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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 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-2016Click here to sortJan-2017Click here to sortFeb-2017
[Collapse]All Treatment Functions108,838110,058110,653111,545113,617107,619106,064110,928108,16687,92973,92883,97480,337
All Treatment FunctionsGeneral Surgery10,53710,91611,35211,28211,54510,75010,81611,15710,9788,8407,3948,5958,309
Urology4,8384,8924,9044,7784,7474,5094,6584,6334,6493,8193,2933,7123,707
Colorectal surgery.............
Trauma & Orthopaedics15,35316,32817,41818,21117,77517,14216,60817,23016,86513,37511,40012,28211,869
Ear, Nose and Throat8,2108,2628,4778,3278,0897,9437,6868,5158,0027,0195,5936,5856,432
Ophthalmology8,8309,0158,8538,7489,0188,8919,0469,4059,2347,4466,1946,7916,637
Oral Surgery4,2524,2094,0854,2454,2543,9854,0884,1804,1703,4232,9373,2322,775
Restorative Dentistry535635589607588642597681669589487585410
Paediatric Dentistry238245216295234177193234236269220216132
Orthodontics473468444509485531456606547381327356378
Neurosurgery14716913413614513611522414117994164129
Plastic Surgery675677670738711714730742757689596569620
Cardiothoracic Surgery233247225255251244234223239233187218179
Paediatric Surgery13813515014316013214715112810398115141
Accident & Emergency111123105121110929593103....
Anaesthetics597528546648694682721720699691686688611
Pain Management1,1521,1501,1201,0261,1231,0259399781,021772532691649
Paediatric Medical Oncology.....33412...
General Medicine3,0403,0132,9743,2063,2873,1403,0483,1273,0352,9632,5553,0232,746
Gastroenterology3,6153,6463,7673,7253,9263,6043,9414,0623,9442,9042,5052,7252,598
Endocrinology9099699409491,0559431,0011,024956655554584608
Clinical Haematology1,1981,2871,6301,4931,6141,4841,5171,4741,3621,2591,1221,2231,193
Clinical Pharmacology2027333618242429251930298
Audiological Medicine80901001131167861816497707390
Clinical Genetics88211766231322
Clinical Immunology And Allergy1199913311011711614814810875117160102
Rehabilitation283288307322349350290342326339275379358
Palliative Medicine56465451625561634842425147
Cardiology4,8054,9065,0215,2435,1964,8224,7655,0364,8773,9353,3813,8203,859
Paediatric Cardiology..877071917910077898291101
Sport and Exercise Medicine..2024231313201639301536
Dermatology6,4806,6117,1607,1887,4156,9576,8516,8756,2944,8603,8594,6654,573
Respiratory Medicine2,3142,1492,2052,0722,2142,0112,0641,9272,0981,5951,3701,7591,544
Infectious Diseases16161925221516241930122024
Genito Urinary Medicine564959395342545451....
Nephrology496497464486508467436509501312291314283
Medical Oncology115118114154121128124124135751009264
Nuclear Medicine.............
Neurology1,5891,5451,6321,5011,5841,4901,4401,5701,5681,6661,2721,5031,515
Clinical Neurophysiology27618125422027418320326917930212115
Rheumatology2,9352,9313,1023,0222,8652,5322,4262,6552,5571,7161,5121,5741,785
Paediatrics4,1334,0913,9324,0573,9853,6883,1493,7283,9853,0652,4262,9162,720
Paediatric Neurology7310380898557707871936310291
Geriatric Medicine1,0301,1971,1181,0601,0671,0191,0361,0311,012744632650648
Dental Medicine Specialties163136155139119111125161155163140152116
Obstetrics - (inpatients and day cases only)1611351,3491,1741,1261,0561,1171,2161,1081,1891,0241,3481,075
Gynaecology7,5857,1577,4167,2437,5377,2817,0217,5677,3506,3705,3706,2255,848
Obstetrics - Antenatal (outpatients)1,5391,606...........
Obstetrics - Postnatal (outpatients)16...........
Midwifery1,5151,5011,5321,5551,4341,4971,5231,4701,4191,3141,1661,3011,102
GP Other165132...........
Learning Disability105818074846961778347446680
Adult Mental Illness2,1092,0382,2172,3013,3673,0703,0582,8482,6872,0171,6651,7851,745
Child & Adolescent Psychiatry1,6281,4991,5531,9101,9141,6511,3541,6801,7171,1289181,1371,118
Forensic Psychiatry26203419182619273930364115
Psychotherapy432840263531202437....
Old Age Psychiatry9288291,0191,0601,2931,2221,1081,0811,118853772905806
Clinical Oncology474564613589561525535530513259308285289
Radiology2728...........
Interventional Radiology..3026283737272526201535
General Pathology2840...........
Chemical Pathology11111412010412813013192165100103124120
Haematology (non-clinical)1416...........
Medical Microbiology.............
Community Medicine.............
Nursing2,2512,262...........
Joint Consultant Clinic.............
Allied Health Professional Services.............

Metadata

Title
Referrals (April 2012 onwards)

Last update
20 April 2017 20 April 2017

Next update
18 May 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

Data licensing
You may use and re-use this data free of charge in any format or medium, under the terms of the Open Government License - see http://www.nationalarchives.gov.uk/doc/open-government-licence

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.
Powys Teaching have resubmitted data for Child and Adolescent Psychiatry for the latest financial year, as these referrals have been incorrectly excluded in the past. The health board will resubmit the data prior to April 2016 to include these referrals with the next update.

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