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.

1. NHS Activity &
Performance Summary
September/October
2018
22 November 2018

2. A&E performance against the 4 hour
target decreased slightly 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 increased.
The percentage of patients waiting less
than 26 weeks from referral to treatment
decreased but the number waiting
longer than 36 weeks decreased.
The average
number of daily
referrals received
decreased over
the month.
The percentage of patients
starting treatment within the
target time on the urgent
cancer pathway decreased.
There was an increase for those
not on the urgent pathway.
Average daily calls
to the ambulance
service were the
same as last
month,
performance
improved.
The number of delayed
transfers of care
increased this
month.

3. 84.2% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), down 2.8
percentage points from
August.
97.9% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), up 1.5
percentage points from
August.
NHS Cancer Waiting Times
September
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
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
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)
87.3% of patient
pathways waiting to start
treatment in September had
been waiting less than 26
weeks, 0.3 percentage
points lower than in August.
Referral to Treatment Times
September
13,673 patient pathways
had been waiting over 36 weeks
to start treatment in September. A
decrease of 1,949 since August.

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
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
387 people were waiting over 14
weeks for therapy services in
September, 27 more than in August.
NHS diagnostic and therapy service waiting times
September
4,579 patients were waiting
over 8 weeks for diagnostic
services in September, a
decrease of 870 compared to
August.

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
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
October
3,961 patients
spent 12 hours or
more in A&E in October,
157 more than in
September.
80.0% of patients
spent less than 4
hours in A&E in
October, 0.3 percentage
points less than in
September.

7. 0
100
200
300
400
500
600
700
800
900
'05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18
Delayed Transfers of Care: October2004 to October 2018
Delays
Last 3 months average
NOTE: An increase in October 2009 was probably partly due to revised procedures.
Source: Delayed transfers ofcare database,NHS Wales Informatics Services (NWIS)
Delayed Transfers of Care
October
474 delayed
transfers of care
were reported in
the October
2018 census, up
from 435 in
September 2018.

8. Ambulance services
October
Percentage of red calls arriving at the
scene within 8 minutes in October
2018 was above the 65% target and
increased by 0.8 percentage points
from 73.9% in September 2018.
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
Percentage
Red calls - % of emergency responses
arriving atthe scene within 8 minutes
Source: Welsh Ambulance Services NHS Trust

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