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Data Provider: Emergency Ambulance Services Committee National Statistics Ambulance Quality Indicators by area and month
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[Collapse]Help Me Choose[Collapse]Number of Welsh Ambulance Services NHS Trust (WAST) community engagement events [AQI1]Number of Welsh Ambulance Services NHS Trust (WAST) community engagement events [AQI1]7131081269
[Collapse]Number of attendances at key stakeholder events [AQI3]Number of attendances at key stakeholder events [AQI3]211310242613
[Collapse]Number of NHS Direct Wales unique website visits [AQI4i]Number of NHS Direct Wales unique website visits [AQI4i]395,162243,464218,554327,676294,158257,523
[Collapse]NHS Direct Wales number of calls by reason (top 10 in the quarter) [AQI4ii]Dental problems3,6364,0673,5923,7333,5273,823
Abdominal pain1,0741,1411,1151,1771,1561,232
Rash560521532657574619
Chest pain456473517583573633
Falls non-traumatic......
Crying child......
Ingestion toxic392369353...
Vomiting361306280362391488
Head injury......
Medication enquiry......
Fever486385409613561663
Back pain385379368383406436
Other symptoms600599574669569667
Sore throat378309364350389587
Cough...349415607
Breathing difficulties......
[Collapse]Number and percentage of frequent callers [AQI5]Number of frequent callers256230219221246265
Number of incidents generated by frequent callers2,1862,1472,1851,9472,3972,151
Total number of incidents40,05038,73037,27338,48838,24041,049
Percentage of frequent callers incidents against overall number of incidents5.55.55.95.16.35.2
[Collapse]Answer My Call[Collapse]Number of Health Care Professional (HCP) calls answered [AQI6]Number of Health Care Professional (HCP) calls answered [AQI6]6,5636,0885,9176,1136,3566,680
[Collapse]Number of 999 calls answered [AQI7]Number of 999 calls answered [AQI7]47,65545,56943,86944,17043,78046,993
[Collapse]Number of 999 calls taken through the Medical Priority Dispatch System (MPDS) [AQI8]Total number of 999 calls taken through the Medical Priority Dispatch System (MPDS)40,05038,73037,27338,48838,24041,049
Protocol 06: breathing problems3,7843,3483,7694,1054,2464,870
Protocol 10: chest pain4,0154,1194,0614,1244,1224,316
Protocol 12: convulsions / fitting...1,2911,2961,326
Protocol 17: falls4,8464,7924,4094,4564,2944,716
Protocol 21: haemorrhage / lacerations1,4501,4551,3621,3701,3761,597
Protocol 23: overdose / poisoning (ingestion)......
Protocol 25: psych / abnormal behaviour / suicide1,3721,3621,239...
Protocol 26: sick person - specific diagnosis3,1632,9852,7762,8682,8443,215
Protocol 28: stroke - CVA1,3251,2601,2721,2471,2611,410
Protocol 30: traumatic injuries, specific......
Protocol 31: unconscious / fainting (near)2,6732,5322,4382,3472,4412,597
Protocol 35: Health Care Professional3,8654,0513,7454,1894,0524,143
Protocol UGA2: upgrade to Amber21,4191,2541,2821,4701,3361,171
Protocol *U: unknown - user left call......
[Collapse]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]2,9422,8542,7842,8952,9373,257
Number of NHSDW telephone assessments that were resolved with an 'ambulance not required' outcome1,1831,2171,1371,1881,1501,351
Number of clinical desk telephone assessments that were resolved with an 'ambulance not required' outcome1,7591,6371,6471,7071,7871,906
Percentage of calls ended following WAST telephone assessment7.37.47.57.57.77.9
[Collapse]Number and percentage of calls transferred to NHS Direct Wales [AQI9ii]Number of calls transferred to NHS Direct Wales2,4592,4262,2832,3852,3892,748
Number of 999 calls taken through the Medical Priority Dispatch System (MPDS) [AQI9]40,05038,73037,27338,48838,24041,049
Percentage of calls transferred to NHS Direct Wales6.16.36.16.26.26.7
[Collapse]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'9519209189349511,051
Total number of calls triaged by a nurse advisor [AQI9iii]2,1342,1372,0552,1222,1012,402
Percentage of calls returned from NHS Direct Wales44.643.144.744.045.343.8
[Collapse]Number and percentage of calls ended through transfer to alternative care advice [AQI9iv]Number of calls ended through transfer to alternative care advice services1,1831,2171,1371,1881,1501,351
Total number of calls triaged by a nurse advisor [AQI9iv]2,1342,1372,0552,1222,1012,402
Percentage of calls ended through transfer to alternative care advice services55.456.955.356.054.756.2
[Collapse]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)5277951,404535143241
Number of calls ended following WAST telephone assessment (Hear and Treat) [AQI10i]2,9422,8542,7842,8952,9373,257
Re-contact percentage within 24 hours of telephone triage (Hear and Treat)17.927.950.418.54.97.4
[Collapse]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 Treat202116281429
