Performance & Assurance Report. Director of Operations

Size: px
Start display at page:

Download "Performance & Assurance Report. Director of Operations"

Transcription

1 Governing Body Item 11c Tuesday 26 th September 2017 Subject Lead Executive Author (s) Performance & Assurance Report Director of Operations CSU Contracting & Information, Service Development PURPOSE OF THE REPORT To provide the HCCG Governing Body with the latest available performance information, highlight areas of risk and outline associated actions for key areas. KEY POINTS There are areas that are below expected performance against national targets. Corrective action is underway to address the risks identified, with some performance reaching planned trajectories. Areas of concern are: Urgent Care RTT Cancer Waits 62 day and 2ww breast symptomatic waits Dementia diagnosis IAPT Access, Recovery and waiting lists RECOMMENDATION TO THE COMMITTEE For Information Discussion Assurance/Review Decision Procurement Decision The Committee is asked to note the report and make any recommendations for further actions to mitigate risk. Page 1 of 26

2 CONTEXT & IMPLICATIONS Financial Potential financial penalties can be applied to providers for poor performance. Legal Health and Social Care Act 2008 Children Act 1989, 2004 Mental Capacity Act 2005 Mental Health Act 1983, 2007 Risk and Assurance (Risk Register/BAF) HR/Personnel Processes for identify risk are inherent in the quality assurance framework. Any risks identified will be placed on the corporate risk log. No issues identified Equality & Diversity Promotes equality and diversity Strategic Objectives Meets the strategic objectives in relation to Governance and Quality Healthcare/National Policy (e.g. CQC/Annual Health Check) Meets the requirements of national policy in relation to quality Consultation Communications and Patient Involvement Partners/Other Directorates Carbon Impact/Sustainability NHSE Area Team Local Authority Providers of commissioned services CQC N/A Governance Process/Committee approval with date(s) (as appropriate) Conflicts of Interest Issues Page 2 of 26

3 Contents Executive Summary 4 Risk & Recovery Analysis...6 Performance Update: Delivery of RTT Targets...7 Performance Update: Delivery of Urgent Care...11 A&E Recovery 12 Emergency Admissions 14 Performance Update: Cancer overview..15 Cancer 62 and 104 day overview 16 2wk Cancer waits Breast Symptomatic Recovery day Cancer Waits Recovery...19 Performance Update: Local Stroke Care Overview..20 Performance Update: Living Well with Dementia. 22 Performance Update: Improving Access to Psychological Therapies..24 IAPT Access & Recovery.25 IAPT Waiting Times..26 Page 3 of 26

4 EXECUTIVE SUMMARY Commissioned Services Risk This dashboard summarises the highest risk areas for the key constitutional targets which are performing below the required standard. Further details are below. KPI Title Description Data Up To Update Urgent care - A&E and Ambulance A&E Attendances Cancer Waits All Cancer 2 week wait referrals Breast symptomatic 2WW 62 day Cancer Waits Number of A&E attendances where the patient spent 4 hours or less in A&E from arrival to transfer, admission or discharge. All activity Dir. of Travel on prev. mth Variance on prev. Mth Aug % 0.89% No waits from decision to admit to admission (trolley waits) over 12 hours Aug The percentage of patients urgently referred with suspected cancer by their GP who were first seen within 14 calendar days within a period The percentage of patients urgently referred for evaluation/investigation of breast symptoms where cancer is not initially suspected who were first seen within 14 calendar days during the period. The percentage of patients receiving first definitive treatment for cancer within 62 days of an urgent GP referral for suspected cancer. Data Source WVT Daily Sitrep NHSE Monthly A&E Rpt Dir. of Travel on last 3 mth ave 12 Mth Performance Actions WVT now part of STP. Monitored through SDIP WVT now part of STP. Monitored through SDIP Trend based on 12 mth rolling perf. Owner Dir. Of Ops Dir. Of Ops Improvement Trajectory 17/18 Recovery trajectory received Jul % 0.54% Dir. Of Ops Jul % 5.91% Contract notice issued in 16/17 Dir. Of Ops 17/18 Recovery trajectory received Monthly CSU Jul % 12.06% Rpt Dir. Of Ops Expected Date for Progress Mar-18 Jun-17 Year End Forecast 62 day - Screening NHS Cancer Screening - The percentage of patients receiving first definitive treatment for cancer within 62-days of referral from an NHS Cancer Screening Service. Jul % 0.00% Dir. Of Ops Elective Waits & Elective Care RTT - 18 week waits for treatment Diagnostic Waits and Tests Stroke indicator The percentage of admitted pathways within 18 weeks for admitted patients whose clocks stopped during the period on an adjusted basis The percentage of non-admitted pathways within 18 weeks for non-admitted patients whose clocks stopped during the period. The percentage of incomplete pathways within 18 weeks for patients on incomplete pathways at the end of the period. Jul % 0.39% Dir. Of Ops Jul % -0.16% Dir. Of Ops NHSE Monthly Jul % -1.01% RTT Rpt Referral To Treatment - Zero tolerance of over 52 week waiters Jul The percentage of patients waiting 6 weeks or more for a diagnostic test (15 key diagnostic tests) at the end of the period The percentage of people who have had a stroke who spend at least 90% of their time in hospital on a stroke unit The percentage of people at high risk of Stroke who experience a TIA are assessed and treated within 24 hours Jul % 0.00% WVT now part of STP. Monitored through SDIP WVT now part of STP. Monitored through SDIP WVT now part of STP. Monitored through SDIP Dir. Of Ops Dir. Of Ops Dir. Of Ops 17/18 Recovery trajectory received 17/18 Recovery trajectory received Aug % % Monthly WVT Dir. Of Ops Stroke Rpt Aug % 2.92% Contract notice issued in 16/17 - RAP agreed. Wider STP discussions in progress Dir. Of Ops TBC Page 4 of 26

