11.40 Chris Roebuck, HSCIC Managing A&E 26 Feb

372

Published on

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
372
On Slideshare
0
From Embeds
0
Number of Embeds
4
Actions
Shares
0
Downloads
5
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

11.40 Chris Roebuck, HSCIC Managing A&E 26 Feb

  1. 1. 1 Chris Roebuck 26th February A&E: A Data View
  2. 2. A&E: a data view • What do you think has been the: – …season of year with consistently the highest number of A&E attendances in England? – …increase in attendances at Major A&E units per population since 2004/5 in England?
  3. 3. Covering • Brief intro to HSCIC • Main findings from “Focus on A&E” report: – How many people go to A&E – Who goes to A&E – When they go to A&E – How they leave A&E – The A&E workforce
  4. 4. At the Health and Social Care Information Centre we… … set standards that protect patient’s confidential information, reduce bureaucracy and improve data quality … manage essential technology systems and services that support the health and care system … collect, analyse and publish national data and statistical information that helps inform decision making … provide services that support the life- science industry and develop the UK health informatics skills base
  5. 5. Focus on A&E introduction Originally published in December 2013, this provides a compilation of Accident and Emergency (A&E) data in England, to give a broad picture of the patient journey through A&E. • Multiple sources of A&E data are available nationally, providing information on specific aspects of care. • The figures reported here are for England overall. Variation exists locally. • There were 22 million A&E attendances in 2012/13 compared to an estimated 340 million1 GP consultations. 5
  6. 6. Introduction – overall attendances 6 Growing number of attendances at A&E. Trends show attendances have been highest in April to June since 2007/08. Data Source: NHS England A&E Activity (WSitAE), official attendance count. NHS England Weekly situation report A&E data (WSitAE) 0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec Jan-Mar April-June July-Sept Oct-Dec 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
  7. 7. Attendance by department type 7 0 50 100 150 200 250 300 350 400 450 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 Financial Year Attendances per one thousand population, 2004/05 to 2012/13 All Type 1 Departments - Major A&E Type 3 Departments - Other A&E / Minor Injury Unit Type 2 Departments - Single Specialty Overall attendances have risen faster than the growth in population. This is largely driven by type 3 department attendances which have risen at 11 times the rate of population. Though the type 3 growth rate has decreased recently. Data Sources: NHS England A&E Activity (WSitAE). Office for National Statistics Population Estimates, mid year population estimates for 2012 are used for financial year 2012/13, 2011 for 2011/12 etc. .
  8. 8. Who goes to A&E? Data Source: HSCIC Hospital Episodes Statistics (HES) (age on arrival). Data for 2012/13 are provisional. HES is not as complete as WSitAE, but is a richer source of information, containing details for each attendance. Type 1 departments may make a disproportionate contribution to the numbers for all department types in HES as they have a greater coverage than other department types when compared to WSitAE. Footnotes (page 49): 4. Highest percentage of A&E attendances are for very young children and those in their early twenties. 8 0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0% 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100+ Percentage of all attendances in the year Year of Age Percentage of total attendances by age, 2008/09 and 2012/13 2012/13 2008/09
  9. 9. Who goes to A&E? 9 Proportion of attendances for over 64s at type 1 departments has increased by 2.6 percentage points between 2008/09 and 2012/13. One in five attendances at type 1 departments are over 64. 0% 10% 20% 30% 40% 50% 60% 70% Under 10 10 to 64 Over 64 Percentage attendances in year Age group Attendance at major (type 1) departments by age group 2008/09 2012/13 0 2 4 6 8 10 12 14 2008/09 2009/10 2010/11 2011/12 2012/13 Millions per year Financial year Attendances at major (type 1) departments 2008/09 to 2012/13 Data Sources: HSCIC Hospital Episodes Statistics (age on arrival). Data for 2012/13 are provisional. NHS England A&E Activity (WSitAE).
  10. 10. Who goes to A&E? 10 Proportion of attendances for over 64s at type 3 departments has decreased by 2.2 percentage points between 2008/09 and 2012/13. Proportion of attendances for under 10s has increased by 3.4 percentage points. 0% 10% 20% 30% 40% 50% 60% 70% 80% Under 10 10 to 64 Over 64 Percentage attendances in year Age group Attendance at minor (type 3) departments by age group 2008/09 2012/13 0 2 4 6 8 10 12 14 2008/09 2009/10 2010/11 2011/12 2012/13 Millions per year Financial Year Attendances at minor (type 3) departments 2008/09 to 2012/13 Data Sources: HSCIC Hospital Episodes Statistics, Data for 2012/13 are provisional. NHS England A&E Activity (WSitAE).
