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. 2014 Mar 25;32(1):44–50. doi: 10.1136/emermed-2013-202531

Table 1.

Distribution of readmissions across categories, and proportion subject to non-payment guidance

Category Number (of individuals affected) Average number per year Percentage (95% CI) Percentage subject to NHS non-payment guidance 2011/2012
A: Potentially preventable
 A1: Probable suboptimal care 312 891 (163 924) 52 149 5.39 (5.37 to 5.41) 49.2
 A2: Possible suboptimal care 1 426 628 (821 022) 237 771 24.58 (24.54 to 24.61) 11.4
B: Anticipated but unpredictable hospital care
 B1: Ill but stable 439 566 (79 240) 73 261 7.57 (7.55 to 7.59) 14.4
 B2: Unstable deterioration 311 036 (23 092) 51 839 5.36 (5.34 to 5.38) 8.7
 B3: Non-medical risk factors 391 385 (216 813) 65 231 6.74 (6.72 to 6.76) 13.8
C: Preference
 C1: Self-discharge 53 718 (32 196) 8953 0.93 (0.92 to 0.93) n/a
 C2: Public holiday* 11 684 (n/a) 1947 0.20 (0.20 to 0.20) n/a
D: Artefact
 D1: Planned care 16 062 (8005) 2677 0.28 (0.27 to 0.28) 22.0
 D2: Defined periodicity* 47 787 (n/a) 7964 0.82 (0.82 to 0.83) n/a
E: Accident or coincidence—related to different body system 1 101 818 (692 712) 183 636 18.98 (18.95 to 19.01) 20.8
F: Broadly related 1 751 368 (1 312 100) 291 895 30.17 (30.14 to 30.21) 17.8
Total (event-specific) 5 804 472 (3 349 104) 967 412 – 17.3
Total estimated: C1* and D2* 59 471 (n/a) 9912 1.02 (1.02 to 1.03) n/a

Categories marked * are estimated differences between observed and expected numbers of cases and cannot be linked back to individual patients. Totals are reported separately. Non-payment guidelines specifically exclude cases where the patient self-discharged (category C1).