9 August 2018

Jessica Morris

Research Analyst
Nuffield Trust

Today, NHS England published its Combined Performance Summary, which provides data on key performance measures for June and July of this year. Here we show some of these statistics and how they compare with previous years.

For interactive charts showing the quality of health and social care over time, please refer to our 300+ indicators.

Accident and Emergency

  • In July 2018, 10.7% of people attending A&E spent more than 4 hours from arrival to admission, transfer or discharge. This is over 10% higher than June of last year, and over 3 times higher than it was five years ago.
  • Total A&E attendances reached 2.18 million in July 2018, which is the highest it has been since the dataset began in August 2010. Attendances were 4.9% higher than the same month last year.
  • Emergency admissions via A&E have been increasing year-on-year, reaching over 397,000 in July 2018.
  • 41,553 patients spent more than 4 hours waiting on a trolley from decision to admit to admission in July 2018. This is 11.5% higher than the same month last year, and almost 4 ½ times higher than it was five years ago.

Per cent spending >4 hours in A&E, Monthly data, NHS England

Total A&E attendances, Monthly data, NHS England

Emergency admissions via A&E, Monthly data, NHS England

Trolley waits: Patients spending >4 hours from decision to admit to admission, NHS England

 

Treatment and diagnostic test waiting times

  • The total number of people waiting to start consultant-led elective treatment exceeded 4.3 million in June 2018. This is the highest ever reported since referral-to-treatment data was first collected in August 2007.
  • The proportion of people waiting over 18 weeks to start elective treatment reached 12.2% in June 2018. The 18-week referral-to-treatment target has not been met since February 2016.
  • 3,517 people had been waiting over 52 weeks to start consultant-led elective treatment in June 2018. This is the highest number since April 2012.
  • In June 2018, 2.9% of patients had been waiting over 6 weeks for a diagnostic test. This is the worst level of performance since the diagnostic wait target was first introduced in 2008.

Trolley waits: Patients spending >4 hours from decision to admit to admission, NHS England

Elective and diagnostic waiting times

Delayed transfers of care

  • The total number of delayed transfer of care days was 134,326 in June 2018, which is 24.6% lower than in June 2017.

Delayed transfers of care

Cancer waiting times

  • Performance against the cancer waiting time target worsened, with 20.8% of patients waiting over 62 days from an urgent GP referral to their first treatment for cancer in June 2018. This is the worst level of performance since the dataset began in October 2009. The 62-day cancer target has only been met in one month over the last four years.

Cancer waiting times

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