here - United Kingdom Parliament

907W
Written Answers
1 DECEMBER 2010
Written Answers
908W
GP consortiums will be responsible for commissioning
the great majority of national health service services.
We will expect consortiums to involve relevant health
and social care professionals from all sectors in helping
design care pathways or care packages that achieve
more integrated delivery of care, higher quality, and
more efficient use of NHS resources. This will create an
effective dialogue across all health, and where appropriate,
social care, professionals.
To support GP consortiums in their commissioning
decisions, we will also create an independent NHS
Commissioning Board.
‘Liberating the NHS: Commissioning for Patients’
invited views on a number of areas of the commissioning
agenda. The engagement exercise closed on 11 October
and the Department is now analysing all of the
contributions received.
Health Services: Standards
Liz Kendall: To ask the Secretary of State for Health
how many and what proportion of patients spent (a)
four hours or less and (b) more than four hours from
arrival to admission, transfer or discharge at accident
and emergency departments in each (i) month and (ii)
quarter of (A) 2009 and (B) 2010 to date. [27637]
Mr Simon Burns: The information is not available in
the format requested. Such information as is available is
in the table.
Quarterly data on the number and proportion of
patients who spend four hours or less from arrival to
admission, transfer or discharge at accident and emergency
(A&E) departments is available and published quarterly
via the Department’s Quarterly Monitoring Accident
and Emergency Services (QMAE) dataset. QMAE is
the official source for monitoring performance against
the four hour A&E waiting time standard.
Monthly data on the number and proportion of
patients who spend four hours or less from arrival to
admission, transfer or discharge at A&E departments
are only available monthly for August to October 2010
from situation report (SitRep) management data. These
data do not undergo the same validation processes as
official QMAE data.
For the months prior to August 2010 SitRep data
were collected on a weekly basis and monthly figures
would be difficult to obtain from the weekly data as
different months would contain different numbers of
weeks, meaning a month on month comparison would
be distorted.
A&E attendances and performance, England, calendar year, 2009 and 2010 by quarter, 2010, August, September, October
All A&E/Minor Injuries Unit/Walk in Centre (Type 1, 2, 3)
Calendar year Quarter Month OrgID Name
Attendances where patient
spent:
Four hours
or less in
A&E
More than
four hours
in A&E
Percentage of attendances
where patient spent:
Four hours
or less in
A&E 1,2
More than
four hours in
A&E 1,2
QMAE data
2009 1 — Eng England 4,591,401 108,816 97.7 2.3
2009 2 — Eng England 5,113,295 74,693 98.6 1.4
2009 3 — Eng England 5,025,722 66,023 98.7 1.3
2009 4 — Eng England 4,925,381 110,738 97.8 2.2
2010 1 — Eng England 4,731,558 102,163 97.9 2.1
2010 2 — Eng England 5,396,369 86,501 98.4 1.6
2010 3 — Eng England 5,214,746 106,710 98.0 2.0
Monthly SitRep data
2010 — August Eng England 1,723,360 33,180 98.1 1.9
2010 — September Eng England 1,701,826 41,151 97.6 2.4
2010 — October Eng England 1,753,711 47,414 97.4 2.6
1
From Q1 2010-11 (calendar year 2010 Q2), the calculation of quarterly A&E performance on the QMAE has changed. Prior to 2010-11 the
calculation has identified the proportion of breaches with respect to all A&E attendances, irrespective of whether the time spent in A&E was
known. The new calculation shows the breaches as a proportion of total attendances for which the time spent in A&E is known. Any attendances
for which the time spent in A&E is unknown are excluded from the total attendances for the purpose of the calculation.
2
The calculation of monthly A&E performance on the Monthly SitReps identifies the proportion of breaches with respect to all A&E
attendances, irrespective of whether the time spent in A&E was known.
Notes:
Attendances with an unknown total time are not included in the quarterly QMAE data.
Source:
Department of Health dataset QMAE, Monthly SitReps
Liz Kendall: To ask the Secretary of State for Health
how many and what proportion of patients (a)
received treatment within and (b) waited longer for
treatment than 18-weeks after referral in each (i) month
and (ii) quarter of (A) 2009 and (B) 2010 to date.
[27638]
Mr Simon Burns: The information is shown in the
following table: