1. Overview of SEC Admissions Activity

2. Data Sources Ambulance Calls & A&E Attendances from Weekly SITREP Inpatient data sourced from SUS / trust extracts All data points on charts are a rolling 12 month / 52 week average to remove seasonal variation All inpatient data is plotted by date of discharge Bed days are calculated from patients discharged in that period

3. 2008/09 Patch Totals 373k Category A and B Ambulance Calls 1.52m A&E Attendances Emergency Admissions –388k Admissions –£553m PbR Value –2m Bed Days Short Stay Emergency Admits (0/1 day) –194k Admissions –£45.1m PbR Value –83k Bed Days

4. Growth in Ambulance Cat A / B Calls Total Cat A + Cat B calls have risen steadily growing 12% from Apr 2007

5. Overall A&E attendances have grown 5% from Apr 07 Variance in growth between types accounted for by organisational change – moving minors to MIUs / WICs Growth in Average Weekly A&E Attendances

6. Growth in Average Monthly Emergency Admissions Overall growth of 12% seen in emergency admissions from March 2007

7. Some variation by trust across patch but nearly all showing some growth and 4 trusts showing significant growth above patch average

8. Growth in Average Monthly Emergency Bed Days Bed days also grown, although only by around 3- 4%, much lower than admissions

9. Again considerable variation by trust across patch but nearly all showing some growth, note that growth in bed days does not necessarily follow growth in admissions

10. Proportion of emergency admissions that are short stay has grown slightly across SHA however certain trusts have significantly increased their short stay admissions potentially to improve performance against the A&E 4 hour standard

11. Summary Ambulance Cat A + B Calls grown by 12% A&E Attendances grown by 5% Emergency admissions up 12% however individual trusts show significantly higher growth Emergency bed days up 3-4%, however, individual trusts show significantly higher growth Potentially evidence of unnecessary short stay admissions in some trusts

12. Contact Us Quality Observatory –http://nww.sec.nhs.uk/knowledge/http://nww.sec.nhs.uk/knowledge/ –quality.observatory@southeastcoast.nhs.ukquality.observatory@southeastcoast.nhs.uk