Justin Madders – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Justin Madders on 2016-02-01.

To ask the Secretary of State for Health, how many cases of sepsis there were in each region of England in each of the last five years.

Ben Gummer

Data for finished discharge episodes (FDEs) with a primary or secondary diagnosis of sepsis for patients in each government office region of residence in England, in each year from 2010-11 to 2014-15 are provided below.

These figures relate only to hospital admissions and do not include those patients who were diagnosed in a primary care setting, or those who attended hospital as an Outpatient.

This is not a count of patients as the same patient may have had more than one episode of care within the same year.

Count of FDEs¹ with a primary or secondary diagnosis² of sepsis³ for patients in each government office region of residence for 2010-11 to 2014-15^4. Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

The increasing incidence of sepsis is likely to be due to people living longer and more medical and surgical interventions being performed. People with series co-morbidities are more likely to survive their illness, and for a longer period of time than in previous decades, which leads to much of the hospital-acquired sepsis that now occurs.

Notes:

¹Finished Discharge Episode (FDE) – A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. Discharges do not represent the number of patients, as a person may have more than one discharge from hospital within the period.

²Number of episodes in which the patient had a primary or secondary diagnosis – The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.

³ICD-10 codes for Sepsis – A02.1 Salmonella sepsis, A20.7 Septicaemic plague, A21.7 Generalized tularaemia, A22.7 Anthrax sepsis, A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis, A28.2 Extraintestinal yersiniosis, A32.7 Listerial sepsis, A39.2 Acute meningococcaemia, A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X Puerperal sepsis, P36.- Bacterial sepsis of newborn
The following pair of codes is a dagger/asterisk code pair (D and A) which must be present together:
A39.1 Waterhouse-Friderichsen syndrome; E35.1 Disorders of adrenal glands in diseases classified elsewhere

⁴Assessing growth through time (Admitted patient care) – HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.

Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1st April 2012 and 31st March 2013.