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Data Provider: Emergency Ambulance Services Committee Ambulance Quality Indicators by area and month
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[Collapse]Help Me Choose[Expand]Number of Welsh Ambulance Services NHS Trust (WAST) community engagement events [AQI1]112931242918
[Collapse]Number of attendances at key stakeholder events [AQI3]Number of attendances at key stakeholder events [AQI3]394118261021
[Collapse]Number of NHS Direct Wales unique website visits [AQI4i]Number of NHS Direct Wales unique website visits [AQI4i]296,222293,461364,768397,017441,412421,636
[Collapse]NHS Direct Wales number of calls by reason (top 10 in the quarter) [AQI4ii]Dental problems3,8063,9243,7273,7994,2613,550
Abdominal pain1,2271,3401,2431,2451,4411,247
Rash641557585589581521
Chest pain689607567561718707
Falls non-traumatic......
Crying child......
Ingestion toxic...455442376
Vomiting376394322...
Head injury......
Medication enquiry......
Fever691570540614543493
Back pain462459476460555484
Other symptoms633700620630671588
Sore throat554466438358417458
Cough461306259...
Breathing difficulties......
Headache...336346353
[Collapse]Number and percentage of frequent callers [AQI5]Number of frequent callers275273267284292281
Number of incidents generated by frequent callers2,2782,2572,4872,5342,7322,712
Total number of incidents39,87639,78538,49040,66640,06738,641
Percentage of frequent callers incidents against overall number of incidents5.75.76.56.26.87.0
[Collapse]Answer My Call[Collapse]Number of Health Care Professional (HCP) calls answered [AQI6]Number of Health Care Professional (HCP) calls answered [AQI6]6,7016,9156,2807,1216,6496,573
[Collapse]Number of 999 calls answered [AQI7]Number of 999 calls answered [AQI7]......
[Collapse]Number of 999 calls answered [AQI7i]Number of 999 calls answered [AQI7i]41,53140,79340,13343,47143,01541,839
[Collapse]999 Calls: Time to Answer [AQI7ii]999 Calls: Time to Answer - median response (in seconds)222232
999 Calls: Time to Answer - 65th percentile (in seconds)333333
999 Calls: Time to Answer - 95th percentile (in seconds)6356668110682
[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)39,87639,78538,49040,66640,06738,641
Protocol 06: breathing problems4,3193,9043,6913,7293,6174,057
Protocol 10: chest pain4,4354,3114,2104,1004,1564,068
Protocol 12: convulsions / fitting1,3031,3271,2721,3471,3151,349
Protocol 17: falls4,5444,5224,4374,8514,8174,567
Protocol 21: haemorrhage / lacerations1,5051,5161,4231,5341,4191,410
Protocol 23: overdose / poisoning (ingestion)......
Protocol 25: psych / abnormal behaviour / suicide......
Protocol 26: sick person - specific diagnosis2,9983,0012,8283,1582,9762,956
Protocol 28: stroke - CVA1,4381,3471,3051,2841,3911,304
Protocol 30: traumatic injuries, specific......
Protocol 31: unconscious / fainting (near)2,4192,3712,3902,5852,4632,372
Protocol 35: Health Care Professional4,1134,2013,9444,2314,1143,731
Protocol UGA2: upgrade to Amber21,2451,4631,308...
Protocol *U: unknown - user left call...1,3751,5031,341
[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]3,4123,2803,3343,4633,3213,295
Number of NHSDW telephone assessments that were resolved with an 'ambulance not required' outcome1,3931,4301,4231,4461,3671,252
Number of clinical desk telephone assessments that were resolved with an 'ambulance not required' outcome2,0191,8501,9112,0171,9542,043
Percentage of calls ended following WAST telephone assessment8.68.28.78.58.38.5
[Collapse]Number and percentage of calls transferred to NHS Direct Wales [AQI9ii]Number of calls transferred to NHS Direct Wales2,6602,6702,6812,8222,6792,596
Number of 999 calls taken through the Medical Priority Dispatch System (MPDS) [AQI9]39,87639,78538,49040,66640,06738,641
Percentage of calls transferred to NHS Direct Wales6.76.77.06.96.76.7
[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'9599599481,0701,0091,009
Total number of calls triaged by a nurse advisor [AQI9iii]2,3522,3892,3712,5162,3762,376
Percentage of calls returned from NHS Direct Wales40.840.140.042.542.542.5
[Collapse]Number and percentage of calls ended through transfer to alternative care advice [AQI9iv]Number of calls ended through transfer to alternative care advice services1,3931,4301,4231,4461,3671,367
Total number of calls triaged by a nurse advisor [AQI9iv]2,3522,3892,3712,5162,3762,376
Percentage of calls ended through transfer to alternative care advice services59.259.960.057.557.557.5
[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)211212299264267267
Number of calls ended following WAST telephone assessment (Hear and Treat) [AQI10i]3,4123,2803,3343,4633,3213,321
Re-contact percentage within 24 hours of telephone triage (Hear and Treat)6.26.59.07.68.08.0
[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 Treat182126182222
Number of attendances at scene that were not transported to hospital (See and Treat)2,8543,0072,8052,9882,9582,958
Re-contact percentage within 24 hours of See and Treat0.60.70.90.60.70.7
[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 response1,9672,1722,1382,3012,2742,301
Number of RED category incidents with first response arriving on scene within 8 minutes1,3821,5251,5491,5951,5691,575
Percentage of RED category incidents with first response arriving on scene within 8 minutes (target 65%)70.370.272.569.369.068.4
