PHE Standard Publication Template
HES Procedures of Lower and/or Limited Clinical Effectiveness
Supplementary Procedure Spine Charts (Local Authorities)
HES Procedures of Lower and/or Limited Clinical Effectiveness Procedure Spine Charts (LA)
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Published December 2015
2 HES Procedures of Lower and/or Limited Clinical Effectiveness Procedure Spine Charts (LA)
Purpose
The purpose of the HES Procedures of Lower and/or Limited Clinical Effectiveness publication is to provide local stakeholders in the PHE East of England with evidence of the occurrence in their areas of clinical procedures that are regarded to be either of high volume, high cost or of limited clinical effectiveness.
This document contains the supporting procedure spine charts by LA that are supplementary to the data and excel tools.
Note
Data points are missing where the total count is less than 25 because the directly standardised rate becomes too unreliable.
3 Aesthetic surgery (breast) Babergh Basildon ● Bedford Braintree ● Breckland ● Brentwood Broadland Broxbourne ● Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk Norwich Peterborough ● Rochford South Cambridgeshire ● South Norfolk Southend−on−Sea St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock Uttlesford Watford ● Waveney ● Welwyn Hatfield
Babergh ● Basildon ● Bedford ● Braintree ●
Local Authority Breckland Brentwood Broadland Broxbourne ● Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire ● Epping Forest Fenland ● Forest Heath 2014/15 provisional Great Yarmouth Harlow Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough ● Significance Rochford South Cambridgeshire ● ● Higher South Norfolk ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock DSR Uttlesford Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 10 20 30 40 50 60 Directly Standardised Rate (per 100,000) Aesthetic surgery (ENT) Babergh Basildon Bedford Braintree Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere ● 2013/14 Huntingdonshire Ipswich King's Lynn and West Norfolk Luton ● Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Rochford South Cambridgeshire South Norfolk Southend−on−Sea St Albans St Edmundsbury Stevenage Suffolk Coastal Tendring Three Rivers Thurrock Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford Braintree
Local Authority Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath 2014/15 provisional Great Yarmouth Harlow Hertsmere Huntingdonshire Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney Welwyn Hatfield 10 20 30 40 Directly Standardised Rate (per 100,000) Aesthetic surgery (ophthalmology) Babergh Basildon Bedford ● Braintree ● Breckland ● Brentwood Broadland ● Broxbourne Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth ● Harlow
Hertsmere 2013/14 Huntingdonshire ● Ipswich King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk Norwich ● Peterborough Rochford South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock Uttlesford Watford Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford ● Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest ● Fenland Forest Heath 2014/15 provisional Great Yarmouth ● Harlow Hertsmere Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk ● Norwich Peterborough Significance Rochford South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal ● Tendring England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney ● Welwyn Hatfield 10 20 30 40 50 Directly Standardised Rate (per 100,000) Anal procedures Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 50 100 150 200 Directly Standardised Rate (per 100,000) Back pain (injections & fusions) Babergh ● Basildon Bedford Braintree Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester ● Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire Ipswich ● King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough Rochford South Cambridgeshire South Norfolk Southend−on−Sea St Albans St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● Three Rivers Thurrock Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford Braintree
Local Authority Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest ● Fenland Forest Heath 2014/15 provisional Great Yarmouth Harlow ● Hertsmere Huntingdonshire Ipswich King's Lynn and West Norfolk Luton ● Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring ● England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney Welwyn Hatfield 10 20 30 40 Directly Standardised Rate (per 100,000) Carpal tunnel Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 50 100 150 200 Directly Standardised Rate (per 100,000) Cataract removal surgery Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough Significance● Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 500 1000 1500 2000 Directly Standardised Rate (per 100,000) Dilation and curettage Babergh Basildon Bedford Braintree Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough Rochford South Cambridgeshire South Norfolk Southend−on−Sea St Albans St Edmundsbury Stevenage Suffolk Coastal Tendring Three Rivers Thurrock Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford Braintree
Local Authority Breckland Brentwood Broadland ● Broxbourne Cambridge Castle Point Central Bedfordshire Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath 2014/15 provisional Great Yarmouth Harlow Hertsmere Huntingdonshire Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney Welwyn Hatfield 20 40 60 80 Directly Standardised Rate (per 100,000) Dupuytren's contracture Babergh Basildon ● Bedford ● Braintree Breckland ● Brentwood Broadland ● Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire Epping Forest Fenland ● Forest Heath Great Yarmouth ● Harlow
Hertsmere 2013/14 Huntingdonshire ● Ipswich King's Lynn and West Norfolk ● Luton Maldon Mid Suffolk Milton Keynes ● North Hertfordshire ● North Norfolk Norwich Peterborough ● Rochford South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● Three Rivers Thurrock Uttlesford Watford Waveney ● Welwyn Hatfield
