Data & Statistics

The healthcare service across the four nations of the UK regularly publish important datasets relating to the performance of the urgent and emergency care system. The Royal College of Emergency Medicine closely monitors and analyses this data.

Our analysis is used to inform our policy and campaigns work and is published here on a monthly basis.

England

September 2021

  • There were 1,392,542 type 1 attendances in September 2021.
  • The typ2-1 4-hour target is the lowest on record, standing at only 64.0%.
  • DTA stays have increased drastically in September: there were 5,025 12+ hour DTA stays, and 104,875 4+ hour DTA stays, by far the highest figure on record for both.

Attendances and admissions

  • There were 1,392,542 type 1 attendances at EDs in September 2021. This represents a 3.7% increase from August 2021 (the average increase in attendances between August and September in the previous five years was 0.7%).
  • Type 1 Admissions stood at 378,949 – this is a small decrease from August 2021 (381,896).
    • September 2021 was the third month in a row to see fewer type-1 emergency admissions than the same month in 2019.
  • 27.21% of type 1 attendances were admitted in September 2021. This is the lowest figure for over four years (27.11% was recorded in July 2017.
  • 64.0% of patients waited less than 4 hours from arrival to admission, transfer, or discharge in Type 1 EDs, beating the previous record low set in August (66.2%).
    • The figure of 64.0% is 17.6 percentage points lower than September 2020 (81.6%) and 13 percentage points lower than September 2019 (77.0%).
  • Both 4- and 12-hour DTA stays have increased drastically in September 2021.
    • 4+ hour DTA stays stood at 104,875 – this is the highest figure ever, and surpasses the total number recorded across the whole of 2011 (98,595).
    • 20.69% of admissions resulted in a trolley wait of 4+ hours, a figure surpassed only by January 2021 (21.48%).
    • 12+ hour DTA stays stood at 5,025, also the highest ever, in excess of the total number recorded between 2011 and 2016 inclusive (4,721)

Booked attendances

  • There were32,869 booked appointment attendances to Type 1 EDs in September 2021This is the fourth month in a row where these attendances have decreased compared to the previous month. This figure is 9,300 fewer than the peak seen in May.
  • The 4-hour target for booked appointment attendances has also been steadily decreasing since they were first introduced. 79.9% of booked appointment attendances waited less than 4 hours from arrival to admission, transfer, or discharge in Type 1 EDs, meaning that performance has declined in every month from April onward.

We use various datasets from all of the four UK nations to inform our work. Below you'll find links to the main datasets and interactive charts that show how they've changed over time.