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]
3,624
2,972
3,481
3,793
3,967
4,359
4,567
4,319
3,983
Number of NHSDW telephone assessments that were resolved with an 'ambulance not required' outcome
1,183
1,051
1,219
1,270
1,289
1,602
1,773
1,522
1,794
Number of clinical desk telephone assessments that were resolved with an 'ambulance not required' outcome
2,441
1,921
2,262
2,523
2,678
2,757
2,794
2,797
2,189
Percentage of calls ended following WAST telephone assessment
10.1
9.3
9.3
9.9
9.6
10.5
10.4
10.4
9.4
Number and percentage of calls transferred to NHS Direct Wales [AQI9ii]
Number of calls transferred to NHS Direct Wales
2,068
1,816
2,148
2,340
2,392
2,812
3,162
2,724
2,986
Number of 999 calls taken through the Medical Priority Dispatch System (MPDS) [AQI9]
35,988
31,990
37,279
38,460
41,423
41,387
43,841
41,562
42,535
Percentage of calls transferred to NHS Direct Wales
5.7
5.7
5.8
6.1
5.8
6.8
7.2
6.6
7.0
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'
493
451
576
626
561
546
544
482
483
Total number of calls triaged by a nurse advisor [AQI9iii]
1,676
1,502
1,795
1,896
1,850
2,148
2,317
2,004
2,277
Percentage of calls returned from NHS Direct Wales
29.4
30.0
32.1
33.0
30.3
25.4
23.5
24.1
21.2
Number and percentage of calls ended through transfer to alternative care advice [AQI9iv]
Number of calls ended through transfer to alternative care advice services
1,183
1,051
1,219
1,270
1,289
1,602
1,773
1,522
1,794
Total number of calls triaged by a nurse advisor [AQI9iv]
1,676
1,502
1,795
1,896
1,850
2,148
2,317
2,004
2,277
Percentage of calls ended through transfer to alternative care advice services
70.6
70.0
67.9
67.0
69.7
74.6
76.5
75.9
78.8
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)
273
163
248
380
185
226
315
276
350
Number of calls ended following WAST telephone assessment (Hear and Treat) [AQI10i]
3,624
2,972
3,481
3,793
3,967
4,359
4,567
4,319
3,983
Re-contact percentage within 24 hours of telephone triage (Hear and Treat)
7.5
5.5
7.1
10.0
4.7
5.2
6.9
6.4
8.8
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
40
39
34
33
18
30
16
22
15
Number of attendances at scene that were not transported to hospital (See and Treat)
3,601
3,151
3,434
3,199
3,292
2,939
2,883
2,661
2,364
Re-contact percentage within 24 hours of See and Treat
1.1
1.2
1.0
1.0
0.5
1.0
0.6
0.8
0.6
Come To See Me
RED coded calls including median, 65th and 95th percentiles [AQI11]
Number of RED category incidents resulting in an emergency response
2,447
1,997
2,445
2,636
3,042
3,256
3,552
3,334
3,872
Number of RED category incidents with first response arriving on scene within 8 minutes
1,458
1,287
1,527
1,608
1,842
1,973
2,052
1,921
2,024
Percentage of RED category incidents with first response arriving on scene within 8 minutes (target 65%)
59.6
64.4
62.5
61.0
60.6
60.6
57.8
57.6
52.3
RED category - median response (in seconds)
409
381
397
403
406
403
420
423
459
RED category - 65th percentile (in seconds)
536
488
505
516
519
520
550
556
612
RED category - 95th percentile (in seconds)
1,136
1,084
1,103
1,145
1,127
1,192
1,270
1,326
1,422
AMBER coded calls including median, 65th and 95th percentiles [AQI12]
Number of AMBER category incidents resulting in an emergency response
20,519
19,604
22,232
21,839
22,820
21,073
20,087
19,220
16,500
AMBER category - median response (in seconds)
2,343
1,855
2,169
2,465
2,878
3,612
4,530
4,624
6,526
AMBER category - 65th percentile (in seconds)
3,565
2,742
3,267
3,715
4,361
5,385
6,793
6,993
9,879
AMBER category - 95th percentile (in seconds)
13,429
9,971
11,184
13,129
14,813
18,287
21,473
22,663
28,098
GREEN coded calls including median, 65th and 95th percentiles [AQI13]
Number of GREEN category incidents resulting in a response
2,644
2,040
2,315
2,409
2,101
1,926
1,779
1,592
1,438
GREEN category - median response (in seconds)
2,711
2,109
2,702
3,175
3,430
4,228
5,329
4,563
6,057
GREEN category - 65th percentile (in seconds)
4,165
3,120
4,018
5,095
5,611
7,227
8,420
7,707
10,150
GREEN category - 95th percentile (in seconds)
15,507
12,718
14,633
25,257
21,748
27,698
33,549
31,134
35,172
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)
22,135
20,603
23,576
23,494
24,314
22,749
21,543
20,274
18,497
