The distance between several secondary sector service targets and the service initial positions in March 2003-04 is moderately correlated to the age/needs index: the primary care trust health economies with low age/needs had modestly further to travel to achieve the targets. However, numerous parts of the country with low age/needs did not have far to travel in meeting these targets. The correlation is not a perfect one (with correlation co-efficients ranging from -0.28 in the case of distance to the accident and emergency four hour wait and age/needs to -0.13 in the case of distance to the out-patient booking targets and age/needs). The reasons behind the relationship are complex.
Secondary sector under-performance in low age/needs areas is likely to have existed for some time prior to March 2003-04. By raising the quality of care to uniform national standards, the Government have significantly improved the services provided to patients in these areas.
The age and need indices, and the interactions between them, are currently being reviewed by independent academic researchers under the auspices of the Advisory Committee on Resource Allocation. A new age and need adjustment for weighted capitation may emerge from this research for resource allocation in 2008-09.
The information requested can be found in the following table.
Median waiting time (weeks) month end March 1992 March 1997 Organisation code Organisation In-patient admission ordinary In-patient admission daycase Out-patient appointment In-patient admission ordinary In-patient admission daycase Out-patient appointment RA1 Epsom Healthcare NHS Trust 8.4 7.8 n/a 16.6 10.7 3.3 RAK Royal London Hospital and Associated Community Services NHS Trust 12.3 8.5 n/a n/a n/a n/a RAX Kingston Hospital NHS Trust 14.2 10.4 n/a 20.6 12.3 4.6 RAZ St. Helier NHS Trust 15.3 10.8 n/a 17.2 9.6 3.6 RAV The Guy’s and Lewisham NHS Trust 15.3 10.9 n/a n/a n/a n/a RAP North Middlesex Hospital NHS Trust 15.6 9.9 n/a 25.0 11.8 7.5 RAL Royal Free Hampstead NHS Trust 17.5 16.1 n/a 15.2 9.8 5.8 RAN Royal National Orthopaedic Hospital NHS Trust London) 18.2 12.6 n/a 11.6 9.2 12.3 RAU Central Middlesex Hospital NHS Trust 23.6 8.3 n/a 17.8 9.1 6.7 RAR Mount Vernon Hospital NHS Trust 25.2 23.7 n/a n/a n/a n/a RAS Hillingdon Hospital NHS Trust 25.2 8.6 n/a 19.4 9.4 7.2 RC3 Ealing Hospital NHS Trust n/a n/a n/a 19.6 11.8 6.1 RF4 Barking, Havering and Redbridge Hospitals NHS Trust n/a n/a n/a n/a n/a n/a RFW West Middlesex University Hospital NHS Trust n/a n/a n/a 21.2 11.5 7.3 RG2 Queen Elizabeth Hospital NHS Trust n/a n/a n/a 16.4 9.7 5.9 RG3 Bromley Hospitals NHS Trust n/a n/a n/a 19.6 13.3 8.1 RGC Whipps Cross University Hospital NHS Trust n/a n/a n/a n/a n/a n/a RGZ Queen Mary’s Sidcup NHS Trust n/a n/a n/a 22.5 10.9 8.4 R31 Guy’s and St. Thomas’ NHS Foundation Trust n/a n/a n/a 19.3 15.7 7.2 R32 Lewisham Hospital NHS Trust n/a n/a n/a 13.6 11.7 6.9 RJ5 St. Mary’s NHS Trust n/a n/a n/a 19.5 10.6 6.9 R36 Mayday Healthcare NHS Trust n/a n/a n/a 23.9 12.5 4.2 RJ7 St. George’s Healthcare NHS Trust n/a n/a n/a 16.3 10.2 5.0 RJZ King’s College Hospital NHS Trust n/a n/a n/a 19.4 20.4 5.9 RKE Whittington Hospital NHS Trust n/a n/a n/a 19.9 9.2 5.0 RKL West London