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

2. 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

3. Age Profile of NHS D&G

4. A&E Attendance Rate by AGE

5. Percentage of Total A&E Volume by AGE

6. OOH Contact Rate by AGE

7. Percentage of Total OOH Volume by AGE

8. Change in DGRI A&E activity

9. Change in GCH Activity

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

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

12. Time of Arrival to A&E: 15-17 years

13. Referral Source to A&E

14. A&E Presenting Problem

15. A&E Attendance Rate by SIMD09

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

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

20. A&E Frequent Attendees by AGE

21. OOH Frequent Attendees by AGE

22. 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?

23. 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 15-17 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

24. Any questions?