Admissions for diabetes in children - ICP Outcomes Framework - Resident Locality

This dataset presents the crude rate of emergency hospital admissions for insulin-dependent diabetes mellitus (Type 1 diabetes) among children and young people aged under 19. It provides insight into the burden of acute diabetic complications requiring urgent care and supports the evaluation of diabetes management in paediatric populations.

Rationale

Reducing emergency admissions for diabetes in children is a key public health objective. High admission rates may indicate challenges in managing the condition, such as poor glycaemic control, lack of access to specialist care, or gaps in education and support for families. Monitoring this indicator helps inform strategies to improve diabetes care and reduce preventable hospitalisations.

Numerator

The numerator is the number of emergency hospital admissions for individuals aged under 19 with a primary diagnosis of insulin-dependent diabetes mellitus, identified using ICD-10 code E10. Data are sourced from NHS England’s Secondary Uses Service (SUS).

Denominator

The denominator is the total resident population aged under 19, based on the 2021 Census.

Caveats

No specific caveats were noted for this dataset. However, as with all hospital admission indicators, local variations in clinical coding, referral practices, and healthcare access may influence the results.

External References

Fingertips Public Health Profiles – Diabetes Admissions (Under 19)

Localities Explained

This dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:

• Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).
• Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.

This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.

Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.