NHS activity and performance summary: October and November 2018

Summary

• Average daily A&E attendances decreased in November and the percentage of patients spending less than four hours in A&E increased marginally. The number of patients spending more than 12 hours in A&E decreased by 10% compared to October.
• The average number of daily calls to the ambulance service increased in November. The percentage of red calls receiving an emergency response within 8 minutes met the target but was lower than in October.
• The number of patients waiting longer than the target time for diagnostic tests fell markedly by just under a third in October, whereas those waiting longer than the target time for therapy services increased a little. The percentage of patients waiting less than 26 weeks from referral to the start of treatment increased but more patients were waiting longer than 36 weeks in October than September.
• Child and Adolescent Mental Health Services (CAMHS) performance continued to improve this month.
• The percentage of patients starting treatment within target time for cancer increased for patients on the urgent pathway. Performance decreased slightly for those not on the urgent pathway but was close to target.
• The number of delayed transfers of care increased to the highest since November 2016. The remaining targets for scheduled and unscheduled care were missed.
• Average A&E waiting times and average emergency call response increased in November. The latest average wait times for, referral to treatment, diagnostic tests and therapy services decreased since last month.