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Date: 23 May 2012
Time: 17:52
Total time spent in A&E
What does this indicator mean?
Total time spent in the A&E department looks at the time from arrival in A&E to the time the patient leaves the A&E department (by admission to hospital, transfer to another organisation or discharge).
What is good performance?
Patient delays should be minimised but care should not be hurried. Good practice would be for 95% of patients to spend a total of 240 minutes (4 hours) or less in the A&E department. It is recognised that some patients with complex needs for example may require a longer time in A&E.
How is UHB performing?
In March 2012 95% of all patients spent a total time of 238 minutes (3 hours 58 minutes) or less in the A&E department. The average (median) total time patients spent in A&E was 147 minutes (2 hours, 27 minutes). The latest available national performance data shows that 95% of all patients spent a total time of 287 minutes (4 hours, 47 minutes) or less in A&E in December 2011.
95% of patients who were not admitted to hospital spent a total time of 232 minutes (3 hours, 52 minutes) or less in A&E. 95% of patients who were admitted to hospital spent a total time of 316 minutes (5 hours 16 minutes) or less in A&E.
The total time spent in A&E is longer for admitted patients because they tend to have more complex needs. Admitted patients may require input from a number of specialties or need time for their condition to stabilise before they can be safely transferred to an appropriate specialist bed.
What is UHB doing to improve performance?
The Trust aims to continuously improve overall performance and focus on reducing the total time spent in A&E by admitted patients. The Emergency Department has implemented a better escalation process for A&E patients who are waiting for a particular specialist bed. The Trust is also continuing to improve the responsiveness of clinical specialities to the Emergency Department.
UHB data quality
Trusts are expected to have less than 5% of patients with missing data. In March 2012 UHB had no missing data associated with this indicator.
