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Data Provider: Welsh Government Referrals by treatment function and month

Note that data included in this statistical release covers a time period during the coronavirus (COVID-19) pandemic, which has affected both how some NHS services have been offered and people's choices regarding health services. See the latest release for more information.

None
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 FunctionFor April 2012 data onwards, this changed from Main Specialty (specialty of consultant under which the patient will be/is currently being treated) to Treatment Function Code (specialty under which patient is currently being treated/waiting to be treated). [Filter]
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Treatment Function 1
Click here to sortMar-2020Click here to sortApr-2020Click here to sortMay-2020Click here to sortJun-2020Click here to sortJul-2020In response to the current COVID-19 pandemic, Cwm Taf Morgannwg have set up a new service code to capture antibody testing & research. This has resulted in a rise in the number of referrals for infectious diseases in July 2020.Click here to sortAug-2020Hywel Dda did not submit any data for mental health treatment codes from August 2020.Click here to sortSep-2020Click here to sortOct-2020Click here to sortNov-2020Click here to sortDec-2020Click here to sortJan-2021Click here to sortFeb-2021This data has been revised to include a resubmission of mental health treatment data by Hywel Dda following their move to a new mental health data system. The resubmitted data covers all months from August 2020 onwards, for which data was previously not available.Click here to sortMar-2021Click here to sortApr-2021Click here to sortMay-2021Click here to sortJun-2021Click here to sortJul-2021Click here to sortAug-2021Click here to sortSep-2021Click here to sortOct-2021Click here to sortNov-2021Click here to sortDec-2021Click here to sortJan-2022Click here to sortFeb-2022Click here to sortMar-2022Click here to sortApr-2022
[Collapse]All Treatment Functions84,94138,81148,10967,20683,57577,21490,56390,02887,75179,41075,78882,996107,063103,458103,257113,906109,59599,134108,472102,734111,67594,14999,774104,042116,26397,425
All Treatment FunctionsGeneral Surgery7,6703,5005,0687,4938,9228,0799,64110,07310,0238,8638,5699,15711,97810,88811,04511,64811,40710,24011,88011,68412,0559,85710,59310,91411,99910,023
Urology4,0411,7972,2133,0633,6533,4234,1644,1114,1073,9463,5673,7754,7124,4574,4414,7804,7034,3574,7944,4804,9874,2974,4584,6745,2904,343
Breast Surgery.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Colorectal surgery.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Upper Gastrointestinal Surgery.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Vascular Surgery.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Trauma & Orthopaedics10,6534,3396,2848,3569,8139,99611,30410,2929,5438,2807,5527,96011,26813,15412,92214,79813,50212,44713,11411,80312,53710,44810,77611,51213,95612,365
Ear, Nose and Throat5,3391,4622,3013,5454,4814,1664,7554,6894,6834,1013,6774,3105,9695,7575,7456,2146,0555,4935,9835,9496,4745,4175,9176,4037,2275,932
Ophthalmology7,2621,8641,6652,4935,3175,6986,9286,8936,3916,2805,4675,9728,0038,1918,4259,1058,7558,3028,5878,3748,8387,4177,8718,2009,4777,668
Oral Surgery2,8221,1131,5441,8752,4422,1782,3922,5012,5212,1642,0912,2442,8312,8412,7053,0062,9642,7382,9812,7823,1372,7402,6772,8933,2762,629
Restorative Dentistry2023728386898130147202124150203169222249216221209220197291206269261274223
Paediatric Dentistry1271212327784115139152135118137197161157174173170146153220175174170150169
Orthodontics35435372652117176182230219253366463355426410407401406396599366374407419357
Neurosurgery1398375124112122109130186139108137170183126162132160136146172162168157143130
Plastic Surgery6802473145296475046346286135975124766767106877427567427487308897467307461,031825
Cardiothoracic Surgery23411787155142167205229204180154138254192180214251228244229237233228203271206
Paediatric Surgery1637076125116144106137144123133120150136143151159113146171166152137124149126
Accident & Emergency9033715887688269575131427187178671314.The data item is not applicable123
Anaesthetics6031923153584315085836946725545916896768207157318558318681,0001,0879489951,0138091,008
Pain Management857265296393574509748619629566534539778674760701733661750781846692695778907737
Paediatric Urology.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Paediatric Maxillo-Facial Surgery.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Paediatric Plastic Surgery.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable111.The data item is not applicable.The data item is not applicable3
Paediatric Medical Oncology.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
General Medicine1,5608259841,3471,6781,4731,8401,7491,6771,5401,4971,7322,2282,0912,1832,3912,2762,1062,2152,1272,3142,0031,9981,9572,3592,089
Gastroenterology3,6021,5542,2083,2374,1673,5514,1574,2134,1733,9203,7033,8485,0894,6264,7765,1735,2604,7095,1114,6224,9364,4214,7354,6085,1594,403
Endocrinology1,0233675988731,0328118689711,0187768699501,2381,0681,0871,1571,2521,0381,0881,0721,1541,0081,0591,0371,2801,109
Clinical Haematology1,4108081,0131,4621,6911,6281,7391,7401,7411,7361,5651,6892,1402,0471,9832,2282,1311,8401,9131,6571,8421,7751,8221,8742,2581,844
Clinical Pharmacology2082716211720152019172047353644272335262572877410268
Hepatology.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Diabetic Medicine.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Audiological Medicine33.The data item is not applicable11289.The data item is not applicable11.The data item is not applicable.The data item is not applicable11111211.The data item is not applicable1.The data item is not applicable11
Clinical Genetics101.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable61105.The data item is not applicable.The data item is not applicable521346131841371231214
Clinical Immunology And Allergy17846549810691126117111116113122176155139156166128149151166124130133152127
