GP out-of-hours consultations bulletin: 25 May 2017 week 20

GP OOHSS
GP Out-of-Hours Surveillance System:
England
23 May 2017
In This Issue:
Key Messages.
Weekly summary.
Year: 2017 Week: 20
Key messages
Data to: 22 May 2017
There was nothing new to report during week 20.
Total contacts.
Syndromic indicators.
Notes and caveats.
Further information.
Acknowledgements.
Syndromic indicators
at a glance:
Number of contacts and
percentage of Read
coded contacts.
Key indicator
All OOH contacts, all causes
Acute respiratory infection
Influenza-like illness
Bronchitis/bronchiolitis
Difficulty breathing/wheeze/asthma
Pharyngitis
Gastroenteritis
Diarrhoea
Vomiting
Myocardial infarction
No. of
contacts
168,767
10,539
63
124
1,430
73
3,434
868
1,171
750
%
Week 20
%
Week 19
13.38
0.08
0.16
1.82
0.09
4.36
1.10
1.49
0.95
12.78
0.09
0.15
2.03
0.10
4.37
1.09
1.49
0.97
Trend*
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
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
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*Trend: reports on the trend seen over previous weeks in the percentage of Read coded contacts.
1: Total out-of-hours
contacts:
50,000
40,000
Number of contacts
Daily total number of
out-of-hours and
unscheduled contacts
and 7 day average
(adjusted for bank
holidays).
60,000
30,000
20,000
10,000
0
23/05/16
20/06/16
18/07/16
15/08/16
12/09/16
10/10/16
07/11/16
05/12/16
02/01/17
30/01/17
27/02/17
27/03/17
24/04/17
22/05/17
GP OOHSS
23 May 2017.
Year: 2017 Week: 21
2: Acute Respiratory
Infection daily
contacts.
40
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
30
Percentage of Read coded contacts
35
25
20
15
10
5
0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Acute Respiratory Infection
baseline
4.5
3: Influenza-like illness
daily contacts.
4.0
3.5
Percentage of Read coded contacts
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
7 day average (adjusted for bank holidays)
3.0
2.5
2.0
1.5
1.0
0.5
0.0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Influenza-like illness
baseline
1.2
4: Bronchitis/
bronchiolitis daily
contacts.
1.0
Percentage of Read coded contacts
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
7 day average (adjusted for bank holidays)
0.8
0.6
0.4
0.2
*7-day moving average
adjusted for bank
holidays.
0.0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Bronchitis
7 day average (adjusted for bank holidays)
baseline
Page 2.
GP OOHSS
23 May 2017.
Year: 2017 Week: 21
5: Difficulty breathing/
wheeze/asthma daily
contacts.
5.0
Percentage of Read coded contacts
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
6.0
4.0
3.0
2.0
1.0
0.0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Difficulty Breathing/Wheeze/Asthma
6: Acute pharyngitis
and persistent sore
throat.
0.40
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
0.30
7 day average (adjusted for bank holidays)
baseline
Percentage of Read coded contacts
0.35
0.25
0.20
0.15
0.10
0.05
0.00
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Pharyngitis
12
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
10
Percentage of Read coded contacts
7: Gastroenteritis daily
contacts
7 day average (adjusted for bank holidays)
baseline
8
6
4
2
*7-day moving average
adjusted for bank
holidays.
0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Gastroenteritis
7 day average (adjusted for bank holidays)
baseline
Page 3.
GP OOHSS
23 May 2017.
Year: 2017 Week: 21
16
7a: Gastroenteritis
weekly contacts by
age group.
Percentage of Read coded contacts
14
12
10
8
6
4
2
0
22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17 26/02/17 26/03/17 23/04/17 21/05/17
<1yr
5-14yrs
15-24yrs
25-44yrs
45-64yrs
65-74yrs
>=75yrs
4.0
8: Diarrhoea daily
contacts.
