RCEM Learning Logo

No content found

No content found

August 2021

  • Type 1 Attendances decreased considerably in August compared to the two previous months, standing at 1,342,250.
  • The four-hour target is the lowest on record for the second month in a row, at only 66.2%.
  • Almost one fifth of admitted patients are waiting at least four hours from the decision to admit them to admission.

Attendances and admissions

  • There were 1,342,250 type 1 attendances to EDs in August 2021. This is a decrease of almost 90,000 attendances compared to July 2021 and 95,000 compared to June 2021, both of which represented the highest number of attendances on record.
    • However, this is still the highest attendances for August on record, the second highest is from 2019 (1,324,065).
  • Type 1 Admissions stood at 381,896. Following the decrease in attendances, admissions have decreased accordingly too. This is the lowest number of admissions since March 2021 (375,494).
    • It is also only the third highest august admissions on record, after 2019 (393,710) and 2018 (382,863).
  • 66.2% patients waited less than 4 hours from arrival to admission, transfer, or discharge in Type 1 EDs.
    • This is the lowest figure on record for the second month in a row and is 1.5 percentage points lower than the now second-lowest percentage on record from July 2021 (67.7%).
    • Therefore, despite the decrease in attendances, EDs are still struggling to cope with the levels of demand.
  • 4- and 12-hour DTA waits have increased:
    • 96,013 patients waited at least 4 hours from the decision to admit them to admission in August 2021, an increase again from the previous month (89,768). This represents the highest figure of the year so far (even higher than January which saw 94,989 waits). This is now the third highest number of 4-hour DTA waits on record after December and January in winter 2019/20.
    • 2794 patients waited over 12 hours from the decision to admit them to admission. This is a 26% increase compared to July 2021 (2215) and a 117% increase compared to June 2021 (1289). Like previous months, this figure far surpasses the number of waits from previous years in August – the second highest is from 2019 at 371, therefore August 2021 represents a massive 653% increase.
  • DTA waits as a percentage of admissions have therefore risen – 19.1% of patients admitted waited at least 4 hours from the decision to admit them to admission. This is the third highest percentage on record after December and January 2020/2021, showing that performance is at the same level as some of the most challenging winter months.

Booked attendances

  • Despite the decrease in overall attendances, booked attendances to EDs remained on the same level as the previous month (34,787 in August vs 34,796 in July). However, the 4-hour target for booked attendances has again dropped, standing at 82.5%, the lowest percentage so far. Yet, as expected, the percentage is still considerably higher than the percentage for non-booked attendances in Type 1 EDs, which stood at 65.8%.

December 2019


  • 118,598 people attended major Emergency Departments, representing the third quietest month of 2019
  • Only 81.6% of patients were seen within the four-hour target in major Emergency Departments across Scotland - representing the worst four-hour performance since records began.
  • 3,899 patients waited eight hours or more – highest on record
  • 1,107 patients waited twelve hours or more – highest on record

October to September 2018

October 2018:

  • There were a total of 69,618 at Emergency Care Departments.
  • 72.1% of attendances in October 2018 were discharged, or admitted within four hours.
  • 67.2% of attendances at Type 1 EDs in were treated and discharged, or admitted within four hours of their arrival.
  • A total of 1,624 patients spent 12-hours or more in an Emergency Care Departments.

November 2018

  • There were a total of 66,360 at Emergency Care Departments.
  • 69% of attendances in were discharged, or admitted within four hours.
  • 63.9 of attendances at Type 1 EDs in were treated and discharged, or admitted within four hours of their arrival.
  • A total of 2,460 patients spent 12-hours or more in an Emergency Care Departments.
December 2018
  • There were a total of 66,640 at Emergency Care Departments.
  • 67.0% of attendances were discharged, or admitted within four hours.
  • 62.2% of attendances at Type 1 EDs in were treated and discharged, or admitted within four hours of their arrival.
  • A total of 2,018 patients spent 12-hours or more in an Emergency Care Departments.

December 2019


  • 69,163 patients attended Type 1 Emergency Departments in December, the fifth busiest month of the year.
  • Number of patients seen within the four-hour performance measure – 66.4%, representing the lowest on record.
  • 6,608 patients waited twelve hours or more in Emergency Departments. This is highest on record, representing a 70% increase since December 2018.

No content found