Annual Patient Profile Report

2011/12 Contents Introduction

Introduction Page 2 The Annual Patient Profile Report for 2011/12 provides a high level overview of the use of services analysed by: In-Patient Data Page 3  Age Out-patient Data Page 8  Gender  Ethnic Origin Accident and Emergency Data Page 13  Religion

It describes service use at both a Trust and Divisional level and provides some insight into the different patterns of use by various groups.

The report does not contain any population data as the best source of population data is the census. The last census that the Trust has access to is 2001 census. This data is more than 11 years old and the population that the Trust serves has changed in a number of ways. During the period since 2001 Manchester and its surrounding region has seen both migration from the enlarged European Union (mainly from Eastern Europe) and also refugee dispersal from the South- East of England. This has meant that the ethnic diversity of the population has changed. Therefore it is not advisable to make comparisons with the data from the 2001 census. The data from 2011 census will start to become available later in 2012.

2 In patient Data

The in-patient data shows that the majority of the 1% In-patients 2011-12 by Ethnic Code 1% 1% 7% Trust’s patients are from a white British background 1% NOT KNOWN (62%) which is lower than the percentage for the City 3% BRITISH (WHITE) of Manchester according to the 2001 census. 4% IRISH (WHITE) 1% OTHER WHITE BACKGROUND 1% WHITE & BLACK CARIBBEAN (MIXED) The largest ethnic minority group of patients are WHITE & BLACK AFRICAN (MIXED) Pakistani (7%) followed by Irish (7%) and then Black 7% WHITE & ASIAN (MIXED) African and Black Caribbean both at 3%. 7% of in- OTHER MIXED BACKGROUND patients did not have their ethnic origin recorded. INDIAN (ASIAN or ASIAN BRITISH) 2% PAKISTANI (ASIAN or ASIAN BRITISH) 0% BANGLADESHI (ASIAN or ASIAN BRITISH) The data shows that the Trust provides in-patient 0% 4% OTHER ASIAN BACKGROUND 62% services to an ethnically diverse group of people 0% CARIBBEAN (BLACK or BLACK BRITISH) 5% broadly in line with the make-up of the local 1% AFRICAN (BLACK or BLACK BRITISH) OTHER BLACK BACKGROUND population. CHINESE (OTHER ETHNIC GROUPS) ANY OTHER ETHNIC GROUP NOT STATED

3 In-patients2011-12 by Ethnic Group 90% 80% Acute Medical 70% Childrens 60% Clinical & Scientific 50% Dental 40% Ophthalmology 30% Specialist Medical 20% Surgical 10% Women & Children 0% CMFT Asian or Asian Black or Black Chinese or Other Do not Wish to Mixed Not Yet Recorded White British British Answer

The in-patient data which is analysed by the major ethnic groups (for ease of interpretation) shows that all divisions provide in- patient services to a diverse range of people. Again White British is the largest single ethnic group followed by Asian or Asian British and then Black or Black British. This mirrors the make-up of the local community.

4 In-patients 2011-12 by Religion 80% 70% Acute Medical 60% Childrens 50% Clinical & Scientific 40% Dental 30% Ophthalmology 20% Specialist Medical 10% Surgical 0% r t i e d d u h h n n Women & Children n n s e a i e m n e i s k d a i a a i t i h a l i h i d t o h g n t J a t S s r r i a w o a t d t N s u O i o e B CMFT H s S P d N J

r c a t u M h e o o B C R r N o Z

The above table shows that the Trust in-patients have a variety of religious backgrounds. The largest group of in-patients by religion are Christians (56%). The second largest groups of patients are Muslim and patients who have no religion (both 16%). Then there are a number of other faith groups each around 1% (Jewish, Sikh and people of other religions).

5 In-patients 2011-12 by Age Group 90%

80% Acute Medical 70% Childrens 60% Clinical & Scientific 50% Dental 40% Ophthalmology 30% Specialist Medical Surgical 20% Women & Children 10% CMFT 0% + 5 9 9 4 9 5 0 0 3 5 7 2 8 1 ------9 6 6 0 0 5 1 1 2 4 6 7

This table describes the age profile of the Trust’s in-patients. The majority of adult in-patients are from the older age ranges. The largest group aged between 40-59 and 60-74 both at 20%. Then followed by patients aged 75-89 (15%) and patients aged 26-39 (15%). Over 90s currently constitute 1% of patients; this figure will probably rise in the future as the population is living longer.

At the younger end Children (1-15 years old) are 17%, mainly concentrated in the Children’s Hospital as would be expected.

6 In-patients 2011-12 by Gender 100% 90% Acute Medical 80% Childrens 70% Clinical & Scientific 60% Dental 50% Ophthalmology 40% Specialist Medical 30% Surgical 20% Women & Children 10% CMFT 0% F M

The in-patient data by gender at a Trust level shows an even split between women and men however, this figure is affected by maternity services (in Saint Marys Hospital). More women than men are in-patients at the Dental Hospital (53:47).

At a Divisional level we see a varying pattern. For example as would be expected women constitute 86% of in-patients in Saint Mary’s hospital. Whereas men constitute 58% of in-patients in the Division of Surgery compared to 42% of women. There are a number of divisions where men are represented in higher numbers than women – Surgery (58:42), Specialist Medicine (56:44) and the Children’s division the split between boys and girls is 58:42.

7 Out-patients Data

1% Outpatients 2011-12 by Ethnic Code 1% 3% 1% 7% 3% NOT KNOWN 1% 3% BRITISH (WHITE) 1% IRISH (WHITE) OTHER WHITE BACKGROUND 2% 8% WHITE & BLACK CARIBBEAN (MIXED) 0% WHITE & BLACK AFRICAN (MIXED) 0% WHITE & ASIAN (MIXED)

0% OTHER MIXED BACKGROUND

1% INDIAN (ASIAN or ASIAN BRITISH) PAKISTANI (ASIAN or ASIAN BRITISH) 2% BANGLADESHI (ASIAN or ASIAN BRITISH) OTHER ASIAN BACKGROUND 7% CARIBBEAN (BLACK or BLACK BRITISH) AFRICAN (BLACK or BLACK BRITISH) OTHER BLACK BACKGROUND

59% CHINESE (OTHER ETHNIC GROUPS) ANY OTHER ETHNIC GROUP NOT STATED

The out-patient data by ethnic origin shows that the Trust services an ethnically diverse group of out-patients. The largest group of out-patients being white British (59%). The largest ethnic minority group of out-patients are people of Pakistani origin (8%) closely followed by White Irish (7%). Black African and Black Caribbean out-patients constitute 3% each.

The pattern of out-patient attendance by ethnicity is similar to that of the in-patients stays and broadly reflects the ethnic make-up of the City of Manchester.

7% of out-patients have no recorded ethnic origin.

8 Outpatients 2011-12 by Ethnic Group 90% 80% Acute Medical 70% Childrens 60% Clinical & Scientific 50% Dental 40% Ophthalmology 30% Specialist Medical 20% Surgical 10% Women & Children 0% CMFT Asian or Asian Black or Black Chinese or Other Do not Wish to Mixed Not Yet Recorded White British British Answer

The data above shows out-patient ethnic origin by division. Each division has a diverse range of out-patients.

9 Outpatients 2011-12 by Religion 70%

60% Acute Medical 50% Childrens 40% Clinical & Scientific 30% Dental

20% Ophthalmology Specialist Medical 10% Surgical 0% r t i e d

u h Women & Children d n h n s n e n a i e m n i k s e d a i a i i a a t h h l i i o t d h g n J t S t a s a i r r w o a d t N s t O u

i CMFT B e o H S s P d N J r c a t u M h e o o B C R r N o Z

The above graph deals with the religion of out-patients within the Trust analysed by each division. The largest group of out-patients are Christians (57%), followed by patients of no religion (16%) and then Muslim patients (13%).

22% of out-patients in Saint Marys are of Muslim origin; this is significantly higher than the Trust average. The percentage for the Children’s Division (17%) is also higher than the Trust average for Muslim out-patients. Only 9% of the out-patients in the Eye Hospital are from a Muslim background, this is lower than the Trust average and in fact the lowest percentage in any division.

10 Outpatients 2011-12 by Age Group 90%

80% Acute Medical 70% Childrens 60% Clinical & Scientific 50% Dental Ophthalmology 40% Specialist Medical 30% Surgical 20% Women & Children 10% CMFT 0% 0 1-15 16-25 26-39 40-59 60-74 75-89 90+

The Trust has out-patients across all age ranges. Similarly to the in-patient pattern the majority of adult out-patients are in the older age ranges. The largest age group are 40-59 year olds (21%) then followed by both 60-74 year olds and 26-39 year olds each constitutes 18%. 75-89 year olds make up 12% of out-patients and over 90s are just 1%.

Children make up 20% in total of all out-patients.

