Four hour emergency access standard data

4hr performance July 2023

Our emergency four-hour performance for July 2023 was 63.22 per cent.

Four hour emergency access standard

The NHS constitution states that 95 per cent of patients seeking urgent and emergency care should be treated and discharged, or admitted to hospital within four hours of arrival.

2023 four hour emergency performance
  Trust Queen's Hospital King George Hospital
January 2023 58.52% 60.17% 55.70%
February 2023 55.57% 55.32% 56.00%
March 2023 56.50% 57.84% 54.22%
April 2023 60.25% 61.38% 58.30%
May 2023 58.55% 63.06% 50.45%
June 2023 58.82% 61.04% 55.01
July 2023 63.22% 64.06% 61.79%

Understanding our performance data

Patients who use urgent and emergency care services are recorded under three different categories – type 1, 2 and 3, which relates to where they were treated:

  • Type 1: a consultant led 24-hour accident and emergency (A&E) service with full resuscitation facilities
  • Type 2: a consultant led single specialty A&E service
  • Type 3: a nurse or doctor led unit treating minor illnesses and injuries (eg urgent treatment centres and minor injury units)
  • We run a type 1 Emergency Department at Queen’s and King George hospitals
  • Partnership of East London Co-operatives (PELC) runs our Urgent Treatment Centre and treats all type 3 patients at our hospitals

The figures we provide are a combination of all type 1, 2 and 3 attendances.

Four hour emergency access standard data archive

Until October 2020, PELC only treated patients at King George Hospitals with minor illnesses. Patients with minor injuries were seen in our ED, and counted within our Type 1 data. It is therefore important when comparing performance between our two hospitals, to take data until October 2020 into account as it is not comparing like for like services. Nationally, many hospitals count all their attendances as type 1.

From October 2020, PELC services at King George Hospital extended to an Urgent Treatment Centre.

2022 four hour emergency performance
  Trust Queen's Hospital King George Hospital
January 2022 60.31% 60.92% 59.27%
February 2022 60.64% 61.57% 59.13%
March 2022 62.25% 64.61% 58.34%
April 2022 58.84% 59.89% 57.17%
May 2022 58.67% 59.09% 57.98%
June 2022 57.66% 58.78% 55.78%
July 2022 58.56% 60.18% 55.76%
August 2022 58.70% 58.37% 59.26%
September 2022 59.32% 61.10% 56.25%
October 2022 57.84% 60.27% 53.87%
November 2022 56.54% 57.62% 54.62%
December 2022 54.38% 55.50% 52.45%

2021 four hour emergency performance
  Trust Queen's Hospital King George Hospital
January 2021 62.61% 61.91% 63.92%
February 2021 71.00% 66.88% 78.89%
March 2021 71.81% 66.61% 81.54%
April 2021 70.76% 66.25% 78.19%
May 2021 69.35% 66.00% 74.95%
June 2021 66.49% 64.56% 69.55%
July 2021 64.83% 63.88% 66.43%
August 2021 62.41% 63.43% 60.61%
September 2021 60.99% 61.19% 60.65%
October 2021 60.94% 62.22% 58.80%
November 2021 57.23% 58.54% 54.92%
December 2021 60.56% 61.20% 59.49%

2020 four hour emergency performance

  Trust Queen's Hospital King George Hospital
January 2020 69.52% 67.11% 73.09%
February 2020 70.33% 64.82% 78.77%
March 2020 72.59% 67.30% 80.74%
April 2020 77.03% 75.17% 80.89%
May 2020 82.34% 79.63% 88.44%
June 2020 81.00% 76.95% 88.97%
July 2020 78.33% 72.45% 89.32%
August 2020 73.78% 67.78% 84.33%
September 2020 72.11% 64.96% 84.03%
October 2020 70.06% 65.97% 77.57%
November 2020 68.75% 65.43% 74.75%
December 2020 64.08% 64.09% 64.05%
2019 performance
Month Trust (%) King George Hospital (%) Queen's Hospital (%)
January 2019 73.08 75.60 71.38
February 2019 75.04 79.15 72.41
March 2019 82.65 86.29 80.34
April 2019 80.55 84.05 78.44
May 2019 81.68 87.91 77.85
June 2019 78.84 86.09 74.28
July 2019 78.86 83.87 75.74
August 2019 79.82 86.02 76.04
September 2019 76.70 86.24 70.58
October 2019 72.90 76.90 70.32
November 2019 70.86 73.52 69.16
December 2019 67.65 69.21 66.58
2018 performance
Month Trust (%) King George Hospital (%) Queen's Hospital (%)
May 2018 84.15 90.90 79.50
June 2018 83.52 89.10 80.00
July 2018 81.66 87.00 78.30
August 2018 85.01 90.90 81.40
September 2018 83.15 90.90 78.40
October 2018 82.09 89.34 77.70
November 2018 82.09 87.34 75.96
December 2018 79.53 86.04 75.22
 
Friends and family test july 2023

In July 2023, 93.88 per cent of patients said they would recommend our services to their friends and family.

