GP In Hours Conjunctivitis no trend below baseline levels Mumps … · 2020-07-30 · weekend bank...
15
GP In Hours Syndromic Surveillance System: England 28 July 2020 Data to: 26 July 2020 Key messages During week 30, COVID-19-like GP consultations decreased slightly (figure 1). All other respiratory indicators remained stable and at or below seasonally expected levels. Please note that currently the COVID-19-like GP consultation indicator is based on a reduced denominator population (no other indicators are affected). Please see ‘notes and caveats’ for information about the COVID-19-like GPIH syndromic indicator including important caveats around the interpretation of this indicator. In This Issue: Key messages. Diagnostic indicators at a glance. GP practices and denominator population. National syndromic indicators. Notes and further information. Diagnostic indicators at a glance: GP practices and denominator population: **based on the average number of practices and denominator population in the reporting working week. A Heat-Health Watch system operates in England from 1 June to 15 September each year. As part of the Heatwave Plan for England, the PHE Real-time Syndromic Surveillance team will be routinely monitoring the public health impact of hot weather using syndromic surveillance data during this period. Heat-health watch level (current reporting week): Level 1 Summer preparedness http://www.metoffice.gov.uk/weather/uk/heathealth/ Year Week GP Practices Reporting** Population size** 2020 30 3,973 35.9 million Year: 2020 Week: 30 Indicator Trend Level COVID-19-like decreasing - Upper respiratory tract infection no trend below baseline levels Influenza-like illness no trend similar to baseline levels Pharyngitis no trend below baseline levels Scarlet fever no trend below baseline levels Lower respiratory tract infection no trend below baseline levels Pneumonia no trend below baseline levels Gastroenteritis no trend below baseline levels Vomiting no trend below baseline levels Diarrhoea increasing below baseline levels Asthma no trend below baseline levels Conjunctivitis no trend below baseline levels Mumps no trend below baseline levels Measles no trend below baseline levels Rubella no trend below baseline levels Pertussis no trend below baseline levels Chickenpox no trend below baseline levels Herpes zoster no trend below baseline levels Cellulitis no trend below baseline levels Impetigo no trend below baseline levels Allergic rhinitis no trend below baseline levels Heat/sunstroke no trend below baseline levels
Transcript of GP In Hours Conjunctivitis no trend below baseline levels Mumps … · 2020-07-30 · weekend bank...
GP In Hours Syndromic Surveillance System:
England
28 July 2020
Data to: 26 July 2020Key messages
During week 30, COVID-19-like GP consultations decreased slightly (figure 1). All other respiratory indicators remained stable and at or below seasonally expected levels. Please note that currently the COVID-19-like GP consultation indicator is based on a reduced denominator population (no other indicators are affected). Please see ‘notes and caveats’ for information about the COVID-19-like GPIH syndromic indicator including important caveats around the interpretation of this indicator.
In This Issue:
Key messages.
Diagnostic indicators at a glance.
GP practices and denominator population.
National syndromic indicators.
Notes and further information.
Diagnostic indicators at a glance:
GP practices and denominator population:
**based on the average number of practices and denominator population in the reporting working week.
A Heat-Health Watch system operates in England from 1 June to 15 September each year. As part of the Heatwave Plan for England, the PHE Real-time Syndromic Surveillance team will be routinely monitoring the public health impact of hot weather using syndromic surveillance data during this period. Heat-health watch level (current reporting week): Level 1 Summer preparedness
http://www.metoffice.gov.uk/weather/uk/heathealth/
Year Week GP Practices Reporting** Population size**
2020 30 3,973 35.9 million
Year: 2020 Week: 30
Indicator Trend Level
COVID-19-like decreasing -
Upper respiratory tract infection no trend below baseline levels
Influenza-like illness no trend similar to baseline levels
Pharyngitis no trend below baseline levels
Scarlet fever no trend below baseline levels
Lower respiratory tract infection no trend below baseline levels
Pneumonia no trend below baseline levels
Gastroenteritis no trend below baseline levels
Vomiting no trend below baseline levels
Diarrhoea increasing below baseline levels
Asthma no trend below baseline levels
Conjunctivitis no trend below baseline levels
Mumps no trend below baseline levels
Measles no trend below baseline levels
Rubella no trend below baseline levels
Pertussis no trend below baseline levels
Chickenpox no trend below baseline levels
Herpes zoster no trend below baseline levels
Cellulitis no trend below baseline levels
Impetigo no trend below baseline levels
Allergic rhinitis no trend below baseline levels
Heat/sunstroke no trend below baseline levels
GP In Hours
Page 2.
28 July 2020.
* 7-day moving average adjusted for bank holidays.
Intentionally left blank
Intentionally left blank
1. COVID-19-like
consultations
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, based on a denominator population of approximately 5.5 million patients). Indicator includes consultations using new codes for suspected, tested, exposed and confirmed COVID-19.
