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Welsh Government
Data Provider: Welsh Government National Statistics Time Spent In Accident And Emergency Departments April 08 to September 09 - Performance against 8hour target
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DateData is submitted via SITREPS on a daily and weekly basis. At present the quality of the daily reported data is not robust enough for publication, therefore data for this release is taken from the validated weekly reports to ensure greater reliability. As a result, this release presents information based on a four/five weekly cycle rather than calendar months. The number of weeks in any given cycle is based on how many Mondays fall between the end of the previous cycle and the end of the month. It is the week end date, always a Monday, which is used to determine the month a particular weekly report belongs to.[Filtered]
TargetThe Annual Operating Framework (AOF) for the NHS in Wales for 2009-10 includes a national target that states: (i) 95% of new patients (including paediatrics) spend no longer than 4 hours in a major A&E department from arrival* until admission, transfer or discharge; and (ii) 99%** of patients spend no longer than 8 hours for admission, transfer or discharge.* the four hour period starts from when the A&E staff are notified in person that a patient has arrived and needs to be seen within the A&E Department. Notification will be by the Ambulance Crew, for arrival by ambulance or otherwise by the patient themselves, or a person accompanying the patient (e.g. relative / friend).** 1% tolerance level permitted for clinical exceptions only.The Annual Operating Framework for the NHS in Wales for 2008-09 includes a target that states that 95% of new patients (including paediatrics) spending no more than 4 hours in a major A&E department from arrival until admission, transfer or discharge. Patients spend no longer than 8 hours for admission, transfer or discharge. [Filtered]
NHS Trust 3[Filter]
Measure1
[Collapse]Type of AEThere are two distinct categories of emergency care facility: Major A&E Departments Other A&E/Minor Injury UnitsThe Major A&E Departments in Wales are:Royal Gwent Hospital (Gwent Healthcare Trust)Nevill Hall Hospital (Gwent Healthcare Trust)University Hospital of Wales (Cardiff & Vale Trust)Prince Charles (North Glamorgan Trust)Royal Glamorgan Hospital (Pontypridd & Rhondda Trust)Morriston Hospital (Swansea Trust)Princess of Wales Hospital (Bro Morgannwg Trust)West Wales General Hospital (Carmarthenshire Trust)Bronglais General Hospital (Ceredigion & Mid Wales Trust)Withybush Hospital (Pembrokeshire & Derwen Trust)Glan Clwyd Hospital (Conwy & Denbighshire Trust)Wrexham Maelor Hospital (North East Wales Trust)Ysbyty Gwynedd (North West Wales Trust)The Other A&E/Minor Injury Units in Wales are:Caerphilly Miners Hospital (Gwent Healthcare Trust)Gwent MIU Units (Gwent Healthcare Trust)Cardiff & Vale MIU Units (Cardiff & Vale Trust)North Glamorgan MIU Units (North Glamorgan Trust)Pontypridd & Rhondda MIU Units (Pontypridd & Rhondda Trust)Singleton Hospital (Swansea Trust)Neath/Port Talbot Hospital (Bro Morgannwg Trust)Powys Hospitals (Powys Healthcare Trust)Prince Phillip Hospital (Carmarthenshire Trust)Carmarthenshire MIU Units (Carmarthenshire Trust)Ceredigion & Mid Wales MIU Units (Ceredigion & Mid Wales Trust)Pembrokeshire & Derwen MIU Units (Pembrokeshire & Derwen Trust)Conwy & Denbighshire MIU Units (Conwy & Denbighshire Trust)North East Wales MIU Units (North East Wales Trust)Llandudno General Hospital (North West Wales Trust)North West Wales MIU Units (North West Wales Trust) [Filter]
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Type of AE 1
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[Collapse]All Emergency Care FacilitiesPrior to April 2012, Major A&E Departments data was supplied monthly and Other A&E/Minor Injury Units data weekly and converted to monthly, to produce a combined figure for All Hospital Emergency Care Facilities. <br /><br />From April 2012, minor injury units/other A&E departments now also supply their data via EDDS on a monthly basis, so the data for major and minors is now taken from the same data source and no conversion is needed. These changes will not affect the major A&E department data and are not expected to have any real impact on the all emergency care facilities data. However, users should consider the minor impact this will have on the data relating to attendances at other A&E/minor injury units for April 2012 onwards. Please see the quality report for further details.
[Collapse]Major A&E DepartmentsMajor A&E Departments - defined as a consultant led service with appropriate resuscitation facilities and designated accommodation for the reception of accident and emergency patients. These departments must provide the resuscitation, assessment and treatment of acute illness and injury in patients of all ages, and services must be available continuously 24 hours a day.[Collapse]Other A&E/Minor Injury UnitsOther A&E/Minor Injury Units - defined as all other A&E/casualty/minor injury units which have designated accommodation for the reception of accident and emergency patients and can be routinely accessed without appointment, but which do not meet the criteria for a Major A&E Department.
Click here to sortTotal attendancesClick here to sortAttendances where patients spend more than the target time in A&EAttendances where patients spend more than the target time from arrival until admission, transfer or discharge. Prior to April 2012, breaches were reported in the StatsWales cubes. All historical data has been converted to non-breaches.Click here to sortPercentage of patients who spend less than the target time in A&EPercentage of attendances where patients spend less than the target time from arrival until admission, transfer or discharge.Click here to sortTotal attendancesClick here to sortAttendances where patients spend more than the target time in A&EAttendances where patients spend more than the target time from arrival until admission, transfer or discharge. Prior to April 2012, breaches were reported in the StatsWales cubes. All historical data has been converted to non-breaches.Click here to sortPercentage of patients who spend less than the target time in A&EPercentage of attendances where patients spend less than the target time from arrival until admission, transfer or discharge.
[Collapse]Wales59,77757599.019,2137999.6
Wales[Collapse]South East Wales Region28,46234898.85,9930100.0
South East Wales RegionGwent Healthcare10,26813398.72,8200100.0
Cardiff and Vale9,76213698.67830100.0
Cwm Taf8,4327999.12,3900100.0
[Collapse]Mid & West Wales Region18,70519699.09,0186499.3
Mid & West Wales RegionAbertawe Bro Morgannwg University11,1138599.23,8691399.7
Powys Healthcare000.01,296199.9
Hywel Dda7,59211198.53,8535098.7
[Collapse]North Wales Region12,6103199.84,2021599.6
North Wales RegionNorth Wales9,1602999.71,2710100.0
North West Wales3,450299.92,9311599.5

