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Data Provider: Welsh Government National Statistics Emergency ambulance calls and responses to red calls, by LHB and year
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Measure1
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[Collapse]Red calls[Collapse]Red calls resulting in an emergency response at the scene[Collapse]Red calls resulting in an emergency response at the scene within 8 minutes[Collapse]Red calls - % of emergency responses arriving at the scene within 8 minutes[Collapse]Amber calls[Collapse]Green calls
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Betsi Cadwaladr4,6734,9494,6164,8863,5573,71177.176.070,99980,58740,25036,311
Powys73879773178750154268.568.911,36213,0426,9996,014
Hywel Dda2,2912,7582,2722,7341,5861,86569.868.233,87237,96319,07316,977
Abertawe Bro Morgannwg3,8964,4943,8554,4462,9063,30275.474.350,45255,27922,72520,125
Cwm Taf1,8582,1481,8392,1291,3841,54275.372.426,95929,80313,12113,018
Aneurin Bevan3,6574,0213,6183,9862,7612,93676.373.753,31057,93325,76023,765
Cardiff & Vale3,3983,7113,3553,6712,7863,00183.081.743,39446,89020,43818,859
WALES20,51122,87820,28622,63915,48116,89976.374.6290,348321,497148,366135,069

Metadata

Title
Emergency ambulance calls and responses to red calls, by LHB and year

Last update
27 June 2018 27 June 2018

Next update
June 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
Since April 2014, Local Health Boards have been responsible for providing emergency ambulance services (999 calls) for their local residents; the Welsh Ambulance Services NHS Trust (WAST) is commissioned to deliver emergency ambulance services on their behalf.

As announced in a statement by the Deputy Minister for Health, a new clinical response model was implemented in Wales from 1 October 2015.

The new model has three new categories of calls – Red, Amber and Green:
• Red - Immediately life-threatening (someone is in imminent danger of death, such as a cardiac arrest). There is a target for 65 per cent of these calls to have a response within 8 minutes.
• Amber- Serious but not immediately life-threatening (patients who will often need treatment to be delivered on the scene, and may then need to be taken to hospital). There will be no time-based target for amber calls; instead a range of clinical outcome indicators will be introduced to measure the quality, safety and timeliness of care being delivered alongside patient experience information, which will be published every quarter.
• Green - Non urgent (can often be managed by other health services) and clinical telephone assessment. There is no official time based target for these calls.

Running calls (operational crews who arrive at the scene of an unrecorded incident without prior receipt of an emergency call) are counted as red calls, as are calls answered by either a Health Care Professional on Scene with a Defibrillator (MEDIC), or a Public Access Defibrillator (PAD).

Health Care Professionals¹ (HCP) Urgent & Planned Calls are identified as green; where an HCP call poses an immediate threat to life, these calls will be prioritised according the final Medical Priority Dispatch System priority.
¹ Doctor, General Practitioner, Emergency Care Practitioner, Nurse, District Nurse, Midwife, Paramedic, Dentist, Approved Social Worker.

As a result of these changes, nearly all of the data from the trial is not comparable to that for before October 2015. Some of the differences include:
• Call categories A & C have been removed and replaced by colour coding.
• Call handlers are allowed up to an additional two minutes to accurately identify both the severity and nature of a patient’s condition (for those calls that are not immediately life threatening), and the clinical resource they require before dispatching an ambulance.
• A small proportion of calls that were classed as red 2 calls have been moved to the red category and a proportion of calls have been re-categorised from red 1. This means that comparisons cannot be made between performance against the old red1/2 categories and the current red category.
• The changes will result in a reduction in the number of calls received with a time target.
• An 8 minute response time target is only applied to red calls and therefore comparisons of the 8 minute target performance cannot be made for before and after 1 October 2015.

The total number of calls received prior to 1 October 2015 can still be compared with total calls under the current model. This is done by adding in the GP urgent calls - which were classed as urgent not emergency - prior to December 2011.

Therefore only overall call volumes can be compared over time, whilst all other measures during the trial period can only be compared within the trial model.

CHANGES DURING THE TRIAL:
From 11 November, calls which are originally coded as amber or green and during the initial call taking process the patient deteriorates, these are then re-coded through Professional Question & Answering or by the use of a manual dispatch code/override to red. For these calls, the clock start is re-registered as the time the call is re-coded to red.

Calls which are originally coded as red and during the initial call taking process the patient’s condition improves these are then re-coded through Professional Question & Answering or by the use of a manual dispatch code/override to amber or green depending on condition. For these calls clock start is re-registered as the time the call is re-coded to amber or green.

The overall impact of this meant that – from 11 to 30 November - an additional 37 calls arrived at the scene within the 8 minute target time, increasing the percentage arriving within the target time by 2.2 percentage points.


Data collection and calculation
Monthly return from the Welsh Ambulance Services NHS Trust (WAST), at Local Health Board (LHB) level. 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.

Frequency of publication
Annual

Data reference periods
2016-17 onwards

Users, uses and context
This information is included in the related quality report - see weblink.

Statistical quality
This information is included in the related quality report - see weblink.

Keywords
Ambulance

Name
HLTH1311