Major A&E performance in England, Q4 2016Click the thumbnail to view a full-size map of 4-hour waits in major A&E departments in England. This map is also contained in the PDF report (below).

A summary of data for England follows:

In 2016 there were an average of 2,210 more attendances at major A&Es every day compared with 2015. That is a 5.5% increase.

People aged 80+ have the highest rates of A&E attendance. In terms of raw numbers, ages 20-24 are the most common adult attendees.

In the last year, 16.2% of people spent more than 4 hours in major A&E departments. This has risen from 4.8% five years ago.

Over the last year, Hillingdon Hospitals had the highest % of patients spending over 4 hours in major A&Es. Luton & Dunstable had the lowest.

75% of A&E patients who are eventually admitted to hospital spend longer than 3 hours in A&E. 22% spend more than 3h50m but less than 4h0m

In 2016, an average of 1,477 people each day waited 4+ hours for admission to hospital via A&E. Five years ago the figure was 270 per day.

Monday has the most attendances at A&E. On average is 14% busier than Friday, which has the lowest attendances.

Three-fifths of A&E attendances arrive between 9am and 6pm. 9% are between midnight and 6am. The early hours are busiest on Sundays.

A&E Demand

Total attendance increased by 5.2% compared with 2015 – equivalent to an average of 3,216 more people attending A&E each day. Attendance at A&E appears to be increasing at a faster rate than population growth.

Patients spending over 4 hours in A&E

The number and percentage of patients spending over four hours in A&E has risen in recent years. In 2016, over 16% of patients in type 1 departments spent over 4 hours in A&E – the highest for over a decade. The target for 95% of all attendees to be discharged, admitted or transferred within 4 hours has not been met in the monthly data since July 2015


Emergency Admissions

There were 4.26 million emergency admissions to hospital in 2016 – up 4.5% on the previous year.

Long waits for admission have also become more common, with twelve hour ‘trolley waits’ – the numbers waiting over 4 hours for admission after a decision to admit – doubling in 2016 compared with 2015.

Finding out more

Some data for local NHS providers can be downloaded below. Links to source data can be found on the right of this page. MPs and their staff can contact Library staff for more data for their local areas.

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