2018 Emergency Care Project – Results published

201819 Emergency Care T1D infographic.PNG

We are pleased to share that the publication of the 2018 Emergency Care project report and toolkit, presenting the results of this year’s benchmarking project is now available on the members’ area.

Emergency care service provision is an important area of benchmarking for Network members. Emergency Departments continue to be the focus of much media attention, and performance against key standards continues to challenge providers.

201819 Emergency Care T3D infographic.PNG

The 2018 project presents the findings from the seventh cycle of the national Emergency Care benchmarking project. This year 142 organisations have contributed data to the project, providing a total of 255 submissions for Emergency Departments across the NHS. Submissions cover English Trusts, Welsh University Health Boards (UHB) and the States of Jersey. The project focuses on the provider perspective and reviews the provision of Accident and Emergency services (Type 1 & 2) as well as Walk In Centres, Urgent Care Centres and Minor Injuries Units (Type 3 & 4).

This is the second year of a successful collaboration with the NHS Improvement Getting It Right First Time Team and the benchmarking information will be used by GIRFT to provide data richness to the deep dive packs in their service improvement work with Trusts.

A parallel Urgent Care report analysing the system from a commissioner perspective is also available to download on the NHS Benchmarking Network’s website.

Available to members participants are:

  • A summary report providing an overview of the national position.

  • An online analytics tool which allows organisations to view their benchmarked positions on key indicators,

  • A bespoke report which outlines the key metrics from the project, showing individual Trust positions on each chart.

  • A Good practice compendium can also be downloaded from the online members’ area.

The 2018 Emergency Care project findings reveal continued demand and pressure on Type 1 ED services. Waiting times to access care average 3 hours 28 minutes, with increases in the percentage of patients waiting four or more hours in Emergency Departments (17%). Conversion rates, measuring the rate of ED attendances admitted to a bed, have increased to 28%. Encouraging results have been found for Consultant staffing levels, which have increased gradually in recent years.

The use of Type 3 & 4 services remains variable across the NHS. However, the data continues to show rapid access, with the mean length of time to be seen by a clinician reported as 24 minutes. Length of stay in Type 3 & 4 departments is now marginally over an hour (72 minutes), and the workforce is predominantly made up of nursing staff. Spend on bank and agency staff as a percentage of pay costs in Type 3 is approximately 10% lower than Types 1&2.

Participants can view their local positions on all the metrics in this report and many others via the members’ area of the Network website.

The 2018 project is now complete. The project will run again in 2019 with the collection of data for the year ending 31st March 2019. NHS Benchmarking Network members will be consulted with on the content of the 2018 benchmarking project. Comments and suggestions for the project’s process, content and outputs can be sent to Sue Ikin.