A&E Activity by Hospital & ICB

NHS England Hospital A&E Activity (ECDS) · latest year 2025/26
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This page shows a whole year of attendances at every A&E, minor injury unit and walk-in centre in England, from the Emergency Care Data Set (ECDS) that hospitals submit for each attendance. It is organised by the provider (the trust or company running the department), not by the patient’s GP practice — the publication does not say which practice a patient is registered with. Use the ICB picker to see the departments that serve your area, then compare them.

Attendances
Every arrival at the department in the financial year (April to March). Counts are rounded to the nearest 5; very small numbers are withheld.
Type 1 / major A&E
A consultant-led 24-hour emergency department with full resuscitation facilities. Types 3 and 4 are minor injury units, urgent treatment centres and walk-in centres. Many providers run both, so their waits blend the two.
Over 4 hours / over 12 hours
Share of attendances where the patient spent more than 4 (or 12) hours in the department from arrival to leaving. The NHS constitutional standard is 95% within 4 hours; the 2025/26 planning target was 78%. Note the 12-hour figure here runs from arrival, so it is larger than the “12-hour trolley wait” that counts from the decision to admit.
Admitted
Attendances that ended in admission to a hospital bed (including short-stay and observation wards where recorded as admitted).
Acuity
How urgent the patient was judged at triage, from 1 (immediate resuscitation) to 5 (non-urgent). Levels 1 and 2 are shown as “high acuity”.
Referral route
Who sent the patient: self-referral, ambulance service, NHS 111, GP or primary care team, out-of-hours service and so on, grouped from the coded attendance source.
Deprivation
The patient’s home neighbourhood ranked by the Index of Multiple Deprivation; “most deprived 20%” is the two most deprived deciles.
Median time in department
Half of patients left within this many minutes. From the monthly Quality Indicators file; for an ICB or England the figure is an attendance-weighted average of provider medians.
Unplanned re-attendance
Patients who came back unplanned within 7 days of an earlier attendance, as a share of attendances. A rough marker of whether the first visit resolved the problem.
Left before being seen
Attendances that ended before treatment was completed because the patient left. Rises when waits are long.
Chief complaint / diagnosis
The presenting problem recorded at triage and the diagnosis at discharge, both SNOMED-coded. Some providers submit a large share as “not submitted” or “invalid” — the page tells you when that is the case.
Data source
NHS England’s annual Hospital Accident & Emergency Activity publication, released each September for the financial year that ended in March.
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Rank by
ProviderAttendancesvs prev yr Over 4 h Over 12 h Median mins Admitted Ambulance High acuity Via 111 Via GP Most deprived 20% 7-day re-att. Left before seen
Providers with at least 1,000 attendances in the year. Providers that run both a major A&E and minor injury units report them together, so their waits and admission rates blend the two — the type 1 filter removes providers with no major A&E, not the minor-unit activity of those that have one. Click a row to drill into that provider.
Month by month (quality indicators)
Yearly figures are whole financial years from the provider-level file. Monthly medians and 95th centiles are attendance-weighted averages of provider medians for aggregate views, so they are indicative rather than exact.
Shares exclude “unknown” only where stated. Deprivation is the patient’s home area (IMD 2019 decile), not the hospital’s. Bars show the selected scope; markers show England.
Referral routes are grouped from the coded attendance source; “GP / primary care team” is patients recorded as referred by a member of the primary health care team. Hour and day of arrival are counts of attendances across the whole year.
Duration bands are 10-minute steps to 4 hours, then a single “over 4 hours” bar — the step at 3h51–4h00 is the well-known effect of the 4-hour target. Discharge destination is where the patient went on leaving.
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#ItemAttendancesPer 100 attendancesEnglandPrevious year

Source: NHS England, Hospital Accident & Emergency Activity (annual, provider level, Emergency Care Data Set; published each September for the financial year ending the previous March). Provider counts are rounded to the nearest 5 and small values suppressed, so shares carry a little rounding noise. England figures are the publication’s own national totals; ICB figures sum the providers whose commissioning ICB (from the NHS Organisation Data Service) matches — patients cross ICB borders, so an ICB view describes the departments in that area, not exactly its residents. Monthly medians, re-attendances and left-before-treatment come from the companion Quality Indicators file.

Data source: NHS England: Hospital Accident & Emergency Activity