Publication - Transparency data

NHS Scotland performance against LDP standards

Published: 18 Dec 2019

Performance data on the current Local Delivery Plan (LDP) Standards - priorities set and agreed between the Scottish Government and NHS Boards to provide assurance on NHS Scotland performance. 

Contents
NHS Scotland performance against LDP standards
Accident and Emergency waiting times

LDP Standard

95% of patients to wait no longer than four hours from arrival to admission, discharge or transfer for A&E treatment. Boards to work towards 98%.

Current national performance

In March 2021, 88.5% of patients waited less than four hours.

About this LDP standard

95% of all A&E patients should be admitted, discharged or transferred within four hours of arrival at an A&E department across NHS Scotland (including Minor Injury Units). This standard is seen as a milestone towards returning to the 98% standard. This is necessary to ensure that all patients receive the most appropriate treatment, intervention, support and services at the right time, in the right place by the right person.

Although the standard is measured in the Accident & Emergency Department, Health Boards are required to ensure best practice is installed throughout the whole system, including health and social care, supporting joined up work to address wider issues of patient flow through each hospital that will safeguard the timely access to services across the patient’s journey and ensure the whole NHS system works together effectively.

Performance against this standard

The standard is for 95% of patients to wait no longer than four hours from arrival to admission, discharge or transfer for A&E treatment with boards to working towards 98%.

In March 2021, 88.5% of patients waited less than four hours.

As a result of the COVID-19 (Coronavirus) pandemic, the number of attendances to A&E departments declined significantly due to the public following health advice and staying home and hospitals redirecting patients at the front door to a more appropriate services. Subsequently, the lower level of attendance positively impacted on the four hour A&E standard.

The graph below shows national performance on the four hour A&E standard since April 2015.

NHS Board level performance is shown for the most recent time period in the table below.

The table below shows the percentage of patients in A&E seen within 4 hours, by NHS Board, for March 2021.

NHS Board March 2021
NHS AYRSHIRE & ARRAN 83.7%

NHS BORDERS

86.7%

NHS DUMFRIES & GALLOWAY

89.5%

NHS FIFE

90.8%

NHS FORTH VALLEY

87.5%

NHS GRAMPIAN

88.5%

NHS GREATER GLASGOW & CLYDE

91.9%

NHS HIGHLAND

92.9%

NHS LANARKSHIRE

82.8%

NHS LOTHIAN

84.9%

NHS ORKNEY

95.9%

NHS SHETLAND

98.4%

NHS TAYSIDE

97.1%

NHS WESTERN ISLES

96.5%

NHS SCOTLAND

88.5%

Source: A&E2 data mart, ISD Scotland

Further information

PHS publishes a release which contains weekly activity and waiting times statistics for the 30 Emergency Departments in Scotland which provide a 24 hour emergency medicine consultant led service. Users are advised to view these statistics as providing a useful insight on activity levels, which when taken together with PHS’s monthly report, provide a balanced package of timely and comprehensive statistics.

The most recent report showed that over the week ending 23:59 on Sunday 2 May 2021:

  • there were 23,826 attendances to Scotland’s 30 Emergency Departments
  • the proportion of attendances to those 30 Emergency Departments that were seen and subsequently admitted, transferred or discharged within four hours was 88.0%

Please note that the monthly and weekly figures are not directly comparable. The four hour Accident and Emergency waiting time Standard relates to all sites that carry out accident and emergency activity in Scotland. This includes the 30 Emergency Departments as well as Minor Injuries Units (MIUs) and other facilities. The weekly figures however are based on only the 30 Emergency Departments and not the Minor Injuries Units.

Further information on the weekly activity and waiting times statistics is on our website.

The Healthcare Quality Strategy for NHSScotland

Accident and Emergency waiting times statistics

Related National Outcomes

Page updated : 12 May 2021