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NHS activity and performance summary: November and December 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.

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NHS activity and performance summary: November and December 2019

  1. 1. NHS Activity & Performance Summary November/December 2019 23 January 2020
  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 tests was similar, but the number waiting over 14 weeks for therapy services decreased. 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 decreased over the month. The percentage of cancer patients starting treatment within the target time decreased for patients on both the urgent and not via urgent pathways. Average daily calls to the ambulance service increased from last month; the target was not met for the second time since the clinical response model was introduced. The number of delayed transfers of care decreased this month.
  3. 3. 80.5% of patients newly diagnosed with cancer via the Urgent route started treatment within target time (62 days), down 0.9 percentage points from October. 94.7% of patients newly diagnosed with cancer not via the Urgent route started treatment within target time (31 days), down 2.2 percentage points from October. NHS Cancer Waiting Times November 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Apr-12 Apr-13 Apr-14 Apr-15 Apr-16 Apr-17 Apr-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. 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 Sep- 19 PercentageofPatientPathways Waiting less than 36 weeks Waiting less than 26 weeks Patient pathways waiting to start treatment Source: Referral to treatment times, NHS Wales Informatics Services (NWIS) 84.7% of patient pathways waiting to start treatment in November had been waiting less than 26 weeks, 0.1 percentage points less than October. Referral to Treatment Times November 22,879 patient pathways had been waiting over 36 weeks to start treatment in November, an increase of 1,734 since October.
  5. 5. 0 5,000 10,000 15,000 20,000 25,000 30,000 Oct-09 Oct-10 Oct-11 Oct-12 Oct-13 Oct-14 Oct-15 Oct-16 Oct-17 Oct-18 Oct-19 Numberofpatients Diagnostics waiting over 8 weeks Therapies waiting over 14 weeks Source: Diagnostic and therapy services waiting times, NHS Wales Informatics Service Number of patients waiting over the standard time for diagnostic and therapy services 287 people were waiting over 14 weeks for therapy services in November, a decrease of 95 compared to October. NHS diagnostic and therapy service waiting times November 3,883 patients were waiting over 8 weeks for diagnostic tests in November, this is similar to October (up 2 patients).
  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 Jul-19 Oct-19 Percentofpatients Time spent in NHS accident and emergency departments Under 12 hours Under 4 hours Source: Emergency Department Data Set (EDDS) Time spent in NHS accident and emergency departments December 6,656 patients spent 12 hours or more in A&E in December, 766 more than in November. 72.1% of patients spent less than 4 hours in A&E in December, 2.3 percentage points less than in November.
  7. 7. Delayed Transfers of Care December 454 delayed transfers of care were reported in the December 2019 census, down from 513 in November 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: October 2004 to December 2019 Delays Last 3 months average Source: Delayed transfers of care database, NHS Wales Informatics Services (NWIS) NOTE: an increase in October 2009 was probably partly due to revised procedures
  8. 8. Ambulance services December The percentage of red calls arriving at the scene within 8 minutes in December 2019 was up from the previous month but below the 65% target for the second time. Please see note on the next page. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Dec'15 Jan'16 Feb'16 Mar'16 Apr'16 May'16 Jun'16 Jul'16 Aug'16 Sep'16 Oct'16 Nov'16 Dec'16 Jan'17 Feb'17 Mar'17 Apr'17 May'17 Jun'17 Jul'17 Aug'17 Sep'17 Oct'17 Nov'17 Dec'17 Jan'18 Feb'18 Mar'18 Apr'18 May'18 Jun'18 Jul'18 Aug'18 Sep'18 Oct'18 Nov'18 Dec'18 Jan'19 Feb'19 Mar'19 Apr'19 May'19 Jun'19 Jul'19 Aug'19 Sep'19 Oct'19 Nov'19 Nov'19 Percentage Red calls - % of emergency responses arriving at the scene within 8 minutes Source: Welsh Ambulance Services NHS Trust
  9. 9. Ambulance services Ambulance response times As part of the continual review of the clinical response model, the Welsh Ambulance Service regularly reviews call handling practices and the categorisation of incidents. An update to call handling practices in summer 2019 appears to have resulted in an increased Red incident volume. Further work is being undertaken to understand this change. Therefore, it is not possible to compare red incident volumes in recent months at present. Increases in red incident volumes may also impact on performance due to the additional resources required to attend a red incident.
  10. 10. 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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