphatic Sys wcc                                        46         2782          416              8482        391          9
Q10     Pxs on the Lymphatic Sys w/o cc                                    160         1332          181              3887        333          2
Q11     Varicose Vein Pxs                                                  486         1010          276              1413        523          1
Q12     Therapeut Endovascular Pxs                                         178         2340          369              5574        604          3
Q13     Diagnos Radiol - Arter/Lymphatics wcc                               71         1780          331              2872        400          6
Q14     Diagnos Radiol - Artery/Lymphatic w/o cc                           399         1097          330              1816        998          3
Q15     Amputations                                                         78         5556         1376              9781       1461         19
Q16     Foot Pxs for Diab/Art Dis & Pxs to Amp Stump                        46         2323          816              4227        300          7
Q17     Peripheral Vascular Dis >69 or wcc                                 167         1024          182              4461        670          4
Q18     Peripheral Vascular Dis <70 w/o cc                                 115          753          144              3635        334          3
Q99     Comp Eld w a Vascular Sys PDx                                        9          732          377              1440         25          3
R01     Minor Spinal Pxs                                                    18          892          177              1325         18          1
R02     Surg for Degenerative Spinal Disord                                171         4644         3113              5817        803          5
R03     Spinal Fusion/Decompression Excluding Trauma                        63         6377         1002              7025        463          7
R06     Vertebral Column Inj w/o Px <70 w/o cc                               2          507          507               507          4          2
R09     Revisional Spinal Pxs                                               10         4112         3730              5637         59          6
R10     Surg for Scoliosis/Other Spinal Deformity                            4         5918         3586              8250         37          9
R11     Spinal Cord Surgery                                                 13         7687         4202              7978        132         10
R12     Cervical Spinal Disord >69 or wcc                                    2          858          858               858          4          2
R13     Cervical Spinal Disord <70 w/o cc                                    7         1085          380              1715         23          3
R14     Spinal Tumours                                                       2         3393         1143              5644         13          7
R15     Thor/Lumbar Spinal Disord >69 or wcc                                39         2319          258              3485        292          7
R16     Thor/Lumbar Spinal Disord <70 w/o cc                                90         1273          410              2375        347          4
R17     Non-Traum Spinal Cord Disord                                         6         3288          429             11768         77         13
R18     Scoliosis/Other Spinal Deformity                                    12         1377          410              1534         54          5

                                                                     33
                                         Appendix 2A –Elective Inpatients - Northern Ireland 2001/2002

                                                                                                Range for all HPSS Trusts     Total No. Average
 HRG                                                                    No. of     Mean
                                    HRG Label                                                                                  of Bed   Length of
 Code                                                                   FCE's     Average £    Minimum £     Maximum £          Days Stay (Days)
R99     Comp Eld w a Spinal PDx                                               1         2409         2409              2409         14         14
S01     Haematol Disord w Minor Px                                           70          193          162               385         70          1
S02     Malig Disord of Lymphatic/Haematol Syss wcc                          34         1361          410              4193        235          7
S03     Malig Disord of Lymphatic/Haematol Sys w/o cc                        53          788          193              2914        173          3
S04     Coagulation Disorders                                                 3         1517         1138              1847         20          7
S05     Red Blood Cell Disord >69 or wcc                                    140          938          195              3524        600          4
S06     Red Blood Cell Disord <70 w/o cc                                     45          994          182              4062        186          4
S07     Other Haematol/Splenic Disord wcc                                     2          377          345               410          3          2
S08     Other Haematol/Splenic Disord w/o cc                                 10         1475          386              2424         48          5
S11     Disord of Immunity w/o HIV/AIDS                                      16          210          182               453         16          1
S12     Septicaemia                                                          17          520          191              2545         47          3
S13     Pyrexia of Unknown Origin                                             9         1620          460              3611         71          8
S14     Other Viral Illness                                                   7          588          205              1175         20          3
S15     Other Non-Viral Infections                                            5         1712          820              2522         42          8
S16     Poison Toxic Effects /Overdoses                                       5          298          162               410          6          1
S17     Side Effects of Drugs                                                 2          899          899               899          2          1
S19     Complications of Treatment                                          107         1278          228              4062        471          4
S20     Postoperative infection                                              32          948          228              1605        127          4
S21     Convalescent/Other Relief Care                                       44         1581          762              4699        235          5
S22     Planned Pxs Not Carried Out                                        1128          306          134               652       1154          1
S23     Rehabilitation                                                       10         1211          180              1600         41          4
S24     Holiday Relief Care                                                 103         1552         1262              2548        924          9
S25     Other Admissions                                                    234          776          113              2556        695          3
S98     Chemo w a Haem Inf Dis Poison /Non-spec PDx                          21          201          172               275         33          2
S99     Cmp Eld-Haem Inf Dis Poisn/Non-spec PDx                               3          453          380               489          7          2




                                                                      34
                                     Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

A01     Intracranial Pxs Except Trauma - Cat 1                              10         2805           1181          3020        49          5
A02     Intracranial Pxs Except Trauma - Cat 2                             102         5688            609          5802       803          8
A03     Intracranial Pxs Except Trauma - Cat 3                             139         6520           1435          8271      1386         10
A04     Intracranial Pxs Except Trauma - Cat 4                             126         7651           7651          7651      1206         10
A05     Intracranial Pxs for Trauma wcc                                     33         5381           5346          6491       293          9
A06     Intracranial Pxs for Trauma w/o cc                                 111         4133            894          4688       661          6
A07     Intermediate Pain Pxs                                               12         1147            165          4746        11          1
A09     Peripheral Nerve Disord >69 or wcc                                  60         1649            245          5145       489          8
A10     Peripheral Nerve Disord <70 w/o cc                                 118          709            177          3761       391          3
A11     Neuromuscular Disorders                                             11         1109            324          4752        63          6
A12     Disord of Balance >69 or wcc                                       166         1045            234          1915       881          5
A13     Disord of Balance <70 w/o cc                                       149          543            144          2573       380          3
A14     Brain Tumor/Cerebral Cysts >69 or wcc                              129         2855            190          6746      2081         16
A15     Brain Tumor/Cerebral Cysts <70 w/o cc                              105         1614            834          3636       737          7
A16     Cerebral Degenerations >69 or wcc                                  147         3934            234         14340      3147         21
A17     Cerebral Degenerations <70 w/o cc                                   83          999            181          3262       416          5
A18     MS/other CNS Demyelinating Cond                                     76         1610            385          3859       648          9
A19     Haemorrhagic Cerebrovascular Disord                                532         1942            182          8425      5567         10
A20     Transient Ischaemic Attack >69 or wcc                              464         1017            195          1653      2512          5
A21     Transient Ischaemic Attack <70 w/o cc                              256          688            273          1980       899          4
A22     Non-Transient Stroke/CVA >69 or wcc                               1134         2368            181         10461     15151         13
A23     Non-Transient Stroke/CVA <70 w/o cc                                498         1477            212          3966      4337          9
A24     Cranial Nerve Disorders                                             58          665            195          1715       188          3
A25     Nervous Sys Infections                                             160          972            528          4468       736          5
A26     Encephalopathy                                                      34         1087            162          2942       193          6
A27     Headache/Migraine >69 or wcc                                       196          731            224          1715       724          4
A28     Headache/Migraine <70 w/o cc                                      1158          471            181          1343      2594          2
A29     Epilepsy >69 or w cc                                               460          998            234          3634      2423          5
A30     Epilepsy <70 w/o cc                                               1300          429            213          1583      2845          2
A31     Head Injury with Brain Injury                                      286         2216            195          5340      2395          8

                                                                     35
                                     Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

A32     Head Inj w/o Sig Brain Inj wcc                                      11         2739            234          8755       118         11
A33     Head Inj w/o Sig Brain Inj w/o cc                                  267          538            234          1953       590          2
A34     Misc Disord of Nervous Sys                                         253         1117            184          2184      1421          6
A98     Chemo w a Nervous Sys PDx                                           20         1276           1261          1413       824         41
A99     Comp Eld w a Nervous Sys PDx                                       482         4258            234         16773     11400         24
B01     Trabeculectomy                                                       6         1060           1060          1060         6          1
B02     Phako Cataract Extract w Lens Implant                                4          979            979           979         4          1
B03     Other Cataract Extract w Lens Implant                                1         1048           1048          1048         1          1
B04     Other Ophthalmic Pxs - Cat 1                                        30          988            408          1029        30          1
B05     Other Ophthalmic Pxs - Cat 2                                       224          836            164          1560       225          1
B06     Other Ophthalmic Pxs - Cat 3                                        30          909            246          1424        30          1
B07     Other Ophthalmic Pxs - Cat 4                                        51          840            196           957        51          1
B08     Other Ophthalmic Pxs - Cat 5                                        63         1618            347          2201       144          2
B09     Other Ophthalmic Pxs - Cat 6                                       105         1967           1843          1975       295          3
B10     Maj Ophthalmic N-Surg Adms                                          41         1149            234          4982       151          4
B11     Inter Ophthalmic N-Surg Adms                                       206          282            154           935       223          1
B12     Minor Ophthalmic N-Surg Adms                                        62          612            205          1595       142          2
C01     Ear Pxs - Category 1                                                50          634            144          1043        53          1
C02     Nose Pxs - Category 1                                              249          672            191          1835       257          1
C04     Mouth/Throat Pxs - Cat 1                                            25          671            196          1424        25          1
C06     Mth Hd Nk/Ear Dx - Cat 1 >69 or wcc                                 27         1496            572          3641       171          6
C07     Mth Hd Nk/Ear Dx - Cat 1 <70 w/o cc                                139          736            194          1595       308          2
C11     Ear Pxs - Category 2                                                56          827            234          1262        56          1
C12     Nose Pxs - Category 2                                                9          937            832          1263         9          1
C14     Mouth/Throat Pxs - Cat 2                                           225          699            168          1158       235          1
C15     ENT Bone Pxs - Category 2                                            8         1246           1149          1910        18          2
C16     Mth Hd Nk/Ear Dx - Cat 2 >69 or wcc                                204         1197            182          2803       824          4
C17     Mth Hd Nk/Ear Dx - Cat 2 <70 w/o cc                                771          859            144          2026      1867          2
C21     Ear Pxs - Category 3                                                 6          828            298           934         6          1
C22     Nose Pxs - Category 3                                              170         1494            489          2007       489          3
C24     Mouth/Throat Pxs - Cat 3                                           296         1272            276          2778       691          2

