|
| |
| | |  April 2019 | May 2019 | June 2019 |
![[Collapse]](/DXR.axd?r=1_9-POksh) Help Me Choose | Number of Welsh Ambulance Services NHS Trust (WAST) community engagement events [AQI1] | Number of Welsh Ambulance Services NHS Trust (WAST) community engagement events [AQI1] | 11 | 29 | 31 |
| Number of attendances at key stakeholder events [AQI3] | Number of attendances at key stakeholder events [AQI3] | 39 | 41 | 18 |
| Number of NHS Direct Wales unique website visits [AQI4i] | Number of NHS Direct Wales unique website visits [AQI4i] | 296,222 | 293,461 | 364,768 |
| NHS Direct Wales number of calls by reason (top 10 in the quarter) [AQI4ii] | Dental problems | 3,806 | 3,924 | 3,727 |
| Abdominal pain | 1,227 | 1,340 | 1,243 |
| Rash | 641 | 557 | 585 |
| Chest pain | 689 | 607 | 567 |
| Falls non-traumatic | . | . | . |
| Crying child | . | . | . |
| Ingestion toxic | . | . | . |
| Vomiting | 376 | 394 | 322 |
| Head injury | . | . | . |
| Medication enquiry | . | . | . |
| Fever | 691 | 570 | 540 |
| Back pain | 462 | 459 | 476 |
| Other symptoms | 633 | 700 | 620 |
| Sore throat | 554 | 466 | 438 |
| Cough | 461 | 306 | 259 |
| Breathing difficulties | . | . | . |
| Number and percentage of frequent callers [AQI5] | Number of frequent callers | 275 | 273 | 267 |
| Number of incidents generated by frequent callers | 2,278 | 2,257 | 2,487 |
| Total number of incidents | 39,876 | 39,785 | 38,490 |
| Percentage of frequent callers incidents against overall number of incidents | 5.7 | 5.7 | 6.5 |
| Answer My Call | Number of Health Care Professional (HCP) calls answered [AQI6] | Number of Health Care Professional (HCP) calls answered [AQI6] | 6,701 | 6,915 | 6,280 |
| Number of 999 calls answered [AQI7] | Number of 999 calls answered [AQI7] | . | . | . |
| Number of 999 calls answered [AQI7i] | Number of 999 calls answered [AQI7i] | 41,531 | 40,793 | 40,133 |
| 999 Calls: Time to Answer [AQI7ii] | 999 Calls: Time to Answer - median response (in seconds) | 2 | 2 | 2 |
| 999 Calls: Time to Answer - 65th percentile (in seconds) | 3 | 3 | 3 |
| 999 Calls: Time to Answer - 95th percentile (in seconds) | 63 | 56 | 66 |
| 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) | 39,876 | 39,785 | 38,490 |
| Protocol 06: breathing problems | 4,319 | 3,904 | 3,691 |
| Protocol 10: chest pain | 4,435 | 4,311 | 4,210 |
| Protocol 12: convulsions / fitting | 1,303 | 1,327 | 1,272 |
| Protocol 17: falls | 4,544 | 4,522 | 4,437 |
| Protocol 21: haemorrhage / lacerations | 1,505 | 1,516 | 1,423 |
| Protocol 23: overdose / poisoning (ingestion) | . | . | . |
| Protocol 25: psych / abnormal behaviour / suicide | . | . | . |
| Protocol 26: sick person - specific diagnosis | 2,998 | 3,001 | 2,828 |
| Protocol 28: stroke - CVA | 1,438 | 1,347 | 1,305 |
| Protocol 30: traumatic injuries, specific | . | . | . |
| Protocol 31: unconscious / fainting (near) | 2,419 | 2,371 | 2,390 |
| Protocol 35: Health Care Professional | 4,113 | 4,201 | 3,944 |
| Protocol UGA2: upgrade to Amber2 | 1,245 | 1,463 | 1,308 |
| Protocol *U: unknown - user left call | . | . | . |
| 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 |
| Number of NHSDW telephone assessments that were resolved with an 'ambulance not required' outcome | 1,393 | 1,430 | 1,423 |
| Number of clinical desk telephone assessments that were resolved with an 'ambulance not required' outcome | 2,019 | 1,850 | 1,911 |
| Percentage of calls ended following WAST telephone assessment | 8.6 | 8.2 | 8.7 |
| 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 |
| Number of 999 calls taken through the Medical Priority Dispatch System (MPDS) [AQI9] | 39,876 | 39,785 | 38,490 |
| Percentage of calls transferred to NHS Direct Wales | 6.7 | 6.7 | 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' | 959 | 959 | 948 |
| Total number of calls triaged by a nurse advisor [AQI9iii] | 2,352 | 2,389 | 2,371 |
| Percentage of calls returned from NHS Direct Wales | 40.8 | 40.1 | 40.0 |
