Health and Community Services Quality and Performance Report - emergency care (FOI)Health and Community Services Quality and Performance Report - emergency care (FOI)
Produced by the Freedom of Information officeAuthored by Government of Jersey and published on
20 January 2022.Prepared internally, no external costs.
Request
The Government of Jersey Health and Community Services Quality and Performance Report dated June 2021 quotes data on Emergency Care on Page 12.
AT no time during the time frame June 2020 to June 2021 did the rate of emergency readmissions within 30 days of a previously admitted discharge fall below 10%, in fact he mean average for the whole year was 12.72% which appears to be extremely high.
A
Please state how many of these readmissions resulted in a life threatening situation or death of a patient?
On the same page are figures relating to patients who were in the A & E department for longer than 10 hours. These were as follows:-
June 2020 - 8
July 2020 - 20
August 2020 - 5
September 2020 - 7
October 2020 - 11
November 2020 - 3
December 2020 - 10
January 2021 - 10
February 2021 - 4
March 2021 - 26
April 2021 - 24
May 2021 - 28
June 2021 - 16
B
From these patients, please advise how many were subsequently admitted to a ward as an inpatient?
C
How many were waiting so long due to no bed being available?
Response
Please note that a mean cannot be calculated accurately by averaging a series of percentage values. The actual mean average for the 13 month period in the report is 12.48%. In 2019/20 the equivalent rate for England was 14.4% (Source: 3b Emergency readmissions within 30 days of discharge from hospital - NHS Digital) so should not be considered 'extremely high'.
A.
The Hospital Patient Administration System does not classify whether admissions are due to a 'life threatening' situation. Therefore the table below shows the number of patients who were re-admitted within 30 days of a previous discharge and subsequently died in hospital. It should be noted that re-admissions include patients who have been readmitted with a reason different to their first admission.
Deceased | 2 | 5 | 5 | 5 | 3 | 2 | 10 | 7 | 6 | 4 | 5 | 6 | 5 |
Re-admissions within 30 days | 96 | 105 | 94 | 86 | 117 | 84 | 87 | 74 | 90 | 129 | 112 | 84 | 109 |
Percentage | 2% | 5% | 5% | 6% | 3% | 2% | 11% | 9% | 7% | 3% | 4% | 7% | 5% |
Data Source: Hospital Patient Administration System (TrakCare, Reports ATD5L, ATD9P)
B.
The table below shows the number of patients admitted to an inpatient unit following an Emergency Department stay of over 10 hours.
Please note that patients are often kept longer in the Emergency Department in order to prevent an onward admission to an inpatient unit.
Count of Inpatient Admissions following >10Hr ED | <5 | <5 | <5 | <5
| 10 | <5 | 6 | <5 | <5 | 11 | 7 | 9 | 11 |
Data Source: Hospital Patient Administration System (TrakCare, Report ED5A)
C.
Fewer than five of the over-10 hour breaches have been recorded as being delayed due to an inpatient bed not being available. However not all over 10-hour breaches had a reason for delay recorded. Please note that patients on occasions stay longer in the Emergency Department in order to prevent an onward admission to an inpatient unit.
Data Source: Hospital Patient Administration System (TrakCare, Report ED5A)
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