Number of attendances at scene that were not transported to hospital (See and Treat)2,9442,9022,6372,9992,8112,817
Re-contact percentage within 24 hours of See and Treat0.70.70.60.90.51.0
[Collapse]Come To See Me[Collapse]RED coded calls including median, 65th and 95th percentiles [AQI11]Number of RED category incidents resulting in an emergency response2,0381,9601,9112,0302,2112,414
Number of RED category incidents with first response arriving on scene within 8 minutes1,5371,4581,4121,5161,5991,757
Percentage of RED category incidents with first response arriving on scene within 8 minutes (target 65%)75.474.473.974.772.372.8
RED category - median response (in seconds)294303299312321319
RED category - 65th percentile (in seconds)396400399401417410
RED category - 95th percentile (in seconds)943956926920930959
[Collapse]AMBER coded calls including median, 65th and 95th percentiles [AQI12]Number of AMBER category incidents resulting in an emergency response23,16222,24321,42122,36022,03123,337
AMBER category - median response (in seconds)1,4561,4591,5031,4071,4211,491
AMBER category - 65th percentile (in seconds)2,2392,2402,3182,1272,1522,294
AMBER category - 95th percentile (in seconds)9,8449,5859,9499,1659,1229,701
[Collapse]GREEN coded calls including median, 65th and 95th percentiles [AQI13]Number of GREEN category incidents resulting in a response2,0721,9351,9392,1132,0652,403
GREEN category - median response (in seconds)3,0353,1062,9682,8352,6922,664
GREEN category - 65th percentile (in seconds)4,5004,6534,5604,4934,1824,122
GREEN category - 95th percentile (in seconds)18,64119,97620,36716,50617,53017,756
[Collapse]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)22,32021,41120,54921,86821,68022,959
Percentage of incidents where 1 vehicle arrived at the scene84.084.484.383.683.182.6
Percentage of incidents where 2 vehicles arrived at the scene14.514.114.414.915.315.8
Percentage of incidents where 3 vehicles arrived at the scene1.31.21.01.31.31.4
Percentage of incidents where 4 or more vehicles arrived at the scene0.20.20.20.20.20.2
[Collapse]Community First Responders (CFRs) attendances at scene, including by call category and percentage [AQI15]Number of Community First Responders (CFRs) attendances at scene1,6541,5511,4941,6281,3971,724
Number of Community First Responders (CFRs) attendances at scene - RED310269294332349348
Number of Community First Responders (CFRs) attendances at scene - AMBER1,3021,2361,1211,2309831,293
Number of Community First Responders (CFRs) attendances at scene - GREEN424679666583
Number of Community First Responders (CFRs) attendances at scene where first response arriving on scene1,4451,3621,3071,4131,2071,498
Percentage of Community First Responder (CFR) attendances at scene where they were the first response arriving at scene87.487.887.586.886.486.9
[Collapse]Give Me Treatment[Collapse]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 door17.114.513.715.411.011.5
Number of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door373331342527
Total number of patients with attempted resuscitation following cardiac arrest216227226221228235
[Collapse]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 bundle96.896.397.494.295.895.3
Number of suspected stroke patients who are documented as receiving appropriate stroke care bundle304340300311338345
Total number of suspected stroke patients314353308330353362
[Collapse]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]80.882.376.681.279.179.0
Number of older patients with suspected hip fracture who are documented as receiving appropriate care bundle185191160216189177
Total number of older patients with suspected hip fracture [AQI16iiic]229232209266239224
Percentage of older patients with suspected hip fracture who are documented as receiving analgesia92.694.490.992.192.591.5
Number of older patients with suspected hip fracture who are documented as receiving analgesia212219190245221205
Total number of older patients with suspected hip fracture [AQI16iiif]229232209266239224
[Collapse]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 bundle73.881.169.160.874.776.3
Number ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle454347455958
Total number of ST segment elevation myocardial infarction (STEMI) patients615368747976
[Collapse]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 score97.698.097.498.098.4100.0
Number of suspected sepsis patients who have had a documented NEWS score414938496280
Total number of suspected sepsis patients425039506380
[Collapse]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 bundle100.0100.0100.0100.0100.0100.0
Number of patients with a suspected febrile convulsion aged 5 years and under who are documented as receiving the appropriate care bundle201414242632
