1 / 17

A&E ATTENDANCES – NHS LOTHIAN

A&E ATTENDANCES – NHS LOTHIAN. Sheila King. A&E Departments - Lothian. RIE – approx 105,000 atts per annum St John’s – some 47,000 attendances RHSC (paediatric unit) – 36,000 atts Minor Injuries Unit at Western General Hospital site in north of city – 18,000 patients per annum.

shana
Télécharger la présentation

A&E ATTENDANCES – NHS LOTHIAN

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. A&E ATTENDANCES – NHS LOTHIAN Sheila King

  2. A&E Departments - Lothian • RIE – approx 105,000 atts per annum • St John’s – some 47,000 attendances • RHSC (paediatric unit) – 36,000 atts • Minor Injuries Unit at Western General Hospital site in north of city – 18,000 patients per annum

  3. Trends in attendance – November to June • November 08 to June 09 compared to Nov 07 to June 08 • RIE A&E up 3% • St John’s up 9% • RHSC up over 8% • WGH MIU only increased by 1% • Proceed to analyse 3 main sites over 4 months March to June 2009

  4. Referral source by site

  5. Triage Category

  6. Arrival Mode

  7. % age band – all 3 sites

  8. % age admitted from A&E

  9. % admitted by age band

  10. % age by arrival hour by site

  11. % age discharges to “GP care – no further appointment”

  12. Did Not Waits • RIE and St John’s – a total of 1236 patients left without being seen in 4 months • 736 (62%) left within 2 hours of arrival • 25% of did not waits arrived by emergency ambulance • 50% were in the age group 15 to 34

  13. Conclusion • 3 very different A&E departments • Disproportionate usage of A&E greatest among 0-4, 5-14, 15-24 and over 75 year olds • Admission from A&E increases markedly with age • Attendances by arrival hour – very obvious peak 6-7pm RHSC, 6pm St John’s, late morning RIE • Surprising issues around “did not waits”, many leaving within 2 hours, 25% arriving by emergency ambulance • Proceed to look to try to find some pointers around increased activity, particularly evident on RHSCand St John’s sites

  14. RHSC – March to June 09 vs March to June 08 • 7% increase in A&E attendances • Large increases in 999 emergency and GP sources of referral • Age band 0-4 increased attendances by 27% (rising birth rate but disproportionately high increase in A&E att) – all other age bands reduced • Admissions from A&E down – both %age admission rate and overall number of admissions (despite 7% increase in A&E attendance

  15. St John’s – March to June 09 vs March to June 08 • 5.5% increase in A&E attendances • Age band 0-4 increased attendance by 27%, 5-14 increased by 10% • Over 55% of increase accounted for by 0-14 year olds at St John’s A&E • Admissions from A&E down – both %age admission rate and overall number of admissions (despite increase in A&E attendance) • Admission rates down by 17% in 0-14 age group and by 15% in 15-24 year old age group

  16. RIE – March to June 09 vs March to June 08 • 3.7% increase in A&E attendances • 55% increase in 5-14 year old age group, 8% increase in 15-24 age group and 7% in 65-74 age group • Admission rate from A&E down v. slightly from 28.9% to 28.2% (in total number of admissions up 1.4%) • Increase in number of admissions accounted for mainly by 65-74 age group, but also 15-24 age group.

  17. CONCLUSION • A&E attendance rates increasing in all 3 A&E departments (based on 4 months 2008/2009) • Younger age groups large contributor to increased attendances • Admission rates from A&E down on all 3 sites – RHSC and St John’s – number of admissions down despite increased A&E attendance • RIE site – 65-74 age group accounts for 70% of increase in admissions (but only 14% of increase in attendances)

More Related