NHS Activity and Performance Summary: October and November 2024
Report summarising data on activity and performance in the Welsh NHS for October and November 2024.
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Introduction
This statistical release provides a monthly summary of NHS Wales activity and performance data. Longer term trends are explored in our annual reports, Trends in NHS urgent and emergency care activity and Trends in NHS planned care activity
In light of the impact COVID-19 has had on NHS activity and performance levels, the Welsh Government has published its programme for transforming and modernising planned care and reducing waiting lists in Wales. This plan sets out a number of key ambitions to reduce waiting times for people in Wales. We have incorporated performance measures against these ambitions into this statistical release and on StatsWales.
Data provided in this statistical report has been provided by Digital Health and Care Wales (DHCW) unless stated otherwise. Data for each topic area are also available in more detail on our StatsWales website.
Main points
In October, just under 74,200 calls were made to the 111 helpline service, an increase of around 4,300 calls compared to the previous month. Of these, just over 66,600 calls (89.8%) were answered. There were also just under 452,000 hits on the NHS 111 Wales website and just over 12,800 completed symptom checks (NHS 111 Wales).
In October there were 5,497 red (life threatening) calls to the ambulance service, 15.0% of all calls. An average of 177 immediately life-threatening calls were made each day, around the same as in September and the second highest on record.
50.4% of red calls received an emergency response within eight minutes. This was 1.4 percentage points higher than in September. Data for red calls are only comparable from May 2019 onwards.
There was an average of 3,060 daily attendances to emergency departments, an increase compared to the previous month. Performance against the four hour and twelve hour target both worsened compared with the previous month. The average (median) time spent in emergency departments in October remained the same compared to the previous month at two hours and forty two minutes.
The pandemic has caused a large increase in patient pathways waiting to start treatment. In September the number increased from just under 800,200 to just over 801,300, the highest figure on record. The number of patient pathways is not the same as the number of individual patients, because some people have multiple open pathways. More information is available in the Welsh Government’s Chief Statistician’s blog.
Management information suggests that in September, when there were just over 801,300 open patient pathways, there were about 618,200 individual patients on treatment waiting lists in Wales.
The proportion of patient pathways waiting less than 26 weeks increased to 54.2% in September. This has been relatively stable after falling significantly from the levels pre-pandemic. The number of pathways waiting longer than 36 weeks decreased in September, to just over 277,600, the second highest figure on record.
Just over 23,700 pathways were waiting more than two years, almost two thirds (66.3%) lower than the peak and a decrease from the previous month. The average (median) time patient pathways had been waiting for treatment at the end of September was 0.3 weeks lower than the previous month at 22.7 weeks.
The planned care recovery plan established a target to eliminate two year waits in most specialties by March 2023, with ‘most’ referring to all specialties excluding seven recognised as exceptionally challenging even prior to the pandemic. The target was not met in March 2023 and in September there were still a further 15 specialties with pathways waiting more than two years accounting for 3,204 pathways, a decrease of 60 compared to last month.
Headline measures for open pathways across the UK are not comparable. There are large differences between Wales, Scotland and Northern Ireland statistics, meaning they should not be compared at all. With England, current understanding suggests a broadly comparable number can be produced for Wales by removing some known non-consultant led pathways which are not counted in England. On that basis, there are around 721,800 open pathways on consultant-led pathways in Wales, equivalent to 23 pathways (not patients) for every 100 people. For England, the figure in September was 13 pathways for every 100 people.
Pathways waiting longer than one year for their first outpatient appointment increased to 79,855, 22.2% less than the peak in August 2022.
For diagnostic services, patient pathways waiting increased to just over 111,200 in September. The number waiting longer than eight weeks (the target maximum wait) decreased to just under 43,300. For therapies, patient pathways waiting increased to just under 56,800 therapies waiting in September. The number waiting longer than fourteen weeks (the target maximum wait) decreased to just under 5,800.
For cancer services, 1,823 people started their first definitive treatment in September, 121 more than the previous month. The number of pathways closed following the patient being informed they did not have cancer increased to 13,965. Performance worsened against the 62 day target in September, decreasing to 55.0%, compared to 56.5% the previous month.
