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
July/August 2019
19 September 2019

2. A&E performance against the 4
hour target decreased 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
increased and the
number waiting over 14
weeks for therapy
services increased.
The percentage of patients waiting less
than 26 weeks from referral to treatment
remained the same and the number
waiting longer than 36 weeks increased.
The average number
of daily referrals
received increased
over the month.
The percentage of cancer
patients starting treatment within
the target time increased for
patients on both the urgent
pathway and the not via urgent
pathway.
Average daily calls
to the ambulance
service were down
from last month;
the target was met,
but performance
was below 70% for
the second
consecutive month.
The number of
delayed
transfers of care
increased this
month.

3. 79.8% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), up 0.3 percentage
points from June.
97.4% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), up 1.3
percentage points from
June.
NHS Cancer Waiting Times
July
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
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 July had been
waiting less than 26
weeks, the same as June.
Referral to Treatment Times
July
15,543 patient
pathways had been
waiting over 36 weeks to
start treatment in July, an
increase of 2,283 since
June.
=

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 therapyservices
316 people were
waiting over 14 weeks
for therapy services in
July, an increase of 45
compared to June.
NHS diagnostic and therapy service waiting times
July
4,158 patients were
waiting over 8 weeks for
diagnostic services in
July, an increase of 821
compared to June.

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
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
August
4,847 patients
spent 12 hours or
more in A&E in
August, 71 fewer than
in July.
77.2% of
patients spent less
than 4 hours in A&E
in August, 0.2
percentage points less
than in July.

7. Delayed Transfers of Care
August
489 delayed
transfers of care
were reported in the
August 2019
census, up from
420 in July 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: October2004 to August 2019
Delays
Last 3 months average
Source: Delayed transfers of care database,NHSWales Informatics Services (NWIS)
NOTE: an increase in October 2009 was probably partly due to revised procedures

8. Ambulance services
August
The percentage of red calls arriving at the
scene within 8 minutes in August 2019 was
above the 65% target, but down on the
previous month and below 70% for the
second 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
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