National A&E Dashboard: User guide - NHS Improvement · Demand screen ... National A&E Dashboard: user guide ... Click the selected metric to view only the specific data chosen (all

National A&E Dashboard: User guide February 2018

We support providers to give patients

safe, high quality, compassionate care

within local health systems that are

financially sustainable.

1 | Contents

Contents

What is the National A&E Dashboard? .................................................................. 2

Accessing the dashboard ...................................................................................... 2

Dashboard overview .............................................................................................. 3

Cover page ............................................................................................................ 4

Scorecard screen .................................................................................................. 5

Demand screen ................................................................................................... 11

Bed Capacity screen ........................................................................................... 15

Performance screen ............................................................................................ 18

One Pager screen ............................................................................................... 21

Sentinel Dashboard ............................................................................................. 21

A&E Daily Performance with Rank ...................................................................... 27

Daily Activity Report ............................................................................................ 28

Daily Performance Report ................................................................................... 30

Daily Missing Submission screen ........................................................................ 31

Community – Bed Capacity ................................................................................. 32

Indicator Descriptions screen .............................................................................. 33

2 | National A&E Dashboard: user guide

What is the National A&E Dashboard?

The National A&E Dashboard has been developed to provide a consolidated view

of A&E information that can be shared between various central NHS bodies. This

provides a consistent understanding of A&E performance through the collection of

daily situation report (SitRep) data, and enables the NHS to identify pressure points

in the system and intervene accordingly.

Data is submitted by trusts on a daily basis for the previous 24 hours of activity

(midnight to 11:59pm) and snapshots of the data are taken at 8am. Trusts submit

this data in the morning and submissions close in the afternoon for reporting

purposes.

Accessing the dashboard

To access the dashboard, open the following web address in your internet

browser:

https://analytics.improvement.nhs.uk/views/NationalAEDashboard/CoverPage

The Sign In screen for your NHS Improvement

account will now be displayed. This will give you

access to the Tableau Analytics section and

subsequently the A&E dashboard itself.

Enter your user name (which typically ends in

…@nhs.net but may differ for some providers) and

corresponding password.

Tick the Remember me box to avoid having to re-

enter your log-in details in future.

Click Sign In.

https://analytics.improvement.nhs.uk/views/NationalAEDashboard/CoverPage


Quick tip:

• If you don’t have an NHS Improvement account, the Registration screen

will be displayed instead of the Sign In screen. Once registered, reopen the

national A&E dashboard via your internet browser. You will either need to

sign in with your new account details or be taken straight to the A&E

dashboard cover page.

For more information about the OKTA

registration process and general

functionality of the OKTA portal, including

creating an NHS Improvement hub account

and/or accessing business tools and other

applications via the portal, please contact

[email protected]

for a copy of the OKTA registration and

user guide.

Dashboard overview

The National A&E Dashboard provides a summary of operational performance for

acute trusts with a type 1 A&E and community trusts. It consists of a cover page

and various reports: Scorecard, Demand, Bed Capacity, Performance, the One

Pager report, the Sentinel Dashboard, A&E Daily Performance with Rank, the

Daily Activity Report, the Daily Performance Report, the Daily Missing

Submission report and the Community – Bed Capacity report.

The dashboard also includes an Indicator Descriptions tab which contains a

description of each indicator found throughout the dashboard, and explains how

these indicators are calculated.

mailto:[email protected]

http://connect2.monitor-nhsft.gov.uk/KIMTeam/KIM_TandD/KIM%20Document%20Library/Portal%20and%20Licensing%20Training%20Packs/OKTA_Registration_and_User_Guide_-_Editorial%20_Version.docx

http://connect2.monitor-nhsft.gov.uk/KIMTeam/KIM_TandD/KIM%20Document%20Library/Portal%20and%20Licensing%20Training%20Packs/OKTA_Registration_and_User_Guide_-_Editorial%20_Version.docx


Cover page

Having signed in, the cover page (below) is displayed. This provides information on

the A&E dashboard and the latest refresh dates and times for the data available

within the tool.

This page also provides contact details for any related queries and the data sources

for the metrics provided in the reports.

In addition, the screen displays the number of trusts that have yet to submit the

previous day’s data.

Double-clicking this number will take

you to the Daily Missing

Submission screen which provides

a list of trusts that have yet to submit

their data for the day.

The page shows a summary of the

key performance metrics being

collected on the given day. Data is

shown at a national, regional or trust

level depending on your access and

the filters applied. The number of

trusts for which data is missing is

always the national figure.

Click the selected metric to

view only the specific data

chosen (all other data will

‘grey out’).

Select Continue to go to the Scorecard screen.


Scorecard screen

The Scorecard screen displays a selection of key criteria which relate to the

demand, capacity and performance of A&E trusts at a national, regional and/or

provider level, depending on your level of access and the filters you have applied.

As well as selecting Continue on the cover page,

you can click the tab at the top of the page titled

Scorecard.

The Daily Scorecard page will now be displayed, providing you with the option to

view data and apply filters, including region and trust, to drill down further into the

data. The report is divided into three sections: Demand, Bed Capacity and

Performance.

The number of trusts yet to

submit data is shown at the top

of the page.

Double-clicking this number takes you to the Daily Missing Submission screen

that lists the trusts that have yet to submit their data for the day.


A number of filters allow you to

specify how you view the data.

Select the parameters for the time period

you wish to compare with by clicking the

drop-down arrow in the Period

Comparison field.

The Period Comparison filter allows you to compare the current day’s data with:

• yesterday’s (in this context ‘today’ is the previous day and ‘yesterday’ the

day before that; as such, on Wednesday you would be comparing

Tuesday’s A&E data with Monday’s)

• the one-week average (as such, on Wednesday you would be comparing

Tuesday’s A&E data with the average for the last seven days from the

previous Tuesday to this Monday)

• the six-week average (as such, on Wednesday you would be comparing

Tuesday’s data with the average for the previous 42 days from Tuesday six

weeks ago to this Monday)

• the same-day six-week average – the average for the previous six same

days (as such, on Wednesday you would be comparing Tuesday’s with the

average of every Tuesday for the previous six weeks).

Use the drop-down arrows to

select the Region, Sub Region

and Category.

Ensure you select Apply to

activate your chosen filters.


Finally, using the drop-down

arrow, select the desired

trust(s).

Ensure you select Apply to

activate your chosen filters.

If no filters are selected, the

dashboard will default to the

national set of data, or if you

do not have national access,

you will see all trusts in your

region.

The Demand section shows a breakdown of the level of demand on the trusts you

have selected.

The numbers at the top of the page show

the data collected today (yesterday’s

figures). This information is updated every

15 minutes.

The pie chart highlights

A&E attendances split into

types 1, 2 and 3.

Click the selected metric to view only the

specific data chosen (all other data will be

‘greyed out’).

The Type 1 Attendance

Breakdown chart is split

into Major, Minor,

Resuscitation and

Paediatrics.


specific data chosen (all other data will be

‘greyed out’).


Quick tip:

• Please note that while the data is updated

every 15 minutes, data values are not ‘fixed’

as trusts submit data throughout the morning,

and can also edit or resubmit up to the

previous weeks’ data during this time. As such, a complete reflection of the

previous day’s national values may not be displayed until the early

afternoon.

The Type 1 Attendances bar chart shows the

type 1 A&E attendances over the last six weeks.

The average line shows the average for each

week. This is the same for all other bar graphs

on this tab.

Clicking a specific data line

allows you to view only the

selected data (all other

data will ‘grey out’).

The NHS 111 chart shows the number of 111

helpline calls answered on any given day.

The chart defines the five types of helpline call responses as:

• ambulance dispatched percentage

• percentage recommended to other

• percentage recommended to attend A&E

• percentage recommended to attend primary care

• percentage not triaged.


The types of call responses are colour

coded around the outer circle.


data chosen (all other data will be

‘greyed out’).

The inner circle pie chart displays the

Total Number of Answered Calls and

the Triage Percentage.

Hover over any point on the chart to view

the data.

Click the selected metric to view the percentage

Triaged or the percentage Not Triaged (based

on your choice, all other data will be ‘greyed

out’).

The Bed Capacity section provides data on bed

capacity and occupancy

The numbers at the top of the section show the data

collected today (yesterday’s data). This information is

updated every 15 minutes.

The various bar charts display bed occupancy in total,

beds occupied by patients with delayed transfers of

care and beds occupied by stranded patients

(patients who have been occupying a bed for seven

or more days), for each day over the last six weeks.


