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OHE Guide to Uk Health and Health Care Statistics

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OHE Guide to Uk Health and Health Care Statistics OHE guidE tO uK HEaltH and HEaltH CarE StatiStiCS JULY 2011 BY EMMA HAWE, PETER YUEN AND LESLEY BAILLIE OHE Guide British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library. ISBN-13: 978-1-899040-09-4 Acknowledgements - Office of Health Economics www.ohe.org All rights reserved. Unless where stated as information licensed to be reproduced by OHE belonging to a third party. No part of the OHE Guide to UK Health and Health Care Statistics may be reproduced, resold, stored in a retrieval system, or transmitted in any form or by any means electronic or mechanical, including photocopying, scanning and recording for any purpose other than the purchaser’s personal use, without the written permission of the Office of Health Economics. Where we have identified any third party copyright material you will need to obtain permission from the copyright holders concerned. OHE uses its best endeavours to ensure that the contains fair and accurate representation or interpretation of the original material from which the OHE Guide is drawn, but OHE shall not, for any reason whatsoever, be responsible for any damage, loss, cost, claim or expense incurred by a user as a result of its use or interpretation of, or reliance upon, any material contained in the . Copyright 2011 Office of Health Economics (OHE). OHE Guide Contents List of tables and figures Introduction .................................................................................................. i 1 Population........................................................................................... 1 1.1 Population statistics ......................................................................... 1 1.1.1 Population estimates ....................................................................... 1 1.1.2 Population projections .................................................................... 5 Population Key sources and information .................................................. 9 1.2 Mortality statistics ............................................................................... 10 Mortality Key sources and information .................................................. 16 1.3 Life expectancy .................................................................................... 17 Life expectancy Key sources and information ......................................... 18 1.4 Morbidity ............................................................................................. 19 1.4.1 Primary and secondary care health information ........................... 19 1.4.2 Health surveys ............................................................................... 20 1.4.3 Healthy life expectancy ................................................................. 22 Morbidity Key sources and information ................................................. 24 1.5 Lifestyle factors .................................................................................... 25 Lifestyle factors Key sources and information ........................................ 29 2 Health care expenditure ......................................................................... 30 2.1 Total health care expenditure ............................................................. 30 2.1.1 Total health care expenditure in the UK ........................................ 30 2.1.2 International health care expenditure .......................................... 35 International Key sources and information ............................................ 38 2.2 NHS expenditure .................................................................................. 39 2.2.1 NHS structure ................................................................................ 39 2.2.2 Reporting NHS expenditure ........................................................... 42 2.2.3 NHS funding ................................................................................... 46 2.2.4 Components of NHS expenditure .................................................. 49 2.2.5 Cost of hospital services ................................................................ 52 2.2.6 ‘Payment by Results’ and national tariff (England) ........................ 54 2.2.7 NHS Reference Costs .................................................................... 54 OHE Guide 2.2.8 Healthcare Resource Groups (HRGs) ............................................. 55 2.2.9 Cost of the ‘Family Health Services’............................................... 60 NHS expenditure Key sources and information ...................................... 66 2.3 Private health care expenditure .......................................................... 67 Private health expenditure Key sources and information ....................... 70 3 Hospital activity and workforce ............................................................. 71 3.1 NHS hospital services statistics ........................................................... 71 3.1.1 Health services information collection .......................................... 71 3.2 NHS workforce statistics ...................................................................... 74 3.2.1 NHS workforce classification ......................................................... 74 3.2.2 HCHS medical and dental staff ...................................................... 76 3.2.3 HCHS non-medical staff ................................................................. 80 Hospital workforce Key sources and information ................................... 82 3.3 NHS Hospital and Community Health Services (HCHS) activity .......... 83 3.3.1 Hospital activity data ..................................................................... 84 3.3.2 Hospital admitted patient care (APC) patient-level information ... 85 3.3.3 Hospital Episode Statistics (HES) ................................................... 90 Hospital inpatient activity Key sources and information ........................ 91 3.3.4 NHS available and occupied hospital beds .................................... 92 Hospital beds data Key sources and information.................................... 95 3.3.5 Day cases ....................................................................................... 96 3.3.6 Outpatient attendances and other hospital activities ................... 96 Hospital outpatient and day cases Key sources and information ......... 100 3.3.7 Hospital waiting times ................................................................. 101 3.3.8 Outpatient waiting times ............................................................. 103 3.3.9 Inpatient waiting times ................................................................ 103 3.3.10 Total waiting times .................................................................... 104 Hospital waiting times Key sources and information ............................ 105 3.3.11 Community care ........................................................................ 106 Community care Key sources and information ..................................... 107 4 ‘Family Health Services’ activity and workforce .................................. 108 4.1 Family Health Services (FHS) statistics .............................................. 108 FHS Key sources and information ......................................................... 110 4.2 General Medical Services (GMS) ....................................................... 111 OHE Guide 4.2.1 GMS data sources ........................................................................ 113 4.2.2 GMS workforce statistics ............................................................. 115 4.2.3 The ‘new’ GMS contract .............................................................. 117 4.2.4 Quality and Outcomes Framework .............................................. 119 4.2.5 Estimating the number of GP consultations ................................ 120 GMS Key sources and information ........................................................ 122 4.3 General Pharmaceutical Services (GPS) ............................................ 123 4.3.1 The Drug Tariff ............................................................................. 123 4.3.2 The NHS medicines bill ................................................................ 124 4.3.3 Community pharmacy ................................................................. 127 4.3.4 Prescribing in the community ...................................................... 127 4.3.5 Prescription charges .................................................................... 130 4.4 Prescription statistics ........................................................................ 133 4.4.1 NHS Prescription Services system................................................ 133 4.4.2 Prescription Analysis and Cost Tabulation (PACT) ....................... 135 4.4.3 Prescription Cost Analysis (PCA) .................................................. 137 4.4.4 Branded and generic prescribing ................................................. 139 GPS Key sources and information ......................................................... 142 4.5 General Dental Services (GDS) .......................................................... 143 4.5.1 Dental and dentistry statistics ..................................................... 146 GDS Key sources and information......................................................... 149 4.6 General Ophthalmic Services (GOS) .................................................. 150 4.6.1 Ophthalmic
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