5 KPI Title Description Data Up To Update Dir. of Travel on prev. mth Variance on prev. Mth Data Source Dir. of Travel on last 3 mth ave 12 Mth Performance Actions Trend based on 12 mth rolling perf. Owner Improvement Trajectory Expected Date for Progress Year End Forecast Mental Health Care - IAPT Targets IAPT Services - Access rates The proportion of people who have depression and/or anxiety disorders who receive psychological therapies. The proportion of people who have depression and/or anxiety disorders who receive psychological therapies. Quarterly The proportion of people who have depression and/or anxiety disorders who receive psychological therapies. Variance against plan- cumulative Jul % -0.02% Q1 17/ % 0.86% Jul IST revisiting service to review how to deliver on national targets IST revisiting service to review how to deliver on national targets IST revisiting service to review how to deliver on national targets Dir. Of Ops TBC Dir. Of Ops TBC Dir. Of Ops TBC IAPT Services - Recovery rate The number of people who have completed treatment having attended at least two treatment contacts and are moving to recovery The number of people who have completed treatment having attended at least two treatment contacts and are moving to recovery Quarterly Jul % 4.48% Q1 17/ % 4.24% 2g Monthly IAPT Rpt IST revisiting service to review how to deliver on national targets IST revisiting service to review how to deliver on national targets Dir. Of Ops TBC Dir. Of Ops TBC IAPT Services - 6wk & 18wk waits The percentage of ended referrals that finish a course of treatment in the reporting period who received their first treatment appointment within 6 weeks of referral The percentage of ended referrals that finish a course of treatment in the reporting period who received their first treatment appointment within 18 weeks of referral Jul % 5.28% Jul % -5.52% IST revisiting service to review how to deliver on national targets IST revisiting service to review how to deliver on national targets Dir. Of Ops TBC Dir. Of Ops TBC Herefordshire CCG Targets - Schedule 4 Dementia Diagnosis Dementia - achieve a diagnosis rate of 67% for >65 yrs old on a GP register with a diagnosis of dementia. Aug % 0.24% Dir. Of Ops Performance against plan. Variance against plan- cumulative. Aug % -0.76% NHSE Monthly Dir. Of Ops Rpt Dementia - Number of patients >65 yrs old on a GP register with a diagnosis of Aug dementia. 7 Dir. Of Ops Performance against plan. Aug Dir. Of Ops Page 5 of 26

6 RISK & RECOVERY ANALYSIS Performance Update - Delivery of Constitutional Targets Page 6 of 26

7 Performance Update: Delivery of RTT Targets Performance Issues with Service July HCCG performance 76.78%, WVT 75.52% (below trajectory by 2%). 52 week waiters: 45 at the end of July, 43 at WVT. Trust reviewing July performance, likely to be impacted on by reduced routine patient pathway validation due to Electronic Patient Record (Maxims) implementation. WVT failed the cancelled operations measures for July with 7 breaches of the 28 day standard despite the number of last minute cancellations (9) being within the requirement. Diagnostic waits continue to perform within the 6 week target with WVT performing particularly well at 99.9% against the 99% target. HCCG achieved the target but is continuing to investigate a small number of breaches at Birmingham Children s Hospital relating to MRI. Actions taken to Address Performance All main providers have been asked to provide information on patients waiting in excess of 18 weeks against the RTT target and a slide has been added to this report highlighting where Herefordshire patients are waiting beyond this target and in which specialties. The Trusts with the highest numbers are listed. Meetings are taking place with Consultants at WVT to discuss the CCG s Treatment Policy and to review the criteria being used and the descriptions of exceptionality. These discussions have been very productive in ensuring that we have a shared understanding and in achieving greater clarity for referrals and patients. Any significant amendments to the policy will be taken through the appropriate governance routes. Expected Improvements in Performance Improvement trajectories are agreed. WVT will deliver a minimum of 89.3% by the year end and will be reporting no over 52 week waiters from October. WVT is reviewing specialty level plans to ensure that the MOU trajectories are delivered. The work on the sustainable level of commissioning for RTT is progressing and will feed into 2018/19 contract discussions. Page 7 of 26

8 WVT Recovery Plan Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Target 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% RTT - Incomplete Pathways +18wks 2,905 2,553 2,488 2,430 2,276 1,909 1,522 1,265 1,135 1, Total WVT Waiting List - Plan 11,789 11,340 11,077 10,854 10,503 9,930 9,400 8,981 8,836 8,675 8,618 8, /18 WVT Recovery traj % 77.49% 77.54% 77.61% 78.33% 80.78% 83.81% 85.91% 87.15% 88.31% 88.41% 89.29% 2017/18 WVT Actual Activity - +18wks 2,905 2,853 2,806 2,946 variance /18 WVT Actual Waiting List 11,789 11,881 12,081 12,034 variance ,004-1, /18 WVT Performance 75.36% 75.99% 76.77% 75.52% variance 0.00% -1.50% -0.77% -2.09% Diagnostic Waits - +6wks - HCCG Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Target 99.00% 99.00% 99.00% 99.00% 99.00% 99.00% 99.00% 99.00% 99.00% 99.00% 99.00% 99.00% Total Waiting List No.s waiting +6wks No.s waiting less than 6wks Diagnostic Waits - +6wks - WVT - HCCG Performance 99.29% 99.54% 99.28% 99.28% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Total Waiting List No.s waiting +6wks No.s waiting less than 6wks Performance 99.89% 99.90% 99.94% 99.82% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! RTT Admiited - target 93% RTT Non-admitted - target - 95% Total % % 47.42% 51.19% 51.20% Total % % 85.58% 85.05% 85.03% Page 8 of 26

9 Incomplete Pathways Week Waiters - WVT & Top 3 Providers WYE VALLEY NHS TRUST WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST UNIVERSITY HOSPITALS BIRMINGHAM NHS FT ROBERT JONES & AGNES HUNT ORTHOPAEDIC HOSPITAL NHS FT Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Incomplete Pathways Week Waiters - WVT & Top 3 Providers by Specialty Ophthalmology Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar WYE VALLEY NHS TRUST Other Trauma & Orthopaedics Urology Dermatology WORCS ACUTE HOSPITALS NHS TRUST ENT General Surgery Trauma & Orthopaedics Dermatology UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST Neurosurgery Other ROBERT JONES & AGNES HUNT HOSPITAL NHS FT Trauma & Orthopaedics Page 9 of 26

10 Data Used: RECONCILED FROZEN FLEX FORECAST FORECAST FORECAST FORECAST FORECAST FORECAST FORECAST FORECAST FORECAST Activity POD Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Daycase 957 1,005 1,073 1, ,112 1,052 1, ,057 1,033 1,201 Elective Emergency 1,250 1,415 1,318 1,302 1,267 1,346 1,401 1,346 1,448 1,437 1,365 1,482 Other Non-Elective Outpatients 12,883 15,629 15, A&E 4,036 4,232 4,171 4,126 3,812 3,895 3,998 3,656 3,713 3,869 3,517 4,140 Critical Care Pathology 124, , , , , , , , , , , ,851 Diagnostics 3,733 4,232 4,384 4,142 3,835 4,007 3,956 3,735 4,008 4,282 4,411 4,735 Excluded Drugs Maternity Other Variable Block CQUIN Total 149, , , , , , , , , , , ,277 Activity - Monthly Movement POD Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Daycase Elective Emergency Other Non-Elective Outpatients 2, , A&E Critical Care Pathology 28, ,578 20,712 8,802-13,823-9,843 21,938-8,716 18,516 Diagnostics Excluded Drugs Maternity Other Variable Block CQUIN Total 31,745-1,187-14,653-25,389 21,292 8,956-14,497-9,555 22,468-9,012 19,844 Page 10 of 26

