Research and analysis

Syndromic surveillance summary: 24 November 2022 week 46

Updated 5 January 2023

Reporting week 46: 14 November to 20 November 2022

During week 46, a range of respiratory indicators across all syndromic systems (including NHS 111 cold or flu calls and emergency department acute respiratory infection attendances) continued to increase with sharp increases observed particularly in children aged under 15 years. There were also further increases in emergency department attendances for influenza-like illness in adults. Emergency department attendances for acute bronchiolitis in children aged under one year also increased during week 46.

Remote health advice syndromic surveillance system

During week 46, a range of respiratory indicators across all syndromic systems (including NHS 111 cold or flu calls and emergency department acute respiratory infection attendances) continued to increase with sharp increases observed particularly in children aged under 15 years. There were also further increases in emergency department attendances for influenza-like illness in adults. Emergency department attendances for acute bronchiolitis in children aged under one year also increased during week 46.

Access the remote health advice syndromic surveillance bulletins on GOV.UK

GP in hours syndromic surveillance system

During week 46, GP in-hours consultation rates for upper and lower respiratory tract infections increased, particularly in children aged 1 to 4 and 5 to 14 years. Influenza-like illness remained stable overall, but increases were observed in the 15 to 44 years age group. During week 46 there were also increases in scarlet fever consultations in the 1 to 4 and 5 to 14 years age group.

Access the GP in hours syndromic surveillance bulletins on GOV.UK

GP out-of-hours syndromic surveillance system

Daily GP out-of-hours contact data from 4 August 2022 onwards has not been received due to a widely publicised disruption faced by one of the GP out-of-hours clinical software system providers. We have since been informed that this disruption was as a result of a cybersecurity incident caused by ransomware. We are working closely with our data provider to restore the daily syndromic feed.

Access the GP out-of-hours syndromic surveillance bulletins on GOV.UK

Emergency department syndromic surveillance system

During week 46, total emergency department attendances increased nationally in the under one and 1 to 4 years age groups. There was a sharp increase in attendances for acute respiratory infections, particularly observed in the 5 to 14 years age group. Acute bronchiolitis attendances continued to increase in the under one year age group and attendances for influenza-like-illness continued to increase across most age groups. COVID-19-like attendances remained stable during week 46.

Access the emergency department syndromic surveillance bulletins on GOV.UK

Ambulance syndromic surveillance system

During week 46, ambulance calls for difficulty breathing continued to increase nationally. Calls for chest pain also increased during week 46, while other indicators remained stable overall.

Access the ambulance syndromic surveillance bulletin on GOV.UK