National A&E Dashboard: User guide

Transcription

1 National A&E Dashboard: User guide February 2018

2 We support providers to give patients safe, high quality, compassionate care within local health systems that are financially sustainable.

3 Contents What is the National A&E Dashboard?... 2 Accessing the dashboard... 2 Dashboard overview... 3 Cover page... 4 Scorecard screen... 5 Demand screen Bed Capacity screen Performance screen One Pager screen Sentinel Dashboard A&E Daily Performance with Rank Daily Activity Report Daily Performance Report Daily Missing Submission screen Community Bed Capacity Indicator Descriptions screen Contents

4 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: 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 but may differ for some providers) and corresponding password. Tick the Remember me box to avoid having to reenter your log-in details in future. Click Sign In. 2 National A&E Dashboard: user guide

5 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 nhsi.nationalaedashboardsupport@nhs.net 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. 3 National A&E Dashboard: user guide

6 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. 4 National A&E Dashboard: user guide

7 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. 5 National A&E Dashboard: user guide

8 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. 6 National A&E Dashboard: user guide

9 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. Click the selected metric to view only the specific data chosen (all other data will be greyed out ). 7 National A&E Dashboard: user guide

10 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. 8 National A&E Dashboard: user guide

11 The types of call responses are colour coded around the outer circle. Click the selected metric to view only the 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. 9 National A&E Dashboard: user guide

12 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 ). 10 National A&E Dashboard: user guide

13 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. 11 National A&E Dashboard: user guide

14 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 ). 12 National A&E Dashboard: user guide

15 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. 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 ). 13 National A&E Dashboard: user guide

16 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 data will grey out ). 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). 14 National A&E Dashboard: user guide

17 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 data will grey out ). 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). 15 National A&E Dashboard: user guide

18 Use the drop-down arrows to select the 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 ). 16 National A&E Dashboard: user guide

19 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. 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 ) 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. 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 ) 17 National A&E Dashboard: user guide

20 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. 18 National A&E Dashboard: user guide

21 Use the drop-down arrows to select the 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. 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 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. 19 National A&E Dashboard: user guide

22 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 lefthand side of the graph. 20 National A&E Dashboard: user guide

23 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. 21 National A&E Dashboard: user guide

24 Use the drop-down arrows to select the 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. 22 National A&E Dashboard: user guide

25 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. Hover over any point to view the data 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 ). 23 National A&E Dashboard: user guide

26 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). 24 National A&E Dashboard: user guide

27 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. Hover over any point 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 ). 25 National A&E Dashboard: user guide

28 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. Hover over any point 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 ). 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 ). 26 National A&E Dashboard: user guide

29 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%. 27 National A&E Dashboard: user guide

30 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. 28 National A&E Dashboard: user guide

31 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. 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. 29 National A&E Dashboard: user guide

32 Daily Performance Report The Daily Performance Report displays additional performance metrics data collected daily for your selected trust or region. 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 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 ). 30 National A&E Dashboard: user guide

33 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. 1 Region A Hospital NHS Trust 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. 1 Region A Hospital N The missing trusts (if any) for your chosen day/date will be displayed. 31 National A&E Dashboard: user guide

34 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. 32 National A&E Dashboard: user guide

35 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. 33 National A&E Dashboard: user guide

36 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 or or 34 National A&E Dashboard: user guide

37 Contact us: NHS Improvement Wellington House Waterloo Road London SE1 8UG improvement.nhs.uk Follow us on This publication can be made available in a number of other formats on request. NHS Improvement 20188