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
October/November
2018
20 December 2018

2. A&E performance against the 4 hour
target increased slightly this month,
and fewer 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
increased but the number waiting longer
than 36 weeks increased.
The average
number of daily
referrals received
increased over
the month.
The percentage of patients
starting treatment within the
target time on the urgent
cancer pathway increased.
There was a decrease for those
not on the urgent pathway.
Average daily calls
to the ambulance
service increased
compared to
last month,
performance
decreased but met
the target.
The number of delayed
transfers of care
increased this
month.

3. 86.6% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), up 2.4 percentage
points from September.
97.8% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), down
0.2 percentage points from
September.
NHS Cancer Waiting Times
October
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. 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)
87.8% of patient
pathways waiting to start
treatment in October had
been waiting less than 26
weeks, 0.5 percentage
points higher than in
September.
Referral to Treatment Times
October
14,101 patient pathways
had been waiting over 36 weeks
to start treatment in October. An
increase of 428 since September.

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
465 people were waiting over 14
weeks for therapy services in October,
78 more than in September.
NHS diagnostic and therapy service waiting times
October
3,172 patients were waiting
over 8 weeks for diagnostic
services in October, a decrease
of 1,407 compared to September.

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
November
3,560 patients
spent 12 hours or
more in A&E in
November, 401 fewer
than in October.
80.1% of patients
spent less than 4
hours in A&E in
November, 0.1
percentage points more
than in October.

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 November
2018
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
Delayed Transfers of Care
November
480 delayed
transfers of care
were reported in
the November
2018 census, up
from 474 in
October 2018.

8. Ambulance services
November
The percentage of red calls arriving at
the scene within 8 minutes in
November 2018 was above the 65%
target but down by 2.4 percentage
points from 74.7% in October 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
Nov'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