Total number of patients with a suspected febrile convulsion aged 5 years and under201414242632
[Collapse]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 bundle93.391.787.389.989.887.2
Number of hypoglycaemic patients who are documented as receiving the appropriate care bundle265233186213255253
Total number of hypoglycaemic patients284254213237284290
[Collapse]Number of incidents that resulted in non conveyance to hospital [AQI17]Total number of incidents that resulted in non conveyance to hospital4,9704,7964,5735,0304,8995,165
Number of incidents that resulted in non conveyance to hospital - treated at scene2,9442,9022,6372,9992,8112,817
Number of incidents that resulted in non conveyance to hospital - referred to alternate provider2,0261,8941,9362,0312,0882,348
[Collapse]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......
Number of incidents where RRV sent as ideal response......
Percentage of incidents where RRV sent as ideal response......
Number of incidents where EA ideal as per clinical response model......
Number of incidents where EA sent as ideal response......
Percentage of incidents where EA sent as ideal response......
Number of Health Care Professional (card 35) calls where UCS ideal as per clinical response model......
Number of Health Care Professional (card 35) calls where UCS sent as ideal response......
Percentage of Health Care Professional calls where UCS sent as ideal response......
Total number of AMBER incidents with a response20,98520,34519,49420,17719,92221,045
Number of AMBER incidents where ideal resource first on scene15,18514,82114,08514,50313,94214,556
Percentage of AMBER incidents where ideal resource first on scene72.472.872.371.970.069.2
Number of AMBER incidents where ideal resource arrived subsequently1,0919311,0511,1111,1091,157
Percentage of AMBER incidents where ideal resource arrived subsequently5.24.65.45.55.65.5
Total number of GREEN2 incidents with a response859800787841832993
Number of GREEN2 incidents where ideal resource first on scene520487467448464570
Percentage of GREEN2 incidents where ideal resource first on scene60.560.959.353.355.857.4
Number of GREEN2 incidents where ideal resource arrived subsequently171617212835
Percentage of GREEN2 incidents where ideal resource arrived subsequently2.02.02.22.53.43.5
Total number of GREEN3 (Non Health Care Professional) incidents with a response7907888609409201,068
Number of GREEN3 (Non Health Care Professional) incidents where ideal resource first on scene583562587642613688
Percentage of GREEN3 (Non Health Care Professional) incidents where ideal resource first on scene73.871.368.368.366.664.4
Number of GREEN3 (Non Health Care Professional) incidents where ideal resource arrived subsequently152129254573
Percentage of GREEN3 (Non Health Care Professional) incidents where ideal resource arrived subsequently1.92.73.42.74.96.8
Total number of GREEN3 (Health Care Professional) incidents with a response2,5262,6662,4893,0032,9072,837
Number of GREEN3 (Health Care Professional) incidents where ideal resource first on scene1,6961,8471,7241,9901,9171,854
Percentage of GREEN3 (Health Care Professional) incidents where ideal resource first on scene67.169.369.366.365.965.4
Number of GREEN3 (Health Care Professional) incidents where ideal resource arrived subsequently12108141411
Percentage of GREEN3 (Health Care Professional) incidents where ideal resource arrived subsequently0.50.40.30.50.50.4
[Collapse]Take Me To Hospital[Collapse]Number and percentage of patients conveyed to hospital following a face to face assessment [AQI19i]Number of 999 patients conveyed to hospital16,13015,75715,34815,85215,72716,722
Total number of incidents where an ambulance resource attended the scene23,92723,18222,35523,20223,08924,618
Percentage of patients conveyed to hospital following a face to face assessment67.468.068.768.368.167.9
[Collapse]Number of patients conveyed to hospital by type [AQI19ii]Number of patients conveyed to hospital by type [AQI19iia]20,97720,45519,85420,95520,62121,790
Tier 1 Major A&E units [AQI19]19,15318,72118,26019,20318,88220,007
Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI19]537512444480503523
Tier 3 Major Acute - Medical Admissions Unit [AQI19]922951853944895959
Other (all other units such as maternity or mental health units) [AQI19]365271297328341301
[Collapse]Number and percentage of notification to handover within 15 minutes of arrival at hospital [AQI20i]Percentage of notification to handover within 15 minutes of arrival at hospital54.854.852.852.456.253.6
Number of notification to handover within 15 minutes11,04210,73310,14410,56811,10511,309
Total number of handovers [AQI20]20,14919,59319,22320,15519,76821,090