Year: 2020 Week: 30
0
10
20
30
40
50
60
70
80
23/02/20 08/03/20 22/03/20 05/04/20 19/04/20 03/05/20 17/05/20 31/05/20 14/06/20 28/06/20 12/07/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
Weekend Bank holiday covid-19 7 day moving average
GP In Hours
Page 3.
28 July 2020.
* 7-day moving average adjusted for bank holidays.
2: Upper respiratory
tract infection (URTI)
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
0
100
200
300
400
500
600
700
800
900
1000
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
2a: Upper respiratory tract infection (URTI) by age
Average daily incidence rate by week per 100,000 population (all England).
0
20
40
60
80
100
120
140
160
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday URTI 7 day mov avg baseline
Year: 2020 Week: 30
GP In Hours
Page 4.
0
1
2
3
4
5
6
7
8
9
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Influenza-like illness 7 day mov avg baseline
28 July 2020.
3: Influenza-like illness
(ILI)
Daily incidence rates (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
3a: Influenza-like illness by age
Average daily incidence rate by week per 100,000 population (all England).
0
2
4
6
8
10
12
14
16
18
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
3b: Influenza-like
illness by PHE
Centre
Average daily incidence rate by week per 100,000 population (all ages).
0
1
2
3
4
5
6
7
8
9
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Week
East Midlands East of England London North East North West South East South West West Midlands Yorkshire and Humber England
Year: 2020 Week: 30
GP In Hours
Page 5.
28 July 2020.
4: Pharyngitis or scarlet fever
* 7-day moving average adjusted for bank holidays.
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
5: Scarlet fever
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, based on a denominator population of approximately 5.5 million patients)
5a: Scarlet fever by age
Average daily incidence rate by week per 100,000 population (all England, based on a denominator population of approximately 5.5 million patients).
0
1
2
3
4
5
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
0
5
10
15
20
25
30
35
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Pharyngitis or scarlet fever 7 day mov avg baseline
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Scarlet Fever 7 day mov avg baseline
Year: 2020 Week: 30
GP In Hours
Page 6.
0
10
20
30
40
50
60
70
80
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday LRTI 7 day mov avg baseline
28 July 2020.
6: Lower respiratory tract infection (LRTI)
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
6a: Lower respiratory
tract infection (LRTI)
by age
Average daily incidence rate by week per 100,000 population (all England).
0
50
100
150
200
250
300
350
400
450
500
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
Intentionally left blank
Year: 2020 Week: 30
GP In Hours
Page 7.
0.0
0.2
0.4
0.6
0.8
1.0
1.2
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Pneumonia 7 day mov avg baseline
28 July 2020.
7: Pneumonia
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
7a: Pneumonia by age
0
1
2
3
4
5
6
7
8
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
Average daily incidence rate by week per 100,000 population (all England).
Intentionally left blank
Year: 2020 Week: 30
GP In Hours
Page 8.
28 July 2020.
8: Gastroenteritis
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
8a: Gastroenteritis by age
Average daily incidence rate by week per 100,000 population (all England).
0
20
40
60
80
100
120
140
160
180
200
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
9: Vomiting
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
0
1
2
3
4
5
6
7
8
9
10
11
12
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Vomiting 7 day mov avg baseline
0
5
10
15
20
25
30
35
40
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Gastroenteritis 7 day mov avg baseline
Year: 2020 Week: 30
GP In Hours
Page 9.
28 July 2020.
9a: Vomiting by age
Average daily incidence rate by week per 100,000 population (all England).
* 7-day moving average adjusted for bank holidays.
0
10
20
30
40
50
60
70
80
90
100
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
10: Diarrhoea
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
10a. Diarrhoea by age
Average daily incidence rate by week per 100,000 population (all England).
0
10
20
30
40
50
60
70
80
90
100
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
0
2
4
6
8
10
12
14
16
18
20
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Diarrhoea 7 day mov avg baseline
Year: 2020 Week: 30
GP In Hours
Page 10.
0
1
2
3
4
5
6
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Asthma 7 day mov avg baseline
28 July 2020.
11: Asthma
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
11a: Asthma by age
Average daily incidence rate by week per 100,000 population (all England).
0
1
2
3
4
5
6
7
8
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2019 2020
Av
era
ge
da
ily
ra
te p
er
10
0,0
00
re
gis
tere
d G
P p
ati
en
ts
Year - Week
Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages
12: Conjunctivitis
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
0
2
4
6
8
10
12
14
16
18
20
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Conjunctivitis 7 day mov avg baseline
Year: 2020 Week: 30
0.00
0.05
0.10
0.15
0.20
0.25
0.30
0.35
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Mumps 7 day mov avg baseline
13: Mumps
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
GP In Hours
Page 11.
28 July 2020.
* 7-day moving average adjusted for bank holidays.
14: Measles
Daily incidence rate
(and 7-day moving
average*) per 100,000
population (all England,
all ages).
