This report shows monthly numbers of NHS Hospital and Community Health Services (HCHS) staff working in NHS Trusts and other core organisations in England (excluding primary care staff). Data are available as headcount and full-time equivalents and for all months from 30 September 2009 onwards. These data are a summary of the validated data extracted from the NHS HR and Payroll system. Additional statistics on staff in NHS Trusts and other core organisations and information for NHS Support Organisations and Central Bodies are published each: September (showing June statistics) December/January (showing September statistics) March (showing December statistics) June (showing March statistics) Quarterly NHS Staff Earnings, monthly NHS Staff Sickness Absence reports, and data relating to the General Practice workforce and the Independent Healthcare Provider workforce are also available via the Related Links below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678.

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Publication changes: Please read the section on 'Notes on changes to publications' within the PDF report as this highlights changes to data currently published and potentially future reports. This report shows monthly numbers of NHS Hospital and Community Health Service (HCHS) staff groups working in Trusts and CCGs in England (excluding primary care staff). Data is available as headcount and full-time equivalents. This data is an accurate summary of the validated data extracted from the NHS's HR and Payroll system. In addition to the regular monthly reports there are a series of quarterly reports which include statistics on staff in Trusts and CCGs and information for NHS Support Organisations and Central Bodies. The quarterly analysis is published each September (June data), December (September data), March (December data) and June (March data). Additional healthcare workforce data relating to GPs and the Independent Healthcare Provider workforce are also available via the Related Links below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678

This publication reports on Admitted Patient Care activity in England for the financial year 2024-25 This report includes but is not limited to analysis of hospital episodes by patient demographics, diagnoses, external causes/injuries, operations, bed days, admission method, time waited, specialty, provider level analysis and Adult Critical Care (ACC). It describes NHS Admitted Patient Care Activity, Adult Critical Care activity and performance in hospitals in England. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care and may also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England. The data source for this publication is Hospital Episode Statistics (HES). It contains final data and replaces the provisional data that are released each month. HES contains records of all admissions, appointments and attendances at NHS-commissioned hospital services in England. The HES data used in this publication are called 'Finished Consultant Episodes', and each episode relates to a period of care for a patient under a single consultant at a single hospital. Therefore, this report counts the number of episodes of care for admitted patients rather than the number of patients. This publication shows the number of episodes during the period, with breakdowns including by patient's age, gender, diagnosis, procedure involved and by provider. Please send queries or feedback via email to enquiries@nhsdigital.nhs.uk. Author: Secondary Care Open Data and Publications, NHS England. Lead Analyst: Karl Eichler

This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2017-18, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2018. Data is included from both the Hospital Episodes Statistics (HES) data warehouse and the Maternity Services Data Set (MSDS). HES contains records of all admissions, appointments and attendances for patients admitted to NHS hospitals in England. The HES data used in this publication are called 'delivery episodes'. The MSDS collects records of each stage of the maternity service care pathway in NHS-funded maternity services, and includes information not recorded in HES. The MSDS is a maturing, national-level dataset. As the number of deliveries recorded in the MSDS is only 78 per cent of the number of deliveries recorded in HES, the partial coverage of the MSDS both geographically and over time means that figures from the MSDS should not be interpreted as England level figures for 2017-18. This publication shows the number of HES delivery episodes during the period, with a number of breakdowns including by method of onset of labour, delivery method and place of delivery. It also shows the number of MSDS deliveries recorded during the period, with breakdowns including the baby's first feed type and the smoking status of women in early pregnancy. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This document will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England.

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Update 2 March 2023: Following the merger of NHS Digital and NHS England on 1st February 2023 we are reviewing the future presentation of the NHS Outcomes Framework indicators. As part of this review, the annual publication which was due to be released in March 2023 has been delayed. Further announcements about this dataset will be made on this page in due course. This indicator measures the weighted percentage of people who report their experience of making a GP appointment as ‘fairly good’ or ‘very good’. This indicator aims to capture the experience of patients of accessing GP services. Some different patterns have been observed in the 2020/21 GP Patient Survey (GPPS) data which are likely to have been impacted by the coronavirus (COVID-19) pandemic. Statistics from this period should also be interpreted with care. Legacy unique identifier: P01781

