Emergency Care Waiting Time Statistics (July – September 2025)
Date published:
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 2025.
The statistical bulletin presents information on all new and unplanned review attendances during July, August, and September 2025. 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.
Encompass is a new electronic patient record system with a single digital care record for every citizen in Northern Ireland who receives health and social care. It aims to create better experiences for patients, service users and staff by bringing together information from various legacy health systems into one administrative system.
The programme was first introduced in the South Eastern Health and Social (HSC) Trust on 9 November 2023, the Belfast HSC Trust on 6 June 2024, the Northern HSC Trust on 7 November 2024, and was rolled out to Southern and Western HSC Trusts on 8 May 2025.
The statistics within this publication has been assessed to the standard of Accredited Official Statistics, however during implementation and stabilisation of the change of data source to the encompass system, they are considered to be ‘official statistics in development’ which are a subset of Official Statistics in line with the Code of Practice for Statistics. While caution must be exercised when using these figures, they are a meaningful representation of what they measure and are of sufficient quality for publication and use.
This information release is published on the Emergency Care Waiting Times Website.
Key Points:
Attendances at Emergency Care Departments:
Urgent and Emergency Care Attendances:
- In September 2025, 14,762 calls were received by PhoneFirst (assessment of patient’s needs prior to arrival at an ED). A total of 9,387 (63.6%) of these resulted in a referral to an ED, whilst 5,375 patients did not get referred to an ED.
- During September 2025, there were 67,578 attendances at EDs in Northern Ireland, 929 (1.4%) more than in September 2024 (66,649).
- Of the 67,578 ED attendances during September 2025, 52,234 (77.3%) had attended a Type 1 ED and 15,344 (22.7%) attended a Type 3 ED.
- Between September 2024 and September 2025, attendances increased at Type 1 EDs (599, 1.2%) and increased at Type 3 EDs (3,728, 32.1%).
- There were 203,230 attendances at EDs during the quarter ending 30 September 2025 (July, August and September), 2.5% (4,949) more than the same quarter in 2024 (198,281).
Please note that the remainder of the key points excludes Type 3 departments Craigavon and Daisy Hill UCCs, as these services’ data is held on the GP system and not on encompass.
Left before Treatment Complete:
- During September 2025, 5.5% of all ED attendances left before their treatment was complete, compared with 6.8% in September 2024.
Unplanned Re-Attendances within 7 Days:
- During September 2025, 4.5% of the 67,578 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:
- During September 2025, almost one in ten (9.5%) attendances at EDs had been referred by a GP, compared with 14.1% in September 2024.
Time Spent in Emergency Care Departments:
Performance against Targets
- Over a third (33.8%) of attendances at Type 1 EDs in September 2025 spent less than 4 hours in ED, compared with 84.6% at Type 3 EDs.
- During the quarter ending 30 September 2025 (July, August and September), over two fifths (44.7%) of patients spent less than 4 hours at an ED, less than in the same quarter in 2024 (46.9%).
- Over four fifths (84.6%) of patients attending a Type 3 ED in September 2025 were treated and discharged, or admitted within 4 hours of their arrival, a decrease from 87.2% in September 2024.
- Between September 2024 and September 2025, the number waiting over 12 hours decreased from 11,244 to 10,879 in September 2025, accounting for 16.1% of attendances in September 2025.
Time to Triage:
- During September 2025, the median waiting time from arrival at an ED to triage (initial assessment) by a medical professional was 14 minutes, with 95 percent of patients having their care needs assessed for the first time by a medical professional within 1 hour 12 minutes of arrival.
Time to Start of Treatment:
- During September 2025, the median waiting time from triage to the start of treatment by a medical professional was 1 hour 22 minutes, with 95 percent of patients receiving treatment within 8 hours 42 minutes of being triaged.
Target to Commence Treatment within 2 Hours of Triage (80%):
- Almost three fifths (59.5%) of patients attending EDs in September 2025 commenced their treatment within 2 hours of being triaged, less than in September 2024 (62.0%).
Total Time in Type 1 Emergency Care Department:
- The median time patients who were discharged home (not admitted) spent in a Type 1 ED was 4 hours 53 minutes in September 2025, 18 minutes more than the time taken during the same month last year (4 hours 35 minutes).
- The median time patients who were admitted to hospital spent in a Type 1 ED was 14 hours 4 minutes in September 2025, 2 hours 26 minutes less than the same month last year (16 hours 30 minutes).
- During September 2025, Causeway reported the longest median time spent in ED from arrival to admission (21 hours 16 minutes), whilst the RBHSC reported the shortest time (5 hours 9 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 Northern Ireland. 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 draft Ministerial targets for emergency care waiting times state that: ‘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.’
‘[…] at least 80% of patients to have commenced treatment, following triage, within 2 hours.’
4. Information 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 Accredited Official 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. Please note, patients with lower acuity can attend more appropriate services available at Minor Injury Units (MIU) and avoid potentially longer attendances at a Type 1 Emergency Department (ED). Prior to the introduction of MIUs, these patients would have otherwise attended a Type 1 ED and would have generally been discharged within 4 hours. As such, this will result in an increase to the percentage of patients at Type 1 EDs who wait longer than 4 hours.
6. Please note that some changes to the designation of hospitals within this publication has taken place as of 1 April 2025:
- Downe and Lagan Valley Type 2 EDs were redesignated as Type 3 EDs in line with departmental definitions; and
- Urgent Care Centres are reported as Type 3 EDs alongside Minor Injury Units as they are providing equivalent services.
7. Please note: an encompass workflow issue, which has been resolved, resulted in data quality issues impacting discharge destination figures between 1 July 2025 and 21 August 2025.
8. Also note: Southern Health and Social Care (HSC) Trust suffered a major IT outage on 17 September 2025 and therefore figures for September may have been impacted.
9. 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: Emergency Care Waiting Time Statistics – Additional Guidance
10. The DoH collaborated with the Office for National Statistics (ONS), together with colleagues in England, Scotland and Wales to produce a summary report of the cross-UK comparability of emergency care waiting time statistics from January 2013 to September 2023. The report can be viewed at ONS.gov.uk
11. There are three separate categories of emergency care facility included in this publication:
- Type 1 DepartmentA consultant led 24 hour service with full resuscitation facilities and designated accommodation for the reception of emergency care patients.
- Type 2 DepartmentA consultant led mono specialty emergency care service (e.g. ophthalmology, dental) with designated accommodation for the reception of patients.
- Type 3 DepartmentOther type of ED/minor injury activity with designated accommodation for the reception of emergency care patients. The department may be doctor led, general practitioner led or nurse led and treats at least minor injuries and illnesses and can be routinely accessed without appointment. A service mainly or entirely appointment based (for example a GP Practice or Out-Patient Clinic) is excluded even though it may treat a number of patients with minor illness or injury. Includes Urgent Treatment Centres.
12. Figures incorporate all returns and amendments received from HSC Trusts up to Tuesday 14 October 2025.
13. Further information on Emergency Care Statistics is available from:
Hospital Waits Information Branch
Department of Health
Annexe 2, Castle Buildings
Stormont
BT4 3SQ
Email: statistics@health-ni.gov.uk
Internet: DoH Statistics and Research
14. For media enquiries please contact DoH Press Office by e-mail: pressoffice@health-ni.gov.uk
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16. The Executive Information Service operates an out of hours service for media enquiries only between 1800 hrs and 0800 hrs Monday to Friday and at weekends and public holidays. The duty press officer can be contacted on 028 9037 8110.