SOMERSET PARTNERSHIP NHS FOUNDATION TRUST PERFORMANCE REPORT. Report to the Trust Board 24 March Director of Finance and Business Development.

Size: px
Start display at page:

Download "SOMERSET PARTNERSHIP NHS FOUNDATION TRUST PERFORMANCE REPORT. Report to the Trust Board 24 March Director of Finance and Business Development."

Transcription

1 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST PERFORMANCE REPORT Report to the Trust Board 24 March 2015 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations: Director of Finance and Business Development. Associate Director Strategic Planning and Performance. Senior Performance Manager. This report presents the main issues, in relation to the performance of Somerset Partnership NHS Foundation Trust against its key targets, as at 28 February The Trust met all applicable standards contained with the Monitor Risk Assessment Framework. The Trust also met all of its CQUIN measures and the majority of its other compliance standards for measures contained on the Corporate Dashboard. Areas in which the Trust is performing well include: M10: Emergency admissions of 18 to 65 year olds (mental health): During February 2015, all emergency admissions were appropriately gate kept; M16: Delayed discharge rate (mental health) inpatient wards: During February 2015 the Trust achieved a delayed discharge rate of 3.7% against a required compliance standard of 7.5% or less; C1.3a: Friends and Family Test (community hospitals): during the period 1 February to 28 February 2015 a rate of 54.1% was recorded, against a required standard of 30% or more; C1.3b: Friends and Family Test (minor injury units): during the period 1 February to 28 February 2015 a rate of 71.4% was recorded, against a required standard of 20% or more; C2.1a and C2.1b: Reduction in Pressure Ulcer Incidence: Both measures relating to incidence of avoidable pressure ulcer damage relating to community hospital and community district nursing are within the set CQUIN trajectories for period 1 April to 31 January 2015; March 2015 Public Board - 1 -

2 C6: Consultant Review of young people presenting with Eating Disorder: 100% of patients diagnosed were seen inside the six week standard against a standard of 90% or more; 5b. Where there is a registered carer, a carer's assessment has been offered and, if not declined, this has been carried out: a rate of 98.8% was recorded during February 2015, against a compliance rate of 95% or more; 6a Percentage of Improving Access to Psychological Therapies (IAPT) treatment population entering treatment: during February 2015, a total of 1,388 patients had had a first therapeutic session, against a target trajectory of 1,117; 6b. Percentage of Improving Access to Psychological Therapies (IAPT) treatment population moving to recovery: during February 2015 a rate of 66.6% was recorded against a required compliance standard of 50% or more. Other corporate dashboard indicators meeting the Trust s exception reporting criteria during February 2015 were: 1: Clients referred by primary care to mental health offered first appointment within three weeks. The rate recorded during February 2015 improved to 93.6%. This indicator includes the performance of the Child and Adolescent Mental Health service, which is temporarily working to a six week standard; 3: Psychiatric readmissions. The rate increased to 11.9%, with ten out of 84 admissions being patients who had been discharged within the previous 28 days; 10: Monthly percentage of community hospital bed days lost due to delayed discharges, as a proportion of the total number of occupied bed days. The actual rate for February 2015 decreased to 10.5%. Patients awaiting residential or nursing home placements accounted for the greatest numbers of bed days lost; 11: Mandatory Training. As at 28 February 2015, the overall compliance rate for the Trust was 92.0%. Of the Trust s 18 mandatory training courses, 12 courses had rates above the 90% compliance standard; March 2015 Public Board - 2 -

3 12: Staff Sickness Absence Rate. Sickness absence for January 2015, the latest month for which information is available, was 5.0%. As outlined in the December 2014 and the Quality Report to the Trust Board, the Trust opened additional bed capacity in late December 2014, in West Mendip, Dene Barton Luke ward, Wincanton Athlone ward and Wincanton Hadspen ward. This was in order to help alleviate pressures at Yeovil District Hospital NHS Foundation Trust and Taunton and Somerset NHS Foundation Trust, which were delivering care in higher than anticipated numbers of escalation beds, some of which were not in designated ward areas. Since the inception of the arrangements outlined above, there have been no breaches in respect of sleeping accommodation. All occurrences relating to bathroom/toilet facilities have been reported locally to Somerset Clinical Commissioning Group. Actions required by the Board: The Board is requested to discuss and note the report. March 2015 Public Board - 3 -

4 March 2015 Public Board - 4 -

5 March 2015 Public Board SOMERSET PARTNERSHIP NHS FOUNDATION TRUST PERFORMANCE REPORT Table 1: Corporate Dashboard Indicators Meeting Exception Reporting Criteria during February 2015 No. Measure Description Exception Reporting Criteria Values 1 (Dashboard page 4) Clients referred by primary care to mental health offered first appointment within three weeks Any month performance falls below 95% February 2015: 93.6% Compliance Target: 95.0% Underperformance against the three-week standard relates principally to the Child and Adolescent Mental Health Service (CAMHS), which continues to work to the temporarily agreed six week waiting time standard. Of a total of 751 patients, 48 were outside of the three week standard, of whom 44 were CAMHS patients. Excluding CAMHS, the compliance rate against the three-week standard for February 2015 was 99.3%, an increase on the compliance rate of 98.2% recorded in January The CAMHS compliance rate against the revised six week standard for February 2015 was 100%. 3 (Dashboard page 4) Psychiatric emergency readmission rate within 28 days of discharge. Performance below the compliance target February 2015: 11.9% Compliance Target 10% The percentage of readmissions increased during February 2015, with 10 out of 84 admissions being patients who had been discharged within the previous 28 days. Patients are only discharged after careful planning with teams and their care co-ordinator. Psychiatric readmission rates relate to when someone is discharged and then readmitted within 28 days. Some may have been a planned readmission, e.g. a patient with a personality disorder is discharged and then presents at A&E as they cannot manage in the community. Their care plan may say they can be readmitted if in distress although most people with a personality disorder do not benefit from time in hospital. Data relating to psychiatric readmissions is received by Ward Managers to review individual patients and provide responses to the Head of Division as to the reasons for readmission, to help identify trends or areas of concern.

6 No. Measure Description Exception Reporting Criteria Values 10 (Dashboard page 5) Monthly percentage of community hospital bed days lost due to delayed discharges, as a proportion of the total number of occupied bed days. Any month in which the rate is above the 3.5% standard. February 2015: 10.5% Compliance Target: 3.5% The number of community hospital bed days lost due to delayed discharges during February 2015 was 744, a decrease on the number reported during January 2015, which totalled 838. The percentage rate also decreased, from 10.6% in January 2015 to 10.5% in February Of the 744 days, 596 (80.1%) were recorded as attributable to Social Services, a decrease in the percentage of 82.7% reported in January During February 2015, Dene Barton and Wincanton Community Hospitals had rates of bed days lost due to delayed discharges of over 25%. The categories between which the numbers of occupied bed days lost were split during the month of February 2015 were as follows: Awaiting care home placement/residential/nursing home: 397 bed days lost (Social Services 381 days, Both 16); Awaiting completion of assessments: 168 bed days lost (NHS 28 days, Social Services 107 days, both 33 days); Awaiting further non acute NHS care: 56 bed days lost (NHS 28 days, Social Services 28); Awaiting patient or family choice: 43 bed days lost (NHS 15, Social Services 28 days); Awaiting care package in own home: 42 bed days lost (Social Services 42 days); Disputes: 28 bed days lost (NHS 28 days); Awaiting community equipment: 10 bed days lost (Social Services 10). Numbers of delayed transfers of care are monitored and discussed as standard agenda items on a weekly basis via the strategic calls set up and hosted by Somerset Clinical Commissioning Group, covering winter pressures. These calls have director level participation from the three Somerset Foundation Trusts and Adult Social Care and are chaired by the Managing Director of the Clinical Commissioning Group. Social care attributable delays and the current efforts being made by Adult Social Care to address the current situation are central points of discussion at present. The Trust s Chief Operating Officer has also written to the Interim Director of Adult Social Care to raise formally the issue of the deteriorating position on delayed transfers of care, requesting immediate action and making suggestions to address this issue. This letter is being further followed up with a meeting, scheduled to take place before the end of March March 2015 Public Board - 6 -

