Number and percentage of calls ended following WAST telephone assessment (Hear and Treat) [AQI9i]
Number of calls ended following WAST telephone assessment (Hear and Treat) [AQI9i]
3,412
3,280
3,334
3,463
3,321
3,295
Number of NHSDW telephone assessments that were resolved with an 'ambulance not required' outcome
1,393
1,430
1,423
1,446
1,367
1,252
Number of clinical desk telephone assessments that were resolved with an 'ambulance not required' outcome
2,019
1,850
1,911
2,017
1,954
2,043
Percentage of calls ended following WAST telephone assessment
8.6
8.2
8.7
8.5
8.3
8.5
Number and percentage of calls transferred to NHS Direct Wales [AQI9ii]
Number of calls transferred to NHS Direct Wales
2,660
2,670
2,681
2,822
2,679
2,596
Number of 999 calls taken through the Medical Priority Dispatch System (MPDS) [AQI9]
39,876
39,785
38,490
40,666
40,067
38,641
Percentage of calls transferred to NHS Direct Wales
6.7
6.7
7.0
6.9
6.7
6.7
Number and percentage of calls returned from NHS Direct Wales [AQI9iii]
Number of calls returned from NHS Direct Wales with an outcome of 'ambulance required'
959
959
948
1,070
1,009
1,009
Total number of calls triaged by a nurse advisor [AQI9iii]
2,352
2,389
2,371
2,516
2,376
2,376
Percentage of calls returned from NHS Direct Wales
40.8
40.1
40.0
42.5
42.5
42.5
Number and percentage of calls ended through transfer to alternative care advice [AQI9iv]
Number of calls ended through transfer to alternative care advice services
1,393
1,430
1,423
1,446
1,367
1,367
Total number of calls triaged by a nurse advisor [AQI9iv]
2,352
2,389
2,371
2,516
2,376
2,376
Percentage of calls ended through transfer to alternative care advice services
59.2
59.9
60.0
57.5
57.5
57.5
Number and percentage of incidents received within 24 hours following WAST telephone assessment (Hear and Treat) [AQI10i]
Number of incidents received within 24 hours following WAST telephone assessment (Hear and Treat)
211
212
299
264
267
267
Number of calls ended following WAST telephone assessment (Hear and Treat) [AQI10i]
3,412
3,280
3,334
3,463
3,321
3,321
Re-contact percentage within 24 hours of telephone triage (Hear and Treat)
6.2
6.5
9.0
7.6
8.0
8.0
Number and percentage of incidents within 24 hours following an attendance at scene that were not transported to hospital (See and Treat) [AQI10ii]
Number of incidents within 24 hours following See and Treat
18
21
26
18
22
22
Number of attendances at scene that were not transported to hospital (See and Treat)
2,854
3,007
2,805
2,988
2,958
2,958
Re-contact percentage within 24 hours of See and Treat
0.6
0.7
0.9
0.6
0.7
0.7
Come To See Me
RED coded calls including median, 65th and 95th percentiles [AQI11]
Number of RED category incidents resulting in an emergency response
1,967
2,172
2,138
2,301
2,274
2,301
Number of RED category incidents with first response arriving on scene within 8 minutes
1,382
1,525
1,549
1,595
1,569
1,575
Percentage of RED category incidents with first response arriving on scene within 8 minutes (target 65%)
70.3
70.2
72.5
69.3
69.0
68.4
RED category - median response (in seconds)
330
326
323
326
336
339
RED category - 65th percentile (in seconds)
432
436
415
441
447
451
RED category - 95th percentile (in seconds)
992
963
964
998
1,014
1,017
AMBER coded calls including median, 65th and 95th percentiles [AQI12]
Number of AMBER category incidents resulting in an emergency response
22,551
22,688
21,502
22,283
21,938
21,061
AMBER category - median response (in seconds)
1,673
1,602
1,613
1,773
1,852
1,850
AMBER category - 65th percentile (in seconds)
2,565
2,432
2,464
2,721
2,854
2,906
AMBER category - 95th percentile (in seconds)
11,212
9,699
10,316
11,113
12,389
12,505
GREEN coded calls including median, 65th and 95th percentiles [AQI13]
Number of GREEN category incidents resulting in a response
2,237
2,243
2,169
2,161
2,078
2,101
GREEN category - median response (in seconds)
2,749
2,684
2,657
3,006
3,018
3,104
GREEN category - 65th percentile (in seconds)
4,284
3,966
3,876
4,408
4,477
4,625
GREEN category - 95th percentile (in seconds)
16,760
18,018
16,206
19,384
20,484
18,571
Number of responded incidents where at least 1 resource arrived at the scene [AQI14]
Number of responded incidents where at least 1 resource arrived at the scene (excluding incidents where multiple dispatches are appropriate)
21,757
22,321
20,999
22,152
21,397
22,037
Percentage of incidents where 1 vehicle arrived at the scene
82.5
83.0
82.9
81.9
81.8
78.3
Percentage of incidents where 2 vehicles arrived at the scene
16.0
15.5
15.5
16.3
16.2
19.0
Percentage of incidents where 3 vehicles arrived at the scene
1.2
1.3
1.3
1.5
1.6
2.3
Percentage of incidents where 4 or more vehicles arrived at the scene
0.3
0.2
0.3
0.2
0.3
0.4
Community First Responders (CFRs) attendances at scene, including by call category and percentage [AQI15]
Number of Community First Responders (CFRs) attendances at scene
1,521
1,453
1,584
1,557
1,795
1,610
Number of Community First Responders (CFRs) attendances at scene - RED
267
287
306
275
302
307
Number of Community First Responders (CFRs) attendances at scene - AMBER
1,193
1,108
1,216
1,217
1,400
1,217
Number of Community First Responders (CFRs) attendances at scene - GREEN
61
58
62
65
93
86
