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Data Provider: Welsh Government Referrals by treatment function and month
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Provider Area Code[Filter]
[Collapse]LHB Provider[Filtered]
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LHB Provider 1[Filter]
Residence Area Code[Filter]
[Collapse]LHB Residence[Filtered]
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LHB Residence 1[Filter]
[Collapse]Source of referral[Filtered]
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Source of referral 1[Filter]
Measure1
Date[Filtered]
[Collapse]Treatment Function[Filter]
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Treatment Function 1
Click here to sortDec-2015Click here to sortJan-2016Click here to sortFeb-2016Click here to sortMar-2016Click here to sortApr-2016Click here to sortMay-2016Click here to sortJun-2016Click here to sortJul-2016Click here to sortAug-2016Click here to sortSep-2016Click here to sortOct-2016Click here to sortNov-2016Click here to sortDec-2016
[Collapse]All Treatment Functions97,947102,229108,841110,060109,009110,997113,166107,252105,692110,412107,70287,16372,672
All Treatment FunctionsGeneral Surgery9,49710,32510,53710,91611,25311,27111,54310,73910,81011,14710,9618,8077,308
Urology4,4194,4784,8384,8934,8524,7704,7444,5084,6544,6304,6433,8043,239
Colorectal surgery............5
Trauma & Orthopaedics14,45614,77015,35316,32817,31018,22117,77717,14716,62417,23516,86213,36611,311
Ear, Nose and Throat6,9997,6678,2118,2628,3938,3238,0867,9387,6848,5157,9957,0125,577
Ophthalmology7,7637,8728,8309,0158,7028,7379,0178,8959,0469,4039,2337,4306,084
Oral Surgery3,9803,7724,2534,2094,0074,2384,2493,9874,0914,1784,1653,3762,901
Restorative Dentistry493492535635576604587641596680668588485
Paediatric Dentistry199193238245216295234177193234236269215
Orthodontics446413473468424506480529456606544381326
Neurosurgery15615414716913413514413511422014017691
Plastic Surgery653614675677670738711714730742758689585
Cardiothoracic Surgery220204233247225255251244232223239235182
Paediatric Surgery12415913813515114216013214715112910495
Accident & Emergency93117111123105121110929593103..
Anaesthetics538479597528505646690679715718695684671
Pain Management1,0519431,1521,1511,1201,0261,1231,0259399781,021773521
Paediatric Medical Oncology.......33412.
General Medicine2,8592,9723,0403,0132,9033,2013,3023,1463,0463,1203,0262,9362,488
Gastroenterology3,5693,5733,6153,6463,7213,7223,9213,6033,9404,0583,9432,8912,479
Endocrinology8377919099699409491,0559431,0031,024956656553
Clinical Haematology1,1321,0261,1981,2871,6161,4931,6141,4841,5171,4731,3641,2551,113
Clinical Pharmacology15262027333618242429251627
Audiological Medicine65668090100113116786181649770
Clinical Genetics24882117662313
Clinical Immunology And Allergy981371199913311011711614915010975117
Rehabilitation270278283288307320330337291343327337265
Palliative Medicine47445646545162556163484241
Cardiology4,4004,4114,8054,9064,9365,2185,1974,8164,7545,0224,8633,8793,306
Paediatric Cardiology....8770719179100779079
Sport and Exercise Medicine....192423131320163931
Dermatology5,4365,7906,4806,6117,1047,1867,4126,9486,8496,8686,2804,8453,841
Respiratory Medicine1,9822,1012,3142,1492,1602,0662,2102,0112,0581,9222,0941,5871,378
Infectious Diseases13201616192522151624193012
Genito Urinary Medicine5049564959395342545451..
Nephrology491434496497459484508467436509502311292
Medical Oncology12012011511811415412112812412413575100
Nuclear Medicine.............
Neurology1,3721,4321,5891,5451,6161,4971,5841,4901,4391,5701,5681,6631,262
Clinical Neurophysiology1811822761812542202741832032691793021
Rheumatology2,4072,5472,9362,9313,0403,0152,8612,5342,4262,6562,5531,7171,520
Paediatrics3,5383,8914,1334,0913,8894,0493,9803,6853,1493,7223,9783,0372,376
Paediatric Neurology858573103808885577078709259
Geriatric Medicine9761,0521,0301,1971,1181,0611,0671,0201,0351,0291,010742625
Dental Medicine Specialties121112163136155139119111125161155163140
Obstetrics - (inpatients and day cases only)1111531611351,032772762738791810802809703
Gynaecology6,5826,9217,5857,1577,3267,2407,5257,2797,0217,5687,3466,3605,326
Obstetrics - Antenatal (outpatients)1,4761,7631,5391,606.........
Obstetrics - Postnatal (outpatients)4416.........
Midwifery1,4201,6591,5151,5011,5321,5551,4341,4971,5241,4701,4191,3141,165
GP Other130141165132.........
Learning Disability738110581797283686274844336
Adult Mental Illness1,8362,0972,1092,0382,1852,2963,3633,0683,0452,8152,6591,9831,595
Child & Adolescent Psychiatry1,4131,4311,6281,4991,4451,8791,8911,6451,3431,6671,6981,110870
Forensic Psychiatry22312620321918271927351720
Psychotherapy4327432840263531202437..
Old Age Psychiatry8599259288291,0141,0601,2931,2191,1071,0801,111841739
Clinical Oncology505521474564613589561525535530513258303
Radiology33222728.........
Interventional Radiology....302628373727252620
General Pathology41352840.........
Chemical Pathology16917711111412010412813013192165100101
Haematology (non-clinical)18131416.........
Medical Microbiology.............
Community Medicine.............
Nursing2,0592,4332,2512,262.........
Joint Consultant Clinic.............
Allied Health Professional Services.............