11 Performance Update: Delivery of Urgent Care Performance Issues with Service Performance against the 4 hour target at WVT in the past 3 months: June: 88.79%, July: 84.00%, August: 84.89%. This is below the recovery trajectory which is expected to be a 90%. The first 3 months of the year saw a significant increase in reported levels of emergency admissions with ambulance conveyances up by 5% in the ytd. The increases in admissions are being reviewed to assess whether there is an impact from pathway changes. The Trust is reporting a levelling off in July and early August. Discussion is underway with 111 and WMAS to review the pattern of referrals from 111 to ambulance dispositions and to review opportunities to increase non-conveyances. WVT reports the main challenges to delivering the 4 hour target as being issues within ED (in particular medical staffing) and delayed transfers of care, in particular in non-acute beds. The A&E Delivery Board is now receiving monthly information on the reasons for delays, including the split by commissioner. July saw 858 (245 Acute, 613 Community) bed days at WVT lost to delayed transfers of care and this equates to 7.8% of all available bed days.. Winter Planning has now commenced with a draft plan submitted to NHSE on 12th September. Actions taken to Address Performance Key programmes: introduction of Streaming in A&E; Discharge Pathway improvement and Community Services redesign. BCF and ibcf (Improved BCF) include support to delivery of Discharge pathway programme and community services redesign. Streaming in A&E to be introduced from September/October. Capital to support remodelling in A&E has been confirmed and building works will be completed by end of December. Limited streaming model will be introduced prior to completion of these works to ensure that appropriate support is in over the full winter period. Additional funding secured through STP to support implementation of streaming. The Frailty Pathway work is progressing well with the CCG sponsoring system participating in the Acute Frailty Network and a system wide group established (Dr Sarah Newey as Clinical Lead) to ensure a focus across all areas of care. Discharge pathway work underway, including analysis of detail behind reasons for delay to ensure focus is evidence based. Expected Improvements in Performance Plans to implement Streaming model in A&E from September. Evidence from perfect week suggests that this should enable improvement in delivery. Work on Discharge Pathway should lead to reduced delayed transfers of care and thereby improve flow out of A&E. In particular focus on agreeing trusted assessor approaches for Out of County (OOC) patients. NHSE has agreed to facilitate a further workshop with OOC commissioners and providers in September. WVT meeting with colleagues in Powys to discuss their improvement plans. Page 11 of 26

12 Performance Update: Delivery of Urgent Care A&E Recovery A&E Activity - (Type 1 & MIU ) Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 WVT Recovery Trajectory- 2017/18 Total patients seen Patients >4 hour wait Performance 84.53% 87.46% 87.60% 90.00% 90.00% 90.01% 91.00% 92.00% 90.00% 92.00% 94.00% 95.00% WVT Actual Perf /18 Total patients seen Patients >4 hour wait Performance 91.79% 88.64% 88.79% 84.00% 84.89% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Variance against plan 7.26% 1.19% 1.20% -6.00% -5.11% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Page 12 of 26

13 All handovers between ambulance and A&E must take place within 15 minutes mins All handovers between ambulance and A&E must take place within 15 minutes mins All handovers between ambulance and A&E must take place within 15 minutes mins (16/17 figures relate to 30-60mins) All handovers between ambulance and A&E must take place within 15 minutes mins All handovers between ambulance and A & E must take place within 15 minutes. Over 1 Hour Arrival to handover Ave Time h:m:s - The average time from arrival to patient handover per month taken from WMAS activity data. No waits from decision to admit to admission (trolley waits) over 12 hours Target Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 N/A Achieve <= 15 mins 00:19:37 00:19:41 00:19:33 00:22:30 00:20: Delays in patients being handed over from the ambulance crew to A&E staff cause delays in ambulances responding to new calls. The Trust and ambulance crews work closely together to ensure that patient care is not compromised by delays in handover. WVT continues to see delays but at a lower rate than neighbouring Trusts. WVT and WMAS are working together to improve handover and reduce delays. Winter planning is now underway and WMAS has reported to the A&E Delivery Board that it is intending to fund additional WMAS staff to work within A&E Departments at times of significant pressure to support reductions in handover delays Page 13 of 26

14 Performance Update: Delivery of Urgent Care Emergency Admissions 2014/ / / / / / / /18 A&E attends Emg. Adms A&E attends Emg. Adms A&E attends Emg. Adms A&E attends Emg. Adms Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Year on Year Comparison of A&E Attendences 2014/ / / /18 Comparison of A&E attends to Emergency Admissions with 2016/ Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar /17 A&E attends 2017/18 A&E attends 2016/17 Emg. Adms 2017/18 Emg. Adms Year on Year Comparison of Emergency Admissions / / / / Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Page 14 of 26

15 Performance Update: Cancer overview Performance Issues with Service Following a period of improved performance at WVT during April and May, June s performance has deteriorated in a number of areas. This level of performance will continue in to July for a number of the standards however performance is expected to return to the required standard in August. WVT continued to deliver on 2 week waits and also delivered 62 days screening and 31 days Rare Cancers. The Trust failed to deliver the 2 week breast symptomatic waits and 62 day targets. It also failed to deliver 31 days, 31 Days Subsequent Treatments and 62 days upgrades. HCCG performance in July was below target on 62 day waits due to breaches at both WVT and Gloucestershire. Small numbers and capacity issues in individual specialties and also in supporting diagnostic services will continue to be a challenge. Actions taken to Address Performance The CCG and WVT have agreed to extend the remit of the Joint Planned Care Programme Board to include Cancer and the terms of reference for this Board have been reviewed to ensure a stronger focus on Performance. This Programme Board will include both the GP Clinical Lead for Planned Care and the new Macmillan GP Facilitator who we are in the process of recruiting. Dr Dominic Horne will take a strategic overview on Cancer and will support the new Macmillan GP. An STP footprint Cancer Group has been established which will oversee the delivery of the STP priorities. Expected Improvements in Performance Trajectories for 2017/18 have been agreed for all key cancer standards. These are now incorporated in this report and performance will be measured against these trajectories as well as the national targets. Two week wait delivery is projected as continuing to be within the required standard for the full year. Page 15 of 26

16 Performance Update: Cancer 62 and 104 day overview Performance Issues with Service Anonymised patient level information relating to patients who have waited over 62 days and over 104 days is shared by WVT with the CCG and issues relating to delays are discussed at the Cancer Board, and where appropriate through the other assurance structures (see Governance diagram above). Similar information has been requested from Gloucester Hospitals Trust and Worcester Royal to ensure that the CCG is able to track progress for all patients from Herefordshire. Actions taken to Address Performance The commissioning of template biopsy from WVT will have a temporary negative impact on performance as patients who had been waiting for this procedure are repatriated from Cheltenham and move through the appropriate treatment pathway. This is a significant improvement in the quality of care for this group of patients. 62 Day PTL - Pts without a decision to treat 62 Day PTL - Pts with a decision to treat Pts treated in the last week Patients will breach in Patients who have breached Patients will breach in Patients who have breached Week Ending days 8-14 days Next 7 days The last 7 days Breach date has passed Breached beyond 104 days days 8-14 days The next 7 days The last 7 days Breach date has passed Breached beyond 104 days Pts Pts not treated treated within 62 within 62 days days % Treated within target 11-Jun % 85.00% 18-Jun % 85.00% 25-Jun % 85.00% 02-Jul % 85.00% 09-Jul % 85.00% 16-Jul % 85.00% 23-Jul % 85.00% 30-Jul % 85.00% 06-Aug % 85.00% 13-Aug % 85.00% 20-Aug % 85.00% 27-Aug % 85.00% % target Page 16 of 26