| 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 |
| Total number of calls triaged by a nurse advisor [AQI9iv] | 2,352 | 2,389 | 2,371 |
| Percentage of calls ended through transfer to alternative care advice services | 59.2 | 59.9 | 60.0 |
| 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 |
| Number of calls ended following WAST telephone assessment (Hear and Treat) [AQI10i] | 3,412 | 3,280 | 3,334 |
| Re-contact percentage within 24 hours of telephone triage (Hear and Treat) | 6.2 | 6.5 | 9.0 |
| 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 |
| Number of attendances at scene that were not transported to hospital (See and Treat) | 2,854 | 3,007 | 2,805 |
| Re-contact percentage within 24 hours of See and Treat | 0.6 | 0.7 | 0.9 |
| 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 |
| Number of RED category incidents with first response arriving on scene within 8 minutes | 1,382 | 1,525 | 1,549 |
| Percentage of RED category incidents with first response arriving on scene within 8 minutes (target 65%) | 70.3 | 70.2 | 72.5 |
| RED category - median response (in seconds) | 330 | 326 | 323 |
| RED category - 65th percentile (in seconds) | 432 | 436 | 415 |
| RED category - 95th percentile (in seconds) | 992 | 963 | 964 |
| 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 |
| AMBER category - median response (in seconds) | 1,673 | 1,602 | 1,613 |
| AMBER category - 65th percentile (in seconds) | 2,565 | 2,432 | 2,464 |
| AMBER category - 95th percentile (in seconds) | 11,212 | 9,699 | 10,316 |
| 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 |
| GREEN category - median response (in seconds) | 2,749 | 2,684 | 2,657 |
| GREEN category - 65th percentile (in seconds) | 4,284 | 3,966 | 3,876 |
| GREEN category - 95th percentile (in seconds) | 16,760 | 18,018 | 16,206 |
| 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 |
| Percentage of incidents where 1 vehicle arrived at the scene | 82.5 | 83.0 | 82.9 |
| Percentage of incidents where 2 vehicles arrived at the scene | 16.0 | 15.5 | 15.5 |
| Percentage of incidents where 3 vehicles arrived at the scene | 1.2 | 1.3 | 1.3 |
| Percentage of incidents where 4 or more vehicles arrived at the scene | 0.3 | 0.2 | 0.3 |
| 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 |
| Number of Community First Responders (CFRs) attendances at scene - RED | 1,193 | 287 | 306 |
| Number of Community First Responders (CFRs) attendances at scene - AMBER | 61 | 1,108 | 1,216 |
| Number of Community First Responders (CFRs) attendances at scene - GREEN | 267 | 58 | 62 |
| Number of Community First Responders (CFRs) attendances at scene where first response arriving on scene | 1,316 | 1,278 | 1,361 |
| Percentage of Community First Responder (CFR) attendances at scene where they were the first response arriving at scene | 86.5 | 88.0 | 85.9 |
| 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 |
| Number of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door | 41 | 45 | 19 |
| Total number of patients with attempted resuscitation following cardiac arrest | 238 | 225 | 172 |
| 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 |
| Number of suspected stroke patients who are documented as receiving appropriate stroke care bundle | 351 | 352 | 365 |
| Total number of suspected stroke patients | 371 | 367 | 378 |
| 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 |
| Number of older patients with suspected hip fracture who are documented as receiving appropriate care bundle | 214 | 205 | 214 |
| Total number of older patients with suspected hip fracture [AQI16iiic] | 255 | 251 | 255 |
| Percentage of older patients with suspected hip fracture who are documented as receiving analgesia | 93.3 | 91.6 | 93.7 |
| Number of older patients with suspected hip fracture who are documented as receiving analgesia | 238 | 230 | 239 |
| Total number of older patients with suspected hip fracture [AQI16iiif] | 255 | 251 | 255 |