                                                                     36
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

C25     ENT Bone Pxs - Category 3                                        331         1501            768          3047       673          2
C26     Mth Hd Nk/Ear Dx - Cat 3 >69 or wcc                               45         1166            182          2644       265          6
C27     Mth Hd Nk/Ear Dx - Cat 3 <70 w/o cc                               56          559            191          2069       137          2
C31     Ear Pxs - Category 4                                               5         2345           1755          2549        39          8
C32     Nose Pxs - Category 4                                             94         1369            905          3196       286          3
C34     Mouth/Throat Pxs - Cat 4                                          74         1330            551          2119       202          3
C35     ENT Bone Pxs - Category 4                                         23         2428           1459          2948        94          4
C36     Mth Hd Nk/Ear Dx - Cat 4 >69 or wcc                               18         1514            177          4180        90          5
C37     Mth Hd Nk/Ear Dx - Cat 4 <70 w/o cc                               33         2995            162          5852       266          8
C41     Ear Pxs - Category 5                                               5         1922            679          4230        10          2
C42     Nose Pxs - Category 5                                             17         2705            793          4007        73          4
C43     Mouth/Throat Pxs - Cat 5 >69 or wcc                                8         4648            410         12678       108         13
C44     Mouth/Throat Pxs - Cat 5 <70 w/o cc                                8         2824           1435          5105        49          6
C45     ENT Bone Pxs - Category 5                                          1         2379           2379          2379         6          6
C54     Mouth/Throat Pxs - Cat 6                                          76         6246            298          9989      1803         24
C98     Chemo w a Mth Hd Nk/Ear PDx                                        4         1576           1576          1576        81         20
C99     Comp Eld w a Mth Hd Nk/Ear PDx                                     5         2311            194          8768        46          9
D02     Complex Thoracic Pxs                                              24         5271           4532          5781       223          9
D03     Major Thoracic Pxs                                                25         4007            413         11158       183          7
D04     Intermediate Thoracic Pxs w cc                                    85         3538            552          6256      1102         13
D05     Intermediate Thoracic Pxs w/o cc                                 206         2277            471          7919      1587          8
D06     Minor Thoracic Pxs                                                53          266            166          1114        53          1
D07     Fibreoptic Bronchoscopy                                          113          388            144           778       113          1
D08     Rigid Bronchoscopy                                                 8          600            226          1181         8          1
D09     Pulmonary Embolus - Died                                          31         1001            150          2741       152          5
D10     Pulmonary Embolus >69 or wcc                                     126         1701            298          3621      1141          9
D11     Pulmonary Embolus <70 w/o cc                                     120         1418            193          3499       842          7
D12     Lung Abscess-Empyema                                              27         2032            453          3075       281         10
D13     Lobar Atyp/Viral Pneumon >69 or wcc                              845         1771            234          5481      7763          9
D14     Lobar Atyp/Viral Pneumon <70 w/o cc                              583         1043            212          4391      3195          5
D15     Bronchopneumonia                                                 525         1665            230          5050      4460          8

                                                                   37
                                    Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

D16     Bronchiectasis                                                    142         1287            182          1612       993          7
D17     Cystic Fibrosis                                                     2          467            172           762         5          3
D18     Pulmonary/Pleural Tuberculosis                                     27         2501            620         12219       386         14
D19     Other Tuberculosis                                                  3         2255           2255          2255        33         11
D20     Chron Obstruct Pulmonary Dis/Bronch                              3432         1237            273          5091     22531          7
D21     Asthma >49 or w cc                                               2920         1256            229          6940     19478          7
D22     Asthma <50 w/o cc                                                1064          571            234          1928      3140          3
D23     Pleural Effusion/Pleurisy >69 or wcc                              178         1777            426          7238      1682          9
D24     Pleural Effusion/Pleurisy <70 w/o cc                               92         1242            224          4952       530          6
D25     Respiratory Neoplasms                                             775         1724            245          5249      7007          9
D26     Fibrosis/Pneumoconiosis                                           153         1802            182          5097      1517         10
D27     Extrin Allerg Alveolitis/Pulm Eosinophil                            5         1493            203          2756        45          9
D28     Granulomatous/Other Lung Dis                                       42         1450            224          4003       303          7
D29     Inhaln Lung Inj/Foreign Body Aspiration                           207         1883            258          6368      2127         10
D30     Pneumothorax                                                      181          890            195          2112       946          5
D31     Sleep Disordered Breathing                                         24          860            513          1787       111          5
D32     Respiratory Failure                                               146         1957            410          9525      1527         10
D33     Other Respiratory Dx >69 or wcc                                   318         1067            234          3800      1683          5
D34     Other Respiratory Dx <70 w/o cc                                   325          665            181          3929      1008          3
D98     Chemo w a Respiratory Sys PDx                                     142          935            154           983      1649         12
D99     Comp Eld w a Respiratory Sys PDx                                 1301         2105            193          7432     14867         11
E03     Cardiac Valve Pxs                                                  62         7344           1949          8416       355          6
E04     Coronary Bypass                                                    83         5757           4671          5770       338          4
E05     Other Cardiothor Pxs w Cardiopul Supp                              57         3973            193          5104       246          4
E06     Other Cardiothor Pxs w/o Cardiopul Supp                            24         4362           2369          5559       205          9
E07     Pacemkr Implant for AMI Heart Fail/Shock                           31         5865            452         10376       413         13
E08     Pacemkr Implnt excpt for AMI Hrt Fail/Shock                       389         3599            182          6052      1090          3
E09     Cardiac Pacemkr Replacement/Revisn                                 19         1900           1694          3729        19          1
E10     Other Circulatory Pxs                                             126         1087            233          2340       462          4
E11     Acute Myocardial Infarction wcc                                   834         1707            212          3263      6720          8
E12     Acute Myocardial Infarction w/o cc                               3012         1295            195          3088     17729          6

                                                                    38
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

E13     Cardiac Catheterisation w Complicat                               26         2333           1316          3408       147          6
E14     Cardiac Catheterisation w/o Complicat                            918          857            196          1165       918          1
E15     Percutan Translum Coronary Angioplasty (PTCA)                    539         2939           1948          3118      1848          3
E16     Other Percutan Cardiac Pxs                                        31         3640            226          3936        31          1
E17     Endocarditis                                                      84         2367            233         18976       725          9
E18     Heart Fail/Shock >69 or wcc                                     1929         1734            190          4105     17167          9
E19     Heart Fail/Shock <70 w/o cc                                      579         1377            234          4834      3901          7
E20     Deep Vein Thrombosis >69 or wcc                                  296         1444            234          5476      2239          8
E21     Deep Vein Thrombosis <70 w/o cc                                  307         1021            181          2522      1641          5
E22     Coronary Atherosclerosis >69 or wcc                              359         1368            193          3693      2169          6
E23     Coronary Atherosclerosis <70 w/o cc                              445          995            144          2203      1901          4
E24     Hypertension >69 or wcc                                          144         1019            181          2347       823          6
E25     Hypertension <70 w/o cc                                          202          781            234          4982       756          4
E26     Congenital/Valvular Disord >69 or wcc                            174         2254            492          4025      1764         10
E27     Congenital/Valvular Disord <70 w/o cc                            214         1733            203          2432      1333          6
E28     Cardiac Arrest                                                    69         1133            182          2982       316          5
E29     Arrhythmia/Conduction Disord >69 or wcc                         1813         1010            234          3217      8780          5
E30     Arrhythmia/Conduction Disord <70 w/o cc                         1511          559            181           923      3964          3
E31     Syncope/Collapse >69 or wcc                                     1117          942            190          2379      5387          5
E32     Syncope/Collapse <70 w/o cc                                     1003          461            195          2402      2177          2
E33     Angina >69 or w cc                                              2396          788            172          1810      8913          4
E34     Angina <70 w/o cc                                               2794          621            234          1737      8298          3
E35     Chest Pain >69 or w cc                                          1396          629            181          1467      4099          3
E36     Chest Pain <70 w/o cc                                           4246          439            190          1371      8577          2
E37     Other Cardiac Diagnoses                                          564         1208            193          2935      3118          6
E99     Comp Eld w a Cardiac PDx                                        1034         2152            190          7877     11409         11
F01     Oesophagus - Complex Pxs                                          11         6716            538         14436       158         14
F02     Oesophagus - Very Major Pxs                                        2        13676          10548         16804        61         31
F03     Oesoph - Maj Pxs/Prostheses                                        9         2554           1175          3876        87         10
F04     Oesoph - Therapeut Endo/Inter Pxs wcc                             50         2210            166          4342       407          8
F05     Oesoph - Therapeut Endo/Inter Pxs w/o cc                         186          931            260          1587       406          2

                                                                   39
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

F06     Oesophagus - Diagnostic Pxs                                      773          411            144          1100       773          1
F07     Disord of the Oesoph >69 or wcc                                  574         1197            182          2719      3198          6
F08     Disord of the Oesoph <70 w/o cc                                  412          784            144          2985      1329          3
F11     Stomach or Duodenum - Complex Pxs                                 11         5857            276         10052       228         21
F12     Stom/Duod - Very Maj Pxs                                          52         5631           2236         11582       943         18
F13     Stom/Duod - Maj Pxs >49 or wcc                                   131         3724            339         11535      1408         11
F14     Stom/Duod - Maj Pxs <50 w/o cc                                   127         2982            818          6003       764          6
F15     Stom/Duod - Therapeut Endo/Inter Pxs                             218          458            167          1316       218          1
F16     Stom/Duod - Diagnos Pxs                                          435          433            150          1241       435          1
F17     Stom/Duod Disord >69 or wcc                                     1166         1307            409          5277      7277          6
F18     Stom/Duod Disord <70 w/o cc                                     1356          681            217          1351      3930          3
F21     Small Intestine - Very Maj Pxs                                   103         4447           1584          8322      1373         13
F22     Small Intestine - Maj Pxs >49 or wcc                              72         4305            499         10450       921         13
F23     Small Intestine - Maj Pxs <50 w/o cc                              45         4125           1414          9919       385          9
F24     Small Intestinal Disord (excluding IBD)                          108         2039            258          8203      1179         11
F31     Large Intestine - Comp Pxs                                        94         5764           2883         10420      1523         16
F32     Large Intestine - Very Maj Pxs                                   300         5160           2966          9974      4566         15
F33     Large Intestine - Maj Pxs wcc                                     45         4794            196         10755       781         17
F34     Large Intestine - Maj Pxs w/o cc                                  62         1202            193          6493       150          2
F35     Large Intestine - Endo/Inter Pxs                                 307          529            168           970       307          1
F36     Large Intestinal Disord >69 or wcc                              1402         1504            134          6056      9261          7
F37     Large Intestinal Disord <70 w/o cc                               944          918            182          2602      3619          4
F41     Gen Abdom - Very Maj/Maj Pxs >69 or wcc                           89         4275           1584          9047      1267         14
F42     Gen Abdom - Very Maj/Maj Pxs <70 w/o cc                          117         2818           1329          4987       885          8
F43     Gen Abdom - Endo/Inter Pxs >69 or wcc                            111         2763            410          6655      1159         10
F44     Gen Abdom - Endo/Inter Pxs <70 w/o cc                            164         1192            170          2515       501          3
F45     Gen Abdom - Diagnos Pxs                                           99         2397            262          5170      1034         10
F46     Gen Abdom Disord >69 or wcc                                     2055         1138            182          4591     10356          5
F47     Gen Abdom Disord <70 w/o cc                                     4346          684            182          2245     12543          3
F48     Intestinal Inf Disord >69 or wcc                                 127         1784            234          5097      1172          9
F49     Intestinal Inf Disord <70 w/o cc                                 163          685            234          1468       519          3