17 Page 17 of 26

18 Performance Update: 2wk Cancer waits Breast Symptomatic Recovery 2WW cancer Wait - Breast Symp. Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Target 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% HCCG 2017/18 Actual Perf - All 95.65% 92.86% 77.42% 83.33% WVT 2017/18 Actual Perf - HCCG 95.45% 96.00% 75.86% 82.35% 2016/17 Actual Perf 81.48% 22.22% 30.43% 70.42% 55.17% 70.73% 89.80% 91.11% 84.38% 78.79% 86.49% 76.67% 2017/18 WVT Recovery traj % 82.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% 93.00% Variance 15.45% 14.00% % % % % % % % % % % Page 18 of 26

19 Performance Update: 62 day Cancer Waits Recovery 62 day Cancer wait Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Target 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% HCCG 2017/18 Actual Perf - All 83.33% 82.35% 66.67% 78.72% WVT 2017/18 Actual Perf - HCCG 85.53% 89.53% 67.19% 82.43% Glos 2017/18 Actual Perf - HCCG 78.57% 60.00% 64.29% 87.50% WVT 2016/17 Actual Perf 69.64% 84.85% 77.14% 86.67% 87.50% 78.05% 73.26% 75.00% 79.07% 79.17% 79.63% 78.13% WVT 2017/18 Recovery traj % 75.96% 77.97% 85.00% 85.34% 85.00% 85.00% 85.00% 85.38% 85.34% 85.42% 85.26% Variance 11.49% 13.57% % -2.57% % % % % % % % % Page 19 of 26

20 Performance Update: Local Stroke Care Overview Performance Issues with Service Time spent on a Stroke unit has continued to deliver against target in July, however, performance against the 24 hour target to scan and treat dropped to 53.33% The numbers of patients are relatively small and therefore variation is likely. WVT has confirmed that the Stroke service has undertaken a review of all patients who were not seen within the required time during March to identify if any avoidable harm to patients occurred. No harm to patients was identified. Regular information on harm reviews related to TIA is received by the CCG and reviewed by the Quality team. The SSNAP (Sentinel Stroke National Audit Programme) scores for Q4 of 2016/17 have recently been released and grade WVT at Band B (the highest band is A, with the lowest being D). This is a national rating framework which looks at performance across a range of domains and aims to give an all round picture of Stroke services. Actions taken to Address Performance A solution on an STP footprint basis is being sought, with all partners involved in the discussions. NHSE supporting review and agreement of rapid solution. Project Governance: System wide Stroke Programme Board providing overview CQRF looking in detail at quality issues related to performance Expected Improvements in Performance Sustained improvement in performance is expected to be achieved during 2017/18 The Trust is reviewing its SSNAP performance and is seeking to sustain Band B delivery. Page 20 of 26

21 Performance Update: Local Stroke Care Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD 2016/17 Perf 88.57% 77.78% 85.19% 74.36% 78.38% 75.00% 81.48% 66.67% 73.47% 75.68% 85.71% 78.26% 78.28% People admitted who have had a stroke Those admitted spend at least 90% of their time on a stroke unit 2017/18 Perf 84.00% 84.00% 90.00% 87.50% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 86.54% People admitted who have had a stroke Those admitted spend at least 90% of their time on a stroke unit /17 Perf 16.67% 18.92% 13.79% 46.67% 44.00% 42.31% 60.00% 45.00% 50.00% 45.45% 53.57% 3.85% 36.21% Number of people who have a TIA who are high risk Number of people who have a TIA who are scanned and treated within 24 hours 2017/18 Perf 8.00% 34.78% 61.90% 53.33% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 36.90% Number of people who have a TIA who are high risk Number of people who have a TIA who are scanned and treated within 24 hours Time spent on a Stroke Unit TIA Performance Page 21 of 26

22 Performance Update: Living Well with Dementia Performance Issues with Service National target of 67% and this represents a challenging ambition to achieve 67% in 2017/18. There is a monthly increase in diagnosis, however the net impact on the diagnosis levels is affected by deaths and removal from QOF register. Achievement in August of 60.09% against a trajectory of 66.15% Actions taken to Address Performance The focus is on implementing a robust plan for 2017/18: Identification of people residing in care homes with CCG Quality Team audits, 2gether NHS Foundation Trust Care Home assessments and liaison with primary care. Care homes are currently re-auditing their residents. Picking up the actions arising from coding harmonization (this includes actions for GPs, pharmacists and dementia nurses). GP education on diagnosis and post-diagnosis support took place 19 th July 2017 Review of CCG action plan completed to identify further actions to close the gap IST review took place 7 th September 2017 Expected Improvements in Performance Monthly gains expected through the above actions - Additional improvement to be identified through IST involvement in Quarter 2 Page 22 of 26

23 Performance Update: Living Well with Dementia Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Target Target 62.17% 63.14% 64.14% 65.14% 66.15% 66.87% 66.87% 66.87% 66.87% 66.87% 66.87% 66.87% Actual Actual 59.33% 59.43% 59.74% 59.85% 60.09% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% Variance Page 23 of 26

24 Performance Update: Improving Access to Psychological Therapies Performance Issues with Service Performance in Recovery rate achieved the target of 50% % performance in July, however the 2 nd quarter target achievement depends on sustainability of the service. Access rate not achieved for monthly trajectory, this target is monitored on a quarterly basis, so improvement sought in subsequent months. Performance on 6 weeks waiting times are improving. Actions taken to Address Performance Intensive contract monitoring using contract levers in place. Service improvement plan in place. Re-modelling of capacity required for 2017/18 and 2018/19 Improved intelligence and reporting on IAPT HCCG Quality & Patient Safety Committee briefed on progress. IST review in September 2017 Expected Improvements in Performance Seeking further assurance that Trust can achieve and sustain delivery through 2017/18. IST to review position during 2017/18 and offer further support if required. Page 24 of 26

25 Performance Update: IAPT Access & Recovery IAPT Access & Recovery Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Herefordshire target population IAPT Access Rate target 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% IAPT Access Rate 0.96% 1.18% 1.05% 1.03% IAPT Access Rate - Cumulative 0.96% 2.15% 3.20% 4.22% IAPT Access Rate - Quarterly % 3.20% 1.03% The number of people who have completed treatment (minimum 2 treatment contacts). The number of people who are moving to recovery (of those who have completed treatment) IAPT Recovery Rate 58.02% 47.37% 47.17% 51.65% IAPT Recovery Rate - Quarterly % 50.35% 51.65% Q1 Q2 Q3 Q4 Page 25 of 26