Mental Health NHS Trust n/a n/a n/a n/a n/a n/a RNH Newham Healthcare NHS Trust n/a n/a n/a 13.1 8.9 7.1 RNJ Barts and the London NHS Trust n/a n/a n/a 17.5 10.4 7.5 RNK Tavistock and Portman NHS Foundation Trust n/a n/a n/a n/a n/a 9.1 RP4 Great Ormond Street Hospital for Children NHS Trust n/a n/a n/a 11.0 9.0 4.8 RP6 Moorfields Eye Hospital NHS Foundation Trust n/a n/a n/a 13.2 12.5 8.5 RPY Royal Marsden NHS Foundation Trust n/a n/a n/a n/a n/a 2.6 ROM Chelsea and Westminster Hospital NHS Foundation Trust n/a n/a n/a 9.8 8.5 3.8 RON Hammersmith Hospitals NHS Trust n/a n/a n/a 23.9 21.9 4.5 ROX Homerton University Hospital NHS Foundation Trust n/a n/a n/a 9.4 8.1 4.5 ROY SW London and St. George’s NHS Trust n/a n/a n/a n/a n/a 3.2 RRV University College London NHS Foundation Trust n/a n/a n/a 14.5 11.3 5.1 RT3 Royal Brompton and Harefield NHS Trust n/a n/a n/a n/a n/a n/a RV3 Central and North West London Mental Health NHS Trust n/a n/a n/a n/a n/a n/a RV8 North West London Hospitals NHS Trust n/a n/a n/a n/a n/a n/a RVL Barnet and Chase Farm Hospitals NHS Trust n/a n/a n/a n/a n/a n/a RVR Epsom and St. Helier NHS Trust n/a n/a n/a n/a n/a n/a RWK East London and The City Mental Health NHS Trust n/a n/a n/a n/a n/a n/a RC5 Harefield Hospital NHS Trust n/a n/a n/a 10.1 10.4 3.9 RDC Wellhouse NHS Trust n/a n/a n/a 21.2 11.3 6.5 RDF Forest Healthcare NHS Trust n/a n/a n/a 22.5 17.5 9.3 RFZ Northwick Park and St. Mark’s NHS Trust n/a n/a n/a 17.5 11.6 6.8 RG4 Redbridge Health Care NHS Trust n/a n/a n/a 22.5 20.1 3.9 RG7 Havering Hospitals NHS Trust n/a n/a n/a 15.8 10.4 7.6 RG9 Chase Farm Hospitals NHS Trust n/a n/a n/a 21.9 16.8 7.0 RHG Richmond Twickenham and Roehampton Healthcare NHS Trust n/a n/a n/a 21.2 10.7 3.2 RPX Royal Brompton Hospital NHS Trust n/a n/a n/a 13.6 14.2 2.0 R09 Bethlem and Maudsley NHS Trust n/a n/a n/a 13.8 n/a 3.7 RV5 South London and Maudsley NHS Foundation Trust n/a n/a n/a n/a n/a n/a
March 2001 March 2005 Organisation code Organisation In-patient admission ordinary In-patient admission daycase Out-patient appointment In-patient admission ordinary In-patient admission daycase Out-patient appointment RA1 Epsom Healthcare NHS Trust n/a n/a n/a n/a n/a n/a RAK Royal London Hospital and Associated Community Services NHS Trust n/a n/a n/a n/a n/a n/a RAX Kingston Hospital NHS Trust 17.1 12.4 6.1 9.7 8.2 6.6 RAZ St. Helier NHS Trust n/a n/a n/a n/a n/a n/a RAV The Guy’s and Lewisham NHS Trust n/a n/a n/a n/a n/a n/a RAP North Middlesex Hospital NHS Trust 18.7 19.0 11.9 10.7 7.8 7.7 RAL Royal Free Hampstead NHS Trust 18.3 10.8 8.0 9.1 8.1 7.8 RAN Royal National Orthopaedic Hospital NHS Trust London) 12.4 10.8 9.8 13.4 10.1 11.8 RAU Central Middlesex Hospital NHS Trust n/a n/a n/a n/a n/a n/a RAR Mount Vernon Hospital NHS Trust n/a n/a n/a n/a n/a n/a RAS Hillingdon Hospital NHS Trust 12.2 8.3 8.8 10.1 6.6 7.4 RC3 Ealing Hospital NHS Trust 16.4 11.2 7.3 10.2 8.0 8.8 RF4 Barking, Havering and Redbridge Hospitals NHS Trust n/a n/a n/a 12.4 8.6 9.0 RFW West Middlesex University Hospital NHS Trust 26.5 9.8 5.0 13.1 7.9 6.1 RG2 Queen Elizabeth Hospital NHS Trust 15.8 9.7 7.2 11.7 6.4 5.8 RG3 Bromley Hospitals NHS Trust 18.3 17.3 6.3 12.0 8.4 7.1 RGC Whipps Cross University