NHS Performance Tracker

England

Please find below the England performance figures and flourish graphs for June.

July performance data

Flourish slides can be found here.

Summary:

• 119,409 patients waited 12 hours or more in type-1 EDs, the second highest for July on record.
• There were 1,425,569 attendances to type-1 EDs, the second highest for the month of July on record.
• Summer 2024 has been the busiest summer on record so far
• 61.4% of patients were discharged, admitted, or transferred within 4 hours in type-1 EDs, the highest proportion since January 2022.
• There were 36,806 12-hour trolley waits, the highest for the month of July on record
• Bed occupancy stood at 92.6%, representing a decrease of 0.5 percentage points compared to the previous month. However, this is an increase of 0.8 percentage points compared to July 2023.
• Based on this dataset, 8,838 additional beds would be required to bring occupancy levels down to 85%
• There was a daily average of 22,310 patients in hospital who no longer met the criteria to reside, an increase of 613 patients compared to last year.
• There were an additional 124,925 bed days from patients with a length of stay of seven days or more. This is equivalent to 17,846 patients spending an additional week in hospital each week of July, when they are in fact, ready to go home.

Supplementary ECDS Analysis July 2024 final (12-hour length of stay data measured from the time of arrival) data shows:

• 119,409 patients waited 12 hours or more in type-1 EDs, the second highest for July on record. However, it is an 8% decrease compared to the previous month.
• 8.7% of attendances experienced a wait of 12 hours or more. This is the lowest proportion of attendances experiencing long waits so far in 2024.

The latest Emergency Department performance figures published by NHS England for July 2024 for show:

• There were 1,425,569 attendances to type-1 EDs, the second highest for the month of July on record.
• Summer 2024 has been the busiest summer on record so far.
• 61.4% of patients were discharged, admitted, or transferred within 4 hours in type-1 EDs, the highest proportion since January 2022.
• For all Trusts this stood at 75.2%, the highest proportion since September 2021.
• There were 405,655 emergency admissions in type-1 departments. This is the second highest for the month of July on record.
• 28.5% of type-1 attendances were admitted.
• There were 129,330 4-hour trolley waits, an increase of 18% compared to July 2023.
• There were 36,806 12-hour trolley waits, the highest for the month of July on record, but the lowest so far this year.
• 23.4% of emergency admissions experienced a trolley wait.

Beds data for July 2024 shows:

• There were 99,122 G&A beds available. This is 482 fewer beds than the previous month but 1,785 more than in July 2023.
• Bed occupancy stood at 92.6%, representing a decrease of 0.5 percentage points compared to the previous month. However, this is an increase of 0.8 percentage points compared to July 2023.
• Based on this dataset, 8,838 additional beds would be required to bring occupancy levels down to 85%

Delayed Discharges – July 2024

• A daily average of 22,310 patients in hospital who no longer met the criteria to reside, an increase of 613 patients compared to last year.
• A daily average of 55.2% of patients ready to be discharged remained in hospital.
• There were an additional 124,925 bed days from patients with a length of stay of seven days or more. This is equivalent to 17,846 patients spending a week in hospital each week of July, when they are in fact, ready to go home.

Scotland

Emergency Department performance data for Scotland, July 2024:

Flourish graphs here.

Summary:

• This was the worst July on record for four, eight, and 12-hour waiting times.
• The percentage of long waits have increased significantly compared with last summer. The proportion of people waiting 12 hours or more has doubled since July 2023 (from 2.4% to 4.9%).
• Long waits have also increased significantly since the 2010s. Since July 2017, for example, the numbers waiting four hours or more has increased by nearly seven times, eight hours or more by 53 times, and twelve hours or more by 279 times. Despite attendance only increasing by 0.9% in the same period.
• Delay to patients discharge from hospital is a key reason that ED doctors cannot admit patients into hospitals from the ED and therefore causes long waits. There were 61,165 days spent in hospital by people whose discharge was delayed. This is equivalent to 167 years.

Data:

• In July 2024, there were 113,226 attendances at major Emergency Departments in Scotland. This is a 2.3% decrease from the previous month.
  • 66.1% of patients were seen within four hours at major (Type 1) Emergency Departments. This is the worst four-hour performance for any July since records began in 2011.
  • This is 0.8 percentage points higher than the previous month, but a 3.5 percentage point decrease compared to July 2023.
  • 38,379 (33.9%) patients waited over four hours in major Emergency Departments. This is a 4.7% decrease from the previous month (40,278).
  • The number of patients waiting more than four hours has increased nearly seven times compared to July 2017.