26 Performance Update: IAPT Waiting Times Page 26 of 26

Operational Focus: Performance

Operational Focus: Performance Operational Focus: Performance Sandra Iskander Changes for 2015/16 Change of focus of 18-weeks and A&E 4-hour wait targets as recommended by Sir Bruce Keogh, Medical Director, NHS England. 18-weeks to

More information

WEST HAMPSHIRE PERFORMANCE REPORT. Based on performance data available as at 11 th January 2018

WEST HAMPSHIRE PERFORMANCE REPORT. Based on performance data available as at 11 th January 2018 WEST HAMPSHIRE PERFORMANCE REPORT Based on performance data available as at 11 th January 2018 1 CCG Quality and Performance Executive Summary Introduction: The purpose of this report is to provide an

More information

RTT Recovery Planning and Trajectory Development: A Cambridge Tale

RTT Recovery Planning and Trajectory Development: A Cambridge Tale RTT Recovery Planning and Trajectory Development: A Cambridge Tale Linda Clarke Head of Operational Performance Addenbrooke s Hospital I Rosie Hospital Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep

More information

NHS performance statistics

NHS performance statistics NHS performance statistics Published: 8 th February 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

NHS Performance Statistics

NHS Performance Statistics NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

Governing Body. TITLE OF REPORT: Performance Report for period ending 31st December 2012

Governing Body. TITLE OF REPORT: Performance Report for period ending 31st December 2012 - Governing Body DATE OF MEETING: TITLE OF REPORT: Performance Report for period ending 31st December 2012 KEY MESSAGES: We are responsible for securing improvements in the quality of care and health outcomes.

More information

NHS performance statistics

NHS performance statistics NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services

More information

Quality & Performance Report. Public Board

Quality & Performance Report. Public Board Agenda Item 12.1 Quality & Performance Report Public Board 27 th November 2014 Presented for: Presented by: Author: Previous Committees: Governance Professor Suzanne Hinchliffe CBE Chief Nurse / Interim

More information

BSUH INTEGRATED PERFORMANCE REPORT. 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well Led Domain

BSUH INTEGRATED PERFORMANCE REPORT. 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well Led Domain BSUH INTEGRATED PERFORMANCE REPORT 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well ed Domain RESPONSIVE DOMAIN RESPONSIVE DOMAIN Metric Defined by Standard Apr-16 May-16

More information

WAITING TIMES AND ACCESS TARGETS

WAITING TIMES AND ACCESS TARGETS NHS Board Meeting Tuesday 17 December 2013 Lead Director (Acute Services Division) Board Paper No 13/60 Recommendation: WAITING TIMES AND ACCESS TARGETS The NHS Board is asked to note progress against

More information

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT 24 th July 2014 Dear Daniel, Fiona and Louise Re: CCG Annual Assurance Many thanks for meeting with us on 6 th June 2014 to discuss

More information

Urgent Care Short Term Actions to Improve Performance

Urgent Care Short Term Actions to Improve Performance To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch

More information

NHS Electronic Referrals Service. Paper Switch Off an update Digital Health Webinar 4 May 2018

NHS Electronic Referrals Service. Paper Switch Off an update Digital Health Webinar 4 May 2018 NHS Electronic Referrals Service Paper Switch Off an update Digital Health Webinar 4 May 2018 Aims of Session Introductions and refresh of Paper Switch Off Sharon Wilson Implementation manager NHS Digital

More information

2016/17 Activity Report April August/September 2016

2016/17 Activity Report April August/September 2016 Due to a change in national hospital data flows (SUS) and also a delay in processing September 2016 Practice-level finance data, the latest information on hospital activity and spend is still up to August

More information

Summarise the Impact of the Health Board Report Equality and diversity

Summarise the Impact of the Health Board Report Equality and diversity AGENDA ITEM 4.1 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact Details for further

More information

NHS Fylde and Wyre CCG Performance Dashboard

NHS Fylde and Wyre CCG Performance Dashboard Governing Body January 2016 NHS Fylde and Wyre CCG Performance Dashboard October 2015 (Month 7) Governing Body This report provides a high level summary of performance and activity and across Fylde and

More information

Reducing Elective Waits: Delivering 18 week pathways for patients. Programme Director NHS Elect Caroline Dove.

Reducing Elective Waits: Delivering 18 week pathways for patients. Programme Director NHS Elect Caroline Dove. Reducing Elective Waits: Delivering 18 week pathways for patients Programme Director NHS Elect Caroline Dove What I will cover 1. Why 18 Weeks is different 2. Where are we now 3. New models of delivery

More information

WAITING TIMES AND ACCESS TARGETS

WAITING TIMES AND ACCESS TARGETS NHS Board Meeting Tuesday 17 February 2015 Chief Officer (Acute Services) Board Paper No.15/08 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national

More information

SUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPs

SUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPs SUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPs December 2012 SUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPS First published: 21 December 2012 2 Contents 1. INTRODUCTION...

More information

NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 10. Date of Meeting:.24 th March 2017.

NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 10. Date of Meeting:.24 th March 2017. NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 10 Date of Meeting:.24 th March 2017. TITLE OF REPORT: CCG Corporate Performance Report AUTHOR: Melissa Laskey Director of Service

More information

Waiting Times Report Strategic. Thematic Goals

Waiting Times Report Strategic. Thematic Goals Strategic Improved Quality of Care Transformation - Prevention & Wellbeing Thematic Goals Waiting Times Report 2016-17 Transformation through Integration Improved Access to Services Improved Value This

More information

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report Item K1 September 2013 Prepared on 30/09/2013 by Support team GREEN Finance and Activity Millions AMBER RED Headlines M5 Financial position M4 activity data The QIPP net savings

More information

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report April 2013 Prepared on 17/04/13 by Commissioning Support team Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Feb-12 Apr-12 Jun-12 Aug-12 Oct-12 Dec-12 Feb-13 GREE N Finance and Activity

More information

Service Transformation Report. Resource and Performance

Service Transformation Report. Resource and Performance SUMMARY REPORT Meeting Date: 31 May 2018 Agenda Item: 9.1 Enclosure Number: 9 Meeting: Trust Board (Part 1) Title: Author: Accountable Director: Other meetings presented to or previously agreed at: Service

More information

NHS Milton Keynes CCG Board Meeting

NHS Milton Keynes CCG Board Meeting Subject: Meeting: Quality & Performance Report NHS Milton Keynes CCG Board Meeting Date of Meeting: Tuesday 28 th November 2017 Report of: Neve Patel Head of Performance Is this document: Commercially

More information

Performance and Quality Report Sean Morgan Director of Performance and Delivery Mary Hopper Director of Quality Dino Pardhanani, Clinical Director