                                                                   40
                                    Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

F51     Inflam Bowel Dis - Comp Pxs                                        25         6381           3394          9943       490         20
F52     Inflam Bowel Dis - Maj Pxs                                         36         4606           1924          7926       542         15
F53     Inflam Bowel Dis - Endo/Inter Pxs >69 or wcc                       66         1172            294          1910       285          4
F54     Inflam Bowel Dis - Endo/Inter Pxs <70 w/o cc                      149          548            150          1707       187          1
F55     Inflam Bowel Dis >69 or wcc                                       555         1205            490          5908      3327          6
F56     Inflam Bowel Dis <70 w/o cc                                       773          816            234          1260      2927          4
F61     Gastro Bleed - Very Maj Pxs                                        43         3409            276          6477       424         10
F62     Gastro Bleed - Maj/Therapeut Endo Pxs                              98         1064            193          4181       412          4
F63     Gastro Bleed - Diagnos Endo/Inter Pxs                             211          388            150          1100       211          1
F64     Gastro Bleed >69 or wcc                                           745         1067            224          3428      3678          5
F65     Gastro Bleed <70 w/o cc                                           661          596            144          1398      1696          3
F71     Abdom Hernia Pxs >69 or wcc                                        21         3161            825          6677       231         11
F72     Abdom Hernia Pxs <70 w/o cc                                        29         2173            220          3824       158          5
F73     Ing Umbil/Femral Hernia Repr >69 or wcc                           105         2003           1466          3434       612          6
F74     Ing Umbilical/Femoral Hernia Repr <70 w/o cc                      109         1341            453          2032       303          3
F75     Herniotomy Pxs                                                     64         1188            345          1468        66          1
F76     Hernia Disord >69 or wcc                                          185         1111            181          3846       922          5
F77     Hernia Disord <70 w/o cc                                          167          689            144          2702       479          3
F81     Appendicectomy Pxs >69 or wcc                                      97         2452           1482          3791       672          7
F82     Appendicectomy Pxs <70 w/o cc                                    1741         1597            453          3666      5733          3
F83     Appendix Disorders                                                 80          942            150          3468       349          4
F91     Anus - Major Pxs                                                   62          997            387          2829       180          3
F92     Anus - Inter Pxs >49 or wcc                                       101          894            150          1369       276          3
F93     Anus - Inter Pxs <50 w/o cc                                       551          775            477          1157      1021          2
F94     Anus - Minor Pxs >69 or wcc                                         9          927            652          1191        27          3
F95     Anus - Minor Pxs <70 w/o cc                                        33          414            193           837        37          1
F96     Anal Disorders                                                    530          950            369          1358      2039          4
F98     Chemo w a Digestive Sys PDx                                        20          288            162           320       134          7
F99     Comp Eld w Digestive Sys PDx                                      158         2430            172         13987      1811         11
G02     Liver - Complex Pxs                                                21         5582            802          8143       465         22
G03     Liver - Very Major Pxs                                             15         3326           1441          5644       211         14

                                                                    41
                                    Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

G04     Liver - Maj Pxs >69 or wcc                                         45         3017            354          7893       570         13
G05     Liver - Maj Pxs <70 w/o cc                                         40          712            177          2118       118          3
G06     Acute Liver Disorders                                              93         1484            396          4513       641          7
G07     Chron Liver Disord >69 or wcc                                     329         2001            245          5204      3402         10
G08     Chron Liver Disord <70 w/o cc                                     385         1643            233          4736      3339          9
G11     Biliary Tract - Comp Pxs                                           11         3842           3039          4481       163         15
G12     Biliary Tract - Very Maj Pxs                                       59         4034            177          7388       771         13
G13     Biliary Tract - Maj Pxs >69 or wcc                                104         4233           2196          6595      1414         14
G14     Biliary Tract - Maj Pxs <70 w/o cc                                146         2434           1561          3273       896          6
G15     Therapeut Pancreatic/Biliary Pxs                                  384         1659            197          4382      2332          6
G16     Diagnos Pancreatic/Biliary Pxs wcc                                 45         2705            881          5788       490         11
G17     Diagnos Pancreatic/Biliary Pxs w/o cc                             106         1806            177          3435       697          7
G18     Biliary Tract Disord >69 or wcc                                   798         1196            546          1728      4409          6
G19     Biliary Tract Disord <70 w/o cc                                  1112          826            234          3448      3997          4
G20     Biliary Tract Neoplasms                                            60         1845            196          5657       509          8
G21     Pancreas - Complex Pxs                                             11         6968            193         12120       294         27
G22     Pancreas - Very Maj Pxs                                            12         3480           1560          4695       153         13
G23     Pancreatic Disorders                                              581         1320            177          2505      3482          6
G24     Chron Pancreatic Dis >69                                          149         1869            556          5162      1347          9
G25     Chron Pancreatic Dis <70                                          420          841            182          2051      1676          4
G98     Chemo w a Hepat-Biliary/Pancreat Sys PDx                           11         1074            802          1176       307         28
G99     Comp Eld w a Hepato-Biliary/Pancreat Sys PDx                       29         3136            144          7797       422         15
H02     Primary Hip Replacement                                            28         3796           1405          5858       222          8
H04     Primary Knee Replacement                                            2         6000           4843          7158        23         12
H05     Complex Hip or Knee Revisions                                       4         5930           3462         10343        79         20
H06     Revisn Pxs to Hips/Knees                                          165         3603            400          4935      1172          7
H07     Px/Revisn Shoulder Elbow /Ankle Replace                             4         4066           2394          4885        38         10
H08     Joint Replace/Revisns Site Unspecified                              1         1907           1907          1907         6          6
H09     Anterior Cruciate Ligament Reconstruct                              1         2486           2486          2486         5          5
H10     Arthroscopies                                                      42         1327            575          1502        42          1
H11     Foot Pxs - Category 1                                               7         1759           1057          2483        30          4

                                                                    42
                                    Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

H12     Foot Pxs - Category 2                                               5         1719           1214          2271        26          5
H13     Hand Pxs - Category 1                                               9          629            361           931        19          2
H14     Hand Pxs - Category 2                                              21         1113            707          2200        39          2
H16     Soft Tiss/Other Bone Pxs - Cat 1 >69 or wcc                        68         2846            166         12059       863         13
H17     Soft Tissue/Other Bone Pxs - Cat 1 <70 w/o cc                     106         1515            194          3356       429          4
H18     Soft Tiss/Other Bone Pxs - Cat 2 >69 or wcc                        38         2677            604          8395       349          9
H19     Soft Tissue/Other Bone Pxs - Cat 2 <70 w/o cc                     731         1192            245          2533      1507          2
H20     Muscle Tendon/Ligament Pxs - Cat 1                                 28         1364            816          2383        60          2
H21     Muscle Tendon/Ligament Pxs - Cat 2                                 15         2262           1181          5543       101          7
H22     Minor Pxs to the Musculoskel Sys                                   47          449            164          1254        47          1
H23     Soft Tissue Disord >69 or wcc                                     159          815            180          2184       633          4
H24     Soft Tissue Disord <70 w/o cc                                     229          484            188          1131       518          2
H25     Infm Spine Joint/Conn Tiss Disord >69 or wcc                      266         1545            363          5062      2077          8
H26     Inf Spne Joint/Conn Tiss Disrd <70 or w/o cc                      206          256            144          1109       264          1
H27     Non-Inf Back Bone /Joint Disord >69 or wcc                        245         1509            182          7736      1802          7
H28     Non-Infl Back Bone /Joint Disord <70 w/o cc                       167          538            180          2111       398          2
H30     Infections of Bones/Joints                                        124         2127            224          5167      1193         10
H31     Musculoskel Signs & Symptoms >69 or wcc                           217         1329            377          2970      1393          6
H32     Musculoskel Signs & Symptoms <70 w/o cc                           261          468            180          1715       552          2
H33     Nk of Femur Fracture >69 or wcc                                  2009         2856            349          6554     20135         10
H34     Nk of Femur Fracture <70 w/o cc                                   371         2637            162          4328      3043          8
H35     Open Lower Limb #/Dislocations                                     86         3135            190          5301       736          9
H36     Closed Pelvis/Lower Limb # >69 or wcc                             661         2912            281         21611      7317         11
H37     Closed Pelvis/Lower Limb # <70 w/o cc                            1493         2060            196          6432      8789          6
H38     Open Upper Limb #/Dislocations                                     35         1766            190          3043       136          4
H39     Closed Upper Limb #/Dislocations >69 or wcc                       575         1715            205          4859      3821          7
H40     Closed Upper Limb #/Dislocat <70 w/o cc                          1089          990            230          2120      2306          2
H41     Sprains Strain /Minor Open Wounds >69 or wcc                     1099          810            240          3965      4233          4
H42     Sprains Strains /Minr Open Wounds <70 w/o cc                     3601          254            162           765      3868          1
H43     Maj Cranial Visc/Blood Vess Inj >69 or wcc                        163         1279            232          5416       920          6
H44     Maj Cranial Visc/Blood Vessel Inj <70 w/o cc                      385          572            182          1910       910          2

                                                                    43
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

H45     Minor Fractures or Dislocations                                  401          980            150          1805       733          2
H47     Traumatic Amputations                                             23         1825            400          3266       128          6
H48     Other Wounds or Injuries                                          54          662            184          2057       137          3
H49     Multiple Injury >69                                              217         3041            229          5843      2579         12
H50     Multiple Injury <70                                              760         2066            232          7431      5396          7
H51     Removal of Fixation Device >69 or wcc                             22         2582           2450          2901       201          9
H52     Removal of Fixation Device <70 w/o cc                             63         1116            775          1698       137          2
H53     Path #/Malig of Bone & Conn Tiss >69 or wcc                      122         2319            429          5476      1391         11
H54     Path #/Malig of Bone & Conn Tiss <70 w/o cc                       28         1079            241          3796       122          4
H98     Chemo w a Musculoskel Sys PDx                                     16          808            162          1084       470         29
H99     Comp Eld w a Musculoskel Sys PDx                                 665         3207            172          7879      8108         12
J02     Maj Breast Surg incl Plastic Pxs >49 or wcc                        7         2386           1791          3202        46          7
J03     Maj Breast Surg incl Plastic Pxs <50 w/o cc                        1          977            977           977         1          1
J04     Inter Breast Surg >49 or wcc                                       4         1331           1047          1983        14          4
J05     Inter Breast Surg <50 w/o cc                                       6          333            193           680         7          1
J06     Minor Breast Surg >69 or wcc                                      19         1354            400          2036        98          5
J07     Minor Breast Surg <70 w/o cc                                      71          832            345          1423       152          2
J08     Non-Malig Breast Disord                                           63          601            205          1583       167          3
J09     Malig Breast Disord >69 or wcc                                   111         1994            293          6781      1134         10
J10     Malig Breast Disord <70 w/o cc                                    45          222            190           387        93          2
J11     Lymph Dissection Pxs                                               2         1803            471          3134        12          6
J12     Soft Tissue Pxs                                                  147         3065            180         10289      1985         14
J14     Maj Burn >19% TBSA w/o Sig Grft Px >16 <70                         2         1925            205          3645        10          5
J19     Other Burn w Inhalation Inj                                        2         1312           1073          1551         5          3
J20     Other Burn w 1 Sig Grft Px >69                                    26         8953           2263          9456       547         21
J21     Other Burn w 1 Sig Grft Px >16 <70                                16         5153           5153          5153       178         11
J22     Other Burn w 1 Sig Grft Px <17                                    11         8600           8600          8600       216         20
J23     Other Burn w Multi Sig Grft Pxs >69                                2        17860          17860         17860        85         43
J25     Other Burn w Multi Sig Grft Pxs <17                                1        17253          17253         17253        41         41
J26     Other Burn w/o Sig Grft Px >69                                    36         1513            212          3243       186          5
J27     Other Burn w/o Sig Grft Px >16 <70                                87         1193            162          2503       296          3

