Determining local service levels for the surgical management of otitis media with effusion in children
Benchmarks for a standard population
Available data suggest that the standard benchmark rate for surgical management of otitis media with effusion (OME) is 0.4%, or 400 per 100,000, children under the age of 12 years per year. Approximately 14% of the population in England is under the age of 12 years.
For an average primary care trust population of 300,000 (with around 45,000 children under the age of 12 years), the average number of children requiring surgical management of OME would be 180 per year (0.4% of children under the age of 12 years).
For an average general practice list size of 10,000, (with 1,500 children under the age of 12 years), the average number of children requiring surgical management of OME would be 6 per year (0.4% of children under the age of 12 years).
Examine the assumptions used in estimating these figures.
Surgical management of OME is likely to fall under the programme budgeting category 209X (problems of hearing).
Use the service for the surgical management of otitis media in children commissioning and benchmarking tool to determine the level of service that might be needed locally and to calculate the cost of commissioning the service using the indicative benchmark and/or your own local data.
Further information
Sources of further information to help you in assessing local health needs and reducing health inequalities include:
- Annex A of the Commissioning framework for health and well-being outlines the process and data needed to undertake a joint strategic needs assessment.
- Department of Health Delivering quality and value - focus on benchmarking.
- NICE Health equity audit - learning from practice briefing.
- Delivering the 18 week patient pathway: 18 week commissioning pathways.
- The No delays achiever provides access to service improvement tools aimed at reducing time between referral and treatment.
This page was last updated: 02 March 2012
- Service for the surgical management of OME
- Commissioning a service for the surgical management of otitis media with effusion in children
- Specifying a service for the surgical management of otitis media with effusion in children
- Determining local service levels for the surgical management of otitis media with effusion in children
- Assumptions used in estimating a population benchmark
- The commissioning and benchmarking tool
- Ensuring corporate and quality assurance

