Providing timely and clinically appropriate primary and specialist care for selected chronic and acute conditions (also known as ambulatory care sensitive conditions) may help reduce unnecessary emergency hospital admissions. This applies to adults as well as children and young people. Here we look at the most common childhood chronic conditions: asthma, diabetes and epilepsy. Unplanned hospitalisation for asthma, diabetes and epilepsy in children and young people under 19 years is also a national quality indicator in the NHS Outcomes Framework.
The rate of emergency admissions for asthma, diabetes and epilepsy in children and young people has declined from 345.9 per 100,000 in 2003/04 to 311.7 per 100,000 in 2015/16; a decrease of 9.9%.
It is useful to further disaggregate and look at condition specific trends so that more concrete problems and actions can potentially be identified. For asthma, as the most common childhood chronic condition, between 2011/12 and 2015/16 there was an increase from 194 per 100,000 to 202 per 100,000 increase in emergency hospital admissions over this period.
About this data
Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s
The rate per 100,000 population aged under 19 (0 to 18 years), with asthma, diabetes or epilepsy, admitted to hospital as an emergency admission in the respective quarter of the financial year:
- Numerator: The number of finished and unfinished continuous inpatient spells (CIPS), excluding transfers, for patients aged under 19 with an emergency method of admission and where asthma, diabetes or epilepsy was the primary diagnosis.
- Denominator: Resident under 19's population estimate from ONS mid-year population estimate
Hospital admissions for asthma
Emergency hospital admissions for asthma, crude rate per 100,000:
- Nominator: Emergency admissions with a primary diagnosis of asthma (ICD-10 codes J45 – Asthma, and J46 – Status asthmaticus) in children aged 0 to 18 years.
- Denominator: Mid-year population estimates: single year of age and sex for local authorities in England and Wales (ages 0-18 years)
For more information about the indicators see the NHS Outcomes Framework and and Hospital admissions for asthma (under 19 years), Supporting information