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907W<br />
Written Answers<br />
1 DECEMBER 2010<br />
Written Answers<br />
908W<br />
GP consortiums will be responsible for commissioning<br />
the great majority of national health service services.<br />
We will expect consortiums to involve relevant health<br />
and social care professionals from all sectors in helping<br />
design care pathways or care packages that achieve<br />
more integrated delivery of care, higher quality, and<br />
more efficient use of NHS resources. This will create an<br />
effective dialogue across all health, and w<strong>here</strong> appropriate,<br />
social care, professionals.<br />
To support GP consortiums in their commissioning<br />
decisions, we will also create an independent NHS<br />
Commissioning Board.<br />
‘Liberating the NHS: Commissioning for Patients’<br />
invited views on a number of areas of the commissioning<br />
agenda. The engagement exercise closed on 11 October<br />
and the Department is now analysing all of the<br />
contributions received.<br />
Health Services: Standards<br />
Liz Kendall: To ask the Secretary of State for Health<br />
how many and what proportion of patients spent (a)<br />
four hours or less and (b) more than four hours from<br />
arrival to admission, transfer or discharge at accident<br />
and emergency departments in each (i) month and (ii)<br />
quarter of (A) 2009 and (B) 2010 to date. [27637]<br />
Mr Simon Burns: The information is not available in<br />
the format requested. Such information as is available is<br />
in the table.<br />
Quarterly data on the number and proportion of<br />
patients who spend four hours or less from arrival to<br />
admission, transfer or discharge at accident and emergency<br />
(A&E) departments is available and published quarterly<br />
via the Department’s Quarterly Monitoring Accident<br />
and Emergency Services (QMAE) dataset. QMAE is<br />
the official source for monitoring performance against<br />
the four hour A&E waiting time standard.<br />
Monthly data on the number and proportion of<br />
patients who spend four hours or less from arrival to<br />
admission, transfer or discharge at A&E departments<br />
are only available monthly for August to October 2010<br />
from situation report (SitRep) management data. These<br />
data do not undergo the same validation processes as<br />
official QMAE data.<br />
For the months prior to August 2010 SitRep data<br />
were collected on a weekly basis and monthly figures<br />
would be difficult to obtain from the weekly data as<br />
different months would contain different numbers of<br />
weeks, meaning a month on month comparison would<br />
be distorted.<br />
A&E attendances and performance, England, calendar year, 2009 and 2010 by quarter, 2010, August, September, October<br />
All A&E/Minor Injuries Unit/Walk in Centre (Type 1, 2, 3)<br />
Calendar year Quarter Month OrgID Name<br />
Attendances w<strong>here</strong> patient<br />
spent:<br />
Four hours<br />
or less in<br />
A&E<br />
More than<br />
four hours<br />
in A&E<br />
Percentage of attendances<br />
w<strong>here</strong> patient spent:<br />
Four hours<br />
or less in<br />
A&E 1,2<br />
More than<br />
four hours in<br />
A&E 1,2<br />
QMAE data<br />
2009 1 — Eng England 4,591,401 108,816 97.7 2.3<br />
2009 2 — Eng England 5,113,295 74,693 98.6 1.4<br />
2009 3 — Eng England 5,025,722 66,023 98.7 1.3<br />
2009 4 — Eng England 4,925,381 110,738 97.8 2.2<br />
2010 1 — Eng England 4,731,558 102,163 97.9 2.1<br />
2010 2 — Eng England 5,396,369 86,501 98.4 1.6<br />
2010 3 — Eng England 5,214,746 106,710 98.0 2.0<br />
Monthly SitRep data<br />
2010 — August Eng England 1,723,360 33,180 98.1 1.9<br />
2010 — September Eng England 1,701,826 41,151 97.6 2.4<br />
2010 — October Eng England 1,753,711 47,414 97.4 2.6<br />
1<br />
From Q1 2010-11 (calendar year 2010 Q2), the calculation of quarterly A&E performance on the QMAE has changed. Prior to 2010-11 the<br />
calculation has identified the proportion of breaches with respect to all A&E attendances, irrespective of whether the time spent in A&E was<br />
known. The new calculation shows the breaches as a proportion of total attendances for which the time spent in A&E is known. Any attendances<br />
for which the time spent in A&E is unknown are excluded from the total attendances for the purpose of the calculation.<br />
2<br />
The calculation of monthly A&E performance on the Monthly SitReps identifies the proportion of breaches with respect to all A&E<br />
attendances, irrespective of whether the time spent in A&E was known.<br />
Notes:<br />
Attendances with an unknown total time are not included in the quarterly QMAE data.<br />
Source:<br />
Department of Health dataset QMAE, Monthly SitReps<br />
Liz Kendall: To ask the Secretary of State for Health<br />
how many and what proportion of patients (a)<br />
received treatment within and (b) waited longer for<br />
treatment than 18-weeks after referral in each (i) month<br />
and (ii) quarter of (A) 2009 and (B) 2010 to date.<br />
[27638]<br />
Mr Simon Burns: The information is shown in the<br />
following table: