GP In Hours Syndromic Surveillance System:
England
31 January 2017
Key messages
During week 4 there were continued decreases in GP consultations for respiratory conditions in adults aged 45 years and over but increases in consultations for children, particularly in upper respiratory tract infection figures 1a, 2a, & 5a). There was an increase in scarlet fever consultations during week 4 (figure 4).
In This Issue:
Key messages.
Diagnostic indicators at a glance.
GP practices and denominator population.
National syndromic indicators.
Notes and further information.
Appendix.
Diagnostic indicators at a glance:
GP practices and denominator population:
Data to: 29 January 2017
**based on the average number of practices and denominator population in the reporting working week.
Year: 2017 Week: 4
A Cold Watch System operates in England from 1 November to 31 March each year. As part of the Public Health England Cold Weather Plan for England the PHE Real-time Syndromic Surveillance team will be monitoring the impact of cold weather on syndromic surveillance data during this period. Cold weather alert level (current reporting week): Level 2 Alert and readiness - 3 Severe weather action
http://www.metoffice.gov.uk/weather/uk/coldweatheralert/
Indicator Trend Level
Upper respiratory tract infection increasing similar to baseline levels
Influenza-like illness decreasing similar to baseline levels
Pharyngitis increasing below baseline levels
Scarlet fever increasing above baseline levels
Lower respiratory tract infection decreasing similar to baseline levels
Pneumonia decreasing similar to baseline levels
Gastroenteritis no trend similar to baseline levels
Vomiting no trend similar to baseline levels
Diarrhoea no trend below baseline levels
Asthma decreasing similar to baseline levels
Wheeze decreasing similar to baseline levels
Conjunctivitis no trend below baseline levels
Mumps no trend similar to baseline levels
Measles no trend similar to baseline levels
Rubella no trend similar to baseline levels
Pertussis increasing above baseline levels
Chickenpox no trend similar to baseline levels
Herpes zoster no trend below baseline levels
Cellulitis no trend similar to baseline levels
Impetigo no trend below baseline levels
Year Week GP Practices Reporting** Population size**
2017 4 3,755 29.5 million
GP In Hours
31 January 2017.
Page 2.
1: Upper respiratory
tract infection (URTI)
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
2: 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.
0
20
40
60
80
100
120
140
160
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline URTI
Year: 2017 Week: 4
0
2
4
6
8
10
12
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Influenza-like illness
1a: Upper respiratory tract infection by age
0
100
200
300
400
500
600
700
800
900
1000
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 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
2016 2017
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).
GP In Hours
31 January 2017.
Page 3.
* 7-day moving average adjusted for bank holidays.
Year: 2017 Week: 4
2a: Influenza-like illness
(ILI) by age
Daily incidence rates (and 7-day moving average*) per 100,000 population (all England, all ages).
0
5
10
15
20
25
30
35
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Pharyngitis or scarlet fever
3: Pharyngitis or scarlet fever
Average daily incidence rate by week per 100,000 population (all England).
0
2
4
6
8
10
12
14
16
18
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 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
2016 2017
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
4: Scarlet fever
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, based on a population denominator of approximately 5.5 million patients).
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Scarlet Fever
GP In Hours
31 January 2017.
Page 4.
4a: Scarlet fever by age
Average daily incidence rate by week per 100,000 population (all England) based on a population denominator of approximately 5.5 million patients).
5a: Lower respiratory tract infection (LRTI) by age
* 7-day moving average adjusted for bank holidays.
0
10
20
30
40
50
60
70
80
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline LRTI
Year: 2017 Week: 4
0
1
2
3
4
5
6
7
8
9
10
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 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
2016 2017
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
5: Lower respiratory tract infection (LRTI)
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
Average daily incidence rate by week per 100,000 population (all England).
0
50
100
150
200
250
300
350
400
450
500
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 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
2016 2017
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
0.0
0.2
0.4
0.6
0.8
1.0
1.2
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Pneumonia
7: Gastroenteritis
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
6a: Pneumonia by age
GP In Hours
31 January 2017.
Page 5.
6: 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.
Year: 2017 Week: 4
0
5
10
15
20
25
30
35
40
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Gastroenteritis
Average daily incidence rate by week per 100,000 population (all England).
0
1
2
3
4
5
6
7
8
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 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
2016 2017
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
8a: Vomiting by age
Average daily incidence rate by week per 100,000 population (all England).
8: Vomiting
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
GP In Hours
31 January 2017.
Page 6.
* 7-day moving average adjusted for bank holidays.
Year: 2017 Week: 4
0
1
2
3
4
5
6
7
8
9
10
11
12
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Vomiting
0
10
20
30
40
50
60
70
80
90
100
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 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
2016 2017
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
7a: 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
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 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
2016 2017
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: Diarrhoea
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
9a. Diarrhoea by age
Average daily incidence rate by week per 100,000 population (all England).
GP In Hours
31 January 2017.
Page 7.
* 7-day moving average adjusted for bank holidays.
Year: 2017 Week: 4
0
2
4
6
8
10
12
14
16
18
20
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Diarrhoea
0
10
20
30
40
50
60
70
80
90
100
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 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
2016 2017
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
GP In Hours
31 January 2017.
Page 8.
