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Publication, Part of

Provisional Accident and Emergency Quality Indicators for England July 2020, by provider

Publication Date:
Geographic Coverage:
Geographical Granularity:
Hospital Trusts, NHS Trusts
Date Range:
01 Apr 2020 to 31 Jul 2020


This report, generated from Emergency Care Data Set (ECDS), sets out data coverage, data quality and performance information for the following five A&E indicators:

• Left department before being seen for treatment rate • Re-attendance rate • Time to initial assessment • Time to treatment • Total time in A&E

Publishing these data will help share information on the quality of care of A&E services to stimulate the discussion and debate between patients, clinicians, providers and commissioners, which is needed in a culture of continuous improvement.

As of June 2020 data the Provisional Accident and Emergency Quality Indicators will be sourced from the Emergency Care Data Set (ECDS) instead of the Hospital Episode Statistics (HES) Accident and Emergency data. Hence, this is the second release to utilise the ECDS data. The specific Quality Indicators have not changed, although some of the data quality measures are to be developed at a later date.

The data used in these reports are sourced from Provisional ECDS data, and as such these data may differ to information extracted directly from Secondary Uses Service (SUS) data, or data extracted directly from local patient administration systems. Provisional ECDS data may be revised throughout the year.

The publication now includes an interactive visual tool, an open data csv file and a newly designed metadata file. These are in addition to the previous flat Excel table format, which has a slightly new format.

Key Facts

Image for infographic Interactive A&E CQI Report
Interactive A&E CQI Report

Users are able to review the data at England level or provider level in a more visual way, with added filters for data relating to the current financial year. Click here to access the report.

• ECDS data contains 1.46 million A&E attendances for July 2020 at all types of A&E. However, ECDS data are incomplete; around 1.51 million A&E attendances were reported in the NHS England and NHS Improvement Situation Report data collection for the month, and 66 organisations that report data to Situation Reports did not report data to ECDS; these organisations are mostly lower acuity services such as minor injury units and walk-in centres.

• Nationally, 2.1 per cent of attendances at A&E departments were recorded as having left A&E before being seen for treatment, and 8.6 per cent of attendances in A&E in July 2020 were unplanned re-attendances within 7 days of a previous attendance.

• The median average time to initial assessment for attendances brought to A&E by ambulance was 7 minutes, with 95 per cent of patients being assessed within 49 minutes.  For all patients receiving treatment, the median average time to treatment was 40 minutes with 95 per cent of patients receiving treatment within 2 hours 52 minutes.

• The median average total time in A&E for all patients was 2 hours 21 minutes, with 95 per cent of patients departing A&E within 6 hours 13 minutes of arrival.


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Last edited: 9 September 2020 9:50 pm