Venous thromboembolism (VTE) risk assessment data: Q4 2018/19

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The VTE risk assessment data collection is used to inform a national quality requirement in the NHS Standard Contract for 2018/19, which sets a threshold rate of 95% of adult inpatients undergoing risk assessments each month.

Our official statistics for VTE risk assessment in England for quarter 4 (Q4) 2018/19 (January to March 2019) were released on 4 June 2019 according to the arrangements approved by the UK Statistics Authority. From April 2017 we took on responsibility as the publisher of official statistics for VTE from NHS England.

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Summary of the data collection

The key results for the data collected on the number and percentage of VTE risk assessments on adult inpatients admitted to NHS-funded acute care (NHS trusts, NHS foundation trusts and independent sector providers) in Q4 2018/19 are:

  1. England continues to achieve the 95% NHS Standard Contract threshold. Of the 3.9 million admitted adult inpatients for whom data was reported in this collection, 3.7 million (96%) were risk assessed for VTE on admission.
  2. Looking back, the proportion of adult inpatients risk assessed for VTE steadily increased from 53% in Q2 2010/11 to 96% in Q2 2013/14 and then remained at 96% until Q2 2015/16, dropping in Q3 2015/16 to 95%. From Q4 2015/16 to Q4 2016/17 the percentage was stable at 96%. The results for Q1 to Q4 2017/18 showed a decrease of 1% with 95% of patients being risk assessed for VTE. In Q1 2018/19 this increased to 96% but decreased again in Q2 2018/19 to 95%.  In Q3 2018/19 the performance increased to 96% and remained at 96% in Q4.
  3. In Q4 2018/19, the percentage of admitted adult inpatients risk assessed for VTE was 96% for NHS acute care providers and 98% for independent sector providers. NHS acute care providers carried out about 97% of all VTE risk assessments. 
  4. All regions (North, Midlands and East, London, South East and South West) achieved the 95% NHS Standard Contract threshold in Q4 2018/19 (see Table 2).
  5. In Q4 2018/19, 83% of providers (252 of the 302 providers) carried out a VTE risk assessment for 95% or more of their admissions (the NHS Standard Contract threshold). This breaks down as 77% of NHS acute providers (115 of 149) and 90% of independent sector providers (137 of 153).
  6. Of the 50 providers (17%) that did not achieve the 95% NHS Standard Contract threshold in Q4 2018/19, 76% (38 of 50) did risk assess between 90% and 95% of total admissions for VTE. 

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