Malnutrition

(asked on 22nd July 2019) - View Source
Questioner
Eleanor Smith Portrait
Eleanor Smith
(Labour - Wolverhampton South West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many and what proportion of hospital admissions there were for adults with malnutrition as a (a) primary and (b) secondary condition in (i) England (ii) each Clinical Commissioning Group and (iii) each parliamentary constituency in each of the last ten years; and if he will make a statement.

Answered by
Jo Churchill Portrait
Jo Churchill
This question was answered on 5th August 2019

NHS Digital has provided a count of finished admission episodes (FAEs) in each of the last 10 years with a primary or secondary diagnosis of malnutrition for adult and child patients resident in England. This information is provided in the attached tables.

Information by clinical commissioning group and parliamentary constituency is too small to be meaningful and has not been provided in order to protect patient confidentiality.

Activity for adults in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.

Year

Total Admissions

Primary Diagnosis

Secondary Diagnosis

Admissions

Percentage

Admissions

Percentage

2008-09

11,953,809

348

0.0029%

2,545

0.0213%

2009-10

12,319,781

417

0.0034%

3,113

0.0253%

2010-11

12,629,229

485

0.0038%

3,843

0.0304%

2011-12

12,744,605

608

0.0048%

4,475

0.0351%

2012-13

12,837,889

626

0.0049%

4,564

0.0356%

2013-14

13,159,078

589

0.0045%

5,707

0.0434%

2014-15

13,554,017

683

0.0050%

6,268

0.0462%

2015-16

13,869,134

703

0.0051%

6,664

0.0480%

2016-17

14,078,269

732

0.0052%

7,132

0.0507%

2017-18

14,154,577

735

0.0052%

7,802

0.0551%

Source: Hospital Episode Statistics (HES), NHS Digital

Activity for children in English NHS Hospitals and English NHS commissioned activity in the independent sector.

Year

Total Admissions

Primary Diagnosis

Secondary Diagnosis

Admissions

Percentage

Admissions

Percentage

2008-09

1,850,531

26

0.0014%

176

0.0095%

2009-10

1,894,664

40

0.0021%

134

0.0071%

2010-11

1,928,249

43

0.0022%

180

0.0093%

2011-12

1,449,122

38

0.0026%

157

0.0108%

2012-13

1,484,907

37

0.0025%

168

0.0113%

2013-14

1,964,359

25

0.0013%

185

0.0094%

2014-15

1,984,768

37

0.0019%

193

0.0097%

2015-16

2,038,411

29

0.0014%

267

0.0131%

2016-17

2,043,080

47

0.0023%

243

0.0119%

2017-18

2,020,591

57

0.0028%

263

0.0130%

Source: HES, NHS Digital

Notes:

1. A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.

2. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.

3. ICD-10 codes used to define malnutrition are:


E40 Kwashiorkor;

E41 Nutritional marasmus E42 Marasmic kwashiorkor;

E43 Unspecified severe protein–energy malnutrition;

E44 Protein–energy malnutrition of moderate and mild degree;

E45 Retarded development following protein–energy malnutrition;

E46 Unspecified protein–energy malnutrition; and O25 Malnutrition in pregnancy.

5. Adult: the patient was 18 years old or greater at the start of the episode of care.

6. Child: the patient was under 18 years old at the start of the episode of care.

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