1. Accident & Emergency Tariff for 2011/2012 A & E Attendances are costed dependent upon what activity, tests and investigations are undertaken Band 1to Band 5£188, £136, £113, £80, £53 2010/11 Total annual cost of in-hour attendances for Pelham Medical = £100,669

4. November 2011 Attendances In-Hours - 41Discharged from A&E asked to see GP - 17Admitted or transferred to hospital - 11Referred onto fracture/out-patient clinic - 7Discharged no follow-up required

5. Examples of In-Hour attendances Patient 1Monday 9.22 am 1 year old child with D & V Didn’t wait for treatment £53 Patient 2Thursday 10.40 am 88 year old forgot to take medications when left hospital, new prescription given £53

6. Examples of In-Hour attendances Patient 3Tuesday 9.52 am 41 year old with rib pain Given advice and discharged no follow-up £88 Patient 4Tuesday 3.48 pm 24 year old with toe injury Bruising of toe, given advice and strapped £88

7. Example of 1 day’s in-hour attendances at A & E Patient 1, 8:38 amburn to finger, given advice & dressing Patient 2, 12:40 pmankle injury, given advice, sent to fracture clinic Patient 3, 12:57 pmconcussion, vomiting, discharged no follow-up Patient 4, 1:22 pmneck pain following road accident, given advice Patient 5, 1:43 pmgynaecology problem, admitted Patient 6, 4:45 pmshortness of breath, admitted