Statement on comparability
The provision of health services is devolved across the four nations of the UK. As a result, the way we measure NHS activity and performance in each nation differs. A joint statement on the coherence of these statistics, and advice on how and when to make comparisons across the UK has been published on the Analysis Function website.
Unscheduled care
New data relating to unscheduled care are provided for the month of October 2024.
Calls to 111 service
Activity
Figure 1: Calls received and calls answered by the NHS 111 service
Description of Figure 1: A line chart showing the number of calls received by the 111 service has been relatively stable. There has been a decrease in calls received and calls answered within 60 seconds in recent months.
Source: Welsh Ambulance Services NHS Trust
111 service activity in Wales, by date and measure, on StatsWales
In October, a total of 74,188 calls were made to the 111 helpline service, an increase of around 4,300 calls compared to the previous month. Of these, just over 66,600 (89.8%) calls were answered, an average of just over 2,100 calls per day.
An estimated 7,581 (10.2%) calls were ended by the caller before being answered. Of these, 3,129 were ended within 60 seconds of the automated messages, suggesting their needs were likely to have been met.
Just under 4,500 calls were abandoned after 60 seconds and these are regarded as callers who were more likely to have still required the service after the messages but were unable to get through or decided not to wait.
Of the calls answered, 1,345 calls indicated that they wished to conduct the call in Welsh.
There were just under 452,000 hits on the NHS 111 Wales website and just over 12,800 completed symptom checks (NHS 111 Wales) in October.
Emergency calls to the ambulance service
A wider range of ambulance quality indicators are published on StatsWales and on the NHS Wales Joint Commissioning Committee website.
Calls to the ambulance service are categorised as red (immediately life-threatening), amber (serious but not life-threatening) or green (non-urgent).
Activity
Figure 2: Average daily emergency ambulance calls, by call type and month [Note 1]
Description of Figure 2: A line chart showing the number of emergency calls received by the Welsh Ambulance Services NHS Trust. An Amber call is the most common call and the number of red calls is showing an upward trend over the years.
Source: Welsh Ambulance Services NHS Trust
Emergency ambulance calls and responses to red calls, by local health board and month, on StatsWales
[Note 1] An update to call handling in May 2019 resulted in a change to red incident volume. It is not possible to directly compare before and after this date. Further details are available in the quality information.
In October, just under 36,700 emergency calls were made to the ambulance service. This was an average of 1,183 calls per day, on average 39 more calls per day than the previous month, and 24 (2.1%) more per day than the same month last year.
An average of 177 red calls were made per day in October, 1 more than the previous month and the second highest on record.
In October, the proportion of all calls that were immediately life-threatening was 15.0%, 0.4 percentage points lower than September. The number of green calls has steadily decreased over time, while the number of red calls has steadily increased.
Performance
Target
- 65% of red calls (immediately life-threatening, someone is in imminent danger of death, such as a cardiac arrest) to have a response within 8 minutes.
Figure 3: Percentage of red calls which received an emergency response at the scene within 8 minutes, October 2019 to October 2024 [Note 1]
Description of Figure 3: A line chart showing that performance for emergency response calls has trended downwards over the long-term. Performance remains below the target of 65%.
Source: Welsh Ambulance Services NHS Trust
[Note 1]: An update to call handling in May 2019 resulted in a change to red incident volume. It is not possible to directly compare before and after this date. Further details are available in the quality information.
In October, 50.4% of emergency responses to immediately life threatening (red) calls arrived within 8 minutes of patient location and chief complaint being established. This was 1.4 percentage points higher than the previous month.
The proportion of red calls responded to within 8 minutes has fallen in recent years from a peak of 80% in 2017, but over the same period there has been a significant increase in the number of red calls received. For example, in the latest twelve months there were around 60,000 red calls, more than twice as many as in 2017 (22,000). The overall increase in demand largely reflects two things; changes in how some calls are handled, as some calls that used to be categorised as amber are now categorised as red; and a large increase in respiratory conditions in recent winters.
