Sickness Absence Rates in the NHS: July - September 2009, Experimental Statistics

Transcription

1 Sickness Absence Rates in the NHS: July -, Experimental Statistics 1

2 The NHS Information Centre is England s central, authoritative source of health and social care information. Acting as a hub for high quality, national, comparative data, we deliver information for local decision makers, to improve the quality and efficiency of care. Author: The NHS Information Centre, Workforce and Facilities Team Responsible Statistician: Ian Bullard Version: 1.0 Date of Publication: 18/2/2010 2

3 Contents Sickness Absence Rates in the NHS: July -, Experimental Statistics 1 Contents 3 Key Findings: 4 Introduction 5 Methodology 5 Results 7 Table 1: Sickness Absence Rates by Month, England 7 Table 2: Sickness Absence Rates by SHA Area, July - 8 Table 3: Sickness Absence Rates by Staff Group, July - 9 Table 4: Sickness Absence Rates by Organisation Type, July 10 Table 5: Sickness Absence Rates by SHA and Organisation, July - 11 Table 5a: North East SHA 11 Table 5b: North West SHA 12 Table 5c: Yorkshire and the Humber SHA 14 Table 5d: East Midlands SHA 15 Table 5g: London SHA continued 19 Experimental Statistics This is only the second publication of sickness absence statistics using data taken form the Electronic Staff Record (ESR). As such, these figures are presented as an experimental series. The IC will continue to publish these figures quarterly in the future. The IC welcomes feedback on the methodology and tables within this publication. Please contact David Keighley with your comments via: enquiries@ic.nhs.uk Telephone: Post: 1 Trevelyan Square, Boar Lane, Leeds, LS1 6AE. 3

4 Key Findings: Between July and the average sickness absence rate for the NHS in England was 4.34%. The North East SHA area had the highest average sickness absence rate with its organisations averaging 5.01%. The London SHA area had the lowest average at 3.70%. Healthcare assistants and other support staff were the staff group with the highest average sickness absence rate with an average of 6.56%. The medical and dental staff group had the lowest average at 1.17%. Amongst types of organisation, ambulance trusts had the highest average sickness absence rate with an average of 5.86%. Strategic health authorities had the lowest average with a rate of 2.37%.

5 Introduction This statistical bulletin relates to sickness absence rates for staff at NHS organisations on the Electronic Staff Record (ESR). ESR is a payroll and human resources system which, since April 2008, contains staff records for all NHS employed staff with the exception of GPs and those employed at the two foundation trusts which are not yet on the system. It replaced over 30 separate HR and payroll systems which were previously in use. The statistics presented in this Bulletin relate to staff sickness absence during the 3 month period of July to. This is the second publication using sickness absence data from the ESR. These figures are presented as an experimental series and are not directly comparable with previous figures from the Department of Health (DH) or ONS. Feedback on any aspect of this initial bulletin is welcome please see the Experimental Statistics section on the contents page for more information. The IC will continue to publish these figures on a quarterly basis. This is important data, as it is useful for NHS organisations as a tool for understanding NHS staff health and well-being in light of the Boorman Review, and identifying appropriate benchmarks for sickness absence within their own organisations and staff groups. NHS organisations are able to access more detailed reports about sickness absence within their own organisations, and as recommended in the Department of Health's response to the Boorman Review should make full use of the ESR's sickness absence reporting and monitoring functions to understand the health and well-being of their workforce. DH will use this data - alongside NHS staff survey data - over the coming years to evaluate changes in staff sickness absence and staff health and well-being. The NHS Workforce is extremely diverse in terms of occupations and skills, compared with many other public sector employers. For instance, NHS work is often physically and psychologically demanding, which increases the risk of illness and injury. The NHS is also one of few organisations that operate 24 hour services, for 365 days a year. Prior to this publication series The IC (and the Department of Health previously) published sickness absence statistics on a yearly basis with the last publication in 2006 using 2005 data. Comparisons between the rates in these surveys and the latest rates are not directly comparable due to the differences in these surveys methodologies which should be noted see the Methodology section for more details. Methodology A monthly extract is downloaded from ESR detailing the number of days usually worked by a member of staff and the number of days of sickness absence over said month for all NHS staff based in England. Sickness absence rates are then calculated for the whole English NHS and for each SHA, staff group, organisation type and individual organisation by dividing the total number of sickness absence days by the total number of available days for each group. 5

6 While lower sickness absence rates, in general, indicate lower levels of sickness absence it should be noted that lower rates can also indicate under reporting of sickness absence. It should also be noted that these figures relate to just three months of the year, and sickness absence is subject to marked seasonal variation. Comparison with previous surveys Prior to this publication series, The IC last released sickness absence statistics in 2006 using 2005 data. In that survey and the ones in previous years organisations were asked to report a single rate for their entire organisation which they calculated themselves for either the entire year, or for whichever months they were able to collect data for. Sickness absence rates from this survey and historical surveys can not be meaningfully compared as this will not produce like for like estimates for the following reasons: - This survey contains rates based solely on the number of days lost to sickness absence. In previous surveys organisations were instructed to calculate their own rates based on either hours or days lost; - This survey is based on a snapshot of 3 set months of data, and sickness absence is subject to marked seasonal variation. Historical surveys were based on data from between 1 and 12 months of the year, from any part of the year, with the months used, varying between organisation.

