The Monthly A&E Attendances and Emergency Admissions collection collects the total number of attendances in the calendar month for all A&E types, including Minor Injury Units and Walk-in Centres, and of these, the number discharged, admitted or transferred within four hours of arrival.
Also included are the number of Emergency Admissions, and any waits of over four hours for admission following decision to admit.
Data are shown broken down by Sustainability and Transformation Partnerships and well as at provider organisation level, from NHS Trusts, NHS Foundation Trusts and Independent Sector Organisations.
From August 2017 our regular NHS performance statistics publication scheduled for the 2nd Thursday of each month will include A&E data from the previous month. For example, the publication on August 10th 2017 included A&E for July 2017, in addition to June 2017; and thereafter data will continue to be published one month sooner than was done previously. The future publication dates for the monthly statistics can be found on our 12 month calendar here.
The timetable change was made in response to the Office for Statistics Regulation at the UK Statistics Authority writing in February to NHS England, NHS Improvement and NHS Digital, highlighting concerns about the timeliness of publication of data. Details of this correspondence can be found here
A fuller analysis of the A&E data across NHS England and NHS Digital is available in the form of an annual report. This report draws on A&E data from both the Monthly A&E Attendances and Emergency Admissions Sitrep published by NHS England and the annual Hospital Episode Statistics dataset published by NHS Digital. The Hospital Episode Statistics dataset is based on patient level data and so can be broken down in numerous ways that the Monthly Sitreps data cannot. This includes breakdowns of attendances and admissions by age and by diagnosis. The 2017-18 annual report can be found here. In addition, NHS Digital publishes monthly quality indicators which can be found here.
Further information for this collection, including the guidance document, can be found here
England Time Series
In addition to the monthly data we have provided quarterly and monthly time series for users that require data over longer periods. It should be noted however that for periods prior to June 2015 both data sets are derived from a previous weekly collection.
The quarterly time series consists of 13 week aggregates for the periods from 2011-12 to Quarter 1 of 2015-16. Quarters after Quarter 1 of 2015-16 are based on aggregates of three calendar months. The Monthly time series prior to June 2015 is an estimate generated by apportioning the weekly totals based on how many days of the week fell into a particular month. This was produced in order to provide comparisons to months in previous years and should only be considered as an estimate.
Actual data for the A&E activity prior to June 2015 can be found in the weekly time series here.
Please note that due to a change in collection system the format of the CSV file has changed for 2018/19. The changes are as follows:
There is now one single file for all data
Data starts on row 2
Provider names are included in the extract
Period name is included as a column in the format of MSitAE – Month – Year
Provider parent has changed from NHS England Region to NHS England Local Office
Waits from decision to admit to admission are no longer split by A&E department type
Column names may have also changed slightly
Please note a change to the monthly Provider file from January 2019 onwards
2 additional columns to include percentage of A&E attendances within 4 hours for Type 2 and Type 3 departments in Provider Level Data
2 additional columns to include percentage of A&E attendances within 4 hours for Type 2 and Type 3 departments in STP Level Data