Hover over the selected metric to view the

data value, corresponding date and

reporting week, or click the selected metric

to view only the data chosen (all other data

will ‘grey out’).

The Performance section provides

performance data on acute hospitals with a

type 1 A&E performance at a national, regional

or provider level (depending on your access

permissions and applied filters).

The numbers at the top of the page show the

data collected today (yesterday’s data). This

information is updated every 15 minutes.

The various bar charts display A&E

performance for all types, number of breaches

and conversion rate over the last six weeks.

Hover over the selected metric to view

the data value, corresponding date

and reporting week, or click the

selected metric to view only the data

chosen (all other data will ‘grey out’).


Quick tip:

When clicked, the i icon provides

brief information on the dashboard

with a link to the Daily Situation

Report guidance.

Demand screen

The Demand screen provides a more detailed

breakdown of the demand information provided

on the Scorecard screen.

Use the drop-down arrows to select the

Region, Sub Region, Category and/or Trust.

Ensure that you click Apply once you have

made your choices, to activate the filter.


Please note that unless you have permission to view the national position, the

scorecard screen will only show the regional position.

Selecting the Comparison values via the drop-down arrow allows you to change

the way the data is represented in the scatter graph by changing the graph axes.

The letters in brackets

show the axis that each

metric will be displayed on.

This chart below effectively compares current (yesterday’s data) with the previous

day’s data (the day before last).

The column on the

left shows the

data collected

today (the big number), the

difference (small left) and

percentage difference (small

right) from the previous data. A

negative value represents a

reduction compared to the

previous day.

The middle column shows the metric type.

The graph on the right shows the trust’s data over a six-week period.

Hover over any point to view the data

value and corresponding date, or click

the selected metric to view only the

data chosen (all other data will ‘grey

out’).


Depending on the comparison values

selected, this graph will display three

types of comparative data.

In this version, the graph displays

attendances versus performance with

each dot representing a trust’s values over

the last six weeks.

This graph displays Bed occupancy

versus Performance with each dot

representing a trust’s values over the last

six weeks.

This graph displays Attendances

versus Breaches with each dot

representing a trust’s values over the

last six weeks.





out’).


This graph shows the average

performance value for all the selected

trusts in each category.

There is also an average performance line

for all trusts over the whole period.

Trusts are split into four categories. Descriptions of how the categories are derived

can be found in the Indicator Descriptions tab.

Hover over any point or bar to view the data value

and corresponding date, or click the selected metric

or data point to view only the data chosen (all other


This graph displays A&E

performance along with the

percentage of beds occupied by

patients with a length of stay of

7+ days (stranded) and 21+ days

(extended length of stay).


Hover over any point or bar to view the

data value and corresponding date, or

click the selected metric or data point to

view only the data chosen (all other


Bed Capacity screen

The Bed Capacity screen provides a more

detailed breakdown of bed capacity and

occupancy data at a national, regional or provider

level (depending on your access permissions).



Region, Sub Region and Category.

Using the drop-down options, select the required trusts and the Bed Selection.

Choosing the Bed Selection criterion allows you to change the way the data is

presented in both the Weekday Overview of Beds Open and the Geographical

Map.

The table top left displays current (yesterday’s data) and previous bed capacity

metric data (as shown below).

The column on the left

shows the data collected

today (the big number),

the difference (small left) and percentage

difference (small right) from the previous

data. A negative value represents a

reduction compared to previous day.

The middle column

shows the metric

type.

The line chart on the right shows the trust’s data over a six-week period.

Hover over any point to view the data value and

corresponding date, or click the selected point to view

only the data chosen (all other data will ‘grey out’).


This chart displays data for beds

occupied by patients with an

extended length of stay (21+ days)

Each dot represents a different

trust, with each coloured and sized

according to its individual value for

beds occupied by extended length

of stay (21 days). Position has no

significance.


value and corresponding date or click



out’)

This chart displays the Weekday

Overview of Beds Open and is

dependent on the Bed Selection filter.

The data is split by region and

displayed to show changes across a

standard week. Low values are shown

in green and higher values in blue.





out’)


This version of the Weekday Overview

displays the data geographically with

each trust’s area coloured according to

its bed selection value.

You can zoom in and out of the

map as required.

