5. ACTIVITY AND PERFORMANCE
5.1.7 Could the Department comment on recent
relative trends in waiting lists and times and rates of NHS activity?
Could these comparative trends be shown in tabular and graphical
form? (Q46)
Answer
1. The available information is given in
tables 46a to 46c and figures 46a to 46c.
2. Figure 46a shows how waiting times have fallen
since 1997. In particular, at the end of March 2009, there were
only 114 patients waiting over 26 weeks (6 months), compared with
284,000 in March 1997. The graph shows how the number waiting
over 15, 12, 9 and 6 months have reduced in order to meet PSA
targets.
3. Similarly, figure 46b shows that the number
of patients on the total in-patient waiting list, rose from 826,000
in June 1987, to 1,158,000 in March 1997, and a peak of 1,313,000
in April 1998. It has subsequently fallen steadily to 532,000
in March 2008, before rising to 566,000 in March 2009.
4. The number of decisions to admit for
in-patient treatment per year rose from around 2.8 million in
1988 to 4.2 million in 1998, before falling back to 3.8 million
in 2003 and then rose again to 5.0 million in 2009 (refer to figure
46c). This reflects the increase in activity to meet the 18-week
referral to treatment target. The number of admissions from the
waiting list follow a very similar pattern rising between 1988
and 1998, before falling back in the period up to 2005, before
rising again up to 2008.
5. All figures come from quarterly Korner
waiting times returns, which are national statistics, and these
figures have been stable over time.
Table 46a
NUMBERS OF DECISIONS TO ADMIT, ADMISSIONS
AND REMOVALS
|
| England | Number of in-patients waiting over
|
|
| Number at: | 3 months
| 6 months | 9 months
| 12 months |
| March 1997 | 570,237
| 283,866 | 118,915
| 30,245 |
| March 1998 | 682,512
| 377,164 | 185,102
| 67,177 |
| March 1999 | 524,312
| 276,752 | 131,242
| 46,752 |
| March 2000 | 507,104
| 264,370 | 126,388
| 48,145 |
| March 2001 | 480,347
| 242,953 | 113,143
| 41,461 |
| March 2002 | 497,015
| 238,091 | 96,628
| 21,869 |
| March 2003 | 443,000
| 189,054 | 53,183
| 103 |
| March 2004 | 323,510
| 80,125 | 223
| 67 |
| March 2005 | 259,250
| 40,843 | 78
| 29 |
| March 2006 | 190,956
| 222 | 35
| 15 |
| March 2007 | 114,530
| 406 | n/a
| n/a |
| March 2008 | 38,626
| 85 | n/a
| n/a |
| March 2009 | 38,887
| 114 | n/a
| n/a |
|
| Source: |
| Knowledge and Intelligence, DH. |
| QF01 (1997-2007), Monthly monitoring returns (from 2007) NHS Commissioner based figures.
|
| These figures are national statistics
|
| http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/HospitalWaiti ngTimesandListStatistics/index.htm
|
Table 46b
IN-PATIENT WAITING LIST
|
| | England
|
| Number at: | Number of patients waiting for admission
|
|
| March 1988 | 876,246
|
| March 1989 | 922,676
|
| March 1990 | 958,976
|
| March 1991 | 948,243
|
| March 1992 | 917,717
|
| March 1993 | 994,974
|
| March 1994 | 1,065,369
|
| March 1995 | 1,044,051
|
| March 1996 | 1,048,029
|
| March 1997 | 1,158,004
|
| March 1998 | 1,297,662
|
| March 1999 | 1,072,860
|
| March 2000 | 1,037,066
|
| March 2001 | 1,006,727
|
| March 2002 | 1,035,365
|
| March 2003 | 992,075
|
| March 2004 | 905,753
|
| March 2005 | 821,722
|
| March 2006 | 784,572
|
| March 2007 | 700,624
|
| March 2008 | 531,520
|
| March 2009 | 565,954
|
| Source: |
| Knowledge and Intelligence, DH. |
| KH07 (1988-2007), Monthly monitoring returns (from 2007) NHS Provider based figures
|
| These figures are national statistics:
|
| http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/HospitalActivityStatistics/DH_087982
|
Table 46c
NUMBERS OF DECISIONS TO ADMIT AND ADMISSIONS
|
| |
| England |
| | Ordinary and day case admissions (FFCEs)
|
| 12 months to: | Decision to admit
| Admitted |
|
| March 1989 | 2,783,298
| 2,632,085 |
| March 1990 | 2,943,658
| 2,768,482 |
| March 1991 | 2,964,836
| 2,761,005 |
| March 1992 | 3,257,615
| 2,993,532 |
| March 1993 | 3,480,268
| 3,111,627 |
| March 1994 | 3,501,715
| 3,110,477 |
| March 1995 | 3,765,407
| 3,376,016 |
| March 1996 | 3,968,825
| 3,500,353 |
| March 1997 | 4,111,511
| 3,549,074 |
| March 1998 | 4,192,037
| 3,543,634 |
| March 1999 | 4,189,323
| 3,826,507 |
| March 2000 | 4,159,078
| 3,682,180 |
| March 2001 | 3,935,930
| 3,467,338 |
| March 2002 | 3,781,437
| 3,244,185 |
| March 2003 | 3,778,390
| 3,330,981 |
| March 2004 | 3,802,744
| 3,391,644 |
| March 2005 | 3,787,713
| 3,390,694 |
| March 2006 | 4,031,519
| 3,577,104 |
| March 2007 | 4,154,486
| 3,746,666 |
| March 2008 | 4,355,950
| 4,043,307 |
| March 2009 | 4,979,682
| 4,418,090 |
|
| Source: |
| Knowledge and Intelligence, DH |
| KH06 (1989-2006), KH067A (2007) & QAR (Q3 2007-08 onwards) NHS trust-based figures
|
| These figures are national statistics
|
| http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performanced ataandstatistics/HospitalActivityStatistics/DH_087982
|
|