Other than demand, handover delays at hospitals can also affect performance, when ambulance crews are unable to respond to new calls while waiting to handover patients to emergency departments. There has been a significant increase in handover delays in recent years, with more than four times as many hours lost in the latest twelve months compared with 2017. In October around 22,000 hours were lost due to handover delays. Further data on handover delays can be found on the Emergency Ambulance Services Committee’s (EASC) Ambulance Service Indicators dashboard.
The median response time in the four years prior to the pandemic ranged between 4 minutes 30 seconds and 6 minutes for red calls. In October, the average (median) response time to immediately life-threatening ‘red’ calls was 7 minutes 56 seconds. This was 15 seconds quicker than the previous month, and 30 seconds quicker than October 2023.
The majority of calls to the ambulance service are categorised as ‘amber’ calls, for which there is no performance target for call response times. In October, the median response time for amber calls was 1 hour 53 minutes and 48 seconds. This was 5 minutes slower than in September and just under 25 minutes slower than in October 2023.
Emergency department attendances and admissions to hospital
A wider range of emergency department performance statistics are published on the National Collaborative Commissioning Unit (NCCU) website, as management information.
Activity
Figure 4: Average attendances in emergency departments, and admissions to hospital resulting from attendances at major emergency departments per day, by month [Note 1]
Description of Figure 4: A line chart showing attendances to emergency department, which are generally higher in the summer months than the winter, but otherwise remain relatively stable. There was a decrease in attendances during the COVID-19 pandemic.
Source: Emergency department data set, Digital Health and Care Wales
Number of attendances in NHS Wales emergency departments by age band, sex and site, on StatsWales
[Note 1]: Chart shows number of attendances at both major emergency departments and minor injuries units, and the number of admissions resulting from attending major emergency departments only.
In October there were just under 94,900 attendances to all emergency departments, an average of 3,060 attendances per day; this was 39 attendances more per day on average than in the previous month.
In October, just under 15,100 patients were admitted to the same or a different hospital following attendance at major emergency departments. This was 6.4% higher than the previous month,but 4.3% lower than the same month in 2023.
Performance
Targets
- 95% of new patients should spend less than 4 hours in emergency departments from arrival until admission, transfer or discharge.
- No patient waiting more than 12 hours in emergency departments from arrival until admission, transfer or discharge.
Figure 5: Percentage of patients admitted, transferred or discharged within 4 hours at emergency departments, October 2019 to October 2024
Description of Figure 5: A line chart showing the percentage of patients admitted, transferred or discharged within 4 hours at emergency departments fell during the coronavirus pandemic and has largely plateaued since late 2021.
Source: Emergency department data set, Digital Health and Care Wales
Performance against 4 hour target by hospital, on StatsWales
In October, 68.0% of patients in all NHS emergency departments spent less than 4 hours in the department from arrival until admission, transfer or discharge. This was lower than the previous month and remains relatively low in historical context.
In 2019, the median time patients spent in emergency departments was around 2 hours and 30 minutes. During the early part of the pandemic, as attendances decreased the median time spent in the department decreased, to a low of 1 hours 47 minutes in April 2020. Since then, median times increased and reached a record high of 3 hours and 8 minutes in March 2022. In the latest data for October, the median waiting time was 2 hours and 42 minutes, the same as the previous month.
The median time spent in emergency department varies by age. Prior to the pandemic, children (aged 0 to 4) spent between 1 hour and 30 minutes and 2 hours in emergency departments, while older patients (aged 85 or greater) spent between 3 hours and 30 minutes and 5 hours.
In October, children (aged 0 to 4) spent an average of 2 hours and 10 minutes in emergency departments. Adults aged 85 and over spent an average of 6 hours and 25 minutes in emergency departments.
Figure 6: Patients waiting more than 12 hours to be admitted, transferred or discharged at NHS emergency departments, October 2019 to October 2024
Description of Figure 6: A line chart showing the number of patients waiting longer than 12 hours to be admitted, transferred or discharged at emergency departments, which fell sharply during the initial coronavirus period. Recently there has been a slight fall after a long term upward trend.
Source: Emergency department data set, Digital Health and Care Wales
Performance against the 12 hour target by hospital, on StatsWales
In October, 10,159 patients waited 12 hours or more. This was 433 (4.5%) more than in the previous month.