7 Results Table 1: Sickness Absence Rates by Month, England Sickness Absence Rate April 3.99% May 4.05% June 4.12% April to June 4.05% July 4.70% August 4.21% 4.12% July to 4.34% 7

8 Table 2: Sickness Absence Rates by SHA Area April May June July August Jul-Sep 09 England 3.99% 4.05% 4.12% 4.70% 4.21% 4.12% 4.34% North East 4.56% 4.63% 4.61% 5.35% 4.94% 4.72% 5.01% North West 4.50% 4.53% 4.49% 5.12% 4.68% 4.60% 4.80% Yorkshire and the Humber 4.29% 4.31% 4.39% 4.96% 4.54% 4.37% 4.62% East Midlands 4.27% 4.37% 4.42% 5.13% 4.57% 4.46% 4.72% West Midlands 4.10% 4.17% 4.41% 5.09% 4.43% 4.39% 4.64% East of England 3.92% 3.95% 3.98% 4.47% 4.06% 4.00% 4.18% London 3.29% 3.37% 3.57% 4.09% 3.52% 3.48% 3.70% South East Coast 3.71% 3.73% 3.80% 4.27% 3.79% 3.80% 3.95% South Central 3.35% 3.43% 3.50% 3.99% 3.57% 3.59% 3.72% South West 4.07% 4.08% 4.11% 4.64% 4.13% 3.98% 4.25% Special Health Authorities 3.41% 3.64% 3.54% 4.11% 3.70% 3.69% 3.83%

9 Table 3: Sickness Absence Rates by Staff Group April May June July August Jul-Sep 09 England 3.99% 4.05% 4.12% 4.70% 4.21% 4.12% 4.34% Ambulance Staff 5.45% 5.55% 5.77% 6.55% 6.27% 5.94% 6.26% Administration and Estates 3.27% 3.27% 3.35% 3.98% 3.53% 3.53% 3.68% Healthcare Assistants and Other Support Staff 6.10% 6.16% 6.31% 7.04% 6.42% 6.21% 6.56% Medical and Dental Staff 1.08% 1.08% 1.08% 1.32% 1.07% 1.13% 1.17% Nursing, Midwifery and Health Visiting Staff 4.87% 4.98% 5.04% 5.59% 5.09% 4.96% 5.22% Nursing, Midwifery and Health Visiting Learners 1.23% 1.40% 1.36% 1.94% 1.46% 1.40% 1.60% Scientific, Therapeutic and Technical Staff 3.21% 3.26% 3.34% 3.87% 3.33% 3.30% 3.50% Healthcare Scientists 3.21% 3.28% 3.30% 3.76% 3.30% 3.29% 3.45% 9

10 Table 4: Sickness Absence Rates by Organisation Type April May June July August Jul-Sep 09 England 3.99% 4.05% 4.12% 4.70% 4.21% 4.12% 4.34% Acute 3.81% 3.84% 3.92% 4.45% 3.96% 3.87% 4.10% Mental Health and Learning Disability 4.71% 4.82% 4.92% 5.57% 5.11% 5.04% 5.24% Care Trust 4.98% 5.14% 4.98% 5.56% 5.15% 5.07% 5.26% Primary Care Trust 3.95% 4.01% 4.07% 4.69% 4.12% 4.09% 4.30% Ambulance 5.13% 5.14% 5.35% 6.21% 5.83% 5.54% 5.86% Strategic Health Authority 2.16% 2.17% 1.87% 2.53% 2.44% 2.16% 2.37% Special Health Authority 3.41% 3.64% 3.54% 4.11% 3.70% 3.69% 3.83%

11 Table 5: Sickness Absence Rates by SHA and Organisation Table 5a: North East SHA Area July August North East 5.35% 4.94% 4.72% City Hospitals Sunderland NHS Foundation Trust 4.74% 4.63% 4.67% County Durham and Darlington Hospitals NHS Trust 4.25% 3.66% 3.28% County Durham PCT 4.37% 4.32% 2.77% Darlington PCT 4.54% 4.48% 4.37% Gateshead Health NHS Trust 4.87% 4.16% 4.43% Gateshead PCT 3.71% 3.03% 3.03% Hartlepool PCT 1.16% 0.74% 4.07% Middlesbrough PCT 5.18% 4.42% 2.48% Newcastle PCT 5.44% 4.74% 4.61% North East Ambulance Service NHS Trust 6.97% 7.46% 7.15% North East Strategic Health Authority 1.83% 1.40% 1.08% North Tees and Hartlepool NHS Trust 4.66% 4.50% 4.25% North Tees PCT 4.27% 3.46% 3.84% North Tyneside PCT 6.10% 3.79% 3.76% Northumberland Care Trust 6.88% 6.33% 5.84% Northumberland, Tyne & Wear NHS Trust 6.96% 6.56% 6.18% Northumbria Health Care NHS Trust 5.27% 5.20% 4.91% Redcar & Cleveland PCT 5.84% 5.57% 5.69% South Tees Hospitals NHS Trust 5.01% 4.83% 4.74% South Tyneside NHS Foundation Trust 5.46% 4.89% 4.88% South Tyneside PCT 7.12% 5.12% 5.49% Sunderland Teaching PCT 6.13% 5.02% 5.07% Tees, Esk & Wear Valleys NHS Trust 6.31% 5.95% 5.35% The Newcastle Upon Tyne Hospitals NHS Trust 5.17% 4.53% 4.29% 11

