Ambulance delays: Taxis sometimes the only option for patients - BBC News","idt2":{"altText":"\"It makes me upset and doesn't sit right with me ... but sometimes we have no other option\", Source: Sian Stott, Source description: Nurse, Image: ","published":1702638534678,"copyrightHolder":"BBC Wales","dimensions":{"small":{"href":"/idt2/892e4640-9cca-4361-bbd5-cf7fd6c1941a/image/460","width":920,"height":750},"medium":{"href":"/idt2/892e4640-9cca-4361-bbd5-cf7fd6c1941a/image/640","width":1280,"height":492},"large":{"href":"/idt2/892e4640-9cca-4361-bbd5-cf7fd6c1941a/image/816","width":1632,"height":444}}},"idt2Image":{"alt":"\"It makes me upset and doesn't sit right with me ... but sometimes we have no other option\", Source: Sian Stott, Source description: Nurse, Image: ","src":"https://ichef.bbci.co.uk/news/1632/idt2/idt2/892e4640-9cca-4361-bbd5-cf7fd6c1941a/image/816","srcSet":"https://ichef.bbci.co.uk/news/920/idt2/idt2/892e4640-9cca-4361-bbd5-cf7fd6c1941a/image/460 920w,https://ichef.bbci.co.uk/news/1280/idt2/idt2/892e4640-9cca-4361-bbd5-cf7fd6c1941a/image/640 1280w,https://ichef.bbci.co.uk/news/1632/idt2/idt2/892e4640-9cca-4361-bbd5-cf7fd6c1941a/image/816 1632w"}}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But nurse Sian Stott says having to make those decisions can be distressing. ","blocks":[{"type":"fragment","model":{"text":"But nurse Sian Stott says having to make those decisions can be distressing. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It scares me to work like this, to make these decisions even though they might be the right ones [because of the huge pressures].","blocks":[{"type":"fragment","model":{"text":"\"It scares me to work like this, to make these decisions even though they might be the right ones [because of the huge pressures].","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I feel really uncomfortable asking for a taxi for someone who's having a stroke or asking their families to take them in by car.","blocks":[{"type":"fragment","model":{"text":"\"I feel really uncomfortable asking for a taxi for someone who's having a stroke or asking their families to take them in by car.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It makes me upset and doesn't sit right with me... but sometimes we have no other option.\"","blocks":[{"type":"fragment","model":{"text":"\"It makes me upset and doesn't sit right with me... but sometimes we have no other option.\"","attributes":[]}}]}}]}},{"type":"image","model":{"caption":{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Ann Williams waited outside a hospital in an ambulance for more than four hours","attributes":[]}}]}},"image":{"alt":"Ann Williams","copyright":null,"height":549,"width":976,"src":"https://ichef.bbci.co.uk/news/976/cpsprodpb/3EEA/production/_132060161_52a5f287-ddda-417c-85dd-8d31573dc4d0.jpg","srcSet":"https://ichef.bbci.co.uk/news/240/cpsprodpb/3EEA/production/_132060161_52a5f287-ddda-417c-85dd-8d31573dc4d0.jpg.webp 240w, https://ichef.bbci.co.uk/news/320/cpsprodpb/3EEA/production/_132060161_52a5f287-ddda-417c-85dd-8d31573dc4d0.jpg.webp 320w, https://ichef.bbci.co.uk/news/480/cpsprodpb/3EEA/production/_132060161_52a5f287-ddda-417c-85dd-8d31573dc4d0.jpg.webp 480w, 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years, and worked for a time at Llandudno hospital.","blocks":[{"type":"fragment","model":{"text":"Belfast-born, the great-grandmother to no fewer than 130 children has lived in north Wales for 70 years, and worked for a time at Llandudno hospital.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Ann is putting on a brave face because she's in a lot of pain.","blocks":[{"type":"fragment","model":{"text":"Ann is putting on a brave face because she's in a lot of pain.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"We've taken her to the doctors quite a few times,\" her granddaughter Danielle Abbot tells me.","blocks":[{"type":"fragment","model":{"text":"\"We've taken her to the doctors quite a few times,\" her granddaughter Danielle Abbot tells me.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"But last night the pain got so intense we had to call the ambulance.\"","blocks":[{"type":"fragment","model":{"text":"\"But last night the pain got so intense we had to call the ambulance.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Almost four hours later the ambulance arrived at 07.52 in the morning.","blocks":[{"type":"fragment","model":{"text":"Almost four hours later the ambulance arrived at 07.52 in the morning.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"It's now midday and Ann is still with the crew.","blocks":[{"type":"fragment","model":{"text":"It's now midday and Ann is still with the crew.","attributes":[]}}]}}]}},{"type":"image","model":{"caption":{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Calli Johnson","attributes":[]}}]}},"image":{"alt":"Calli Johnson and incident log graphic","copyright":null,"height":1152.2880720180046,"width":1536,"src":"https://ichef.bbci.co.uk/news/1536/cpsprodpb/8698/production/_132065443_ambincidentlog2.png","srcSet":"https://ichef.bbci.co.uk/news/240/cpsprodpb/8698/production/_132065443_ambincidentlog2.png.webp 240w, https://ichef.bbci.co.uk/news/320/cpsprodpb/8698/production/_132065443_ambincidentlog2.png.webp 320w, https://ichef.bbci.co.uk/news/480/cpsprodpb/8698/production/_132065443_ambincidentlog2.png.webp 480w, https://ichef.bbci.co.uk/news/624/cpsprodpb/8698/production/_132065443_ambincidentlog2.png.webp 624w, https://ichef.bbci.co.uk/news/800/cpsprodpb/8698/production/_132065443_ambincidentlog2.png.webp 800w, https://ichef.bbci.co.uk/news/976/cpsprodpb/8698/production/_132065443_ambincidentlog2.png.webp 976w","mimeType":"image/webp","fallbackSrcSets":[{"mimeType":"image/png","srcSet":"https://ichef.bbci.co.uk/news/240/cpsprodpb/8698/production/_132065443_ambincidentlog2.png 240w, https://ichef.bbci.co.uk/news/320/cpsprodpb/8698/production/_132065443_ambincidentlog2.png 320w, https://ichef.bbci.co.uk/news/480/cpsprodpb/8698/production/_132065443_ambincidentlog2.png 480w, https://ichef.bbci.co.uk/news/624/cpsprodpb/8698/production/_132065443_ambincidentlog2.png 624w, https://ichef.bbci.co.uk/news/800/cpsprodpb/8698/production/_132065443_ambincidentlog2.png 800w, https://ichef.bbci.co.uk/news/976/cpsprodpb/8698/production/_132065443_ambincidentlog2.png 976w"}]}}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It's quite normal now\" says paramedic Calli Johnson.","blocks":[{"type":"fragment","model":{"text":"\"It's quite normal now\" says paramedic Calli Johnson.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I should imagine we'll be here for the best part of the day. But some shifts we don't even go out to a job. ","blocks":[{"type":"fragment","model":{"text":"\"I should imagine we'll be here for the best part of the day. But some shifts we don't even go out to a job. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"We can come in straight to the hospital as the start of a shift to relieve a crew that's been stuck here all day and night.\"","blocks":[{"type":"fragment","model":{"text":"\"We can come in straight to the hospital as the start of a shift to relieve a crew that's been stuck here all day and night.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"She said it was disheartening \"not doing what we're trained to do\".","blocks":[{"type":"fragment","model":{"text":"She said it was disheartening \"not doing what we're trained to do\".","attributes":[]}}]}}]}},{"type":"image","model":{"image":{"alt":"Waiting times for ambulances","copyright":null,"height":549,"width":976,"src":"https://ichef.bbci.co.uk/news/976/cpsprodpb/1099B/production/_132059976_betsiambulance2.png","srcSet":"https://ichef.bbci.co.uk/news/240/cpsprodpb/1099B/production/_132059976_betsiambulance2.png.webp 240w, https://ichef.bbci.co.uk/news/320/cpsprodpb/1099B/production/_132059976_betsiambulance2.png.webp 320w, https://ichef.bbci.co.uk/news/480/cpsprodpb/1099B/production/_132059976_betsiambulance2.png.webp 480w, https://ichef.bbci.co.uk/news/624/cpsprodpb/1099B/production/_132059976_betsiambulance2.png.webp 624w, https://ichef.bbci.co.uk/news/800/cpsprodpb/1099B/production/_132059976_betsiambulance2.png.webp 800w, https://ichef.bbci.co.uk/news/976/cpsprodpb/1099B/production/_132059976_betsiambulance2.png.webp 976w","mimeType":"image/webp","fallbackSrcSets":[{"mimeType":"image/png","srcSet":"https://ichef.bbci.co.uk/news/240/cpsprodpb/1099B/production/_132059976_betsiambulance2.png 240w, https://ichef.bbci.co.uk/news/320/cpsprodpb/1099B/production/_132059976_betsiambulance2.png 320w, https://ichef.bbci.co.uk/news/480/cpsprodpb/1099B/production/_132059976_betsiambulance2.png 480w, https://ichef.bbci.co.uk/news/624/cpsprodpb/1099B/production/_132059976_betsiambulance2.png 624w, https://ichef.bbci.co.uk/news/800/cpsprodpb/1099B/production/_132059976_betsiambulance2.png 800w, https://ichef.bbci.co.uk/news/976/cpsprodpb/1099B/production/_132059976_betsiambulance2.png 976w"}]}}},{"type":"subheadline","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"What do the figures look like?","blocks":[{"type":"fragment","model":{"text":"What do the figures look like?","attributes":[]}}]}}]}}],"level":2,"fontScale":"headlineSmall","id":"What-do-the-figures-look-like","isFocusable":true}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"The average wait for a \"red\" call was eight minutes, 13 seconds in October. It peaked last winter when it was more than 10 minutes.","attributes":[]}}]}},{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"Red calls have been a growing proportion of those calls which need an ambulance response. In October, 19% of all calls were coded red and there were more than 1,000 in a month for only the second time. Five years ago, they made up 7% of calls (400 a month). ","attributes":[]}}]}},{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"48.5% of \"red\" calls arrived within eight minute, slightly better than average for the fourth month running. ","attributes":[]}}]}}]}},{"type":"image","model":{"image":{"alt":"Handover delays chart","copyright":null,"height":974.4,"width":1024,"src":"https://ichef.bbci.co.uk/news/1024/cpsprodpb/157BB/production/_132059978_betsiambulance4.png","srcSet":"https://ichef.bbci.co.uk/news/240/cpsprodpb/157BB/production/_132059978_betsiambulance4.png.webp 240w, https://ichef.bbci.co.uk/news/320/cpsprodpb/157BB/production/_132059978_betsiambulance4.png.webp 320w, https://ichef.bbci.co.uk/news/480/cpsprodpb/157BB/production/_132059978_betsiambulance4.png.webp 480w, https://ichef.bbci.co.uk/news/624/cpsprodpb/157BB/production/_132059978_betsiambulance4.png.webp 624w, https://ichef.bbci.co.uk/news/800/cpsprodpb/157BB/production/_132059978_betsiambulance4.png.webp 800w, https://ichef.bbci.co.uk/news/976/cpsprodpb/157BB/production/_132059978_betsiambulance4.png.webp 976w","mimeType":"image/webp","fallbackSrcSets":[{"mimeType":"image/png","srcSet":"https://ichef.bbci.co.uk/news/240/cpsprodpb/157BB/production/_132059978_betsiambulance4.png 240w, https://ichef.bbci.co.uk/news/320/cpsprodpb/157BB/production/_132059978_betsiambulance4.png 320w, https://ichef.bbci.co.uk/news/480/cpsprodpb/157BB/production/_132059978_betsiambulance4.png 480w, https://ichef.bbci.co.uk/news/624/cpsprodpb/157BB/production/_132059978_betsiambulance4.png 624w, https://ichef.bbci.co.uk/news/800/cpsprodpb/157BB/production/_132059978_betsiambulance4.png 800w, https://ichef.bbci.co.uk/news/976/cpsprodpb/157BB/production/_132059978_betsiambulance4.png 976w"}]}}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"Handover delays have risen steadily since Covid. More than 8,000 hours were spent outside major A&Es in north Wales in October, above the 15-minute window for ambulances to hand over patients. Only around 17% of ambulances handed patients over within the window. This was worse than the Welsh average of 21%. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Betsi Cadwaldr health board says it's put a \"number of measures\" in place to alleviate long waits and says doctors liaise with paramedics to assess patients who have been waiting outside for long periods. ","blocks":[{"type":"fragment","model":{"text":"Betsi Cadwaldr health board says it's put a \"number of measures\" in place to alleviate long waits and says doctors liaise with paramedics to assess patients who have been waiting outside for long periods. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"It says some of the reasons for the delays are beyond its control and are due to backlogs in discharging patients because of pressures on social care.","blocks":[{"type":"fragment","model":{"text":"It says some of the reasons for the delays are beyond its control and are due to backlogs in discharging patients because of pressures on social care.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Out the Welsh NHS' 9,000 hospital beds, at any one time around 1,600 are taken by patients well enough to leave hospital.","blocks":[{"type":"fragment","model":{"text":"Out the Welsh NHS' 9,000 hospital beds, at any one time around 1,600 are taken by patients well enough to leave hospital.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But the Welsh government says it's been \"very clear with health boards about our expectations for urgent improvements\".","blocks":[{"type":"fragment","model":{"text":"But the Welsh government says it's been \"very clear with health boards about our expectations for urgent improvements\".","attributes":[]}}]}}]}},{"type":"include","model":{"type":"vj","href":"/include/newsspec/38151-nhs-winter-tracker-2023/english/app?responsive=true&newsapps=true&app-image=https://news.files.bbci.co.uk/include/vjassets/img/app-launcher.png&app-clickable=true&-clickable=true&-image-height=360&-image-width=640&-image=https://news.files.bbci.co.uk/include/vjassets/img/app-launcher.png&app-image-alt-text=Click%20or%20tap%20here%20to%20see%20interactive%20content","html":"\u003cscript>\n window.vjConfigObject = window.vjConfigObject || {};\n window.vjConfigObject['newsspec-38151-nhs-winter-tracker-2023-app'] = {\"js\":true,\"output\":{\"wrapper\":\"embed\"},\"name\":\"newsspec-38151-nhs-winter-tracker-2023\",\"version\":\"1.0.202312141127\",\"urlToOutputDir\":\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023\",\"assetsPath\":\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets\",\"includeName\":\"app\",\"language\":\"english\",\"languageCode\":\"en\",\"brandingVersion\":\"3.1\",\"brandingExtension\":\"svg\",\"loremText\":[\"Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Trusts are organisations which include hospitals, community services and providers of other forms of patient care. You can find which trust your services belong to on the [NHS website](https://www.nhs.uk/nhs-services).\",\"info-box__aria-label_england\":\"More info on NHS Trusts\",\"info-box__text_scotland\":\"This data is provided at NHS Health Board level. Health boards are responsible for all frontline healthcare services in Scotland. You can find which trust your services belong to on the [NHS Scotland website](https://www.nhsinform.scot).\",\"info-box__aria-label_scotland\":\"More info on NHS Health Boards\",\"info-box__text_wales\":\"This data is provided at NHS Health Board level. Health boards are responsible for planning and delivering NHS services in their areas. You can find which trust your services belong to on the [NHS Wales website](https://www.wales.nhs.uk/).\",\"info-box__aria-label_wales\":\"More info on NHS Health Boards\",\"info-box__text_ni\":\"This data is provided at Health and Social Care Trust level. Trusts are responsible for providing local and regional health services. You can find which trust your services belong to on the [NI direct website](https://www.nidirect.gov.uk/information-and-services/health-and-wellbeing/health-services).\",\"info-box__aria-label_ni\":\"More info on NHS Trusts\",\"amb__title_england\":\"How often are ambulances queuing outside A&E?\",\"amb__para_england\":\"Ambulances waiting 30 minutes or more to hand over their patients to A&E staff in the week starting {{beginHighlight}}{{amb_period}}{{endHighlight}}. It should only take 15 minutes\",\"amb__current_total_england\":\"of {{beginHighlight}}{{amb_current_total}}{{endHighlight}} arrivals\",\"amb__past_total_england\":\"{{beginHighlight-yellow}}{{amb_past_value}}%{{endHighlight}} of {{beginHighlight}}{{amb_past_total}}{{endHighlight}} arrivals\",\"amb__title_scotland\":\"How long do patients wait for an ambulance?\",\"amb__para_scotland\":\"Average response time for emergency calls in the week starting {{beginHighlight}}{{amb_period}}{{endHighlight}}. The target is just under nine minutes\",\"amb__current_total_scotland\":\"{{beginHighlight-yellow}}{{amb_current_value}}{{endHighlight}} for {{beginHighlight}}{{amb_current_total}}{{endHighlight}} responses\",\"amb__past_total_scotland\":\"{{beginHighlight-yellow}}{{amb_past_value}}{{endHighlight}} for {{beginHighlight}}{{amb_past_total}}{{endHighlight}} responses\",\"amb__title_wales\":\"How often do patients wait longer for an ambulance?\",\"amb__para_wales\":\"Emergency responses taking longer than the target time of eight minutes in {{beginHighlight}}{{amb_period}}{{endHighlight}}\",\"amb__current_total_wales\":\"of {{beginHighlight}}{{amb_current_total}}{{endHighlight}} responses\",\"amb__past_total_wales\":\"{{beginHighlight-yellow}}{{amb_past_value}}%{{endHighlight}} of {{beginHighlight}}{{amb_past_total}}{{endHighlight}} responses\",\"amb__title_ni\":\"How long do patients wait for an ambulance?\",\"amb__para_ni\":\"Average response time in {{beginHighlight}}{{amb_period}}{{endHighlight}}. The target is eight minutes\",\"amb__current_total_ni\":\"{{beginHighlight-yellow}}{{amb_current_value}}{{endHighlight}}\",\"amb__past_total_ni\":\"{{beginHighlight-yellow}}{{amb_past_value}}{{endHighlight}}\",\"ae__title_england\":\"How many long A&E waits are there?\",\"ae__para_england\":\"Patients waiting longer than the target time of four hours in {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_england\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_england\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ae__title_scotland\":\"How many long A&E waits are there?\",\"ae__para_scotland\":\"Patients waiting longer than target time of four hours at A&E in the week starting {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_scotland\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_scotland\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ae__title_wales\":\"How many long A&E waits are there?\",\"ae__para_wales\":\"Patients waiting longer than the target time of four hours in {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_wales\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_wales\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ae__title_ni\":\"How many long A&E waits are there?\",\"ae__para_ni\":\"Patients waiting longer than the target time of four hours in {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_ni\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_ni\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ops__title_england\":\"How many face long waits for treatment?\",\"ops__para_england\":\"Patients waiting longer than the target time of 18 weeks for routine treatments in {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_england\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} on the waiting list\",\"ops__past_total_england\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} on the waiting list\",\"ops__title_scotland\":\"How many face long waits for treatment?\",\"ops__para_scotland\":\"Patients waiting longer than the target time of 18 weeks for routine treatments in {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_scotland\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} treated\",\"ops__past_total_scotland\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} treated\",\"ops__title_wales\":\"How many face long waits for treatment?\",\"ops__para_wales\":\"Patients waiting for longer than the target time of 26 weeks for hospital treatment {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_wales\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} treated or no longer needing treatment\",\"ops__past_total_wales\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} treated\",\"ops__title_ni\":\"How many face long waits for treatment?\",\"ops__para_ni\":\"Patients waiting for longer than 13 weeks for hospital treatment from {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_ni\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} treated\",\"ops__past_total_ni\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} treated\",\"methodology__title\":\"About the data\",\"methodology__intro_para_1\":\"Data for England is shown by NHS trust, where the trust includes at least one hospital with a Type 1 A&E department. Type 1 means a consultant-led 24 hour A&E service with full resuscitation facilities. Data for Wales and Scotland is shown by Health Board and in Northern Ireland by Health and Social Care Trust.\",\"methodology__intro_para_2\":\"When you enter a postcode for a location in England you will be shown a list of NHS trusts in your area. They will not necessarily be in order of your closest hospital as some trusts have more than one hospital. Data for Wales and Scotland are shown by NHS board and by Health and Social Care trust in Northern Ireland.\",\"methodology__intro_para_3\":\"Comparative data is shown for a previous year where available. However, where trusts have merged there is no like-for-like comparison to show. Earlier data is not available for all measures, so comparisons between years are not always possible.\",\"methodology__intro_para_4\":\"In England and Northern Ireland A&E attendances include all emergency departments in that trust or health board, not just major A&E departments. For example, those who attend minor injury units are included. In Wales the data include all emergency departments, but does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279). In Scotland the data includes only major A&E departments.\",\"methodology__intro_para_5\":\"Each nation has different target times and definitions for some of the measures shown, therefore comparisons between them are not possible.\",\"methodology__amb_england\":\"When patients arrive at hospital by ambulance they should be handed over within 15 minutes. This data shows the proportion of ambulance patients who waited 30 minutes or more in the week shown. It comes from daily situation reports which are published weekly during the winter in England. As this is fast-turnaround data, the NHS says only minimal validation can be carried out but it is considered fit for purpose. Trusts reporting five or fewer weekly ambulance arrivals have been excluded. Figures exclude arrivals where the time taken to hand over a patient was unknown. In previous years some trusts did not exclude these.\",\"methodology__ae_england\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for England and include all arrivals across all emergency departments, both \\\"booked\\\" and \\\"non-booked\\\". Data from trusts that did not report how long these patients waited has been excluded.\",\"methodology__ops_england\":\"Following a GP referral, most patients (92%) should start consultant-led treatment for non-urgent conditions within 18 weeks. This data shows the proportion of patients waiting 18 weeks or more. Figures are published monthly for England.\",\"methodology__amb_scotland\":\"Ambulances should attend seriously ill patients, such as those who may be suffering a heart attack, within eight minutes. These are known as red incidents by the Scottish Ambulance Service. This data shows the average (median) response time to these incidents. Figures are published weekly for Scotland. As this is fast-turnaround data, the latest data is considered provisional.\",\"methodology__ae_scotland\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending major A&E departments only, who waited longer than four hours to be treated, discharged or admitted. Patients treated at minor injury units are not included. Figures are published weekly for Scotland.\",\"methodology__ops_scotland\":\"Following a GP referral, most patients (90%) should start consultant-led treatment for non-urgent conditions within 18 weeks. This data shows the proportion of patients who waited 18 weeks or more. Figures are published monthly for Scotland.\",\"methodology__amb_wales\":\"Ambulances should attend at least 65% of patients with immediately life threatening conditions, such as those who may be suffering a cardiac arrest or choking, within eight minutes. These are known as red incidents by the Welsh Ambulance Service. This data shows the proportion of responses arriving within eight minutes. Figures are published monthly in Wales.\",\"methodology__ae_wales\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for Wales. The data does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279) and is therefore not comparable to any other UK nation. Powys is the only health board in Wales to not have a major emergency department. It typically has few waits over four hours.\",\"methodology__ops_wales\":\"Following a GP referral, most patients (95%) should start consultant-led treatment for non-urgent conditions within 26 weeks. This data shows the proportion of patients who waited 26 weeks or more. Figures are published monthly for Wales.\",\"methodology__amb_ni\":\"Ambulances should attend patients with immediately life threatening conditions within eight minutes. These are known as category one incidents by the Department of Health. This data shows the average (mean) response time to these incidents. Figures are published by request for Northern Ireland.\",\"methodology__ae_ni\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for Northern Ireland.\",\"methodology__ops_ni\":\"Following a GP referral, 55% of patients should start consultant-led treatment for non-urgent conditions within 13 weeks from the point the decision is taken to offer treatment. This data shows the proportion of patients who waited 13 weeks or more. Figures are published quarterly for Northern Ireland.