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
June/July 2019
22 August 2019

2. A&E performance against the 4
hour target decreased slightly 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 but the
number waiting over 14
weeks for therapy
services increased.
The percentage of patients waiting less
than 26 weeks from referral to treatment
increased and the number waiting longer
than 36 weeks increased.
The average number
of daily referrals
received decreased
over the month.
The percentage of cancer
patients starting treatment within
the target time decreased for
patients on both the urgent
pathway and the not via urgent
pathway.
Average daily calls
to the ambulance
service were up
from last month;
the target was met,
but performance
was below 70% for
the first time since
March 2018.
The number of
delayed
transfers of care
decreased this
month.

3. 79.4% of patients
newly diagnosed with cancer
via the Urgent route started
treatment within target time
(62 days), down 0.2
percentage points from May
and the lowest percentage
since November 2006.
96.1% of patients
newly diagnosed with cancer
not via the Urgent route
started treatment within
target time (31 days), down
0.4 percentage points from
May.
NHS Cancer Waiting Times
June
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 June had
been waiting less than
26 weeks, an increase of
0.2 percentage points
from May.
Referral to Treatment Times
June
13,260 patient
pathways had been
waiting over 36 weeks to
start treatment in June, an
increase of 862 since May.

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
271 people were
waiting over 14 weeks
for therapy services in
June, an increase of
114 compared to May.
NHS diagnostic and therapy service waiting times
June
3,337 patients were
waiting over 8 weeks for
diagnostic services in
June, a decrease of 394
compared to May.

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
July
4,922 patients
spent 12 hours or
more in A&E in July,
721 more than in
June.
77.4% of
patients spent less
than 4 hours in A&E
in July, 0.2 percentage
points less than in
June.

7. Delayed Transfers of Care
July
420 delayed
transfers of care
were reported in the
July 2019 census,
down from 433 in
June 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 July 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
July
The percentage of red calls arriving at the
scene within 8 minutes in July 2019 was
above the 65% target, but down on the
previous month and below 70% for the first
time since March 2018.

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