6 HEALTH SERVICE UTILISATION – INPATIENT AND DAY CASE PROCEDURES 6.1 This chapter describes the growth in hospital-based clinical activity for chronic pain. Surgical and other interventional procedures are carried out either as day cases or as inpatient episodes of care. The analysis presented here relates to clinical work undertaken on West Midlands residents (regardless of where it was done); and, separately, work done by West Midlands provider Trusts (regardless of the geographic residence of patients.
DATA SOURCES AND METHODS 6.2 The source of data was the Admitted Patient commissioning data sets (CDS) for the financial years 2007/8 to 2011/12, accessed via Healthcare Commissioning Services, Dudley. This data set records clinical details for every finished consultant episode. ). It covers all NHS and private inpatient activity taking place under the care of a consultant, midwife or nurse in any: Acute, community or mental health NHS Trust Primary Care Trust Other NHS hospital Non-NHS hospitals or institutions where the care delivered is NHS-funded. 6.3 Providers of NHS commissioned care must submit and make available the CDSs to commissioners. Within the West Midlands the data sets are submitted to, stored and accessed via a data warehouse managed by Healthcare Commissioning Services (HCS), based in Dudley. Four inpatient data requests were submitted to HCS for counts of FCEs of adults aged 16 years and over where the primary procedure recorded for the episode was a pain management procedure and the episode was completed during the financial years 2007/8 to 2011/12. Patients treated by the West Midlands providers: counts broken down by financial year, gender, admission method, patient classification and Provider Trust. Patients treated by the West Midlands providers: counts broken down by financial year, gender, primary procedure and Provider Trust. Patients resident in West Midlands PCTS: counts broken down by financial year, gender, admission method, patient classification and PCT. Patients resident in West Midlands PCTS: counts broken down by financial year, gender, primary procedure and PCT. 6.4 Full details of the specifications are given in Appendix I. The list of pain management procedures is given in Appendix II, specified by OPCS4 procedure codes at the 4-digit level. 6.5 Obvious data errors were found by inspection of the output counts. These related to the fields on patient classification and method of admission, where the codes clearly showed that the relevant FCE were maternity or delivery episodes. For the provider patients based output (output 1) this represented a total count of 206 out of 154,097 FCEs. For the resident based output (output 3) this represented a total count of 212 out
Chronic Pain Health Needs Assessment
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