Section 3 Hospital Services

Cost of Hospital Services

Box 1               Real decadal growth in UK NHS expenditure

Figure 3.1       Gross cost of hospital services, UK, 1949 - 2001

Figure 3.2       Relationship between NHS expenditure on Family Health Services (FHS) and on hospital
services,
UK, 1975 - 2001

Figure 3.3       Hospital expenditure as a percentage of total health spending in selected OECD countries,
circa 2002

Figure 3.4       Comparison of 'volume' and 'real' growth in NHS hospital gross expenditure, UK, 1975 - 2001

Table 3.1        Gross cost of hospital services and Family Health Services (FHS), UK, 1949 - 2001

Table 3.2        NHS hospital gross expenditure (revenue and capital) per capita and household, UK, 1975/76 -
2001/02

Hospital Workforce

Table 3.3        Number of staff employed in NHS hospitals by category, UK, 1951 - 2002

Figure 3.5       Index of NHS hospital workforce per 100,000 population, UK, 1951 – 2002

Box 2               Numbers of NHS hospital general and senior managers (England)

Box 3               Decadal change (%) in numbers of hospital medical and dental staff, UK

Table 3.4        Medical and dental staff employed in NHS hospitals, UK, 1951 - 2002

Table 3.5        NHS available hospital beds and FCEs per medical and dental staff, UK, 1951 – 2002/03

Table 3.6        NHS hospitals’ nursing and midwifery staff, UK, 1951 - 2002

Figure 3.6       Trends in NHS medical and nursing staff numbers, FCEs and available beds, UK, 1951 – 2002

Box 4               Decadal change (%) in nursing and midwifery staff, UK

Table 3.7        NHS available hospital beds and FCEs per nursing and midwifery staff, 1951 – 2002/03

Table 3.8        Number of hospital medical and dental staff (whole-time equivalents), England, 1993 - 2003

Table 3.9        Number of whole-time equivalent hospital medical staff by specialty, England, 1990 - 2003

Table 3.10      Number of whole-time equivalent hospital consultants by specialty, England, 1990 - 2003

Table 3.11      Number of, and per 10,000 population, whole-time equivalent hospital consultants by specialty
and country,
Great Britain, 2002

Hospital Activities

Table 3.12      Average daily number of available NHS hospital beds, UK, 1951 - 2002/03

Box 5               Decadal change (%) in number of NHS available beds, UK

Figure 3.7       Hospital inpatient acute beds per 1,000 population in selected OECD countries, circa 2002

Table 3.13      Average daily available acute beds in NHS hospitals, Great Britain, 1959 - 2002/03

Table 3.14      Average daily available NHS beds: number, per 100,000 population and occupancy; England,
1997/98 - 2002/03

Table 3.15      Average daily occupied beds in NHS hospitals, UK, 1951 – 2002/03

Table 3.16      Number of NHS hospital finished consultant episodes (FCEs)/discharges and deaths, UK,
1951 – 2002/03

Box 6               Growth in FCEs (%), UK

Table 3.17      Inpatient finished consultant episodes (FCEs) in NHS hospitals, Great Britain, 1959 - 2002/03

Figure 3.8       Relationship between acute bed provision and hospital discharge rate in selected OECD
countries, circa 2002

Table 3.18      Average inpatient length of stay in NHS hospitals, all specialties, UK, 1951 - 2002/03

Box 7               Change (%) in average length of stay in NHS hospitals, UK

Figure 3.9       Mean inpatient length of stay in NHS acute hospitals, England, 1959 - 2002

Table 3.19      Hospital finished consultant episodes (FCEs) by main cause, England, 1990/91 - 2002/03

Table 3.20      Hospital finished consultant episodes per 1,000 population by main cause, England, 1990/91 -
2002/03

Table 3.20(a) Estimated number of hospital finished consultant episodes, UK, 1990/91 - 2002/03

Table 3.21      Hospital ordinary admissions (excluding day cases) by main cause, England, 1990/91 - 2002/03

Table 3.22      Mean length of stay of hospital ordinary admissions and index (1990/91=100), by main cause,
England, 1990/91 – 2002/03

Table 3.23      Number and percentage distribution of hospital bed days for ordinary admissions by main cause,
England, 1990/91 - 2002/03

Table 3.24      Finished consultant episodes (FCEs) by top major diagnostic group, England, 2000/01 -
2002/03

Table 3.25      Inpatient bed days and lengths of stay by top major diagnostic group, England, 2000/01 -
2002/03

Table 3.26      Number and rate of surgical operations by main site, England, 1990/91 - 2002/03

Table 3.27      Number and rate of NHS hospital surgical operations by site and age, England, 2002/03

Table 3.28      Number and rate of the most frequent surgical operations, England, 2000/01 - 2002/03

Table 3.29      Patients waiting for elective admission, by specialty, England, 1995 - 2004

Figure 3.10     Patients waiting for elective admission, England, 1992 – 2004

Table 3.30      Number of admissions, percentage admitted from waiting list and mean waiting time (days) by
Healthcare Resource Group (HRG),
England, 2002/03

Table 3.31      Waiting time for first outpatient appointment by top 30 specialties, England, 31 March 2004

Table 3.32      Average cost and length of inpatient stay and average cost per outpatient attendance in NHS
hospitals by specialty,
England, 1992/93 and 1999/00

Table 3.33      Number of hospital day cases by specialty, England, 1990/91 - 2002/03

Table 3.34      Reference costs per FCE and average length of stay of top 40 Healthcare Resource Groups
(HRGs) ranked by total cost, NHS Trusts, elective inpatients, England 2002/03

Table 3.35      Reference costs per FCE and average length of stay of top 40 Healthcare Resource Groups
(HRGs) ranked by total cost, NHS Trusts, non-elective inpatients, England, 2002/03

Table 3.36      Reference costs per case of top 40 Healthcare Resource Groups (HRGs) ranked by total cost,
NHS Trusts, day cases, England, 2002/03

Table 3.37      Reference costs per FCE of top 40 Healthcare Resource Groups (HRGs) ranked by total cost,
Non-NHS providers, elective inpatients, England 2002/03

Table 3.38      Reference costs per case of top 40 Healthcare Resource Groups (HRGs) ranked by total cost,
Non-NHS providers, day cases,
England, 2002/03

Table 3.39      Hospital outpatient clinics: total attendances, UK, 1951 - 2002/03

Table 3.40      Hospital outpatient clinics: new cases, UK, 1951 - 2002/03

Table 3.41      Percentage of population attending NHS hospital outpatient departments, by age group, Great
Britain
, 1982 - 2002

Table 3.41(a) Estimated number of people attending NHS hospital outpatient departments, by age group, UK,
1982 - 2002