| 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 |
| Number ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle | 45 | 58 | 58 |
| Total number of ST segment elevation myocardial infarction (STEMI) patients | 64 | 90 | 70 |
| 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 |
| Number of suspected sepsis patients who have had a documented NEWS score | 70 | 73 | 53 |
| Total number of suspected sepsis patients | 71 | 75 | 53 |
| 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 |
| 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 |
| Total number of patients with a suspected febrile convulsion aged 5 years and under | 37 | 22 | 39 |
| 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 |
| Number of hypoglycaemic patients who are documented as receiving the appropriate care bundle | 261 | 253 | 215 |
| Total number of hypoglycaemic patients | 298 | 304 | 241 |
| 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 |
| Number of incidents that resulted in non conveyance to hospital - treated at scene | 2,854 | 3,007 | 2,805 |
| Number of incidents that resulted in non conveyance to hospital - referred to alternate provider | 2,248 | 2,152 | 2,017 |
| 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 response | 20,174 | 19,978 | 19,058 |
| Number of AMBER incidents where ideal resource first on scene | 13,744 | 13,782 | 12,938 |
| Percentage of AMBER incidents where ideal resource first on scene | 68.1 | 69.0 | 67.9 |
| Number of AMBER incidents where ideal resource arrived subsequently | 1,275 | 1,100 | 1,122 |
| Percentage of AMBER incidents where ideal resource arrived subsequently | 6.3 | 5.5 | 5.9 |
| Total number of GREEN2 incidents with a response | 882 | 930 | 899 |
| Number of GREEN2 incidents where ideal resource first on scene | 503 | 544 | 534 |
| Percentage of GREEN2 incidents where ideal resource first on scene | 57.0 | 58.5 | 59.4 |
| Number of GREEN2 incidents where ideal resource arrived subsequently | 36 | 44 | 30 |
| Percentage of GREEN2 incidents where ideal resource arrived subsequently | 4.1 | 4.7 | 3.3 |
| Total number of GREEN3 (Non Health Care Professional) incidents with a response | 1,088 | 1,104 | 1,024 |
| Number of GREEN3 (Non Health Care Professional) incidents where ideal resource first on scene | 700 | 734 | 647 |
| Percentage of GREEN3 (Non Health Care Professional) incidents where ideal resource first on scene | 64.3 | 66.5 | 63.2 |
| Number of GREEN3 (Non Health Care Professional) incidents where ideal resource arrived subsequently | 59 | 58 | 68 |
| Percentage of GREEN3 (Non Health Care Professional) incidents where ideal resource arrived subsequently | 5.4 | 5.3 | 6.6 |
| Total number of GREEN3 (Health Care Professional) incidents with a response | 2,755 | 2,882 | 2,738 |
| Number of GREEN3 (Health Care Professional) incidents where ideal resource first on scene | 1,791 | 1,877 | 1,845 |
| Percentage of GREEN3 (Health Care Professional) incidents where ideal resource first on scene | 65.0 | 65.1 | 67.4 |
| Number of GREEN3 (Health Care Professional) incidents where ideal resource arrived subsequently | 8 | 10 | 9 |
| Percentage of GREEN3 (Health Care Professional) incidents where ideal resource arrived subsequently | 0.3 | 0.3 | 0.3 |
| Take Me To Hospital | Number and percentage of patients conveyed to hospital following a face to face assessment [AQI19i] | Number of 999 patients conveyed to hospital | 15,480 | 15,687 | 14,812 |
| Total number of incidents where an ambulance resource attended the scene | 23,295 | 23,352 | 22,276 |
| Percentage of patients conveyed to hospital following a face to face assessment | 66.5 | 67.2 | 66.5 |
| Number of patients conveyed to hospital by type [AQI19ii] | Number of patients conveyed to hospital by type [AQI19iia] | 20,485 | 20,928 | 19,753 |
| Tier 1 Major A&E units [AQI19] | 18,622 | 19,089 | 18,008 |
| Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI19] | 516 | 521 | 540 |
