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Out of area hospitalisations – the view from current routine statistics

  • Gyles R. Glover (a1) and Jonathan Bindman (a2)
Abstract
AIMS and Method

To examine what current routine statistics could show about the extent to which patients are admitted to hospital beds ‘out of area’, a quality indicator proposed in the National Service Framework.

Results

Available data record that, on average, at least 6.9% of acute general psychiatry admissions in the English NHS happen outside the normal catchment area arrangement of a patient's health authority. However, deficiencies in the calculation – arising from lack of data, mainly about private sector admissions – and the absence of a central registry of NHS trust catchment areas suggest this is a substantial underestimate.

Clinical Implications

The most useful way for this issue to be examined is from year to year for individual trusts.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (1999) Hospital Episode Statistics: English Financial Year 1997–98, Vol. 2. Finished Consultant Episodes. Administrative Tables. Blackpool: Department of Health.
NHS Executive (1999) National Service Framework for Mental Health, Modern Standards and Service Models. London: Department of Health.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Out of area hospitalisations – the view from current routine statistics

  • Gyles R. Glover (a1) and Jonathan Bindman (a2)
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