Performance and Quality Report Sean Morgan Director of Performance and Delivery Mary Hopper Director of Quality Dino Pardhanani, Clinical Director Sutton CCG Clinical Commissioning Group Governing Body Date Thursday, 06 September 2018 Document Title Lead Director (Name and Role) Clinical Sponsor (Name and Role) Performance and Quality Report Sean

More information

Section 1 - Key Performance Indicators

Section 1 - Key Performance Indicators Clinical Quality Report Month 6 2016/17 period ending 30th September 2016 Section 1 - Key Performance Indicators 1.1 NHS Improvement; Risk Assessment Framework Clostridium difficile Indicator M6 2 YTD

More information

Integrated Performance Report

Integrated Performance Report Integrated Performance Report M06 September 2014 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Allsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An

More information

WAITING TIMES AND ACCESS TARGETS

WAITING TIMES AND ACCESS TARGETS NHS Board Meeting Tuesday 21 April 2015 Chief Officer (Acute Services) Board Paper No.15/17 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national

More information

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report March 2013 Prepared on 18/03/13 by Commissioning Support team Finance and Activity Millions Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Newham Headlines March 2013 Feb-12 Apr-12 Jun-12

More information

Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018

Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee

More information

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 23 rd March 2017 Agenda No: 9.3 Attachment: 15 Title of Document: CCG Governing Body Assurance Report & Scorecards: Month 9 Quality &

More information

Strategic KPI Report Performance to December 2017

Strategic KPI Report Performance to December 2017 Strategic KPI Report Performance to December 2017 Trust Board 25 th January 2018 Strategic KPI summary SROs: All Directors Objective KPI SRO Target Apr May Jun Jul Aug Sep Oct Nov Success Is Deliver A

More information

Sheet. Discussion. For: Decision. Noting. title: Author: Lead Director. Quality t Office. Director: and - 1 -

Sheet. Discussion. For: Decision. Noting. title: Author: Lead Director. Quality t Office. Director: and - 1 - Governing Body Paper Summary Sheet Date of Meeting: 23 April 2013 For: Decision Discussion Noting Agenda item and title: Author: GOV/13/04b/08 Operational Targets 2013/14 John Dudgeon Head of Information

More information

Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017

Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning

More information

Performance and Delivery/ Chief Nurse

Performance and Delivery/ Chief Nurse Governing Body 26th May 2017 Quality and Performance Report 22nd May 2017 Author: Other contributors: Executive Lead Audience Eileen Clark - Acting Director of Clinical Performance and Delivery/ Chief

More information

Nottingham University Hospitals Emergency Department Quality Issues Related to Performance

Nottingham University Hospitals Emergency Department Quality Issues Related to Performance RCCG/GB/14/123 Nottingham University Hospitals Emergency Department Quality Issues Related to Performance Introduction NUH have failed to meet the 95% 4 hour wait standard for a number of consecutive months.

More information

Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group Governing Body Meeting In-Common

Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group Governing Body Meeting In-Common Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group Governing Body Meeting In-Common Date: Tuesday 7 th November Time: 13.30 Location: Cleve Rugby Club, The Hayfields, Mangotsfield,

More information

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST REPORT TO: BOARD OF DIRECTORS MEETING DATE: 29 JANUARY 2015 SUBJECT: REPORT FROM: PURPOSE: CQC ACTION PLAN CHAIR OF IMPROVEMENT PLAN DELIVERY BOARD Discussion

More information

SURGE PLAN (A&E Sustainability Plan) for Wolverhampton Health Economy 2013/14

SURGE PLAN (A&E Sustainability Plan) for Wolverhampton Health Economy 2013/14 SURGE PLAN (A&E Sustainability Plan) for Wolverhampton Health Economy 2013/14 Acute Trust: CCG: Local Authority: Mental Health: Community WiC: OOH provider: Ambulance Svs: CCG Partners: Royal Wolverhampton

More information

Report. Integrated Performance and Quality Report Report Author Presented By Responsible Director Carol Davies Head of Performance

Report. Integrated Performance and Quality Report Report Author Presented By Responsible Director Carol Davies Head of Performance Governing Body Meeting held in public Report Agenda Item: 10.0 Date of Meeting: 6 th September 2018 Report Title Integrated Performance and Quality Report Report Author Presented By Responsible Director

More information

Improvement and Assessment Framework Q1 performance and six clinical priority areas

Improvement and Assessment Framework Q1 performance and six clinical priority areas Governing Body 30 th September 2016 Improvement and Assessment Framework Q1 performance and six clinical priority areas Agenda item 16 Paper 10 Summariser: Authors and contributors: Executive Lead(s):

More information

Health Board Report INTEGRATED PERFORMANCE DASHBOARD

Health Board Report INTEGRATED PERFORMANCE DASHBOARD AGENDA ITEM 4.2 27 th January 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact

More information

RTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning

RTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning RTT Assurance Paper 1. Introduction The purpose of this paper is to provide assurance to Trust Board in relation to the robust management of waiting lists and timely delivery of elective patient care within

More information

Integrated Performance Report

Integrated Performance Report Integrated Performance Report M12 March 2015 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Alsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An Associated

More information

The Royal Wolverhampton NHS Trust

The Royal Wolverhampton NHS Trust The Royal Wolverhampton NHS Trust Meeting Date: 3 th June 214 Trust Board Report Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:

More information

Appendix 1. Quality Update Report for Salford CCG Open Board. Salford Royal, Oaklands and other providers of clinical services November 2013

Appendix 1. Quality Update Report for Salford CCG Open Board. Salford Royal, Oaklands and other providers of clinical services November 2013 Appendix 1 Quality Update Report for Salford CCG Open Board. Salford Royal, Oaklands and other providers of clinical services November 201 Contents Purpose of Paper... Ошибка! Закладка не определена. Greater

More information

Integrated Performance Report August 2017

Integrated Performance Report August 2017 Integrated Performance Report Contents Section Page High Level Dashboard Balanced scorecard 3 Domain Scorecards and Director Commentaries Operational Performance 4 Quality and Patient Safety 9 Workforce

More information

Integrated Corporate Performance Report. August Page 1 of 9

Integrated Corporate Performance Report. August Page 1 of 9 Integrated Corporate Performance Report August Page of 9 Integrated Corporate Performance Report... Introduction The Integrated Corporate Performance Report (ICPR) includes: An Executive Summary - highlights

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 March NHS Providers ON THE DAY BRIEFING Page 1 21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269

More information

Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance

Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance A Whole System Approach to Patient Flow for Scotland Our Quality Improvement Approach Jane Murkin Programme

More information

Appendix A: University Hospitals Birmingham NHS Foundation Trust Draft Action Plan in Response to CQC Recommendations

Appendix A: University Hospitals Birmingham NHS Foundation Trust Draft Action Plan in Response to CQC Recommendations No. Domain CQC Recommendation Lead Operational Lead Current Status 1 Appendix A: University Hospitals Birmingham NHS Foundation Trust Draft Action Plan in Response to CQC Recommendations Wording in long