Scheduled care activity
New data relating to scheduled care are provided for the month of September 2024. Digital Health and Care Wales (DHCW) now publishes a secondary care dashboard which provides data on outpatients appointments, inpatient admissions and daycase activity undertaken in Wales.
Outpatient referrals and appointments
Activity
Figure 7: Average daily referrals for first outpatient appointment, September 2019 to September 2024
Description of Figure 7: A line chart showing outpatient referrals, which has been fluctuating with an upwards trend. Following a big drop in referrals in February 2020 due to the coronavirus pandemic, outpatient referrals have steadily risen beyond pre-pandemic levels.
Source: Outpatient Referral Dataset, Digital Health and Care Wales
Referrals by local health board and month, on StatsWales
An average of 4,237 referrals for first outpatient appointments were made per day in September 2024. This is an increase of 6.8% (270 more referrals per day on average) compared to August 2024 and an increase of 0.6% compared to September 2023.
Performance
Targets
- No one waiting for longer than a year for their first outpatient appointment by the end of 2022 (a target established in the planned care recovery plan).
Figure 8: Pathways waiting more than a year for their first appointment, September 2019 to September 2024
Description of Figure 8: A line chart showing the number of patient pathways waiting longer than a year, which rapidly increased during the coronavirus pandemic before halving to around 50,000. The figure has increased since mid-2023.
Source: Referral to treatment times, Digital Health and Care Wales
In September, the number of pathways waiting longer than one year for their first outpatient appointment increased by 0.4% compared to the previous month to 79,855. The planned care recovery plan target was not met, though there has been a fall of 22.2% since the peak in August 2022.
Diagnostic and therapy waiting times
Activity
Figure 9: Patient pathways waiting for diagnostic and therapy services, September 2019 to September 2024 [Note 1] [Note 2]
Description of Figure 9: A line chart showing a long term upward trend in patient pathways waiting for diagnostic services, including a sharp increase in the start of the coronavirus pandemic, and the number of patient pathways waiting for therapy services which has also seen a long term upward trend.
Source: Diagnostic and therapy services waiting times, Digital Health and Care Wales
Diagnostic and Therapy Services Waiting Times by week, on StatsWales
[Note 1]: The low point in April 2020 for therapies is in part due to Betsi Cadwaladr not submitting data for this month, please see the quality information for more information.
[Note 2]: The April 2024 figures for therapies pathways were affected by changes to the way the data are collected. Specifically, audiology (which is now reported separately on StatsWales) and weight management pathways are no longer reported in the therapies data. Further detail on this was provided in June’s release.
In September there were just over 111,200 patient pathways waiting for diagnostics. This was an increase of 1.4% compared with the previous month.
In September there were just under 56,800 patient pathways waiting for therapies. This was an increase of 0.5% compared with the previous month.
Performance
Targets
- The maximum wait for access to specified diagnostic tests is 8 weeks.
- The maximum wait for access to specified therapy services is 14 weeks.
- The planned care recovery plan established a target date of Spring 2024 to reach these targets.
Figure 10: Patient pathways waiting over the target time for diagnostic and therapy services, September 2019 to September 2024 [Note 1]
Description of Figure 10: Line chart showing a big increase in patient pathways waiting longer than 8 weeks for diagnostic services at the start of the pandemic, before falling throughout 2020 and fluctuating since. The number of patient pathways waiting longer than 14 weeks for therapy services peaked in June 2020 and March 2022 and after falling steadily for a year has been rising since April 2023. Neither diagnostics or therapies are close to pre-pandemic levels.
Source: Diagnostic and therapy services waiting times, Digital Health and Care Wales
Diagnostic and Therapy Services Waiting Times by week, on StatsWales
[Note 1]: From April 2024 audiology and weight management pathways were no longer reported in the therapies data, meaning they are not directly comparable with data up to March 2024.
At the end of September, just under 43,300 patient pathways were waiting longer than the target time for diagnostics. This was a decrease of 0.9% compared to the previous month. The planned care recovery target, to eliminate waits of more than 8 weeks for diagnostics tests by Spring (March) 2024, was not met.