Babergh Basildon ● Bedford ● Braintree
Local Authority Breckland Brentwood Broadland ● Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford ● Colchester Dacorum ● East Cambridgeshire East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath 2014/15 provisional Great Yarmouth ● Harlow Hertsmere Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire North Norfolk ● Norwich Peterborough Significance Rochford South Cambridgeshire ● ● Higher South Norfolk ● Southend−on−Sea ● No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● England Three Rivers Thurrock ● DSR Uttlesford Watford Confidence interval Waveney ● Welwyn Hatfield 10 20 30 40 50 Directly Standardised Rate (per 100,000) Endoscopies (colon) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring England● Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 500 750 1000 1250 Directly Standardised Rate (per 100,000) Endoscopies (cytoscopy) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 250 500 750 1000 Directly Standardised Rate (per 100,000) Endoscopies (flexible sigmoidoscopy) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 400 800 1200 Directly Standardised Rate (per 100,000) Endoscopies (upper GI) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 500 1000 Directly Standardised Rate (per 100,000) Excision of gall bladder Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 50 100 150 200 Directly Standardised Rate (per 100,000) Female genital prolapse/stress incontinence (non−surgical) Babergh Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge Castle Point Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire ● Epping Forest ● Fenland Forest Heath Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk Luton ● Maldon ● Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich ● Peterborough ● Rochford South Cambridgeshire South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh Basildon ● Bedford ● Braintree ●
Local Authority Breckland Brentwood ● Broadland Broxbourne Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire ● Epping Forest ● Fenland Forest Heath 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire Ipswich ● King's Lynn and West Norfolk Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough ● Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford Watford Confidence interval Waveney ● Welwyn Hatfield 50 100 150 Directly Standardised Rate (per 100,000) Female genital prolapse/stress incontinence (surgical) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 50 100 150 200 250 Directly Standardised Rate (per 100,000) Grommets Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 50 100 150 Directly Standardised Rate (per 100,000) Hernias (incisional & ventral) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage Suffolk Coastal ● Tendring ● Three Rivers Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 25 50 75 100 Directly Standardised Rate (per 100,000) Hernias (Inguinal, umbilical & femoral) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 100 150 200 Directly Standardised Rate (per 100,000) Hernias (other) Babergh Basildon ● Bedford ● Braintree ● Breckland ● Brentwood Broadland ● Broxbourne Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland ● Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire North Norfolk ● Norwich Peterborough ● Rochford South Cambridgeshire ● South Norfolk Southend−on−Sea ● St Albans St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● Three Rivers Thurrock ● Uttlesford Watford ● Waveney ● Welwyn Hatfield
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood Broadland ● Broxbourne Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum East Cambridgeshire East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath 2014/15 provisional Great Yarmouth ● Harlow Hertsmere Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk ● Norwich Peterborough ● Significance Rochford South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal ● Tendring ● England Three Rivers Thurrock ● DSR Uttlesford Watford Confidence interval Waveney ● Welwyn Hatfield 20 40 60 Directly Standardised Rate (per 100,000) Hysterectomy for menorrhagia Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 100 150 200 250 300 Directly Standardised Rate (per 100,000) Jaw replacement Babergh Basildon ● Bedford ● Braintree Breckland Brentwood Broadland ● Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich King's Lynn and West Norfolk Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough ● Rochford South Cambridgeshire ● South Norfolk Southend−on−Sea ● St Albans ● St Edmundsbury Stevenage Suffolk Coastal Tendring Three Rivers Thurrock ● Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford ● Braintree
Local Authority Breckland Brentwood Broadland ● Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath 2014/15 provisional Great Yarmouth Harlow Hertsmere Huntingdonshire ● Ipswich King's Lynn and West Norfolk Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich ● Peterborough ● Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney ● Welwyn Hatfield 10 20 30 40 Directly Standardised Rate (per 100,000) Knee washouts Babergh Basildon ● Bedford ● Braintree Breckland Brentwood Broadland Broxbourne Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum East Cambridgeshire East Hertfordshire Epping Forest ● Fenland ● Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire ● Ipswich King's Lynn and West Norfolk Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk Southend−on−Sea ● St Albans St Edmundsbury Stevenage Suffolk Coastal Tendring Three Rivers Thurrock Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford ● Braintree
