---

Description

In April 2011 a new set of clinical quality indicators was introduced to replace the previous four hour waiting time standard, and measure the quality of care delivered in A&E departments in England. Further details on the background and management of the quality indicators are available from the Department of Health (DH) website. This is the ninth publication of data on the Accident and Emergency (A&E) clinical quality indicators, drawn from A&E data within provisional Hospital Episode Statistics (HES). These data relate to A&E attendances in December 2011 and draw on 1.36 million detailed records of attendances at major A&E departments, single speciality A&E departments (e.g. dental A&Es), minor injury units and walk-in centres in England. This report 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. These A&E HES data are published as experimental statistics to note the shortfalls in the quality and coverage of records submitted via the A&E commissioning data set. The data used in these reports are sourced from Provisional A&E HES 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 HES data may be revised throughout the year (for example, activity data for April 2011 may differ depending on whether they are extracted in August 2011, or later in the year). Indicator data published for earlier months have not been revised using updated HES data extracted in subsequent months. The data presented here represent the output of the existing A&E Commissioning Dataset (CDS V6 Type 010). It must be recognised that these data will not exactly match the data definitions for the A&E clinical quality indicators set out in the guidance document A&E clinical quality indicators: Implementation guidance and data definitions (external link). The DH is currently working with Information Standards Board to amend the existing CDS Type 10 Accident and Emergency to collect the data required to monitor the A&E indicators. A&E HES data are collected and published by the NHS Information Centre for Health and Social Care. The data in this report are secondary analyses of HES data produced by the Urgent & Emergency Care team, Department of Health. A&E HES data are published as experimental statistics to note the known shortfalls in the quality of some A&E HES data elements. The published information sets out where data quality for the indicators may be improved by, for example, reducing the number of unknown values (e.g. unknown times to initial assessment) and default values (e.g. the number of attendances that are automatically given a time to initial assessment of midnight 00:00). The quality and coverage of A&E HES data have considerably improved over the years, and the Department and the NHS Information Centre are working with NHS Performance and Information directors to further improve the data. Note: This information is secondary analysis of HES data that have been produced by the Urgent & Emergency Care team in the Department of Health. Questions should be forward to the mailbox of the Urgent & Emergency Care team at the Department of Health urgent&emergencycare@dh.gsi.gov.uk . Revisions Policy: Please note, Provisional HES data may be revised throughout the year (for example data will differ depending on the time at which they were extracted). Indicator data published for earlier months will not be revised using updated HES data extracted in subsequent months.

---

General Information

• This data is described at

  http://data.gov.uk/dataset/provisional-accident-and-emergency-quality-indicators-for-england-experimental-statistics-by-provi Do you think this data is incorrect? Let us know

• This data is published by

  Health and Social Care Information Centre Do you think this data is incorrect? Let us know

---

Legal Information

• This data was

  originally created or generated by its curator Do you think this data is incorrect? Let us know

• This data is available under

  UK Open Government Licence Do you think this data is incorrect? Let us know

• The content is available under

  UK Open Government Licence Do you think this data is incorrect? Let us know

• The rights statement is at

  http://data.gov.uk/dataset/provisional-accident-and-emergency-quality-indicators-for-england-experimental-statistics-by-provi Do you think this data is incorrect? Let us know

• There are

  yes, and the rights are all held by the same person or organisation Do you think this data is incorrect? Let us know

• This data contains

  no data about individuals Do you think this data is incorrect? Let us know

---

Practical Information

• The data appears in this collection

  http://data.gov.uk Do you think this data is incorrect? Let us know

---

Technical Information

• This data is

  machine-readable Do you think this data is incorrect? Let us know

• The format of this data is

  a standard open format Do you think this data is incorrect? Let us know

---

Social Information

• The documentation includes machine-readable data for

  title Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  description Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  publisher Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  keyword(s) or tag(s) Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  distribution(s) Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  release date Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  modification date Do you think this data is incorrect? Let us know

---