At the end of September there were just under 5,800 patient pathways waiting longer than the target time for therapies. This was a decrease of 8.0% compared to the previous month. The planned care recovery target, to eliminate waits of more than 14 weeks by Spring (March) 2024, was not met.
Median waiting times had been relatively stable for diagnostic tests since 2017 (2.8 weeks on average) and for therapy services since 2018 (3.6 weeks on average). Median waiting times for both services peaked in 2020 (14.3 weeks for diagnostics and 14.9 weeks for therapies).
In September, the median waiting time for diagnostic tests was 5.3 weeks, compared to 5.7 weeks the previous month. The median waiting time for therapy services was 4.4 weeks, compared to 5.0 weeks the previous month.
Referral to treatment time
Referral to treatment time statistics show monthly data on waiting times for both open and closed pathways following a referral by a GP or other medical practitioner to hospital for treatment in the NHS. Open pathways are those that remain on the waiting list for treatment, whereas closed pathways are those taken off the waiting list.
Activity is measured by patient pathways, which differs to the number of patients. More information on this difference is available in the Welsh Government’s Chief Statisticians blog.
Also published is management information for the number of individual patients on treatment waiting lists in Wales.
Performance
Targets
- No patients waiting longer than two years in most specialities by March 2023, and no patients waiting longer than one year in most specialities by Spring 2025 (new targets established in the planned care recovery plan).
- 95% of patients waiting less than 26 weeks from referral.
- No patients waiting more than 36 weeks for treatment from referral.
Figure 11: Patient pathways waiting to start treatment, September 2019 to September 2024
Description of Figure 11: Line chart showing that since the coronavirus pandemic the number waiting has increased significantly. The number of patient pathways waiting longer than one year and two years both saw a rise due to the coronavirus pandemic. While numbers have been falling since then, the number of patient pathways waiting longer than one year has started to increase in recent months.
Source: Referral to treatment times, Digital Health and Care Wales
In September there were just over801,300 patient pathways waiting to start treatment. This was an increase of around 1,100 pathways from August, 76.5% higher than May 2020, and the highest figure on record.
Headline measures for open pathways across the UK are not comparable. There are large differences in coverage between Wales, Scotland and Northern Ireland statistics, meaning they should not be compared at all. With England, current understanding suggests a broadly comparable number can be produced for Wales by removing some known non-consultant led pathways which are not counted in England. On that basis, there are around 721,800 open pathways on consultant-led pathways in Wales, equivalent to 23 pathways (not patients) for every 100 people. For England, the figure in August was 13 pathways for every 100 people. These comparisons are explored further in this Chief Statistician’s blog.
Of the total 801,300 pathways, just under 169,300 were waiting more than one year in September. This number was 0.3% lower than last month. This has been rising in the last year and is now only 7.7% lower than the peak in August 2022. Just over 23,700 were waiting more than two years. This number is 2.0% lower than last month, and 66.3% lower than the peak in March 2022.
The planned care recovery plan established a target to eliminate two year waits in most specialties by March 2023. This is assessed on the basis that ‘most’ refers to all specialties excluding seven recognised as exceptionally challenging, with large numbers waiting even prior to the COVID-19 pandemic. These are Dermatology, General Surgery, Ophthalmology, Urology, Gynaecology, Orthopaedics and Ear, Nose and Throat. The target was not met in March 2023, and in August there were still a further 15 specialties with pathways waiting more than two years accounting for 3,204 pathways, a decrease of 60 compared to last month.
The number of patient pathways is not the same as the number of individual patients, because some people have multiple open pathways.
We do not have official statistics on the number of individual patients waiting to start treatment. However, management information suggests that in September, when the National Statistics (above) reported there were just over 801,300 open patient pathways, there were estimated to be about 618,200 individual patients on treatment waiting lists in Wales. Estimates for the number of individual patients waiting to start treatment by health board can be found on StatsWales: Unique Patient Estimates.
Unlike the National Statistics elsewhere in this release, which have been independently assessed against the Code of Practice for statistics, this estimate is based on management information. Whilst the principles of the Code of Practice have been applied, quality assurance is not to the level of the National Statistics. Work is ongoing to further understand the strengths and limitations of this data and this will be communicated as we learn more. For these reasons there is greater uncertainty around this estimate than with the other figures in this release. However, the level of public interest in understanding the number of patients in addition to the number of patient pathways adds sufficient value to warrant making this available.
