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Syndromic Systems and Bulletin Archive

NHS Direct triage graph

Below are links to information on each syndromic surveillance system used at the HPA, illustrating the key characteristics of each system.
 

Archived copies of previous surveillance bulletins are also available.
 

 

  • HPA/NHS Direct Syndromic Surveillance System - A telephone health helpline syndromic surveillance system that monitors syndromic calls each day across England and Wales. Traditionally provides early warning of community based infectious diseases such as influenza and norovirus.
  • HPA/QSurveillance National Syndromic Surveillance System - A large general practitioner surveillance system that monitors consultations for a number of key clinical indicators. This system reports on a weekly basis although can be switched to daily reporting if required. Covers approximately 40% of the UK population.
  • Royal College of General Practitioners Weekly Returns Service (RCGP WRS) - A sentinel GP surveillance system with over 45 years continuous weekly reporting across England and Wales. Considered the gold standard of sentinel GP networks; able to report on total morbidity and to integrate microbiological testing.
  • NHS24 syndromic surveillance system - A telephone health helpline syndromic surveillance system that monitors syndromic calls each day across Scotland. Traditionally provides early warning of community based infectious diseases such as influenza and norovirus.  Additional utility demonstrated as monitor of health impact of environmental exposure (e.g. during Icelandic volcanic eruption - Elliott et al [external link]) and during mass events/political meetings (e.g. G8 Gleneagles - Meyer et al [external link])
  • EDSSS (Emergency Department Syndromic Surveillance System) - This is a sentinel emergency department system that monitors the daily numbers of attendances in a network of emergency departments across England.
  • GP Out-of-Hours/Unscheduled Care Surveillance System - This is a system that monitors daily out-of-hours\unscheduled primary care activity and therefore complements existing GP surveillance systems by monitoring activity across evenings, overnight, weekends and public holidays.

Related Information

External Links