Hover over any area on the map to view the

corresponding bed capacity and occupancy data or

click the selected metric to view only the data

chosen (all other data will ‘grey out’). Click the

selected metric again to return to the overall view.

Performance screen

The Performance screen provides a more

detailed breakdown of the data relating to

performance for acute trusts with a type 1 A&E.



Region, Sub Region, Category and Trust.

Ensure that you click Apply once you have

made your choices to activate the filter.

As with the previous tabs, the table on the top left displays current (yesterday’s

data) and past data for performance metrics.

The column on the left shows

the data collected today (the

big number), the difference in percentage

(small number underneath) from the

previous data. A negative value represents

a reduction compared to the previous day.

The middle column displays the metric type.



the selected point to view only the data


The Performance Spread chart contains box and whisker graphs which show the

level of consistency in A&E performance for each trust across the previous six

weeks.

Each dot represents a single day’s performance.


The box and whiskers show the min, max, quartiles and median as

expected.

Dots outside the whiskers indicate outlier

days.

The data can be filtered using

the Change View and

Performance Selection

drop-down menus.

Hover over any point to view the data values,

corresponding date, trust name and region.

Alternatively click the selected metric

point to view only the data chosen

(all other data will ‘grey out’).

The metric representing the data

collected today is identified with a red

square.

Data can also be sorted using

the sort symbol on the left-

hand side of the graph.


One Pager screen

The One Pager screen, as the name suggests,

provides a one-page quick-view oversight of all the

national, regional or provider level figures across

several key metrics.

Select the Region and Period Comparison.

The Period Comparison function follows the

same criteria as the Scorecard section,

allowing you to compare current data with

various time periods.

The screen shows the data collected today

(yesterday’s data) and is updated every 15

minutes.

The column on the left shows the

data collected today (the big

number), the difference (small

left) and percentage difference

(small right) from the previous data. A negative

value represents a reduction compared to the

previous period. The arrow in the middle points

down when there has been a drop.

Sentinel Dashboard

The Sentinel Dashboard provides an

overview of all key performance indicators.



Region and Sub Region.

Continue filtering the data using the

drop-down arrows to select the required

Trust(s) as well as the Category.

Ensure that you click Apply once you

have made you choices to activate the

filter.

The page is split into two sections; Front Door Metrics and Operational Metrics.

The Front Door Metrics section shows the metrics which indicate direct pressure

on A&E departments.

The table outlines performance

across the previous seven days

as well as providing a one-week

and six-week (last 42 days)

average.


Quick tip:

• If you hover above the filter drop-down arrows, two

additional filter options are displayed. Clicking the filter

symbol with the cross on the top right of the container

allows you to reset your filter options by displaying all

data values. The drop-down arrow next to it allows you

to either include or exclude selected values by simply

ticking the required option.


values and reporting period.

Alternatively click the selected

metric point to view only the data

chosen.

The A&E performance & Attendance

volume graph displays performance

against attendances.

The blue line indicates the daily A&E

performance and the standard line

indicates the national standard of 95%.

Hover over any point to view the

data value and corresponding date,

or click the selected point to view

only the data chosen (all other data

will ‘grey out’).


The Arriving by Ambulance & Handover

delays graph displays patients arriving by

ambulance and any handover delays that may

occur.

The blue line displays the number of patients

arriving by ambulance. The red and green

lines show the handover delays of between 30

and 60 minutes and 60+ minutes respectively.

Hover over any point to view the handover

delay data values and corresponding date, or

click the selected data point to view only the

data chosen (all other data will ‘grey out’).

The Patients streamed vs 4 hour wait

breaches graph shows the number of

patients being streamed (in blue) and

those who were not admitted, transferred

or discharged within 4 hours (in red).

Hover over any point to view the data and

corresponding date, or click the selected

data point to view only the data chosen

(all other data will ‘grey out).


The Operational Metrics section displays the data for operational activity.

The table below outlines performance across the previous seven days as well as

providing a one-week and six-week average.

As with the Front Door

Metrics table, hover over

any point to view the data

values and reporting

period.

