The NHS activity and performance summary for May/June 2018 indicates improvements in A&E performance with a rise in patients seen within 4 hours, but a rise in waiting times for diagnostic and therapy services. The percentage of cancer patients starting treatment within target times showed a slight decline, and the number of delayed transfers of care increased. Overall, while some targets were met, there are areas of concern regarding waiting times and service capacity.

1. NHS Activity &
Performance Summary
May/June 2018
19 July 2018

2. Performance against the 4
hour target for Accident and
Emergency improved.
There were increases in
the numbers of patients
waiting
over target time
for diagnostic
and therapy
services.
The waiting time between referral
and the start of treatment stayed
at a similar level to last month.
The average number of daily
referrals received increased over
the month.The percentage of
patients seen within
the target time
decreased for both
cancer treatment
pathways.
The percentage
of life
threatening call
responses
target was met
but performance
decreased over
the month.
The number of delayed
transfers of care
increased this
month.

3. 84.0% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), down 1.6
percentage points from April.
96.7% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), down
0.8 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
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
PercentageofPatientPathways
Waiting less than 36 weeks Waiting less than 26 weeks
Patientpathways waitingto start treatment
Source:Referral totreatmenttimes,NHSWalesInformaticsServices(NWIS)
87.4% of patient
pathways waiting to start
treatment in May had been
waiting less than 26
weeks, 0.1 percentage
points lower than last month.
Referral to Treatment Times
May
15,344 patient pathways
had been waiting over 36 weeks
to start treatment in May. An
increase of 547 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
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
347 people waited over 14 weeks
for therapy services in May, 32 more
than in April.
NHS diagnostic and
therapy service waiting times
May
3,993 patients were
waiting over 8 weeks for
diagnostic services in May, an
increase of 505 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
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
2,910 patients
spent 12 hours or
more in A&E in June, 83
more than in May.
83.2% of patients
spent less than 4
hours in A&E in June,
1.2 percentage points
more than in May.

7. 0
100
200
300
400
500
600
700
800
900
'05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17
Delayed Transfers of Care: October2004 to June 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
June
447 delayed
transfers of care
were reported in
the June 2018
census, up from
439 in May 2018.

8. Ambulance services
June
Percentage of red calls arriving at the
scene within 8 minutes in June 2018
was above the 65% target but
decreased by 0.5 percentage point from
76.1% in May 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
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