7 No. Measure Description Exception Reporting Criteria Values 11 (Dashboard page 5) Mandatory Training If the composite rate is 90% or above, but compliance rates for any individual training courses are below 90%, the composite rate will be traffic-lighted Amber and details of those courses will be included in the exception report. G February 2015: six of the Trust s 18 mandatory training courses had compliance rates below 90%. The overall compliance rate in respect of mandatory training as at 28 February 2015 was 92.0%. Twelve of the Trust s 18 mandatory training courses had compliance rates above the 90% standard, the same number as in January The six courses with compliance rates below the required standard were: Infection Control: 89.5% (down from 90.1% in January 2015); Information Governance: 89.4% (down from 89.7%); Moving and Handling Level 2 (Patients): 88.8% (down from 89.7%); Basic Life Support: 87.7% (down from 88.2%); Preventing, Managing Violence and Aggression Module 2: 87.7% (down from 88.2%); Immediate Life Support: 80.7% (up from 80.1%). A new Learning Management System is due to be implemented from 1 April This e-learning system will be more accessible for staff, and will enable team managers to manage their staff training needs proactively whilst ensuring that operational duties are subject to the minimum disruption. However, the implementation of the new system will mean that data for mandatory training compliance rates will not be available for around two months. The Trust s Learning and Development Business Partners work with Heads of Division, managers and staff on all areas of training to ensure that sufficient numbers of places are available on all training courses and that the managers and staff are aware of other options available for accessing training. Specific actions are being taken in respect of the courses specified above are as follows: Infection Control Of a total of 3,545 staff eligible to undertake this course, it requires another 19 staff to complete their training in order for the compliance standard to be met. It is expected that the 90% standard will be achieved in March March 2015 Public Board - 7 -

8 No. Measure Description Exception Reporting Criteria Values Information Governance The Learning and Development Business Partners continue to focus on this area of training, which is readily available as an e-learning package and Test your knowledge. Workshops continue to be delivered for staff who have difficulty in accessing the e-leaning module, and further workshops are scheduled for the coming weeks; Moving and Handling Level 2 (Patients) Additional trainers are now available which has resulted in more training dates being made available to ensure that there is sufficient course availability. Learning and Development Business Partners are working with team managers to ensure that staff whose training has expired are booked to attend this training; Basic Life Support and Immediate Life Support and Immediate Life support The Learning and Development Business Partners, along with the Heads of Service, will review all current non-compliant staff and staff whose training is due to expire in the near future, to ensure dates are booked to attend the appropriate course. Action is also to be undertaken to reduce the loss of course places due to staff not attending training places which have been booked. The Learning and Development team has taken a targeted approach to these two courses in March 2015, circulating lists to Heads of Division, of staff whose training has expired, with a request that staff are booked into training sessions, and their booked dates confirmed to the Learning and Development team within one week; Preventing, Managing Violence and Aggression The Learning and Development Business Partners and instructors of Preventing and Managing Violence and Aggression are focusing on compliance in this area, working with staff and managers to ensure that all staff access the course in a timely manner. Availability of courses remains under review. 12 (Dashboard page 5) Staff Sickness Absence Rate Any month in which the rate is above the 4% standard. January 2015: 5.0% Compliance target: 4.0% Sickness absence for January 2015, the latest month for which information is available, was 5.0%. During the period from 1 October to 31 December 2014, a total of 13,642 days were lost due to sickness/absence, and of this total 3,719 days were attributable to stress/anxiety. The number of episodes of sickness absence shows a steady reduction since October In recent months, there has been a key focus on developing return to work plans for staff who continue to remain off work with long term sickness. The Human Resources Team and Operational Managers have developed plans, tailored to meet individual needs to ensure a return to work. March 2015 Public Board - 8 -