3.5
3.0
Percentage of Read coded contacts
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
1-4yrs
2.5
2.0
1.5
1.0
0.5
0.0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Diarrhoea
7 day average (adjusted for bank holidays)
baseline
4.0
8a: Diarrhoea weekly
contacts by age
group.
Percentage of Read coded contacts
3.5
3.0
2.5
2.0
1.5
1.0
0.5
*7-day moving average
adjusted for bank
holidays.
0.0
22/05/16
19/06/16
<1yr
17/07/16
14/08/16
1-4yrs
11/09/16
5-14yrs
09/10/16
06/11/16
15-24yrs
04/12/16
25-44yrs
01/01/17
29/01/17
45-64yrs
26/02/17
65-74yrs
26/03/17
23/04/17
21/05/17
>=75yrs
Page 4.
GP OOHSS
23 May 2017.
Year: 2017 Week: 21
6
9: Vomiting daily
contacts.
5
Percentage of Read coded contacts
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
4
3
2
1
0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Vomiting
7 day average (adjusted for bank holidays)
baseline
7
9a: Vomiting weekly
contacts by age
group.
Percentage of Read coded contacts
6
5
4
3
2
1
0
22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17 26/02/17 26/03/17 23/04/17 21/05/17
<1yr
5-14yrs
15-24yrs
25-44yrs
45-64yrs
65-74yrs
>=75yrs
3.0
10: Myocardial
Infarction daily
contacts.
2.5
Percentage of Read coded contacts
Shown as a percentage
of the total contacts with
a Read code and as a 7
day average*.
1-4yrs
2.0
1.5
1.0
0.5
*7-day moving average
adjusted for bank
holidays.
0.0
23/05/16 20/06/16 18/07/16 15/08/16 12/09/16 10/10/16 07/11/16 05/12/16 02/01/17 30/01/17 27/02/17 27/03/17 24/04/17 22/05/17
Myocardial Infarction
7 day average (adjusted for bank holidays)
baseline
Page 5.
GP OOHSS
23 May 2017.
Notes and caveats:
Year: 2017 Week: 21
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Further information:
This bulletin presents data from the Public Health England (PHE) GP Out
-of-hours\Unscheduled Care Surveillance System (GP OOHSS).
Fully anonymised data from GP out-of-hours (OOH) and unscheduled
care service providers in England are being transferred to the PHE for
analysis and interpretation by the PHE Real-time Syndromic Surveillance
Team (ReSST).
This system supplements existing PHE syndromic surveillance systems
by monitoring data on general practitioner consultations outside of routine
surgery opening times (evenings, weekends and bank holidays) and
unplanned contacts within NHS primary care.
The key indicators presented within this bulletin are derived by grouping
selected Read coded consultations.
GP OOH consultation data are analysed on a daily basis to identify
national and regional trends. A statistical algorithm underpins each
system, routinely identifying activity that has increased significantly or is
statistically significantly high for the time of year. Results from these daily
analyses are assessed by the ReSST, along with analysis by age group,
and anything deemed of public health importance is alerted by the team.
Baselines represent seasonally expected levels of activity and are
constructed from historical data. Furthermore, they take into account any
known substantial changes in data collection, population coverage or
reporting practices. Baselines are refreshed using the latest data on a
regular basis.
The
GP Out-of-Hours Surveillance System Bulletin can also be
downloaded from the PHE Real-time Syndromic Surveillance website which
also contains more information about syndromic surveillance:
https://www.gov.uk/government/collections/syndromic-surveillance-systems-and-analyses
Acknowledgements:
We are grateful to Advanced Health and Care and the GP out-of-hours and
unscheduled care service providers who have kindly agreed to participate
in this system.
PHE Out-of-Hours/Unscheduled Care Surveillance
Contact ReSST:
syndromic.surveillance
@phe.gov.uk
Produced by: PHE Real-time Syndromic Surveillance Team
6th Floor, 5 St Philip’s Place, Birmingham, B3 2PW
Tel: 0344 225 3560 > Option 4 > Option 2
Fax: 0121 236 2215
Web: https://www.gov.uk/government/collections/syndromic -surveillance-systems-and
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