More information

WOLVERHAMPTON CCG. Governing Body Meeting 9 th September 2014

WOLVERHAMPTON CCG. Governing Body Meeting 9 th September 2014 WOLVERHAMPTON CCG Governing Body Meeting 9 th September 2014 ` Agenda item:12 TITLE OF REPORT: REPORT PRESENTED BY: Title of Report: Purpose of Report: Commissioning Committee Summary Kamran Ahmed Update

More information

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST REPORT TO: BOARD OF DIRECTORS DATE: 28 NOVEMBER 2014 SUBJECT: REPORT FROM: PURPOSE: KEY NATIONAL PERFORMANCE TARGETS INTERIM DIRECTOR OF OPERATIONS Discussion

More information

Monthly and Quarterly Activity Returns Statistics Consultation

Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Version number: 1 First published: 08/02/2018 Prepared by: Classification:

More information

Urgent & Emergency Care Strategy Update

Urgent & Emergency Care Strategy Update RCCG/GB/17/144 Urgent & Emergency Care Strategy Update 1. Introduction The purpose of this paper is to provide assurance on the effective delivery to date of our urgent and emergency care strategy within

More information

Integrated Performance Report

Integrated Performance Report Integrated Performance Report M04 July 2016 Presented by: Angela Stevenson (Chief Operating Officer) Des Holden (Medical Director) Fiona Allsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An Associated

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER C Hickson, Head of Management Accounts

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER C Hickson, Head of Management Accounts NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER 2013 Date of the meeting 15/01/2014 Author Sponsoring GB member Purpose of report Recommendation Resource

More information

National Audit Office value for money study on NHS ambulance services

National Audit Office value for money study on NHS ambulance services National Audit Office value for money study on NHS ambulance services Robert White 7 February 2017 Introduction (1) Some key facts on the financial environment NHS 1.85bn net deficit of NHS bodies (NHS

More information

IAPT Service Review Norfolk and Waveney STP

IAPT Service Review Norfolk and Waveney STP IAPT Service Review Norfolk and Waveney STP Intensive Support Team Mental Health 20 th April 2017 Context The Mental Health Intensive Support Team (IST) Part of the NHS Improvement A free resource to NHS

More information

Redesign of Front Door

Redesign of Front Door Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager

More information

November NHS Rushcliffe CCG Assurance Framework

November NHS Rushcliffe CCG Assurance Framework November 2015 NHS Rushcliffe CCG Assurance Framework ASSURANCE FRAMEWORK SUMMARY No. Lead & Sub Committee Date placed on Assurance Framework narrative Residual rating score L I rating in 19 March 2015

More information

Performance, Quality and Outcomes Report: Position Statement

Performance, Quality and Outcomes Report: Position Statement Performance, Quality and Outcomes Report: Position Statement Update to Governing Body 5 April 2018 Item 1 Author(s) Sponsor Directors Purpose of Paper Jane Howcroft Programme and Performance Assurance

More information

BOARD OFFICIAL NHS GREATER GLASGOW AND CLYDE S INTEGRATED PERFORMANCE REPORT

BOARD OFFICIAL NHS GREATER GLASGOW AND CLYDE S INTEGRATED PERFORMANCE REPORT NHS Greater Glasgow & Clyde BOARD OFFICIAL NHS Board Meeting Head of Performance 19 December 2017 Paper No: 17/64 NHS GREATER GLASGOW AND CLYDE S INTEGRATED PERFORMANCE REPORT Recommendation Board members

More information

Urology Clinical Forum. 11 th March 2015

Urology Clinical Forum. 11 th March 2015 Urology Clinical Forum 11 th March 2015 Welcome and Introductions Justin Vale, Chair of the LCA Urology Pathway Group Progress of the Urology Pathway Group Justin Vale, Chair of the LCA Urology Pathway

More information

Haringey CCG MDT Integrated Contract Monitoring Report July 2015

Haringey CCG MDT Integrated Contract Monitoring Report July 2015 Haringey CCG MDT Integrated Contract Monitoring Report July 2015 Executive Summary 2 Executive Summary Contents Title page Executive Summary: Finance 4 Executive Summary: Performance 9 Executive Summary:

More information

Herts Valleys Clinical Commissioning Group. Operational Plan 2016/17. 1 P a g e

Herts Valleys Clinical Commissioning Group. Operational Plan 2016/17. 1 P a g e Herts Valleys Clinical Commissioning Group Operational Plan 2016/17 1 P a g e This document is the one year Operati0onal Plan for Herts Valleys CCG. It outlines the actions we will take during 2016/17

More information

Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014

Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014 Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014 Current Referral Route options - Information 1. Horizon Health Choices Horizon Musculoskeletal Triage & Treatment Chronic

More information

GOVERNING BODY REPORT

GOVERNING BODY REPORT GOVERNING BODY REPORT Date of Governing Body Meeting: Title of Report: Key Messages: Finance, Performance and Commissioning Committee Report At the end of September 2017 we have reported an inyear deficit

More information

WAITING TIMES 1. PURPOSE

WAITING TIMES 1. PURPOSE Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE

More information

Strategic Risk Report 12 September 2016

Strategic Risk Report 12 September 2016 Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over

More information

NHS Rushcliffe CCG Governing Body Meeting. CCG Improvement and Assurance Framework. 15 March 2018

NHS Rushcliffe CCG Governing Body Meeting. CCG Improvement and Assurance Framework. 15 March 2018 RCCG/GB/18/039 NHS Rushcliffe CCG Governing Body Meeting 15 March 2018 Introduction 1. This paper provides the Governing Body with an update on the progress being made by the Greater Nottingham CCGs in

More information

10.1 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY BOARD UPDATE. Date of the meeting 19/07/2017 Author

10.1 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY BOARD UPDATE. Date of the meeting 19/07/2017 Author NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY BOARD UPDATE Date of the meeting 19/07/2017 Author Sponsoring Board member Purpose of Report M Wood, Director of Service Delivery

More information

Sutton Homes of Care Vanguard Programme

Sutton Homes of Care Vanguard Programme Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team

More information

Executive Summary: This report focuses on month 10 data of the 2017/18 financial year, January 2018, unless otherwise indicated.

