People in most deprived areas were almost twice as likely to visit A&E as those in least deprived

10 Sep 2020 12:16 PM

There were almost twice as many attendances to Accident and Emergency departments in England for the 10% of the population living in the most deprived areas (3.1 million), compared with the least deprived 10% (1.6 million) in 2019-20, according to official figures released yesterday.

NHS Digital’s Hospital Accident and Emergency Activity 2019/20 also shows that attendances for the 20% of the population living in the most deprived areas1 accounted for 27% of all A&E attendances (5.9 million attendances)2.

The report, created in partnership with NHS England and NHS Improvement, brings together newly published data from NHS Digital’s Hospital Episode Statistics (HES) with previously published data from NHS England and NHS Improvement’s A&E Attendances and Emergency Admissions Monthly Situation Reports (MSitAE)3.

It includes attendances from all types of Accident and Emergency departments ranging from major A&E departments, single specialty, consultant-led emergency departments to Minor Injury Units and Walk-in Centres.

HES data in the report shows for 2019/20:

MSitAE data in the report shows that:

Provider level analysis of the figures is also available as part of this release. 

Read the full report

Hospital Accident and Emergency Activity 2019/20

NHS Digital have also published provisional monthly figures for Accident and Emergency Quality Indicators for England as an interactive data dashboard:

Provisional Accident and Emergency Quality Indicators for England, June 2020, by provider

Notes to Editors

  1. The Index of Multiple Deprivation 2015 is the official measure of relative deprivation for small areas (or neighbourhoods) in England.  The Index of Multiple Deprivation ranks every small area in England from 1 (most deprived area) to 32,844 (least deprived area). It is common to describe how relatively deprived a small area is by saying whether it falls among the most deprived 10 per cent, 20 per cent or 30 per cent of small areas in England. To help with this, deprivation ‘deciles’ are published alongside ranks. Deciles are calculated by ranking the 32,844 small areas in England from most deprived to least deprived and dividing them into 10 equal groups. These range from the most deprived 10 per cent of small areas nationally to the least deprived 10 per cent of small areas nationally. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/464430/English_Index_of_Multiple_Deprivation_2015_-_Guidance.pdf
  2. Population rates are calculated using Office for National (ONS) data using population estimates for the 2011 Lower Layer Super Output Areas (LSOA) combined with the Index of Multiple Deprivation (IMD) to create a population estimate for each IMD decile group. The population estimates are the 2016 mid-year estimates mapped to 2011 LSOAs and IMD is using the 2015 version.
  3. Both sets of data are received monthly by NHS Digital and NHS England and NHS Improvement respectively.  MSitAE are submitted data and are used at aggregate level, to a quick timetable, to monitor performance and activity growth.  Coverage is more complete for MSitAE than HES, though HES holds the data at patient level from hospital systems.  The gap between the two datasets is narrowing over time as the coverage in HES improves.  All data excludes planned attendances, unless otherwise stated.
  4. All reattendances are defined to be within 7 days of the patient’s first attendance, either to the same or another A&E department where more than four hours has elapsed from A&E for the initial attendance. The reason for the initial and reattendances have not been compared to assess whether they are related or not. All reattendances are defined to be within 7 days of the patient’s first attendance, either to the same or another A&E department where more than four hours has elapsed from A&E for the initial attendance. The reason for the initial and reattendances have not been compared to assess whether they are related or not.
  5. This is defined as the ‘total time spent in A&E from arrival to discharge, transfer or admission’. This is distinct from the official measure, which relates to the time between the point a clinician decides to admit the patient to the point the patient is admitted.