                                                                   44
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

J28     Other Burn w/o Sig Grft Px <17                                   114          632            191           914       211          2
J29     Maj Reconstructive Surg                                           80         4584           3136         18916      1246         16
J30     Maj Skin Pxs >49 or wcc                                          133         3452            245          9183      1657         12
J31     Maj Skin Pxs <50 w/o cc                                          255         1924            387          7110       845          3
J32     Intermediate Skin Pxs                                              2          592            347           837         2          1
J33     Minor Skin Pxs - Cat 3                                            88          695            273          2040       113          1
J34     Minor Skin Pxs - Cat 2 wcc                                       162         1455            234          4397       771          5
J35     Minor Skin Pxs - Cat 2 w/o cc                                    688          660            165          1680       814          1
J36     Minor Skin Pxs - Cat 1 wcc                                        75         1474            234          3129       401          5
J37     Minor Skin Pxs - Cat 1 w/o cc                                    480          675            150          1298       517          1
J38     Skin Ulcers                                                      133         2769            246          7612      1790         13
J39     Maj Dermatological Cond >69 or wcc                                47          973            150          4163       195          4
J40     Maj Dermatological Cond <70 w/o cc                                76          571            182          2884       193          3
J41     Maj Skin Infections >69 or wcc                                   598         1325            351          2548      3988          7
J42     Maj Skin Infections <70 w/o cc                                   583          869            293          5711      2404          4
J43     Major Skin Tumours                                                15         2570            195          7521       211         14
J44     Minor Dermatological Cond/Benign Tumor                           215          899            144          3125       907          4
J45     Minor Skin Infections                                            151          718            264          2787       445          3
J98     Chemo w a Skin Breast/Burn PDx                                    63          270            172           404       378          6
J99     Comp Eld w a Skin Breast/Burn PDx                                 40         2816            276          8354       589         15
K01     Thyroid Pxs                                                        8         1994           1175          3400        42          5
K02     Parathyroid Pxs                                                    2         2952           2952          2952        16          8
K03     Adrenal Pxs                                                        4         4791           4238          5510        69         17
K04     Anterior Pituitary Disord                                         17         2268            172          4429       179         11
K05     Other Endocrin Disord >69 or wcc                                  76         1419            182          4408       541          7
K06     Other Endocrin Disord <70 w/o cc                                  73          698            150          2718       224          3
K07     Fluid/Electrolyte Disord >69 or wcc                              460         1466            194          4037      3561          8
K08     Fluid/Electrolyte Disord <70 w/o cc                              145          787            144          2698       581          4
K09     Disorders of Nutrition                                           148         1381            234          6858      1021          7
K10     Inborn Errors of Metabolism                                       26          208            154           257        30          1
K11     Diab w Hypoglycaemic Emerg >69 or wcc                            113          997            234          1740       608          5

                                                                   45
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

K12     Diab w Hypoglycaemic Emerg <70 w/o cc                            139          471            181          2068       346          2
K13     Diab w Hyperglycaemic Emerg >69 or wcc                            90         1339            357          2453       695          8
K14     Diab w Hyperglycaemic Emerg <70 w/o cc                           236          695            226          1291       890          4
K15     Diab & Other Hyperglycaem Disord >69 or wcc                      316         1171            181          2907      1999          6
K16     Diab & Other Hyperglycaem Disord <70 w/o cc                      313          706            144          2829      1200          4
K17     Diab w Lower Limb Complicat                                      140         1927            245          5515      1324          9
K98     Chemo w an Endocrin/Metabol Sys PDx                               11         2811           2036          2889       151         14
K99     Comp Eld w an Endocrin/Metabol Sys PDx                           107         2736           1010          7209      1540         14
L02     Kidney Maj Open Px >49 or wcc                                     35         4928           2186          6612       508         15
L03     Kidney Maj Open Px <50 w/o cc                                     12         2585            193          4222        65          5
L04     Kidney Major Endoscopic Px                                        64         3080           1727          4193       672         11
L05     Kidney Inter Endo Px >69 or wcc                                    8         1794           1230          4677        68          9
L06     Kidney Inter Endo Px <70 w/o cc                                   12         1378            193          3212        51          4
L07     Non OR Kidny/Urnry Trct Neop >69 or wcc                          142         1923            245          4982      1194          8
L08     Non OR Adm 4 Kidny/Urin Tract Neop <70 w/o cc                     29         1001            190          2258       111          4
L09     Kidney/Urin Tract Infections >69 or wcc                          912         1391            298          3286      6588          7
L10     Kidney/Urin Tract Infections <70 w/o cc                          585          715            234          1755      1856          3
L11     Ureter Open Px                                                     4         3195           2453          4171        27          7
L12     Ureter Major Endoscopic Px                                       210         1488            308          3257       750          4
L13     Ureter Intermediate Endoscopic Px                                 60         1172            681          1391       185          3
L14     Bladder Maj Open Pxs/Reconstruct                                   5         4315           2287          7027        65         13
L15     Cystectomy/Urin Diversn exclud Reconstruct                         9         7317           3369          8489       212         24
L16     Bladder Intermediate Open Px                                      32          688            165          1745        34          1
L17     Bladder Major Endoscopic Px                                       74         2648           1198          3529       601          8
L18     Bladder Inter Endo Px wcc                                         56         1820            834          5515       394          7
L19     Bladder Inter Endo Px w/o cc                                      60         1107            574          1605       200          3
L20     Bladder Minor Endo Px wcc                                        262         1556            511          3727      1439          5
L21     Bladder Minor Endo Px w/o cc                                     447          568            177          1154       527          1
L22     Bladder/Urin Mech Problems >69 or wcc                            366          948            245          3283      1458          4
L23     Bladder/Urin Mech Problems <70 w/o cc                            210          668            245          1440       554          3
L24     Ureteric/Bladder Disord                                           87          592            233          1131       213          2

                                                                   46
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

L25     Prost/Blad Nk Open Px (Male & Fem) >69 or wcc                      2         5111           5111          5111        23         12
L27     Prostate Transureth Resect Px >69 or wcc                          54         2760           1065          4431       468          9
L28     Prostate Transureth Resec Px <70 w/o cc                           18         2137           1533          2678       111          6
L29     Prost/Blad Nk Inter Endo Px (Male & Fem)                           4         1414           1049          2511        29          7
L30     Prost/Blad Nk Minor Endo Px (Male & Fem)                           2          494            308           679         2          1
L31     Malignant Prostate Disorders                                     169         1905            361          5368      1509          9
L32     Non-Malig Prostate Disord                                        110          840            150          2063       398          4
L34     Urethra Inter/Minor Pxs >69 or wcc                                20         1038            727          1481        64          3
L35     Urethra Inter/Minor Pxs <70 w/o cc                                29          551            193           951        31          1
L36     Urethra Disorders                                                 19          444            134           917        38          2
L38     Penis Minor Open Px > 69 or wcc                                   17          817            276          1471        42          2
L39     Penis Minor Open Px <70 w/o cc                                    41          621            193          1095        43          1
L40     Penis Disorders                                                   27          513            134          2708        50          2
L42     Scrotum Testis/Vas Def Maj Open Px >69 or wcc                     14         1366            868          2321        61          4
L43     Scrotum Testis/Vas Def Maj Open Px <70 w/o cc                    249          805            276          2346       279          1
L44     Scrotum Testis/Vas Def Disord                                    299          536            150          1048       647          2
L45     Extracorporeal Lithotripsy                                         9          803            507           887         9          1
L46     Renal Replacement Associated Pxs                                   4          614            205          1843         5          1
L47     Renal Replacement Therapy wcc                                    122          234            144          1560       195          2
L48     Renal Replacement Therapy w/o cc                                  51          227            144           864        91          2
L49     Acute Renal Fail >69 or wcc                                      195         1357            144          5731      1311          7
L50     Acute Renal Fail <70 w/o cc                                       24         1037            177          2119       131          5
L51     Chronic Renal Failure                                            389          646            330          2118      1307          3
L52     Renal Gen Disord >69 or wcc                                      251         1040            273          3536      1184          5
L53     Renal Gen Disord <70 w/o cc                                     1039          597            144          1350      2664          3
L54     Renal Findings >69 or wcc                                        203          817            276          1783       737          4
L55     Renal Findings <70 w/o cc                                        143          550            195          1131       357          2
L98     Chemo w a Urin Tract/Male Reprod Sys PDx                          29         1163            762          1268       313         11
L99     Comp Eld w a Urin Tract/Male Reprod Sys PDx                      183         2010            144          6811      1920         10
M01     Lower Genital Tract Minor Pxs                                     37          546            191          1558        41          1
M02     Lower Genital Tract Inter Pxs                                    196          633            181          1040       204          1

                                                                   47
                                     Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

M03     Lower Genital Tract Maj Pxs                                         11         2229            854          5100        67          6
M04     Lower Genital Tract Comp Maj Pxs                                     1          985            985           985         2          2
M05     Upper Genital Tract Minor Pxs                                     2239          594            197           966      2377          1
M06     Upper Genital Tract Inter Pxs                                      182          699            191          1469       301          2
M07     Upper Genital Tract Maj Pxs                                        375         2274            833          4202      2048          5
M09     Threatened/Spontaneous Abortion                                    650          467            245           741      1092          2
M10     Surg Termination of Pregnancy                                        4          686            658           696         4          1
M11     Medical Termination of Pregnancy                                    23          560            253          1478        36          2
M12     N-Surg Treat of Lower Genital Tract Disord                          53          652            254          1478       114          2
M13     N-Surg Treat of Genital Prolapse/Incontinence                       12          311            172           798        17          1
M14     N-Surg Treat of Fibrds Menst Disord /Endomet                       279          601            172          1540       611          2
M15     N-Surg Treat of Ovary Tube /Pelvis Disord                          474          782            205          1925      1420          3
M16     Non-Surg Treat of Gynae Malig >69 or wcc                            95         2326            285          7226       943         10
M17     N-Surg Treat of Gynae Malig <70 w/o cc                              41          954            182          1697       195          5
M18     N-Surg Treat of Other Gynae Cond                                    73         1264            251          3791       358          5
M19     Gynaecological Radiotherapy                                          1          404            404           404         1          1
M98     Chemo w a Fem Reprod Sys PDx                                         2          227            193           262         2          1
M99     Comp Eld w a Fem Reprod Sys PDx                                      1          262            262           262         1          1
N02     Neonates w Multi Minor Dx                                            1         1805           1805          1805         4          4
N03     Neonates w one Minor Diag                                            7         1659            190          1904        22          3
N04     Neonates w Multi Maj Dx                                              1         4513           4513          4513        10         10
N05     Neonates w one Maj Diag                                              3          932            903           991         7          2
N06     Normal Delivery w cc                                                 2         1553            985          2121         9          5
N07     Normal Delivery w/o cc                                              70          819            512          1091        93          1
N11     Caesarean Section w/o cc                                             3         3123           1244          5504       116         39
N12     Other Maternity Events                                            1272          854            181          2215      4079          3
P01     Asthma/Recurrent Wheeze                                             48          486            177          1805       113          2
P02     Cystic Fibrosis                                                      2         3836           3836          3836        17          9
P03     Upper Respiratory Tract Disord                                     119          673            150          1421       235          2
P04     Lower Respiratory Tract Disord                                      71          646            190          2313       204          3
P05     Maj Infections (incl Immune Disord)                                 11         1164            429          1810        62          6

                                                                     48
                                    Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

P06     Minor Infections (incl Immune Disord)                             354          621            134          2081       764          2
P07     Neoplasms                                                          17         1146            276          1620        52          3
P08     Febrile Convulsions                                                32          333            191           457        57          2
P09     Maj Nervous Sys Disord                                              9         1197            172          3216        36          4
P10     Other Nervous Sys Disord                                           91          365            191          1354       153          2
P11     Endocrin Disord (incl Diab)                                        41          575            224          1640       127          3
P12     Maj Gastro/Metabol Disord                                          42         1169            195          1776       155          4
P13     Other Gastro/Metabol Disord                                      1552          430            154          1978      2535          2
P14     Ingestion Poison/Allergies                                        381          204            154          1100       397          1
P15     Accidental Injury                                                1689          574            134           966      1735          1
P17     Behavioural Disorders                                              13         1706            321          4306       171         13
P18     Psychiatric Disorders                                               3          261            177           400         3          1
P19     Major Congenital Conditions                                        38         2559            392          3075       228          6
P20     Other Congenital Conditions                                        13          643            347          1053        27          2
P21     Renal Disease                                                     163          282            134           493       183          1
P22     Renal Dis w Renal Fail                                              2         1021            688          1354         7          4
P23     Blood Cell Disorders                                               16          215            172           451        16          1
P24     Skin Musculoskel /Connect Tissue Disord                            22          482            162          1106        44          2
P25     Cardiac Conditions                                                 18         1378            224          4062        77          4
P98     Chemo w a Dis of Childhood PDx                                      3          639            232           842         8          3
Q01     Emergency Aortic Surgery                                           42         4661           1463          8184       378          9
Q02     Elective Abdom Vascular Surg                                       47         7440            776         10521       648         14
Q03     Lower Limb Arterial Surg                                          105         5794            345         10166      1714         16
Q04     Bypasses to Tibial Arteries                                        33        10541           2702         11280      1007         31
Q05     Extracranial/Upper Limb Arterial Surg                              25         3249           1377          4334       192          8
Q06     Miscellaneous Major Vascular Pxs                                   37         1826            276          5664       130          4
Q07     Misc Inter/Minor Vascular Pxs                                     184         2664            345          7756      1469          8
Q08     Pxs on the Spleen                                                  24         2830            587          6204       193          8
Q09     Pxs on the Lymphatic Sys wcc                                       17         2616            561          5657       217         13
Q10     Pxs on the Lymphatic Sys w/o cc                                    37         1065            193          2104        99          3
Q11     Varicose Vein Pxs                                                   2          913            400          1427         4          2

                                                                    49
                                    Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

Q12     Therapeut Endovascular Pxs                                         75         3906            652         13293       824         11
Q13     Diagnos Radiol - Arter/Lymphatics wcc                              49         3347           2074          5158       478         10
Q14     Diagnos Radiol - Artery/Lymphatic w/o cc                          129         2258            234          3323       725          6
Q15     Amputations                                                       154         6590            203         17739      3763         24
Q16     Foot Pxs for Diab/Art Dis & Pxs to Amp Stump                       50         3957            246          8372       678         14
Q17     Peripheral Vascular Dis >69 or wcc                                529         1502            182          7933      3620          7
Q18     Peripheral Vascular Dis <70 w/o cc                                206          926            177          2338       810          4
Q99     Comp Eld w a Vascular Sys PDx                                      18         2173            196          6250       203         11
R01     Minor Spinal Pxs                                                   90          269            150          1179        90          1
R02     Surg for Degenerative Spinal Disord                                50         5399           4240          5947       403          8
R03     Spinal Fusion/Decompression Excluding Trauma                       48         4793           2702          6595       430          9
R04     Vertebral Column Inj w Fusion/Decompress                           58         5235           3007          6063       745         13
R05     Vertebral Column Inj w/o Px >69 or wcc                            155         2519            195          7817      1940         13
R06     Vertebral Column Inj w/o Px <70 w/o cc                            232         1460            234          3281      1464          6
R08     Spinal Cord Inj w/o Px                                             20         1777            387          4288       136          7
R09     Revisional Spinal Pxs                                               4         3902           2700          4987        25          6
R10     Surg for Scoliosis/Other Spinal Deformity                           2         3029           3029          3029         3          2
R11     Spinal Cord Surgery                                                22         7164           6910          7189       226         10
R12     Cervical Spinal Disord >69 or wcc                                  34          790            249          3240       131          4
R13     Cervical Spinal Disord <70 w/o cc                                  61          539            181          2531       123          2
R14     Spinal Tumours                                                      5         1819            249          2271        40          8
R15     Thor/Lumbar Spinal Disord >69 or wcc                              249         1595            234          4209      1820          7
R16     Thor/Lumbar Spinal Disord <70 w/o cc                              509          878            182          2296      1894          4
R17     Non-Traum Spinal Cord Disord                                       18         2125            508          7810       194         11
R18     Scoliosis/Other Spinal Deformity                                   32         1041            234          3716       150          5
R98     Chemotherapy with a Spinal PDx                                      1         4646           4646          4646        27         27
R99     Comp Eld w a Spinal PDx                                             3         1570            387          3242        29         10
S01     Haematol Disord w Minor Px                                        135          196            154           493       135          1
S02     Malig Disord of Lymphatic/Haematol Syss wcc                       129         1962            385          4797      1265         10
S03     Malig Disord of Lymphatic/Haematol Sys w/o cc                     191          747            245          4002       754          4
S04     Coagulation Disorders                                              87          868            190          1629       388          4

                                                                    50
                                   Appendix 2B - Non-Elective Inpatients - Northern Ireland 2001/2002

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

S05     Red Blood Cell Disord >69 or wcc                                 739         1275            234          3607      4794          6
S06     Red Blood Cell Disord <70 w/o cc                                 212          824            245          3459       867          4
S07     Other Haematol/Splenic Disord wcc                                 55         1087            177          3094       319          6
S08     Other Haematol/Splenic Disord w/o cc                              47         1417            194          3791       307          7
S10     Disord of Immunity w HIV/AIDS                                      2         1804            359          3249        17          8
S11     Disord of Immunity w/o HIV/AIDS                                    2          177            172           182         2          1
S12     Septicaemia                                                      298         1377            182          5776      2112          7
S13     Pyrexia of Unknown Origin                                        109         1047            212          3030       570          5
S14     Other Viral Illness                                              473          657            212          4451      1399          3
S15     Other Non-Viral Infections                                       137          747            182          2889       514          4
S16     Poison Toxic Effects /Overdoses                                 5166          303            181          2531      7801          2
S17     Side Effects of Drugs                                             49          204            150           273        49          1
S18     Environmental Injury                                             130          348            144           733       229          2
S19     Complications of Treatment                                       596          825            237          3260      1845          3
S20     Postoperative infection                                          229         1088            182          2698       965          4
S21     Convalescent/Other Relief Care                                   155         1957            234          7714      1299          8
S22     Planned Pxs Not Carried Out                                      226          318            134           709       231          1
S23     Rehabilitation                                                   103         2676            504         10023      1322         13
S24     Holiday Relief Care                                               17         2049            410          5643       199         12
S25     Other Admissions                                                1164         1104            245          4246      6916          6
S98     Chemo w a Haem Inf Dis Poison /Non-spec PDx                       43          415            162           517       788         18
S99     Cmp Eld-Haem Inf Dis Poisn/Non-spec PDx                          143         2699            547         22386      2008         14




                                                                   51
                               Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                         HRG Label                    No. of     Mean         Range for all HPSS Trusts
Code                                                     FCE's     Average £
                                                                               Minimum £         Maximum £

A01    Intracranial Pxs Except Trauma - Cat 1                  3         896               848                991
A03    Intracranial Pxs Except Trauma - Cat 3                  1         291               291                291
A06    Intracranial Pxs for Trauma w/o cc                      8         919               572               1034
A07    Intermediate Pain Pxs                                1085         435               232               1172
A08    Percutan Image Controlled Pain Pxs                     17         398               378                541
A09    Peripheral Nerve Disord >69 or wcc                      3         207                84                354
A10    Peripheral Nerve Disord <70 w/o cc                      9         351               124                541
A11    Neuromuscular Disorders                                 7         333               220                378
A12    Disord of Balance >69 or wcc                            2         157               147                166
A13    Disord of Balance <70 w/o cc                            2         145               124                166
A15    Brain Tumor/Cerebral Cysts <70 w/o cc                   1         378               378                378
A17    Cerebral Degenerations <70 w/o cc                      29         204                62                222
A18    MS/other CNS Demyelinating Cond                        39         135                40                260
A19    Haemorrhagic Cerebrovascular Disord                     1          40                40                 40
A28    Headache/Migraine <70 w/o cc                            7         493               208                541
A30    Epilepsy <70 w/o cc                                     1         147               147                147
A34    Misc Disord of Nervous Sys                             52         123                41                147
A98    Chemo w a Nervous Sys PDx                              30         304               304                304
A99    Comp Eld w a Nervous Sys PDx                            1         114               114                114
B01    Trabeculectomy                                        105         634               381               1352
B02    Phako Cataract Extract w Lens Implant                4608         516               289                845
B03    Other Cataract Extract w Lens Implant                  23         607               367                845
B04    Other Ophthalmic Pxs - Cat 1                         1017         387               193                435
B05    Other Ophthalmic Pxs - Cat 2                         3367         384               182                713
B06    Other Ophthalmic Pxs - Cat 3                          243         411               348                546
B07    Other Ophthalmic Pxs - Cat 4                          520         752               222               1247
B08    Other Ophthalmic Pxs - Cat 5                          157         649               381                973
B09    Other Ophthalmic Pxs - Cat 6                           69         695               437               1358
B10    Maj Ophthalmic N-Surg Adms                              1         220               220                220
B11    Inter Ophthalmic N-Surg Adms                          338         220               220                220
                                                       52
                              Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                        HRG Label                    No. of     Mean         Range for all HPSS Trusts
Code                                                    FCE's     Average £
                                                                              Minimum £         Maximum £

