North East Ambulance Service Performance February 2019 · 2019-03-28 · 3 111 Call demand has decreased compared to January 2018. February 2019 providing a decrease from the previous

North East Ambulance Service Performance

February 2019

2

999 Call demand in February 2019 has Decreased from January, with current levels the lowest seen since April 2018. The percentage of 999 calls being answered within 5 seconds continues to decreased from January to February (85.82%) giving the lowest performance in 2 years. Comparison to January 2018 performance has decreased by 8.28% with a downward trend overall.

The Hear and Treat rate is below historic levels and has remained static at around 5% for a number of months, with an upward trend.

With changes to call flow following implementation of the new IUC service in October 2018 The forecasted drop in hear and treat performance has not been seen.

NEAS remain below the national average for Hear and Treat outcomes for January 2018.

20,000

25,000

30,000

35,000

40,000

45,000

50,000

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

Call demand to NEAS via the 999 service

2017/18 2018/19

70%

75%

80%

85%

90%

95%

100%


Calls to 999 answered within 5 seconds

2017/18 2018/19 Target

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

0

500

1,000

1,500

2,000

2,500


Calls to 999 discharged with telephone advice (Hear and Treat)

2018/19 - vol. 2017/18 - % 2018/19 - %

Operations Centre – 999 Our Performance

5.12

%

0%

1%

2%

3%

4%

5%

6%

7%

8%

WM

AS LAS

NEA

S

SCAS

SWAS

SECA

MB

NW

AS IoW YAS

EoE

EMAS

Call/incident outcome performance - Hear & Treat percentage rate (A17 / A7) -(YTD) February 2018-19

3

111 Call demand has decreased compared to January 2018. February 2019 providing a decrease from the previous month by 14.7%.

The percentage of 111 calls answered within 60 seconds has decreased again in February compared to the previous month below the 95% standard by 13.88%, with performance now under the same time last year.

The percentage of 111 calls where a patient has had contact with a clinician (clinical Input) is a new reporting measure from the Integrated Urgent Care. This target is set at 50% with current performance at 41%.

0

20,000

40,000

60,000

80,000

100,000

120,000


Call demand to NEAS via the NHS111 service

2017/18 2018/19

81.12%

70%

75%

80%

85%

90%

95%

100%


Calls to 111 answered within 60 seconds

2017/18 2018/19 Target

Operations Centre – 111 Our Performance

4

C1 response times have consistently achieved both the Mean and the 90th Centile targets for a number of months. C1 response times are lower than February 2018.

C2 response times are continuing to increase above national standards for the mean for 8 months and the 90th centile for 6 months consecutively. C2 response times are higher than February 2018.

C3 and C4 90th centiles have both marginally decreased for February 2019 remaining over the national standard. C4 now achieving National Standard for the first time since August 2018.

06:3

0

06:3

4

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05:5

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Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19

Category 1 response times

Mean 90th Centile National standard National standard

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0

16:4

6

16:5

2

17:3

9

20:2

6

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26:3

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1

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8

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8

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7

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2:42

:49

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:06

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:38

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Mean 90th Centile National standard

1:14

:56

1:11

:03

1:16

:12

0:48

:32

0:57

:17

1:01

:01

1:10

:01

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:03

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:31

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:02

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:31

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:35

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:09

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2:56

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0:30:00

1:00:00

1:30:00

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Unscheduled Care - Response Times Our Performance

5

Category 3 & 4 - both 90th centileCategory 2 - Mean and 90th centileCategory 1 - Mean and 90th centile

Benchmarking for February 2019 due for publication later in the month.

In January 2019 NEAS has reclaimed performance as the best placed Ambulance Trust for C1 response times remaining overtaking LAS (London) for Mean response time (remaining second for 90th Centile).

All C2, C3 &C4 all sitting above target and above national average For January 2018.

