Tougher A&E waiting target dropped

The Scottish government has abandoned plans to reintroduce a tougher waiting time target for A&E departments, BBC Scotland can reveal.

Currently, emergency departments have to treat 95% of patients within four hours - a target never met.

This was a temporary target that was supposed to rise to 98% last September, however, it will now remain in place.

A Scottish government spokesman said that attaining the four-hour waiting time target was a "priority".

When the temporary target was meant to end, the tougher target to treat 98% of patients within four hours was to be reintroduced.

However, due to the poor performance of Scottish Accident and Emergency departments, the lower target will remain.

Second change

The performance of emergency departments has not improved since the "interim target" was introduced in April 2013.

The easier target has never been met and the tougher target was last achieved in 2009.

However, in future, emergency departments can claim to have hit the easier target even if one in 20 (an estimated 82,500 people) wait longer than four hours.

Confusion arose over the issue this week when statisticians from the Information Services Division (ISD) of the NHS sought urgent clarification from the Scottish government.

ISD monitors the performance of the NHS and produces statistical summaries. It has continued to document the performance of the NHS against both the 95% and 98% targets.

The latest waiting times, covering the last three months of 2014, are due out on Tuesday. They are not expected to show much improvement.

This is the second time the Scottish government has quietly made changes to the way it measures waiting times.

It was criticised in 2013 for the way the 95% target was introduced, which was done without any public announcement.

Government targets

At the time, the government insisted the 98% target had become a "standard" and the 95% figure was a "stepped target" to help boards meet the standard.

However, the lower 95% target brought Scotland into line with the rest of the UK, which measures performance to the same level.

Last month, the Scottish government announced £100m would be invested over three years to help reduce "bed blocking" - people unnecessarily stuck in a hospital bed because care arrangements were not in place elsewhere.

A Scottish government spokesman said: "The Scottish government and NHS boards are absolutely clear that four-hour A&E performance is a priority and that those boards performing below 95% first need to get to 95% sustainably, and then to make plans to strive to 98%.

"The local delivery plan (LDP) for 2015-16 sets out that the A&E four-hour LDP standard follows clinical advice to sustain at least 95% of A&E patients being treated within four hours, as a step towards achieving 98%, which is amongst the toughest A&E standard anywhere in the world.

"We are making the transition from HEAT targets and standards to LDP standards so as to simplify the terminology in use."

Tougher A&E waiting target dropped

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