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NHS activity and performance summary: March and April 2019

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A monthly report summarising data on activity and performance in the Welsh NHS. It includes the latest available monthly information plus a summary of long term trends.

Published in: Data & Analytics
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NHS activity and performance summary: March and April 2019

  1. 1. NHS Activity & Performance Summary March/April 2019 24 May 2019
  2. 2. A&E performance against the 4 hour target decreased this month, and more patients spent longer than 12 hours in A&E. The number of patients waiting over 8 weeks for diagnostic services decreased and the number waiting over 14 weeks for therapy services decreased to the lowest since 2009. The percentage of patients waiting less than 26 weeks from referral to treatment increased and the number waiting longer than 36 weeks decreased. The average number of daily referrals received decreased over the month. The percentage of cancer patients starting treatment within the target time increased for patients on the urgent pathway and decreased for those not on the urgent pathway. Average daily calls to the ambulance service increased compared to last month; target was met, but was slightly slower than last month. The number of delayed transfers of care decreased this month.
  3. 3. 86.0% of patients newly diagnosed with cancer via the Urgent route started treatment within target time (62 days), up 0.8 percentage points from February. 96.9% of patients newly diagnosed with cancer not via the Urgent route started treatment within target time (31 days), down 0.6 percentage points from February. NHS Cancer Waiting Times March 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Apr- 12 Oct- 12 Apr- 13 Oct- 13 Apr- 14 Oct- 14 Apr- 15 Oct- 15 Apr- 16 Oct- 16 Apr- 17 Oct- 17 Apr- 18 Oct- 18 Percentageofpatients Percentage of patients starting treatment within the target times Not via Urgent suspected route Urgent Suspected route Source: Cancer waiting times data,Welsh Local Health Boards
  4. 4. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Sep- 11 Mar- 12 Sep- 12 Mar- 13 Sep- 13 Mar- 14 Sep- 14 Mar- 15 Sep- 15 Mar- 16 Sep- 16 Mar- 17 Sep- 17 Mar- 18 Sep- 18 Mar- 19 PercentageofPatientPathways Waiting less than 36 weeks Waiting less than 26 weeks Patientpathways waitingto start treatment Source: Referral to treatment times, NHS Wales Informatics Services (NWIS) 89.1% of patient pathways waiting to start treatment in March had been waiting less than 26 weeks, an increase of 0.5 percentage points from February and is the highest it has been since July 2013 Referral to Treatment Times March 8,985 patient pathways had been waiting over 36 weeks to start treatment in March, a decrease of 4,287 since February and is the lowest it has been since May 2013
  5. 5. 0 5,000 10,000 15,000 20,000 25,000 30,000 Oct- 09 Apr- 10 Oct- 10 Apr- 11 Oct- 11 Apr- 12 Oct- 12 Apr- 13 Oct- 13 Apr- 14 Oct- 14 Apr- 15 Oct- 15 Apr- 16 Oct- 16 Apr- 17 Oct- 17 Apr- 18 Oct- 18 Numberofpatients Diagnostics waiting over 8 weeks Therapies waiting over 14 weeks Source: Diagnostic and therapy services waiting times, NHS Wales Informatics Service (NWIS) Number of patients waiting over the standard time for diagnostic and therapyservices 4 people were waiting over 14 weeks for therapy services in March, a decrease of 73 compared to February. The lowest since before the new health boards were established In October 2009. NHS diagnostic and therapy service waiting times March 2,781 patients were waiting over 8 weeks for diagnostic services in March, a decrease of 677 compared to February.
  6. 6. 0 10 20 30 40 50 60 70 80 90 100 Apr-12 Jul-12 Oct-12 Jan-13 Apr-13 Jul-13 Oct-13 Jan-14 Apr-14 Jul-14 Oct-14 Jan-15 Apr-15 Jul-15 Oct-15 Jan-16 Apr-16 Jul-16 Oct-16 Jan-17 Apr-17 Jul-17 Oct-17 Jan-18 Apr-18 Jul-18 Oct-18 Jan-19 Apr-19 Percentofpatients Time spentin NHS accidentand emergency departments Under 12 hours Under 4 hours Source: Emergency Department Data Set (EDDS) Time spent in NHS accident and emergency departments April 5,109 patients spent 12 hours or more in A&E in April, 640 more than in March. 76.3% of patients spent less than 4 hours in A&E in April, 2.4 percentage points less than in March.
  7. 7. Delayed Transfers of Care April 409 delayed transfers of care were reported in the April 2019 census, down from 455 in March 2019. 0 100 200 300 400 500 600 700 800 900 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19 Delayed Transfers of Care: October2004 to April 2019 Delays Last 3 months average Source: Delayed transfers of care database,NHSWales Informatics Services (NWIS) NOTE: an increase in October 2009 was probably partly due to revised procedures
  8. 8. Ambulance services April The percentage of red calls arriving at the scene within 8 minutes in April 2019 was above the 65% target but down 0.9 percentage points from 71.2% in March 2019.
  9. 9. Web Links NHS Cancer Waiting Times NHS activity and performance summary dashboard StatsWales Annual publication Referral to Treatment Times NHS activity and performance summary dashboard StatsWales Annual publication NHS diagnostic and therapy service waiting times NHS activity and performance summary dashboard StatsWales Annual publication Ambulance services NHS activity and performance summary dashboard StatsWales Annual publication Delayed Transfers of Care NHS activity and performance summary dashboard StatsWales Annual publication Time spent in NHS accident and emergency departments NHS activity and performance summary dashboard StatsWales Annual publication Further information Contact: stats.healthinfo@gov.wales

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