Unscheduled Care - Response Times - National Benchmarking Our Performance

00:0002:0004:0006:0008:0010:0012:0014:0016:0018:0020:0022:00

IoW EoE

SECA

MB

EMAS

SWAS

NW

AS

SCAS YA

S

WM

AS LAS

NEA

S

Category 1 Response Times - 90th centile response (min:sec) - (YTD) February 2018-19

England Target

00:00

02:00

04:00

06:00

08:00

10:00

12:00

IoW EoE

NW

AS

EMAS

SECA

MB

YAS

SWAS

SCAS

WM

AS LAS

NEA

S

Category 1 Response Times - Mean response (min:sec) - (YTD) February 2018-19

England Target

00:00

05:00

10:00

15:00

20:00

25:00

30:00

35:00

EMAS

SWAS Eo

E

NW

AS

NEA

S

YAS

LAS

SECA

MB

IoW

SCAS

WM

AS

Category 2 Response Times - Mean response (hour:min:sec) - (YTD) February 2018-19

England Target

2:56

:23

-

0:30:00

1:00:00

1:30:00

2:00:00

2:30:00

3:00:00

3:30:00

4:00:00

SECA

MB

EoE

EMAS

NEA

S

SWAS

NW

AS LAS

IoW

YAS

SCAS

WM

AS

Category 3 Response Times - 90th centile response (hour:min:sec) - (YTD) February 2018-

19

England Target

-0:30:001:00:001:30:002:00:002:30:003:00:003:30:004:00:004:30:005:00:00

SWAS

SECA

MB

EoE

IoW

NW

AS

NEA

S

SCAS YA

S

EMAS LA

S

WM

AS

Category 4 Response Times - 90th centile response (hour:min:sec) - (YTD) February 2018-

19

England Target

00:00

10:00

20:00

30:00

40:00

50:00

00:00

10:00

EMAS

SWAS

NW

AS EoE

NEA

S

YAS

LAS

IoW

SECA

MB

SCAS

WM

AS

Category 2 Response Times - 90th centile response (hour:min:sec) - (YTD) February

2018-19

England Target

6

The number of incidents attended to by an ambulance resource has decreased in February 2019 but is 3.79% above the February 2018, following last year’s trend.

The proportion of patients being conveyed to a Type 1 or 2 ED has decreased in February, the percentages of patients attended subsequently conveyed to an ED is 1.3% higher than February 2018. The percentage increases of see and treat cases has decreased in February in both Volume and percentage.

See and Treat rates have increased in February 2019 however remain higher than the same period last year and not meeting the national standard (30%).

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Volume of incidents attended to by an ambulance service resource

2017/18 2018/19

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0

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Patients treated face-to-face and discharged at the scene (See & Treat)

2018/19 - vol. 2017/18 - % 2018/19 - %

25.2

8%

0%

5%

10%

15%

20%

25%

30%

35%

40%

IoW

YAS

NW

AS

NEA

S

LAS

EMAS Eo

E

SECA

MB

SCAS

WM

AS

SWAS

Call/incident outcome performance - See & Treat percentage rate (A55 / A7) - (YTD) February 2018-19

Unscheduled Care Our Performance

52%

54%

56%

58%

60%

62%

64%

0

5000

10000

15000

20000

25000


Patients treated and subsequently conveyed to a Type 1 or 2 Emergency Department (Hospital A&E)

2018/19 - vol. 2017/18 - % 2018/19 - %

7

Arrival Time performance has decreased in February 19 in terms of On Time arrivals sitting at the lowest it has been in the last recorded 23 months.

Collection within 60 minutes remains outside of target for the third month by only 0.6%.

Previously proportion of Completed Journeys has decreased in February2019 following the 2017/18 trend, 5% lower than equivalent time in 2018.

50%

60%

70%

80%

90%

100%

Apr-

17

May

-17

Jun-

17

Jul-1

7

Aug-

17

Sep-

17

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-17

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-17

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17

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18

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18

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-18

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18

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-18

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18

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8

Aug-

18

Sep-

18

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-18

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-18

Dec-

18

Jan-

19

Feb-

19

Patients arriving on time for their appointments

Target

50%

60%

70%

80%

90%

100%

Apr-

17

May

-17

Jun-

17

Jul-1

7

Aug-

17

Sep-

17

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-17

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-17

Dec-

17

Jan-

18

Feb-

18

Mar

-18

Apr-

18

May

-18

Jun-

18

Jul-1

8

Aug-

18

Sep-

18

Oct

-18

Nov

-18

Dec-

18

Jan-

19

Feb-

19

Patients collected within 60 minutes of them being ready following their appointment

Target

50%

60%

70%

80%

90%

100%

Apr-

17

May

-17

Jun-

17

Jul-1

7

Aug-

17

Sep-

17

Oct

-17

Nov

-17

Dec-

17

Jan-

18

Feb-

18

Mar

-18

Apr-

18

May

-18

Jun-

18

Jul-1

8

Aug-

18

Sep-

18

Oct

-18

Nov

-18

Dec-

18

Jan-

19

Feb-

19

Patients spending less than 60 minutes travelling to/from their appointment

Target

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60,000

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

Number of completed patient journeys to/from their appointments

2017/18 2018/19

Scheduled Care Our Performance

8

NHS Durham Dales, Easington and Sedgefield CCG

9


The Hear and Treat rate has decreased in February 2019 however percentages remain consistent around 5%, performance remaining higher than 2018.