• 13,146 (11.6%) patients waited eight hours or more in Emergency Departments.
  • This is the highest proportion of eight hour waits for any July on record.
  • The proportion waiting this long has decreased by 0.3 percentage points from the previous month and has increased by 4.3 percentage points compared to July 2023.
  • The numbers waiting more than eight hours is 53 times the numbers that waited this long in July 2017.

• 5,593 (4.9%) patients waited twelve hours or more in Emergency Departments.
  • This is the highest proportion of 12-hour waits for any July on record. And double the proportion that waited this long in July 2023.
  • The proportion waiting this long has decreased by 0.09 percentage points from last month and increased by 2.5 percentage points from July last year.
  • The numbers waiting more than 12 hours was 279 times the numbers in July 2017.

• There was an average of 1,973 beds occupied per day due to delayed discharges, an decrease of 10 beds from the previous month.
  • There was a total of 61,165 days spent in hospital by people whose discharge was delayed. This is a 9% increase on July 2023 (56,138).

Wales

Wales NHS Emergency Department Performance Data – July 2024

Flourish slides can be found here.

Summary:

• This was the second worst July on record for four, eight and 12-hour performance in Wales. Despite it being summer, it was the largest proportion of > four-hour waits so far this year.
• 42.8% of patients waited four hours or longer in an Emergency Department. 23.7% waited eight hours or longer, and 14.8% waited 12 hours or longer.
• Compared to July 2017, the numbers waiting four hours or more increased by almost double, the numbers waiting more than eight hours has increased by triple, and the numbers waiting more than 12 hours has quadrupled.
• This is despite attendance being 5.5% lower in the same period.

Figures:

• 67,786 people attended major emergency care facilities in July 2024, 1.8% more than June.
• Overall, 57.2% of patients in major EDs were admitted, transferred, or discharged within four hours from arrival.
  • This is a 0.1 percentage-point decrease from last month.
  • 42.8% of patients in major EDs waited longer than four hours (28,988 patients). The number of patients waiting more than four hours has increased by 1.8% from last month (28,468).
  • The number of people waiting more than four hours has increased by almost double (+95.4%) compared with July 2017 (14,832).
• 23.7% of major ED attendances waited more than eight hours (16,078 patients).
  • This means that nearly one in four patients were delayed eight hours or more at a major emergency department. This figure has decreased by 0.4 percentage points compared to last month.
  • The number of people waiting more than eight hours has increased by triple (+212%) compared with July 2017 (5,153).
• 14.8% of major ED attendances waited more than 12 hours (10,064 patients).
  • This means that one in seven patients were delayed by 12 hours or more. This is the same percentage as last month.
  • The number of people waiting more than 12 hours has more than quadrupled (+365%) compared with July 2017 (2,164).

Northern Ireland

Northern Ireland Quarter 1 2024/25 (April – June 24) Emergency Department data:

See Flourish slides.

Summary:

• April to June 2024 was the worst quarter on record for four-hour and the second worst for 12-hour performance in Northern Ireland.
• Only 36.9% of patients spent less than four hours in ED.
• Nearly one in five patients (19.7%) had to wait longer than 12 hours in the ED. There was a 17% rise in the numbers waiting more than 12 hours compared to last quarter.
• The median time that admitted patients waited in an ED was just under 15 hours. More than three times longer than the average time spent by discharged patients (4 hours 30 minutes).

Figures:

• The average number of monthly attendances for this quarter was 54,282.
• On average, 36.9% of patients were seen and resulted in a subsequent admission, transfer, or discharge within four hours for each month.
  • This is the worst four-hour performance for any quarter on record.
  • It is 0.4 percentage points less than the previous quarter and 8 percentage points less than Quarter 1 23/24.
  • April was the worst month ever for four-hour performance. Only 36.1% of patients were seen in four hours.

• On average, 19.7% of patients waited more than 12 hours in an Emergency Department.
  • This is the second worst 12-hour performance for any quarter on record.
  • It means nearly one in five patients had to wait longer than 12 hours in the ED.
  • A total of 32,360 people waited longer than 12 hours. This is 20 times more than Quarter 1 17/18.

• The Quarter average for the median time that admitted patients spent in an Emergency Department was 14 hours 51 minutes.
  • Admitted patients spent on average more than three times longer in an Emergency Department than those who were discharged home, who spent on average 4 hours 32 minutes in ED.