\"},\"app\":{\"data\":{\"data\":{\"R0A\":{\"nation\":\"England\",\"name\":\"Manchester NHS Trust\",\"code\":\"R0A\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"17\",\"amb_current_total\":\"1291\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"28\",\"amb_past_total\":\"1238\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"44169\",\"ae_current_value\":\"33\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"42461\",\"ae_past_value\":\"47\",\"ae_target\":\"4 hour waiting 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rel=\"stylesheet\" href=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/embed/css/inline.css??v=1.0.202312141127.undefined\">\n\u003cdiv id=\"responsive-embed-newsspec-38151-nhs-winter-tracker-2023-app\" class=\"bbc-news-vj-wrapper--embed bbc-news-vj-direction--ltr bbc-news-vj-language--english\">\n \u003cdiv id=\"responsive-embed-newsspec-38151-nhs-winter-tracker-2023-app-core-content\">\n \u003cdiv class=\"content-container__enhanced\" style=\"display:none;\">\n \u003cdiv class=\"my-lookup\">\n \u003cdiv class=\"my-lookup__search-container\">\n \u003cdiv class=\"my-lookup\">\n \u003cpicture class=\"my-lookup__img\">\n \u003csource srcset=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets/img/lookup_desktop.svg?v=1.0.4\" media=\"(min-width: 500px)\" width=\"615\" height=\"95\">\n \u003cimg src=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets/img/lookup_mobile.svg?v=1.0.4\" alt=\"\" class=\"my-lookup__img\" width=\"304\" height=\"95\">\n \u003c/picture>\n \u003cdiv class=\"my-lookup__heading\">\n \u003ch2>How are your local NHS services coping this winter?\u003c/h2>\n \u003cp>Enter a postcode to find out. Eg ‘B1 1RF’\u003c/p>\n \u003cdiv id=\"lookup-container\" class=\"lookup-container\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"my-lookup__results-container hidden\">\n \u003cdiv class=\"results__provider_container\">\n \u003ch3 class=\"results__provider_name\">\u003c/h3>\n \u003cbutton class=\"info-button\">\u003c/button>\n \u003cdiv class=\"info-box\">\n \u003cdiv class=\"info-box__text\">\u003c/div>\n \u003c/div> \u003c/div>\n \u003cdiv class=\"results__container\">\n \u003ch3 class=\"results__selected-result-title\">\u003c/h3>\n \u003cdiv class=\"section amb\">\n \u003cdiv class=\"section__icon_amb\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"section ae\">\n \u003cdiv class=\"section__icon_ae\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"section ops\">\n \u003cdiv class=\"section__icon_ops\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003c/div>\n \n \u003c/div>\n \u003c/div>\n \u003cp class=\"last-updated hidden\">Last updated: Thursday 14 December\u003c/p>\n \u003cdiv class="methodology__container hidden">\n \u003cbutton class="methodology__header methodology--button no-js">\n \u003ch2 class=\"methodology__title ati-section\">About the data\u003c/h2>\n \u003csvg xmlns=\"http://www.w3.org/2000/svg\" width=\"16\" height=\"12.912\" viewBox=\"0 0 16 12.912\">\u003cdefs>\u003cstyle>.a{fill:#222;}\u003c/style>\u003c/defs>\u003cg transform=\"translate(16 12.912) rotate(180)\">\u003cg transform=\"translate(16 12.912) rotate(180)\">\u003cpath class=\"a\" d=\"M8,12.912,16,0H12.4L8,7.6,3.6,0H0Z\"/>\u003c/g>\u003c/g>\u003c/svg>\n \u003c/button>\n \u003ch2 class=\"methodology__title ati-section no-js no-js__title\">About the data\u003c/h2>\n \u003cdiv class=\"methodology__contents\">\n \u003cdiv class=\"methodology__intro\">\n \u003cp class=\"methodology__para\">Data for England is shown by NHS trust, where the trust includes at least one hospital with a Type 1 A&E department. Type 1 means a consultant-led 24 hour A&E service with full resuscitation facilities. Data for Wales and Scotland is shown by Health Board and in Northern Ireland by Health and Social Care Trust.\u003c/p>\n \u003cp class=\"methodology__para\">When you enter a postcode for a location in England you will be shown a list of NHS trusts in your area. They will not necessarily be in order of your closest hospital as some trusts have more than one hospital. Data for Wales and Scotland are shown by NHS board and by Health and Social Care trust in Northern Ireland.\u003c/p>\n \u003cp class=\"methodology__para\">Comparative data is shown for a previous year where available. However, where trusts have merged there is no like-for-like comparison to show. Earlier data is not available for all measures, so comparisons between years are not always possible.\u003c/p>\n \u003cp class=\"methodology__para\">In England and Northern Ireland A&E attendances include all emergency departments in that trust or health board, not just major A&E departments. For example, those who attend minor injury units are included. In Wales the data include all emergency departments, but does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279). In Scotland the data includes only major A&E departments.\u003c/p>\n \u003cp class=\"methodology__para\">Each nation has different target times and definitions for some of the measures shown, therefore comparisons between them are not possible.\u003c/p>\n \u003c/div>\n \u003cdiv class=\"methodology__sections\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003c/div>\n \n \u003cdiv class=\"content-container__no-js\">\n \u003cp class=\"no-js__message\">A modern browser with JavaScript and a stable internet connection are required to view this interactive.\u003c/p>\n \u003c/div>\n \u003c/div>\n\u003c/div>\n\u003cstyle id=\"responsive-embed-newsspec-38151-nhs-winter-tracker-2023-app-inline-css\">\n @-moz-keyframes gel-spin{0%{-moz-transform:rotate(0deg)}100%{-moz-transform:rotate(360deg)}}@-webkit-keyframes gel-spin{0%{-webkit-transform:rotate(0deg)}100%{-webkit-transform:rotate(360deg)}}@-ms-keyframes gel-spin{0%{-ms-transform:rotate(0deg)}100%{-ms-transform:rotate(360deg)}}@keyframes 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","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But some staff feel they are swimming against the tide, with the most difficult weeks of winter still to come.","blocks":[{"type":"fragment","model":{"text":"But some staff feel they are swimming against the tide, with the most difficult weeks of winter still to come.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"I spent two days with the ambulance service in north Wales and witnessed the relentless pressures first-hand.","blocks":[{"type":"fragment","model":{"text":"I spent two days with the ambulance service in north Wales and witnessed the relentless pressures first-hand.","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Advance paramedic Aled Williams treats Jenny, who had a fall in the 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Williams, it is obvious that Jenny Evans, 80, is in considerable distress.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I've been lying on the floor here for over an hour,\" she says, her head being cradled by a passer-by.","blocks":[{"type":"fragment","model":{"text":"\"I've been lying on the floor here for over an hour,\" she says, her head being cradled by a passer-by.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"Surely to God you can get an ambulance here quicker.\"","blocks":[{"type":"fragment","model":{"text":"\"Surely to God you can get an ambulance here quicker.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"The ex-nurse and midwife is lying in the road after slipping outside her friend's home while delivering jigsaw puzzles for charity ","blocks":[{"type":"fragment","model":{"text":"The ex-nurse and midwife is lying in the road after slipping outside her friend's home while delivering jigsaw puzzles for charity ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"A policeman is diverting traffic and it is feared Jenny has broken her thigh bone.","blocks":[{"type":"fragment","model":{"text":"A policeman is diverting traffic and it is feared Jenny has broken her thigh bone.","attributes":[]}}]}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"urlLink","model":{"text":"Wales' NHS waiting times hit record high again","locator":"https://www.bbc.co.uk/news/uk-wales-67488546","blocks":[{"type":"fragment","model":{"text":"Wales' NHS waiting times hit record high again","attributes":[]}}]}}]}},{"type":"listItem","model":{"blocks":[{"type":"urlLink","model":{"text":"Ambulance waits 28 hours outside A&E amid delays","locator":"https://www.bbc.co.uk/news/uk-wales-67190297","blocks":[{"type":"fragment","model":{"text":"Ambulance waits 28 hours outside A&E amid delays","attributes":[]}}]}}]}},{"type":"listItem","model":{"blocks":[{"type":"urlLink","model":{"text":"Ambulance response times second worst ever","locator":"https://www.bbc.co.uk/news/uk-wales-65335030","blocks":[{"type":"fragment","model":{"text":"Ambulance response times second worst ever","attributes":[]}}]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Neighbours and an ex-fireman with medical training help keep her warm on a bitterly cold afternoon.","blocks":[{"type":"fragment","model":{"text":"Neighbours and an ex-fireman with medical training help keep her warm on a bitterly cold afternoon.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Soon after we arrive Aled starts giving Jenny a combination of much needed pain medication.","blocks":[{"type":"fragment","model":{"text":"Soon after we arrive Aled starts giving Jenny a combination of much needed pain medication.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"Unfortunately she does appear to have broken her hip,\" he tells me.","blocks":[{"type":"fragment","model":{"text":"\"Unfortunately she does appear to have broken her hip,\" he tells me.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"We've managed to get on top of the pain now but obviously it's getting dark and cold so our priority is to keep her warm.\"","blocks":[{"type":"fragment","model":{"text":"\"We've managed to get on top of the pain now but obviously it's getting dark and cold so our priority is to keep her warm.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"As a paramedic with specialist training, Aled can give more advanced treatments at the scene. ","blocks":[{"type":"fragment","model":{"text":"As a paramedic with specialist training, Aled can give more advanced treatments at the scene. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But working from a rapid response car means he won't be able take Jenny to hospital, and asks for an ambulance to come on blue lights.","blocks":[{"type":"fragment","model":{"text":"But working from a rapid response car means he won't be able take Jenny to hospital, and asks for an ambulance to come on blue lights.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"The nearest available one is in Llangefni, 30 miles (48.3km) and 45 minutes away.","blocks":[{"type":"fragment","model":{"text":"The nearest available one is in Llangefni, 30 miles (48.3km) and 45 minutes away.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"Unfortunately it does happen. Patients wait longer than we would want them,\" Aled admits.","blocks":[{"type":"fragment","model":{"text":"\"Unfortunately it does happen. Patients wait longer than we would want them,\" Aled admits.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Jenny's ambulance finally arrives as night falls, and paramedic Andy Davies takes over from Aled.","blocks":[{"type":"fragment","model":{"text":"Jenny's ambulance finally arrives as night falls, and paramedic Andy Davies takes over from Aled.","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Aled Williams and incident log graphic","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":1000,"width":1333,"locator":"3878/production/_132065441_ambincidentlog1.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}},{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Aled Williams","attributes":[]}}]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"They will soon be on their way to A&E, but it's likely Jenny will still have to wait hours before she can be handed over.","blocks":[{"type":"fragment","model":{"text":"They will soon be on their way to A&E, but it's likely Jenny will still have to wait hours before she can be handed over.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I happens every shift,\" Andy tells me.","blocks":[{"type":"fragment","model":{"text":"\"I happens every shift,\" Andy tells me.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I was outside Glan Clwyd hospital for 10 hours recently - it was my first patient and we stayed there for an entire shift.\"","blocks":[{"type":"fragment","model":{"text":"\"I was outside Glan Clwyd hospital for 10 hours recently - it was my first patient and we stayed there for an entire shift.