B12    Minor Ophthalmic N-Surg Adms                          95         222                62                378
C01    Ear Pxs - Category 1                                2315         550               182                962
C02    Nose Pxs - Category 1                               1037         504               284                814
C04    Mouth/Throat Pxs - Cat 1                             374         354               137               1466
C06    Mth Hd Nk/Ear Dx - Cat 1 >69 or wcc                    2         910               354               1466
C07    Mth Hd Nk/Ear Dx - Cat 1 <70 w/o cc                  166         232                40                575
C11    Ear Pxs - Category 2                                  82         733               294               1153
C12    Nose Pxs - Category 2                                 34         662               421                947
C14    Mouth/Throat Pxs - Cat 2                            2891         339               151               1666
C15    ENT Bone Pxs - Category 2                             14         391               124               1075
C16    Mth Hd Nk/Ear Dx - Cat 2 >69 or wcc                    3         112                40                252
C17    Mth Hd Nk/Ear Dx - Cat 2 <70 w/o cc                   30         218                40                575
C21    Ear Pxs - Category 3                                 151         848               348               2174
C22    Nose Pxs - Category 3                                294         652               269                942
C24    Mouth/Throat Pxs - Cat 3                             793         558               160               1507
C25    ENT Bone Pxs - Category 3                             12         335               190                659
C31    Ear Pxs - Category 4                                  79         820               124               1481
C32    Nose Pxs - Category 4                                 77         748               289               1515
C34    Mouth/Throat Pxs - Cat 4                             108         710               109               1438
C35    ENT Bone Pxs - Category 4                              4         425               164                847
C41    Ear Pxs - Category 5                                   5         749               581                799
C42    Nose Pxs - Category 5                                 12         858               432               1181
C44    Mouth/Throat Pxs - Cat 5 <70 w/o cc                    5         812               508               1726
C54    Mouth/Throat Pxs - Cat 6                               1         508               508                508
D01    Lung Transplant                                        1         581               581                581
D03    Major Thoracic Pxs                                     5         441               176                508
D05    Intermediate Thoracic Pxs w/o cc                       9         473               238                769
D06    Minor Thoracic Pxs                                    35         402               160                751
D07    Fibreoptic Bronchoscopy                              462         426               192                718
D08    Rigid Bronchoscopy                                   118         491               222               1034
D16    Bronchiectasis                                         3         179               179                179
                                                      53
                             Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                        HRG Label                    No. of     Mean         Range for all HPSS Trusts
Code                                                    FCE's     Average £
                                                                              Minimum £         Maximum £

D20    Chron Obstruct Pulmonary Dis/Bronch                    7          51              40                  114
D21    Asthma >49 or w cc                                     1         114             114                  114
D22    Asthma <50 w/o cc                                     19          51              40                  249
D23    Pleural Effusion/Pleurisy >69 or wcc                   1         222             222                  222
D25    Respiratory Neoplasms                                  9          62              40                  192
D26    Fibrosis/Pneumoconiosis                                1         114             114                  114
D33    Other Respiratory Dx >69 or wcc                        1         179             179                  179
D34    Other Respiratory Dx <70 w/o cc                        1          84              84                   84
D98    Chemo w a Respiratory Sys PDx                        119          62              40                   62
E02    Heart Transplant                                       1         223             223                  223
E05    Other Cardiothor Pxs w Cardiopul Supp                 69        2562             287                 2618
E08    Pacemkr Implnt excpt for AMI Hrt Fail/Shock            2        3864            3864                 3864
E09    Cardiac Pacemkr Replacement/Revisn                     2        1187            1187                 1187
E10    Other Circulatory Pxs                                142         513             106                 1028
E14    Cardiac Catheterisation w/o Complicat                157        1044             607                 2151
E15    Percutan Translum Coronary Angioplasty (PTCA)          1        1210            1210                 1210
E16    Other Percutan Cardiac Pxs                             6        1431             820                 4486
E17    Endocarditis                                           1         203             203                  203
E18    Heart Fail/Shock >69 or wcc                            2         134              46                  222
E19    Heart Fail/Shock <70 w/o cc                            2         455             160                  749
E20    Deep Vein Thrombosis >69 or wcc                        3         222             222                  222
E21    Deep Vein Thrombosis <70 w/o cc                        4         222             222                  222
E22    Coronary Atherosclerosis >69 or wcc                    3         544             203                  749
E23    Coronary Atherosclerosis <70 w/o cc                    8         455              36                  749
E24    Hypertension >69 or wcc                                2         153             104                  203
E25    Hypertension <70 w/o cc                                3         356             203                  604
E26    Congenital/Valvular Disord >69 or wcc                  4          75              40                  179
E27    Congenital/Valvular Disord <70 w/o cc                  6         280              46                  749
E29    Arrhythmia/Conduction Disord >69 or wcc              406         345              46                  749
E30    Arrhythmia/Conduction Disord <70 w/o cc              450         343              46                  749
E32    Syncope/Collapse <70 w/o cc                            2         192             192                  192
                                                       54
                             Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                        HRG Label                   No. of      Mean         Range for all HPSS Trusts
Code                                                   FCE's      Average £
                                                                              Minimum £         Maximum £

E33    Angina >69 or w cc                                     1         679             679                  679
E34    Angina <70 w/o cc                                      2         812             260                 1365
E36    Chest Pain <70 w/o cc                                  8         331             117                  749
E37    Other Cardiac Diagnoses                                4         402             203                  749
F01    Oesophagus - Complex Pxs                               1        1165            1165                 1165
F03    Oesoph - Maj Pxs/Prostheses                            3         387             249                  457
F04    Oesoph - Therapeut Endo/Inter Pxs wcc                  9         339             193                  575
F05    Oesoph - Therapeut Endo/Inter Pxs w/o cc             272         416             214                  752
F06    Oesophagus - Diagnostic Pxs                        11385         316             160                  931
F07    Disord of the Oesoph >69 or wcc                        6         193              40                  348
F08    Disord of the Oesoph <70 w/o cc                       13         153              41                  287
F11    Stomach or Duodenum - Complex Pxs                      1        2600            2600                 2600
F12    Stom/Duod - Very Maj Pxs                               1         268             268                  268
F13    Stom/Duod - Maj Pxs >49 or wcc                         1         348             348                  348
F14    Stom/Duod - Maj Pxs <50 w/o cc                         6         814             249                 1603
F15    Stom/Duod - Therapeut Endo/Inter Pxs                 151         449             170                  912
F16    Stom/Duod - Diagnos Pxs                             5154         326             160                  890
F17    Stom/Duod Disord >69 or wcc                            7         235             160                  348
F18    Stom/Duod Disord <70 w/o cc                           16         177              40                  348
F22    Small Intestine - Maj Pxs >49 or wcc                   2         330             330                  330
F23    Small Intestine - Maj Pxs <50 w/o cc                   4        1062             193                 1359
F24    Small Intestinal Disord (excluding IBD)                1         114             114                  114
F31    Large Intestine - Comp Pxs                             1         193             193                  193
F32    Large Intestine - Very Maj Pxs                         5         437             269                  618
F33    Large Intestine - Maj Pxs wcc                          9         569             328                 1611
F34    Large Intestine - Maj Pxs w/o cc                     515         391             226                 1274
F35    Large Intestine - Endo/Inter Pxs                    7943         423             160                  875
F36    Large Intestinal Disord >69 or wcc                    13         191              40                  348
F37    Large Intestinal Disord <70 w/o cc                     7         183              84                  265
F41    Gen Abdom - Very Maj/Maj Pxs >69 or wcc                6         599             348                  963
F42    Gen Abdom - Very Maj/Maj Pxs <70 w/o cc              116         645             193                 1328
                                                     55
                              Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                         HRG Label                   No. of     Mean         Range for all HPSS Trusts
Code                                                    FCE's     Average £
                                                                              Minimum £         Maximum £

F43    Gen Abdom - Endo/Inter Pxs >69 or wcc                  8         570               172                988
F44    Gen Abdom - Endo/Inter Pxs <70 w/o cc                488         610               249               1373
F45    Gen Abdom - Diagnos Pxs                               15         430               160                768
F46    Gen Abdom Disord >69 or wcc                           11         265                44                541
F47    Gen Abdom Disord <70 w/o cc                           50         247                40               1365
F49    Intestinal Inf Disord <70 w/o cc                       4         146                83                179
F52    Inflam Bowel Dis - Maj Pxs                             6         421               193                764
F53    Inflam Bowel Dis - Endo/Inter Pxs >69 or wcc         146         439               192               1178
F54    Inflam Bowel Dis - Endo/Inter Pxs <70 w/o cc        1132         434               160                933
F55    Inflam Bowel Dis >69 or wcc                            4         107                83                157
F56    Inflam Bowel Dis <70 w/o cc                            8         234               160                348
F61    Gastro Bleed - Very Maj Pxs                            2         381               285                478
F62    Gastro Bleed - Maj/Therapeut Endo Pxs                 16         272               172                522
F63    Gastro Bleed - Diagnos Endo/Inter Pxs                215         381               160                890
F64    Gastro Bleed >69 or wcc                                1         222               222                222
F65    Gastro Bleed <70 w/o cc                                1          40                40                 40
F72    Abdom Hernia Pxs <70 w/o cc                           48         662               348               1553
F73    Ing Umbil/Femral Hernia Repr >69 or wcc               58         541               348                852
F74    Ing Umbilical/Femoral Hernia Repr <70 w/o cc         718         625               223               1365
F75    Herniotomy Pxs                                       178         733               215               1106
F76    Hernia Disord >69 or wcc                               2         206               164                249
F77    Hernia Disord <70 w/o cc                               5         212               177                304
F91    Anus - Major Pxs                                       7         749               367               1083
F92    Anus - Inter Pxs >49 or wcc                           44         499               348               1065
F93    Anus - Inter Pxs <50 w/o cc                          247         511               296               1092
F94    Anus - Minor Pxs >69 or wcc                           33         386               295                761
F95    Anus - Minor Pxs <70 w/o cc                          352         445               254               1078
F96    Anal Disorders                                        14         163                41                348
F99    Comp Eld w Digestive Sys PDx                           1         114               114                114
G03    Liver - Very Major Pxs                                 2        1015               363               1667
G04    Liver - Maj Pxs >69 or wcc                             3         414               160                541
                                                      56
                               Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                          HRG Label                   No. of     Mean         Range for all HPSS Trusts
Code                                                     FCE's     Average £
                                                                               Minimum £         Maximum £

