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
December 2018 / January 2019
21 February 2019

2. A&E performance against the 4 hour
target decreased this month, and
more 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 decreased.
The percentage of patients waiting less
than 26 weeks from referral to treatment
decreased but the number waiting
longer than 36 weeks also decreased.
The average
number of daily
referrals received
decreased over
the month.
The percentage of patients
starting treatment within the
target time increased for
patients on the urgent pathway
but decreased for those not on
the urgent pathway.
Average daily calls
to the ambulance
service decreased
compared to
last month,
performance
increased and met
the target.
The number of delayed
transfers of care
decreased this
month.

3. 87.9% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), up 2.6 percentage
points from November.
96.8% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), down
0.5 percentage points from
November.
NHS Cancer Waiting Times
December
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)
86.9% of patient
pathways waiting to start
treatment in December had
been waiting less than 26
weeks, a decrease of 0.9
percentage points from
November.
Referral to Treatment Times
December
12,982 patient pathways
had been waiting over 36 weeks
to start treatment in December. A
decrease of 528 since November.

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
305 people were waiting over 14
weeks for therapy services in
December, a decrease of 75 compared to
November.
NHS diagnostic and therapy service waiting times
December
3,135 patients were waiting
over 8 weeks for diagnostic
services in December, an
increase of 461 compared to
November.

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
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
January
5,292 patients
spent 12 hours or
more in A&E in January,
1,393 more than in
December.
77.2% of patients
spent less than 4
hours in A&E in
January, 0.6 percentage
points less than in
December.

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 January 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
Delayed Transfers of Care
January
415 delayed
transfers of care
were reported in
the January
2019 census,
down from 450 in
December 2018.

8. Ambulance services
January
The percentage of red calls arriving at
the scene within 8 minutes in January
2019 was above the 65% target but
down 1.0 percentage point from 72.8%
in December 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
Dec'18
Jan'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