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]
2,942
2,854
2,784
2,895
2,937
3,257
Number of NHSDW telephone assessments that were resolved with an 'ambulance not required' outcome
1,183
1,217
1,137
1,188
1,150
1,351
Number of clinical desk telephone assessments that were resolved with an 'ambulance not required' outcome
1,759
1,637
1,647
1,707
1,787
1,906
Percentage of calls ended following WAST telephone assessment
7.3
7.4
7.5
7.5
7.7
7.9
Number and percentage of calls transferred to NHS Direct Wales [AQI9ii]
Number of calls transferred to NHS Direct Wales
2,459
2,426
2,283
2,385
2,389
2,748
Number of 999 calls taken through the Medical Priority Dispatch System (MPDS) [AQI9]
40,050
38,730
37,273
38,488
38,240
41,049
Percentage of calls transferred to NHS Direct Wales
6.1
6.3
6.1
6.2
6.2
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'
951
920
918
934
951
1,051
Total number of calls triaged by a nurse advisor [AQI9iii]
2,134
2,137
2,055
2,122
2,101
2,402
Percentage of calls returned from NHS Direct Wales
44.6
43.1
44.7
44.0
45.3
43.8
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
1,217
1,137
1,188
1,150
1,351
Total number of calls triaged by a nurse advisor [AQI9iv]
2,134
2,137
2,055
2,122
2,101
2,402
Percentage of calls ended through transfer to alternative care advice services
55.4
56.9
55.3
56.0
54.7
56.2
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)
527
795
1,404
535
143
241
Number of calls ended following WAST telephone assessment (Hear and Treat) [AQI10i]
2,942
2,854
2,784
2,895
2,937
3,257
Re-contact percentage within 24 hours of telephone triage (Hear and Treat)
17.9
27.9
50.4
18.5
4.9
7.4
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
20
21
16
28
14
29
Number of attendances at scene that were not transported to hospital (See and Treat)
2,944
2,902
2,637
2,999
2,811
2,817
Re-contact percentage within 24 hours of See and Treat
0.7
0.7
0.6
0.9
0.5
1.0
Come To See Me
RED coded calls including median, 65th and 95th percentiles [AQI11]
Number of RED category incidents resulting in an emergency response
2,038
1,960
1,911
2,030
2,211
2,414
Number of RED category incidents with first response arriving on scene within 8 minutes
1,537
1,458
1,412
1,516
1,599
1,757
Percentage of RED category incidents with first response arriving on scene within 8 minutes (target 65%)
75.4
74.4
73.9
74.7
72.3
72.8
RED category - median response (in seconds)
294
303
299
312
321
319
RED category - 65th percentile (in seconds)
396
400
399
401
417
410
RED category - 95th percentile (in seconds)
943
956
926
920
930
959
AMBER coded calls including median, 65th and 95th percentiles [AQI12]
Number of AMBER category incidents resulting in an emergency response
23,162
22,243
21,421
22,360
22,031
23,337
AMBER category - median response (in seconds)
1,456
1,459
1,503
1,407
1,421
1,491
AMBER category - 65th percentile (in seconds)
2,239
2,240
2,318
2,127
2,152
2,294
AMBER category - 95th percentile (in seconds)
9,844
9,585
9,949
9,165
9,122
9,701
GREEN coded calls including median, 65th and 95th percentiles [AQI13]
Number of GREEN category incidents resulting in a response
2,072
1,935
1,939
2,113
2,065
2,403
GREEN category - median response (in seconds)
3,035
3,106
2,968
2,835
2,692
2,664
GREEN category - 65th percentile (in seconds)
4,500
4,653
4,560
4,493
4,182
4,122
GREEN category - 95th percentile (in seconds)
18,641
19,976
20,367
16,506
17,530
17,756
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)
22,320
21,411
20,549
21,868
21,680
22,959
Percentage of incidents where 1 vehicle arrived at the scene
84.0
84.4
84.3
83.6
83.1
82.6
Percentage of incidents where 2 vehicles arrived at the scene
14.5
14.1
14.4
14.9
15.3
15.8
Percentage of incidents where 3 vehicles arrived at the scene
1.3
1.2
1.0
1.3
1.3
1.4
Percentage of incidents where 4 or more vehicles arrived at the scene
0.2
0.2
0.2
0.2
0.2
0.2
Community First Responders (CFRs) attendances at scene, including by call category and percentage [AQI15]
Number of Community First Responders (CFRs) attendances at scene
1,654
1,551
1,494
1,628
1,397
1,724
Number of Community First Responders (CFRs) attendances at scene - RED
310
269
294
332
349
348
Number of Community First Responders (CFRs) attendances at scene - AMBER
1,302
1,236
1,121
1,230
983
1,293
Number of Community First Responders (CFRs) attendances at scene - GREEN
42
46
79
66
65
83
Number of Community First Responders (CFRs) attendances at scene where first response arriving on scene
1,445
1,362
1,307
1,413
1,207
1,498
Percentage of Community First Responder (CFR) attendances at scene where they were the first response arriving at scene
87.4
87.8
87.5
86.8
86.4
86.9
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
17.1
14.5
13.7
15.4
11.0
11.5
Number of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door
37
33
31
34
25
27
Total number of patients with attempted resuscitation following cardiac arrest
216
227
226
221
228
235
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
96.8
96.3
97.4
94.2
95.8
95.3
Number of suspected stroke patients who are documented as receiving appropriate stroke care bundle
304
340
300
311
338
345
Total number of suspected stroke patients
314
353
308
330
353
362
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]
80.8
82.3
76.6
81.2
79.1
79.0
Number of older patients with suspected hip fracture who are documented as receiving appropriate care bundle
185
191
160
216
189
177
Total number of older patients with suspected hip fracture [AQI16iiic]
229
232
209
266
239
224
Percentage of older patients with suspected hip fracture who are documented as receiving analgesia
92.6
94.4
90.9
92.1
92.5
91.5
Number of older patients with suspected hip fracture who are documented as receiving analgesia
212
219
190
245
221
205
Total number of older patients with suspected hip fracture [AQI16iiif]
229
232
209
266
239
224
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
73.8
81.1
69.1
60.8
74.7
76.3
Number ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle
45
43
47
45
59
58
Total number of ST segment elevation myocardial infarction (STEMI) patients
61
53
68
74
79
76
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
97.6
98.0
97.4
98.0
98.4
100.0
Number of suspected sepsis patients who have had a documented NEWS score
41
49
38
49
62
80
Total number of suspected sepsis patients
42
50
39
50
63
80
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
20
14
14
24
26
32
Total number of patients with a suspected febrile convulsion aged 5 years and under
20
14
14
24
26
32
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
93.3
91.7
87.3
89.9
89.8
87.2
Number of hypoglycaemic patients who are documented as receiving the appropriate care bundle
265
233
186
213
255
253
Total number of hypoglycaemic patients
284
254
213
237
284
290
Number of incidents that resulted in non conveyance to hospital [AQI17]
Total number of incidents that resulted in non conveyance to hospital
4,970
4,796
4,573
5,030
4,899
5,165
Number of incidents that resulted in non conveyance to hospital - treated at scene
2,944
2,902
2,637
2,999
2,811
2,817
Number of incidents that resulted in non conveyance to hospital - referred to alternate provider
2,026
1,894
1,936
2,031
2,088
2,348
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
July 2018