Figure 12: Percentage of patient pathways waiting less than 26 weeks, September 2019 to September 2024
Description of Figure 12: Line chart showing that during the coronavirus pandemic the percentage of patient pathways waiting less than 26 weeks decreased sharply, and performance has since stabilized rising slowly between around 50 to 60%.
Source: Referral to treatment times, Digital Health and Care Wales
Of the just over801,300 patient pathways waiting to start treatment, by the end of September, 54.2% had been waiting less than 26 weeks. This was 0.1 percentage points higher than the previous month, and 27.7 percentage points lower than March 2020.
Figure 13: Patient pathways waiting more than 36 weeks, by month and weeks waited, September 2024 [Note 1]
Description of Figure 13: Line chart showing the number of patient pathways waiting more than 36 weeks, which increased rapidly during the coronavirus pandemic and is now at record levels.
Source: Referral to treatment times, Digital Health and Care Wales
In September, just over 277,600 patient pathways had been waiting more than 36 weeks. This represented 34.6% of all patient pathways waiting to start treatment. This was 6,957 (2.4%) lower than in the previous month and the second highest figure on record, having fallen for the first time in 12 months.
The median time waiting to start treatment had generally been around 10 weeks pre pandemic between late 2013 and February 2020. This increased during the pandemic and peaked at a record high of 29 weeks in October 2020. In September, the median waiting time was 22.7 weeks, 0.3 weeks lower than the previous month.
Figure 14: Closed patient pathways, September 2019 to September 2024 [Note 1]
Description of Figure 14: Line chart showing the number of patient pathways closed, which generally fluctuates. After a big decrease in March 2020 due to the coronavirus pandemic, the number of closed pathways has steadily risen to pre-pandemic levels.
Source: Referral to treatment times, Digital Health and Care Wales
Closed patient pathways by month, local health board and weeks waiting, on StatsWales
[Note 1]: Data revised to now include Cwm Taf Morgannwg health board closed pathways. Up to the July 2022 statistical release, the data series was not available for Cwm Tag Morgannwg. More details are available in the quality information.
The number of patient pathways closed in September was 112,241. This was an average of 5,345 patient pathways closed per working day. This was an increase of 582 patient pathways (or 12.2%) closed per working day from the previous month.
Cancer services
Activity
Figure 15: Closed suspected cancer pathways in the month, by month and outcome, September 2021 to September 2024 [Note 1]
Description of Figure 15: Line chart showing the number of patient pathways informed they do not have cancer, which fluctuates but showing an upwards trend, and the number of patient pathways starting their first definitive treatment, which has been relatively stable since recording began.
Source: Suspected Cancer Pathway, Digital Health and Care Wales (DHCW)
Suspected cancer pathway (closed pathways), on StatsWales
[Note 1]: New suspected cancer pathway data collection was introduced in December 2020.
In September, 1,823 pathways where the patient was newly diagnosed with cancer started their first definitive treatment in the month. This was 121 more than the previous month.
13,965 pathways were closed following the patient being informed they did not have cancer. This is an increase of 2.8% compared to the previous month.
In September, 15,884 patient pathways were opened in the month following a new suspicion of cancer. This was an increase of 534 (3.5%) on the previous month, but a decrease of 2.5% compared to September 2023. In recent years the number of new pathways opened has fluctuated, but has stabilised in recent months.
Performance
Target
- At least 75% of patients should start treatment within 62 days (without suspensions) of first being suspected of cancer. Data published for time periods before December 2020 are not subject to the target.
- The planned care recovery plan established a new target of 80%, to be reached by 2026.
Figure 16: Percentage of pathways where the patient started their first definitive treatment within the target time, September 2021 to September 2024 [Note 1]
Description of Figure 16: Line chart showing the percentage of patient pathways that started their first definitive treatment within 62 days of first being suspected of cancer and the 75% performance target. Performance fluctuates, but there is a general downwards trend in recent years.
