An updated and improved version of GIRFT’s emergency medicine data portal – the Summary Emergency Department Indicator Table (SEDIT) – is now live.

With new and improved data filtering options, version 5.0 of the SEDIT enables ED and NHS trust leadership teams to better understand the complexities of demand, capacity, flow and outcomes in Type 1 EDs, to understand why problems are occurring and to target the causes.

This latest iteration of the SEDIT portal includes seven key upgrades:

• Revised GIRFT Emergency Medicine Index (GEMI) patient flow ranking system: The change in the predominance o Urgent Emergency Care (UEC) metrics in NHS England has led to a revised GEMI (GIRFT Emergency Medicine Index) patient flow ranking system. You can find the new GEMI score detail in metadata or by hovering over the metric. 
• New colour coded banner: Once a trust is selected, a helpful new colour-coded interface supports users to interpret their key ED data metrics at a glance.
  
• New metrics (including mental health) and redistribution of some existing metrics across the tabs: The demand, capacity, flow and outcomes domains have acquired some new metrics, including new metrics specific to mental health patients which will support improvements in segmenting data of adult crisis and acute care mental health patients.
• Simplified admitted patient delay (APD) metric (replacing aggregated patient delay): The updated APD metric provides a better indication of challenges related to avoidable delays. This is defined as the average time (in hours) that a patient waits in the ED prior to admission, after a given threshold (usually six or 12 hours from time of arrival).
• Productivity calculator: The dashboard now includes a nursing productivity calculator that estimates the hours of care lost due to patients waiting in the ED beyond the six-hour threshold. The calculator divides the total waiting hours by the number of patients under each nurse’s care. The number of patients per nurse can be adjusted by users.
• Extra metrics tab: This new tab provides key data supported by feedback from existing users. It replaces the previously named clinical review of standards (CRS) tab.
• Improved accuracy of the ED quadrant chart: A key function of the SEDIT, the metrics used to plot the ED quadrants have been simplified and refreshed, ensuring there is an equal distribution of ‘departments’ on either side of the median values.

These new features and updates will be showcased at an upcoming webinar, Getting started with SEDIT: using data to understand and address current pressures and challenges, which takes place on 24^th May 2023 (12:30pm – 1:30pm).

Dr Chris Moulton, the GIRFT clinical lead for emergency medicine and joint clinical lead for NHS England’s iUEC team, and Darren Best, GIRFT and iUEC workstream manager, will present an overview of SEDIT and the latest updates, and show how your emergency department can improve patient flow using the SEDIT.

Emergency medicine consultant Gary Saynor (Bolton NHS Foundation Trust) and trust chief operating officer Ned Hobbs (Walsall Healthcare NHS Trust) will also provide unique insights on using the SEDIT on an operational level.