Percentage of incidents where 1 vehicle arrived at the scene
81.6
81.8
81.0
79.6
78.8
78.8
77.5
77.4
75.0
Percentage of incidents where 2 vehicles arrived at the scene
16.1
16.1
16.7
17.9
18.4
18.3
19.5
19.3
20.9
Percentage of incidents where 3 vehicles arrived at the scene
1.9
1.8
1.9
2.1
2.3
2.4
2.6
2.8
3.3
Percentage of incidents where 4 or more vehicles arrived at the scene
0.4
0.4
0.4
0.4
0.5
0.5
0.5
0.6
0.7
Community First Responders (CFRs) attendances at scene, including by call category and percentage [AQI15]
Number of Community First Responders (CFRs) attendances at scene
861
857
859
857
1,013
1,058
932
856
886
Number of Community First Responders (CFRs) attendances at scene - RED
174
167
152
169
203
226
212
208
276
Number of Community First Responders (CFRs) attendances at scene - AMBER
602
630
656
633
761
763
669
597
586
Number of Community First Responders (CFRs) attendances at scene - GREEN
85
60
51
55
49
69
51
51
24
Number of Community First Responders (CFRs) attendances at scene where first response arriving on scene
763
718
752
747
886
944
847
773
794
Percentage of Community First Responder (CFR) attendances at scene where they were the first response arriving at scene
88.6
83.8
87.5
87.2
87.5
89.2
90.9
90.3
89.6
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
9.0
14.6
6.6
14.3
15.2
15.3
16.2
8.1
12.4
Number of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door
27
35
13
26
30
31
33
16
27
Total number of patients with attempted resuscitation following cardiac arrest
300
239
197
182
198
203
204
198
217
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
93.4
95.0
95.6
94.5
98.2
97.2
98.3
95.9
97.8
Number of suspected stroke patients who are documented as receiving appropriate stroke care bundle
285
285
305
363
383
318
298
305
180
Total number of suspected stroke patients
305
300
319
384
390
327
303
318
184
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]
80.7
87.4
81.5
84.0
84.2
89.4
84.1
90.4
92.5
Number of older patients with suspected hip fracture who are documented as receiving appropriate care bundle
176
160
159
200
197
210
180
225
149
Total number of older patients with suspected hip fracture [AQI16iiic]
218
183
195
238
234
235
214
249
161
Percentage of older patients with suspected hip fracture who are documented as receiving analgesia
90.8
94.0
89.2
91.6
92.3
97.0
93.5
94.4
98.1
Number of older patients with suspected hip fracture who are documented as receiving analgesia
198
172
174
218
216
228
200
235
158
Total number of older patients with suspected hip fracture [AQI16iiif]
218
183
195
238
234
235
214
249
161
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
70.1
62.3
75.7
85.7
82.3
83.8
75.7
73.0
70.8
Number of ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle
54
43
53
66
51
67
56
46
34
Total number of ST segment elevation myocardial infarction (STEMI) patients
77
69
70
77
62
80
74
63
48
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
97.9
97.1
100.0
96.2
100.0
95.7
98.0
98.0
100.0
Number of suspected sepsis patients who have had a documented NEWS score
46
34
38
50
51
45
49
50
49
Total number of suspected sepsis patients
47
35
38
52
51
47
50
51
49
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
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
15
8
5
12
15
21
23
11
6
Total number of patients with a suspected febrile convulsion aged 5 years and under
15
8
5
12
15
21
23
11
6
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
88.4
88.5
87.6
86.7
91.9
93.6
88.6
88.1
86.1
Number of hypoglycaemic patients who are documented as receiving the appropriate care bundle
145
115
92
137
137
132
117
118
62
Total number of hypoglycaemic patients
164
130
105
158
149
141
132
134
72
Number of incidents that resulted in non conveyance to hospital [AQI17]
Total number of incidents that resulted in non conveyance to hospital
5,968
5,283
5,715
5,389
5,634
5,116
4,912
4,635
4,276
Number of incidents that resulted in non conveyance to hospital - treated at scene
3,548
3,093
3,380
3,154
3,247
2,899
2,856
2,635
2,352
Number of incidents that resulted in non conveyance to hospital - referred to alternate provider
2,420
2,190
2,335
2,235
2,387
2,217
2,056
2,000
1,924
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