11 Outpatients 2011-12 by Gender 100%

90% Acute Medical 80% Childrens 70% Clinical & Scientific 60% Dental 50% Ophthalmology 40% Specialist Medical 30% Surgical 20% Women & Children

10% CMFT 0% F M

The gender split of out-patients is 56% female to 44% male. Women constitute far more of the Trust’s out-patients than do men. This is a different pattern to that of in-patients where the gender split is even. This tends to suggest that men are more likely to be admitted as in-patients following out-patient attendance.

Looking at divisional analysis presents an interesting pattern as well. Males are a higher percentage of out-patients in Surgery (55:45), Children’s (56:44). Females in Saint Marys are the overwhelming majority (95:5) – this is to be expected. In other Divisions such as Clinical and Scientific Services (60:40) and Dental (54:46) women form the majority of out-patients.

12 Accident and Emergency Data

1% A&E 2011-12 by Ethnic Code 2% 4% 1% 2% NOT KNOWN 8% BRITISH (WHITE) IRISH (WHITE) OTHER WHITE BACKGROUND WHITE & BLACK CARIBBEAN (MIXED) 5% WHITE & BLACK AFRICAN (MIXED) WHITE & ASIAN (MIXED) 2% OTHER MIXED BACKGROUND 1% INDIAN (ASIAN or ASIAN BRITISH)

52% PAKISTANI (ASIAN or ASIAN BRITISH) 7% BANGLADESHI (ASIAN or ASIAN BRITISH) OTHER ASIAN BACKGROUND CARIBBEAN (BLACK or BLACK BRITISH) 3% AFRICAN (BLACK or BLACK BRITISH) 1% OTHER BLACK BACKGROUND 1% CHINESE (OTHER ETHNIC GROUPS)

1% 7% ANY OTHER ETHNIC GROUP 1% 2% NOT STATED

The above graph shows the use of Accident and Emergency (A&E) Services by ethnic origin. While the White British group constitutes the largest group of emergency attendees (52%) this percentage is far smaller than both in and out-patients. The chart shows a different pattern of use of A&E services by some ethnic groups compared to their service use for in and out-patient services. The largest ethnic minority group of emergency attendees are Black African people (8%) this compares to 3% for both in and out-patient services. Other ethnic minority groups also show greater use of A&E compared to in and out-patient services including Other White, and Black Caribbean.

13 A&E 2011-12 by Ethnic Group 80%

60% Dental 50% MRI 40% Childrens 30% REH 20% SMH

10% CMFT

0% Asian or Asian Black or Black Chinese or Other Do not Wish to Mixed Not Yet Recorded White British British Answer

The above table shows the use of emergency services by ethnic group analysed by hospital. It shows that there is a different pattern of use of emergency services for each major ethnic group. For example 25% of patients at Children’s A&E are from an Asian or Asian British background. Black and Black British patients form 15% of patients using emergency dental services. 11% of MRI emergency attendees are from a Chinese or other background. In short each emergency department has a particular pattern of use by ethnicity which is not mirrored in other departments.

14 A&E 2011-12 by Religion Group 60%

40% Dental 30% MRI Childrens 20% REH 10% SMH CMFT 0% r t i e d u d h h n n s n e n a i e m n i s e k d a i a i i a h a t h l i d i o t h g t n J S t s a a i r r w o a d N t s t O u i o B e H s S P d N J r

c a t u M h e o o B C R r N o Z

As with ethnicity use of emergency services by religion is varied across each department. Christians constitute the largest group using the Eye Hospital emergency services (57%) in contrast to MRI (47%) and Children’s (35%). Muslims are the second largest group using Children’s emergency services (31%) and only constitute 11% of services users for the Eye Hospital emergency services. Patients of no religion make use of all services with less variation than other groups.

15 A&E 2011-12 by Age Group 90%

70% Dental 60% MRI 50% Childrens 40% REH 30% SMH

20% CMFT

0% 0 1-15 16-25 26-39 40-59 60-74 75-89 90+

The above table shows the use of emergency services by age range analysed by hospital. The table shows that in terms of service use of Accident and Emergency at the MRI the majority of service users are in the younger and earlier middle age ranges. With the highest percentage being that of 26-39 year olds (29%) and 16-25 year olds (28%). This is followed by 40-59 year olds (25%). The Eye Hospital emergency attendees are more concentrated towards the older age ranges.

16 A&E 2011-12 by Gender 120%

60% F M 40%

0% Dental MRI Childrens REH SMH CMFT

This table shows a pattern of use of the emergency services within the Trust by Gender analysed by hospital. It is important to note (with the exception of Saint Marys Hospital), males make greater use of accident and emergency services in every hospital. The percentage is the highest at the Dental Hospital (64%) and the lowest at the Eye Hospital (51%).