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"He admits people can become verbally abusive \"but there's nothing we can do to change it and it's heartbreaking to see\".","blocks":[{"type":"fragment","model":{"text":"He admits people can become verbally abusive \"but there's nothing we can do to change it and it's heartbreaking to see\".","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Aled is one of around 100 paramedics in Wales who are trained as CHARU (Cymru High Acuity Response Unit) Paramedics.","blocks":[{"type":"fragment","model":{"text":"Aled is one of around 100 paramedics in Wales ","attributes":[]}},{"type":"urlLink","model":{"text":"who are trained as CHARU (Cymru High Acuity Response Unit) Paramedics.","locator":"https://ambulance.nhs.wales/news/nhs/2023/a-day-in-the-life-of-a-high-acuity-response-unit-paramedic/","blocks":[{"type":"fragment","model":{"text":"who are trained as CHARU (Cymru High Acuity Response Unit) Paramedics.","attributes":[]}}]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"The idea is they are \"ring-fenced\" for the most serious calls.","blocks":[{"type":"fragment","model":{"text":"The idea is they are \"ring-fenced\" for the most serious calls.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"The relatively new role was established, in part, because of concerns over ambulance delays on calls where lives are at immediate risk.","blocks":[{"type":"fragment","model":{"text":"The relatively new role was established, in part, because of concerns over ambulance delays on calls where lives are at immediate risk.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It's not uncommon to have 25 maybe 30 ambulances stuck outside our three main hospitals in north Wales,\" he says.","blocks":[{"type":"fragment","model":{"text":"\"It's not uncommon to have 25 maybe 30 ambulances stuck outside our three main hospitals in north Wales,\" he says.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"That's a huge proportion considering at peak times the service has around 43 vehicles available across the region.","blocks":[{"type":"fragment","model":{"text":"That's a huge proportion considering at peak times the service has around 43 vehicles available across the region.","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Dominic Egan","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":549,"width":976,"locator":"6F64/production/_132061582_b6ab5c12-9a23-469d-9e5e-9c5fcafe1b4f.jpg","originCode":"cpsprodpb","copyrightHolder":"BBC"}},{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Dominic Egan says using a taxi or asking families is a last resort","attributes":[]}}]}}]}}]}},{"type":"subheadline","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"'It scares me to work like this'","blocks":[{"type":"fragment","model":{"text":"'It scares me to work like this'","attributes":[]}}]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"At the ambulance control room in St Asaph, staff give advice over the phone to less serious patients who might not need an ambulance.","blocks":[{"type":"fragment","model":{"text":"At the ambulance control room in St Asaph, staff give advice over the phone to less serious patients who might not need an ambulance.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But many of the calls are from genuinely very sick patients.","blocks":[{"type":"fragment","model":{"text":"But many of the calls are from genuinely very sick patients.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"And because at times there are no ambulances free at all - staff say they have to ask families or even taxis to take very sick patients in.","blocks":[{"type":"fragment","model":{"text":"And because at times there are no ambulances free at all - staff say they have to ask families or even taxis to take very sick patients in.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It may be [a patient with] chest pain where somebody might need an ECG or blood tests in hospital, right the way through to somebody with active symptoms of stroke,\" says paramedic Dominic Egan.","blocks":[{"type":"fragment","model":{"text":"\"It may be [a patient with] chest pain where somebody might need an ECG or blood tests in hospital, right the way through to somebody with active symptoms of stroke,\" says paramedic Dominic Egan.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"When we don't have any resources available... just leaving [those patients] waiting longer and longer is only going to cause more issues for their health.\"","blocks":[{"type":"fragment","model":{"text":"\"When we don't have any resources available... just leaving [those patients] waiting longer and longer is only going to cause more issues for their health.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"So let's just get them there as soon as possible.\"","blocks":[{"type":"fragment","model":{"text":"\"So let's just get them there as soon as 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rPqeC\">\u003cdiv data-graphicpic=\"true\" class=\"sc-htpNat kUePcj\">\u003cimg src=\"https://c.files.bbci.co.uk/assets/fbb783de-fa3e-441a-82b6-01516d723f81\" alt=\"\" class=\"sc-bwzfXH gOzIkX\"/>\u003cdiv dir=\"ltr\" class=\"sc-bxivhb huvKBR\">BBC Wales\u003c/div>\u003c/div>\u003cblockquote dir=\"ltr\" class=\"sc-gzVnrw blLFIH\">\u003csvg width=\"30\" height=\"25\" xmlns=\"http://www.w3.org/2000/svg\" aria-label=\"Quote\" class=\"sc-htoDjs kGbKV\">\u003cg fill=\"#C9A975\" fill-rule=\"evenodd\" transform=\"rotate(0 15 12)\">\u003cpath d=\"M0 15.614c0-4.538 1.106-8.074 3.319-10.61C5.53 2.47 8.697.801 12.817 0v4.626c-3.143.89-5.234 2.55-6.271 4.983-.58 1.304-.809 2.535-.687 3.692H13V25H0v-9.386zM17 15.614c0-4.538 1.106-8.074 3.319-10.61C22.53 2.47 25.697.801 29.817 0v4.626c-3.143.89-5.234 2.55-6.271 4.983-.58 1.304-.809 2.535-.687 3.692H30V25H17v-9.386z\">\u003c/path>\u003c/g>\u003c/svg>\u003cdiv class=\"sc-dnqmqq dHUwnI\">It makes me upset and doesn't sit right with me ... but sometimes we have no other option\u003c/div>\u003csvg width=\"43\" height=\"3\" xmlns=\"http://www.w3.org/2000/svg\" viewBox=\"0 0 43 3\" class=\"sc-iwsKbI jiPRqw\">\u003cpath d=\"M1.5 1.5h40\" stroke=\"#C9A975\" stroke-width=\"3\" fill=\"none\" fill-rule=\"evenodd\" stroke-linecap=\"square\">\u003c/path>\u003c/svg>\u003cfooter class=\"sc-gZMcBi honXkL\">\u003ccite class=\"sc-gqjmRU klLnaG\">\u003cstrong>Sian Stott\u003c/strong>\u003cbr/>Nurse\u003c/cite>\u003c/footer>\u003c/blockquote>\u003c/div>\u003cscript type=\"text/javascript\" src=\"https://c.files.bbci.co.uk/graphics/static/js/quotePic.37c63597.js\">\u003c/script>\u003cscript type=\"text/javascript\">IDT.init({\"uuid\":\"892e4640-9cca-4361-bbd5-cf7fd6c1941a\",\"type\":\"QuotePic\",\"service\":\"news\",\"quotation\":\"It makes me upset and doesn't sit right with me ... but sometimes we have no other option\",\"source\":{\"title\":\"Sian 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","blocks":[{"type":"fragment","model":{"text":"But nurse Sian Stott says having to make those decisions can be distressing. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It scares me to work like this, to make these decisions even though they might be the right ones [because of the huge pressures].","blocks":[{"type":"fragment","model":{"text":"\"It scares me to work like this, to make these decisions even though they might be the right ones [because of the huge pressures].","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I feel really uncomfortable asking for a taxi for someone who's having a stroke or asking their families to take them in by car.","blocks":[{"type":"fragment","model":{"text":"\"I feel really uncomfortable asking for a taxi for someone who's having a stroke or asking their families to take them in by car.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It makes me upset and doesn't sit right with me... but sometimes we have no other 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a sense of the scale of the delays first-hand.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Ann Williams, 78, is in one of eight ambulances queuing outside.","blocks":[{"type":"fragment","model":{"text":"Ann Williams, 78, is in one of eight ambulances queuing outside.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Belfast-born, the great-grandmother to no fewer than 130 children has lived in north Wales for 70 years, and worked for a time at Llandudno hospital.","blocks":[{"type":"fragment","model":{"text":"Belfast-born, the great-grandmother to no fewer than 130 children has lived in north Wales for 70 years, and worked for a time at Llandudno hospital.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Ann is putting on a brave face because she's in a lot of pain.","blocks":[{"type":"fragment","model":{"text":"Ann is putting on a brave face because she's in a lot of pain.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"We've taken her to the doctors quite a few times,\" her granddaughter Danielle Abbot tells me.","blocks":[{"type":"fragment","model":{"text":"\"We've taken her to the doctors quite a few times,\" her granddaughter Danielle Abbot tells me.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"But last night the pain got so intense we had to call the ambulance.\"","blocks":[{"type":"fragment","model":{"text":"\"But last night the pain got so intense we had to call the ambulance.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Almost four hours later the ambulance arrived at 07.52 in the morning.","blocks":[{"type":"fragment","model":{"text":"Almost four hours later the ambulance arrived at 07.52 in the morning.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"It's now midday and Ann is still with the crew.","blocks":[{"type":"fragment","model":{"text":"It's now midday and Ann is still with the crew.","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Calli Johnson and incident log graphic","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":1000,"width":1333,"locator":"8698/production/_132065443_ambincidentlog2.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}},{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Calli Johnson","attributes":[]}}]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It's quite normal now\" says paramedic Calli Johnson.","blocks":[{"type":"fragment","model":{"text":"\"It's quite normal now\" says paramedic Calli Johnson.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I should imagine we'll be here for the best part of the day. But some shifts we don't even go out to a job. ","blocks":[{"type":"fragment","model":{"text":"\"I should imagine we'll be here for the best part of the day. But some shifts we don't even go out to a job. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"We can come in straight to the hospital as the start of a shift to relieve a crew that's been stuck here all day and night.\"","blocks":[{"type":"fragment","model":{"text":"\"We can come in straight to the hospital as the start of a shift to relieve a crew that's been stuck here all day and night.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"She said it was disheartening \"not doing what we're trained to do\".","blocks":[{"type":"fragment","model":{"text":"She said it was disheartening \"not doing what we're trained to do\".","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Waiting times for ambulances","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":549,"width":976,"locator":"1099B/production/_132059976_betsiambulance2.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}}]}},{"type":"subheadline","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"What do the figures look like?","blocks":[{"type":"fragment","model":{"text":"What do the figures look like?","attributes":[]}}]}}]}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"The average wait for a \"red\" call was eight minutes, 13 seconds in October. It peaked last winter when it was more than 10 minutes.","attributes":[]}}]}},{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"Red calls have been a growing proportion of those calls which need an ambulance response. In October, 19% of all calls were coded red and there were more than 1,000 in a month for only the second time. Five years ago, they made up 7% of calls (400 a month). ","attributes":[]}}]}},{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"48.5% of \"red\" calls arrived within eight minute, slightly better than average for the fourth month running. ","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Handover delays chart","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":1218,"width":1280,"locator":"157BB/production/_132059978_betsiambulance4.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"Handover delays have risen steadily since Covid. More than 8,000 hours were spent outside major A&Es in north Wales in October, above the 15-minute window for ambulances to hand over patients. Only around 17% of ambulances handed patients over within the window. This was worse than the Welsh average of 21%. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Betsi Cadwaldr health board says it's put a \"number of measures\" in place to alleviate long waits and says doctors liaise with paramedics to assess patients who have been waiting outside for long periods. ","blocks":[{"type":"fragment","model":{"text":"Betsi Cadwaldr health board says it's put a \"number of measures\" in place to alleviate long waits and says doctors liaise with paramedics to assess patients who have been waiting outside for long periods. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"It says some of the reasons for the delays are beyond its control and are due to backlogs in discharging patients because of pressures on social care.","blocks":[{"type":"fragment","model":{"text":"It says some of the reasons for the delays are beyond its control and are due to backlogs in discharging patients because of pressures on social care.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Out the Welsh NHS' 9,000 hospital beds, at any one time around 1,600 are taken by patients well enough to leave hospital.","blocks":[{"type":"fragment","model":{"text":"Out the Welsh NHS' 9,000 hospital beds, at any one time around 1,600 are taken by patients well enough to leave hospital.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But the Welsh government says it's been \"very clear with health boards about our expectations for urgent improvements\".","blocks":[{"type":"fragment","model":{"text":"But the Welsh government says it's been \"very clear with health boards about our expectations for urgent improvements\".","attributes":[]}}]}}]}},{"type":"include","model":{"type":"vj","href":"/include/newsspec/38151-nhs-winter-tracker-2023/english/app?responsive=true&newsapps=true&app-image=https://news.files.bbci.co.uk/include/vjassets/img/app-launcher.png&app-clickable=true&-clickable=true&-image-height=360&-image-width=640&-image=https://news.files.bbci.co.uk/include/vjassets/img/app-launcher.png&app-image-alt-text=Click%20or%20tap%20here%20to%20see%20interactive%20content","html":"\u003cscript>\n window.vjConfigObject = window.vjConfigObject || {};\n window.vjConfigObject['newsspec-38151-nhs-winter-tracker-2023-app'] = {\"js\":true,\"output\":{\"wrapper\":\"embed\"},\"name\":\"newsspec-38151-nhs-winter-tracker-2023\",\"version\":\"1.0.202312141127\",\"urlToOutputDir\":\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023\",\"assetsPath\":\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets\",\"includeName\":\"app\",\"language\":\"english\",\"languageCode\":\"en\",\"brandingVersion\":\"3.1\",\"brandingExtension\":\"svg\",\"loremText\":[\"Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Type 1 means a consultant-led 24 hour A&E service with full resuscitation facilities. Data for Wales and Scotland is shown by Health Board and in Northern Ireland by Health and Social Care Trust.\",\"methodology__intro_para_2\":\"When you enter a postcode for a location in England you will be shown a list of NHS trusts in your area. They will not necessarily be in order of your closest hospital as some trusts have more than one hospital. Data for Wales and Scotland are shown by NHS board and by Health and Social Care trust in Northern Ireland.\",\"methodology__intro_para_3\":\"Comparative data is shown for a previous year where available. However, where trusts have merged there is no like-for-like comparison to show. Earlier data is not available for all measures, so comparisons between years are not always possible.\",\"methodology__intro_para_4\":\"In England and Northern Ireland A&E attendances include all emergency departments in that trust or health board, not just major A&E departments. For example, those who attend minor injury units are included. In Wales the data include all emergency departments, but does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279). In Scotland the data includes only major A&E departments.\",\"methodology__intro_para_5\":\"Each nation has different target times and definitions for some of the measures shown, therefore comparisons between them are not possible.\",\"methodology__amb_england\":\"When patients arrive at hospital by ambulance they should be handed over within 15 minutes. This data shows the proportion of ambulance patients who waited 30 minutes or more in the week shown. It comes from daily situation reports which are published weekly during the winter in England. As this is fast-turnaround data, the NHS says only minimal validation can be carried out but it is considered fit for purpose. Trusts reporting five or fewer weekly ambulance arrivals have been excluded. Figures exclude arrivals where the time taken to hand over a patient was unknown. In previous years some trusts did not exclude these.\",\"methodology__ae_england\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for England and include all arrivals across all emergency departments, both \\\"booked\\\" and \\\"non-booked\\\". Data from trusts that did not report how long these patients waited has been excluded.\",\"methodology__ops_england\":\"Following a GP referral, most patients (92%) should start consultant-led treatment for non-urgent conditions within 18 weeks. This data shows the proportion of patients waiting 18 weeks or more. Figures are published monthly for England.\",\"methodology__amb_scotland\":\"Ambulances should attend seriously ill patients, such as those who may be suffering a heart attack, within eight minutes. These are known as red incidents by the Scottish Ambulance Service. This data shows the average (median) response time to these incidents. Figures are published weekly for Scotland. As this is fast-turnaround data, the latest data is considered provisional.\",\"methodology__ae_scotland\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending major A&E departments only, who waited longer than four hours to be treated, discharged or admitted. Patients treated at minor injury units are not included. Figures are published weekly for Scotland.\",\"methodology__ops_scotland\":\"Following a GP referral, most patients (90%) should start consultant-led treatment for non-urgent conditions within 18 weeks. This data shows the proportion of patients who waited 18 weeks or more. Figures are published monthly for Scotland.\",\"methodology__amb_wales\":\"Ambulances should attend at least 65% of patients with immediately life threatening conditions, such as those who may be suffering a cardiac arrest or choking, within eight minutes. These are known as red incidents by the Welsh Ambulance Service. This data shows the proportion of responses arriving within eight minutes. Figures are published monthly in Wales.\",\"methodology__ae_wales\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for Wales. The data does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279) and is therefore not comparable to any other UK nation. Powys is the only health board in Wales to not have a major emergency department. It typically has few waits over four hours.\",\"methodology__ops_wales\":\"Following a GP referral, most patients (95%) should start consultant-led treatment for non-urgent conditions within 26 weeks. This data shows the proportion of patients who waited 26 weeks or more. Figures are published monthly for Wales.\",\"methodology__amb_ni\":\"Ambulances should attend patients with immediately life threatening conditions within eight minutes. These are known as category one incidents by the Department of Health. This data shows the average (mean) response time to these incidents. Figures are published by request for Northern Ireland.\",\"methodology__ae_ni\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for Northern Ireland.\",\"methodology__ops_ni\":\"Following a GP referral, 55% of patients should start consultant-led treatment for non-urgent conditions within 13 weeks from the point the decision is taken to offer treatment. This data shows the proportion of patients who waited 13 weeks or more. Figures are published quarterly for Northern Ireland.\"},\"app\":{\"data\":{\"data\":{\"R0A\":{\"nation\":\"England\",\"name\":\"Manchester NHS Trust\",\"code\":\"R0A\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"17\",\"amb_current_total\":\"1291\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"28\",\"amb_past_total\":\"1238\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"44169\",\"ae_current_value\":\"33\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"42461\",\"ae_past_value\":\"47\",\"ae_target\":\"4 hour waiting time\",\"ae_descriptor\":\"attendances\",\"ae_nation_value\":\"30\",\"ae_period\":\"November\",\"ae_comparison_year\":\"2022\",\"ops_start_date_latest\":\"2023-10-01\",\"ops_end_date_latest\":\"2023-10-31\",\"ops_current_total\":\"177772\",\"ops_current_value\":\"55\",\"ops_start_date_comparison\":\"NA\",\"ops_end_date_comparison\":\"NA\",\"ops_past_total\":\"NA\",\"ops_past_value\":\"NA\",\"ops_target\":\"18 week waiting time\",\"ops_descriptor\":\"patients waiting to start treatment\",\"ops_nation_value\":\"42\",\"ops_period\":\"October\",\"ops_comparison_year\":\"NA\"},\"R0B\":{\"nation\":\"England\",\"name\":\"South Tyneside and Sunderland NHS Trust\",\"code\":\"R0B\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"24\",\"amb_current_total\":\"754\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"21\",\"amb_past_total\":\"773\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"20448\",\"ae_current_value\":\"29\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"19987\",\"ae_past_value\":\"30\",\"ae_target\":\"4 hour waiting time\",\"ae_descriptor\":\"attendances\",\"ae_nation_value\":\"30\",\"ae_period\":\"November\",\"ae_comparison_year\":\"2022\",\"ops_start_date_latest\":\"2023-10-01\",\"ops_end_date_latest\":\"2023-10-31\",\"ops_current_total\":\"61172\",\"ops_current_value\":\"25\",\"ops_start_date_comparison\":\"2022-10-01\",\"ops_end_date_comparison\":\"2022-10-31\",\"ops_past_total\":\"57232\",\"ops_past_value\":\"24\",\"ops_target\":\"18 week waiting time\",\"ops_descriptor\":\"patients waiting to start treatment\",\"ops_nation_value\":\"42\",\"ops_period\":\"October\",\"ops_comparison_year\":\"2022\"},\"R0D\":{\"nation\":\"England\",\"name\":\"University Hospitals Dorset NHS Trust\",\"code\":\"R0D\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"56\",\"amb_current_total\":\"1041\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"63\",\"amb_past_total\":\"821\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"16461\",\"ae_current_value\":\"38\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"13061\",\"ae_past_value\":\"NA\",\"ae_target\":\"4 hour waiting time\",\"ae_descriptor\":\"attendances\",\"ae_nation_value\":\"30\",\"ae_period\":\"November\",\"ae_comparison_year\":\"2022\",\"ops_start_date_latest\":\"2023-10-01\",\"ops_end_date_latest\":\"2023-10-31\",\"ops_current_total\":\"70884\",\"ops_current_value\":\"40\",\"ops_start_date_comparison\":\"2022-10-01\",\"ops_end_date_comparison\":\"2022-10-31\",\"ops_past_total\":\"70889\",\"ops_past_value\":\"45\",\"ops_target\":\"18 week waiting time\",\"ops_descriptor\":\"patients waiting to start treatment\",\"ops_nation_value\":\"42\",\"ops_period\":\"October\",\"ops_comparison_year\":\"2022\"},\"R1F\":{\"nation\":\"England\",\"name\":\"Isle of Wight NHS Trust\",\"code\":\"R1F\",\"type\":\"Trust\",\"amb_start_date_latest\":\"NA\",\"amb_end_date_latest\":\"NA\",\"amb_current_value\":\"NA\",\"amb_current_total\":\"NA\",\"amb_start_date_comparison\":\"NA\",\"amb_end_date_comparison\":\"NA\",\"amb_past_value\":\"NA\",\"amb_past_total\":\"NA\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"NA\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"5327\",\"ae_current_value\":\"30\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"5679\",\"ae_past_value\":\"27\",\"ae_target\":\"4 hour waiting time\",\"ae_descriptor\":\"attendances\",\"ae_nation_value\":\"30\",\"ae_period\":\"November\",\"ae_comparison_year\":\"2022\",\"ops_start_date_latest\":\"2023-10-01\",\"ops_end_date_latest\":\"2023-10-31\",\"ops_current_total\":\"16408\",\"ops_current_value\":\"47\",\"ops_start_date_comparison\":\"2022-10-01\",\"ops_end_date_comparison\":\"2022-10-31\",\"ops_past_total\":\"13505\",\"ops_past_value\":\"39\",\"ops_target\":\"18 week waiting time\",\"ops_descriptor\":\"patients waiting to start treatment\",\"ops_nation_value\":\"42\",\"ops_period\":\"October\",\"ops_comparison_year\":\"2022\"},\"R1H\":{\"nation\":\"England\",\"name\":\"Barts Health NHS Trust\",\"code\":\"R1H\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"39\",\"amb_current_total\":\"1352\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"31\",\"amb_past_total\":\"1175\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"41097\",\"ae_current_value\":\"35\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"45125\",\"ae_past_value\":\"37\",\"ae_target\":\"4 hour waiting 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Trust\",\"code\":\"RA2\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"17\",\"amb_current_total\":\"389\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"13\",\"amb_past_total\":\"277\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"7071\",\"ae_current_value\":\"46\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"6870\",\"ae_past_value\":\"44\",\"ae_target\":\"4 hour waiting 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Trust\",\"code\":\"RA7\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"50\",\"amb_current_total\":\"834\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"71\",\"amb_past_total\":\"716\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"17581\",\"ae_current_value\":\"37\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"17183\",\"ae_past_value\":\"44\",\"ae_target\":\"4 hour waiting 