Metadata

Title
Referrals (April 2012 onwards)

Last update
1 February 2017 1 February 2017

Next update
1 March 2017

Publishing organisation
Welsh Government

Source 1
Outpatient Referral Dataset, NHS Wales Informatics Service (NWIS)

Contact email
stats.healthinfo@wales.gsi.gov.uk

Designation
None

Lowest level of geographical disaggregation
Local health boards

Geographical coverage
Wales

Languages covered
English and Welsh

General description
Resubmissions of the Referrals data in the Outpatient Referrals Dataset (OPR DS) occur each month. As a result, data in the release and Stats Wales is revised to reflect this. Please see the latest release for the impact of the revisions.
GP referrals cover both referrals from General Medical Practitioners and General Dental Practitioners.
Change of data source for GP referrals data for April 2012 data onwards:
For April 2012 data onwards, the data source for GP referrals for first outpatient appointments in this release has changed from the aggregate GP referrals data collection to the OPR DS.
The monthly aggregate GP Referrals data collection was historically used to assess trends at LHB and specialty level of GP referrals to first outpatient appointments. This data source was published by the Welsh Government as the definitive source of GP referrals data from June 2006 until July 2012.The Outpatient Referrals Dataset (OPR DS) was approved in May 2007 by the Welsh Information Standards Board (WISB), full implementation was completed by December 2007 and formal collection and reporting began mid 2008. This is a patient-level data set that allows more detailed analysis.
Following detailed data quality assessments and reviews of the data, the Welsh Government moved to using the OPR DS as the source of the official statistics for April 2012 data onwards and has ceased the monthly aggregate GP Referrals data collection. The reasons for this were to:
- Have just one definitive source of data for GP referrals;
- Remove the burden on data providers of supplying data for two similar data sets;
- Remove the confusion for analysts and users which exists by having two similar data sets for GP referrals information, containing different data in some cases; and
- Allow more granularity for research and data mining (the OPR DS provides patient level data, whereas the aggregate GP referrals data collection provides high level, summary data).
For April 2012 data onwards, “treatment function code” has been used to determine into which specialty the referral is made, changing from "main specialty (of consultant)". Treatment function code is the specialty under which a patient is currently being treated or is waiting to be treated, irrespective of the specialty of the consultant, whereas main specialty (of consultant) is the specialty of the consultant under which the patient will be/is currently being treated. The reasons for using treatment function code are as follows:
It provides an improved measure of demand on the service. Referral figures have been reported historically using ‘Main Specialty (of Consultant)’ to identify the consultant care for which the patient is awaiting treatment. Using treatment function code enables reporting of referrals by the speciality to which the patients have been referred rather than by the speciality to which the consultant is registered.

Due to the changing management of referrals in secondary care (for example, the use of pooled specialty waiting lists and referrals now often being referred directly to a specialty or service rather than a named individual) using main specialty is no longer appropriate, as the data should be more standardised. Using treatment function code will bring this data set in line with national standards, and it should introduce more coherence between data sets (i.e. specialty figures for referral to treatment times are also reported using treatment function code).
From April 2016, there has been a change in the treatment function codes submitted by the local health boards; this includes the cessation of the nursing treatment function. Whilst the other changes are likely to result in movements between different codes, the nursing treatment function affects Cwm Taf University LHB in particular as it was the only health board to submit a large number of referrals for that code (around 2,000 in March 2016, the last month when data was submitted).
Information on non-GP referrals are included in this table. For information on the non-GP referrals please see this statistical article:
http://gov.wales/docs/statistics/2015/150224-analysis-outpatient-referrals-en.pdf


Data collection and calculation
Please find this information in the related statistical release, as per the given weblink.

Frequency of publication
Monthly

Data reference periods
April 2012 onwards

Users, uses and context
Please find this information in the related statistical release, as per the given weblink.

Revisions information
From December 2015 our revisions policy is that each month we revise data for the previous 12 months (i.e. each month we publish 13 months of data). At the end of every financial year, when the largest historical revisions are received, we revise figures back to April 2012 (i.e. when we publish March figures each year we revise figures back to April 2012). Prior to December 2015, we revised data back to April 2012 every month.

Betsi Cadwaldr Health Board have been unable to submit data for part of the health board for November and December 2016, due to moving to the national Welsh Patient Administration System (WPAS). NHS Wales Informatics Service (NWIS) are working with the health board to resolve the issue.
Aneurin Bevan University Health Board have now submitted data for November 2016.
Prior to April 2016, referrals to a haematology clinician were incorrectly excluded from the figures reported by Aneurin Bevan. These referrals are included from April 2016 onwards, resulting in an increase in the number of referrals to this specialty. Aneurin Bevan are hoping to resubmit the data prior to April 2016, which will include these referrals, when the figures are revised back to April 2012.

Statistical quality
Please find this information in the related statistical release, as per the given weblink.

Weblinks
The most recent statistical release can be found on the following weblink:
http://gov.wales/statistics-and-research/nhs-referrals-first-outpatient-appointments/?lang=en
On the 24th February 2015 we published a statistical article, which detailed the impact on the data of including other sources of referrals, and identified patterns and trends of non-GP sources of referral.
http://gov.wales/docs/statistics/2015/150224-analysis-outpatient-referrals-en.pdf

Keywords
gp referrals; nhs; NHS referrals