G05    Liver - Maj Pxs <70 w/o cc                             14         454             160                  528
G06    Acute Liver Disorders                                   2         181             114                  249
G07    Chron Liver Disord >69 or wcc                           2         222             222                  222
G08    Chron Liver Disord <70 w/o cc                           3         120              41                  160
G12    Biliary Tract - Very Maj Pxs                            2         924             249                 1600
G13    Biliary Tract - Maj Pxs >69 or wcc                      3         215             215                  215
G14    Biliary Tract - Maj Pxs <70 w/o cc                     18        1600            1600                 1600
G15    Therapeut Pancreatic/Biliary Pxs                       44         707             249                 1250
G17    Diagnos Pancreatic/Biliary Pxs w/o cc                  12         399             249                  511
G19    Biliary Tract Disord <70 w/o cc                         1         587             587                  587
G25    Chron Pancreatic Dis <70                                8         189              40                  541
H10    Arthroscopies                                         622         813             546                  908
H11    Foot Pxs - Category 1                                  68         808             348                 1757
H13    Hand Pxs - Category 1                                 809         562             162                 1153
H14    Hand Pxs - Category 2                                  72         913             232                 1718
H15    Hand Pxs - Category 3                                   4         771             771                  771
H16    Soft Tiss/Other Bone Pxs - Cat 1 >69 or wcc            35         283             170                  998
H17    Soft Tissue/Other Bone Pxs - Cat 1 <70 w/o cc         168         734             189                 1380
H19    Soft Tissue/Other Bone Pxs - Cat 2 <70 w/o cc          18         508             226                 1021
H20    Muscle Tendon/Ligament Pxs - Cat 1                     96         688             193                 1225
H21    Muscle Tendon/Ligament Pxs - Cat 2                      1         559             559                  559
H22    Minor Pxs to the Musculoskel Sys                      768         407             160                  887
H23    Soft Tissue Disord >69 or wcc                          41         249             124                  587
H24    Soft Tissue Disord <70 w/o cc                         159         240              81                  513
H25    Infm Spine Joint/Conn Tiss Disord >69 or wcc            2         699             220                 1178
H26    Inf Spne Joint/Conn Tiss Disrd <70 or w/o cc          108         140              40                  541
H27    Non-Inf Back Bone /Joint Disord >69 or wcc             66         140             124                  222
H28    Non-Infl Back Bone /Joint Disord <70 w/o cc            64         147             124                  354
H30    Infections of Bones/Joints                              2         234             124                  343
H31    Musculoskel Signs & Symptoms >69 or wcc                 7         300              55                  541
H32    Musculoskel Signs & Symptoms <70 w/o cc                48         202              41                  541
                                                       57
                              Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                         HRG Label                   No. of     Mean         Range for all HPSS Trusts
Code                                                    FCE's     Average £
                                                                              Minimum £         Maximum £

H34    Nk of Femur Fracture <70 w/o cc                        2         633             232                 1034
H35    Open Lower Limb #/Dislocations                         1         232             232                  232
H36    Closed Pelvis/Lower Limb # >69 or wcc                  2        1034            1034                 1034
H37    Closed Pelvis/Lower Limb # <70 w/o cc                 15         828             182                 1034
H38    Open Upper Limb #/Dislocations                         1         572             572                  572
H39    Closed Upper Limb #/Dislocations >69 or wcc           13         945             182                 1034
H40    Closed Upper Limb #/Dislocat <70 w/o cc               28         770             182                  991
H42    Sprains Strains /Minr Open Wounds <70 w/o cc          10         445             182                  670
H44    Maj Cranial Visc/Blood Vessel Inj <70 w/o cc           4         421             232                  575
H45    Minor Fractures or Dislocations                       63        1077             380                 1383
H50    Multiple Injury <70                                    4         965             757                 1034
H51    Removal of Fixation Device >69 or wcc                  4         818             520                 1116
H52    Removal of Fixation Device <70 w/o cc                213         903             484                 1093
H54    Path #/Malig of Bone & Conn Tiss <70 w/o cc            4         199              40                  343
H98    Chemo w a Musculoskel Sys PDx                          2         181             114                  249
J01    Comp Breast Reconstruct using Flaps                    4        1511             193                 1950
J02    Maj Breast Surg incl Plastic Pxs >49 or wcc            4         794             649                  842
J03    Maj Breast Surg incl Plastic Pxs <50 w/o cc           30         724             348                  842
J04    Inter Breast Surg >49 or wcc                          55         483             170                  851
J05    Inter Breast Surg <50 w/o cc                         183         474             346                  884
J06    Minor Breast Surg >69 or wcc                          23         459             348                  587
J07    Minor Breast Surg <70 w/o cc                         109         544             114                  800
J08    Non-Malig Breast Disord                                6         206              84                  587
J09    Malig Breast Disord >69 or wcc                         4         272             222                  348
J10    Malig Breast Disord <70 w/o cc                         6         222             222                  222
J12    Soft Tissue Pxs                                        3         312             192                  483
J20    Other Burn w 1 Sig Grft Px >69                         2         771             771                  771
J21    Other Burn w 1 Sig Grft Px >16 <70                     1         771             771                  771
J22    Other Burn w 1 Sig Grft Px <17                         1         771             771                  771
J27    Other Burn w/o Sig Grft Px >16 <70                     3         468             468                  468
J28    Other Burn w/o Sig Grft Px <17                         3         316             316                  316
                                                      58
                             Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                        HRG Label                    No. of      Mean         Range for all HPSS Trusts
Code                                                    FCE's      Average £
                                                                               Minimum £         Maximum £

J29    Maj Reconstructive Surg                                 2         471             170                  771
J30    Maj Skin Pxs >49 or wcc                                32         756             182                 2137
J31    Maj Skin Pxs <50 w/o cc                                12        1300             182                 2395
J32    Intermediate Skin Pxs                                   4         615             193                  771
J33    Minor Skin Pxs - Cat 3                                 61         531             182                 1178
J34    Minor Skin Pxs - Cat 2 wcc                              4         501             371                  861
J35    Minor Skin Pxs - Cat 2 w/o cc                         570         416              20                 1007
J36    Minor Skin Pxs - Cat 1 wcc                             56         478             298                 1178
J37    Minor Skin Pxs - Cat 1 w/o cc                        3867         451             151                 1220
J38    Skin Ulcers                                             1         521             521                  521
J40    Maj Dermatological Cond <70 w/o cc                      2         111              40                  182
J41    Maj Skin Infections >69 or wcc                          1        1178            1178                 1178
J42    Maj Skin Infections <70 w/o cc                          1         124             124                  124
J43    Major Skin Tumours                                      2         220             220                  220
J44    Minor Dermatological Cond/Benign Tumor                 67         220              41                  480
J45    Minor Skin Infections                                   6         258             179                  348
J98    Chemo w a Skin Breast/Burn PDx                          4         222             222                  222
K01    Thyroid Pxs                                             6         669             575                  768
K03    Adrenal Pxs                                             1         547             547                  547
K06    Other Endocrin Disord <70 w/o cc                        6         121              83                  160
K07    Fluid/Electrolyte Disord >69 or wcc                    15          40              40                   40
K08    Fluid/Electrolyte Disord <70 w/o cc                    16          68              40                  260
K09    Disorders of Nutrition                                 42          72              40                  260
K10    Inborn Errors of Metabolism                           391         119              40                  749
L02    Kidney Maj Open Px >49 or wcc                           2         556             454                  657
L03    Kidney Maj Open Px <50 w/o cc                           3         751             595                 1064
L04    Kidney Major Endoscopic Px                             15         297             182                  314
L05    Kidney Inter Endo Px >69 or wcc                         2         357             260                  454
L06    Kidney Inter Endo Px <70 w/o cc                         5         309             260                  423
L07    Non OR Kidny/Urnry Trct Neop >69 or wcc                17          96              40                  304
L08    Non OR Adm 4 Kidny/Urin Tract Neop <70 w/o cc          37         182              81                  215
                                                       59
                             Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                        HRG Label                    No. of      Mean         Range for all HPSS Trusts
Code                                                    FCE's      Average £
                                                                               Minimum £         Maximum £

L09    Kidney/Urin Tract Infections >69 or wcc                 6         126              81                  215
L10    Kidney/Urin Tract Infections <70 w/o cc                24         111              44                  215
L11    Ureter Open Px                                          2         295             249                  340
L12    Ureter Major Endoscopic Px                            114         310             182                  746
L13    Ureter Intermediate Endoscopic Px                     264         310             215                  824
L15    Cystectomy/Urin Diversn exclud Reconstruct              7         908             908                  908
L16    Bladder Intermediate Open Px                          204         235             182                  746
L17    Bladder Major Endoscopic Px                            40         510             215                 1140
L18    Bladder Inter Endo Px wcc                              25         504             215                  959
L19    Bladder Inter Endo Px w/o cc                          378         420             215                  890
L20    Bladder Minor Endo Px wcc                             232         401             207                  674
L21    Bladder Minor Endo Px w/o cc                         6527         366             243                  998
L22    Bladder/Urin Mech Problems >69 or wcc                  51         135              44                  587
L23    Bladder/Urin Mech Problems <70 w/o cc                 114         140              44                  252
L24    Ureteric/Bladder Disord                                91         171              44                  508
L25    Prost/Blad Nk Open Px (Male & Fem) >69 or wcc           1         502             502                  502
L26    Prost/Blad Nk Open Px (Male & Fem) <70 w/o cc           1         876             876                  876
L28    Prostate Transureth Resec Px <70 w/o cc                 1        1140            1140                 1140
L29    Prost/Blad Nk Inter Endo Px (Male & Fem)                5         372             285                  521
L30    Prost/Blad Nk Minor Endo Px (Male & Fem)              537         351             215                  707
L31    Malignant Prostate Disorders                            9         106              81                  193
L32    Non-Malig Prostate Disord                              59         157              44                  215
L33    Urethra Major Open Px                                  49        1309             735                 1611
L34    Urethra Inter/Minor Pxs >69 or wcc                    153         450             215                  919
L35    Urethra Inter/Minor Pxs <70 w/o cc                    323         469             215                 1070
L36    Urethra Disorders                                      26         156              81                  306
L37    Penis Maj/Inter Open Pxs                               13         279             193                  758
L38    Penis Minor Open Px > 69 or wcc                        17         317             215                  756
L39    Penis Minor Open Px <70 w/o cc                        769         533             211                 1006
L40    Penis Disorders                                        14         149              81                  314
L41    Vasectomy Pxs                                        2172         469              98                 1184
                                                       60
                              Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                        HRG Label                    No. of      Mean         Range for all HPSS Trusts
Code                                                    FCE's      Average £
                                                                               Minimum £         Maximum £

