September 2020

Performance

  • The total number of attendances in September 2020 was 1,692,100, a decrease of 20.3% on the same month last year. Of these, attendances at type 1 A&E departments were 13.4% lower when compared with September 2019 and at type 3 departments were 32.2% lower. Overall down by 1.6% on August.
  • There were 479,800 emergency admissions in the month, 9.5% lower than the same month last year. Emergency admission growth over the last 3 months is -11.6% and over the last 12 months is -11.3%.  Up 1.2% on August.
  • The number of emergency admissions reported are significantly lower than the same month last year and are likely to be a result of the COVID-19 response.
  • Emergency admissions via type 1 A&E departments decreased by 6.5% compared to the same month last year. Growth over the last 3 months is -8.7% and over the last 12 months is -10.0%.
  • 31.5% of patients that attended a type 1 major A&E department required admission to hospital, which compares to 29.1% for the same month last year.31% in August.
  • The number of attendances admitted, transferred or discharged within 4 hours was 1,318,100, an 18.8% decrease on the equivalent figure for September 2019. Of these, 836,000 were type 1 attendances, a decrease of 8.1%, and 454,500 were type 3 attendances, a decrease of 32.5%. Down 3.7% overall and 4.8% from August.
  • There were 44,983 four-hour delays from decision to admit to admission this month, which compares to 64,924 in the same month last year. Up from 32,150 (40% from August)
  • Of these, 333 were delayed over twelve hours (from decision to admit to admission), which compares to 458 in the same month last year.  Up from 326 last month.
  • 87.3% of patients were seen within 4 hours in all A&E departments this month compared to 89.3% in August 2020 and 85.2% in September 2019. The 95% standard was last met in July 2015.
  • 87.1% of patients were seen within 4 hours, excluding booked attendances, in September 2019. However, as stated above, previously many of these attendances would have been walk in patients.
  • 81.6% of patients were seen within 4 hours in type 1 A&E departments compared to 84.4% in August 2020 and 76.9% in September 2019.
  • 9 out of 114 reporting trusts with type 1 departments achieved the 95% standard on all types during the month.

Booked Appointments

  • From August 2020, the attendance figures include booked appointments in emergency departments. Previously, these have not been counted as A&E attendances, but the implementation of booked appointments via NHS111, particularly to Urgent Treatment Centres, is a key element in improving patient experience and supporting patients to access urgent care in a convenient setting outside of emergency departments. Additionally, there are services that have been introduced as a way of managing patient flow as a response to the Covid19 situation.
  • This month there were 20,500 A&E attendances that had been booked. Many of these attendances would have previously been walk in attendances prior to the introduction of booking.
  • As the data on booked appointments is new, a degree of caution should be exercised when interpreting these figures.


NHS 111

  • There were 1,670,416 calls offered to the NHS 111 service in England in August 2020, an average of 53.9 thousand per day. This was an increase of 18.3% on 45.6 thousand per day in August 2019.
  • The proportion of calls triaged that received any form of clinical input in August 2020 was 53.2%. The corresponding figure for August 2019 was 53.8%.
  • Of calls triaged in August 2020, 11.7% were referred to the Ambulance Service, 11.0% were recommended to attend A&E, 53.5% were recommended to primary care, 8.8% were advised to attend another service and 14.9% were not recommended to attend another service. The largest changes compared with August 2019 were “Recommended to attend primary care”, which was 3.2 percentage points lower, and “Recommended to attend other service”, which was 1.8 percentage points higher.

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.