Rehabilitation265111123264353304370328353339280279402363396480452471443391462412478473490443
Palliative Medicine37129351671729161423233417302622172223322838373524
Cardiology4,2131,9492,4103,2963,9953,7724,2814,1624,1373,8673,7294,1415,4585,1485,0655,5895,5055,0005,7005,1545,7534,8875,2945,6516,4675,407
Paediatric Cardiology.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Anticogulant Service.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Sport and Exercise Medicine.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Cardiac Rehabilitation.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Stroke Medicine.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Transient Ischaemic Attack.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Dermatology4,4361,8062,9064,4295,6005,2295,9705,7345,4944,6144,4335,5377,2837,1096,7277,9967,8326,6917,6336,6837,0655,4026,5186,8037,7546,566
Respiratory Medicine2,3021,2891,2631,9002,1031,8662,3542,4142,3252,1992,1272,0472,7862,6662,8683,0773,0462,6042,7243,0503,4562,7792,7803,1263,2912,868
Respiratory PhysiologyThe new treatment function codes which were announced in April 2016 have not been used consistently by health boards, so to date, any data submitted for a new code has been recoded to the pre-April 2016 codes. However, from June 2019 some health boards have submitted data for the new Respiratory Physiology treatment function code, which will be published to reflect the current pilot period for reporting sleep disordered breathing service. Note that while this data is being published to support this pilot, the data is still not being consistently reported by health boards so caution is advised when using this data.24311475159261217375216245236240274384340303275207202328426390297309355441302
Infectious DiseasesIn response to the current COVID-19 pandemic, Cwm Taf Morgannwg have set up a new service code to capture antibody testing & research. This has resulted in a rise in the number of referrals for infectious diseases in July 2020.1662.The data item is not applicable927133.The data item is not applicable1047.The data item is not applicable.The data item is not applicable1.The data item is not applicable448462623885
Genito Urinary Medicine.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Nephrology434167196388457411484484490452399384567469500525622515491494538443490494595491
Medical Oncology101102801301081001251141111049996108117117100128117119125142141129115136100
Nuclear Medicine.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Neurology1,3486547961,2141,4491,3521,6621,5841,4951,3791,4261,5981,9201,7591,7352,0121,9972,0211,7911,8261,9611,6451,7251,7602,0741,589
Clinical NeurophysiologyPreviously known as ‘Obstetrics (for patients using a bed)’. Prior to April 2016 some outpatient referrals were incorrectly recorded under this treatment function. In other instances the definition of ‘patients using a bed’ may have been misinterpreted. F226794197128125151231199156153176190185288257213202194218227179204195300246
Rheumatology2,1488191,0921,3541,7221,4021,8011,8151,9271,9391,6532,0042,5632,2032,2162,5232,5112,0102,3912,0402,2481,8981,6172,2042,3831,924
Paediatrics3,3121,7772,1432,8463,1692,9623,5493,8393,7423,2113,0233,4434,3694,1434,3704,6804,2203,5514,1714,0254,8664,0714,3044,4274,9653,997
Paediatric Neurology5024213924368271665455619070496065557862866141384636
Neonatology.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Geriatric Medicine9715124916768638779119268357487528641,1451,0541,0971,2781,0611,0131,0141,0061,2971,2521,3411,4561,4021,193
Dental Medicine Specialties939162138657473798282901231401091461209413096909910311413698
Medical Opthalmology.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Obstetrics1,3381,4021,2031,3511,3901,1901,2641,3401,3451,3911,5451,5651,7531,5471,5021,7481,6051,4071,7891,6271,6851,5391,5911,5001,7631,564
Gynaecology6,3523,4323,6704,9816,3085,8906,8936,7776,7875,8746,0126,7548,1787,2517,3108,0647,6807,1618,0307,3707,8516,6207,3917,5408,4307,216
Obstetrics - Antenatal (outpatients).The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Obstetrics - Postnatal (outpatients).The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Midwifery2,0211,9031,5851,9851,9241,6751,8881,8761,8731,8542,0371,9552,1132,1411,6681,9351,7951,7571,6911,7771,7721,6761,8241,6531,8951,580
GP Other.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Learning Disability6859628377729191957874737583847162748689139144741033931
Adult Mental Illness2,5411,7872,4793,1353,1862,8753,2243,1912,8962,7502,7593,0923,4033,0693,0373,3343,1132,8083,1323,0153,3762,8113,0203,1382,0781,753
Child & Adolescent Psychiatry1,5688218061,0471,2571,0581,5801,8141,7751,4321,2661,4541,8061,7301,8771,9851,6841,1801,6821,6551,9601,5131,6001,6311,6351,108
Forensic Psychiatry10521321131461556651114182215201912723331.The data item is not applicable
Psychotherapy23395102155320232284303259249244277452427342370347363363310344330375445459394
Old Age Psychiatry7254546771,0331,2099541,0911,1179468529921,0301,2921,3261,2641,4481,3711,3211,3581,2131,3521,1931,1481,248937689
Clinical Oncology6696135047128287919789009089289239601,0561,0601,0591,1501,1581,1611,2231,1281,2101,1621,1029481,318997
RadiologyFrom 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 function74.The data item is not applicable39929877998588867979114114129135177133148168150130153151201175
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Chemical Pathology10532467411495115150139121135147175146126227202170180204217157175172209174
Haematology (non-clinical).The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Medical Microbiology.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Community Medicine.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Nursing.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Joint Consultant Clinic.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Allied Health Professional Services.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable17827253

