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Weekly A&E performance

Published: 13 Oct 2015 12:57

Latest figures published.

During the week ending October 4, 94.0 per cent of patients were seen, treated and either discharged or admitted within four hours at core, 24 hour, consultant-led A&E departments.

This is 2.2 percentage points higher than the same week last year, but down one percentage point on the previous week's performance.

Performance at the Queen Elizabeth University Hospital during the week ending October 4, was 77.2 per cent. Today NHS Greater Glasgow & Clyde has announced measures to address challenges at the hospital. This includes increasing capacity within the immediate assessment unit – which receives direct referrals from GPs – and working with staff to streamline clinical processes to support early discharge of patients.

Health Secretary Shona Robison said:

"NHS Greater Glasgow & Clyde has today announced measures it is taking to improve A&E performance at the Queen Elizabeth University Hospital.

"It is clear that improvements are needed at QEUH to further increase capacity and drive down waiting times – patients should expect nothing less.

"The opening of the QEUH involved moving three existing hospitals onto one site and was one of the biggest and most complex of its kind in Europe.

"Following the opening of the QEUH the Scottish Government committed £5 million to support improvement across NHS Greater Glasgow & Clyde to relieve pressure at the front door of the hospital. A performance support team was also on site at the new hospital for a two week period in June, and while performance improved, it has not been at the sustained level required.

"I have spoken directly with the chairman of NHS Greater Glasgow and Clyde and have received assurances from the health board that immediate action is being taken to create more capacity in the immediate assessment unit in order to improve the flow of patients as well as working with staff to streamline clinical processes to support early discharge.

"While the new hospital campus has greater capacity than the three it replaced, it is right that the health board has recognised that demand at the QEUH has been higher than their planned operating model. It is crucial that NHS Greater Glasgow & Clyde make early adjustments to this service and Scottish Government officials will be keeping in close contact with the health board as they roll out the measures announced today.

"Overall for the week ending October 4, 94.0 per cent of patients were seen within four hours.

"As we have seen before weekly A&E performance can fluctuate with figures varying week to week. However, I know NHS staff across Scotland are working extremely hard to ensure the level of performance we saw over the summer period is maintained and improved upon as we head into autumn.

"It is reassuring that, nationally, core performance for this week is more than two percentage points higher than the same week last year and that Scotland is ahead of the rest of the UK on all four hour A&E wait measures.

"However, it is clear that more needs to be done especially as we head towards winter which brings extra pressures that affect performance.

"NHS Scotland has appropriate plans and processes in place to allow a prompt recovery and we will support this with continued planning and investment.

"This includes further measures we have put in place this year to help our NHS cope with winter. Our winter guidance for boards was issued two months earlier this year compared to previous years, and additional investment of £10.7 million will help ease pressure.

"Health boards are also continuing to progress with our six essential actions which aim to minimise long waits in A&E and assessment units by improving patient flow throughout all areas of the hospital and community.

"We want to see long-term, sustainable change put in place in order to maintain a high level of performance during peaks and troughs of demand."

For the past two months Scotland's four hour A&E performance at both core, 24 hour emergency medicine consultant led, A&E sites and minor injury units, has been higher than the rest of the UK.

Performance at core, 24 hour emergency medicine consultant led A&E sites, has improved by 7.8 percentage points since weekly reporting began in February 2015 and has been ahead of the rest of the UK in each of the last six published months (from March until August 2015).

Notes to editors

The full statistical publication is available on the ISD Scotland website:

Weekly A&E waiting time figures:

The publication of weekly A&E waiting time statistics for the week ending October 4, covers the emergency departments in Scotland which provide a 24 hour emergency medicine consultant led service.

The statistics relate to patients who were seen and subsequently admitted, transferred or discharged within 4, 8 and 12 hours.

The figures are also available on the NHS Performs website:

A statement on measures NHS Greater Glasgow & Clyde are taking forward at the Queen Elizabeth University Hospital is available here: