Table 2

The 28 procedures accounting for more than half of all elective surgical activities in England

ProcedureTotal number of casesPatient riskMean distance travelled (km)
Low risk (%)Medium risk (%)High risk (%)
Lower GI endoscopy937 61674.817.97.39.8
Upper GI endoscopy650 13366.922.110.99.4
Lens extraction+ replacement395 44533.546.520.010.9
Excision of skin lesion215 60855.029.515.512.7
Injection/aspiration joint142 56271.620.97.512.6
Vitrectomy132 93839.944.116.113.2
Cystoscopy130 11456.426.217.411.8
Insertion of central venous catheter109 86424.338.337.414.0
Coronary angiography105 62056.230.013.813.9
Dental extraction101 43591.65.82.511.5
Knee replacement78 77353.334.412.313.4
Bladder catheterisation or irrigation71 55242.532.724.812.8
Injection to bladder67 16734.329.835.911.5
Spinal facet joint injection64 15470.421.97.714.0
Cholecystectomy61 79080.513.85.711.8
Lymph node biopsy60 67434.834.430.814.9
Epidural or spinal injection60 65669.222.68.112.9
Inguinal hernia repair58 94372.619.97.510.9
Spinal nerve root injection58 21277.017.55.516.2
Knee meniscectomy/ meniscal repair57 87193.25.90.812.4
Hysteroscopy52 36090.96.42.79.9
Carpal tunnel release48 24570.722.27.111.0
Application/ removal of internal fixation of bone46 77184.611.93.515.7
Dental clearance43 46382.311.75.911.1
Partial breast excision41 82750.131.418.511.5
Bone marrow biopsy38 36939.834.825.515.6
Primary joint resurfacing37 85459.330.110.514.0
Cystoscopy+ resection of bladder lesion37 45817.729.852.511.2
  • The proportion of patients classified as low, medium and high risk according to table 1 is shown, along with the mean distance travelled from a patient’s LSOA of residence to the hospital site in which the procedure is performed.

  • GI, gastrointestinal; LSOA, lower layer super output area.