NHS diagnostics waiting times and activity data – November 2012
Data are published on waiting times and activity for 15 key diagnostic tests for the month of November 2012.
The key points are:
-
At the end of November 2012, there were 654,000 patients still waiting for one of 15 key diagnostic tests, and of these 4,653 were waiting 6 weeks or over from referral. The number waiting 6 weeks or longer shows an increase of 750 from October 2012, and a decrease of 1,800 from November 2011.
-
The 4,653 waiting over 6 weeks or longer represents 0.7% of all patients waiting for a test. This compares to 0.6% at the end of October 2012 and 1.1% at the end of November 2011.
-
In total, 1,491,000 of the 15 key diagnostic tests were performed during November 2012, which is an increase of 97,000 on same period last year.
-
Tables 1 and 2 show latest figures on waiting times and activity by test. Table 3 and Graph 1 show trends in waiting times for diagnostic tests.
Detailed tables by provider and commissioner can be found on the Department of Health website.
Annex A - Detailed Tables
Table 1 - Diagnostic waiting times by test - November 2012
| Test | Total number waiting at month end | Number waiting six weeks or more at month end | Percentage of patients waiting six weeks or more | Average (median) waiting time (in weeks) |
| MRI | 138,589 | 428 | 0.3% | 1.9 |
| CT | 78,723 | 185 | 0.2% | 1.4 |
| NON_OBSTETRIC_ULTRASOUND | 222,273 | 592 | 0.3% | 1.7 |
| BARIUM_ENEMA | 2,163 | 0 | 0.0% | 1.2 |
| DEXA_SCAN | 17,561 | 41 | 0.2% | 1.6 |
| AUDIOLOGY_ASSESSMENTS | 37,042 | 462 | 1.2% | 2.0 |
| ECHOCARDIOGRAPHY | 41,418 | 427 | 1.0% | 2.1 |
| ELECTROPHYSIOLOGY | 1,581 | 4 | 0.3% | 1.6 |
| PERIPHERAL_NEUROPHYS | 13,873 | 50 | 0.4% | 2.0 |
| SLEEP_STUDIES | 4,485 | 164 | 3.7% | 1.8 |
| URODYNAMICS | 4,345 | 176 | 4.1% | 2.2 |
| COLONOSCOPY | 30,483 | 811 | 2.7% | 2.0 |
| FLEXI_SIGMOIDOSCOPY | 15,971 | 326 | 2.0% | 2.0 |
| CYSTOSCOPY | 12,930 | 374 | 2.9% | 2.1 |
| GASTROSCOPY | 32,839 | 613 | 1.9% | 2.0 |
| Total for 15 tests | 654,276 | 4,653 | 0.7% | 1.8 |
Table 2 - Total diagnostic activity by test - November 2012
| No of diagnostic tests in Nov 2012 | Total number of tests in 2012/13 to date | Year to date percentage change on previous year | |
| Magnetic Resonance Imaging | 211,848 | 1,602,386 | 10.2% |
| Computer Tomography | 341,369 | 2,636,314 | 11.3% |
| Non-obstetric ultrasound | 525,887 | 3,991,162 | 7.1% |
| Barium Enema | 4,989 | 41,934 | -12.1% |
| DEXA Scan | 30,950 | 229,527 | 6.1% |
| Audiology | 106,941 | 814,146 | -1.1% |
| Cardiology – echocardiography | 98,558 | 749,562 | 6.4% |
| Cardiology – electrophysiology | 2,777 | 20,957 | 38.8% |
| Neurophysiology | 15,470 | 116,950 | -0.2% |
| Respiratory physiology | 8,541 | 63,954 | -0.3% |
| Urodynamics – pressures & flows | 8,398 | 60,049 | 1.8% |
| Colonoscopy | 37,959 | 271,328 | 15.2% |
| Flexi sigmoidoscopy | 21,221 | 158,786 | 11.6% |
| Cystoscopy | 25,935 | 195,762 | -5.4% |
| Gastroscopy | 50,556 | 375,198 | 7.5% |
| Total | 1,491,399 | 11,328,015 | 7.6% |
Note: Total activity includes waiting list, planned and unscheduled tests.
