Performance across key NHS metrics was mixed in May and June. Waiting times for diagnostic services increased as did waits over 36 weeks for treatment, while cancer treatment times decreased for urgent cases but increased for non-urgent. A&E performance declined slightly for the 4 hour target but fewer patients waited over 12 hours. Delayed transfers of care and average daily ambulance calls remained steady.

1. NHS Activity &
Performance Summary
May/June 2019
18 July 2019

2. A&E performance against the 4
hour target decreased slightly this
month, but fewer patients spent
longer than 12 hours in A&E. The number of patients
waiting over 8 weeks
for diagnostic services
increased and the
number waiting over 14
weeks for therapy
services also increased.
The percentage of patients waiting less
than 26 weeks from referral to treatment
decreased and the number waiting
longer than 36 weeks increased.
The average number
of daily referrals
received increased
over the month.
The percentage of cancer
patients starting treatment
within the target time
decreased for patients on the
urgent pathway but increased
for patients on the non urgent
pathway.
Average daily calls
to the ambulance
service were the
same as last
month; the target
was met, and
performance
improved since the
previous month.
The number of
delayed
transfers of care
increased this
month.

3. 79.6% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), down 5.3
percentage points from April.
96.5% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), up 0.2
percentage points from April.
NHS Cancer Waiting Times
May
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
Apr-
19
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. 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)
87.1% of patient
pathways waiting to start
treatment in May had
been waiting less than
26 weeks, a decrease of
0.9 percentage points
from April.
Referral to Treatment Times
May
12,398 patient
pathways had been
waiting over 36 weeks to
start treatment in May, an
increase of 1,355 since
April.

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
Apr-
19
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
157 people were
waiting over 14 weeks
for therapy services in
May, an increase of
112 compared to April.
NHS diagnostic and therapy service waiting times
May
3,731 patients were
waiting over 8 weeks for
diagnostic services in
May, an increase of 460
compared to April.

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
June
4,057 patients
spent 12 hours or
more in A&E in June,
740 fewer than in
May.
77.9% of
patients spent less
than 4 hours in A&E
in June, 0.2
percentage points less
than in May.

7. Delayed Transfers of Care
June
433 delayed
transfers of care
were reported in the
June 2019 census,
up from 414 in May
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 June 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. Ambulance services
June
The percentage of red calls arriving at the
scene within 8 minutes in June 2019 was above
the 65% target and increased from 70.2% in May
2019.

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