NHS Winter: Weekly A&E tracker Week 18Continue reading the main story
Winter brings extra pressures for the NHS, particularly in Accident and Emergency departments, as cold weather, flu and other winter bugs lead to falls, chest infections or heart problems.
We have been tracking the data so you can find out how your nearest major A&E in England is coping week by week.
Are they meeting the target of seeing 95% of patients in four hours? How many beds are closed? The same figures are not provided by Scotland, Wales or Northern Ireland, but we aim to include detail about those nations when we can.
This week's figures for England:
patients seen in 4 hours at major A&E hospitals
patients seen in 4 hours at all A&E units
This week at
Patients seen in 4 hoursThe government target is that 95% of patients arriving at a major Accident and Emergency should be seen within four hours.major A&E trusts missing 95% target major A&E trusts meeting 95% target
Attendance at A&EThe number of people who visit the unit during the week
1,889Down by three
Emergency admissionsThese are when patients need to be admitted into the hospital for further treatment. The majority come via A&E, but some also arrive after GP referrals or after outpatient appointments. The figure shown only includes those patients who have been admitted by A&E.
384Down by threeYour hospitalEngland average
People who have to wait more than 4 hours to be admittedThe number of people who have waited longer than the target of four-hours to be seen or admitted into hospital.0Down by two372Up by two
People who waited more than 4 hours to be admitted, weeks compared
Trolley wait between 4 and 12 hoursThis is an indication of a long wait for an emergency admission. It measures the time it takes after A&E staff have decided a patient needs to be admitted to hospital to the point at which they are given a bed.0372
Trolley wait between 4 and 12 hours, weeks compared
Ambulances queuing outside A&EAmbulances can only leave A&E when they have formally transferred a patient into the care of hospital staff. The NHS is meant to do this within 15 minutes of an ambulance arrival. A queuing ambulance is classed as one that has waited at least 30 minutes.030
Ambulances queuing outside A&E weeks compared
Planned operations cancelledPressure on A&E can affect other parts of the hospital. This measures the number of non-emergency operations cancelled, which includes treatments such as hip and knee replacements.04
Planned operations cancelled, weeks compared
Beds blockedSome patients, particularly the frail elderly, can only be discharged when the hospital is satisfied there is the right care in the community, either from social care or the NHS, for them to be properly cared for. This is an indication of how many days have been lost due to patients being kept in hospital when they are ready for discharge because of insufficient services available out of hospital. The figures are calculated by adding together the number of beds blocked each day to create a weekly total.0100
Beds blocked, weeks compared
Bed days lost to norovirusFigure is calculated by adding the number of beds unavailable each day due to diarrhoea and vomiting or norovirus-like symptoms over the week.020
Beds closed due to norovirus, weeks compared
Branwen Jeffreys, health correspondent
Spring is definitely on its way and with it the first signs of the seasonal shift to more people turning up to A&E. Last week, more than 438,000 people in England turned up at the many different kinds of units providing urgent and emergency care. It's the highest number so far this winter, but despite that 95% were seen within 4 hours.
Over the winter, we've been tracking the pressures on the big emergency departments and their hospitals. This is what most of the public think of as casualty, which can cope with every kind of emergency. Ninety of them are still struggling to see patients quickly. But here too the figures show a gradual easing of pressure, with fewer people waiting for hours on a trolley in A&E for a hospital bed, and fewer beds closed because of the winter vomiting bug, norovirus.
This is, as one senior official recently told the BBC, a system working very close to capacity. But thanks partly the virtual absence of flu, or freezing weather, it is coping with demands.
Saint Bartholomew's Hospital is missing data for 8 January. This means that figures for the following categories may be revised upwards when all the data is available; ambulances queuing, cancelled operations, beds blocked and bed days lost due to norovirus.
During the holiday period, weeks seven and eight of the tracker, figures were compiled slightly differently by NHS England. This means that week seven is slightly longer than week eight as the data for the 24-26 December was recorded as a single entry, meaning week seven gained a day, and week eight lost a day for the following categories of information; ambulances queuing, cancelled operations, beds blocked and bed days lost due to norovirus.
In week six of the tracker, Southend University Hospital NHS Foundation Trust was unable to provide the weekly figures for some of the data, so we have used an average from the last five weeks for: Patients seen in 4 hours, Attendance at A&E, Emergency admissions, People who waited more than 4 hours to be admitted and Trolley wait between 4 and 12 hours. We will update with the latest figures when they are available.
Chase Farm Hospital, part of the Barnet and Chase Farm Hospitals NHS Trust, no longer has an Accident and Emergency department. The data for the trust now only relates to Barnet Hospital.
The Princess Royal University Hospital (PRUH), Bromley, is now part of the King's College Hospital NHS Foundation Trust. We will be adding the PRUH to the search, but to see data for the trust in the meantime please enter the postcode: SE5 9RS.
Produced by Dominic Bailey, Ransome Mpini, Charlotte Thornton, John Walton, Chris Ashton