Executive Summary: This report focuses on month 10 data of the 2017/18 financial year, January 2018, unless otherwise indicated. Agenda item: 3.1 Paper No: 8 Committee: Venue: Governing Body The Boardroom, Dominion House : 27/03/2018 Status: FOR REVIEW AND DISCUSSION Title of Report Performance Report: Month 10, January 2018 Presented

More information

Integrated Performance Report

Integrated Performance Report ENC Bi Integrated Performance Report M1 2014/15 26 June 2014 Contents 1. Structure of the Document... 3 2. Southwark CCG and Providers Performance Summary Dashboard... 4 3. Southwark CCG Dashboard... 5

More information

Strategic Risk Report 4 July 2016

Strategic Risk Report 4 July 2016 Strategic Report 4 July 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Group s control over the delivery of

More information

Integrated Performance Report

Integrated Performance Report Mid Essex, Southend and Basildon Hospitals Joint Working Board 05/04/2017, 2pm Integrated Performance Report February 2017 Mid Essex, Southend and Basildon Hospitals Introduction by CEO February 2017 The

More information

N/A N/A. 60% No data No data No data 40.0% 81.3% No data No data No data No data

N/A N/A. 60% No data No data No data 40.0% 81.3% No data No data No data No data Acute Quality and Performance Metrics For the period ending 31st May 2013 APPENDIX 1 Measures Target M1 M2 YTD Weston UHB NBT Exception RAG / DoT M1 M2 YTD RAG / DoT M1 M2 YTD RAG / DoT Reference RTT:

More information

NHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services

NHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the

More information

Haringey CCG Performance and Quality Summary March 2017

Haringey CCG Performance and Quality Summary March 2017 Haringey CCG Performance and Quality Summary March 2017 Contents Item Haringey CCG Quality and Performance Dashboard Haringey CCG Performance Summary North Middlesex University Hospital Performance Dashboard

More information

Agenda Item The report triangulates staffing levels against appropriate quality measures. The Report is provided to the Board for:

Agenda Item The report triangulates staffing levels against appropriate quality measures. The Report is provided to the Board for: To: Trust Board From: Michelle Rhodes, Director of Nursing Date: 2 nd May 2017 Essential Standards: Health and Social Care Act 2008 (Regulated Activities) Regulation 18: Staffing Title: Monthly Nursing/Midwifery

More information

Integrated Performance Report. NHS Rotherham Board 6 July 2011

Integrated Performance Report. NHS Rotherham Board 6 July 2011 Integrated Performance Report NHS Rotherham Board 6 July 2 CONTENTS Introduction Pg 2 Efficiency Pg 3-6 Rotherham Outcomes Pg 7- Contract Performance Pg -13 Finance Pg 14-15 1 INTRODUCTION Report format..

More information

A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust

A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust Sally Roberts - Director of Governance, Quality & Safety. Walsall CCG Katie Welborn Advanced Nurse Practitioner- Walsall Healthcare

More information

Joint Technical Definitions for Performance and Activity 2017/ /19

Joint Technical Definitions for Performance and Activity 2017/ /19 Joint Technical Definitions for Performance and Activity 2017/18-2018/19 1 Joint Technical Definitions for Performance and Activity 2017/18-2018/19 Version number: 1.3 First publication: 12/10/2016 Second

More information

SUMMARY OF INDICATOR CHANGES FOR VERSION 3 INTELLIGENT MONITORING REPORTS Acute and Specialist NHS Trusts 23 June Final Draft, Subject to Change

SUMMARY OF INDICATOR CHANGES FOR VERSION 3 INTELLIGENT MONITORING REPORTS Acute and Specialist NHS Trusts 23 June Final Draft, Subject to Change Never Event incidence Yes: 01 May 2013-30 Apr 2014 Incidence of Clostridium difficile (C.difficile) Incidence of Meticillin-resistant Staphylococcus aureus (MRSA) Dr Foster Intelligence: Mortality rates

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information

Quality & Performance Report Author: John Adler Sponsor: Chief Executive Date: FIC, PPP + QAC 28 th September Executive Summary from CEO

Quality & Performance Report Author: John Adler Sponsor: Chief Executive Date: FIC, PPP + QAC 28 th September Executive Summary from CEO UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST PAGE 1 OF 2 Quality & Performance Report Author: John Adler Sponsor: Chief Executive Date: FIC, PPP + QAC 28 th September 2017 Executive Summary from CEO Paper

More information

Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield Teaching Hospitals NHS Foundation Trust Sheffield Teaching Hospitals NHS Foundation Trust @seamlesssurgery Seamless Surgery Team Sheffield Teaching Hospitals NHS Foundation Trust July 2017 PROUD TO MAKE A DIFFERENCE PROUD TO MAKE A DIFFERENCE

More information

Integrating Telemedicine into mental Health Care

Integrating Telemedicine into mental Health Care Integrating Telemedicine into mental Health Care learning from a Care Homes Vanguard Rachel Binks Nurse Consultant Digital & Acute Care Airedale NHS Foundation Trust Chris North Care Home Liaison Team

More information

Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome:

Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome: TRUST BOARD Date of Meeting: Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome: For noting For information For decision Title of Report: Update on Clinical Strategy Aims: To brief Trust Board

More information

Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire

Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire 1. Purpose of document This document summarises and explains how Gloucestershire CCG has used the funds

More information

NHS ENGLAND BOARD PAPER

NHS ENGLAND BOARD PAPER NHS ENGLAND BOARD PAPER Paper: PB.28.09.2017/07 Title: Update on Winter resilience preparation 2017/18 Lead Director: Matthew Swindells, National Director: Operations and Information Purpose of Paper:

More information

Paper 5.0 SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE.

Paper 5.0 SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE. SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE December 2015 Version 2.2 Paper 5.0 1 Purpose This document sets out the proposed new

More information

Warrington Children and Young People s Mental Health and Wellbeing Local Transformation Plan

Warrington Children and Young People s Mental Health and Wellbeing Local Transformation Plan Warrington Children and Young People s Mental Health and Wellbeing Local Transformation Plan 2015-2020 1 Introduction 1.1 Welcome to the update on Warrington s Local Transformation Plan for Children and

More information

Integrated Quality and Performance Report

Integrated Quality and Performance Report Item 6 Integrated Quality and Performance Report Herts Valleys CCG Board 1 st August 2013 Period of {MONTH HERE} 1 Introduction to the Integrated Performance Report 1. Purpose of this Report 1.1 This report

More information

INTEGRATED PERFORMANCE REPORT. BOARD OF DIRECTORS 20 September 2017

INTEGRATED PERFORMANCE REPORT. BOARD OF DIRECTORS 20 September 2017 INTEGRATED PERFORMANCE REPORT BOARD OF DIRECTORS 20 September 2017 1 S Section Page Executive Summary 4 Trust Performance Overview 7 Trust Performance Report by Exception 9 MSSA Bacteraemia - Actual numbers

More information

UCLH 2016/17 Annual Plan Narrative

UCLH 2016/17 Annual Plan Narrative UCLH 2016/17 Annual Plan Narrative Establishing the strategic context annual plan 2016/17 UCLH remain committed to the overall clinical and operational strategy that we set out in our strategic plan submission

More information

Evaluation of NHS111 pilot sites. Second Interim Report

Evaluation of NHS111 pilot sites. Second Interim Report Evaluation of NHS111 pilot sites Second Interim Report Janette Turner Claire Ginn Emma Knowles Alicia O Cathain Craig Irwin Lindsey Blank Joanne Coster October 2011 This is an independent report commissioned

More information