Patient Profile Report - Central Manchester University Hospitals

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Annual Patient Profile Report
2011/12
Contents
Introduction
Introduction
Page 2
In-Patient Data
Page 3
Out-patient Data
Page 8
Accident and Emergency Data
Page 13
The Annual Patient Profile Report for 2011/12 provides a high
level overview of the use of services analysed by:




Age
Gender
Ethnic Origin
Religion
It describes service use at both a Trust and Divisional level
and provides some insight into the different patterns of use by
various groups.
The report does not contain any population data as the best
source of population data is the census. The last census that
the Trust has access to is 2001 census. This data is more
than 11 years old and the population that the Trust serves has
changed in a number of ways. During the period since 2001
Manchester and its surrounding region has seen both
migration from the enlarged European Union (mainly from
Eastern Europe) and also refugee dispersal from the SouthEast of England. This has meant that the ethnic diversity of
the population has changed. Therefore it is not advisable to
make comparisons with the data from the 2001 census. The
data from 2011 census will start to become available later in
2012.
2
In patient Data
In-patients 2011-12 by Ethnic Code
1%
1%
7%
1%
1%
NOT KNOWN
3%
BRITISH (WHITE)
The in-patient data shows that the majority of the
Trust’s patients are from a white British background
(62%) which is lower than the percentage for the City
of Manchester according to the 2001 census.
IRISH (WHITE)
4%
1%
OTHER WHITE BACKGROUND
WHITE & BLACK CARIBBEAN (MIXED)
1%
WHITE & BLACK AFRICAN (MIXED)
WHITE & ASIAN (MIXED)
7%
OTHER MIXED BACKGROUND
INDIAN (ASIAN or ASIAN BRITISH)
2%
The largest ethnic minority group of patients are
Pakistani (7%) followed by Irish (7%) and then Black
African and Black Caribbean both at 3%. 7% of inpatients did not have their ethnic origin recorded.
PAKISTANI (ASIAN or ASIAN BRITISH)
0%
0%
BANGLADESHI (ASIAN or ASIAN BRITISH)
4%
62%
0%
1%
OTHER ASIAN BACKGROUND
CARIBBEAN (BLACK or BLACK BRITISH)
5%
AFRICAN (BLACK or BLACK BRITISH)
OTHER BLACK BACKGROUND
CHINESE (OTHER ETHNIC GROUPS)
ANY OTHER ETHNIC GROUP
NOT STATED
3
The data shows that the Trust provides in-patient
services to an ethnically diverse group of people
broadly in line with the make-up of the local
population.
In-patients2011-12 by Ethnic Group
90%
80%
Acute Medical
70%
Childrens
60%
Clinical & Scientific
50%
Dental
40%
Ophthalmology
30%
Specialist Medical
20%
Surgical
10%
Women & Children
0%
CMFT
Asian or Asian
British
Black or Black
British
Chinese or Other Do not Wish to
Answer
Mixed
Not Yet Recorded
White
The in-patient data which is analysed by the major ethnic groups (for ease of interpretation) shows that all divisions provide inpatient services to a diverse range of people. Again White British is the largest single ethnic group followed by Asian or Asian
British and then Black or Black British. This mirrors the make-up of the local community.
4
In-patients 2011-12 by Religion
80%
70%
Acute Medical
60%
Childrens
50%
Clinical & Scientific
40%
Dental
30%
Ophthalmology
20%
Specialist Medical
10%
Surgical
Zoroastrian
Sikh
Pagan
Other
Not Stated
Not
Recorded
None
Muslim
Jewish
Jain
Hindu
Christian
Buddhist
Bahai
0%
Women & Children
CMFT
The above table shows that the Trust in-patients have a variety of religious backgrounds. The largest group of in-patients by
religion are Christians (56%). The second largest groups of patients are Muslim and patients who have no religion (both 16%).
Then there are a number of other faith groups each around 1% (Jewish, Sikh and people of other religions).
5
In-patients 2011-12 by Age Group
90%
80%
Acute Medical
70%
Childrens
60%
Clinical & Scientific
50%
Dental
40%
Ophthalmology
30%
Specialist Medical
Surgical
20%
Women & Children
10%
CMFT
90+
75-89
60-74
40-59
26-39
16-25
1-15
0
0%
This table describes the age profile of the Trust’s in-patients. The majority of adult in-patients are from the older age ranges. The
largest group aged between 40-59 and 60-74 both at 20%. Then followed by patients aged 75-89 (15%) and patients aged 26-39
(15%). Over 90s currently constitute 1% of patients; this figure will probably rise in the future as the population is living longer.
At the younger end Children (1-15 years old) are 17%, mainly concentrated in the Children’s Hospital as would be expected.
