Attendance rates and winter pressures - London

This indicator reviews outpatient attendance, cancellation and DNA (did not attend) rates with a view to discussing the impact of the winter season. The monthly trend analysis shows the seasonal variation in attendance rates and the winter of 2009 shows an increase in DNAs and cancellations. You can change region, or view national data. For more information on this data, refer to the methodology.

Attendance rate (%)

Trust name Attendance rate (%)
Hillingdon
90.1
Chelsea and Westminster
89.6
North West London
86.9
St George's
85.8
Whipps Cross
85.2
Guy's and St Thomas'
85.1
South London
82.1
Newham
79.5
Lewisham
78.3
Kingston
77.3
King's College
77.3
Epsom and St Helier
73.7
Homerton
73.2
Imperial College
72.7
North Middlesex
70.4
Whittington Hospital
69.6
Mayday
69.2
Barking, Havering and Redbridge
69.1
Barnet and Chase Farm
67.8
West Middlesex
67.5
University College London
66.7
Ealing
65.6
Barts
61.5
Royal Free Hampstead
59.6
National average: 82.18

DNA and Cancellation Rates by Month (All Provider Trusts)

This chart and table shows the variation by month in outpatient DNA and cancellation rates for all Provider Trusts in England from September 2008 to August 2009.

Month of Appointment Appointments Total Attendances Attendance Rate DNA Rate Cancellation Rate
Sep-08 5,745,417 4,655,801 81% 9% 10%
Oct-08 5,945,826 4,831,682 81% 9% 10%
Nov-08 5,402,429 4,415,115 82% 9% 10%
Dec-08 5,212,608 4,166,797 80% 9% 11%
Jan-09 5,710,682 4,599,500 81% 9% 11%
Feb-09 5,293,159 4,172,653 79% 10% 12%
Mar-09 6,065,624 4,939,640 81% 9% 10%
Apr-09 5,832,064 4,727,868 81% 9% 11%
May-09 5,500,548 4,460,027 81% 9% 11%
Jun-09 6,407,110 5,193,555 81% 9% 11%
Jul-09 6,378,191 5,139,715 81% 9% 11%
Aug-09 5,483,995 4,410,270 80% 9% 11%
Sep-09 6,428,941 5,165,565 80% 9% 11%
Oct-09 6,309,309 5,096,687 81% 9% 11%
Nov-09 6,260,438 5,088,779 81% 9% 11%
Dec-09 5,769,370 4,565,508 79% 10% 12%
Jan-10 5,952,769 4,571,205 77% 11% 14%
Feb-10 5,931,855 4,794,216 81% 9% 11%
Mar-10 6,897,131 5,591,416 81% 9% 11%
Apr-10 6,046,009 4,828,875 80% 9% 12%
May-10 5,942,539 4,782,594 80% 9% 11%
Jun-10 6,620,667 5,293,518 80% 9% 12%
Jul-10 6,417,028 5,147,511 80% 9% 12%
Aug-10 5,952,122 4,750,121 80% 9% 12%
Grand Total 143,505,831 115,388,618 80% 9% 11%

Methodology

Measure:
Outpatient Attendance Rates
Description:
Provides a time trend analysis showing the variation by month in outpatient attendance rates.
Definition:
  • Appointments: number of outpatient appointments
  • Attendances: number of attended appointments
  • Attendance Rate: Percentage of appointments that were attended
  • DNAs: number of DNAs (Did Not Attend)
  • DNA Denominator: number of attendances + number of DNAs
  • Cancellations: number of appointments that were cancelled by either the provider or the patient
  • Cancellation Rate: percentage of appointments that were cancelled
Technical definition
  • Attendances: all appointments with an attended code of 5 or 6
  • DNAs: all appointments with an attended code of 3 or 7
  • Cancellations: all appointments with an attended code of 2 or 4
Basis
Provider Trust and Local Authority
Data source & Time frame
SUS - Outpatient Appointments, September 2008 to August 2009

Full data for attendance rates and winter pressures

Trust name Appointments Total attendances Attendance rate DNA rate Cancellation rate
Royal Free Hampstead 1664154 991277 59.6% 13.2% 28.0%
Barts 1611647 991776 61.5% 14.9% 27.7%
Ealing 547841 359412 65.6% 15.5% 22.1%
University College London 2349297 1566327 66.7% 11.2% 24.9%
West Middlesex 686551 463539 67.5% 11.3% 23.9%
Barnet and Chase Farm 1403265 950785 67.8% 10.9% 22.3%
Barking, Havering and Redbridge 1805036 1247332 69.1% 11.3% 21.9%
Mayday 958860 663993 69.2% 12.1% 21.2%
Whittington Hospital 832564 579384 69.6% 13.3% 19.6%
North Middlesex 663993 467701 70.4% 13.9% 18.1%
Imperial College 2126587 1545004 72.7% 13.6% 15.9%
Homerton 588297 430906 73.2% 16.8% 7.0%
Epsom and St Helier 1347911 993848 73.7% 7.8% 20.0%
Kingston 780085 603106 77.3% 10.8% 12.6%
King's College 1473796 1139945 77.3% 13.2% 10.9%
Lewisham 566315 443163 78.3% 14.3% 8.7%
Newham 547629 435500 79.5% 12.7% 5.4%
South London 2100 1725663 82.1% 10.2% 7.8%
Guy's and St Thomas' 2009832 1710299 85.1% 14.9% 0.0%
Whipps Cross 707582 602678 85.2% 14.5% 0.0%
St George's 1120057 960820 85.8% 12.0% 2.2%
North West London 899611 782113 86.9% 13.1% 0.0%
Chelsea and Westminster 977588 875716 89.6% 10.4% 0.0%
Hillingdon 594279 535226 90.1% 9.9% 0.0%

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% appointments attended

  • 93.1 to 100
  • 88.3 to 93.1
  • 80.8 to 88.3
  • 72.7 to 80.8
  • 59.6 to 72.7