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
February/March 2019
18 April 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
decreased and the
number waiting over 14
weeks for therapy
services also decreased.
The percentage of patients waiting less
than 26 weeks from referral to treatment
increased and the number waiting longer
than 36 weeks decreased.
The average
number of daily
referrals received
increased over
the month.
The percentage of patients
starting treatment within the
target time decreased for
patients on the urgent pathway
and for those not on the urgent
pathway.
Average daily calls
to the ambulance
service decreased
compared to
last month;
performance met
the target, but was
slightly slower.
The number of delayed
transfers of care
increased this
month.

3. 85.2% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), down 0.3
percentage points from
January.
97.5% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), down
0.3 percentage points from
January.
NHS Cancer Waiting Times
February
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
Patient pathways waiting to start treatment
Source: Referral to treatment times, NHS Wales Informatics Services (NWIS)
88.6% of patient
pathways waiting to start
treatment in February had
been waiting less than
26 weeks, an increase of
0.9 percentage points
from January.
Referral to Treatment Times
February
13,272 patient
pathways had been
waiting over 36 weeks to
start treatment in
February, a decrease of
868 since January.

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
Number of patients waiting over the standard time for
diagnostic and therapy services
77 people were
waiting over 14 weeks
for therapy services in
February, a decrease
of 128 compared to
January.
NHS diagnostic and therapy service waiting times
February
3,458 patients were
waiting over 8 weeks for
diagnostic services in
February, a decrease of
534 compared to January.

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 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
March
4,472 patients
spent 12 hours or
more in A&E in
March, 466 more than
in February.
78.7% of
patients spent less
than 4 hours in A&E
in March, 0.3
percentage points less
than in February.

7. Delayed Transfers of Care
March
455 delayed
transfers of care
were reported in the
March 2019
census, up from
450 in February
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 March2019
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
March
The percentage of red calls arriving at
the scene within 8 minutes in March
2019 was above the 65% target but
down 1.2 percentage points from 72.4%
in February 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