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Indicator Definitions

Ambulance Quality Indicator Definition Table

 

AQI Reference Description Detailed Description
Help Me Choose
AQI1 Number of Welsh Ambulance Services NHS Trust community engagement events How often are the Welsh Ambulance Services NHS Trust engaging with the communities it serves and spreading health messages about self-care, choice and appropriate use of ambulance/health services?
AQI3 Number of attendances at key stakeholder events How often is the Welsh Ambulance Services NHS Trust meeting with stakeholders to discuss, agree and design services to meet clinical and service user expectation needs?
AQI4i Number of NHS 111 Wales / NHS Direct Wales unique website visits How often is the NHS 111 Wales / NHS Direct Wales website being used? This allows us to examine links between website use and 999, 0845 and 111 call volumes. It also allows for the identification of high demand periods. 
AQI4ii NHS 111 Wales / NHS Direct Wales number of calls by reason (top 10) What are people calling NHS 111 Wales / NHS Direct Wales about? How does this demand compare to website visits? What are the gaps in service that NHS 111 Wales / NHS Direct Wales are identifying? 
AQI5 Number and Percentage of frequent callers  How many frequent callers are there and how often are they calling? What is the number of calls from frequent callers in the overall call volume? 
Answer My Call
AQI6 Number of Healthcare Professional Calls Answered How many healthcare professional calls for assistance does the Welsh Ambulance Services NHS Trust receive?
AQI7i Number of 999 Calls Answered  How many healthcare professional calls for assistance does the Welsh Ambulance Services NHS Trust receive?
AQI7ii Median, 65th and 95th percentile of Time Taken To Answer 999 Calls This AQI looks at how quickly 999 calls received by the Welsh Ambulance Services NHS Trust are answered.
AQI8 Number of 999 calls taken through the Medical Priority Dispatch System (MPDS)  How many 999 calls are assessed using the MPDS system? MPDS is the system that WAST call takers use to assess the severity of 999 calls. 
AQI9i Number of calls ended following WAST telephone assessment (Hear & Treat) Number of NHS 111 Wales / NHS Direct Wales & Clinical Desk telephone assessments that were resolved with an ambulance not required as the outcome (Hear & Treat)
AQI9ii Number and Percentage of calls transferred to NHS 111 Wales / NHS Direct Wales How many 999 calls are, after assessment, being transferred to NHS 111 Wales / NHS Direct Wales?
AQI9iii Number of calls returned from NHS 111 Wales / NHS Direct Wales How often does NHS 111 Wales / NHS Direct Wales then return a call to the Welsh Ambulance Services NHS Trust?
AQI9iv Number of calls ended through transfer to alternative care advice How often does NHS 111 Wales / NHS Direct Wales and the Welsh Ambulance Services NHS Trust pass a call to another part of the NHS rather than sending an ambulance?
AQI10i Number and Percentage of incidents received within 24 hours following WAST telephone assessment (Hear and Treat) Unplanned re-contact with the Welsh Ambulance Services NHS Trust within 24 hours of discharge of care (by clinical telephone advice).
AQI10ii Number and Percentage of incidents within 24 hours following an attendance at scene that were not transported to hospital (See and Treat) Unplanned re-contact with the Welsh Ambulance Services NHS Trust within 24 hours of discharge of care (following treatment at the scene).
Come To See Me
AQI11 Number of RED coded calls including median, 65th and 95th percentile How many 999 calls received are coded as a RED verified incident resulting in an emergency response within 8 minutes.
AQI12 Number of AMBER coded calls including median, 65th and 95th percentile How many 999 calls received are coded as an AMBER verified incident resulting in an emergency response?
AQI13 Number of GREEN coded calls including median, 65th and 95th percentile How many 999 calls received are coded as a GREEN verified incident resulting in a response?
AQI14 Number of responded Incidents where at least 1 resource arrived at scene  How effective is the Welsh Ambulance Services NHS Trust at sending the right resource first time to an incident.
AQI15 Number of Community First Responders attendances at scene, including by call category and percentage How often is a Community First Responder sent to a 999 call?
Give Me Treatment
AQI16i Number and percentage of patients with attempted resuscitation following cardiac arrest, documented as having a return of spontaneous circulation (ROSC) at hospital door Outcome from out-of-hospital cardiac arrest with attempted resuscitation, measured by documented return of spontaneous circulation (ROSC) at time of arrival of the patient to hospital. Recording of ROSC at hospital is the international Utstein standard and indicates the outcome of the pre-hospital response and intervention.