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The aim of the publication is to inform users about activity and usage of GP appointments historically and how primary care is impacted by seasonal pressures, such as winter. NHS England publishes this information to support winter preparedness and provide information about some activity within primary care. The publication covers historic appointments, marked as attended or did not attend, from national to practice level coverage. The aim is to inform users, who range from a healthcare professional to an inquiring citizen, about appointments within primary care. The publication includes data from participating practices and Primary Care Networks (PCNs) using EMIS, TPP, Eva Health formerly known as Microtest (up until February 2021), Informatica (up until November 2024), Cegedim (previously Vision), Babylon (up until December 2024) and Evergreen Life GP systems. NHS England produce this information monthly, containing information about the most recent month and previous months. The publication includes important information, however it does not show the totality of GP activity/workload. The data presented only contains information which was captured on the GP practice and PCN appointment systems. This limits the activity reported on and does not represent all work happening within a primary care setting or assess the complexity of activity. No patient identifiable information has been collected or is included in this release. Between December 2020 and present the data contained in this publication will no longer contain covid-19 vaccination activity collected from GP System Suppliers as part of the General Practice Appointments Data. These appointments have been removed using the methodology outlined in the supporting information. In order to gain a more complete picture of general practice activity we will publish covid-19 vaccination activity carried out by PCN’s or GP Practice’s from the NIMS (National Immunisation Management Service) vaccination dataset. This publication now includes statistics on the duration of appointments, SDS role and the recorded national category, service setting and context type of the appointment. Both HCP Type and SDS role are currently presented for comparison purposes, but moving forward the intention is to only publish SDS Role Groups and remove HCP Type. Further information can be found in the supporting guidance below. Appointments recorded in Primary Care Network (PCN) appointment systems are included within this publication at national level from June 2023.

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The General Practice Workforce series of Official Statistics presents a snapshot of the primary care general practice workforce. A snapshot statistic relates to the situation at a specific date, which for these workforce statistics is now the last calendar day each month. This monthly snapshot reflects the general practice workforce at 30 April 2024. These statistics present full-time equivalent (FTE) and headcount figures by four staff groups, (GPs, Nurses, Direct Patient Care (DPC) and administrative staff), with breakdowns of individual job roles within these high-level groups. For the purposes of NHS workforce statistics, we define full-time working to be 37.5 hours per week. Full-time equivalent is a standardised measure of the workload of an employed person. Using FTE, we can convert part-time and additional working hours into an equivalent number of full-time staff. For example, an individual working 37.5 hours would be classed as 1.0 FTE while a colleague working 30 hours would be 0.8 FTE. The term “headcount” relates to distinct individuals, and as the same person may hold more than one role, care should be taken when interpreting headcount figures. Please refer to the Using this Publication section for information and guidance about the contents of this publication and how it can and cannot be used. England-level time series figures for all job roles are available in the Excel bulletin tables back to September 2015 when this series of Official Statistics began. The Excel file also includes Sub-ICB Location-level FTE and headcount breakdowns for the current reporting period. CSVs containing practice-level summaries and Sub-ICB Location-level counts of individuals are also available. Please refer to the Publication content, analysis, and release schedule in the Using this publication section for more details of what’s available. We are continually working to improve our publications to ensure their contents are as useful and relevant as possible for our users. We welcome feedback from all users to PrimaryCareWorkforce@nhs.net.

The NHS Outcomes Framework (NHS OF) is a set of indicators developed by the Department of Health and Social Care to monitor the health outcomes of adults and children in England. The framework provides an overview of how the NHS is performing. This report provides information about the indicators updated in this release. Following the merger of NHS Digital and NHS England on 1st February 2023 we are reviewing the future presentation of the NHS Outcomes Framework indicators. As part of this review, the annual publication which was due to be released in March 2023 has been delayed. Further announcements about this dataset will be made on the publication page in due course.

This is a publication on Accident and Emergency (A&E) activity in English NHS hospitals and English NHS-commissioned activity in the independent sector. This annual publication covers the financial year ending March 2019. It contains final data and replaces the provisional data that are published each month. This is a joint publication between NHS Digital and NHS England. This collaboration enables data to be brought together from two different sources enabling inclusion of a wider set of breakdowns and measures and a more complete picture to be presented. The data sources for this publication are Hospital Episode Statistics (HES) and A&E Attendances and Emergency Admissions Monthly Situation Reports (MSitAE). This publication releases some high level analyses of both HES and MSitAE data relating to A&E attendances in NHS hospitals, minor injury units and walk-in centres. It includes analysis by patient demographics, time spent in A&E, distributions by time of arrival and day of week, arriving by ambulance, performance times, waits for admission and re-attendances to A&E within 7 days. The following additional analyses are also included in this report: • Comparison of 4 hour and 12 hour waits between the four home nations, England, Scotland, Northern Ireland and Wales • A&E attendances by Index of Multiple Deprivation (IMD) • A&E attendances by ethnicity Additional exploratory analyses have also been included as part of this release that seek to review reported data quality to inform future uses of the data.

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