The rate of attendance at A&E tends to decrease with age. Over the two-year period 2013/14 to 2014/15, there were 22,465 A&E attendances at Homerton University Hospital NHS Foundation Trust (HUHFT) in Hackney and City residents aged four and under. This equates to approximately 1.1 visits per child per year. Data were not available for older children at the time of writing.

There is a clear seasonal pattern in A&E attendances by children aged four years and under, with a peak in November/December, and a trough in August (Figure 1). Comparable data for all ages at HUHFT is not available at this time, but nationally the same pattern is not seen for all ages. 4

Figure 1: Number of visits to HUHFT A&E by 0-4 year olds each month (2013/14-2014/15)

Figure 1: Number of visits to HUHFT A&E by 0-4 year olds each month (2013/14-2014/15)

Source: Homerton University Hospital NHS Foundation Trust (HUHFT)

Across children and young people of all ages, two common groups of presentations to A&E are injuries (including both unintentional and deliberate injuries) and lower respiratory tract infections. Unintentional injuries are the major cause of morbidity and premature mortality for children and young people. 5

Children, young people and young adults are most likely to present to A&E for self-treatable conditions (STCs) nationally. In total, over one quarter of all emergency presentations for those aged 6-20 years are for STCs, peaking in those aged 11-15 in whom one third of presentations are for STCs. The most common STC in young people presenting to A&E is sprains – comprising 40% of STCs in those aged 6-20 years, and 65% of STCs in those aged 11-15. 6

References

  1. NHS England, “A&E Attendance and Emergency Admissions,” [Online]. Available: https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/. [Accessed 3 November 2016].
  2. Public Health England, “Early Years High Impact Area 5 – Managing minor illness and reducing accidents (reducing hospital attendance / admissions),” [Online]. Available: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/413133/2902452_Early_Years_Impact_5_V0_1W.pdf. [Accessed July 2016]
  3. “Presentation of self treatable conditions (STCs) in A&E units in England,” Study carried out by IMS Health for PAGB (Proprietary Association of Great Britain), 2015.
  4. NHS England, “A&E Attendance and Emergency Admissions,” [Online]. Available: https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/. [Accessed 3 November 2016].
  5. Public Health England, “Early Years High Impact Area 5 – Managing minor illness and reducing accidents (reducing hospital attendance / admissions),” [Online]. Available: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/413133/2902452_Early_Years_Impact_5_V0_1W.pdf. [Accessed July 2016]
  6. “Presentation of self treatable conditions (STCs) in A&E units in England,” Study carried out by IMS Health for PAGB (Proprietary Association of Great Britain), 2015.