| Tier 3 Major Acute - Medical Admissions Unit [AQI19] | 1,047 | 977 | 912 |
| Other (all other units such as maternity or mental health units) [AQI19] | 300 | 341 | 293 |
| 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 hospital | 48.6 | 50.2 | 50.6 |
| Number of notification to handover within 15 minutes | 9,551 | 9,970 | 9,577 |
| Total number of handovers [AQI20] | 19,661 | 19,862 | 18,912 |
| 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 minutes | 48.1 | 49.8 | 50.5 |
| Tier 1 Major A&E units - notification to handover within 15 minutes | 8,816 | 9,275 | 8,950 |
| Tier 1 Major A&E units - total number of handovers [AQI20] | 18,333 | 18,627 | 17,735 |
| Tier 2 Minor A&E units - percentage of notification to handover within 15 minutes | 28.0 | 40.1 | 34.3 |
| Tier 2 Minor A&E units - notification to handover within 15 minutes | 87 | 119 | 107 |
| Tier 2 Minor A&E units - total number of handovers [AQI20] | 311 | 297 | 312 |
| Tier 3 Major acute - percentage of notification to handover within 15 minutes | 63.7 | 61.4 | 60.1 |
| Tier 3 Major acute - notification to handover within 15 minutes | 648 | 576 | 520 |
| Tier 3 Major acute - total number of handovers [AQI20] | 1,017 | 938 | 865 |
| Other - percentage of notification to handover within 15 minutes | 0.0 | 0.0 | 0.0 |
| Other - notification to handover within 15 minutes | 0 | 0 | 0 |
| Other - total number of handovers [AQI20] | 0 | 0 | 0 |
| Number of lost hours following notification to handover over 15 minutes [AQI21] | Number of lost hours following notification to handover over 15 minutes [AQI21a] | 8,766 | 7,100 | 7,324 |
| Tier 1 Major A&E units [AQI21] | 8,494 | 6,924 | 7,097 |
| Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI21] | 159 | 66 | 106 |
| Tier 3 Major acute - Medical Admissions Unit [AQI21] | 113 | 110 | 121 |
| Other (all other units such as maternity or mental health units) [AQI21] | 0 | 0 | 0 |
| 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 minutes | 74.9 | 75.8 | 82.5 |
| Number of handover to clear within 15 minutes | 14,721 | 15,063 | 15,603 |
| Total number of handovers [AQI22] | 19,661 | 19,862 | 18,912 |
| 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 minutes | 74.3 | 75.2 | 82.0 |
| Tier 1 Major A&E units - number of handover to clear within 15 minutes | 13,615 | 14,011 | 14,544 |
| Tier 1 Major A&E units - total number of handovers [AQI22] | 18,333 | 18,627 | 17,735 |
| Tier 2 Minor A&E units - percentage of handover to clear within 15 minutes | 80.1 | 84.5 | 90.7 |
| Tier 2 Minor A&E units - number of handover to clear within 15 minutes | 249 | 251 | 283 |
| Tier 2 Minor A&E units - total number of handovers [AQI22] | 311 | 297 | 312 |
| Tier 3 Major acute - percentage of handover to clear within 15 minutes | 84.3 | 85.4 | 89.7 |
| Tier 3 Major acute - number of handover to clear within 15 minutes | 857 | 801 | 776 |
| Tier 3 Major acute - total number of handovers [AQI22] | 1,017 | 938 | 865 |
| Other - percentage of handover to clear within 15 minutes | 0.0 | 0.0 | 0.0 |
| Other - number of handover to clear within 15 minutes | 0 | 0 | 0 |
| Other - total number of handovers [AQI22] | 0 | 0 | 0 |
| Conveyance to other LHB locations [AQI23] | Conveyance to hospital outside of Local Health Board area | 1,620 | 1,774 | 1,582 |
| Number of overall conveyance to hospital | 20,485 | 20,928 | 19,753 |
| Percentage of conveyance to hospital outside of Local Health Board area | 7.9 | 8.5 | 8.0 |
| Number of lost hours following handover to clear over 15 minutes [AQI24] | Number of lost hours following handover to clear over 15 minutes [AQI24a] | 1,062 | 947 | 644 |
| Tier 1 Major A&E units [AQI24] | 1,033 | 926 | 631 |
| Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI24] | 13 | 5 | 2 |
| Tier 3 Major acute - Medical Admissions Unit [AQI24] | 16 | 15 | 10 |
| Other (all other units such as maternity or mental health units) [AQI24] | 0 | 0 | 0 |
Ambulance Quality Indicators by area and month