AQI16ii Number and percentage of suspected stroke patients who are documented as receiving appropriate stroke care bundle Patients with suspected stroke (including unresolved transient ischaemic attack) who are documented as receiving the appropriate care bundle. The stroke care bundle comprises measurement of blood pressure, consciousness level, blood glucose and FAST test.
AQI16iii Number and percentage of older patients with suspected hip fracture who are documented as receiving analgesia and appropriate care bundle Fractured hips (known as neck of femur injuries): fractured hips cause significant pain which can be exacerbated by movement.  Pain control for patients with a fractured neck of femur in the immediate post-trauma period is paramount to promoting recovery and patient experience.  This reduces suffering and the detrimental effects uncontrolled pain may have.  The care bundle measures the recording of initial and subsequent verbal pain scores and administration of appropriate pain medicines before arrival at hospital, also included is the total number of patients with a suspected fractured hip who received analgesia.
AQI16iv Number and percentage of ST segment elevation myocardial infarction (STEMI) patients who are documented as receiving appropriate STEMI care bundle Patients with STEMI diagnosis (ST-elevation myocardial infarction) who are documented as receiving the appropriate care bundle. The STEMI care bundle comprises of four elements including pain assessment and administration of three medicines including analgesia.
AQI16v Number and percentage of suspected sepsis patients who have had a documented NEWS score. Patients with a suspected diagnosis of sepsis or septic shock who have a documented NEWS score.  This promotes early recognition of suspected sepsis and enhances handover in hospital.
AQI16vi Number and percentage of patients with a suspected febrile convulsion aged 5 years and under who are documented as receiving the appropriate care bundle. Patients aged 5 years and under  with suspected febrile convulsion who are documented as receiving the appropriate care bundle.   The febrile convulsion care bundle comprises measurement of heart rate, respiratory rate, oxygen saturation, temperature and blood glucose.
AQI16vii Number and percentage of hypoglycaemic patients who are documented as receiving the appropriate care bundle.  Patients with low blood sugar (hypoglycaemia) who are documented as receiving the appropriate care bundle, which comprises blood glucose measurement before treatment, treatment and blood glucose measurement after treatment.
AQI17 Number of incidents that resulted in a non conveyance to hospital How effective are the Welsh Ambulance Services NHS Trust in closing incidents at scene? 
AQI18 Number and percentage of incidents where a resource was the ideal response as per the clinical response model How often are Welsh Ambulance Services NHS Trust sending the ideal resource to scene?
Take Me To Hospital
AQI19i Percentage of patients conveyed to hospital following a face to face assessment. What percentage of patients from 999 calls are conveyed to hospital.
AQI19ii Number of patients conveyed to hospital by type Where do Welsh Ambulance Services NHS Trust convey patients? What are opportunities to convey elsewhere?
AQI20i Number and percentage of notification to handover within 15 minutes of arrival at hospital This AQI measures handover performance at hospital.
AQI20ii Number and percentage of notification to handover within 15 minutes of arrival at hospital by hospital type. This AQI looks at handover performance by site. This allows good practice to be identified and spread. 
AQI21 Number of lost hours following notification to handover over 15 minutes This AQI measures the amount of lost hours following notification to handover over 15 minutes.
AQI22i Number and percentage of handover to clear within 15 minutes of transfer of patient care to hospital staff This AQI measures the number of times where a WAST crew are available again within 15 minutes of handing over their patient. 
AQI22ii Number and percentage of handover to clear within 15 minutes of transfer of patient care to hospital staff by hospital type This AQI looks at handover to clear performance by site. This allows good practice to be identified and spread.
AQI23 Conveyance to other LHB locations This AQI records the number of occasions where a patient is taken to a destination in a different Health Board area than the location of the call.
AQI24 Number of lost hours following handover to clear over 15 minutes This AQI shows the amount of time lost where ambulance crews are not available within 15 minutes of handing over their patient.