Paediatric Attendances at A&E and OOHs Donald MacDonald November 2010

Introduction… Attendance rates at A&E/OOH by AGE Change in paediatric A&E activity Paediatric A&E activity by –arrival time, –referral source, –presenting problem, –SIMD09, –and the weather A&E/OOH Frequent Attendees by AGE

Age Profile of NHS D&G

A&E Attendance Rate by AGE

Percentage of Total A&E Volume by AGE

OOH Contact Rate by AGE

Percentage of Total OOH Volume by AGE

Change in DGRI A&E activity

Change in GCH Activity

Time of Arrival to A&E: 0-4 years

Time of Arrival to A&E: 5-14 years

Time of Arrival to A&E: years

Referral Source to A&E

A&E Presenting Problem

A&E Attendance Rate by SIMD09

Correlation with the Weather? Average Daily DGRI A&E attendances per month with the weather at Eskdalemuir Apr07 to Mar10 by age band

A&E attendance by 5-14 year olds vs sunshine hours

A&E Frequent Attendees by AGE

OOH Frequent Attendees by AGE

Conclusions 0-4 age band Higher than average rates of contact (generating a high volume of work for A&E and OOH) At least 20% of attendances at A&E are for GP admissions to paediatrics More attendances for Head Injuries, Rashes, …, than other age groups More likely to attend during the afternoon or at the weekend than other age groups Some are frequent attending patients at A&E – frequent attending at OOH not a large issue for paediatrics There is a weak evidence that suggest a relationship with a rise in attendances during colder weather?

Conclusions 5-14 age band Not a particularly high rate of contact with A&E or OOH services More presentations for a ‘Limb Problem’ than other age groups Strong relationship between attendance levels and sunshine hours No issues with frequent attending More likely to arrive in the afternoon/evening that other ages More likely to refer themselves than other age groups age band Attendance rates are starting to increase at this age Perhaps more likely to attend in the evening than other age groups Some frequent attendees at A&E – frequent attending not an large issue at OOH More likely to refer themselves than other age groups

Any questions?