RED category - median response (in seconds)330326323326336339
RED category - 65th percentile (in seconds)432436415441447451
RED category - 95th percentile (in seconds)9929639649981,0141,017
[Collapse]AMBER coded calls including median, 65th and 95th percentiles [AQI12]Number of AMBER category incidents resulting in an emergency response22,55122,68821,50222,28321,93821,061
AMBER category - median response (in seconds)1,6731,6021,6131,7731,8521,850
AMBER category - 65th percentile (in seconds)2,5652,4322,4642,7212,8542,906
AMBER category - 95th percentile (in seconds)11,2129,69910,31611,11312,38912,505
[Collapse]GREEN coded calls including median, 65th and 95th percentiles [AQI13]Number of GREEN category incidents resulting in a response2,2372,2432,1692,1612,0782,101
GREEN category - median response (in seconds)2,7492,6842,6573,0063,0183,104
GREEN category - 65th percentile (in seconds)4,2843,9663,8764,4084,4774,625
GREEN category - 95th percentile (in seconds)16,76018,01816,20619,38420,48418,571
[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)21,75722,32120,99922,15221,39722,037
Percentage of incidents where 1 vehicle arrived at the scene82.583.082.981.981.878.3
Percentage of incidents where 2 vehicles arrived at the scene16.015.515.516.316.219.0
Percentage of incidents where 3 vehicles arrived at the scene1.21.31.31.51.62.3
Percentage of incidents where 4 or more vehicles arrived at the scene0.30.20.30.20.30.4
[Collapse]Community First Responders (CFRs) attendances at scene, including by call category and percentage [AQI15]Number of Community First Responders (CFRs) attendances at scene1,5211,4531,5841,5571,7951,610
Number of Community First Responders (CFRs) attendances at scene - RED267287306275302307
Number of Community First Responders (CFRs) attendances at scene - AMBER1,1931,1081,2161,2171,4001,217
Number of Community First Responders (CFRs) attendances at scene - GREEN615862659386
Number of Community First Responders (CFRs) attendances at scene where first response arriving on scene1,3161,2781,3611,3421,5701,368
Percentage of Community First Responder (CFR) attendances at scene where they were the first response arriving at scene86.588.085.986.287.585.0
[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 door17.220.011.016.014.811.3
Number of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door414519362723
Total number of patients with attempted resuscitation following cardiac arrest238225172225182203
[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 bundle94.695.996.695.896.696.6
Number of suspected stroke patients who are documented as receiving appropriate stroke care bundle351352365342375310
Total number of suspected stroke patients371367378357388321
[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]83.981.783.981.580.883.2
Number of older patients with suspected hip fracture who are documented as receiving appropriate care bundle214205214203206213
Total number of older patients with suspected hip fracture [AQI16iiic]255251255249255256
Percentage of older patients with suspected hip fracture who are documented as receiving analgesia93.391.693.792.889.893.8
Number of older patients with suspected hip fracture who are documented as receiving analgesia238230239231229240
Total number of older patients with suspected hip fracture [AQI16iiif]255251255249255256
[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 bundle70.364.482.970.787.071.4
Number of ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle455858416740
Total number of ST segment elevation myocardial infarction (STEMI) patients649070587756
[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 score98.697.3100.098.4100.097.9
Number of suspected sepsis patients who have had a documented NEWS score707353625346
Total number of suspected sepsis patients717553635347
[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 bundle372239311919
Total number of patients with a suspected febrile convulsion aged 5 years and under372239311919
[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 bundle87.683.289.287.686.089.8
Number of hypoglycaemic patients who are documented as receiving the appropriate care bundle261253215170208159
Total number of hypoglycaemic patients298304241194242177
[Collapse]Number of incidents that resulted in non conveyance to hospital [AQI17]Total number of incidents that resulted in non conveyance to hospital5,1025,1594,8224,9854,9174,761
Number of incidents that resulted in non conveyance to hospital - treated at scene2,8543,0072,8052,9882,9562,739
Number of incidents that resulted in non conveyance to hospital - referred to alternate provider2,2482,1522,0171,9971,9612,022
[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 response20,17419,97819,05819,72019,50318,697
Number of AMBER incidents where ideal resource first on scene13,74413,78212,93813,41613,03212,377
Percentage of AMBER incidents where ideal resource first on scene68.169.067.968.066.866.2
Number of AMBER incidents where ideal resource arrived subsequently1,2751,1001,1221,1501,1071,136
Percentage of AMBER incidents where ideal resource arrived subsequently6.35.55.95.85.76.1
Total number of GREEN2 incidents with a response882930899881847847
Number of GREEN2 incidents where ideal resource first on scene503544534479480450
Percentage of GREEN2 incidents where ideal resource first on scene57.058.559.454.456.753.1