L42    Scrotum Testis/Vas Def Maj Open Px >69 or wcc          23         602               193               1131
L43    Scrotum Testis/Vas Def Maj Open Px <70 w/o cc         555         644               215               1141
L44    Scrotum Testis/Vas Def Disord                          16         132                81                348
L45    Extracorporeal Lithotripsy                            497         459               182               1178
L46    Renal Replacement Associated Pxs                       10         521               521                521
L47    Renal Replacement Therapy wcc                           1         314               314                314
L48    Renal Replacement Therapy w/o cc                        9         260               260                260
L51    Chronic Renal Failure                                   5         135                44                247
L52    Renal Gen Disord >69 or wcc                             8         153                81                220
L53    Renal Gen Disord <70 w/o cc                            52         125                81                235
L54    Renal Findings >69 or wcc                              40         146                44                215
L55    Renal Findings <70 w/o cc                             131         160                44                284
L98    Chemo w a Urin Tract/Male Reprod Sys PDx                2         175               157                193
M01    Lower Genital Tract Minor Pxs                         634         502               225                975
M02    Lower Genital Tract Inter Pxs                        1557         439               299               1007
M03    Lower Genital Tract Maj Pxs                            12         517               316                604
M05    Upper Genital Tract Minor Pxs                        1244         489               297                995
M06    Upper Genital Tract Inter Pxs                        4291         572               246               1022
M07    Upper Genital Tract Maj Pxs                            23         790               487               1065
M09    Threatened/Spontaneous Abortion                         4         258               138                604
M12    N-Surg Treat of Lower Genital Tract Disord              5         391               157                604
M13    N-Surg Treat of Genital Prolapse/Incontinence          56         154                44                291
M14    N-Surg Treat of Fibrds Menst Disord /Endomet           25         201                98                963
M15    N-Surg Treat of Ovary Tube /Pelvis Disord               2         324               178                470
M17    N-Surg Treat of Gynae Malig <70 w/o cc                  6          43                40                 44
M18    N-Surg Treat of Other Gynae Cond                       22         254                44                604
N07    Normal Delivery w/o cc                                 10         484               223                855
N12    Other Maternity Events                                 18         878               215               1075
P02    Cystic Fibrosis                                         1         314               314                314
P03    Upper Respiratory Tract Disord                          3         383               287                575
P04    Lower Respiratory Tract Disord                          1         287               287                287
                                                       61
                             Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                        HRG Label                   No. of     Mean         Range for all HPSS Trusts
Code                                                   FCE's     Average £
                                                                             Minimum £         Maximum £

P06    Minor Infections (incl Immune Disord)                25         380             134                  480
P07    Neoplasms                                             1         316             316                  316
P08    Febrile Convulsions                                   1         147             147                  147
P10    Other Nervous Sys Disord                             42         124             124                  124
P12    Maj Gastro/Metabol Disord                             6         305             160                  480
P13    Other Gastro/Metabol Disord                          19         274              20                  314
P15    Accidental Injury                                    40         694             182                 1225
P18    Psychiatric Disorders                                 1         182             182                  182
P19    Major Congenital Conditions                          15         187             124                  316
P20    Other Congenital Conditions                          23         284             124                  348
P21    Renal Disease                                        31         321              81                  480
P22    Renal Dis w Renal Fail                                5         380             314                  480
P24    Skin Musculoskel /Connect Tissue Disord               1         316             316                  316
Q06    Miscellaneous Major Vascular Pxs                      6         558             169                 1365
Q07    Misc Inter/Minor Vascular Pxs                        59         467             193                 1340
Q09    Pxs on the Lymphatic Sys wcc                          6         406             193                  698
Q10    Pxs on the Lymphatic Sys w/o cc                      89         627             348                 1074
Q11    Varicose Vein Pxs                                   427         606             348                 1356
Q12    Therapeut Endovascular Pxs                            1         426             426                  426
Q13    Diagnos Radiol - Arter/Lymphatics wcc                 2         828             689                  967
Q14    Diagnos Radiol - Artery/Lymphatic w/o cc             27         882             348                  967
Q15    Amputations                                           4         715             169                 1073
Q16    Foot Pxs for Diab/Art Dis & Pxs to Amp Stump         10         520             367                 1041
Q17    Peripheral Vascular Dis >69 or wcc                   10         594              40                 1365
Q18    Peripheral Vascular Dis <70 w/o cc                    9          63              40                  208
R01    Minor Spinal Pxs                                     39         738             160                 1178
R03    Spinal Fusion/Decompression Excluding Trauma          4        1178            1178                 1178
R11    Spinal Cord Surgery                                   1         179             179                  179
R12    Cervical Spinal Disord >69 or wcc                     2         859             541                 1178
R13    Cervical Spinal Disord <70 w/o cc                    41         875             557                 1178
R15    Thor/Lumbar Spinal Disord >69 or wcc                 18         825             124                 1178
                                                      62
                              Appendix 2C - Daycases - Northern Ireland 2001/2002

HRG                         HRG Label                   No. of      Mean         Range for all HPSS Trusts
Code                                                    FCE's      Average £
                                                                               Minimum £         Maximum £

R16    Thor/Lumbar Spinal Disord <70 w/o cc                  168         812                61               1178
R17    Non-Traum Spinal Cord Disord                            6          89                81                124
R18    Scoliosis/Other Spinal Deformity                       11          85                81                124
S01    Haematol Disord w Minor Px                            920         148                40                434
S02    Malig Disord of Lymphatic/Haematol Syss wcc            13         222               222                222
S03    Malig Disord of Lymphatic/Haematol Sys w/o cc         263         207                40                354
S04    Coagulation Disorders                                   6         101                40                222
S05    Red Blood Cell Disord >69 or wcc                        7         255               222                260
S06    Red Blood Cell Disord <70 w/o cc                       30         135                40                304
S08    Other Haematol/Splenic Disord w/o cc                   20         134                81                587
S10    Disord of Immunity w HIV/AIDS                           1         222               222                222
S11    Disord of Immunity w/o HIV/AIDS                       292         231                40                249
S15    Other Non-Viral Infections                              1         324               324                324
S17    Side Effects of Drugs                                   3         249               249                249
S18    Environmental Injury                                    1         575               575                575
S19    Complications of Treatment                             25         213                84                316
S20    Postoperative infection                                 2         464                81                847
S22    Planned Pxs Not Carried Out                          2060         220                20                963
S25    Other Admissions                                      249         170                40                749
S98    Chemo w a Haem Inf Dis Poison /Non-spec PDx           201         204                40                249




                                                       63
                    Appendix 2D - Excess Beddays - Northern Ireland 2001/2002

                                              Excess Bed                                        Excess Bed Day
                                    Total No.               Average Total Excess     Total
                     No.of Excess             Days as a %                                        Cost as % of
       HPSS Trust                    of Bed                 Cost per Bed Day       Inpatient
                      Bed Days                of Total No.                                      Total Inpatient
                                      Days                 Bed Day £ Cost £000     Cost £000
                                               Bed Days                                              Cost
Altnagelvin                 17627      92212            19       190        3355        25587                 13
Antrim                      13267      85800            15       172        2282        17986                 13
BCH                         13467     105242            13       268        3607        36266                 10
Causeway                    12501      60448            21       242        3026        13661                 22
Craigavon                   15112      92627            16       221        3333        23758                 14
Down Lisburn                 8758      59623            15       210        1835        14504                 13
Greenpark                    3445      25760            13       310        1067        15668                  7
Mater                        7457      50704            15       177        1318        11102                 12
Mid Ulster                   8381      39144            21       190        1589         8416                 19
Moyle                         819       1542            53       180         148          278                 53
Newry & Mourne               6710      42285            16       184        1235         9618                 13
Royal                       30308     174961            17       290        8785        72228                 12
Sperrin                      4076      51847             8       219         894        13329                  7
Ulster                      15920     109952            14       207        3299        27970                 12
Whiteabbey                   6818      35177            19       167        1135         6766                 17




                                                   64
N. IRELAND SCHEDULE OF REFERENCE COSTS - COMMUNITY SERVICES
                                                                        Range for all HPSS
                                                                             Trusts

                   Service          No. of contacts      Mean Average   Minimum   Maximum

                                                              £            £          £

Health Visiting                         640,876             29.54        22.90      39.90

District Nursing                       1,677,581            21.39        16.54      26.38

Community Psychiatric Nursing           229,737             50.75        36.52      68.90

Physiotherapy                           260,593             26.03        15.90      49.23

Occupational Therapy                    185,829             57.34        31.29     121.27

Speech Therapy                          169,641             42.46        23.99      55.46

Podiatry                                305,428             19.05        13.35      23.88




                                                                        Range for all HPSS
                                                                             Trusts

                   Service        Total Average Active   Mean Average   Minimum   Maximum

                                       Caseload               £            £          £

Social Work POC 3                       26,192               1268         584       2601

Social Work POC 4                       32,110               374          275       1011

Social Work POC 5                        6,421               769          351       2088

Social Work POC 6                        8,317               730          462        953

Social Work POC 7                       13,532               478          188        950




                                                                        Range for all HPSS
                                                                             Trusts

                   Service           Hours worked        Mean Average   Minimum   Maximum

                                                              £            £          £

Domiciliary care                      10,571,026             8.83         7.06       9.88




                                                                        Range for all HPSS
                                                                             Trusts

                   Service         Number of meals       Mean Average   Minimum   Maximum

                                                              £            £          £

Meals delivered to client homes         653,288              2.55         1.82       3.32




                                           65
                                                                     Range for all HPSS
                                                                          Trusts

                 Service         Number of occupied   Mean Average   Minimum   Maximum

                                   resident weeks          £            £          £

Elderly Continuing Care                17,198             901          770       1510




                                                                     Range for all HPSS
                                                                          Trusts

                 Service         Number of occupied   Mean Average   Minimum   Maximum

                                   resident weeks          £            £          £

Nursing Care POC 5                     12,139             377          297        564

Nursing Care POC 6                     13,840             483          400        879

Nursing Care POC 7                     10,612             474          405        679

Nursing Care POC 4 EMI                 77,897             389          328        513

Nursing Care POC 4 Other              176,982             400          357        509


                                                                     Range for all HPSS
                                                                          Trusts

                 Service         Number of occupied   Mean Average   Minimum   Maximum

                                   resident weeks          £            £          £

Residential Care POC 3                 11,511            1,544        1,286      2,466

Residential Care POC 5                 28,848             352          191        569

Residential Care POC 6                 36,807             530          337        823

Residential Care POC 7                 4,512              471          315        550

Residential Care POC 4 EMI             40,389             386          237        558

Residential Care POC 4 other          125,053             340          306        388


                                                                     Range for all HPSS
                                                                          Trusts

                 Service             Number of        Mean Average   Minimum   Maximum

                                    attendances            £            £          £

Statutory Day Care POC 3               4,592             48.93        48.93      48.93

Statutory Day Care POC 5              125,899            36.68        27.52      45.43

Statutory Day Care POC 6              651,689            37.69        24.26      41.76

Statutory Day Care POC 7              115,123            44.45        35.60      66.77

Statutory Day Care POC 4 EMI           1,896             61.25        28.49     244.16

Statutory Day Care POC 4 Other        242,583            34.69        18.13      54.93


                                         66

				
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