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.
The future publication dates for the monthly statistics can be found on our 12 month calendar 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 2019-20 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.
As a result of the NHS England and NHS Improvement organisational restructure, the mapping of Provider to STP and region have changed for 2020-21.
Type 3 Attribution
Following user feedback, we have made some changes to the time series files. There are now two monthly time series files: one unadjusted data until April 2019, another adjusted for CRS pilot sites which will continue to be updated on a monthly basis.
Unadjusted: Monthly A&E Time series April 2019 (XLS, 364K)
Adjusted Monthly A&E Time Series March 2021 (XLS, 374K)
Unadjusted: Quarterly & Annual Time series (XLS, 100K)
Adjusted Quarterly & Annual Time Series (XLS,147K)
Clinical Review of Standards Field Test
Please see note below on the publication of May 2019 data.
Note – Format of the A&E Attendances and Emergency Admission Files (XLS and CSV) have changed due to the inclusion of booked attendances.
Updated 18/05/2020 – A provider had an incorrect name on the original file and this has been corrected. No data has changed.