Local Authority Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire Epping Forest ● Fenland Forest Heath 2014/15 provisional Great Yarmouth ● Harlow Hertsmere Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk Luton ● Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough ● Significance Rochford South Cambridgeshire ● ● Higher South Norfolk ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring ● England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney ● Welwyn Hatfield 20 40 60 80 Directly Standardised Rate (per 100,000) Minor skin lesions Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 400 800 1200 1600 Directly Standardised Rate (per 100,000) Primary hip replacement (cemented) Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers Thurrock ● Uttlesford ● Watford Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers Thurrock ● DSR Uttlesford ● Watford Confidence interval Waveney ● Welwyn Hatfield ● 50 100 150 Directly Standardised Rate (per 100,000) Primary hip replacement (uncemented) Babergh Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath Great Yarmouth ● Harlow
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford Watford ● Waveney ● Welwyn Hatfield ●
Babergh Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 40 80 120 160 Directly Standardised Rate (per 100,000) Primary knee replacement Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 100 150 200 Directly Standardised Rate (per 100,000) Primary or revisional shoulder Babergh Basildon Bedford Braintree Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire Ipswich King's Lynn and West Norfolk ● Luton Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Rochford South Cambridgeshire South Norfolk Southend−on−Sea St Albans St Edmundsbury Stevenage Suffolk Coastal Tendring ● Three Rivers Thurrock Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford ● Braintree
Local Authority Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester ● Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath 2014/15 provisional Great Yarmouth Harlow Hertsmere Huntingdonshire Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring ● England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney Welwyn Hatfield 8 12 16 20 24 Directly Standardised Rate (per 100,000) Revisional procedures (hips) Babergh Basildon Bedford Braintree Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire ● Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Rochford South Cambridgeshire South Norfolk Southend−on−Sea ● St Albans St Edmundsbury Stevenage Suffolk Coastal Tendring Three Rivers Thurrock Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford Braintree
Local Authority Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath 2014/15 provisional Great Yarmouth Harlow Hertsmere Huntingdonshire ● Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney Welwyn Hatfield 10 15 20 25 Directly Standardised Rate (per 100,000) Revisional procedures (knees) Babergh Basildon Bedford Braintree Breckland Brentwood Broadland Broxbourne Cambridge Castle Point Central Bedfordshire Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath Great Yarmouth Harlow
Hertsmere 2013/14 Huntingdonshire ● Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes North Hertfordshire North Norfolk Norwich Peterborough Rochford South Cambridgeshire South Norfolk Southend−on−Sea St Albans St Edmundsbury Stevenage Suffolk Coastal Tendring Three Rivers Thurrock Uttlesford Watford Waveney Welwyn Hatfield
Babergh Basildon Bedford Braintree
Local Authority Breckland Brentwood Broadland Broxbourne Cambridge Castle Point ● Central Bedfordshire ● Chelmsford Colchester Dacorum East Cambridgeshire East Hertfordshire Epping Forest Fenland Forest Heath 2014/15 provisional Great Yarmouth Harlow Hertsmere Huntingdonshire Ipswich King's Lynn and West Norfolk Luton Maldon Mid Suffolk Milton Keynes ● North Hertfordshire North Norfolk Norwich Peterborough Significance Rochford South Cambridgeshire ● Higher South Norfolk ● Southend−on−Sea No significant difference St Albans ● Lower St Edmundsbury Stevenage Suffolk Coastal Tendring England Three Rivers Thurrock DSR Uttlesford Watford Confidence interval Waveney Welwyn Hatfield 10 20 30 Directly Standardised Rate (per 100,000) Tonsillectomy Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 30 60 90 120 150 Directly Standardised Rate (per 100,000) Trigger finger Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 25 50 75 100 125 Directly Standardised Rate (per 100,000) Varicose veins Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood Broadland ● Broxbourne ● Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood Broadland ● Broxbourne ● Cambridge Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 50 100 150 Directly Standardised Rate (per 100,000) Wisdom teeth Babergh ● Basildon ● Bedford ● Braintree ● Breckland ● Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● Great Yarmouth ● Harlow ●
Hertsmere ● 2013/14 Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Rochford ● South Cambridgeshire ● South Norfolk ● Southend−on−Sea ● St Albans ● St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● Three Rivers ● Thurrock ● Uttlesford ● Watford ● Waveney ● Welwyn Hatfield ●
Babergh ● Basildon ● Bedford ● Braintree ● ●
Local Authority Breckland Brentwood ● Broadland ● Broxbourne ● Cambridge ● Castle Point ● Central Bedfordshire ● Chelmsford ● Colchester ● Dacorum ● East Cambridgeshire ● East Hertfordshire ● Epping Forest ● Fenland ● Forest Heath ● 2014/15 provisional Great Yarmouth ● Harlow ● Hertsmere ● Huntingdonshire ● Ipswich ● King's Lynn and West Norfolk ● Luton ● Maldon ● Mid Suffolk ● Milton Keynes ● North Hertfordshire ● North Norfolk ● Norwich ● Peterborough ● Significance Rochford ● South Cambridgeshire ● ● Higher South Norfolk ● ● Southend−on−Sea ● No significant difference St Albans ● ● Lower St Edmundsbury ● Stevenage ● Suffolk Coastal ● Tendring ● England Three Rivers ● Thurrock ● DSR Uttlesford ● Watford ● Confidence interval Waveney ● Welwyn Hatfield ● 100 200 300 Directly Standardised Rate (per 100,000)