12 Table 5b: North West SHA Area July August North West 5.12% 4.68% 4.60% 5 Boroughs Partnership NHS Trust 6.72% 6.89% 6.89% Aintree Hospitals NHS Trust 5.13% 5.32% 5.46% Ashton, Leigh and Wigan PCT 4.01% 3.72% 3.72% Blackburn with Darwen PCT 4.99% 4.16% 4.75% Blackpool PCT 5.23% 4.72% 5.27% Blackpool, Fylde and Wyre Hospitals NHS Trust 4.47% 4.32% 3.94% Bolton Hospitals NHS Trust 5.09% 4.79% 4.90% Bolton PCT 5.17% 4.94% 4.49% Bolton, Salford and Trafford Mental Health NHS Trust 6.21% 6.06% 6.01% Bury PCT 4.28% 3.69% 3.98% Calderstones NHS Trust 7.07% 6.69% 6.53% Central & Eastern Cheshire PCT 4.79% 3.98% 4.34% Central Lancashire PCT 5.14% 4.66% 4.61% Central Manchester and Manchester Children's Hospitals NHS Trust 4.97% 4.87% 4.76% Cheshire and Wirral Partnership NHS Trust 5.51% 5.25% 4.98% Christie Hospital NHS Trust 4.53% 4.18% 4.09% Clatterbridge Centre for Oncology NHS Trust 4.41% 4.25% 4.27% Countess of Chester Hospital NHS Foundation Trust 4.84% 4.15% 3.83% Cumbria PCT 4.45% 4.22% 3.87% East Cheshire NHS Trust 4.84% 4.23% 3.85% East Lancashire Hospitals NHS Trust 5.63% 4.63% 4.55% East Lancashire PCT 4.86% 4.49% 4.36% Halton & St Helens PCT 6.36% 5.74% 5.46% Heywood, Middleton & Rochdale PCT 3.96% 4.22% 4.61% Knowsley PCT 5.61% 4.28% 3.90% Lancashire Care NHS Trust 7.13% 6.57% 6.30% Lancashire Teaching Hospitals NHS Foundation Trust 5.33% 4.85% 4.60% Liverpool PCT 5.08% 4.08% 4.33% Liverpool Women's NHS Foundation Trust 5.80% 5.23% 4.74% Manchester Mental Health and Social Care Trust 6.17% 6.43% 6.31% Manchester PCT 4.47% 3.73% 4.05% Mersey Care NHS Trust 5.70% 5.76% 6.20% Morecambe Bay Hospitals NHS Trust 3.96% 4.06% 4.09% North Cheshire Hospitals NHS Trust 4.45% 4.36% 4.19% North Cumbria Acute Hospitals NHS Trust 5.81% 5.25% 5.08% North Cumbria Mental Health and Learning Disabilities NHS Trust 4.92% 4.62% 4.37% North Lancashire PCT 4.17% 3.26% 3.57% North West Strategic Health Authority 3.32% 3.38% 2.61% North West Ambulance Service NHS Trust 7.06% 6.31% 6.09% Oldham PCT 5.07% 4.30% 4.57% Pennine Acute Hospitals NHS Trust 4.51% 3.97% 3.94% Pennine Care NHS Trust 5.95% 5.61% 5.20% Royal Liverpool and Broadgreen University Hospitals NHS Trust 4.65% 4.29% 4.27% Royal Liverpool Childrens Hospital NHS Trust 5.07% 4.68% 4.31% Salford PCT 5.05% 3.41% 3.97% Salford Royal Hospitals NHS Trust 4.22% 4.24% 4.42% continued overleaf

13 Table 5b: North West SHA Area continued North West July August Sefton PCT 5.25% 4.58% 4.72% South Manchester University Hospitals NHS Trust 5.20% 4.90% 4.85% Southport and Ormskirk Hospital NHS Trust 4.41% 3.68% 3.46% St Helens and Knowsley Hospitals NHS Trust 5.91% 5.33% 4.93% Stockport NHS Trust 5.62% 4.65% 4.17% Stockport PCT 3.96% 3.61% 3.21% Tameside and Glossop Acute Services NHS Trust 4.04% 3.39% 3.33% Tameside and Glossop PCT 4.57% 3.90% 3.92% The Cardiothoracic Centre - Liverpool NHS Trust 3.68% 3.77% 3.79% The Mid Cheshire Hospital NHS Trust 4.98% 4.82% 4.11% The Wirral Hospital NHS Trust 5.31% 4.50% 4.74% Trafford Healthcare NHS Trust 5.00% 4.56% 4.67% Trafford PCT 4.89% 5.04% 4.76% Walton Centre for Neurology and Neurosurgery NHS Trust 6.49% 5.75% 5.66% Warrington PCT 4.84% 4.56% 4.35% West Cheshire PCT 4.60% 4.95% 5.03% Wirral PCT 4.48% 3.43% 3.58% Wrightington, Wigan & Leigh NHS Trust 4.84% 4.21% 3.98% 13

