NHS England cheating again on waiting times to reveal Scotland’s A&E departments far ahead

I’ve been correctly criticised in the past for not using the full consultant-led emergency department (ED) data in comparisons with the NHS in the other parts of the UK but am now scrupulously careful.

So, on September 26, I could write:

NHS Scotland full emergency departments 14% faster in August than NHS England equivalents

In Scotland in August 2023, 67.3% seen in full emergency departments (ED), within 4 hours.

https://www.publichealthscotland.scot/data-and-intelligence/ae-activity/#section-3-2

In England, in August 2023, 59.1% seen in full emergency departments (Type 1), within 4 hours.

https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/

NHS Scotland is thus 13.8% faster.

Thousands more treated within target time than if they had lived in England.

Today, thanks to regular reader and commentator with facts, Legerwood, see this:

NHS bosses are using misleading figures to hide dangerously poor performance by A&E units in England against the four-hour treatment target, emergency department doctors claim.

Some A&Es treat and admit, transfer or discharge as few as one in three patients within four hours, although the NHS constitution says they should deal with 95% of arrivals within that timeframe. How well or poorly A&Es are doing in meeting the 95% target is not in the public domain because the data that NHS England publishes is for NHS trusts overall, not individual hospitals.

That means official figures are an aggregate of performance at sometimes two A&Es run by the same trust or include data for any walk-in centres, minor injuries units or urgent treatment centres that a trust also operates. Forty-eight trusts have two A&Es and many also run at least one of the latter.

https://www.theguardian.com/society/2023/oct/28/misleading-ae-figures-in-england-hiding-poor-performance

So, just how much faster are Scotland’s full A&E departments, then? Might that 13.8% be 30% or 50%? It’d take more IQ and time than I have to answer that but, once more, NHS England, saturated in dishonest managerialism, is revealed to be cheating.

Previously, we’ve seen them restarting the clocks well after A&E admissions, not counting hospital-acquired Covid infections at all, chucking millions at private hospitals to reduce the non-life-threatening longer waits just for press releases and planning to reduce the range of cancer targets.

Yet, BBC Scotland and the others will still let Jackie Baillie shout unquestioned, lies at the Scottish Government.

4 thoughts on “NHS England cheating again on waiting times to reveal Scotland’s A&E departments far ahead

  1. Why do people think “Greasy Bollocks” news hiring the drunken KGB stooge, Borissmo Van der Piffle, was the first news outlet to employ a lying huckster B’stard to tell porkies for fum (and money)?
    BBC Hootsmon has been doing it for years and years, (and they would happily hire DRossie if they could–they already have Hattie Bailie on the books).

    Sadly none of the BBC Hootsmon staff are funny and certainly not worth a brass penny.

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  2. I’ve no problem with “targets” being set by managers for well understood processes, but any who expect A&E to operate like a production line with a host of unpredictable variables coming in the door, are frankly disconnected from reality.
    For Scotland there is always a Baillie or Gulhane to wail and gnash teeth about a 0.05% drop, and a BBC’s Lazy Winters’ “Analysis” to amplify the imminent collapse of the NHS – Apparently it’s “Just Politics”.

    The Guardian story over England’s Trusts is essentially the REMC attempting to inject transparency into a system deliberately designed by politicians and civil servants to enable precisely the opposite.
    The “NHS bosses” are in reality layers of managerialism created to distance Ministers from responsibility in England, perfectly exampled in “Boyle said Steve Barclay, the health secretary, fully supported the RCEM’s call for greater transparency around A&E data. The Department of Health and Social Care did not respond when asked about the minister’s view”.
    This is the very same Barclay who insists Scotland’s NHS is not doing so well….

    Your final paragraph really should be “Yet, BBC Scotland and the others will still let Jackie Baillie shout unquestioned, lies ” ABOUT ” the Scottish Government ” AT THE PUBLIC.

    Liked by 1 person

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