10a: Asthma by age
* 7-day moving average adjusted for bank holidays.
Average daily incidence rate by week per 100,000 population (all England).
11: Wheeze
10: Asthma
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
Year: 2017 Week: 4
0
1
2
3
4
5
6
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Asthma
0
1
2
3
4
5
6
7
8
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 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
2016 2017
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
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Wheeze
GP In Hours
31 January 2017.
Page 9.
11a: Wheeze by age
Average daily incidence rate by week per 100,000 population (all England).
12: Conjunctivitis
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
13: Mumps
* 7-day moving average adjusted for bank holidays.
Year: 2017 Week: 4
0
2
4
6
8
10
12
14
16
18
20
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Conjunctivitis
0
5
10
15
20
25
30
35
40
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 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
2016 2017
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
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
0.00
0.05
0.10
0.15
0.20
0.25
0.30
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Mumps
GP In Hours
Page 10.
Daily incidence rate
(and 7-day moving
average*) per 100,000
population (all England,
all ages).
Intentionally left blank
15: Rubella
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
31 January 2017.
* 7-day moving average adjusted for bank holidays.
0.000
0.005
0.010
0.015
0.020
0.025
0.030
0.035
0.040
0.045
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Rubella
Year: 2017 Week: 4
14: Measles
0.00
0.02
0.04
0.06
0.08
0.10
0.12
0.14
0.16
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Measles
GP In Hours
31 January 2017.
Page 11.
16: Pertussis
Daily incidence rate
(and 7-day moving
average*) per 100,000
population (all England,
all ages).
16a: Pertussis by age
Average daily incidence rate by week per 100,000 population (all England).
17: Chickenpox
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
0.00
0.02
0.04
0.06
0.08
0.10
0.12
0.14
0.16
0.18
0.20
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Pertussis
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Chickenpox
Year: 2017 Week: 4
0
0.1
0.2
0.3
0.4
0.5
0.6
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 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
2016 2017
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
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Impetigo
GP In Hours
31 January 2017.
Page 12.
18: Herpes zoster
Daily incidence rate
(and 7-day moving
average*) per 100,000
population (all England,
all ages).
19: Cellulitis
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
20: Impetigo
Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).
* 7-day moving average adjusted for bank holidays.
0
2
4
6
8
10
12
14
16
18
20
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
ate
pe
r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Cellulitis
Year: 2017 Week: 4
0.0
1.0
2.0
3.0
4.0
5.0
6.0
31/01/16 28/02/16 27/03/16 24/04/16 22/05/16 19/06/16 17/07/16 14/08/16 11/09/16 09/10/16 06/11/16 04/12/16 01/01/17 29/01/17
Da
ily r
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r 100,0
00 p
op
ula
tio
n
weekend bank holiday 7 day mov avg baseline Herpes Zoster
GP In Hours
31 January 2017.
Page 13.
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. Furthermore, they take into account any known substantial
changes in data collection, population coverage or reporting practices. Baselines are
refreshed using the latest data on a regular basis.
Acknowledgements: We thank and acknowledge the University of Nottingham, 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.
GP In Hours Syndromic Surveillance System Bulletin.
Produced by: PHE Real-time Syndromic Surveillance Team 6th Floor, 5 St Philip’s 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
Contact ReSST: [email protected]
Year: 2017 Week: 4
From week 40 2015 the influenza-like illness thresholds illustrated in the bulletin appendix maps are calculated using the “Moving Epidemic Method” (MEM).1 MEM is used as a standard methodology for setting influenza surveillance thresholds across Europe.2
The ILI thresholds have been calculated separately for each of the nine PHE Centres to allow for structural differences between areas e.g. background rates are historically higher in London than other areas of England.
The current ILI thresholds are based on six previous influenza seasons (excluding the 2009/10 H1N1 pandemic). In future, thresholds will be recalculated each year incorporating the latest season’s data.
The maps on the following pages contains Ordnance Survey data © Crown copyright and database right 2014. Contains National Statistics data © Crown copyright and database right 2014.
1 Vega T et al. Influenza Other Respir Viruses. 2013;7(4):546-58.
2 Green HK et al. Epidemiol Infect. 2015;143(1):1-12.
Maps:
GP In Hours Appendix
31 January 2017.
Page 14.
England
Influenza-like illness GP consultations by LA (England)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 15.
North East
Influenza-like illness GP consultations by LA (North East PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 16.
Yorkshire &
Humber
Influenza-like illness GP consultations by LA (Yorkshire & Humber PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 17.
North West
Influenza-like illness GP consultations by LA (North West PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 18.
East
Midlands
Influenza-like illness GP consultations by LA (East Midlands PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 19.
West
Midlands
Influenza-like illness GP consultations by LA (West Midlands PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 20.
East of
England
Influenza-like illness GP consultations by LA (East of England PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 21.
South East
Influenza-like illness GP consultations by LA (South East PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 22.
London
Influenza-like illness GP consultations by LA (London PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4
GP In Hours Appendix
31 January 2017.
Page 23.
South West
Influenza-like illness GP consultations by LA (South West PHE Centre)
Contains Ordnance Survey data ©Crown copyright and database right 2015. Contains National Statistics data.
Week 1 Week 2
Week 3 Week 4
Year: 2017 Week: 4