Emergency departments in Wales faced their busiest October on record last month, official figures show.
Nearly 91,000 people went to major A&E departments during that month.
75.3% of patients spent four hours or less in emergency departments. The target is 95%.
The ambulance service also saw its busiest month ever for the most serious calls, which have increased by 35% in the last four years.
It comes just a week after England’s figures revealed that performance had dipped to 83% against the same target.
Less than 55% of patients at Wrexham Maelor Hospital were seen within the four-hour target.
The number of patients waiting 12 hours or more in an emergency care facility in Wales was 5,547 – an increase of 1594 patients compared to October 2018.
The Welsh Government said it has provided £30m to help ease pressures, and made it available earlier so that local authorities and health boards can better use it.