Call demand to 111 decreased in February 2019 and the current level of demand following the trends from last year.

Clinical input per CCG is in development to show how many calls per CCG had contact with a health care professional.

Operations Centre – 999 & 111 Our Performance

0%

1%

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9%

0

50

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2018/19 - vol. 2017/18 - % 2018/19 - %

0

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2017/18 2018/19

Graph of IUC KPI 15 - Clinical input in developed by CCG

10


There has been a marginal increase in Cat 1 response time performance for both Mean and 90th centile, with the Mean response times remains out with the target by 31 seconds.

C3 and C2 response times show minimal improvement in February 2019, remaining above standard.

A decrease for C4 from December 2018 to February 2019 has been seen, achieving C4 response time category for the first time since October 2018.

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8

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2

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9

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2

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1

14:0

3

13:3

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6

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0

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8

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2

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3

-

2:00

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33:1

8

28:2

4

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4

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9

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4

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37:4

6

23:3

4

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8

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0

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6

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5

1:07

:19

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:40

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0:48

:27

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0 0 0 0 0 0 0 0 0 0 0 0 0 0 05:01

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11


The volume of incidents attended to by an ambulance response has seen a slight decrease following the same trend as 2018.

There has been a slight increase in See and Treat percentage with current performance remaining 3.6% above the average from the same period last year, an upward trend is evident.

The percentage of patients conveyed to a Type 1 or 2 ED is decreasing in February2019 following a stable period of time, moving below the 2017/18 average.


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2018/19 - vol. 2017/18 - % 2018/19 - %

55%56%57%58%59%60%61%62%63%64%

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2018/19 - vol. 2017/18 - % 2018/19 - %

12

NHS North Durham CCG

13


The Hear and Treat rate has decreased by 0.14% in February 2019 having remained consecutively static for a number of months, remaining below heart and treat rates from 2018.

Call demand to 111 has decreased marginally in February 2019 and the current level of demand is higher than the same period last year.

Clinical input per CCG is in development to show how many calls per CCG had contact with a health care professional.

Operations Centre – 999 & 111 Our Performance

0%1%2%3%4%5%6%7%8%9%10%

020406080

100120140160180200



2018/19 - vol. 2017/18 - % 2018/19 - %

01,0002,0003,0004,0005,0006,0007,0008,0009,000

10,000



2017/18 2018/19

Graph of IUC KPI 15 - Clinical input in developed by CCG

14


Response times have decreased for Cat 1 mean hitting response time target, also achieving C1 90th centile.

The C2 response times continue to be high even following a small decrease month on month and each is above the target standard.

C3 remains above the target threshold increasing from October 2018 to February 2019.

C4 remains outside of target by 55 Minutes.

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9:57

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0 0 0 0 0 0 0 0 0 0 0 0 0 0 05:53

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-0:30:001:00:001:30:002:00:002:30:003:00:003:30:004:00:004:30:005:00:005:30:006:00:006:30:00



0 0 0 0 0 0 0 0 0 0 0 0 0 0 04:54

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15


The volume of incidents attended to by an ambulance response has decreased slightly in February 2019 with the overall volume in line with the same period last year.

There has been a slight increase in the See and Treat percentage in February, showing an increase on the historic trend.

There has been a slight increase in the percentage of patients conveyed to a Type 1 or 2 ED in February with current performance 3.1% higher than the same period last year. The volumes conveyed are the highest reported from April 2018.


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2017/18 2018/19

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2018/19 - vol. 2017/18 - % 2018/19 - %

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Documents

North East Ambulance Service Performance February 2019 · 2019-03-28 · 3 111 Call demand has decreased compared to January 2018. February 2019 providing a decrease from the previous