Number of GREEN2 incidents where ideal resource arrived subsequently364430333036
Percentage of GREEN2 incidents where ideal resource arrived subsequently4.14.73.33.73.54.3
Total number of GREEN3 (Non Health Care Professional) incidents with a response1,0881,1041,0241,0411,0231,053
Number of GREEN3 (Non Health Care Professional) incidents where ideal resource first on scene700734647635618609
Percentage of GREEN3 (Non Health Care Professional) incidents where ideal resource first on scene64.366.563.261.060.457.8
Number of GREEN3 (Non Health Care Professional) incidents where ideal resource arrived subsequently595868656765
Percentage of GREEN3 (Non Health Care Professional) incidents where ideal resource arrived subsequently5.45.36.66.26.56.2
Total number of GREEN3 (Health Care Professional) incidents with a response2,7552,8822,7382,8032,7402,593
Number of GREEN3 (Health Care Professional) incidents where ideal resource first on scene1,7911,8771,8451,8251,8481,699
Percentage of GREEN3 (Health Care Professional) incidents where ideal resource first on scene65.065.167.465.167.465.5
Number of GREEN3 (Health Care Professional) incidents where ideal resource arrived subsequently8109151619
Percentage of GREEN3 (Health Care Professional) incidents where ideal resource arrived subsequently0.30.30.30.50.60.7
[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 hospital15,48015,68714,81215,19714,94714,831
Total number of incidents where an ambulance resource attended the scene23,29523,35222,27622,84822,57222,095
Percentage of patients conveyed to hospital following a face to face assessment66.567.266.566.566.267.1
[Collapse]Number of patients conveyed to hospital by type [AQI19ii]Number of patients conveyed to hospital by type [AQI19iia]20,48520,92819,75320,64620,04719,586
Tier 1 Major A&E units [AQI19]18,62219,08918,00818,81718,44717,934
Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI19]516521540556428453
Tier 3 Major Acute - Medical Admissions Unit [AQI19]1,047977912924871888
Other (all other units such as maternity or mental health units) [AQI19]300341293349301311
[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 hospital48.650.250.645.442.338.2
Number of notification to handover within 15 minutes9,5519,9709,5778,8818,0997,181
Total number of handovers [AQI20]19,66119,86218,91219,57619,15918,804
[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 minutes48.149.850.544.741.537.5
Tier 1 Major A&E units - notification to handover within 15 minutes8,8169,2758,9508,2327,5226,636
Tier 1 Major A&E units - total number of handovers [AQI20]18,33318,62717,73518,40518,10817,719
Tier 2 Minor A&E units - percentage of notification to handover within 15 minutes28.040.134.337.031.729.3
Tier 2 Minor A&E units - notification to handover within 15 minutes871191071107175
Tier 2 Minor A&E units - total number of handovers [AQI20]311297312297224256
Tier 3 Major acute - percentage of notification to handover within 15 minutes63.761.460.161.761.256.7
Tier 3 Major acute - notification to handover within 15 minutes648576520539506470
Tier 3 Major acute - total number of handovers [AQI20]1,017938865874827829
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]8,7667,1007,3248,0498,40710,025
Tier 1 Major A&E units [AQI21]8,4946,9247,0977,8598,2079,776
Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI21]1596610610298106
Tier 3 Major acute - Medical Admissions Unit [AQI21]11311012188102142
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 minutes74.975.882.587.588.888.6
Number of handover to clear within 15 minutes14,72115,06315,60317,13717,00616,656
Total number of handovers [AQI22]19,66119,86218,91219,57619,15918,804
[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 minutes74.375.282.087.588.788.5
Tier 1 Major A&E units - number of handover to clear within 15 minutes13,61514,01114,54416,09916,06215,687
Tier 1 Major A&E units - total number of handovers [AQI22]18,33318,62717,73518,40518,10817,719
Tier 2 Minor A&E units - percentage of handover to clear within 15 minutes80.184.590.787.589.791.8
Tier 2 Minor A&E units - number of handover to clear within 15 minutes249251283260201235
Tier 2 Minor A&E units - total number of handovers [AQI22]311297312297224256
Tier 3 Major acute - percentage of handover to clear within 15 minutes84.385.489.789.089.888.5
Tier 3 Major acute - number of handover to clear within 15 minutes857801776778743734
Tier 3 Major acute - total number of handovers [AQI22]1,017938865874827829
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 area1,6201,7741,5821,7101,7501,624
Number of overall conveyance to hospital20,48520,92819,75320,64620,04719,586
Percentage of conveyance to hospital outside of Local Health Board area7.98.58.08.38.78.3
[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]1,062947644342283300
Tier 1 Major A&E units [AQI24]1,033926631325273291
Tier 2 Minor A&E units - Minor Injuries Unit or Local Accident Centre [AQI24]13521031
Tier 3 Major acute - Medical Admissions Unit [AQI24]161510878
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 November 2019 21 November 2019

Next update
February 2020

Publishing organisation
Welsh Government

Source 1
Welsh Ambulance Services NHS Trust

Contact email
stats.healthinfo@gov.wales

Designation
None

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