9 No. Measure Description Exception Reporting Criteria Values Additionally, the Leading the Health and Wellbeing of My Team leadership module has been implemented, supporting managers to take time out to reflect on how they can lead and empower their teams to work with pressure at work and contribute to managing stress and anxiety. The Director of Workforce and Human Resources is also reviewing the Service. Workforce and Human Resources teams are also reviewing different ways for people to cope with stress, and in the coming months will focus on more targeted work with teams where sickness is higher than average within the Trust. March 2015 Public Board - 9 -

10 Links to Strategic Themes: Identify to which of the Somerset Partnership NHS Foundation Trust strategic themes this report relates by including a cross behind the relevant theme(s) Quality and X Innovation Viability and Growth Integration X Culture and People X Links to the Assurance Framework: Links to the NHS Constitution and Trust Values: Links to CQC Domains: Identify to which risks of the Assurance Framework this report relates the Trust fails to make optimal use of available capacity in its community hospitals and mental health inpatient wards; failure to achieve the CQUIN targets will mean the Trust has to deliver a great cost improvement programme to achieve its surplus target; the Trust fails to secure targeted commissioned business which impacts on income and reputation; the Trust fails to achieve safer staffing requirements leading to poorer patient care and potential CQC intervention. Identify the Values to which the issues raised in this report relate by including a cross behind the relevant value(s Working together for patients Respect and dignity Commitment to quality of care X X Compassion Improving lives X Everyone counts Identify which of the CQC domains are covered by this report by including a cross behind the relevant domain(s) Is it safe? X Is it caring? X Is it well-led? Is it effective? X Is it responsive to people s needs? X March 2015 Public Board

11 Public/Staff Involvement History: Previous Consideration: Legal or statutory implications/ requirements: not applicable. performance reports are presented to the Board on a monthly basis. the Trust is required to comply with the performance targets set out in the Clinical Commissioning Group contract with the Trust and the performance targets set out in the Monitor Risk Assessment Framework. March 2015 Public Board

12 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST CORPORATE DASHBOARD: FEBRUARY 2015 Strategic Theme Measure Thresholds Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Trend Monitor M1. Referral to Treatment Waiting Times: 90% of patients treated within 18 weeks: Admitted hospital based (Completed) >= 90% = Green <90% = Red 95.0% 90.0% M2. Referral to Treatment Waiting Times: 95% of patients treated within 18 weeks: Non Admitted hospital based (Completed) >= 95% = Green <95% = Red 99.1% 99.2% 98.5% 97.2% 97.8% 98.7% 98.0% 96.0% M3. Referral to Treatment Waiting Times: 92% of patients waiting within 18 weeks: (Incomplete) >= 92% = Green <92% = Red 99.6% 99.3% 99.2% 99.6% 99.4% 99.4% 99.0% 98.0% M4. Percentage of Minor Injury Unit patients waiting under four hours from arrival to admission, transfer or discharge >=95%=Green <95%=Red 99.8% 99.8% 99.6% 99.7% 99.9% 99.7% 99.5% 99.0%, Quality and M9a. Percentage of clients on CPA (Level 2) seen within 7 days of discharge <95% = Red 98.5% 98.6% 98.6% 96.7% 97.1% 96.6% 97.5% 95.0%, Quality and M9b. All recovery care plans (level 2) to be reviewed at least annually Based on care co-ordinator contacts <95% = Red 98.8% 96.6% 96.6% 96.9% 96.9% 95.9% 95.0% 90.0%, Quality and M10. Emergency Admissions of year olds via crisis support services <95% = Red 98.2% 98.4% 96.8% 96.6% 98.5% 95.0% 90.0%, Quality and M11. Meeting commitment to serve new psychosis cases by early intervention teams. >=174 = Green <174 = Red M16. Delayed discharge rate as a percentage of total bed days available for people over 18 in acute beds (mental health). <=7.5% = Green >7.5% = Red 4.3% 5.4% 4.7% 4.8% 3.9% 3.7% M17. Mental Health Data Completeness: Identifiers >=97% = Green <97% = Red 99.8% 99.8% Reported Quarterly M18. Mental Health Data Completeness: Outcomes for patients on CPA >=50% = Green <50% = Red 79.9% 79.0% Reported Quarterly M20a. Data completeness: community services Referral to treatment information >=50% = Green <50% = Red Reported Quarterly M20b. Data completeness: community services Referral information >=50% = Green <50% = Red 91.1% 93.9% Reported Quarterly Page 1 of 5