Source: Suspected Cancer Pathway, Digital Health and Care Wales (DHCW)
Suspected cancer pathway (closed pathways), on StatsWales
[Note 1]: New suspected cancer pathway data collection was introduced in December 2020, with a performance target of 75%. The planned care recovery plan established a new target of 80%, to be reached by 2026.
In September, 55.0% of pathways started their first definitive treatment within 62 days of first being suspected of cancer. This was 1.5 percentage points lower than the previous month, but 1.2 percentage points higher than September 2023.
Focus on local health boards
- Of the measures covered in this report, currently the only health boards meeting any of the performance targets are Swansea Bay, which has only one first outpatient appointment over one year, and Powys, which has no therapies waiting over the target time.
- For emergency ambulance or ‘red’ calls, in October Hywel Dda had the highest proportion of responses within 8 minutes at 54.2%. Cwm Taf Morgannwg had the lowest at 47.7%.
- In emergency departments, Aneurin Bevan had the highest proportion of patients admitted, transferred or discharged within the 4 hour target at 76.4%, while Cardiff and Vale had the lowest at 61.3%.
- Aneurin Bevan had the lowest percentage waiting longer than 12 hours in emergency departments at 8.6%, while Betsi Cadwaladr has the highest at 15.5%.
- Betsi Cadwaladr had the highest proportion of RTT pathways waiting longer than one year in September, at 26.4% of pathways, whereas Swansea Bay had the lowest at 14.4% of pathways. Betsi Cadwaladr also had the highest proportion waiting longer than two years at 5.2% and Swansea Bay the lowest at 1.2%.
- For first outpatient appointments, the highest proportion waiting longer than one year in September was currently in Betsi Cadwaladr at 26.1% of pathways and the lowest was in Swansea Bay where there is only one pathway waiting longer than one year.
- Cardiff and Vale currently has the highest proportion of diagnostic waits longer than the target time of 8 weeks at 63.2% of pathways and Aneurin Bevan has the lowest at 18.9%.
- For therapies, Hywel Dda currently has the highest proportion waiting longer than the target of 14 weeks at 21.8% of pathways, and Powys has the lowest with no waits over 14 weeks.
- For cancer services, the highest proportion of patients starting treatment within 62 days from the point of suspicion is currently in Cardiff and Vale at 70.9%, and the lowest is in Hywel Dda at 40.4%.
More detailed data is available on StatsWales: Health and Social Care.
Figure 17: Local health board performance summary, September and October 2024 [Note 1]
Description of Figure 17: A series of charts showing comparative performance for the health boards for selected measures across urgent and emergency care and planned care in Wales. The key points are summarised in the narrative section above the figure.
Source: Wales Ambulance Services NHS Trust, Digital Health and Care Wales (DHCW)
Health and Social Care statistics, on StatsWales
[Note 1]: The percentage axes of these charts are on different scales and care should be taken when looking at the size of differences between health boards.
Quality and methodology information
All quality and methodology information in relation to this statistical release can be found in the NHS activity and performance summary: quality report
Official statistics status
All official statistics should show the standards of the Code of Practice for Statistics (UK Statistics Authority).
These are accredited official statistics. They were independently reviewed by the Office for Statistics Regulation in July 2012. They comply with the standards of trustworthiness, quality, and value in the Code of Practice for Statistics.
It is Welsh Government’s responsibility to maintain compliance with the standards expected of accreditation. If we become concerned about whether these statistics are still meeting the appropriate standards, we will discuss any concerns with OSR promptly. Accreditation can be cancelled or suspended at any point when the highest standards are not maintained, and reinstated when standards are restored.
Accredited official statistics (Office for Statistics Regulation) (OSR) are called National Statistics in the Statistics and Registration Service Act 2007.
Statement of compliance with the Code of Practice for Statistics
Our statistical practice is regulated by the Office for Statistics Regulation (OSR). OSR sets the standards of trustworthiness, quality and value in the Code of Practice for Statistics that all producers of official statistics should adhere to.
All of our statistics are produced and published in accordance with a number of statements and protocols to enhance trustworthiness, quality and value. These are set out in the Welsh Government’s Statement of Compliance.