14 Table 5c: Yorkshire and the Humber SHA Area July August Yorkshire and the Humber 4.96% 4.54% 4.37% Airedale NHS Trust 4.43% 3.96% 3.80% Barnsley Hospital NHS Foundation Trust 4.85% 4.69% 4.62% Barnsley PCT 5.38% 5.41% 4.90% Bradford & Airedale Teaching PCT 4.76% 4.46% 4.13% Bradford District Care Trust 6.93% 6.90% 6.50% Bradford Teaching Hospitals NHS Foundation Trust 5.90% 5.39% 4.72% Calderdale and Huddersfield NHS Trust 4.46% 4.44% 4.30% Calderdale PCT 5.36% 4.38% 3.71% Doncaster and Bassetlaw Hospitals NHS Trust 4.34% 3.81% 3.73% Doncaster and South Humber Healthcare NHS Trust 6.04% 5.35% 5.09% Doncaster PCT 5.01% 4.08% 4.22% East Riding of Yorkshire PCT 4.16% 3.56% 3.94% Harrogate and District NHS Foundation Trust 4.43% 4.23% 4.16% Hull and East Yorkshire Hospitals NHS Trust 5.03% 4.55% 4.46% Hull Teaching PCT 4.65% 4.17% 3.86% Humber Mental Health Teaching NHS Trust 5.44% 5.12% 5.26% Kirklees PCT 4.25% 3.64% 3.94% Leeds Mental Health Teaching NHS Trust 5.69% 5.38% 4.60% Leeds PCT 4.64% 3.61% 3.84% Leeds Teaching Hospitals NHS Trust 4.98% 4.43% 4.42% Mid Yorkshire Hospitals NHS Trust 5.53% 5.12% 4.92% North East Lincolnshire Care Trust 5.13% 4.61% 4.99% North Lincolnshire PCT 4.47% 5.16% 4.25% North Yorkshire & York PCT 4.22% 4.31% 3.95% Northern Lincolnshire & Goole Hospitals NHS Trust 4.37% 3.94% 3.89% Rotherham PCT 5.73% 4.26% 3.59% Scarborough and North East Yorkshire Health Care NHS Trust 4.59% 3.96% 4.44% Sheffield Care Trust 6.32% 5.49% 5.11% Sheffield Children's Hospital NHS Trust 3.15% 2.39% 2.48% Sheffield PCT 5.23% 4.21% 4.15% Sheffield Teaching Hospitals NHS Foundation Trust 4.72% 4.41% 4.02% South West Yorkshire Mental Health NHS Trust 5.84% 5.34% 5.11% The Rotherham NHS Foundation Trust 4.02% 4.42% 4.33% Wakefield District PCT 4.52% 4.34% 4.14% York Hospitals NHS Trust 4.03% 3.45% 3.72% Yorkshire & The Humber Strategic Health Authority 1.48% 1.37% 1.45% Yorkshire Ambulance Service NHS Trust 6.69% 6.46% 5.92%

15 Table 5d: East Midlands SHA Area July August East Midlands 5.13% 4.57% 4.46% Bassetlaw PCT 4.55% 5.22% 5.04% Derby City PCT 4.73% 3.83% 4.17% Derby Hospitals NHS Foundation Trust 4.85% 4.05% 3.93% Derbyshire County PCT 4.98% 4.22% 4.60% Derbyshire Mental Health Services NHS Trust 5.55% 5.15% 4.86% East Midlands Ambulance Service NHS Trust 6.97% 6.49% 6.06% East Midlands Strategic Health Authority 3.73% 3.50% 2.73% Kettering General Hospital NHS Trust 5.26% 4.41% 3.95% Leicester City Teaching PCT 5.83% 4.99% 5.18% Leicestershire County & Rutland PCT 5.00% 4.36% 4.30% Leicestershire Partnership NHS Trust 6.69% 6.41% 6.25% Lincolnshire Healthcare NHS Trust 5.13% 4.58% 4.65% Lincolnshire Teaching PCT 4.67% 4.50% 4.87% Northampton General Hospital NHS Trust 4.88% 4.46% 4.36% Northamptonshire Healthcare NHS Trust 6.64% 4.99% 5.37% Northamptonshire Teaching PCT 4.63% 4.12% 4.08% Nottingham City PCT 4.80% 4.22% 3.20% Nottingham University Hospitals NHS Trust 4.53% 3.80% 3.80% Nottinghamshire County Teaching PCT 4.30% 3.81% 3.54% Nottinghamshire Healthcare NHS Trust 6.25% 5.85% 5.86% Sherwood Forest Hospitals NHS Trust 5.52% 5.29% 4.67% The United Lincolnshire Hospitals NHS Trust 6.02% 5.49% 5.38% University Hospitals of Leicester NHS Trust 3.95% 3.60% 3.45% 15

16 Table 5e: West Midlands SHA Area July August West Midlands 5.09% 4.43% 4.39% Birmingham and Solihull Mental Health NHS Trust 5.92% 4.97% 5.45% Birmingham Children's Hospital NHS Trust 4.59% 3.31% 3.56% Birmingham East & North PCT 5.14% 4.59% 5.02% Birmingham Women's Healthcare NHS Trust 4.61% 3.84% 3.91% Burton Hospitals NHS Trust 4.70% 3.88% 4.06% Coventry & Warwickshire Partnership NHS trust 6.54% 6.15% 5.89% Coventry Teaching PCT 5.15% 4.05% 3.33% Dudley & Walsall Mental Health Partnership NHS Trust 5.59% 4.73% 5.00% Dudley Group of Hospitals NHS Trust 4.15% 3.67% 3.65% Dudley PCT 4.03% 3.49% 3.66% Heart Of Birmingham Teaching PCT 5.27% 4.70% 4.67% Heart of England NHS Foundation Trust 5.16% 4.48% 4.44% Hereford Hospitals NHS Trust 4.01% 3.51% 3.56% Herefordshire PCT 4.41% 4.15% 4.26% Mid Staffordshire General Hospitals NHS Trust 5.00% 4.37% 4.61% North Staffordshire Combined Healthcare NHS Trust 5.55% 4.71% 4.48% North Staffordshire PCT 5.98% 5.19% 5.21% Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust 4.33% 3.96% 4.13% Royal Orthopaedic Hospital NHS Trust 3.90% 3.07% 3.00% Sandwell and West Birmingham Hospitals NHS Trust 4.72% 4.17% 4.15% Sandwell Mental Health NHS and Social Care Trust 6.42% 5.68% 5.28% Sandwell PCT 5.36% 4.51% 4.13% Shrewsbury and Telford Hospital NHS Trust 4.74% 3.96% 3.92% Shropshire County PCT 4.62% 3.99% 4.12% Solihull Care Trust 5.26% 4.15% 4.15% South Birmingham PCT 5.54% 4.95% 5.45% South Staffordshire Healthcare NHS Trust 6.06% 5.42% 5.35% South Staffordshire PCT 4.92% 4.04% 4.00% South Warwickshire General Hospitals NHS Trust 4.56% 4.23% 3.89% Stoke on Trent Teaching PCT 4.17% 3.50% 2.97% Telford and Wrekin PCT 5.24% 4.28% 4.14% The George Eliot Hospital NHS Trust 4.65% 4.55% 4.22% The Royal Wolverhampton Hospitals NHS Trust 4.45% 3.73% 3.78% University Hospital Birmingham NHS Foundation Trust 4.73% 4.19% 3.91% University Hospital of North Staffordshire NHS Trust 5.13% 4.75% 4.52% University Hospitals Coventry and Warwickshire NHS Trust 4.80% 4.02% 4.17% Walsall Hospitals NHS Trust 6.20% 4.79% 4.59% Walsall Teaching PCT 5.60% 4.01% 3.88% Warwickshire PCT 5.13% 5.05% 4.65% West Midlands Ambulance Service NHS Trust 6.95% 6.43% 6.11% West Midlands Strategic Health Authority 3.22% 2.86% 3.04% Wolverhampton City PCT 4.48% 4.16% 4.46% Worcestershire Acute Hospitals NHS Trust 4.80% 4.32% 4.16% Worcestershire Mental Health Partnership NHS Trust 6.70% 6.05% 5.98% Worcestershire PCT 4.95% 4.34% 4.23%

17 Table 5f: East of England SHA Area July August East of England 4.47% 4.06% 4.00% Basildon and Thurrock General Hospital NHS Trust 4.47% 3.70% 3.65% Bedford Hospital NHS Trust 3.65% 3.43% 3.19% Bedfordshire and Luton Mental Health and Social Care NHS Trust 6.36% 5.32% 5.76% Bedfordshire PCT 4.16% 4.18% 4.47% Cambridge University Hospitals NHS Foundation Trust 3.47% 3.01% 2.76% Cambridgeshire and Peterborough Mental Health NHS Trust 4.28% 3.58% 3.73% Cambridgeshire PCT 4.32% 3.86% 3.93% East and North Hertfordshire NHS Trust 4.41% 4.15% 3.90% East & North Hertfordshire PCT 4.77% 4.32% 3.94% East of England Ambulance Service NHS Trust 6.69% 6.23% 6.17% East of England Strategic Health Authority 3.48% 3.40% 4.10% Essex Rivers Healthcare NHS Trust 3.75% 3.21% 2.98% Great Yarmouth & Waveny Teaching PCT 4.76% 4.47% 4.16% Hertfordshire Partnership NHS Trust 4.73% 4.25% 4.59% Hinchingbrooke Healthcare NHS Trust 4.02% 3.63% 3.64% Ipswich Hospital NHS Trust 3.45% 3.28% 3.39% James Paget Healthcare NHS Trust 4.93% 4.00% 3.58% Luton and Dunstable Hospital NHS Trust 4.78% 3.79% 3.62% Luton PCT 4.44% 3.96% 3.97% Mid Essex Hospital Services NHS Trust 4.76% 4.21% 4.35% Mid Essex PCT 4.60% 3.93% 4.18% Norfolk and Norwich Health Care NHS Trust 4.17% 3.66% 3.47% Norfolk and Waveney Mental Health Partnership NHS Trust 5.99% 5.78% 5.60% Norfolk PCT 5.05% 4.50% 4.35% North East Essex PCT 5.17% 4.18% 4.10% North Essex Mental Health Partnership NHS Trust 5.19% 5.51% 5.54% Papworth Hospital NHS Foundation Trust 3.95% 3.60% 3.82% Peterborough and Stamford Hospitals NHS Foundation Trust 3.60% 3.15% 3.11% Peterborough PCT 6.18% 5.62% 5.46% South East Essex PCT 4.93% 4.09% 4.35% South Essex Partnership NHS Trust 5.53% 4.98% 5.49% South West Essex Teaching PCT 4.00% 3.95% 4.08% Southend Hospital NHS Trust 4.55% 4.57% 4.37% Suffolk Mental Health Partnership NHS Trust 5.98% 5.09% 5.12% Suffolk PCT 4.06% 3.65% 3.73% The Princess Alexandra Hospital NHS Trust 4.04% 4.15% 4.05% The Queen Elizabeth Hospital King's Lynn NHS Trust 3.80% 3.65% 3.92% West Essex PCT 4.06% 3.91% 4.16% West Hertfordhire PCT 3.83% 3.81% 2.15% West Hertfordshire Hospitals NHS Trust 3.76% 3.75% 3.64% West Suffolk Hospitals NHS Trust 4.15% 4.01% 3.52% 17

18 Table 5g: London SHA Area July August London 4.09% 3.52% 3.48% Barking & Dagenham PCT 2.33% 2.04% 0.47% Barking, Havering and Redbridge Hospitals NHS Trust 4.79% 4.29% 3.83% Barnet and Chase Farm Hospitals NHS Trust 4.55% 4.22% 3.87% Barnet PCT 3.06% 3.71% 3.93% Barnet, Enfield and Haringey Mental Health NHS Trust 4.12% 3.16% 3.61% Barts and the London NHS Trust 3.87% 3.00% 2.80% Bexley Care Trust 2.92% 2.96% 4.19% Brent Teaching PCT 5.78% 4.27% 3.85% Bromley Hospitals NHS Trust 4.41% - - Bromley PCT 5.21% 4.32% 4.73% Camden and Islington Mental Health and Social Care Trust 2.79% 2.62% 2.80% Camden PCT 3.47% 2.83% 2.45% Central and North West London Mental Health NHS Trust 4.52% 3.05% 3.49% Chelsea and Westminster Healthcare NHS Trust 2.79% 2.48% 2.65% City and Hackney PCT 5.35% 3.80% 4.11% Croydon PCT 3.28% 3.46% 3.46% Ealing Hospital NHS Trust 4.38% 4.16% 4.04% Ealing PCT 3.82% 2.97% 3.13% East London and the City Mental Health NHS Trust 4.98% 4.91% 4.96% Enfield PCT 5.99% 5.26% 5.81% Epsom and St Helier University Hospitals NHS Trust 4.81% 3.86% 3.99% Great Ormond Street Hospital For Sick Children NHS Trust 3.05% 2.39% 2.28% Greenwich Teaching PCT 5.86% 4.88% 4.87% Guys & St Thomas' NHS Foundation Trust 4.44% 3.79% 3.62% Hammersmith and Fulham PCT 4.33% 3.45% 2.13% Haringey Teaching PCT 4.30% 3.55% 3.19% Harrow PCT 3.27% 2.75% 2.76% Havering PCT 6.49% 6.43% 5.36% Hillingdon Hospital NHS Trust 3.88% 3.23% 3.36% Hillingdon PCT 4.33% 2.53% 1.97% Homerton University Hospital NHS Foundation Trust 4.20% 2.98% 2.99% Hounslow PCT 3.67% 3.02% 3.30% Imperial College Healthcare NHS Trust 3.23% 2.87% 2.93% Islington PCT 3.06% 2.75% 2.78% Kensington and Chelsea PCT 3.63% 3.30% 4.01% King's College Hospital NHS Trust 3.19% 2.63% 2.69% Kingston Hospital NHS Trust 3.49% 2.84% 2.98% Kingston PCT 2.85% 3.19% 3.57% Lambeth PCT 4.29% 4.68% 4.29% Lewisham PCT 4.04% 3.40% 3.24% London Ambulance Service 4.71% 4.49% 4.12% London Strategic Health Authority 2.23% 1.91% 0.87% Mayday Healthcare NHS Trust 4.32% 3.73% 3.63% Newham PCT 5.64% 4.64% 5.11% Newham University Hospital NHS Trust 4.19% 3.69% 3.56% North East London NHS Foundation Trust 4.71% 3.94% 3.74% continued overleaf