Metadata

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

Title

A&E Waiting Times (Apr2008 to Sep2009)

Last update

September 2009 data September 2009 data

Next update

No planned update

Publishing organisation

Welsh Government

Contact email

stats.healthinfo@gov.wales

Designation

National Statistics

Lowest level of geographical disaggregation

Local health boards

Geographical coverage

Wales

Languages covered

English only

Weblinks

Statistical releases containing this data can be found in the past releases tab on the following weblink: http://gov.wales/statistics-and-research/time-spent-nhs-accident-emergency-departments/?lang=en

Statistical quality

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

Keywords

nhs; waiting times; A&E

General description

1. Situation Reporting system (SITREPS) was introduced in December 2000 and data is submitted by NHS Trusts in Wales. It is a "real time" data collection and reporting system which involves the collection of key indicators to help determine the extent of emergency pressures on NHS organisations and their performance against key targets. These include information about the length of time patients wait in hospital emergency care facilities, the subject of this table. A review of SITREPS in early 2006 resulted in the issue to NHS Trusts of a revised set of indicators and guidance for reporting. These changes were implemented from mid-May 2006. Therefore to present a consistent time series this table includes information from June 2006 onwards.
2. The figures in this table represent the total time spent in a hospital emergency care facility from arrival until admission, transfer or discharge. They do not include planned follow-up attendances agreed or requested by a clinician.
3. The figures in this table relate to all patients, including paediatric patients. A paediatric patient is defined as a patient up to and including the age of 16 years.
4. Where a patient is transferred from A&E to an interface facility, the clock on the time spent in A&E departments only stops if the environment in that facility meets the minimum criteria (detailed below). Where the criteria is not met, the facility is considered to be an extension of the A&E department and is subject to the waiting time target. Interface facilities, which can include observation wards, medical/surgical assessment wards, clinical decision units, short stay admission wards etc, constitutes a ward only when the patient has:the same privacy and dignity as other inpatient wards in the hospital; access to toilet and washing facilities; no staff or public thoroughfare through the area; facilities to securely store their belongings; sufficient space between beds to allow visitors to be seated in comfort; provision of hot meals and appropriate access.

Data collection and calculation

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

Frequency of publication

No longer updated

Data reference periods

April 2008 to September 2009

Users, uses and context

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

Name

HLTH0013