Emergency Admissions for Acute Conditions That Should Not Usually Require Hospital Admission

Identifying Attributes

Care Settings
Hospital Care
Country
England
Publishing Organisation
National Health Service (NHS) England: Clinical Commissioning Group Outcomes Indicator Set
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Descriptive

Defining Attributes

Definition

Directly age and sex standardised admission rate for emergency admissions for acute conditions that should not usually require hospital admission per 100,000 registered patients, 95% confidence intervals (CI). Measures how many people with specific acute conditions, which should not normally require hospitalisation, are admitted to hospital in an emergency. These conditions include, for example, ear/nose/throat infections, kidney/urinary tract infections and angina.

Numerator

The number of finished and unfinished admission episodes, excluding transfers, for patients with an emergency method of admission and with primary diagnoses for acute conditions that should not usually require hospital admission.

Denominator

Clinical Commissioning Group (CCG) level count of patients registered with the constituent GP Practices extracted from NHAIS (Exeter) Systems.

Exclusions

Sex as unknown or unspecified, excludes birth, delivery and mental health episodes, day case, regular day/night attenders and mothers and babies using only delivery facilities), patients who are registered with GPs outside England.

Use of Risk Adjustment
Yes
Risk Adjustments

Directly age and sex standardised

Stratifications

By age, gender, lower tier local authority, upper tier local authority, region, deprivation decile and condition.

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

National Health Application & Infrastructure Services (NHAIS), Hospital Episode Statistics Admitted Patient Care (HES APC).

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025