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<p>This information is not available in the format requested.</p><p> </p><p> </p><p>
</p><p>Around a quarter of calls to NHS Direct over the period 2007/08 to 2011/12
resulted in an emergency or urgent referral.</p><p> </p><p> </p><p> </p><p>For the
period 2011/12 – 2013/14, the proportion of calls triaged by NHS 111 which resulted
in an ambulance being dispatched or the caller being recommended to attend accident
and emergency (A&E) was 18.3%.</p><p> </p><p> </p><p> </p><p>However, the figures
on NHS Direct from NHS Direct’s Annual Reports contain the percentages of urgent and
emergency onward referrals; these comprise not just calls referred to A&E, but
also to 999, and urgent primary care referrals. In the NHS 111 data collection published
by NHS England, referrals to primary care are separate from A&E referrals and
from ambulance dispatches. Therefore, the percentages for the two services cannot
be directly compared.</p><p> </p><p> </p><p> </p><p>The following table lists the
proportion of calls to NHS Direct which have resulted in emergency and urgent referrals
for each financial year from 2007/08 to 2012/13<sup>1</sup>.</p><p> </p><p> </p><p>
</p><table><tbody><tr><td><p>Period</p></td><td><p>% of emergency and urgent referrals</p></td></tr><tr><td><p>2007/08</p></td><td><p>28%</p></td></tr><tr><td><p>2008/09</p></td><td><p>24%</p></td></tr><tr><td><p>2009/10</p></td><td><p>26.4%</p></td></tr><tr><td><p>2010/11</p></td><td><p>24.9%</p></td></tr><tr><td><p>2011/12</p></td><td><p>27%</p></td></tr><tr><td><p>2012/13</p></td><td><p>34.7%</p></td></tr></tbody></table><p>
</p><p><em>Source</em>: <em>NHS Direct National Health Service Trust, Annual Report
& Accounts</em> <em> </em>for financial years 2007/08 to 2012/13</p><p> </p><p>
</p><p> </p><p>The table below shows counts of NHS 111 calls where (i) callers are
recommended to attend hospital accident and emergency departments, and (ii) an ambulance
is dispatched<sup>2</sup>, from August 2010 to November 2014. The figures are averages
from published monthly data.</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>2010-11
(August 2010 – March 2011)</p></td><td><p>2011-12</p><p> </p></td><td><p>2012-13</p><p>
</p></td><td><p>2013-14</p><p> </p></td><td><p>2014-15</p><p>(April 2014 – November
2014)</p></td></tr><tr><td><p>Calls offered</p></td><td><p>187,630</p></td><td><p>616,155</p></td><td><p>1,894,057</p></td><td><p>8,785,341</p></td><td><p>8,150,979</p></td></tr><tr><td><p>Calls
where person triaged</p></td><td><p>112,388</p></td><td><p>425,815</p></td><td><p>1,254,339</p></td><td><p>7,064,219</p></td><td><p>6,565,416</p></td></tr><tr><td><p>Calls
where A&E recommended</p></td><td><p>7,444</p></td><td><p>28,560</p></td><td><p>80,232</p></td><td><p>526,520</p></td><td><p>515,593</p></td></tr><tr><td><p>Of
calls triaged, proportion where A&E recommended</p></td><td><p>6.6%</p></td><td><p>6.7%</p></td><td><p>6.4%</p></td><td><p>7.5%</p></td><td><p>7.9%</p></td></tr><tr><td><p>Calls
where ambulance dispatched</p></td><td><p>13,618</p></td><td><p>54,145</p></td><td><p>151,014</p></td><td><p>756,768</p></td><td><p>720,656</p></td></tr><tr><td><p>Of
calls triaged, proportion where Ambulance dispatched</p></td><td><p>12.1%</p></td><td><p>12.7%</p></td><td><p>12.0%</p></td><td><p>10.7%</p></td><td><p>11.0%</p></td></tr></tbody></table><p>
</p><p><em>Source</em>: NHS England – NHS 111 Minimum Data Set (<a href="http://www.england.nhs.uk/statistics/category/statistics/nhs-111-statistics/"
target="_blank">www.england.nhs.uk/statistics/category/statistics/nhs-111-statistics</a>)</p><p>
</p><p> </p><p> </p><p><em>Notes</em></p><p> </p><p>1. The <em>NHS Direct National
Health Service Trust, Annual Report & Accounts </em>reports list the following
Key Performance Indicators in the Appendix in describing how the measure was calculated.</p><p>
</p><p> </p><p> </p><table><tbody><tr><td><p>KPI Name</p></td><td><p>Purpose</p></td><td><p>Data
Source</p></td><td><p>Definition</p></td><td><p>Calculation</p></td></tr><tr><td><p>%
Urgent and<br> Emergency Onward<br> Referrals</p></td><td><p>Value to Patients and<br>
NHS</p></td><td><p>Clinical Assessment System (CAS)</p></td><td><p>% of emergency
and urgent<br> referrals for Core calls only</p></td><td><p>(The number of calls referred
to<br> 999, A&E or PCS Urgent / Number<br> of calls with clinical dispositions)<br>
x 100</p></td></tr><tr><td><p>111 Calls Requiring<br> Onward or Urgent<br> Emergency
Referral</p></td><td><p>Measure Value to NHS</p></td><td><p>Pathways</p></td><td><p>Proportion
of symptomatic<br> calls referred to urgent &<br> emergency care dispositions</p></td><td><p>999
+ A&E + PCS urgent ÷<br> symptomatic calls</p></td></tr></tbody></table><p> </p><p>
</p><p> </p><p>2. The proportions of calls where an ambulance is dispatched, and where
the caller is referred to A&E, are calculated out of the number of calls triaged.
The total number of calls offered includes calls which are answered but not triaged
(such as callers following up previous calls, or seeking contact details for specific
health services, or not wanting or not able to give details about the specific health
condition, or where the patient recovers); along with calls which are abandoned before
being answered.</p><p> </p><p>3. Both NHS Direct and NHS 111 percentages in this answer
are calculated as proportions of all calls with clinical dispositions, or in other
words, all calls that are triaged.</p><p> </p>
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