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<p>National Health Service accident and emergency (A&E) departments are measured
against a standard that at least 95% of patients should be admitted, transferred or
discharged within four hours of arrival. The standard applies to all types of (A&E)
departments, including major (A&E) departments, minor injury units, and walk-in
centres.</p><p> </p><p>This standard was met in all four quarters and for the whole
of 2013-14, with performance at 95.7% for the year. It has been met for the first
quarter (April to June) of 2014-15, with performance at 95.1%.</p><p> </p><p>There
were 21.8 million attendances at (A&E) departments in 2013-14 compared to 20.5
million in 2009-10, and in the face of rising demand not all patients are receiving
care within the standard. NHS England, the NHS Trust Development Authority and Monitor
are working with the most challenged providers and commissioners. £400 million has
been made available this year to ensure local urgent and emergency care services are
sustainable and prepared for winter.</p><p> </p>
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