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Trust\",\"code\":\"RA9\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"35\",\"amb_current_total\":\"492\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"76\",\"amb_past_total\":\"383\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"8619\",\"ae_current_value\":\"33\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"8524\",\"ae_past_value\":\"44\",\"ae_target\":\"4 hour waiting 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Trust\",\"code\":\"RAE\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"17\",\"amb_current_total\":\"818\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"8\",\"amb_past_total\":\"762\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"12248\",\"ae_current_value\":\"26\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"12505\",\"ae_past_value\":\"29\",\"ae_target\":\"4 hour waiting 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Trust\",\"code\":\"RAJ\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"37\",\"amb_current_total\":\"1590\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"63\",\"amb_past_total\":\"982\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"33233\",\"ae_current_value\":\"34\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"32856\",\"ae_past_value\":\"38\",\"ae_target\":\"4 hour waiting time\",\"ae_descriptor\":\"attendances\",\"ae_nation_value\":\"30\",\"ae_period\":\"November\",\"ae_comparison_year\":\"2022\",\"ops_start_date_latest\":\"2023-10-01\",\"ops_end_date_latest\":\"2023-10-31\",\"ops_current_total\":\"166411\",\"ops_current_value\":\"46\",\"ops_start_date_comparison\":\"2022-10-01\",\"ops_end_date_comparison\":\"2022-10-31\",\"ops_past_total\":\"160536\",\"ops_past_value\":\"47\",\"ops_target\":\"18 week waiting time\",\"ops_descriptor\":\"patients waiting to start treatment\",\"ops_nation_value\":\"42\",\"ops_period\":\"October\",\"ops_comparison_year\":\"2022\"},\"RAL\":{\"nation\":\"England\",\"name\":\"Royal Free London NHS Trust\",\"code\":\"RAL\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"37\",\"amb_current_total\":\"836\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"39\",\"amb_past_total\":\"714\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"26273\",\"ae_current_value\":\"36\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"26745\",\"ae_past_value\":\"35\",\"ae_target\":\"4 hour waiting time\",\"ae_descriptor\":\"attendances\",\"ae_nation_value\":\"30\",\"ae_period\":\"November\",\"ae_comparison_year\":\"2022\",\"ops_start_date_latest\":\"2023-10-01\",\"ops_end_date_latest\":\"2023-10-31\",\"ops_current_total\":\"99620\",\"ops_current_value\":\"42\",\"ops_start_date_comparison\":\"2022-10-01\",\"ops_end_date_comparison\":\"2022-10-31\",\"ops_past_total\":\"91315\",\"ops_past_value\":\"41\",\"ops_target\":\"18 week waiting time\",\"ops_descriptor\":\"patients waiting to start treatment\",\"ops_nation_value\":\"42\",\"ops_period\":\"October\",\"ops_comparison_year\":\"2022\"},\"RAP\":{\"nation\":\"England\",\"name\":\"North Middlesex NHS 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rel=\"stylesheet\" href=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/embed/css/inline.css??v=1.0.202312141127.undefined\">\n\u003cdiv id=\"responsive-embed-newsspec-38151-nhs-winter-tracker-2023-app\" class=\"bbc-news-vj-wrapper--embed bbc-news-vj-direction--ltr bbc-news-vj-language--english\">\n \u003cdiv id=\"responsive-embed-newsspec-38151-nhs-winter-tracker-2023-app-core-content\">\n \u003cdiv class=\"content-container__enhanced\" style=\"display:none;\">\n \u003cdiv class=\"my-lookup\">\n \u003cdiv class=\"my-lookup__search-container\">\n \u003cdiv class=\"my-lookup\">\n \u003cpicture class=\"my-lookup__img\">\n \u003csource srcset=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets/img/lookup_desktop.svg?v=1.0.4\" media=\"(min-width: 500px)\" width=\"615\" height=\"95\">\n \u003cimg 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Eg ‘B1 1RF’\u003c/p>\n \u003cdiv id=\"lookup-container\" class=\"lookup-container\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"my-lookup__results-container hidden\">\n \u003cdiv class=\"results__provider_container\">\n \u003ch3 class=\"results__provider_name\">\u003c/h3>\n \u003cbutton class=\"info-button\">\u003c/button>\n \u003cdiv class=\"info-box\">\n \u003cdiv class=\"info-box__text\">\u003c/div>\n \u003c/div> \u003c/div>\n \u003cdiv class=\"results__container\">\n \u003ch3 class=\"results__selected-result-title\">\u003c/h3>\n \u003cdiv class=\"section amb\">\n \u003cdiv class=\"section__icon_amb\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"section ae\">\n \u003cdiv class=\"section__icon_ae\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"section ops\">\n \u003cdiv class=\"section__icon_ops\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003c/div>\n \n \u003c/div>\n \u003c/div>\n \u003cp class=\"last-updated hidden\">Last updated: Thursday 14 December\u003c/p>\n \u003cdiv class="methodology__container hidden">\n \u003cbutton class="methodology__header methodology--button no-js">\n \u003ch2 class=\"methodology__title ati-section\">About the data\u003c/h2>\n \u003csvg xmlns=\"http://www.w3.org/2000/svg\" width=\"16\" height=\"12.912\" viewBox=\"0 0 16 12.912\">\u003cdefs>\u003cstyle>.a{fill:#222;}\u003c/style>\u003c/defs>\u003cg transform=\"translate(16 12.912) rotate(180)\">\u003cg transform=\"translate(16 12.912) rotate(180)\">\u003cpath class=\"a\" d=\"M8,12.912,16,0H12.4L8,7.6,3.6,0H0Z\"/>\u003c/g>\u003c/g>\u003c/svg>\n \u003c/button>\n \u003ch2 class=\"methodology__title ati-section no-js no-js__title\">About the data\u003c/h2>\n \u003cdiv class=\"methodology__contents\">\n \u003cdiv class=\"methodology__intro\">\n \u003cp class=\"methodology__para\">Data for England is shown by NHS trust, where the trust includes at least one hospital with a Type 1 A&E department. Type 1 means a consultant-led 24 hour A&E service with full resuscitation facilities. Data for Wales and Scotland is shown by Health Board and in Northern Ireland by Health and Social Care Trust.\u003c/p>\n \u003cp class=\"methodology__para\">When you enter a postcode for a location in England you will be shown a list of NHS trusts in your area. They will not necessarily be in order of your closest hospital as some trusts have more than one hospital. Data for Wales and Scotland are shown by NHS board and by Health and Social Care trust in Northern Ireland.\u003c/p>\n \u003cp class=\"methodology__para\">Comparative data is shown for a previous year where available. However, where trusts have merged there is no like-for-like comparison to show. Earlier data is not available for all measures, so comparisons between years are not always possible.\u003c/p>\n \u003cp class=\"methodology__para\">In England and Northern Ireland A&E attendances include all emergency departments in that trust or health board, not just major A&E departments. For example, those who attend minor injury units are included. In Wales the data include all emergency departments, but does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279). 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","blocks":[{"type":"fragment","model":{"text":"As a paramedic with specialist training, Aled can give more advanced treatments at the scene. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But working from a rapid response car means he won't be able take Jenny to hospital, and asks for an ambulance to come on blue lights.","blocks":[{"type":"fragment","model":{"text":"But working from a rapid response car means he won't be able take Jenny to hospital, and asks for an ambulance to come on blue lights.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"The nearest available one is in Llangefni, 30 miles (48.3km) and 45 minutes away.","blocks":[{"type":"fragment","model":{"text":"The nearest available one is in Llangefni, 30 miles (48.3km) and 45 minutes away.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"Unfortunately it does happen. 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Patients wait longer than we would want them,\" Aled admits.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Jenny's ambulance finally arrives as night falls, and paramedic Andy Davies takes over from Aled.","blocks":[{"type":"fragment","model":{"text":"Jenny's ambulance finally arrives as night falls, and paramedic Andy Davies takes over from Aled.","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Aled Williams and incident log graphic","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":1000,"width":1333,"locator":"3878/production/_132065441_ambincidentlog1.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}},{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Aled 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risk.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It's not uncommon to have 25 maybe 30 ambulances stuck outside our three main hospitals in north Wales,\" he says.","blocks":[{"type":"fragment","model":{"text":"\"It's not uncommon to have 25 maybe 30 ambulances stuck outside our three main hospitals in north Wales,\" he says.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"That's a huge proportion considering at peak times the service has around 43 vehicles available across the region.","blocks":[{"type":"fragment","model":{"text":"That's a huge proportion considering at peak times the service has around 43 vehicles available across the region.","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Dominic 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rPqeC\">\u003cdiv data-graphicpic=\"true\" class=\"sc-htpNat kUePcj\">\u003cimg src=\"https://c.files.bbci.co.uk/assets/fbb783de-fa3e-441a-82b6-01516d723f81\" alt=\"\" class=\"sc-bwzfXH gOzIkX\"/>\u003cdiv dir=\"ltr\" class=\"sc-bxivhb huvKBR\">BBC Wales\u003c/div>\u003c/div>\u003cblockquote dir=\"ltr\" class=\"sc-gzVnrw blLFIH\">\u003csvg width=\"30\" height=\"25\" xmlns=\"http://www.w3.org/2000/svg\" aria-label=\"Quote\" class=\"sc-htoDjs kGbKV\">\u003cg fill=\"#C9A975\" fill-rule=\"evenodd\" transform=\"rotate(0 15 12)\">\u003cpath d=\"M0 15.614c0-4.538 1.106-8.074 3.319-10.61C5.53 2.47 8.697.801 12.817 0v4.626c-3.143.89-5.234 2.55-6.271 4.983-.58 1.304-.809 2.535-.687 3.692H13V25H0v-9.386zM17 15.614c0-4.538 1.106-8.074 3.319-10.61C22.53 2.47 25.697.801 29.817 0v4.626c-3.143.89-5.234 2.55-6.271 4.983-.58 1.304-.809 2.535-.687 3.692H30V25H17v-9.386z\">\u003c/path>\u003c/g>\u003c/svg>\u003cdiv class=\"sc-dnqmqq dHUwnI\">It makes me upset and doesn't sit right with me ... but sometimes we have no other option\u003c/div>\u003csvg width=\"43\" height=\"3\" xmlns=\"http://www.w3.org/2000/svg\" viewBox=\"0 0 43 3\" class=\"sc-iwsKbI jiPRqw\">\u003cpath d=\"M1.5 1.5h40\" stroke=\"#C9A975\" stroke-width=\"3\" fill=\"none\" fill-rule=\"evenodd\" stroke-linecap=\"square\">\u003c/path>\u003c/svg>\u003cfooter class=\"sc-gZMcBi honXkL\">\u003ccite class=\"sc-gqjmRU klLnaG\">\u003cstrong>Sian Stott\u003c/strong>\u003cbr/>Nurse\u003c/cite>\u003c/footer>\u003c/blockquote>\u003c/div>\u003cscript type=\"text/javascript\" src=\"https://c.files.bbci.co.uk/graphics/static/js/quotePic.37c63597.js\">\u003c/script>\u003cscript type=\"text/javascript\">IDT.init({\"uuid\":\"892e4640-9cca-4361-bbd5-cf7fd6c1941a\",\"type\":\"QuotePic\",\"service\":\"news\",\"quotation\":\"It makes me upset and doesn't sit right with me ... but sometimes we have no other option\",\"source\":{\"title\":\"Sian 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","blocks":[{"type":"fragment","model":{"text":"But nurse Sian Stott says having to make those decisions can be distressing. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It scares me to work like this, to make these decisions even though they might be the right ones [because of the huge pressures].","blocks":[{"type":"fragment","model":{"text":"\"It scares me to work like this, to make these decisions even though they might be the right ones [because of the huge pressures].","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I feel really uncomfortable asking for a taxi for someone who's having a stroke or asking their families to take them in by car.","blocks":[{"type":"fragment","model":{"text":"\"I feel really uncomfortable asking for a taxi for someone who's having a stroke or asking their families to take them in by car.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It makes me upset and doesn't sit right with me... but sometimes we have no other option.\"","blocks":[{"type":"fragment","model":{"text":"\"It makes me upset and doesn't sit right with me... but sometimes we have no other option.\"","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Ann Williams","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":549,"width":976,"locator":"3EEA/production/_132060161_52a5f287-ddda-417c-85dd-8d31573dc4d0.jpg","originCode":"cpsprodpb","copyrightHolder":"BBC"}},{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Ann Williams waited outside a hospital in an ambulance for more than four hours","attributes":[]}}]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Outside Glan Clwyd hospital's A&E I get a sense of the scale of the delays first-hand.","blocks":[{"type":"fragment","model":{"text":"Outside Glan Clwyd hospital's A&E I get a sense of the scale of the delays first-hand.