Emergency Care (Type 1&2 and Type 3 services)

Departments are finding it increasingly difficult to meet the four-hour waiting target. In 2015/16, 13.6% of patients waited four hours or more in ED, compared with 10.3% in 2015.

Emergency care is a complex service with many facets across the NHS. The emergency care system is under increasing pressure, with the need to optimise the urgent and emergency care system to work as safely, efficiently and effectively as possible. This project focuses on the provider perspective and reviews the provision of Accident and Emergency services (Type 1&2) as well as alternative community based services such as Walk In Centres, Urgent Care Centres and Minor Injuries Units (Type 3).

Although the sums of money invested in emergency care are highly material, there is limited national benchmarking information available on the service beyond profiling of access arrangements, waiting times, and demand levels. The Network project aims to supplement available national metrics with relevant data on service models, infrastructure, capacity, demand, workforce, finance and service quality.

This project is for all providers of emergency care and subscribing members can receive:

  • Access to the online benchmarking toolkit, allowing you to compare your service nationally across hundreds of metrics
  • A bespoke dashboard report outlining key messages and metrics which compares your local position against nationally reported positions
  • A high level national report outlining key messages and metrics for EDs nationally
  • Attendance at the Emergency and Urgent care event to hear from national speakers and member good practice sites

Commissioners may be interested in the partner project "Urgent Care" which explores the commissioning of urgent care.

2016/17 benchmarking project

58 Trusts and Health Boards (HBs) participated in this iteration, covering 60 Type 1&2 centres and 50 Type 3 departments. An Urgent Care report analysing the system from a commissioner perspective, which has received contributions from 61 commissioners, is also available to download on the NHS Benchmarking Network’s website.

A national report, good practice compendium and online toolkit is available to Network members. Additionally, for the first time, bespoke reports were produced for all Emergency Care participants in 2016.

2017/18 benchmarking project

Data collection has closed for the 2017/18 iteration of the project. An event, free to Network members, will be held on 4th October 2017.

Download a summary of the project together with the 2016 highlights.

For queries about this project please contact Leigh Jenkins.

David Hughes

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