19 Table 5g: London SHA Area continued London July August North Middlesex University Hospital NHS Trust 4.08% 3.33% 3.37% North West London Hospitals NHS Trust 3.41% 2.84% 3.23% Oxleas NHS Trust 5.11% 4.74% 4.91% Queen Elizabeth Hospitals NHS Trust 4.94% - - Queen Mary's Sidcup NHS Trust 3.85% - - Redbridge PCT 4.70% 4.61% 2.86% Richmond and Twickenham PCT 3.49% 2.84% 2.79% Royal Brompton and Harefield NHS Trust 2.90% 2.55% 2.25% Royal Free Hampstead NHS Trust 3.46% 3.10% 3.38% Royal Marsden Hospital NHS Foundation Trust 3.17% 2.38% 2.13% Royal National Orthopaedic Hospital NHS Trust 3.86% 3.66% 3.84% South London and Maudsley NHS Trust 5.01% 4.27% 4.33% South London Healthcare NHS Trust % 3.70% South West London & St George's Mental Health NHS Trust 5.25% 4.77% 4.50% Southwark PCT 4.21% 3.53% 2.98% St George's Healthcare NHS Trust 4.17% 3.72% 3.33% Sutton and Merton PCT 5.27% 3.46% 3.19% Tavistock and Portman NHS Trust 2.20% 1.59% 1.52% The Lewisham Hospital NHS Trust 5.23% 4.66% 4.03% The Whittington Hospital NHS Trust 3.16% 3.17% 2.55% Tower Hamlets PCT 4.13% 3.79% 3.93% University College London Hospitals NHS Foundation Trust 3.26% 2.95% 2.83% Waltham Forest PCT 2.20% 2.71% 3.13% Wandsworth PCT 4.83% 4.58% 4.43% West London Mental Health NHS Trust 5.35% 4.73% 4.78% West Middlesex University Hospital NHS Trust 3.23% 2.78% 3.07% Westminster PCT 3.34% 3.26% 2.03% Whipps Cross University Hospital NHS Trust 4.61% 3.64% 4.23% 19

20 Table 5h: South East Coast SHA Area July August South East Coast 4.27% 3.79% 3.80% Ashford and St Peter's Hospitals NHS Trust 3.32% 2.99% 3.43% Brighton and Hove City PCT 3.81% 4.63% 3.46% Brighton and Sussex University Hospitals NHS Trust 4.21% 3.60% 3.68% Dartford and Gravesham NHS Trust 3.82% 3.24% 3.30% East Kent Hospitals NHS Trust 4.37% 3.64% 3.77% East Kent NHS & Social Care Partnership 5.04% 4.75% 4.67% East Sussex Downs & Weald PCT 4.78% 4.03% 4.54% East Sussex Hospitals NHS Trust 4.17% 3.74% 4.01% Eastern & Coastal Kent Teaching PCT 4.91% 3.95% 3.76% Frimley Park Hospital NHS Foundation Trust 3.80% 3.30% 3.38% Hastings & Rother PCT 4.02% 3.86% 3.66% Maidstone and Tunbridge Wells NHS Trust 3.64% 3.33% 3.26% Medway NHS Trust 4.26% 3.81% 3.31% Medway PCT 4.25% 3.77% 4.01% Queen Victoria Hospital NHS Foundation Trust 3.74% 2.95% 3.15% Royal Surrey County Hospital NHS Trust 3.84% 3.13% 2.88% South Downs Health NHS Trust 3.44% 3.61% 2.93% South East Coast Ambulance Service NHS Trust 6.25% 6.09% 5.90% South East Coast Strategic Health Authority 1.30% 1.57% 1.14% Surrey & Borders Partnership NHS Trust 4.89% 4.49% 4.27% Surrey and Sussex Healthcare NHS Trust 3.91% 3.60% 3.51% Surrey PCT 3.62% 3.24% 3.44% Sussex Partnership NHS Trust 5.14% 4.75% 4.89% West Kent PCT 4.63% 3.67% 3.65% West Sussex Teaching PCT 4.33% 3.82% 4.03% Western Sussex Hospitals NHS Trust 3.86% 3.37% 3.54%

21 Table 5i: South Central SHA Area July August South Central 3.99% 3.57% 3.59% Berkshire East Teaching PCT 4.50% 3.31% 4.06% Berkshire Healthcare NHS Trust 4.97% 3.68% 3.14% Berkshire West PCT 4.10% 3.41% 3.59% Buckinghamshire Hospitals NHS Trust 4.48% 3.66% 3.95% Buckinghamshire PCT 4.64% 3.62% 3.62% Hampshire Partnership NHS Trust 4.04% 4.14% 4.22% Hampshire PCT 3.59% 3.36% 3.37% Heatherwood and Wexham Park Hospitals NHS Trust 3.72% 3.28% 2.87% Isle of Wight Healthcare PCT 5.01% 4.08% 4.08% Milton Keynes General Hospital NHS Trust 4.69% 4.35% 4.22% Milton Keynes PCT 3.56% 3.13% 3.20% North Hampshire Hospitals NHS Trust 3.74% 3.71% 4.10% Nuffield Orthopaedic Centre NHS Trust 3.87% 3.49% 3.20% Oxford Radcliffe Hospitals NHS Trust 3.66% 2.99% 2.94% Oxfordshire Learning Disability NHS Trust 5.09% 5.67% 4.69% Oxfordshire Mental Healthcare NHS Trust 4.46% 4.00% 3.73% Oxfordshire PCT 3.40% 2.78% 3.28% Portsmouth City Teaching PCT 4.61% 4.24% 4.21% Portsmouth Hospitals NHS Trust 3.26% 3.22% 3.30% Royal Berkshire and Battle Hospitals NHS Trust 3.83% 3.38% 3.50% South Central Ambulance Service NHS Trust 4.48% 4.68% 4.44% South Central Strategic Health Authority 1.69% 2.03% 2.60% Southampton City PCT 4.24% 3.47% 3.91% Southampton University Hospitals NHS Trust 3.88% 3.55% 3.58% Winchester and Eastleigh Healthcare NHS Trust 3.69% 3.14% 3.24% 21