[Collapse]Number and percentage of notification to handover within 15 minutes of arrival at hospital, by hospital type [AQI20ii]Tier 1 Major A&E units - percentage of notification to handover within 15 minutes54.754.752.552.256.253.5
Tier 1 Major A&E units - notification to handover within 15 minutes10,38110,0589,5279,90610,44610,599
Tier 1 Major A&E units - total number of handovers [AQI20]18,97318,39518,13218,96718,59119,828
Tier 2 Minor A&E units - percentage of notification to handover within 15 minutes39.427.831.533.926.831.0
Tier 2 Minor A&E units - notification to handover within 15 minutes11580879883100
Tier 2 Minor A&E units - total number of handovers [AQI20]292288276289310323
Tier 3 Major acute - percentage of notification to handover within 15 minutes61.865.465.062.766.465.0
Tier 3 Major acute - notification to handover within 15 minutes546595530564576610
Tier 3 Major acute - total number of handovers [AQI20]884910815899867939
Other - percentage of notification to handover within 15 minutes0.00.00.00.00.00.0
Other - notification to handover within 15 minutes000000
Other - total number of handovers [AQI20]000000
[Collapse]Number of lost hours following notification to handover over 15 minutes [AQI21]Number of lost hours following notification to handover over 15 minutes [AQI21a]4,5624,6695,2536,0204,7076,038
Tier 1 Major A&E units [AQI21]4,3714,4415,0795,8154,5005,776
Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI21]8313892103120131
Tier 3 Major acute - Medical Admissions Unit [AQI21]109908110387130
Other (all other units such as maternity or mental health units) [AQI21]000000
[Collapse]Number and percentage of handover to clear within 15 minutes of transfer of patient care to hospital staff [AQI22i]Percentage of handover to clear within 15 minutes73.473.174.574.272.274.5
Number of handover to clear within 15 minutes14,79314,31414,32014,95814,26315,719
Total number of handovers [AQI22]20,14919,59319,22320,15519,76821,090
[Collapse]Number and percentage of handover to clear within 15 minutes of transfer of patient care to hospital staff by hospital type [AQI22ii]Tier 1 Major A&E units - percentage of handover to clear within 15 minutes73.072.774.374.071.874.3
Tier 1 Major A&E units - number of handover to clear within 15 minutes13,85613,36713,46814,02913,35014,732
Tier 1 Major A&E units - total number of handovers [AQI22]18,97318,39518,13218,96718,59119,828
Tier 2 Minor A&E units - percentage of handover to clear within 15 minutes84.685.887.084.887.790.7
Tier 2 Minor A&E units - number of handover to clear within 15 minutes247247240245272293
Tier 2 Minor A&E units - total number of handovers [AQI22]292288276289310323
Tier 3 Major acute - percentage of handover to clear within 15 minutes78.176.975.176.173.973.9
Tier 3 Major acute - number of handover to clear within 15 minutes690700612684641694
Tier 3 Major acute - total number of handovers [AQI22]884910815899867939
Other - percentage of handover to clear within 15 minutes0.00.00.00.00.00.0
Other - number of handover to clear within 15 minutes000000
Other - total number of handovers [AQI22]000000
[Collapse]Conveyance to other LHB locations [AQI23]Conveyance to hospital outside of Local Health Board area1,5341,4661,4121,5801,5481,562
Number of overall conveyance to hospital20,97720,45519,85420,95520,62121,790
Percentage of conveyance to hospital outside of Local Health Board area7.37.27.17.57.57.2
[Collapse]Number of lost hours following handover to clear over 15 minutes [AQI24]Number of lost hours following handover to clear over 15 minutes [AQI24a]9099168889611,017962
Tier 1 Major A&E units [AQI24]879885855932980925
Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI24]745544
Tier 3 Major acute - Medical Admissions Unit [AQI24]232628253333
Other (all other units such as maternity or mental health units) [AQI24]000000

Metadata

Title
Ambulance Quality Indicators by area and month

Last update
21 February 2019 21 February 2019

Next update
21 March 2019

Publishing organisation
Welsh Government

Source 1
Welsh Ambulance Services NHS Trust

Contact email
stats.healthinfo@gov.wales

Designation
National Statistics

Lowest level of geographical disaggregation
Local health boards

Geographical coverage
Wales

Languages covered
English and Welsh

Data licensing
You may use and re-use this data free of charge in any format or medium, under the terms of the Open Government License - see http://www.nationalarchives.gov.uk/doc/open-government-licence

General description
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.

Frequency of publication
Quarterly

Data reference periods
Monthly from April 2016

Statistical quality
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.

Keywords
Ambulance; NHS Direct Wales