Number of Community First Responders (CFRs) attendances at scene where first response arriving on scene
1,316
1,278
1,361
1,342
1,570
1,368
Percentage of Community First Responder (CFR) attendances at scene where they were the first response arriving at scene
86.5
88.0
85.9
86.2
87.5
85.0
Give Me Treatment
Number and percentage of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door [AQI16i]
Percentage of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door
17.2
20.0
11.0
16.0
14.8
11.3
Number of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door
41
45
19
36
27
23
Total number of patients with attempted resuscitation following cardiac arrest
238
225
172
225
182
203
Number and percentage of suspected stroke patients who are documented as receiving appropriate stroke care bundle [AQI16ii]
Percentage of suspected stroke patients who are documented as receiving appropriate stroke care bundle
94.6
95.9
96.6
95.8
96.6
96.6
Number of suspected stroke patients who are documented as receiving appropriate stroke care bundle
351
352
365
342
375
310
Total number of suspected stroke patients
371
367
378
357
388
321
Number and percentage of older patients with suspected hip fracture who are documented as receiving analgesia and appropriate care bundle [AQI16iii]
Percentage of older patients with suspected hip fracture who are documented as receiving appropriate care bundle [including analgesia]
83.9
81.7
83.9
81.5
80.8
83.2
Number of older patients with suspected hip fracture who are documented as receiving appropriate care bundle
214
205
214
203
206
213
Total number of older patients with suspected hip fracture [AQI16iiic]
255
251
255
249
255
256
Percentage of older patients with suspected hip fracture who are documented as receiving analgesia
93.3
91.6
93.7
92.8
89.8
93.8
Number of older patients with suspected hip fracture who are documented as receiving analgesia
238
230
239
231
229
240
Total number of older patients with suspected hip fracture [AQI16iiif]
255
251
255
249
255
256
Number and percentage of ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle [AQI16iv]
Percentage of ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle
70.3
64.4
82.9
70.7
87.0
71.4
Number of ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle
45
58
58
41
67
40
Total number of ST segment elevation myocardial infarction (STEMI) patients
64
90
70
58
77
56
Number and percentage of suspected sepsis patients who have had a documented NEWS score [AQI16v]
Percentage of suspected sepsis patients who have had a documented NEWS score
98.6
97.3
100.0
98.4
100.0
97.9
Number of suspected sepsis patients who have had a documented NEWS score
70
73
53
62
53
46
Total number of suspected sepsis patients
71
75
53
63
53
47
Number and percentage of patients with a suspected febrile convulsion aged 5 years and under who are documented as receiving the appropriate care bundle [AQI16vi]
Percentage of patients with a suspected febrile convulsion aged 5 years and under who are documented as receiving the appropriate care bundle
100.0
100.0
100.0
100.0
100.0
100.0
Number of patients with a suspected febrile convulsion aged 5 years and under who are documented as receiving the appropriate care bundle
37
22
39
31
19
19
Total number of patients with a suspected febrile convulsion aged 5 years and under
37
22
39
31
19
19
Number and percentage of hypoglycaemic patients who are documented as receiving the appropriate care bundle [AQI16vii]
Percentage of hypoglycaemic patients who are documented as receiving the appropriate care bundle
87.6
83.2
89.2
87.6
86.0
89.8
Number of hypoglycaemic patients who are documented as receiving the appropriate care bundle
261
253
215
170
208
159
Total number of hypoglycaemic patients
298
304
241
194
242
177
Number of incidents that resulted in non conveyance to hospital [AQI17]
Total number of incidents that resulted in non conveyance to hospital
5,102
5,159
4,822
4,985
4,917
4,761
Number of incidents that resulted in non conveyance to hospital - treated at scene
2,854
3,007
2,805
2,988
2,956
2,739
Number of incidents that resulted in non conveyance to hospital - referred to alternate provider
2,248
2,152
2,017
1,997
1,961
2,022
Number and percentage of incidents where a resource was the ideal / suitable response as per clinical response model [AQI18]
Number of incidents where RRV ideal as per clinical response model
Emergency ambulance services are commissioned by the seven Local Health Boards on behalf of the people of Wales through the Emergency Ambulance Service Committee (EASC). Emergency ambulance services for the population of Wales and anyone visiting Wales, are delivered by the Welsh Ambulance Services NHS Trust (WAST). EASC has developed a set of Ambulance Quality Indicators to monitor and improve performance across the 5 Step Ambulance Care Pathway: Help Me Choose; Answer My Call; Come To See Me; Give Me Treatment; Take Me To Hospital
Data collection and calculation
The data is provided by the Health Informatics Department of the Welsh Ambulance Services NHS Trust.
Data is submitted on an EXCEL spreadsheet and transferred to an ACCESS database; validation checks including monthly trends are carried out and any queries are taken up with WAST / EASC.
Ambulance Quality Indicators by area and month