15: Rubella
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
0.00
0.02
0.04
0.06
0.08
0.10
0.12
0.14
0.16
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Measles 7 day mov avg baseline
0.000
0.005
0.010
0.015
0.020
0.025
0.030
0.035
0.040
0.045
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Rubella 7 day mov avg baseline
Year: 2020 Week: 30
GP In Hours
Page 12.
28 July 2020.
* 7-day moving average adjusted for bank holidays.
18: Herpes zoster
Daily incidence rate
(and 7-day moving
average*) per 100,000
population (all England,
all ages).
16: Pertussis
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, based on a denominator population of approximately 5.5 million patients)
17: Chickenpox
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, based on a denominator population of approximately 5.5 million patients)
0.0
1.0
2.0
3.0
4.0
5.0
6.0
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Herpes Zoster 7 day mov avg baseline
0.0
1.0
2.0
3.0
4.0
5.0
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday chickenpox 7 day moving average baseline
0.0
0.1
0.2
0.3
0.4
0.5
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday pertussis 7 day moving average baseline
Year: 2020 Week: 30
GP In Hours
Page 13.
19 Cellulitis
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
20: Impetigo
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
0
2
4
6
8
10
12
14
16
18
20
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Cellulitis 7 day mov avg baseline
28 July 2020.
21: Allergic rhinitis.
0
5
10
15
20
25
30
35
40
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Allergic Rhinitis 7 day mov avg baseline
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Impetigo 7 day mov avg baseline
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
Year: 2020 Week: 30
0.00
0.02
0.04
0.06
0.08
0.10
0.12
0.14
0.16
0.18
0.20
28/07/19 25/08/19 22/09/19 20/10/19 17/11/19 15/12/19 12/01/20 09/02/20 08/03/20 05/04/20 03/05/20 31/05/20 28/06/20 26/07/20
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday Heat stroke 7 day mov avg baseline
GP In Hours
Page 14.
22 Heat/sun stroke
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
28 July 2020. Year: 2020 Week: 30
Intentionally left blank
Intentionally left blank
GP In Hours
Page 15.
28 July 2020. Year: 2020 Week: 30
Notes and further information
• The Public Health England GP in hours surveillance system is a syndromic surveillance system monitoring community-based morbidity recorded by GP practices.
• GP consultation data are analysed on a daily basis to identify national and regional trends. A statistical algorithm underpins each system, routinely identifying activity that has increased significantly or is statistically significantly high for the time of year. Results from these daily analyses are assessed by the ReSST, along with analysis by age group, and anything deemed of public health importance is alerted by the team.
• This system captures anonymised GP morbidity data from two GP clinical software systems, EMIS, from version 1 of the QSurveillance® database, and TPP SystmOne.
• Baselines represent seasonally expected levels of activity and are constructed from historical data since April 2012. They take into account any known substantial changes in data collection, population coverage or reporting practices. Gastroenteritis, diarrhoea and vomiting baselines also account for changes since the introduction of rotavirus vaccine in July 2013. Baselines are refreshed using the latest data on a regular basis.
Acknowledgements: We thank and acknowledge the University of Oxford, ClinRisk® and the contribution of
EMIS and EMIS practices. Data source: version 1 of the QSurveillance® database. We thank TPP, ResearchOne and the SystmOne GP practices contributing to this surveillance system.
Contact ReSST: [email protected]
GP In Hours Syndromic Surveillance System Bulletin.
Produced by: PHE Real-time Syndromic Surveillance Team 1
st Floor, 5 St Philips Place, Birmingham, B3 2PW Tel: 0344 225 3560 > Option 4 > Option 2 Fax: 0121 236 2215
Web: https://www.gov.uk/government/collections/syndromic-surveillance-systems-and-analyses
• A collection of new COVID-19 Snomed codes were released in March 2020 to facilitate the recording of patients presenting to primary care services with symptoms of COVID-19.
• The GPIH surveillance system monitors the use of these codes in a selection of TPP and EMIS practices across England.
• However, patients presenting with COVID-19 symptoms may be diagnosed using other clinical codes used by the GP.
• Therefore, the COVID-19-like indicator presented in this report is primarily for monitoring trends in GP consultations, and it must be interpreted in context with the other respiratory syndromic indicators presented in this report. The number/rate of COVID-19-like consultations should therefore not be used as an absolute count of those patients with COVID-19.
• During April 2020 a new COVID-19 Care Pathway template was introduced into GP systems that has affected recording of influenza-like illness (ILI), resulting in an increase in the consultation rate for ILI (figures 2a-c).
• All indicator trends should be interpreted with caution due to current national advice and guidance regarding access to GP surgeries and changes in clinical coding for COVID-19.
• Centre level COVID-19 consultation data should be interpreted with some caution. Different GP clinical system providers have different coding for COVID-19 and therefore rates can differ between Centres depending on the relative contribution of individual GP system providers in GPIH. Centre-specific data should not be compared across Centres: trends should only be interpreted for each individual Centre.
COVID-19 consultations