22 Table 5j: South West SHA Area July August South West 4.64% 4.13% 3.98% Avon and Western Wiltshire Mental Health Care NHS Trust 5.93% 5.60% 5.34% Bath and North East Somerset PCT 3.39% 2.90% 3.02% Bournemouth & Poole PCT 4.20% 3.89% 3.52% Bristol Teaching PCT 3.42% 2.86% 2.94% Cornwall & Isles of Scilly PCT 5.43% 5.03% 4.61% Cornwall Partnership NHS Trust 5.87% 5.33% 5.30% Devon Partnership NHS Trust 4.82% 4.59% 4.34% Devon PCT 5.07% 4.56% 3.98% Dorset Healthcare NHS Trust 4.95% 4.74% 5.00% Dorset PCT 5.26% 4.60% 4.20% East Somerset NHS Trust 3.40% 3.01% 3.38% Gloucestershire Hospitals NHS Foundation Trust 4.03% 3.26% 3.46% Gloucestershire Partnership NHS Trust 4.52% 4.18% 4.77% Gloucestershire PCT 4.68% 4.09% 3.79% Great Western Ambulance Service NHS Trust 4.17% 3.46% 2.98% North Bristol NHS Trust 4.43% 4.13% 3.85% North Devon Healthcare NHS Trust 4.26% 3.45% 2.99% North Somerset PCT 5.06% 3.93% 3.42% Plymouth Hospitals NHS Trust 5.00% 4.33% 3.85% Plymouth Teaching PCT 5.48% 5.03% 4.69% Poole Hospital NHS Trust 4.10% 3.63% 3.30% Royal Bournemouth and Christchurch Hospitals NHS Trust 4.58% 4.27% 4.40% Royal Cornwall Hospitals NHS Trust 5.39% 4.86% 4.31% Royal Devon and Exeter NHS Foundation Trust 4.93% 4.21% 4.64% Royal National Hospital for Rheumatic Disorders NHS Trust 4.59% 4.22% 3.68% Royal United Hospital Bath NHS Trust 4.19% 3.60% 3.63% Salisbury Health Care NHS Trust 4.17% 3.36% 3.60% Somerset Partnership NHS and Social Care Trust 5.33% 4.93% 4.52% Somerset PCT 4.43% 4.46% 4.29% South Devon Healthcare NHS Trust 3.87% 3.78% 3.56% South Gloucestershire PCT 4.63% 4.32% 2.96% South West Strategic Health Authority 2.90% 2.82% 1.57% South Western Ambulance NHS Trust 6.10% 5.24% 5.15% Swindon and Marlborough NHS Trust 4.78% 4.30% 4.37% Swindon PCT 4.42% 3.91% 3.93% Taunton and Somerset NHS Trust 3.45% 3.03% 2.52% Torbay Care Trust 4.76% 4.58% 4.92% United Bristol Healthcare NHS Trust 4.58% 4.11% 3.84% West Dorset General Hospitals NHS Trust 4.62% 3.90% 3.98% Weston Area Health NHS Trust 4.71% 3.73% 3.78% Wiltshire PCT 4.98% 4.64% 4.80%

23 Table 5k: Special Health Authorities July August Special Health Authorities 4.11% 3.70% 3.69% Health Protection Agency 2.85% 2.41% 2.56% National Blood Service 4.58% 4.16% 4.31% National Institute for Clinical Excellence(NICE) 1.43% 0.57% 0.99% National Treatment Agency 0.00% 0.60% 0.83% NHS Business Services Agency 2.91% 2.72% 2.57% NHS Direct 8.42% 7.70% 7.43% NHS Litigation Authority 3.26% 2.67% 4.37% NHS Professionals 6.24% 6.61% 7.42% The Information Centre 1.90% 1.53% 1.73% The National Patient Safety Agency 1.38% 1.36% 0.99% The NHS Institute for Innovation and Improvement 1.40% 0.80% 0.42% 23

24 Published by The NHS Information Centre for health and social care Part of the Government Statistical Service ISBN: This publication may be requested in large print or other formats. Responsible Statistician Ian Bullard For further information: Copyright 2010 The Health and Social Care Information Centre, Workforce and Facilities Team. All rights reserved. This work remains the sole and exclusive property of the Health and Social Care Information Centre and may only be reproduced where there is explicit reference to the ownership of the Health and Social Care Information Centre. This work may be re-used by NHS and government organisations without permission. This work is subject to the Re-Use of Public Sector Information Regulations and permission for commercial use must be obtained from the copyright holder.