Quarterly Hospital Activity

Quarterly activity data relating to inpatients (elective) and outpatients. All data items relate to all specialties. Figures are submitted quarterly on the Quarterly Activity Return (QAR) by NHS Trusts and Independent sector providers treating NHS patients.

Outpatient data include:

  • the number of GP and other referrals for first consultant outpatient appointments,
  • the total number of attendances at consultant outpatient clinics including patients seen for their first appointments as well as those attending for subsequent or follow up appointments,
  • the number of patients who did not attend their outpatient appointment (first or subsequent) and gave no advance warning, or arrived too late to be seen.

Elective admission events are:

  • decisions to admit,
  • patients admitted,
  • patients failed to attend,
  • removals other than admission.

The future of the Monthly and Quarterly Activity returns are under consultation. The consultation closed on 5 April 2018. A response will be published once results have been analysed and next steps identified. Collections are continuing as normal. Find out more at:


Return to the Hospital Activity page


View the quarterly hospital activity data

Statistical commentary

Statistical Commentary, Quarter 4 2019-20 (PDF, 312KB)


Quarterly Activity Return Guidance (DOC, 57K)

Disclosure review

Risk of Disclosure – Quarterly Activity Return (DOC, 66K)

Contact us

For further information about the published statistics, please contact us at:

Performance Analysis Team (Central)
NHS England and NHS Improvement
Room 5E15
Quarry House
Leeds LS2 7UE
Great Britain
Email: england.nhsdata@nhs.net