Urgent Care Interface — Insights, Tower Hamlets · PCND
URGENT CARE · Tower Hamlets
Urgent Care Interface
Tower Hamlets — where is unplanned demand going?
Geography
Tower Hamlets
A&E Type-3 share
40.0%
UCR in 2 hrs
90%
○Figures are your practice where published; otherwise the nearest available area, marked ○.
A&E Type-3 share
40.0%
Barts Health · 0.3 km
111 → A&E disposition
5.1%
of 111 outcomes · NORTH EAST LONDON ICB
111 self-care / advice
17.1%
of 111 outcomes · NORTH EAST LONDON ICB
UCR within 2 hrs
90.4%
vs 70% std · NHS NORTH EAST LONDON INTEGRATED CARE BOARD
Ambulance C2 mean
32:31
target 18:00 · England
GP appts / 1,000 / mth
412
all-mode
GP same-day share
44.5%
booked and seen same day
What this tells you · These figures read across A&E (nearest acute trust), NHS 111, urgent community response, ambulance and GP appointments for Tower Hamlets. Urgent-care activity is held at several different grains — A&E at acute-trust level, 111 at its IUC contract area (ICB-aligned), UCR at ICB — so each panel is labelled with the grain it is honestly at. The A&E figures show the nearest serving trust, a geographic proxy, not the England average.
A&E activity is held at acute-trust grain, not GP-practice. Type-3 (UTC / minor-injury / walk-in) share is shown for the NEAREST acute trust(s) by straight-line distance — a geographic proxy for "which trust serves this neighbourhood", not a patient-flow attribution (no HES residence data is held).
NHS 111 / IUC is published no finer than the IUC contract area (ICB-aligned) — the calls and disposition mix above are for NORTH EAST LONDON ICB (the scope's own ICB, matched to the IUCADC contract area by name), compared to LONDON COMMISSIONING REGION (NHS region), not the practice or PCN.
The 2-hour UCR standard is published at ICB grain — shown for NHS NORTH EAST LONDON INTEGRATED CARE BOARD (ICB).
Ambulance (AQI) is published at England / ambulance-service grain and does not map to a GP scope, so it is shown as England SYSTEM context.
GP same-day share (PCND-192) is a newer GPAD cut, captured for one month at a time so far — it is shown alongside, not instead of, ALL-MODE GP appointments per 1,000, the longer-running access signal.
Wider area context
○Wider area context
Not specific to your practice — nearest available area, marked ○.
Where unplanned demand flows — 111 to outcome
○Wider area · NORTH EAST LONDON ICBNHS 111 / IUC · NORTH EAST LONDON ICB
Out of every 1,000 NHS 111 dispositions, where do people end up? Wider bars = more people. Most are resolved with advice or primary care; the orange/red tail is hospital- or ambulance-bound. This is real disposition data for the scope’s ICB.
Self-care / advice
171
Primary care
393
A&E / ED
51
Ambulance (999)
95
Other
290
Per 1,000 dispositions, May 2026 · 63,033 111 calls offered · 96.3% answered · NORTH EAST LONDON ICB (ICB grain, vs LONDON COMMISSIONING REGION (NHS region)). 111 / IUC has no UCR/community disposition category, so the mockup’s “→ UCR / community” step is not shown.
Leakage — GP access vs nearest-trust A&E Type-3
○Wider area · nearest acute trustGPAD × nearest-trust A&E
Each dot is a practice. Left = harder GP access (fewer appointments per 1,000); up = a higher minor-A&E (Type-3) share at the practice’s nearest acute trust. The upward-left cloud is the leakage signal — patients reaching A&E where same-mode GP access is tightest. The trust value is a geographic proxy (practices sharing a trust share a y-value).
UCR 2-hour performance
○Wider area · NHS NORTH EAST LONDON INTEGRATED CARE BOARDUCR (2-hour) · ICB
Urgent community response is the service designed to reach people at home within 2 hours instead of sending an ambulance or admitting them. Higher is better. Shown at the scope’s parent ICB.
Referrals reached within 2 hours · NHS NORTH EAST LONDON INTEGRATED CARE BOARD
UCR within 2 hrs (%) · NHS NORTH EAST LONDON INTEGRATED CARE BOARD70% standard
The three urgent-care channels we can track monthly. Watch whether GP appointment capacity moves in the opposite direction to A&E and 111 — that's the substitution effect. The A&E line is the nearest acute trust's own Type-3 share (geographic proxy); 111 is ICB-grain (NORTH EAST LONDON ICB); GP appointments are scope-grain.
A&E Type-3 — Barts Health (%)
A&E Type-3 — Barts Health
111 calls · NORTH EAST LONDON ICB
111 calls
GP appts / 1,000 (all-mode)
GP appts / 1,000
Ambulance response (AQI)
○Wider area · EnglandAmbulance AQI · England
System-level ambulance performance, England-wide. Category 1 is life-threatening, Category 2 is emergency. The ambulance trusts do not map to a GP scope, so this is shown as England system context.
Category 1 mean
08:05
target 07:00
Category 2 mean
32:31
target 18:00
Category 3 mean
121:03
target 2:00:00
Incidents / month
815,127
England
England AQI (AmbSYS), Jun 2026. Response times are mean values in mm:ss; lower is better.
GP access by deprivation
○Catchment-weighted · LSOAGPAD × IoD2025
In-scope practices grouped by the deprivation of the patients they serve (decile 1 = most deprived, placed against the national distribution). Bars show all-mode GP appointments per 1,000; the dashed line is the scope average. A&E can’t be sliced by patient deprivation (it’s trust-grain), so we show the GP-access side of the leakage story.
One sortable row per practice across the per-practice signals we hold: all-mode GP access, the practice’s nearest acute trust and that trust’s A&E Type-3 share, and catchment deprivation. (111 / UCR / ambulance are coarser grains and are not per-practice.) Click a column to re-sort; your practice is highlighted.