13 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST CORPORATE DASHBOARD: FEBRUARY 2015 Strategic Theme Measure Thresholds Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Trend M20c. Data completeness: community services Treatment activity information >=50% = Green <50% = Red 98.5% 98.9% Reported Quarterly CQUIN Patient Experience C1.1 Friends and Family Test: Implementation of Staff Friends and Family Test (Implementation by 30 June 2014) Implementation: by 30 June 2014 Implemented within required timescale and evidence submitted to CCG Patient Experience C1.2 Friends and Family Test: Implementation of Mental Health Inpatients Friends and Family Test (Implementation by 31 October 2014) Implementation: by 31 October 2014 Implemented within required timescale and evidence submitted to CCG Patient Experience C1.3a. Friends and Family Test: Increased Response Rate - Community Hospitals (Response rate of 30% in Quarter 4 of 2014/15) >=30% = Green <30% = Red 50.2% 60.5% 54.1% Patient Experience C1.3b. Friends and Family Test: Increased Response Rate - Minor Injury Units (Response rate of 20% in Quarter 4 of 2014/15) >=20% = Green <20% = Red 50.3% 60.3% 71.4%, Patient Experience C2.1a Reduction In Pressure Ulcer Incidence in Community Hospital inpatients (By Q4 achieve 40% reduction (6 cases only) compared to the reported 2013/14 number of incidents of avoidable pressure ulcer Grade two and above) Jan 15 <=5 cases = Green >5 = Red Data being validated (Cumulative numbers for the year to date), Patient Experience C2.1b Reduction In Pressure Ulcer Incidence of patients on the District Nurse caseload (excluding patients resident in a care home) (By Q4 achieve 15% reduction (39 cases only) compared to the reported 2013/14 number of incidents of avoidable pressure ulcer Grade two and above) Jan 15 <=30 = Green >30 = Red Data being validated (Cumulative numbers for the year to date) Page 2 of 5

14 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST CORPORATE DASHBOARD: FEBRUARY 2015 Strategic Theme Measure Thresholds Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Trend, Patient Experience C2.2. Pressure Ulcer Prevention To identify the top 10 sources of non trust acquired incidents within Trusts patient population and work collaboratively with agencies and organisations to raise awareness (Q1 confirm top ten, Q2 develop a training and implementation plan and Q4 demonstrate plan has been delivered) Q4 Demonstrate training programme has been delivered Developing a training plan to be implemented Training plan being rolled out. To report compliance to agreed rollout plan to Somerset Clinical Commissioning Group after 31 March Effectiveness C Percentage of patients aged 75 and over who have been asked the dementia screening question within 72 hours following admission to hospital. (CQUIN Target: 90% or more over each quarter relating to 3.1.1, and 3.1.3) >=90% = Green <90% = Red Effectiveness C3b. Percentage of patients aged 75 and over screened as at possible risk of dementia who have had a dementia risk assessment during the admission stay. (CQUIN Target: 90% or more over each quarter relating to 3.1.1, and 3.1.3) >=90% = Green <90% = Red Effectiveness C3c. Percentage of patients aged 75 and over, identified as at risk of having dementia (positive or inconclusive assessment outcome) who are referred for further diagnostic advice or follow-up. (CQUIN Target: 90% or more over each quarter relating to 3.1.1, and 3.1.3) >=90% = Green <90% = Red Effectiveness Named Consultant Identified Named consultant identified Effectiveness 3.2 Dementia Clinical Leadership (Continue rollout of dementia training) Rollout of dementia training 83.8% (3,016 staff of 3,600 trained) Effectiveness C3.3 Supporting Carers of People with Dementia: Provider must demonstrate that they have undertaken a monthly audit of carers of people with dementia (Undertake monthly audits and provide quarterly reports to commissioner on findings) Undertake monthly audits Report presented to Somerset CCG. Audit being undertaken. Page 3 of 5

