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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 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-2017Click here to sortMar-2017Click here to sortApr-2017
[Collapse]All Treatment Functions110,348110,345110,974112,964106,786105,169109,816107,25786,84873,02183,12880,63992,81974,638
All Treatment FunctionsGeneral Surgery10,93811,37911,28311,54510,75110,81711,16010,9848,8537,4098,6388,4069,4667,314
Urology4,8924,9644,7794,7474,5124,6564,6304,6493,8183,2973,7183,7313,9753,185
Colorectal surgery..............
Trauma & Orthopaedics16,32817,42418,21017,77917,14016,61017,22816,86713,37911,40512,30611,93914,29212,657
Ear, Nose and Throat8,2628,5078,3298,0897,9427,6848,5168,0007,0175,5916,5926,4857,4955,751
Ophthalmology9,0308,5758,4738,6388,3648,4598,7028,6966,8235,6526,2146,1287,1815,960
Oral Surgery4,2114,0934,2454,2543,9854,0884,1814,1693,4182,9363,2313,0643,3052,578
Restorative Dentistry635591608588643597681671589487586557471305
Paediatric Dentistry245216295234177193234237269220216229177122
Orthodontics468446509485531456606546381327356413399294
Neurosurgery16913413614513611522414217895164130122126
Plastic Surgery677670738711714730742757689596571627664620
Cardiothoracic Surgery247225255250245234224239233187218188222198
Paediatric Surgery13515014316013114715112710299115143133197
Accident & Emergency123105121110929593103......
Anaesthetics528547648695683722720699690688696627861605
Pain Management1,1591,1221,0271,1231,0259399771,021772532692660836619
Paediatric Medical Oncology....33412....1
General Medicine3,0132,9853,2073,2873,1403,0423,1163,0252,9642,5623,0402,8003,1252,475
Gastroenterology3,6463,7643,6953,8583,5433,8723,9653,8312,7382,3362,5822,4583,0412,384
Endocrinology9699409491,0559431,0011,024956655554584611761543
Clinical Haematology1,4691,6301,4931,6101,4821,5161,4731,3621,2591,1231,2241,2001,3841,181
Clinical Pharmacology2733361824242925193032161420
Audiological Medicine8910011311678618164977073908766
Clinical Genetics821176623132256
Clinical Immunology And Allergy9913311011711614814910775117160102152106
Rehabilitation288307322349352297359335339272374356406302
Palliative Medicine4554516255616348424251474644
Cardiology4,9065,0235,2445,1964,8214,7625,0404,8783,9383,3913,8313,9444,7013,438
Paediatric Cardiology.8770719179100778984931036383
Sport and Exercise Medicine.20242313132016393015385552
Dermatology6,6117,0577,0287,3086,7746,6766,6686,1024,5913,6384,4034,2955,0924,259
Respiratory Medicine2,1492,2062,0722,2142,0122,0651,9292,0981,5961,3671,7511,5241,9301,383
Infectious Diseases1619252215162419301220243322
Genito Urinary Medicine4959395342545451......
Nephrology497464486508467436509500312290315285343282
Medical Oncology1181141541211281241241357510092659950
Nuclear Medicine..............
Neurology1,5451,6321,5011,5841,4901,4411,5701,5691,6671,2721,5061,5301,6431,352
Clinical Neurophysiology181254220274183203269180302121152813
Rheumatology2,9343,1043,0222,8652,5322,4272,6542,5531,7161,5121,5731,8091,8251,404
Paediatrics4,1043,9404,0573,9863,6873,1493,7273,9843,0672,4302,9292,7603,2842,489
Paediatric Neurology1038088855770787193621029310466
Geriatric Medicine1,2031,1221,0601,0671,0191,0371,0291,013745635658665787753
Dental Medicine Specialties136155139119111125161155163140153133176103
Obstetrics - (inpatients and day cases only)1351,3491,1741,1261,0561,1171,2161,1081,1891,0241,3491,0761,241943
Gynaecology7,1607,4007,2127,4837,2556,9817,5357,3166,3545,3616,2295,8756,9475,448
Obstetrics - Antenatal (outpatients)1,606.............
Obstetrics - Postnatal (outpatients)6.............
Midwifery1,5011,5321,5551,4341,4971,5231,4701,4191,3141,1661,3011,1021,1961,045
GP Other132.............
Learning Disability8181748772668487534974887764
Adult Mental Illness2,0562,2002,2863,3613,0653,0532,8332,6762,0111,6561,7781,7551,9481,592
Child & Adolescent Psychiatry1,5061,5001,8471,8731,6181,3361,6411,6911,1119081,1151,1311,220840
Forensic Psychiatry203518182619264033424533269
Psychotherapy2840263531202437......
Old Age Psychiatry8411,0131,0581,2921,2191,1011,0481,115845770916837920909
Clinical Oncology564613589561525535530513259308285293296217
Radiology28.............
Interventional Radiology.30262837372725262015352227
General Pathology40.............
Chemical Pathology11412010412813013192165100103124122143136
Haematology (non-clinical)16.............
Medical Microbiology..............
Community Medicine..............
Nursing2,262.............
Joint Consultant Clinic..............
Allied Health Professional Services..............

Metadata

Title
Referrals (April 2012 onwards)

Last update
18 May 2017 18 May 2017

Next update
22 June 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 2016 - March 2017 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 have resubmitted haematology data back to April 2012 to include referrals from a haematology clinician, as these were erroneously excluded in the past.
Powys have resubmitted Child and Adolescent psychiatry data back to April 2012 as these were wrongly being excluded in the past.


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