6
In-patients 2011-12 by Gender
100%
90%
Acute Medical
80%
Childrens
70%
Clinical & Scientific
60%
Dental
50%
Ophthalmology
40%
Specialist Medical
30%
Surgical
20%
Women & Children
10%
CMFT
0%
F
M
The in-patient data by gender at a Trust level shows an even split between women and men however, this figure is affected by
maternity services (in Saint Marys Hospital). More women than men are in-patients at the Dental Hospital (53:47).
At a Divisional level we see a varying pattern. For example as would be expected women constitute 86% of in-patients in Saint
Mary’s hospital. Whereas men constitute 58% of in-patients in the Division of Surgery compared to 42% of women. There are a
number of divisions where men are represented in higher numbers than women – Surgery (58:42), Specialist Medicine (56:44) and
the Children’s division the split between boys and girls is 58:42.
7
Out-patients Data
Outpatients 2011-12 by Ethnic Code
1%
1%
3% 1%
7%
3%
1%
NOT KNOWN
3%
BRITISH (WHITE)
1%
IRISH (WHITE)
OTHER WHITE BACKGROUND
2%
8%
WHITE & BLACK CARIBBEAN (MIXED)
0%
WHITE & BLACK AFRICAN (MIXED)
0%
WHITE & ASIAN (MIXED)
0%
OTHER MIXED BACKGROUND
1%
INDIAN (ASIAN or ASIAN BRITISH)
PAKISTANI (ASIAN or ASIAN BRITISH)
2%
BANGLADESHI (ASIAN or ASIAN BRITISH)
OTHER ASIAN BACKGROUND
7%
CARIBBEAN (BLACK or BLACK BRITISH)
AFRICAN (BLACK or BLACK BRITISH)
OTHER BLACK BACKGROUND
59%
CHINESE (OTHER ETHNIC GROUPS)
ANY OTHER ETHNIC GROUP
NOT STATED
The out-patient data by ethnic origin shows that the Trust services an ethnically diverse group of out-patients. The largest group of
out-patients being white British (59%). The largest ethnic minority group of out-patients are people of Pakistani origin (8%) closely
followed by White Irish (7%). Black African and Black Caribbean out-patients constitute 3% each.
The pattern of out-patient attendance by ethnicity is similar to that of the in-patients stays and broadly reflects the ethnic make-up of
the City of Manchester.
7% of out-patients have no recorded ethnic origin.
8
Outpatients 2011-12 by Ethnic Group
90%
80%
Acute Medical
70%
Childrens
60%
Clinical & Scientific
50%
Dental
40%
Ophthalmology
30%
Specialist Medical
20%
Surgical
10%
Women & Children
CMFT
0%
Asian or Asian
British
Black or Black
British
Chinese or Other Do not Wish to
Answer
Mixed
Not Yet Recorded
White
The data above shows out-patient ethnic origin by division. Each division has a diverse range of out-patients.
9
Outpatients 2011-12 by Religion
70%
60%
Acute Medical
50%
Childrens
40%
Clinical & Scientific
30%
Dental
20%
Ophthalmology
Specialist Medical
10%
Surgical
Zoroastrian
Sikh
Pagan
Other
Not Stated
Not
Recorded
None
Muslim
Jewish
Jain
Hindu
Christian
Buddhist
Bahai
0%
Women & Children
CMFT
The above graph deals with the religion of out-patients within the Trust analysed by each division. The largest group of out-patients
are Christians (57%), followed by patients of no religion (16%) and then Muslim patients (13%).
22% of out-patients in Saint Marys are of Muslim origin; this is significantly higher than the Trust average. The percentage for the
Children’s Division (17%) is also higher than the Trust average for Muslim out-patients. Only 9% of the out-patients in the Eye
Hospital are from a Muslim background, this is lower than the Trust average and in fact the lowest percentage in any division.
10
Outpatients 2011-12 by Age Group
90%
80%
Acute Medical
70%
Childrens
60%
Clinical & Scientific
50%
Dental
Ophthalmology
40%
Specialist Medical
30%
Surgical
20%
Women & Children
10%
CMFT
0%
0
1-15
16-25
26-39
40-59
60-74
75-89
90+
The Trust has out-patients across all age ranges. Similarly to the in-patient pattern the majority of adult out-patients are in the older
age ranges. The largest age group are 40-59 year olds (21%) then followed by both 60-74 year olds and 26-39 year olds each
constitutes 18%. 75-89 year olds make up 12% of out-patients and over 90s are just 1%.
Children make up 20% in total of all out-patients.
11
Outpatients 2011-12 by Gender
100%
90%
Acute Medical
80%
Childrens
70%
Clinical & Scientific
60%
Dental
50%
Ophthalmology
40%
Specialist Medical
30%
Surgical
20%
Women & Children
10%
CMFT
0%
M
F
The gender split of out-patients is 56% female to 44% male. Women constitute far more of the Trust’s out-patients than do men.
