Winter statistics: Ambulance A&E arrivals and delayed transfers Introduction NHS England is publishing weekly sitrep data for a number of key indicators of NHS performance. The data covers a number of items relating to ambulance and A&E performance, including numbers arriving at A&E departments by ambulance and delays in transfer of between 3 to 6 minutes and over 6 minutes. This means that we can track performance trends in the period since 2 November 217 and identify particular trends. The NHS Confederation is tracking this data and will publish updates for Ambulance trust members on a weekly basis. Summary The latest winter data published on 25 January 218, shows that there has been a noticeable reduction in the number of people arriving at A&E departments by ambulance and of those experiencing delays of 3-6 minutes or over 6 minutes during the period 15 January to 21 January: There were 91,968 arrivals at A&E departments over the course of the week, down slightly from the previous week s total of 93,351. Wednesday 17 January 218 saw the lowest number of arrivals (12,835) of any day across the whole nine weeks of the current winter reporting period to date. There were 943 delays of between 3-6 minutes on 21/1/18 compared to a peak of 2,93 on 2/1/18. Sunday 21 January 218 saw the lowest number of delays of over 6 minutes (135) across the whole winter reporting period to date (2/11/17 to 21/1/18). Number of people arriving at A&E departments by ambulance Overall, the number of people arriving at A&E departments by ambulance continued to decline over the course of the week 15/1/18 to 21/1/18. The total number arriving by ambulance was 91,968, down slightly from the previous week s total of 93,351. There was considerable fluctuation in arrivals over the course of the week. The number of daily arrivals began the week at 13,968, the highest point of the week, declining to 12,835 on Wednesday 17/1/18, climbing slightly to 13,252 on Thursday, declining again on Friday 19/1/18 before rising slowly over the course of the weekend to finish the period on 13,115. 1
Table one: The number of people arriving by ambulances at A&E departments 13,8 13,7 13,6 13,5 13,4 13,3 13,2 13,1 13, 12,9 12,8 Arrivals at A&E by Ambulance - Daily Winter trends Wednesday 17 January 218 had the lowest number of arrivals (12,835) of any day across the whole nine weeks of the current winter reporting period. Table two: The number of people arriving by ambulances at A&E departments (2/11/17 to 21/1/18) 16, Arriving by ambulance 15, 14, 13, 12, The total number of arrivals for week 15/1/18 to 21/1/18 (91,968) was also the lowest weekly total for the current reporting period, which started on 2 November 217. See table three. 2
Table three: The number of people arriving by ambulances at A&E departments (2/11/17 to 21/1/18) Total Arrivals at A&E Units by Ambulance - Weekly 99 98 97 96 95 94 93 92 91 1 2 3 4 5 6 7 8 9 Week nine (15/1/18 to 21/1/18) saw 5,738 fewer people arriving at A&E units than the peak arrivals seen in week six (25/12/17 to 31/12/18). Delays in ambulance transfers between 3-6 minutes The week commencing 15/1/18 saw a dramatic decline in the number of delayed ambulance transfers between 3-6 minutes. Starting the week on 1,639 on 15/1/18 and finishing on 943 on 21/1/18, with only a slight increase on 18/1/18. 3
Table four: Delays in ambulance transfers between 3-6 minutes (15/1/17 21/1/218) 1,8 1,6 1,4 1,2 1, 8 6 4 2 Number of Ambulance Handover Delays between 3-6 minutes Winter trends During the period 15/1/18 to 21/1/18, delays of between 3 to 6 minutes fell to the lowest levels since 26/11/17. The figure of 943 for 21/1/18 compares to a peak of 293 on 2/1/18. This represents a significant improvement in the period since the New Year. See table five Table five: Delays in ambulance transfers between 3-6 minutes (2/11/17 21/1/218) 2,5 Delay 3-6 mins 2, 1,5 1, 5 4
Delays in ambulance transfers over 6 minutes Delays over 6 minutes similarly decreased significantly over the period 15/1/18 to 21/1/18, reducing from 645 on 15/1/18 to 135 on 21/1/18. Table six: Delays in ambulance transfers over 6 minutes (15/1/18 to 21/1/18) 7 6 5 4 3 2 1 Delays of more than 6 minutes Winter trends The figures for 21/1/18 (135) represent the lowest number of delays of over 6 minutes for the period 2/11/17 to 21/1/18. The total number of delays over 6 minutes for the period 15/1/18 to 21/1/18 (2221) is the lowest aggregate weekly figure since week commencing 27/11/17 (1,844). 5
Table seven: Delays in ambulance transfers over 6 minutes (2/11/17 21/1/18) 1,4 Delays >6 mins 1,2 1, 8 6 4 2 This document will be updated after the latest data release which is scheduled for 1 February 218. 6