The Bed occupancy & total beds

available graph displays the total

numbers of general and acute beds open,

with a blue line showing percentage bed

occupancy.


value and corresponding date, or click the

selected data point to view only the data



The Delayed transfers (%) & % of

stranded patients in acute beds graph

displays the beds occupied by stranded

patients (7+ days) coupled with a line

chart for delayed transfers of care.


value and corresponding date, or click the

selected data point to view only the data


The Total emergency admissions &

emergency admissions via A&E graph

displays the total emergency admissions

(grey line) and total emergency

admissions via A&E (blue line).

Hover over any point on either data line to

view the data value and corresponding date,

or click the selected data point to view only

the data chosen (all other data will ‘grey out’).


A&E Daily Performance with Rank

The A&E Daily Performance with Rank screen

displays trust performance over a week coupled

with an associated ranking value.

Use the drop-down menus to

select the Week Commencing

and Region.

The ranking system is based on performance values and will change depending on

the filters applied.

Each performance value is coloured

coded: red indicates the trust is

achieving under 90%, orange between

90% and 95%, and blue over 95%.


The Grand Total values displayed at the top of the table will depend on your level

of access independent of filters (that is, national totals for those with national

access permissions). These totals are essentially used for comparative purposes.

Hover over any value to view the

corresponding date, trust name,

region, A&E performance

percentage and ranking based on

that performance.

Alternatively click the selected data

value to view only the data chosen

(all other data will ‘grey out’).

The Week column on the right displays the average data

values for the week commencing on the selected date. If the

data for the entire week is incomplete, the average will

calculated using the values available.

Daily Activity Report

The Daily Activity Report displays all the

attendance breach data collected daily for your

selected trust or region.




access permissions). These totals are essentially used for comparative purposes.

Use the drop-down

arrows to select the Date,

Region, Sub Region and

Category.

Hover over any data value to view the trust,

region and data value, or click the selected

data point to view only the data chosen (all

other data will ‘grey out’).

Highlighting the metric columns by clicking the

corresponding column heading reveals the data

in that data column.

Columns can be sorted by clicking the

sort button on the metric name; click

once for descending and twice for

ascending; clicking three times will cancel the

sort option.


Daily Performance Report

The Daily Performance Report displays

additional performance metrics data collected

daily for your selected trust or region.



access permissions). These totals are essentially used for comparative purposes

Using the drop-down arrows,

select the Date, Sector Type,

Region, Sub Region and

Category.

Click the selected data point to

view only the data chosen (all

other data will ‘grey out’).


Highlighting the metric columns by clicking the

corresponding column heading reveals the data in

that data column.

These columns can be sorted by clicking

the sort button on the metric name; click

once for descending and twice for

ascending; clicking three times will cancel the sort.

Daily Missing Submission screen

The Daily Missing Submission screen lists all

trusts that have yet to submit data for a selected

day.

Use the drop-down arrows to select

the Week Commencing Date and

Day of the week. The view will default

to the most recent day.

The missing trusts (if any) for your

chosen day/date will be displayed.

1 Region A Hospital N

1 Region A Hospital NHS Trust


Community – Bed Capacity

The Bed Capacity Community Providers

screen provides a detailed breakdown of data

regarding bed capacity and occupancy at

national level for community providers.

Use the drop-down arrows to

select the Region, Sub

Region, Trust and Sector

Type.

The first figure displayed is the data collected today

(yesterday’s data). The smaller numbers provide

comparative information against the larger main

number. This information is updated every 15 minutes.

Hover over the data value to view a more detailed

breakdown of the metric data.


This graph shows the

metric data over the

course of a four-week

period.

Hover over any data value

in any metric line to view

the date and data value, or

click the selected data

point to view only the data

chosen (all other data will

‘grey out’).

Indicator Descriptions screen

The Indicator Descriptions screen provides a

glossary of all the metric indicators used in the

dashboard.


Use the drop-down menu to filter the indicator

names as required; alternatively select all to get

the full list of metric indicator terminology.

Scroll down the page until you have the

information you require.

If you have any queries, please call 0203 747 0100 or email

[email protected] or [email protected]



© NHS Improvement 20188

Contact us:

NHS Improvement

Wellington House

133-155 Waterloo Road

London

SE1 8UG

0300 123 2257

[email protected]

improvement.nhs.uk

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Documents

National A&E Dashboard: User guide - NHS Improvement · Demand screen ... National A&E Dashboard: user guide ... Click the selected metric to view only the specific data chosen (all