The Department of Health (DoH) today published statistics on the time spent in emergency care departments (ED) throughout Northern Ireland during the months of July, August and September 2017.
The statistical bulletin presents information on all new and unplanned review attendances during July, August and September 2017. It details information on the time spent in EDs during each of these months including; the monthly performance against the DoH emergency care waiting times target for EDs and the time waited for key milestones during a patient’s journey through ED, whilst they are being cared for in an ED, including the time to triage and time to start of treatment.
This information release is published on the Departmental website.
Attendances at Emergency Care Departments: Attendances:
- During September 2017, there were 65,622 attendances at EDs, 608 (0.9%) more than in September 2016 (65,014)
- Of the 65,622 ED attendances during September 2017, 53,633 (81.7%) had attended a Type 1 ED, 5,382 (8.2%) attended a Type 2 ED and 6,607 (10.1%) attended a Type 3 ED
- Between September 2016 and September 2017, attendances increased at Type 1 (920, 1.7%) and Type 2 (12, 0.2%) EDs, but decreased at Type 3 EDs (324, 4.7%)
Left before Treatment Complete:
- During September 2017, 3.6% of the 65,622 ED attendances left before their treatment had been completed
- Unplanned Re-Attendances within 7 Days:
- During September 2017, 3.3% of the 65,622 ED attendances were unplanned review attendances who had returned to the same ED within 7 days of their original attendance for the same condition
Referrals by GP:
- Over one in six (16.7%) attendances at EDs in September 2017 had been referred by a GP, similar to September 2016 (16.3%)
Time Spent in Emergency Care Departments: Performance against Targets
- Over two thirds (69.4%) of patients attending a Type 1 ED in September 2017 were treated and discharged, or admitted within 4 hours of their arrival, 2.1 percentage points lower than September 2016 (71.5%)
- Over nine in ten (90.9%) patients attending a Type 2 ED in September 2017 were treated and discharged, or admitted within 4 hours of their arrival, 2.5 percentage points lower than September 2016 (93.4%)
- All patients attending a Type 3 ED were treated and discharged, or admitted within 4 hours of their arrival
- Between September 2016 and September 2017, the number of attendances waiting longer than 12 hours increased from 154 to 919, accounting for 1.4% of all attendances in September 2017
- Over four in five (81.7%) patients attending EDs in September 2017 commenced their treatment within 2 hours of being triaged, lower than September 2016 (82.1%)
Time to Triage:
- The median waiting time from arrival at an ED to triage (initial assessment) by a medical professional was 8 minutes during September 2017, with 95 percent of patients having their care needs assessed for the first time by a medical professional within 29 minutes of arrival
Time to Start of Treatment:
- During September 2017, the median waiting time from triage to the start of treatment by a medical professional was 40 minutes, with 95 percent of patients receiving treatment within 3 hours 36 minutes of being triaged
Total Time in Emergency Care Department:
- The median time spent in a Type 1 ED by patients who were discharged home (not admitted) was 2 hours 28 minutes in September 2017, 6 minutes longer than the same month last year (2 hours 22 minutes)
- The median time spent in a Type 1 ED for patients admitted to hospital was 5 hours 40 minutes in September 2017, 40 minutes longer than the same month last year (5 hours)
- During September 2017, Altnagelvin Area reported the longest median time spent in an ED (6 hours 57 minutes) from arrival to admission to hospital, whilst RBHSC reported the shortest median time of 3 hours 21 minutes
Notes to editors:
1. This statistical bulletin reports the total time spent in an ED from arrival until admission, transfer or discharge for all new and unplanned review attendances at emergency care departments across NI. The figures do not include planned review attendances.
2. Time is measured from when a patient arrives at the ED (time of arrival is recorded at registration or triage whichever is earlier (clock starts)) until the patient departs the ED (time of departure is defined as when the patient's clinical care episode is completed within the ED (clock stops)).
3. The current Ministerial targets for emergency care waiting times in 2017/18 state that:
- ‘From April 2017, 95% of patients attending any Type 1, 2 or 3 Emergency Care Department are either treated and discharged home, or admitted, within four hours of their arrival in the department; and no patient attending any Emergency Care Department should wait longer than 12 hours.’
- ‘By March 2018, at least 80% of patients to have commenced treatment, following triage, within 2 hours.’
4. bInformation which presents a summary of the emergency care clinical quality indicators for Northern Ireland has also been included in this release. This information is not National Statistics but has been included to provide a more comprehensive and balanced view of the care delivered by EDs and reflects the experience of patients and the timeliness of the care they receive.
5. Readers are advised to be cautious when making direct comparisons between Northern Ireland and other UK Jurisdictions as waiting times may not be measured in a comparable manner. It should also be noted that the way in which emergency care services are delivered differs between UK jurisdictions. This means that the number and types of patients included in the figures may differ between countries. In particular, the 12-hour waiting time information published by England and Northern Ireland is not equivalent and should not be compared. Further information on comparability between Northern Ireland and other UK Jurisdictions are included in the ‘Emergency Care Waiting Time Statistics – Additional Guidance’ booklet.
6. The DoH have liaised with colleagues in England, Scotland and Wales to clarify differences between the emergency care waiting times reported for each administration and have produced a guidance document to provide readers with a clear understanding of these differences.
7. There are three separate categories of emergency care facility included in this publication:
Type 1 Department: A consultant-led service with designated accommodation for the reception of emergency care patients, providing both emergency medicine and emergency surgical services 24 hours a day.
Type 2 Department: A consultant-led service with designated accommodation for the reception of emergency care patients, but which does not provide both emergency medicine and emergency surgical services and/or has time-limited opening hours.
Type 3 Department: A minor injury unit with designated accommodation for the reception of patients with a minor injury and/or illness. It may be a doctor or nurse-led. A defining characteristic of this service is that it treats at least minor injuries and/or illnesses and can be routinely accessed without an appointment.
8. Figures incorporate all returns and amendments received from HSC Trusts up to 23th October 2017.
9. Further information on Emergency Care Statistics is available from:
Hospital Information Branch Department of Health
Annexe 2, Castle Buildings
10. Media queries to DoH Information Office on 028 90 520579, or out of hours contact the Duty Press Officer via pager number 07699 715440 and your call will be immediately returned. Follow us on Twitter @healthdpt
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