This is a different pattern to that of in-patients where the gender split is even. This tends to suggest that men are more likely to be
admitted as in-patients following out-patient attendance.
Looking at divisional analysis presents an interesting pattern as well. Males are a higher percentage of out-patients in Surgery
(55:45), Children’s (56:44). Females in Saint Marys are the overwhelming majority (95:5) – this is to be expected. In other
Divisions such as Clinical and Scientific Services (60:40) and Dental (54:46) women form the majority of out-patients.
12
Accident and Emergency Data
A&E 2011-12 by Ethnic Code
1%
2%
4%
1%
2%
NOT KNOWN
8%
BRITISH (WHITE)
IRISH (WHITE)
OTHER WHITE BACKGROUND
WHITE & BLACK CARIBBEAN (MIXED)
5%
WHITE & BLACK AFRICAN (MIXED)
WHITE & ASIAN (MIXED)
2%
OTHER MIXED BACKGROUND
1%
INDIAN (ASIAN or ASIAN BRITISH)
52%
7%
PAKISTANI (ASIAN or ASIAN BRITISH)
BANGLADESHI (ASIAN or ASIAN BRITISH)
OTHER ASIAN BACKGROUND
CARIBBEAN (BLACK or BLACK BRITISH)
3%
AFRICAN (BLACK or BLACK BRITISH)
1%
OTHER BLACK BACKGROUND
1%
CHINESE (OTHER ETHNIC GROUPS)
1%
1%
ANY OTHER ETHNIC GROUP
7%
2%
NOT STATED
The above graph shows the use of Accident and Emergency (A&E) Services by ethnic origin. While the White British group
constitutes the largest group of emergency attendees (52%) this percentage is far smaller than both in and out-patients. The chart
shows a different pattern of use of A&E services by some ethnic groups compared to their service use for in and out-patient
services. The largest ethnic minority group of emergency attendees are Black African people (8%) this compares to 3% for both in
and out-patient services. Other ethnic minority groups also show greater use of A&E compared to in and out-patient services
including Other White, and Black Caribbean.
13
A&E 2011-12 by Ethnic Group
80%
70%
60%
Dental
50%
MRI
40%
Childrens
30%
REH
20%
SMH
10%
CMFT
0%
Asian or Asian
British
Black or Black Chinese or Other Do not Wish to
British
Answer
Mixed
Not Yet Recorded
White
The above table shows the use of emergency services by ethnic group analysed by hospital. It shows that there is a different
pattern of use of emergency services for each major ethnic group. For example 25% of patients at Children’s A&E are from an
Asian or Asian British background. Black and Black British patients form 15% of patients using emergency dental services. 11% of
MRI emergency attendees are from a Chinese or other background. In short each emergency department has a particular pattern
of use by ethnicity which is not mirrored in other departments.
14
A&E 2011-12 by Religion Group
60%
50%
40%
Dental
30%
MRI
Childrens
20%
REH
10%
SMH
CMFT
Zoroastrian
Sikh
Pagan
Other
Not Stated
Not
Recorded
None
Muslim
Jewish
Jain
Hindu
Christian
Buddhist
Bahai
0%
As with ethnicity use of emergency services by religion is varied across each department. Christians constitute the largest group
using the Eye Hospital emergency services (57%) in contrast to MRI (47%) and Children’s (35%). Muslims are the second largest
group using Children’s emergency services (31%) and only constitute 11% of services users for the Eye Hospital emergency
services. Patients of no religion make use of all services with less variation than other groups.
15
A&E 2011-12 by Age Group
90%
80%
70%
Dental
60%
MRI
50%
Childrens
40%
REH
30%
SMH
20%
CMFT
10%
0%
0
1-15
16-25
26-39
60-74
40-59
75-89
90+
The above table shows the use of emergency services by age range analysed by hospital. The table shows that in terms of service
use of Accident and Emergency at the MRI the majority of service users are in the younger and earlier middle age ranges. With the
highest percentage being that of 26-39 year olds (29%) and 16-25 year olds (28%). This is followed by 40-59 year olds (25%).
The Eye Hospital emergency attendees are more concentrated towards the older age ranges.
16
A&E 2011-12 by Gender
120%
100%
80%
F
60%
M
40%
20%
0%
Dental
MRI
Childrens
REH
SMH
CMFT
This table shows a pattern of use of the emergency services within the Trust by Gender analysed by hospital. It is important to note
(with the exception of Saint Marys Hospital), males make greater use of accident and emergency services in every hospital. The
percentage is the highest at the Dental Hospital (64%) and the lowest at the Eye Hospital (51%).
17
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