Table 3 - Waiting times for 15 key diagnostic tests - March 2006 to November 2012
| Test | Number waiting six weeks or more at month end</p> | Percentage of patients waiting six weeks or more at month end</p> | Average (median) waiting time (in weeks)</p> |
| March 2006 | 393,123</p> | 48.8%</p> | 4.9</p> |
| March 2007 | 243,191</p> | 34.7%</p> | 3.9</p> |
| March 2008 | 12,904</p> | 3.1%</p> | 2.1</p> |
| March 2009 | 2,870</p> | 0.6%</p> | 1.7</p> |
| March 2010 | 3,824</p> | 0.7%</p> | 1.7</p> |
| March 2011 | 10,795</p> | 1.9%</p> | 1.8</p> |
| April 2011 | 14,247</p> | 2.6%</p> | 2.3</p> |
| May 2011 | 15,919</p> | 2.7%</p> | 1.9</p> |
| June 2011 | 12,516</p> | 2.1%</p> | 1.8</p> |
| July 2011 | 10,734</p> | 1.8%</p> | 1.8</p> |
| August 2011 | 11,443</p> | 2.0%</p> | 2.0</p> |
| September 2011 | 9,589</p> | 1.7%</p> | 1.8</p> |
| October 2011 | 7,629</p> | 1.3%</p> | 1.8</p> |
| November 2011 | 6,498</p> | 1.1%</p> | 1.8</p> |
| December 2011 | 7,981</p> | 1.4%</p> | 2.3</p> |
| January 2012 | 8,973</p> | 1.5%</p> | 1.7</p> |
| February 2012 | 5,562</p> | 0.9%</p> | 1.8</p> |
| March 2012 | 4,323</p> | 0.7%</p> | 1.8</p> |
| April 2012 | 6,240</p> | 1.0%</p> | 1.7</p> |
| May 2012 | 5,535</p> | 0.8%</p> | 1.8</p> |
| June 2012 | 8,301</p> | 1.3%</p> | 1.8</p> |
| July 2012 | 6,115</p> | 0.9%</p> | 1.9</p> |
| August 2012 | 6,542</p> | 1.0%</p> | 2.0</p> |
| September 2012 | 5,089</p> | 0.8%</p> | 1.8</p> |
| October 2012 | 3,905</p> | 0.6%</p> | 1.9</p> |
| November 2012 | 4,653</p> | 0.7%</p> | 1.8</p> |
Graph 1 - Waiting times for 15 key diagnostic tests - April 2008 to November 2012
Statistical Notes
1. Diagnostic waiting times
Diagnostics data is collected from NHS providers (NHS Trusts and other providers) and signed off by commissioners (Primary Care Trusts).
The data measures current waiting times of patient still waiting at the end of the month. This information is split by number of weeks waiting, and by test.
The waiting times reported are for those patients who have been referred for a test, but whose test had not taken place by the end of the reporting period.
Data was first published in May 2006, and is available for each month from January 2006 to date.
The six week diagnostic wait was initially introduced as a ‘milestone’ from March 2008 towards achieving the standard Referral to Treatment wait of 18 weeks by December 2008.
The NHS Operating Framework, 2012/2013 has introduced an expectation that less than 1 per cent of patients should wait six weeks or longer for a diagnostic test. This publication also measures progress against this standard.
2. Provider and Commissioner based data
England figures quoted are commissioner based. Commissioner based returns reflect data for patients for whom English commissioners are responsible. This is defined as:
- all those patients resident within the PCT boundary; plus
- all patients registered with GPs who are members of the PCT, but are resident in another PCT; minus
- All patients resident in the PCT, but registered with a GP who is a member of another PCT
Provider based returns cover patients treated in organisations inEngland.
3. Average (median) waiting times
The median is the mid-point of the waiting times distribution (i.e. the 50th percentile) and can be interpreted by saying that 50% of all patients have waited this amount of time.
It should be noted that medians are calculated from aggregate data, rather than patient level data, and therefore are only estimates of the position on average waits.
4. Interpretation of waiting times and activity data
Care should be taken when making month on month comparisons of these figures. Measures of waiting time performance are subject to seasonality. For example, the presence of bank holidays, or the number of weekends, in a calendar month affect the number of working days. Similarly, adverse weather may result in emergency pressure and impacts upon the health service’s ability to preserve elective capacity. These factors can affect waiting times and should be considered when making comparisons across time.
5. Feedback welcomed
We welcome feedback on the content and presentation of statistics within this Statistical Press Notice and those published on the DH website. If anyone has any comments on this, or any other issues regarding these statistics, then please email unify2@dh.gsi.gov.uk
Additional Information
Full details of diagnostics data for individual organisations is available on the Department of Health website.
To contact the Media Centre, please refer to the Department of Health’s website for the relevant contact details.
The Government Statistical Service (GSS) statistician responsible for producing these data is:
Mark Svenson
Knowledge and Intelligence
Department of Health
Room 4E63
Quarry House
Quarry Hill
Leeds
LS2 7UE
Email: unify2@dh.gsi.gov.uk