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Data Provider: Welsh Government Referrals by treatment function and month
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 Function[Filter]
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Treatment Function 1
Click 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-2017Click here to sortMay-2017Click here to sortJune-2017
[Collapse]All Treatment Functions112,965106,786105,169109,815107,24886,84573,02483,13280,64292,90275,94089,87987,806
All Treatment FunctionsGeneral Surgery11,54510,75110,81611,16010,9848,8537,4098,6388,4069,4737,4039,1459,180
Urology4,7464,5124,6564,6304,6493,8183,2973,7183,7313,9773,2123,7843,862
Colorectal surgery.............
Trauma & Orthopaedics17,77917,14016,61017,22816,86613,37911,40512,30611,93714,30512,73214,88714,086
Ear, Nose and Throat8,0897,9427,6848,5158,0007,0175,5916,5926,4857,4995,7776,7316,821
Ophthalmology8,6388,3648,4598,7028,6966,8235,6526,2146,1287,1876,0266,9186,364
Oral Surgery4,2543,9854,0884,1814,1693,4182,9363,2313,0633,3092,7703,2003,018
Restorative Dentistry588643597681671589487586557471461587435
Paediatric Dentistry234177193234236269220216229177174206179
Orthodontics485531456606546381327356413399342366363
Neurosurgery14513611522414217895164130122123125122
Plastic Surgery711714730742757689596570627661629675713
Cardiothoracic Surgery250245234224239233187218188225201221204
Paediatric Surgery16013114715112710299115143133200147106
Accident & Emergency110929593103........
Anaesthetics695683722720699690688696627861625730802
Pain Management1,1231,0259399771,021772532692660836622741766
Paediatric Medical Oncology.33412....112
General Medicine3,2873,1403,0423,1163,0252,9642,5623,0402,8003,1282,5353,0683,011
Gastroenterology3,8583,5433,8723,9653,8292,7382,3352,5822,4583,0432,4152,8512,914
Endocrinology1,0559431,0011,024955655554584611761546640640
Clinical Haematology1,6101,4821,5161,4731,3621,2591,1231,2241,2001,3841,2011,4221,374
Clinical Pharmacology18242429251930321614201517
Audiological Medicine116786181649770739087669499
Clinical Genetics17662313225642
Clinical Immunology And Allergy11711614814910775117160102152107118129
Rehabilitation349352297359335339272374356407309336341
Palliative Medicine62556163484242514746444962
Cardiology5,1964,8214,7625,0404,8783,9333,3843,8303,9404,6943,5244,1844,137
Paediatric Cardiology71917910077898493103638311996
Sport and Exercise Medicine23131320163930153855526852
Dermatology7,3086,7746,6766,6686,1024,5913,6384,4034,2945,0934,2895,2435,594
Respiratory Medicine2,2142,0122,0651,9292,0981,5961,3671,7511,5241,9331,4021,7151,819
Infectious Diseases22151624193012202433232027
Genito Urinary Medicine5342545451........
Nephrology508467436509500312290315285347287340344
Medical Oncology121128124124135751009265995010475
Medical Opthalmology............1
Nuclear Medicine.............
Neurology1,5841,4901,4401,5691,5681,6671,2721,5061,5301,6441,3631,7291,557
Clinical Neurophysiology2741832032691803021211528132233
Rheumatology2,8652,5322,4262,6542,5501,7161,5121,5731,8091,8431,4061,9371,890
Paediatrics3,9863,6873,1493,7273,9833,0672,4302,9292,7603,2822,5102,9582,905
Paediatric Neurology8557707871936210293104677775
Geriatric Medicine1,0671,0191,0371,0291,013745635658665789783774764
Dental Medicine Specialties119111125161155163140153133176104140139
Obstetrics - (inpatients and day cases only)1,1261,0561,1171,2161,1081,1891,0241,3491,0761,2409491,2011,083
Gynaecology7,4837,2556,9817,5357,3156,3545,3616,2295,8756,9495,4566,3136,249
Obstetrics - Antenatal (outpatients).............
Obstetrics - Postnatal (outpatients).............
Midwifery1,4341,4971,5231,4701,4191,3141,1661,3011,1021,1961,0591,2551,130
GP Other.............
Learning Disability89726985905550758879738168
Adult Mental Illness3,3613,0653,0532,8322,6762,0081,6561,7771,7571,9471,6591,8441,807
Child & Adolescent Psychiatry1,8731,6181,3361,6411,6901,1119081,1151,1311,2208911,2861,128
Forensic Psychiatry1826192640334247352719163
Psychotherapy3531202437........
Old Age Psychiatry1,2921,2191,1011,0491,115848780920844937951931776
Clinical Oncology561525535530513259308285293297217312290
Radiology.............
Interventional Radiology28373727252620153522273540
Diagnostic Imaging...........69
General Pathology.............
Chemical Pathology12813013192165100103124122143136108103
Haematology (non-clinical).............
Medical Microbiology.............
Community Medicine.............
Nursing.............
Joint Consultant Clinic.............
Allied Health Professional Services.............

Metadata

Title
Referrals (April 2012 onwards)

Last update
17 August 2017 17 August 2017

Next update
21 September 2017

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 - May 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