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
2019
21 November 2019

2. A&E performance against the 4
hour target decreased this month,
but fewer patients spent longer
than 12 hours in A&E. The number of patients
waiting over 8 weeks
for diagnostic services
decreased but 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 increased
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 met,
but performance
was below 70% for
the fourth
consecutive month.
The number of
delayed
transfers of care
decreased this
month.

3. 80.2% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), down 1.5
percentage points from
August.
96.2% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), down
0.4 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
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
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)
84.8% of patient
pathways waiting to start
treatment in September
had been waiting less
than 26 weeks, 0.8
percentage points lower
than August.
Referral to Treatment Times
September
18,776 patient
pathways had been
waiting over 36 weeks to
start treatment in
September, a decrease of
324 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
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 therapy services
508 people were
waiting over 14 weeks
for therapy services in
September, an
increase of 48
compared to August.
NHS diagnostic and therapy service waiting times
September
4,633 patients were
waiting over 8 weeks for
diagnostic services in
September, a decrease of
458 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
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
October
5,581 patients
spent 12 hours or
more in A&E in
October, 75 less than
in September.
75.3% of
patients spent less
than 4 hours in A&E
in October, 0.1
percentage points less
than in September.

7. Delayed Transfers of Care
October
481 delayed
transfers of care
were reported in the
October 2019
census, down from
490 in September
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 October 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. Ambulance services
October
The percentage of red calls arriving at the
scene within 8 minutes in October 2019 was
above the 65% target, but down on the
previous month and below 70% for the fourth
consecutive month.
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
Percentage
Red calls - % of emergency responses arriving at the
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