Hospital NHS Trust n/a n/a n/a 11.7 10.4 8.4 RGZ Queen Mary’s Sidcup NHS Trust 24.7 14.3 9.1 11.0 9.6 8.0 R31 Guy’s and St. Thomas’ NHS Foundation Trust 19.7 16.6 10.5 10.1 7.4 8.4 R32 Lewisham Hospital NHS Trust 21.8 9.3 7.3 7.9 8.7 7.6 RJ5 St. Mary’s NHS Trust 13.7 9.1 7.5 8.3 6.6 7.9 R36 Mayday Healthcare NHS Trust 26.4 11.7 7.0 9.3 7.8 7.7 RJ7 St. George’s Healthcare NHS Trust 18.2 9.5 7.7 10.6 7.4 6.5 RJZ King’s College Hospital NHS Trust 18.0 10.8 6.2 9.3 6.4 6.8 RKE Whittington Hospital NHS Trust 11.4 9.0 5.7 7.0 5.5 6.4 RKL West London Mental Health NHS Trust n/a n/a n/a n/a n/a 6.3 RNH Newham Healthcare NHS Trust 15.1 9.3 7.6 9.9 6.6 6.9 RNJ Barts and the London NHS Trust 18.2 10.5 9.9 8.0 5.6 8.9 RNK Tavistock and Portman NHS Foundation Trust n/a n/a 8.5 n/a n/a 7.5 RP4 Great Ormond Street Hospital for Children NHS Trust 12.5 10.9 9.0 7.5 6.7 5.9 RP6 Moorfields Eye Hospital NHS Foundation Trust 9.0 12.5 6.0 5.2 6.0 11.4 RPY Royal Marsden NHS Foundation Trust n/a n/a 2.4 3.4 n/a 2.4 ROM Chelsea and Westminster Hospital NHS Foundation Trust 11.9 10.5 5.9 9.2 9.0 5.7 RON Hammersmith Hospitals NHS Trust 12.5 8.3 3.6 9.9 8.3 7.4 ROX Homerton University Hospital NHS Foundation Trust 7.8 7.4 6.6 4.0 3.9 4.4 ROY SW London and St. George’s NHS Trust n/a n/a 3.4 n/a n/a 3.2 RRV University College London NHS Foundation Trust 11.9 8.4 6.9 8.6 7.2 6.5 RT3 Royal Brompton and Harefield NHS Trust 18.0 16.6 4.5 6.4 8.0 3.9 RV3 Central and North West London Mental Health NHS Trust n/a n/a 5.9 n/a n/a 4.8 RV8 North West London Hospitals NHS Trust 18.2 11.0 7.0 11.8 9.8 9.4 RVL Barnet and Chase Farm Hospitals NHS Trust 20.4 11.1 8.6 13.7 11.6 8.3 RVR Epsom and St. Helier NHS Trust 18.8 11.6 6.6 12.6 6. 7.7 RWK East London and The City Mental Health NHS Trust n/a n/a 5.1 n/a n/a 7.0 RC5 Harefield Hospital NHS Trust n/a n/a n/a n/a n/a n/a RDC Wellhouse NHS Trust n/a n/a n/a n/a n/a n/a RDF Forest Healthcare NHS Trust 22.3 17.8 10.3 n/a n/a n/a RFZ Northwick Park and St. Mark’s NHS Trust n/a n/a n/a n/a n/a n/a RG4 Redbridge Health Care NHS Trust 20.3 15.7 7.4 n/a n/a n/a RG7 Havering Hospitals NHS Trust 17.8 11.5 9.4 n/a n/a n/a RG9 Chase Farm Hospitals NHS Trust n/a n/a n/a n/a n/a n/a RHG Richmond Twickenham and Roehampton Healthcare NHS Trust n/a n/a n/a n/a n/a n/a RPX Royal Brompton Hospital NHS Trust n/a n/a n/a n/a n/a n/a R09 Bethlem and Maudsley NHS Trust n/a n/a n/a n/a n/a n/a RV5 South London and Maudsley NHS Foundation Trust 9.5 n/a 3.3 n/a n/a n/a
Median waiting time (weeks) month endDecember 2006Organisation codeOrganisationIn-patient admission ordinaryIn-patient admission daycaseOut-patient appointmentRA1Epsom Healthcare NHS Trustn/an/an/aRAKRoyal London Hospital and Associated Community Services NHS Trustn/an/an/aRAXKingston Hospital NHS Trust6.88.74.7RAZSt. Helier NHS Trustn/an/an/aRAVThe Guy’s and Lewisham NHS Trustn/an/an/a RAPNorth Middlesex Hospital NHS Trust10.710.65.6 RALRoyal Free Hampstead NHS Trust8.66.95.8RANRoyal National Orthopaedic Hospital NHS Trust London)8.48.58.7RAUCentral Middlesex Hospital NHS Trustn/an/an/aRARMount Vernon Hospital NHS Trustn/an/an/aRASHillingdon Hospital NHS Trust8.05.55.1RC3Ealing Hospital NHS Trust8.47.55.2RF4Barking, Havering and Redbridge