This report aims to track progress made by public services in Wales to address the main issues we raised in December 2009. We also aim to highlight the key remaining challenges and opportunities for improvement. Our review examined whether there has been progress in transforming unscheduled care services to address the issues previously identified in Wales Audit Office publications
We have concluded that deteriorating performance since 2009 has prompted considerable focus on unscheduled care that is now securing early signs of improved performance. However, the transformational changes that are required for sustained improvement have not been fully implemented. Many factors, including rising demand, financial constraints, workforce challenges and problems with patient flow through the hospital, are continuing to place considerable pressure on unscheduled care services.