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<p>The information in the following table shows the number of finished consultant
episodes (FCEs)<sup>1</sup> with a primary diagnosis<sup>2</sup> of obesity and a
main or secondary procedure<sup>3</sup> of stomach bypass, stomach restriction or
gastric balloon for 2009-10 to 2013-14<sup>4</sup>.</p><p> </p><p><strong> </strong></p><p>
</p><p>Table 1: Number of gastric band operations, 2009-10 to 2013-14</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Stomach
bypass procedures for obesity</p></td><td><p>Stomach restriction procedures for obesity</p></td><td><p>Gastric
balloon procedures<sup>5</sup></p></td></tr><tr><td><p>2009-10</p></td><td><p>3,488</p></td><td><p>4,934</p></td><td><p>0</p></td></tr><tr><td><p>2010-11</p></td><td><p>4,190</p></td><td><p>5,436</p></td><td><p>0</p></td></tr><tr><td><p>2011-12</p></td><td><p>4,151</p></td><td><p>5,776</p></td><td><p>357</p></td></tr><tr><td><p>2012-13</p></td><td><p>4,074</p></td><td><p>4,857</p></td><td><p>405</p></td></tr><tr><td><p>2013-14</p></td><td><p>3,972</p></td><td><p>3,403</p></td><td><p>364</p></td></tr></tbody></table><p>
</p><p><strong> </strong></p><p> </p><p><em>Sources: </em>Hospital episode statistics
(HES), Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p>
</p><p><em> </em></p><p> </p><p>1. An FCE is a continuous period of admitted patient
care under one consultant within one healthcare provider. FCEs are counted against
the year in which they end. Figures do not represent the number of different patients,
as a person may have more than one episode of care within the same stay in hospital
or in different stays in the same year.</p><p> </p><p> </p><p> </p><p>2. The primary
diagnosis is the first of up to 20 diagnosis fields in the HES data set and provides
the main reason why the patient was admitted to hospital.</p><p> </p><p> </p><p> </p><p>3.
The number of episodes where the procedure (or intervention) was recorded in any of
the 24 procedure fields in a HES record. A record is only included once in each count,
even if the procedure is recorded in more than one procedure field of the record.
Note that more procedures are carried out than episodes with a main or secondary procedure.
For example, patients undergoing a cataract operation would tend to have at least
two procedures – removal of the faulty lens and the fitting of a new one – counted
in a single episode.</p><p> </p><p> </p><p> </p><p>4. HES figures are available from
1989-90 onwards. Changes to the figures over time need to be interpreted in the context
of improvements in data quality and coverage (particularly in earlier years), improvements
in coverage of independent sector activity (particularly from 2006-07) and changes
in National Health Service practice. For example, apparent reductions in activity
may be due to a number of procedures which may now be undertaken in outpatient settings
and so no longer include in admitted patient HES. Conversely, apparent increases in
activity may be due to improved recording of diagnosis or procedure information. Note
that HES include activity ending in the year in question and run from April to March,
e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p>
</p><p> </p><p> </p><p>5. A primary diagnosis of obesity is not required in order
for a gastric balloon procedure to be carried out.</p><p> </p><p> </p><p> </p><p>The
information in the following table shows the estimated total cost of such procedures
for 2011-12 to 2013-14.</p><p> </p><p> </p><p> </p><p>Table 2: Estimated total cost
of gastric band operations (£ million), 2011-12 to 2013-14</p><p> </p><table><tbody><tr><td><p>
</p></td><td><p>Stomach bypass procedures for obesity</p></td><td><p>Stomach restriction
procedures for obesity</p></td><td><p>Gastric balloon procedures</p></td></tr><tr><td><p>2011-12</p></td><td><p>18.6</p></td><td><p>10.1</p></td><td><p>0.4</p></td></tr><tr><td><p>2012-13</p></td><td><p>16.6</p></td><td><p>8.4</p></td><td><p>0.4</p></td></tr><tr><td><p>2013-14</p></td><td><p>18.4</p></td><td><p>7.2</p></td><td><p>0.4</p></td></tr></tbody></table><p>
</p><p> </p><p> </p><p><em>Source: </em>Reference costs, Department of Health</p><p>
</p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p><strong> </strong></p><p> </p><p>1.
Reference costs are the average unit cost to NHS trusts and foundation trusts of providing
defined services in a given financial year. Reference costs for acute care are collected
by healthcare resource group (HRG), which are standard groupings of clinically similar
treatments that consume similar levels of healthcare resource.</p><p> </p><p> </p><p>
</p><p>2. Total costs are estimated from the unit costs and activity submitted in
reference costs.</p><p> </p><p> </p><p> </p><p>3. Costs are for the following HRGs
which were introduced in 2011-12 reference costs:</p><p> </p><p> </p><p> </p><p>FZ84Z
Stomach Bypass Procedures for Obesity</p><p> </p><p>FZ85Z Restrictive Stomach Procedures
for Obesity</p><p> </p><p>FZ86Z Endoscopic Insertion of Gastric Balloon for Obesity</p><p>
</p><p> </p><p> </p><p>Prior to 2011-12 there were no specific HRGs associated with
gastric band operations, and costs would have been reported against other HRGs.</p><p>
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