Hospitals NHS Trust11.39.27.7RFWWest Middlesex University Hospital NHS Trust7.06.06.0RG2Queen Elizabeth Hospital NHS Trust12.06.76.6RG3Bromley Hospitals NHS Trust10.67.85.3RGCWhipps Cross University Hospital NHS Trust9.38.66.9RGZQueen Mary’s Sidcup NHS Trust10.58.54.0R31Guy’s and St. Thomas’ NHS Foundation Trust8.56.98.1R32Lewisham Hospital NHS Trust9.48.76.8RJ5St Mary’s NHS Trust15.515.85.8R36Mayday Healthcare NHS Trust6.76.56.2RJ7St. George’s Healthcare NHS Trust8.36.44.8RJZKing’s College Hospital NHS Trust8.37.34.6RKEWhittington Hospital NHS Trust9.07.04.6RKLWest London Mental Health NHS Trustn/an/a4.6RNHNewham Healthcare NHS Trust10.29.34.4RNJBarts and the London NHS Trust8.57.08.0RNKTavistock and Portman NHS Foundation Trustn/an/a7.2RP4Great Ormond Street Hospital for Children NHS Trust7.86.94.7RP6Moorfields Eye Hospital NHS Foundation Trustn/a7.78.9RPYRoyal Marsden NHS Foundation Trust2.6n/a2.0ROMChelsea and Westminster Hospital NHS Foundation Trust9.28.76.0RONHammersmith Hospitals NHS Trust7.98.14.9ROXHomerton University Hospital NHS Foundation Trust7.35.74.5ROYSW London and St. George’s NHS Trustn/an/a2.6RRVUniversity College London NHS Foundation Trust8.97.34.9RT3Royal Brompton and Harefield NHS Trust7.15.64.
The information requested is not held centrally. The Department has not collected information on waits of over 26 weeks for out-patients since March 2004, as the current target is only 13 weeks. However, the following table shows how many patients waited over 26 weeks for out-patient admission in each London primary care trust (PCT) from 2002 to 2004.
Number waiting over 26 weeks, month end: Organisation June 2002 September 2002 December 2002 March 2003 June 2003 September 2003 December 2003 March 2004 Havering PCT 11 0 0 0 0 0 0 0 Kingston PCT 0 0 0 0 0 0 0 0 Bromley PCT 0 0 0 0 0 0 0 0 Greenwich PCT 0 0 0 0 1 0 0 0 Barnet PCT 1 0 0 0 0 0 0 0 Hillingdon PCT 0 0 0 0 0 0 0 0 Bexley PCT 0 0 0 0 0 0 0 0 Enfield PCT 5 0 0 0 0 0 0 0 Barking and Dagenham PCT 9 0 0 0 0 0 0 0 City and Hackney PCT 19 0 0 0 0 0 0 0 Tower Hamlets PCT 24 0 2 0 0 0 0 0 Newham PCT 70 0 1 0 0 0 0 0 Haringey PCT 3 0 0 0 0 0 0 0 Hammersmith and Fulham PCT 0 0 0 0 0 0 0 0 Ealing PCT 25 6 0 0 0 0 0 0 Hounslow PCT 0 19 0 0 0 0 0 0 Brent PCT 0 0 0 0 0 0 0 0 Harrow PCT 0 0 0 0 0 0 0 0 Camden PCT 0 0 0 0 0 0 0 0 Islington PCT 0 0 0 0 0 0 0 0 Croydon PCT 0 0 0 0 0 0 0 0 Kensington and Chelsea PCT 0 0 0 0 0 0 0 0 Westminster PCT 0 2 0 0 0 0 0 0 Lambeth PCT 1 0 0 0 0 0 0 0 Southwark PCT 0 0 0 0 0 0 0 0 Lewisham PCT 0 0 0 0 0 0 0 0 Wandsworth PCT 0 4 0 0 0 1 0 0 Richmond and Twickenham PCT 0 0 0 0 0 0 0 0 Sutton and Merton PCT 0 0 0 0 0 0 0 0 Walthamstow, Leyton and Leytonstone PC 30 0 0 0 n/a n/a n/a n/a Chingford, Wanstead and Woodford PCT 39 0 0 0 n/a n/a n/a n/a Redbridge PCT 36 0 0 0 n/a n/a n/a n/a Redbridge PCT (new) n/a n/a n/a n/a 0 0 0 0 Waltham Forest PCT n/a n/a n/a n/a 0 0 0 0 Note: In the financial year 2003-04 Chingford, Wanstead and Woodford PCT divided, part joined Redbridge PCT, which kept its name (and is differentiated from the old PCT using the name Redbridge PCT (new)). The other part joined Walthamstow, Leyton and Leytonshire PCT to become Waltham Forest PCT. Source: Department of Health, QMO8r