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Ann Williams, 78, is in one of eight ambulances queuing outside.","blocks":[{"type":"fragment","model":{"text":"Ann Williams, 78, is in one of eight ambulances queuing outside.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Belfast-born, the great-grandmother to no fewer than 130 children has lived in north Wales for 70 years, and worked for a time at Llandudno hospital.","blocks":[{"type":"fragment","model":{"text":"Belfast-born, the great-grandmother to no fewer than 130 children has lived in north Wales for 70 years, and worked for a time at Llandudno hospital.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Ann is putting on a brave face because she's in a lot of pain.","blocks":[{"type":"fragment","model":{"text":"Ann is putting on a brave face because she's in a lot of pain.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"We've taken her to the doctors quite a few times,\" her granddaughter Danielle Abbot tells me.","blocks":[{"type":"fragment","model":{"text":"\"We've taken her to the doctors quite a few times,\" her granddaughter Danielle Abbot tells me.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"But last night the pain got so intense we had to call the ambulance.\"","blocks":[{"type":"fragment","model":{"text":"\"But last night the pain got so intense we had to call the ambulance.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Almost four hours later the ambulance arrived at 07.52 in the morning.","blocks":[{"type":"fragment","model":{"text":"Almost four hours later the ambulance arrived at 07.52 in the morning.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"It's now midday and Ann is still with the crew.","blocks":[{"type":"fragment","model":{"text":"It's now midday and Ann is still with the crew.","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Calli Johnson and incident log graphic","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":1000,"width":1333,"locator":"8698/production/_132065443_ambincidentlog2.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}},{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Calli Johnson","attributes":[]}}]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"It's quite normal now\" says paramedic Calli Johnson.","blocks":[{"type":"fragment","model":{"text":"\"It's quite normal now\" says paramedic Calli Johnson.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"I should imagine we'll be here for the best part of the day. But some shifts we don't even go out to a job. ","blocks":[{"type":"fragment","model":{"text":"\"I should imagine we'll be here for the best part of the day. But some shifts we don't even go out to a job. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"\"We can come in straight to the hospital as the start of a shift to relieve a crew that's been stuck here all day and night.\"","blocks":[{"type":"fragment","model":{"text":"\"We can come in straight to the hospital as the start of a shift to relieve a crew that's been stuck here all day and night.\"","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"She said it was disheartening \"not doing what we're trained to do\".","blocks":[{"type":"fragment","model":{"text":"She said it was disheartening \"not doing what we're trained to do\".","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Waiting times for ambulances","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":549,"width":976,"locator":"1099B/production/_132059976_betsiambulance2.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}}]}},{"type":"subheadline","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"What do the figures look like?","blocks":[{"type":"fragment","model":{"text":"What do the figures look like?","attributes":[]}}]}}]}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"The average wait for a \"red\" call was eight minutes, 13 seconds in October. It peaked last winter when it was more than 10 minutes.","attributes":[]}}]}},{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"Red calls have been a growing proportion of those calls which need an ambulance response. In October, 19% of all calls were coded red and there were more than 1,000 in a month for only the second time. Five years ago, they made up 7% of calls (400 a month). ","attributes":[]}}]}},{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"48.5% of \"red\" calls arrived within eight minute, slightly better than average for the fourth month running. ","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"fragment","model":{"text":"Handover delays chart","attributes":[]}}]}}]}},{"type":"rawImage","model":{"height":1218,"width":1280,"locator":"157BB/production/_132059978_betsiambulance4.png","originCode":"cpsprodpb","copyrightHolder":"BBC"}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"fragment","model":{"text":"Handover delays have risen steadily since Covid. More than 8,000 hours were spent outside major A&Es in north Wales in October, above the 15-minute window for ambulances to hand over patients. Only around 17% of ambulances handed patients over within the window. This was worse than the Welsh average of 21%. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Betsi Cadwaldr health board says it's put a \"number of measures\" in place to alleviate long waits and says doctors liaise with paramedics to assess patients who have been waiting outside for long periods. ","blocks":[{"type":"fragment","model":{"text":"Betsi Cadwaldr health board says it's put a \"number of measures\" in place to alleviate long waits and says doctors liaise with paramedics to assess patients who have been waiting outside for long periods. ","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"It says some of the reasons for the delays are beyond its control and are due to backlogs in discharging patients because of pressures on social care.","blocks":[{"type":"fragment","model":{"text":"It says some of the reasons for the delays are beyond its control and are due to backlogs in discharging patients because of pressures on social care.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Out the Welsh NHS' 9,000 hospital beds, at any one time around 1,600 are taken by patients well enough to leave hospital.","blocks":[{"type":"fragment","model":{"text":"Out the Welsh NHS' 9,000 hospital beds, at any one time around 1,600 are taken by patients well enough to leave hospital.","attributes":[]}}]}}]}},{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"But the Welsh government says it's been \"very clear with health boards about our expectations for urgent improvements\".","blocks":[{"type":"fragment","model":{"text":"But the Welsh government says it's been \"very clear with health boards about our expectations for urgent improvements\".","attributes":[]}}]}}]}},{"type":"include","model":{"type":"vj","href":"/include/newsspec/38151-nhs-winter-tracker-2023/english/app?responsive=true&newsapps=true&app-image=https://news.files.bbci.co.uk/include/vjassets/img/app-launcher.png&app-clickable=true&-clickable=true&-image-height=360&-image-width=640&-image=https://news.files.bbci.co.uk/include/vjassets/img/app-launcher.png&app-image-alt-text=Click%20or%20tap%20here%20to%20see%20interactive%20content","html":"\u003cscript>\n window.vjConfigObject = window.vjConfigObject || {};\n window.vjConfigObject['newsspec-38151-nhs-winter-tracker-2023-app'] = {\"js\":true,\"output\":{\"wrapper\":\"embed\"},\"name\":\"newsspec-38151-nhs-winter-tracker-2023\",\"version\":\"1.0.202312141127\",\"urlToOutputDir\":\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023\",\"assetsPath\":\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets\",\"includeName\":\"app\",\"language\":\"english\",\"languageCode\":\"en\",\"brandingVersion\":\"3.1\",\"brandingExtension\":\"svg\",\"loremText\":[\"Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Trusts are organisations which include hospitals, community services and providers of other forms of patient care. You can find which trust your services belong to on the [NHS website](https://www.nhs.uk/nhs-services).\",\"info-box__aria-label_england\":\"More info on NHS Trusts\",\"info-box__text_scotland\":\"This data is provided at NHS Health Board level. Health boards are responsible for all frontline healthcare services in Scotland. You can find which trust your services belong to on the [NHS Scotland website](https://www.nhsinform.scot).\",\"info-box__aria-label_scotland\":\"More info on NHS Health Boards\",\"info-box__text_wales\":\"This data is provided at NHS Health Board level. Health boards are responsible for planning and delivering NHS services in their areas. You can find which trust your services belong to on the [NHS Wales website](https://www.wales.nhs.uk/).\",\"info-box__aria-label_wales\":\"More info on NHS Health Boards\",\"info-box__text_ni\":\"This data is provided at Health and Social Care Trust level. Trusts are responsible for providing local and regional health services. You can find which trust your services belong to on the [NI direct website](https://www.nidirect.gov.uk/information-and-services/health-and-wellbeing/health-services).\",\"info-box__aria-label_ni\":\"More info on NHS Trusts\",\"amb__title_england\":\"How often are ambulances queuing outside A&E?\",\"amb__para_england\":\"Ambulances waiting 30 minutes or more to hand over their patients to A&E staff in the week starting {{beginHighlight}}{{amb_period}}{{endHighlight}}. It should only take 15 minutes\",\"amb__current_total_england\":\"of {{beginHighlight}}{{amb_current_total}}{{endHighlight}} arrivals\",\"amb__past_total_england\":\"{{beginHighlight-yellow}}{{amb_past_value}}%{{endHighlight}} of {{beginHighlight}}{{amb_past_total}}{{endHighlight}} arrivals\",\"amb__title_scotland\":\"How long do patients wait for an ambulance?\",\"amb__para_scotland\":\"Average response time for emergency calls in the week starting {{beginHighlight}}{{amb_period}}{{endHighlight}}. The target is just under nine minutes\",\"amb__current_total_scotland\":\"{{beginHighlight-yellow}}{{amb_current_value}}{{endHighlight}} for {{beginHighlight}}{{amb_current_total}}{{endHighlight}} responses\",\"amb__past_total_scotland\":\"{{beginHighlight-yellow}}{{amb_past_value}}{{endHighlight}} for {{beginHighlight}}{{amb_past_total}}{{endHighlight}} responses\",\"amb__title_wales\":\"How often do patients wait longer for an ambulance?\",\"amb__para_wales\":\"Emergency responses taking longer than the target time of eight minutes in {{beginHighlight}}{{amb_period}}{{endHighlight}}\",\"amb__current_total_wales\":\"of {{beginHighlight}}{{amb_current_total}}{{endHighlight}} responses\",\"amb__past_total_wales\":\"{{beginHighlight-yellow}}{{amb_past_value}}%{{endHighlight}} of {{beginHighlight}}{{amb_past_total}}{{endHighlight}} responses\",\"amb__title_ni\":\"How long do patients wait for an ambulance?\",\"amb__para_ni\":\"Average response time in {{beginHighlight}}{{amb_period}}{{endHighlight}}. The target is eight minutes\",\"amb__current_total_ni\":\"{{beginHighlight-yellow}}{{amb_current_value}}{{endHighlight}}\",\"amb__past_total_ni\":\"{{beginHighlight-yellow}}{{amb_past_value}}{{endHighlight}}\",\"ae__title_england\":\"How many long A&E waits are there?\",\"ae__para_england\":\"Patients waiting longer than the target time of four hours in {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_england\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_england\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ae__title_scotland\":\"How many long A&E waits are there?\",\"ae__para_scotland\":\"Patients waiting longer than target time of four hours at A&E in the week starting {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_scotland\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_scotland\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ae__title_wales\":\"How many long A&E waits are there?\",\"ae__para_wales\":\"Patients waiting longer than the target time of four hours in {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_wales\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_wales\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ae__title_ni\":\"How many long A&E waits are there?\",\"ae__para_ni\":\"Patients waiting longer than the target time of four hours in {{beginHighlight}}{{ae_period}}{{endHighlight}}\",\"ae__current_total_ni\":\"of {{beginHighlight}}{{ae_current_total}}{{endHighlight}} arrivals\",\"ae__past_total_ni\":\"{{beginHighlight-blue}}{{ae_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ae_past_total}}{{endHighlight}} arrivals\",\"ops__title_england\":\"How many face long waits for treatment?\",\"ops__para_england\":\"Patients waiting longer than the target time of 18 weeks for routine treatments in {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_england\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} on the waiting list\",\"ops__past_total_england\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} on the waiting list\",\"ops__title_scotland\":\"How many face long waits for treatment?