Metadata

Title

Referrals (April 2012 onwards)

Last update

23/06/2022 23/06/2022

Next update

21/07/2022

Publishing organisation

Welsh Government

Source 1

Outpatient Referral Dataset, Digital Health and Care Wales (DHCW)

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:
The data source for GP referrals for first outpatient appointments 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 specialty to which the patients have been referred rather than by the specialty 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.

From 1st April 2019 health service provision for residents of Bridgend local authority moved from Abertawe Bro Morgannwg to Cwm Taf. For more information see the joint statement from Cwm Taf and Abertawe Bro Morgannwg University Health Boards (see weblinks). The health board names have changed with Cwm Taf University Health Board becoming Cwm Taf Morgannwg University Health Board and Abertawe Bro Morgannwg University Health Board becoming Swansea Bay University Health Board. A link to the statement from the minister for health and social service can be found in the weblinks section.

More detailed treatment functions have been introduced recently but have not been used consistently across all Local Health Boards; for example, patients receiving vascular surgery may have been recorded in either “General Surgery” or “Vascular Surgery” treatment functions.
To reduce uncertainty and make counts more reliable, the new functions will be removed temporarily and treatment functions will be recorded under the more general headings; for example, all patients receiving vascular surgery will now be published under “General Surgery” until consistent recording of treatment functions is confirmed across all Local Health Boards. This has now been fully actioned back to April 2016 when the new codes were introduced and will remain] under general headings until the more detailed treatment functions are used consistently across Wales.

The new treatment function codes which were announced in April 2016 have not been used consistently by health boards, so to date, any data submitted for a new code has been recoded to the pre-April 2016 codes. However, from June 2019 some health boards have submitted data for the new Respiratory Physiology treatment function code, which will be published to reflect the current pilot period for reporting sleep disordered breathing service. Note that while this data is being published to support this pilot, the data is still not being consistently reported by health boards so caution is advised when using this data.

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

In the March 2019 release, Abertawe Bro Morgannwg health board resubmitted data back to April 2014 to include data for the Source of Referral: Other source of referral (not initiated). This data was previously not included when it should have been.

Data was excluded for referrals to Betsi Cadwaladr University Health Board from November 2016 to December 2017 due to initial problems with the new Welsh Patient Administration System (WPAS). This has been resolved as of the March 2018 update and data has been backdated to cover the period affected.

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.

Weblinks

The most recent statistical release can be found on the following weblink:
https://gov.wales/nhs-referrals-first-outpatient-appointments

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

https://cwmtaf.wales/welsh-government-announce-decision-on-bridgend-boundary-change/
https://gov.wales/written-statement-health-board-boundary-bridgend-associated-planning

Statistical quality

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

Hywel Dda did not submit any data for mental health treatment codes in from August 2020 due to the Mental Health Migration project, in the months after the pandemic this accounted for between 90 to 180 referrals, but prior to the pandemic this would have accounted for around 240 referrals a month.

Note that data included in this statistical release covers a time period during the coronavirus (COVID-19) pandemic, which has affected both how some NHS services have been offered and people's choices regarding health services. See the latest release for more information.

Keywords

gp referrals; nhs; NHS referrals