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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 sortNov-2016Click here to sortDec-2016Click here to sortJan-2017Click here to sortFeb-2017Click here to sortMar-2017Click here to sortApr-2017Click here to sortMay-2017Click here to sortJun-2017Click here to sortJul-2017Click here to sortAug-2017Click here to sortSep-2017Click here to sortOct-2017Click here to sortNov-2017
[Collapse]All Treatment Functions86,83973,01783,12880,63192,87676,56190,64089,79286,00984,19783,98490,32885,934
All Treatment FunctionsGeneral Surgery8,8537,4098,6388,4069,4727,4339,2109,2758,6448,3188,3049,0608,772
Urology3,8173,2943,7163,7313,9773,2803,8103,9123,8063,5473,6403,9053,754
Colorectal surgery.............
Trauma & Orthopaedics13,37811,40512,30611,93614,30312,75114,92514,27114,41213,93614,16815,06713,552
Ear, Nose and Throat7,0175,5916,5926,4857,4985,7936,7426,8496,3496,4396,3256,7636,401
Ophthalmology6,8235,6526,2146,1287,1866,0366,9226,4816,4946,4426,1776,7076,361
Oral Surgery3,4182,9363,2293,0623,3092,7813,2443,2483,0043,1343,0433,4693,315
Restorative Dentistry589487586557470462589566468586546606612
Paediatric Dentistry269220216229177173206241227259233238254
Orthodontics381327356413399343367428340387386327383
Neurosurgery17895164130122126129125147127132136137
Plastic Surgery689596570627661627676725649661632655614
Cardiothoracic Surgery233187218188225202224208229215236232199
Paediatric Surgery102991151431332101671221268415818492
Accident & Emergency.........11..
Anaesthetics690688696627861633750894736784870933783
Pain Management772531692660836624743770740793778797776
Paediatric Medical Oncology2....11212.11
General Medicine2,9632,5623,0402,7993,1282,5493,1073,0612,9402,9372,9823,0843,023
Gastroenterology2,7382,3352,5822,4573,0432,4152,8942,9382,8442,7802,8042,9642,925
Endocrinology655554584610761546641647663659643676638
Clinical Haematology1,2591,1231,2241,2001,3841,2031,4211,3801,3071,3861,2841,3071,240
Clinical Pharmacology193032161420152120914157
Audiological Medicine9770739087669499148869410578
Clinical Genetics13225642310925
Clinical Immunology And Allergy75117160102152108115143143115109148146
Rehabilitation339272374356407310335343342348327375360
Palliative Medicine42425147464449634258445457
Cardiology3,9313,3833,8303,9374,6823,5514,2104,2524,1804,1533,8674,2484,176
Paediatric Cardiology8984931036382119100805011372113
Sport and Exercise Medicine39301538555267517136475463
Dermatology4,5913,6384,4034,2945,0934,3395,2575,5675,0044,8104,8844,9804,867
Respiratory Medicine1,5961,3671,7511,5241,9331,3861,7341,8291,6541,6591,5711,7631,653
Infectious Diseases30122024332322242322191722
Genito Urinary Medicine.............
Nephrology312290315285347524592607609607503606321
Medical Oncology7510092659950104756672848685
Medical Opthalmology.......1.....
Nuclear Medicine.............
Neurology1,6671,2721,5061,5301,6441,3671,7261,5601,5651,4351,6081,6891,597
Clinical Neurophysiology30212115281322332520132829
Rheumatology1,7161,5121,5731,8081,8431,4061,9311,8941,7511,7311,6621,6561,628
Paediatrics3,0672,4302,9292,7603,2822,5212,9712,9442,8192,5502,6543,0013,107
Paediatric Neurology9362102931046777746745536140
Geriatric Medicine745635658665789795780813731769738776701
Dental Medicine Specialties163140153133176104140140107156105152172
Obstetrics1,1891,0241,3491,0761,2409491,2011,0861,0601,0221,0241,1171,102
Gynaecology6,3545,3616,2295,8756,9485,4726,3276,2915,9185,7405,8646,4406,125
Obstetrics - Antenatal (outpatients).............
Obstetrics - Postnatal (outpatients).............
Midwifery1,3141,1661,3011,1021,1961,0591,2551,1321,1591,1481,0361,1841,194
GP Other.............
Learning Disability555075887972827874104757573
Adult Mental Illness2,0081,6561,7771,7571,9471,6721,8761,8911,8871,8661,8531,9451,944
Child & Adolescent Psychiatry1,1109061,1151,1291,2159511,3301,2291,0867861,0031,2121,161
Forensic Psychiatry33424735272223202222132811
Psychotherapy.............
Old Age Psychiatry848780920844935960954842764850799844805
Clinical Oncology259308285293297217312292293279262255260
Radiology.............
Interventional Radiology26201535222735402134272128
Diagnostic Imaging......69915201627
General Pathology.............
Chemical Pathology100103124122143138107104140113148143119
Haematology (non-clinical).............
Medical Microbiology.............
Community Medicine.............
Nursing.............
Joint Consultant Clinic.............
Allied Health Professional Services.............
Transient Ischaemic Attack...........4926

Metadata

Title
Referrals (April 2012 onwards)

Last update
18 January 2018 18 January 2018

Next update
22 February 2018

Publishing organisation
Welsh Government

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

Contact email
stats.healthinfo@gov.wales

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 - November 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.


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