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Today, NHS England and NHS Digital published the latest data on key activity and performance measures for October and November, as well as Urgent & Emergency Care SitReps for the first week of December. We’ve analysed the data – find out more here: https://www.nuffieldtrust.org.uk/news-item/nhs-performance-summary-october-november-2020 
In November, total A&E attendances fell to just under 1.5 million – 31% lower than in November 2019. Around 1 million attendances were to major (type 1) A&E departments.
There were just under 1.6 million calls made to #NHS 111 in November. For the past three consecutive months, there have been more calls made to NHS 111 than A&E attendances.
In Week 49 of 2020 (commencing 30th November), 9,956 ambulances experienced a handover delay of over 30 mins – a third lower than the same week in 2019. 
There was an average of 88,947 general & acute beds open each day in Week 49 of 2020 – 8% fewer than in Week 49 of 2019. The average number of adult critical care beds open each day was 4,415 – 20% higher than in the same week last year.
In Week 49 of 2020, an average of 11,336 hospital beds were occupied by long stay patients (>21 days) – 26% lower than in the same week in 2019.
In October, there were over 1.6 million first outpatient attendances for general & acute specialties. The number of elective admissions increased to 609,298 and the number of GP referrals increased to 871,643. 
The total number of people waiting to start consultant-led elective treatment increased to over 4.5 million in October, following a previous fall to 3.9 million in May 2020.
The number of people waiting over 52 weeks to start consultant-led elective treatment increased to 162,888 in October, the highest level since May 2008.
203,704 patients had a first consultant appointment for suspected cancer in October following an urgent GP referral. This follows a substantial drop to less than 80,000 first consultant appointments in April 2020.
We’ll be monitoring these performance and activity measures as we head into winter. 
Keep an eye out for regular QualityWatch analysis and commentary. 
Keep an eye out for regular QualityWatch analysis and commentary.