Friends and Family Test (FFT) results archive

The Friends and Family Test (FFT) is a national survey. We ask:

“How likely are you to recommend our services to friends and family if they needed similar care or treatment?”

2023

Month Score
January 2023 91.29
February 2023 92.06
March 2023 92.63
April 2023 92.48
May 2023 92.16
June 2023 92.31
July 2023 93.88

2022

Month Score
January 2022 91.89
February 2022 93.56
March 2022 93.45
April 2022 92.80
May 2022 92.76
June 2022 92.55
July 2022 93.63
August 2022 92.17
September 2022 92.92
October 2022 91.81
November 2022 91.41
December 2022 91.73

2021
Month Score
January 2021 91.50
February 2021 94.21
March 2021 94.01
April 2021 93.07
May 2021 94.43
June 2021 91.29
July 2021 92.67
August 2021 93.18
September 2021 93.07
October 2021 93.67
November 2021 92.91
December 2021 93.72

2020
Month Score
January 2020 95.17
February 2020 94.49
March 2020 94.95
October 2020 92.00
November 2020 97.09
December 2020 97.62
2019
Month Score
January 2019 95.13
February 2019 94.02
March 2019 94.60
May 2019 95.15
June 2019 95.50
July 2019 94.44
August 2019 94.49
September 2019 94.49
October 2019 94.57
November 2019 94.01
December 2019 95.17
2018
Month Score
April  2018 94.7
May 2018 94.7
June 2018 95.9
July 2018 92.8
August 2018 94.9
September 2018 94.2
October 2018 93.64
November 2018 94.99
December 2018 94.20
MRSA and C.Diff figures July 2023

We had zero cases of MRSA and three cases of Clostridium difficile in our hospitals in June 2023.

Infection control performance archive

Clostridium difficile cases

The Department of Health sets a maximum number of cases of Clostridium difficile we must not exceed each year.

MRSA cases

The Department of Health has set a zero tolerance target for MRSA.

2023
Month MRSA C.Diff
January 2023 0 3
February 2023 0 4
March 2023 1 6
April 2023 0 3
May 2023 0 4
June 2023 0 3
2022
Month MRSA C.Diff
January 2022 0 4
February 2022 0 2
March 2022 0 7
April 2022 2 3
May 2022 1 6
June 2022 0 2
July 2022 0 2
August 2022 1 6
September 1 3
October 1 5
November 1 3
December 1 5

2021
Month MRSA C.Diff
January 2021 1 2
February 2021 1 0
March 2021 1 1
April 2021 0 3
May 2021 0 2
June 2021 3 5
July 2021 0 7
August 2021 1 8
September 2021 0 4
October 2021 1 4
November 2021 1 5
December 2021 0 2
2020
Month MRSA C.Diff
January 2020 1 2
February 2020 0 2
March 2020 1 1
April 2020 1 1
May 2020 1 3
June 2020 0 1
June 2020 0 1
July 2020 0 1
August 2020 0 2
September 2020 0 7
October 2020 2 5
November 2020 0 2
December 2020 0 3
2019
Month MRSA C.Diff
January 2019 1 1
February 2019 0 1
March 2019 0 1
May 2019 0 3
June 2019 0 2
July 2019 0 0
August 2019 0 3
September 2019 0 1
October 2019 1 4
November 2019 1 1
December 2019 0 4
2018
Month MRSA C.Diff
April 2018 0 0
May 2018 0 0
June 2018 1 1
July 2018 1 2
August 2018 1 0
September 2018 0 1
October 2018 0 0
November 2018 0 1
December 2018 0 1

Referral to treatment

Referral to treatment july 2023

In July 2023, 62.96 per cent of people waited less than 18 weeks to start treatment once referred to our hospitals by their GP.

Referral to Treatment (RTT) – your rights

If you’re referred to us by your GP or healthcare professional, we’ll aim to start your treatment within 18 weeks of the referral being made.

The 18 weeks starts the moment we receive your referral, to the time your treatment starts, including any test you need.

Sometimes, you’ll start your treatment after 18 weeks because:

  • we need to monitor you and your condition
  • you choose to wait longer than 18 weeks.

More information about RTT

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