\",\"ops__para_scotland\":\"Patients waiting longer than the target time of 18 weeks for routine treatments in {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_scotland\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} treated\",\"ops__past_total_scotland\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} treated\",\"ops__title_wales\":\"How many face long waits for treatment?\",\"ops__para_wales\":\"Patients waiting for longer than the target time of 26 weeks for hospital treatment {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_wales\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} treated or no longer needing treatment\",\"ops__past_total_wales\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} treated\",\"ops__title_ni\":\"How many face long waits for treatment?\",\"ops__para_ni\":\"Patients waiting for longer than 13 weeks for hospital treatment from {{beginHighlight}}{{ops_period}}{{endHighlight}}\",\"ops__current_total_ni\":\"of {{beginHighlight}}{{ops_current_total}}{{endHighlight}} treated\",\"ops__past_total_ni\":\"{{beginHighlight-purple}}{{ops_past_value}}%{{endHighlight}} of {{beginHighlight}}{{ops_past_total}}{{endHighlight}} treated\",\"methodology__title\":\"About the data\",\"methodology__intro_para_1\":\"Data for England is shown by NHS trust, where the trust includes at least one hospital with a Type 1 A&E department. Type 1 means a consultant-led 24 hour A&E service with full resuscitation facilities. Data for Wales and Scotland is shown by Health Board and in Northern Ireland by Health and Social Care Trust.\",\"methodology__intro_para_2\":\"When you enter a postcode for a location in England you will be shown a list of NHS trusts in your area. They will not necessarily be in order of your closest hospital as some trusts have more than one hospital. Data for Wales and Scotland are shown by NHS board and by Health and Social Care trust in Northern Ireland.\",\"methodology__intro_para_3\":\"Comparative data is shown for a previous year where available. However, where trusts have merged there is no like-for-like comparison to show. Earlier data is not available for all measures, so comparisons between years are not always possible.\",\"methodology__intro_para_4\":\"In England and Northern Ireland A&E attendances include all emergency departments in that trust or health board, not just major A&E departments. For example, those who attend minor injury units are included. In Wales the data include all emergency departments, but does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279). In Scotland the data includes only major A&E departments.\",\"methodology__intro_para_5\":\"Each nation has different target times and definitions for some of the measures shown, therefore comparisons between them are not possible.\",\"methodology__amb_england\":\"When patients arrive at hospital by ambulance they should be handed over within 15 minutes. This data shows the proportion of ambulance patients who waited 30 minutes or more in the week shown. It comes from daily situation reports which are published weekly during the winter in England. As this is fast-turnaround data, the NHS says only minimal validation can be carried out but it is considered fit for purpose. Trusts reporting five or fewer weekly ambulance arrivals have been excluded. Figures exclude arrivals where the time taken to hand over a patient was unknown. In previous years some trusts did not exclude these.\",\"methodology__ae_england\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for England and include all arrivals across all emergency departments, both \\\"booked\\\" and \\\"non-booked\\\". Data from trusts that did not report how long these patients waited has been excluded.\",\"methodology__ops_england\":\"Following a GP referral, most patients (92%) should start consultant-led treatment for non-urgent conditions within 18 weeks. This data shows the proportion of patients waiting 18 weeks or more. Figures are published monthly for England.\",\"methodology__amb_scotland\":\"Ambulances should attend seriously ill patients, such as those who may be suffering a heart attack, within eight minutes. These are known as red incidents by the Scottish Ambulance Service. This data shows the average (median) response time to these incidents. Figures are published weekly for Scotland. As this is fast-turnaround data, the latest data is considered provisional.\",\"methodology__ae_scotland\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending major A&E departments only, who waited longer than four hours to be treated, discharged or admitted. Patients treated at minor injury units are not included. Figures are published weekly for Scotland.\",\"methodology__ops_scotland\":\"Following a GP referral, most patients (90%) should start consultant-led treatment for non-urgent conditions within 18 weeks. This data shows the proportion of patients who waited 18 weeks or more. Figures are published monthly for Scotland.\",\"methodology__amb_wales\":\"Ambulances should attend at least 65% of patients with immediately life threatening conditions, such as those who may be suffering a cardiac arrest or choking, within eight minutes. These are known as red incidents by the Welsh Ambulance Service. This data shows the proportion of responses arriving within eight minutes. Figures are published monthly in Wales.\",\"methodology__ae_wales\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for Wales. The data does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279) and is therefore not comparable to any other UK nation. Powys is the only health board in Wales to not have a major emergency department. It typically has few waits over four hours.\",\"methodology__ops_wales\":\"Following a GP referral, most patients (95%) should start consultant-led treatment for non-urgent conditions within 26 weeks. This data shows the proportion of patients who waited 26 weeks or more. Figures are published monthly for Wales.\",\"methodology__amb_ni\":\"Ambulances should attend patients with immediately life threatening conditions within eight minutes. These are known as category one incidents by the Department of Health. This data shows the average (mean) response time to these incidents. Figures are published by request for Northern Ireland.\",\"methodology__ae_ni\":\"Nearly all patients at A&E (95%) should be seen within four hours of arrival. This data shows the proportion of patients attending A&E who waited longer than four hours to be treated, discharged or admitted. Figures are published monthly for Northern Ireland.\",\"methodology__ops_ni\":\"Following a GP referral, 55% of patients should start consultant-led treatment for non-urgent conditions within 13 weeks from the point the decision is taken to offer treatment. This data shows the proportion of patients who waited 13 weeks or more. Figures are published quarterly for Northern Ireland.\"},\"app\":{\"data\":{\"data\":{\"R0A\":{\"nation\":\"England\",\"name\":\"Manchester NHS Trust\",\"code\":\"R0A\",\"type\":\"Trust\",\"amb_start_date_latest\":\"2023-12-04\",\"amb_end_date_latest\":\"2023-12-10\",\"amb_current_value\":\"17\",\"amb_current_total\":\"1291\",\"amb_start_date_comparison\":\"2022-12-05\",\"amb_end_date_comparison\":\"2022-12-11\",\"amb_past_value\":\"28\",\"amb_past_total\":\"1238\",\"amb_target\":\"Under 30 minutes\",\"amb_descriptor\":\"arrivals\",\"amb_nation_value\":\"34\",\"amb_period\":\"4 Dec\",\"amb_comparison_year\":\"2022\",\"ae_start_date_latest\":\"2023-11-01\",\"ae_end_date_latest\":\"2023-11-30\",\"ae_current_total\":\"44169\",\"ae_current_value\":\"33\",\"ae_start_date_comparison\":\"2022-11-01\",\"ae_end_date_comparison\":\"2022-11-30\",\"ae_past_total\":\"42461\",\"ae_past_value\":\"47\",\"ae_target\":\"4 hour waiting 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rel=\"stylesheet\" href=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/embed/css/inline.css??v=1.0.202312141127.undefined\">\n\u003cdiv id=\"responsive-embed-newsspec-38151-nhs-winter-tracker-2023-app\" class=\"bbc-news-vj-wrapper--embed bbc-news-vj-direction--ltr bbc-news-vj-language--english\">\n \u003cdiv id=\"responsive-embed-newsspec-38151-nhs-winter-tracker-2023-app-core-content\">\n \u003cdiv class=\"content-container__enhanced\" style=\"display:none;\">\n \u003cdiv class=\"my-lookup\">\n \u003cdiv class=\"my-lookup__search-container\">\n \u003cdiv class=\"my-lookup\">\n \u003cpicture class=\"my-lookup__img\">\n \u003csource srcset=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets/img/lookup_desktop.svg?v=1.0.4\" media=\"(min-width: 500px)\" width=\"615\" height=\"95\">\n \u003cimg src=\"https://news.files.bbci.co.uk/include/newsspec/38151-nhs-winter-tracker-2023/assets/app-project-assets/img/lookup_mobile.svg?v=1.0.4\" alt=\"\" class=\"my-lookup__img\" width=\"304\" height=\"95\">\n \u003c/picture>\n \u003cdiv class=\"my-lookup__heading\">\n \u003ch2>How are your local NHS services coping this winter?\u003c/h2>\n \u003cp>Enter a postcode to find out. Eg ‘B1 1RF’\u003c/p>\n \u003cdiv id=\"lookup-container\" class=\"lookup-container\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"my-lookup__results-container hidden\">\n \u003cdiv class=\"results__provider_container\">\n \u003ch3 class=\"results__provider_name\">\u003c/h3>\n \u003cbutton class=\"info-button\">\u003c/button>\n \u003cdiv class=\"info-box\">\n \u003cdiv class=\"info-box__text\">\u003c/div>\n \u003c/div> \u003c/div>\n \u003cdiv class=\"results__container\">\n \u003ch3 class=\"results__selected-result-title\">\u003c/h3>\n \u003cdiv class=\"section amb\">\n \u003cdiv class=\"section__icon_amb\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"section ae\">\n \u003cdiv class=\"section__icon_ae\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003cdiv class=\"section ops\">\n \u003cdiv class=\"section__icon_ops\">\u003c/div>\n \u003ch4 class=\"section__title\">\u003c/h4>\n \u003cp class=\"section__para\">\u003c/p>\n \u003cdiv class=\"section__current\">\n \u003cp class=\"current_label label\">\u003c/p>\n \u003cp class=\"current_progress-bar_offscreen sr-only\">\u003c/p>\n \u003cdiv class=\"current_progress-bar\" aria-hidden=\"true\">\n \u003cdiv class=\"percentage-bar\">\n \u003cdiv class=\"percentage-figure\">\u003c/div>\n \u003c/div>\n \u003c/div>\n \u003cp class=\"current_total figure\" aria-hidden=\"true\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__nation\">\n \u003cp class=\"nation_label label\">\u003c/p>\n \u003cp class=\"nation_value figure\">\u003c/p>\n \u003c/div>\n \u003cdiv class=\"section__past\">\n \u003cp class=\"past_label label\">\u003c/p>\n \u003cp class=\"past_total figure\">\u003c/p>\n \u003c/div>\n \u003c/div>\n \u003c/div>\n \n \u003c/div>\n \u003c/div>\n \u003cp class=\"last-updated hidden\">Last updated: Thursday 14 December\u003c/p>\n \u003cdiv class="methodology__container hidden">\n \u003cbutton class="methodology__header methodology--button no-js">\n \u003ch2 class=\"methodology__title ati-section\">About the data\u003c/h2>\n \u003csvg xmlns=\"http://www.w3.org/2000/svg\" width=\"16\" height=\"12.912\" viewBox=\"0 0 16 12.912\">\u003cdefs>\u003cstyle>.a{fill:#222;}\u003c/style>\u003c/defs>\u003cg transform=\"translate(16 12.912) rotate(180)\">\u003cg transform=\"translate(16 12.912) rotate(180)\">\u003cpath class=\"a\" d=\"M8,12.912,16,0H12.4L8,7.6,3.6,0H0Z\"/>\u003c/g>\u003c/g>\u003c/svg>\n \u003c/button>\n \u003ch2 class=\"methodology__title ati-section no-js no-js__title\">About the data\u003c/h2>\n \u003cdiv class=\"methodology__contents\">\n \u003cdiv class=\"methodology__intro\">\n \u003cp class=\"methodology__para\">Data for England is shown by NHS trust, where the trust includes at least one hospital with a Type 1 A&E department. Type 1 means a consultant-led 24 hour A&E service with full resuscitation facilities. Data for Wales and Scotland is shown by Health Board and in Northern Ireland by Health and Social Care Trust.\u003c/p>\n \u003cp class=\"methodology__para\">When you enter a postcode for a location in England you will be shown a list of NHS trusts in your area. They will not necessarily be in order of your closest hospital as some trusts have more than one hospital. Data for Wales and Scotland are shown by NHS board and by Health and Social Care trust in Northern Ireland.\u003c/p>\n \u003cp class=\"methodology__para\">Comparative data is shown for a previous year where available. However, where trusts have merged there is no like-for-like comparison to show. Earlier data is not available for all measures, so comparisons between years are not always possible.\u003c/p>\n \u003cp class=\"methodology__para\">In England and Northern Ireland A&E attendances include all emergency departments in that trust or health board, not just major A&E departments. For example, those who attend minor injury units are included. In Wales the data include all emergency departments, but does not include patients kept in A&E by doctors under special circumstances, [more details here](https://www.bbc.co.uk/news/uk-wales-67056279). 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