A&E attendances twice as high for people in the most deprived areas as in the least deprived

NHS Digital | September 2019 | A&E attendances twice as high for people in the most deprived areas as in the least deprived

NHS Digital figures reveal that the most deprived 10% of the population (3.1 million) are more likely to attend A & E when compared with the least deprived tenth of the population (1.5 million).



The report collates newly published data from NHS Digital’s Hospital Episode Statistics (HES) with previously published data from NHS England and NHS Improvement’s A&E Attendances and Emergency.

The HES data shows:

  • Monday is the busiest day of the week and the most popular time of arrival is between 10am and 12pm
  • The number of reattendances to A&E within 7 days was 1.9 million and accounted for 8.7% of all reported attendances
  • Patients arriving from 8am to 10am generally spent the shortest time in A&E with 16% of patients arriving between 8am and 8:59am spending one hour or less; and 90% of arrivals between 9am and 9:59am spending four hours or less
  • Looking at all arrival times, 1.5% (330,000) of all attendances in 2018/19 spent more than 12 hours in A&E, compared with 1.6% (333,000) in 2017/18. This measures the entire duration of stay in A&E.

Further details from NHS Digital

Hospital Accident and Emergency Activity 2018/19

Smoking, Drinking and Drug Use among Young People in England

NHS Digital | August 2019 | Smoking, Drinking and Drug Use among Young People in England

smoking yp

The Office for National Statistics  and NHS Digital have released the findings of the biennial survey of secondary school pupils in England in years 7 to 11 (mostly aged 11 to 15), focusing on smoking, drinking and drug use. The survey covers a range of topics including prevalence, habits, attitudes, and for the first time in 2018, wellbeing.

A summary report showing key findings, excel tables with more detailed outcomes, technical appendices and a data quality statement (Source: NHS Digital).

Full details are available from NHS Digital



Childhood Vulnerability In England

Major study from Children’s Commissioner reveals over two million children in England are growing up in families where there are serious risks.

This report examines the latest scale of, and trends over time in, rates of childhood vulnerability. It estimates the total number of children in England currently receiving statutory support or intervention (those who are ‘in the system’), to be 723,000 children.


The report estimates that 2.3 million children are living with risk because of a vulnerable family background. Within this group, it estimates that more than a third – 829,000 children – are ‘invisible’ (in the sense of not being known to services) and therefore not getting any support. Another 761,000 children – around a third – are known to services, but their level of support is unclear. Adding these two groups together, means that there are 1.6 million children from a vulnerable family background for whom the support is either patchy or non-existent.

Key Statistics:

  • 2.3m children growing up with a vulnerable family background
  • 1.6m children in families with complex needs for which there is no national established, recognised form of support
  • 829,000 children are ‘invisible’ to services
  • 25% of the amount councils spend on children now goes on the 1.1% of children who need acute and specialist services

Full detail: Childhood vulnerability in England 2019

Obesity a factor in over 700 000 hospital admissions in 2017/18

NHS Digital | May 2019 | 711,000 hospital admissions where obesity was a factor in 2017/18

NHS Digital figures on obesity released 8 May show the number of  hospital admissions, prescription items, prevalence among adults and children as well as physical activity and diet.

Hospital admissions

New figures in the report show that:

  • Around two thirds of the admissions where obesity was recorded as either a primary or secondary diagnosis in 2017/18 were for women (66%)
  • Of the 6,627 Finished Consultant Episodes (FCEs) for bariatric surgery in 2017/18, 79% of the patients were female.



The number of items prescribed by primary care for obesity treatment decreased by 8% from 401,000 items in 2017 to 371,000 items in 2018, and continues a downward trend since a peak of 1.45 million items in 2009. The Net Ingredient Cost (NIC) saw an increase for the first time in five years, rising from £6.9m in 2017 to £8.1m in 2018.

Obesity Prevalence

  • Adult obesity prevalence stood at 29% in 2017, an increase from 26% in 2016
  • Prevalence of child obesity in both Reception and Year 6 was over twice as high in the most deprived areas than in the least deprived areas; 13% compared to 6% in reception year, and 27% compared to 12% in Year 6.

Physical activity and diet

  • 68% of men and 64% of women aged 19 and over met the government’s physical activity guidelines for adults in 2017/18
  • 21% of men and 23% of women were classed as inactive in 2017/18
  • 20% of boys and 14% of girls were meeting the government’s physical activity guidelines for children
  • Women (32%) were more likely to consume the recommended five portions of fruit and vegetables a day, than men (26%)
  • 18% of children consumed the recommended five portions of fruit and vegetables a day in 2017.

The full report, Statistics on Obesity, Physical Activity and Diet, England, 2019, is available from NHS Digital 

Living longer: caring in later working life

Office for National Statistics | March 2019 | Living longer: caring in later working life

Living longer: caring in later working life– In this article, the Office for National Statistics (ONS)  lookS closer at the differences between men and women who work and care, examining  how who is being cared for drives the number of hours a carer provides and their ability to work. 

As the UK population gets older, an increasing number of workers are providing care towards the end of their working life for family members. One quarter of older female workers, and one- eighth of older male workers, have caring responsibilities.

older adults-affection-couple-1642883

Topics covered in this article:

  • Older workers will increasingly have caring responsibilities
  • Who is providing unpaid care
  • A quarter of male workers provide care for a spouse
  • Caring for a parent is the most common type of caring
  • Who is being care for drives the number of hours spent caring
  • What impact does caring have on the carer?
  • What does this mean for the future?

See also:

Living longer: fitting it all in- working, caring and health later in life

NHS England publishes Combined Performance Summary

NHS England has published its Combined Performance Summary, which provides data on key performance measures for January and February of this year. Here Jessica Morris of the Nuffield Trust shows some of these statistics and how they compare with previous years.

Commenting on the latest Combined Performance Summary, Prof John Appleby says the A&E slump and spike in cancer waits are of real concern and a reminder of the pressure that NHS staff face: A&E slump and spike in cancer waits mean stormy waters for new NHS targets

Full analysis: Combined Performance Summary: January – February 2019 | Nuffield Trust

The NHS England resource contains a summary of the performance statistics on:

Urgent and emergency care

Planned care


Mental Health

Full detail: Combined Performance Summary | NHS England

NHS Key Statistics: England, February 2019

House of Commons Library | February 2019 | NHS Key Statistics: England, February 2019

A briefing paper from the House of Commons Library shows demand for NHS services
has risen, and performance on many measures has declined. 4-hour waits in A&E rose to a new high, with 18.5% of people attending major departments experiencing long waits compared with 16.5% in 2017. Attendances rose by 0.6% in 2018. The waiting list for consultant-led treatment rose to a new high in 2018 and the 18-week treatment
target was not met. Performance against the 62-day cancer treatment target reached a
new low and the target was missed for a fifth consecutive year. The number of treatments rose 4% year on year (Source: House of Commons Library). 

NHS Key Statistics February 2019- full report