The NHS activity and performance summary report for April and May 2019 showed that: 1) A&E performance improved with fewer patients waiting over 12 hours but more patients were waiting over 8 weeks for diagnostic services and over 14 weeks for therapy services. 2) The percentage of cancer patients starting treatment on time decreased on both cancer pathways and the number of patient referrals increased. 3) Delayed transfers of care and the number of patients waiting over 36 weeks for treatment also increased while ambulance response times met targets.

1. NHS Activity &
Performance Summary
April/May 2019
20 June 2019

2. A&E performance against the 4
hour target increased 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 also increased.
The percentage of patients waiting less
than 26 weeks from referral to treatment
decreased 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
decreased for patients on both
cancer pathways.
Average daily calls
to the ambulance
service decreased
compared to
last month; target
was met, but was
slightly slower than
last month.
The number of delayed
transfers of care
increased this
month.

3. 84.9%r of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), down 1.1r
percentage points from
March.
96.4% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), down
0.6 percentage points from
March.
NHS Cancer Waiting Times
April
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
r Urgent suspected cancer data for March and April 2019 in
Betsi Cadwaladr University Health Board was revised on the
21/06/2019 to include data that was missed during
processing.

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)
88.0% of patient
pathways waiting to start
treatment in April had
been waiting less than
26 weeks, a decrease of
1.1 percentage points
from March.
Referral to Treatment Times
April
11,043 patient
pathways had been
waiting over 36 weeks to
start treatment in April, an
increase of 2,058 since
March.

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
45 people were
waiting over 14 weeks
for therapy services in
April, an increase of 41
compared to March.
NHS diagnostic and therapy service waiting times
April
3,271 patients were
waiting over 8 weeks for
diagnostic services in
April, an increase of 490
compared to March.

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
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
May
4,797 patients
spent 12 hours or
more in A&E in May,
254 fewer than in
April.
78.0% of
patients spent less
than 4 hours in A&E
in May, 1.7
percentage points
more than in April.

7. Delayed Transfers of Care
May
414 delayed
transfers of care
were reported in the
May 2019 census,
up from 409 in April
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 May 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
May
The percentage of red calls arriving at the
scene within 8 minutes in May 2019 was above
the 65% target but marginally down by 0.05
percentage points from 70.3% in April 2019.

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