# NHS Pathways coronavirus triage

This is a summary of the  assessments completed using NHS Pathways in support of NHS 111 and 999 telephone services, and NHS 111 online, where potential coronavirus (COVID-19) symptoms were reported.

### Beta version

This is a public beta version of this dashboard. It may change without notice.

## What this data shows

This data shows the latest information relating to the triage of coronavirus symptoms triaged through NHS Pathways by callers to NHS 111 and 999, and through NHS 111 online.  It reports the triages and completed online assessments which have received a potential coronavirus (COVID-19) final disposition, from 18 March 2020. This is a count of number of assessments, not the number of people.

This data is based on signs and symptoms reported by members of the public through these channels, and is not based on the outcomes of tests for coronavirus.

A full list of caveats is given after the dashboard.

## Dashboard

I can't see the dashboard

This dashboard uses Javascript, and you may need to enable this to see the content. If you can't enable Javascript, then you can see the data in the latest publication

## How recent this data is

This data is updated every weekday, with data covering from 18 March 2020 up to the previous calendar day.

The date and time of the latest update is shown on the dashboard.

### If you have problems or questions

If you need help with this dashboard, or if it isn't working properly, then contact the NHS Digital national service desk.

0300 303 5678

enquiries@nhsdigital.nhs.uk

## Caveats

This data is based on potential COVID-19 symptoms reported by members of the public to NHS Pathways through NHS 111 or 999 and 111 online,  and is not based on the outcomes of tests for coronavirus.

This is not a count of people. In 111 online, any user that starts and launches the COVID-19 assessment services is indicating they may have symptoms of coronavirus.

Members of the public may have accessed the service multiple times with different symptoms.

The North East, West Midlands, South East Coast, South Central, and Isle of Wight Ambulance Services use NHS Pathways to triage calls to 999. The North West, Yorkshire, East Midlands, East of England, London, and South Western Ambulance Services use another system to triage calls to 999. Therefore, for CCGs in those areas, data here will not include most 999 calls related to COVID-19.

NHS Pathways data is sourced from a live system that is updated every 15 minutes. The data is extracted for the dashboard and open data files with as little delay as possible but there can be a time delay between the extraction processes meaning that the dashboard and open data files may have different totals.

Users of 111 online can change answers and reach multiple dispositions so the data indicates those users that have started an assessment and completed a final disposition.

Users enter their current location which may differ from their home postcode.

111 online updated the service on 9 April so that under 16s are directed to use the normal 111 online triage. Due to small numbers data for 17 and 18 year olds has been suppressed and therefore does not appear in the data. This means that data for the 0-18 age band is no longer available in the 111 online data and is not included within the overall totals for 111 online.

111 online updated the service on 23 April so that there is now a separate covid assessment for 5 - 15 year olds. This means that from data for 23rd April 2020 onwards the 0-18 age band will be reinstated into the 111 online data and will cover ages from 5 to 18 years old.

The NHS Pathways service was changed on 18 May with release 19.3.8, which means that those receiving a specific COVID-19 disposition will be reduced due to the following reasons:

• Previously anyone with a symptom that was thought to be COVID (e.g. cold of flu like symptoms) would be assessed via a specific COVID pathway and would only receive a COVID disposition, whereas in release 19.3.8 those with cold or flu like symptoms will only receive a COVID specific disposition if they meet the case definition of breathlessness, continuous cough, loss of smell or fever.  All other symptoms will be assessed and a non COVID disposition reached.
• Previously all children under 5 were assessed using the COVID specific pathways, in release 19.3.8 this is no longer the case and will receive a non COVID disposition on assessment as their risk of COVID is low but higher risk of a non COVID related illness and therefore requires further assessment.
• Those Adults calling with Chest Pain would have previously received a COVID specific disposition now they will only receive a COVID specific disposition if chest pain with fever or cough.
• Also, there were some random calls such as those with injuries receiving COVID as the question was asked ahead of illness and injury split

## Full report and datasets

To see the full data which powers this dashboard, including accessible versions of the data, see our publication.

These links are to the latest data, or to the entire published series.

Last edited: 26 May 2020 9:22 am