These accredited official statistics demonstrate the standards expected around trustworthiness, quality and public value in the following ways.
Trustworthiness
These statistics are compiled from a range of sources derived from administrative data systems in use across the NHS in Wales. Data on the 111 service, 999 ambulance calls and ambulance response times are provided by the Wales Ambulance Services NHS Trust (WAST), and all other data sources are collected by the Welsh Local Health Boards and provided to Digital Health and Care Wales (DHCW) to enable them to be collated at a national level.
The data collections are overseen by the Welsh Information Standards Board (WISB), which is the custodian of the Information Standards Assurance Process. WISB mandates data collections through the NHS and Local Heath Boards, appraises information standards and provides assurance on matters related to confidentiality and consent.
The published figures are compiled by professional analysts using the latest available data and applying methods using their professional judgement and analytical skillset.
These statistics are pre-announced on the Statistics and Research area of the Welsh Government website. Access to the data during processing is restricted to those involved in the production of the statistics, quality assurance and for operational purposes. Pre-release access is restricted to eligible recipients in line with the Code of Practice.
Quality
Statistics published by Welsh Government adhere to the Statistical Quality Management Strategy which supplements the Quality pillar of the Code of Practice for Statistics and the European Statistical System principles of quality for statistical outputs.
Data standards and definitions are established by the Welsh Information Standards Board (WISB). Guidance is issued to the data providing organisations and training provided to staff responsible for collecting the data at source. DHCW collates and validates health board level data and queries anomalous and missing data directly with the health boards. Before validated datasets are provided by DHCW to Welsh Government, all data are signed off by health boards. DHCW provides validated datasets to Welsh Government, where analysts process the data to produce the aggregate statistics in the format required for publication. Welsh Government undertakes final validation checks which can be queried with DHCW and the health boards before publication. The statistical release is signed off by senior statisticians before publication.
Value
The purposes of this statistical release and the accompanying data published on StatsWales are: to provide evidence for policy development; to inform the media and wider public about activity and performance in the Welsh NHS; to enable service providers such as Local Health Boards and WAST to monitor their own performance.
Reliable statistics on the volume of activity undertaken in the NHS, the size of waiting lists, ambulance response times and emergency department and cancer waiting times are vital to inform users about the state of NHS services and the performance of the Welsh government and the Local Health Boards. These services have a significant impact on citizens’ lives and these topics feature prominently in media coverage and political discourse.
The information published here also supports the Welsh Government’s long term plan for health and social care: A Healthier Wales.
The timeliness of the data provides the most recent update using reliable data.
You are welcome to contact us directly with any comments about how we meet these standards. Alternatively, you can contact OSR by emailing regulation@statistics.gov.uk or via the OSR website.
Well-being of Future Generations Act (WFG)
The Well-being of Future Generations Act 2015 is about improving the social, economic, environmental and cultural wellbeing of Wales. The Act puts in place seven wellbeing goals for Wales. These are for a more equal, prosperous, resilient, healthier and globally responsible Wales, with cohesive communities and a vibrant culture and thriving Welsh language. Under section (10)(1) of the Act, the Welsh Ministers must (a) publish indicators (“national indicators”) that must be applied for the purpose of measuring progress towards the achievement of the wellbeing goals, and (b) lay a copy of the national indicators before Senedd Cymru. Under section 10(8) of the Well-being of Future Generations Act, where the Welsh Ministers revise the national indicators, they must as soon as reasonably practicable (a) publish the indicators as revised and (b) lay a copy of them before the Senedd. These national indicators were laid before the Senedd in 2021. The indicators laid on 14 December 2021 replace the set laid on 16 March 2016.
Information on the indicators, along with narratives for each of the wellbeing goals and associated technical information is available in the Wellbeing of Wales report.
Further information on the Well-being of Future Generations (Wales) Act 2015.
The statistics included in this release could also provide supporting narrative to the national indicators and be used by public services boards in relation to their local wellbeing assessments and local wellbeing plans.
We want your feedback
We welcome any feedback on any aspect of these statistics which can be provided by email to stats.healthinfo@gov.wales.
Next update
19 December 2024
