NHS Wales has not met targets for A&E. Figures for December show the worst A&E performance since March 2016 but attendance was 5.4% higher than in 2017. 78.9% of patients were admitted transferred or discharged after spending less than four hours in emergency care facilities, the target is 95%. This is 1.5% lower than in December 2016. 70% of "red" ambulance calls came within eight minutes (there is a 65% target). Ambulance services are under resourced, staff miss breaks and have to work beyond their shift. Due to pressure sickness absences for ambulance staff reached the highest level since records began in the first three months of 2018.