Publication - Transparency data

NHS Scotland performance against LDP standards

Published: 18 Jul 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 September 2019, 89.3% 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 September 2019, 89.3% of patients waited less than four hours.

The graph below shows national performance on the four hour A&E standard since June 2017.

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 September 2019.

NHS Board

September 2019

NHS AYRSHIRE & ARRAN

91.6%

NHS BORDERS

93.0%

NHS DUMFRIES & GALLOWAY

92.0%

NHS FIFE

92.1%

NHS FORTH VALLEY

88.2%

NHS GRAMPIAN

92.6%

NHS GREATER GLASGOW & CLYDE

87.0%

NHS HIGHLAND

95.2%

NHS LANARKSHIRE

83.1%

NHS LOTHIAN

88.2%

NHS ORKNEY

98.7%

NHS SHETLAND

95.2%

NHS TAYSIDE

95.8%

NHS WESTERN ISLES

98.7%

NHSSCOTLAND

89.3%

Source: A&E2 data mart, ISD Scotland

Further information

ISD Scotland 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 ISD’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 03 November 2019:

  • there were 27,457 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 85.5%

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 & Emergency Waiting Times statistics

Related National Outcomes

Page updated : 14 November 2019