  11. 11. 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 2008/09 2009/10 2010/11 2011/12 2012/13 Percentage of attendances in year Financial Year Who goes to A&E? In each of the last 5 years at least twice the number of attendances in all departments have been by those living in the most deprived 10% of areas than those in the least deprived 10%. Data Sources: HSCIC Hospital Episodes Statistics. Data for 2012/13 are provisional. Type 1 departments may make a disproportionate contribution to the numbers for all department types in HES as they have a greater coverage than other department types when compared to WSitAE. Department for Communities and Local Government Index of Multiple Deprivation. 11 Most deprived 10% Least deprived 10% Percentage of HES A&E attendances by deprivation (IMD) deciles of residence
  12. 12. When do they go to A&E? Data Source: HSCIC Hospital Episodes Statistics. Data for 2012/13 are provisional. Type 1 departments may make a disproportionate contribution to the numbers for all department types in HES as they have a greater coverage than other department types when compared to WSitAE. 12 The pattern of arrival time by hour of day has remained consistent over the past 5 years. 0% 1% 2% 3% 4% 5% 6% 7% 8% 00:00 01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 09:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 Percentage of attendances in year Hour of arrival Percentage of all A&E attendances by hour of day 2008/09 2009/10 2010/11 2011/12 2012/13
  13. 13. Data Source: NHS England A&E Activity (WSitAE) . 13 What happens while they are there? 95.9 per cent of all A&E attendances were completed within 4 hours in 2012/13, 93.8 per cent in type 1 departments and 99.8 per cent in Type 3 departments. 88.0% 89.0% 90.0% 91.0% 92.0% 93.0% 94.0% 95.0% 96.0% 97.0% 98.0% 99.0% Apr2011 May2011 Jun2011 Jul2011 Aug2011 Sep2011 Oct2011 Nov2011 Dec2011 Jan2012 Feb2012 Mar2012 Apr2012 May2012 Jun2012 Jul2012 Aug2012 Sep2012 Oct2012 Nov2012 Dec2012 Jan2013 Feb2013 Mar2013 Apr2013 May2013 Jun2013 Jul2013 Aug2013 Sep2013 Oct2013 Nov2013 Dec2013 Jan2014 Feb2014 Month and year Percentage of attendances concluded in 4 hours or less, by week (all department types)
  14. 14. What happens while they are there? 14 By 10 minute interval in type 1 departments the largest percentage of attendees spent between 3 hours 51 minutes and 4 hours in A&E. In type 3 departments the largest percentage spent 21-30 minutes. Data Source: HSCIC Hospital Episodes Statistics. Excludes planned attendances. Data for 2012/13 are provisional. 0% 2% 4% 6% 8% 10% 12% 14% 00:00to00:10 00:11to00:20 00:21to00:30 00:31to00:40 00:41to00:50 00:51to01:00 01:01to01:10 01:11to01:20 01:21to01:30 01:31to01:40 01:41to01:50 01:51to02:00 02:01to02:10 02:11to02:20 02:21to02:30 02:31to02:40 02:41to02:50 02:51to03:00 03:01to03:10 03:11to03:20 03:21to03:30 03:31to03:40 03:41to03:50 03:51to04:00 04:01orabove Percentage of attendances at department type Time spent in A&E (hours:minutes) Number of attendances by time in A&E (hh:mm), by 10 minute time intervals, and outcome, 2012/13. Type 1 departments – Major A&E Type 3 departments - Other A&E / Minor Injury Unit
  15. 15. Data Source: HSCIC Hospital Episodes Statistics. Excludes planned attendances. Data for 2012/13 are provisional. Type 1 departments may make a disproportionate contribution to the numbers for all department types in HES as they have a greater coverage than other department types when compared to WSitAE. Number of attendances by time in A&E (hours:minutes), by 10 minute time intervals, and outcome, 2012/13. 15 By 10 minute interval the largest number of all attendees spent between 3 hours 51 minutes and 4 hours in A&E. Also, a greater proportion are admitted to hospital during this period. What happens while they are there? 0 200 400 600 800 1,000 1,200 1,400 1,600 1,800 00:00to00:10 00:11to00:20 00:21to00:30 00:31to00:40 00:41to00:50 00:51to01:00 01:01to01:10 01:11to01:20 01:21to01:30 01:31to01:40 01:41to01:50 01:51to02:00 02:01to02:10 02:11to02:20 02:21to02:30 02:31to02:40 02:41to02:50 02:51to03:00 03:01to03:10 03:11to03:20 03:21to03:30 03:31to03:40 03:41to03:50 03:51to04:00 04:01orabove Unknown Attendances(thousands) Time spent in A&E (hours:minutes) Other (inc. not known) Referred Discharged - no follow up Discharged - follow up by GP Admitted / became a lodged patient
  16. 16. Workforce trends, relative change in full time equivalent HCHS doctors (indexed to 2002) 16 100 110 120 130 140 150 160 170 180 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Index Value Year Emergency Medicine specialty +71% (3,183 in 2002 to 5,437 in 2012) All other specialties +47% (65,077 in 2002 to 95,462 in 2012) The number of doctors with an Emergency Medicine specialty has increased at a faster rate than all other specialties combined. Data Source: HSCIC NHS Workforce Census – Medical and Dental staff. The workforce is at 30 September each specified year. The A&E Workforce
  17. 17. Summary of main findings • Overview of key figures at national level • Lack of robust clinical information • Local level data also available Local trends may differ and differ again from individuals’ perceptions • Consistency of data For example: patterns of arrival times or rate of attendance in Major Units per population 17
  18. 18. Thank you for listening Read the full report: http://www.hscic.gov.uk/catalogue/PUB13040/acci-emer-focu-on-2013- rep-V2.pdf Download provider level information: http://www.hscic.gov.uk/catalogue/PUB13464/acci-emer-atte-eng-2012- 2013-pla.xls Contact us: enquiries@hscic.gov.uk
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×