15 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST CORPORATE DASHBOARD: FEBRUARY 2015 Strategic Theme Measure Thresholds Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Trend Effectiveness C4. Cardio Metabolic Assessment for Patients with Schizophrenia (By Q3 Demonstrate through a national audit process full Complete audit by implementation of appropriate processes for assessing, 31 December 2014 documenting and acting on cardio metabolic risk factors in patients with schizophrenia) Audit data completed within agreed deadline of 31 December 2014 and submitted in accordance with the required submission of 16 January C5. Patients on CPA: Communication with General Practitioners (Undertake two audits, one during Q2 and one in Q4 and achieve 90% in second audit) >=90 = Green <90% = Red Report presented to Somerset CCG Audit to report compliance in respect of Q4 is planned to be undertaken between 19 and 20 January % Effectiveness C6. Consultant Review of young people presenting with Eating Disorder (ED) according to the ED Pathway Diagnosed patients are seen by a Consultant Psychiatrist within 6 weeks of diagnosis being recorded. (Q1 set baseline, Q2 70%, Q3 80% and Q4 95% or non more than one breach if patient cohort under 10 patients) <95% = Red 90.0%, Patient Experience, Quality and C7. Personalised Care Plans for Patients with identified long term conditions (Q1 identify suitable patient cohort, agree template and sharing mechanism and pilot use, Q2 Set baseline, Q3 achieve 25% and Q4 achieve 50% compliance to agreed baseline) 1. Clients referred by primary care to mental health offered first appointment within 3 weeks. (2010/11 CQUIN Target - 95%) 2. Percentage of all adult inpatients who have had a venous thromboembolism risk assessment on admission to hospital using the clinical criteria of the national tool during the month (2013 CQUIN Target - 95%) >=50% = Green <50% = Red Local >=85% and <95% = Amber <85% = Red >=85% and <95% = Amber <85% = Red Baseline reported to Somerset CCG 69.2% To be reported at the end of the quarter. 93.9% 93.1% 92.5% 91.5% 87.1% 93.6% 98.5% 98.5% 96.1% 97.6% 97.5% 95.6% 92.5% 85.0% 97.5% 95.0%, Quality and 3. Psychiatric emergency readmission rate within 28 days of discharge. <=10% = Green <=12% and >10%=Amber >12% = Red 13.0% 10.8% 15.6% 9.6% 9.9% 11.9% 20.0% 10.0% 0.0% Page 4 of 5

16 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST CORPORATE DASHBOARD: FEBRUARY 2015 Strategic Theme Measure Thresholds Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Trend, Quality and, Quality and, Quality and, Quality and 4. Clients on CPA to have a crisis plan 5a. For new mental health clients, an identified carer who provides regular and substantial care must be registered. 5b. Where there is a registered carer, a carer's assessment has been offered and, if not declined, this has been carried out. 6a. Percentage of IAPT treatment population entering treatment 15% of IAPT treatment population having a first therapeutic session (During Q4 2,038 patients to have had a first therapeutic session) >=90% = Green >=85% and <90% = Amber <85% = Red 90% = Green 80% - <90% = Amber <80% = Red >=80% and <95% = Amber <80% = Red Feb 15 1,117 patients >=1,117 = Green <1,117 = Red 91.2% 91.6% 91.3% 91.5% 90.5% 91.3% 90.2% 90.7% 90.7% 90.5% 91.0% 90.0% 95.1% 99.0% 98.9% 98.0% 96.6% 98.8% New measure 512 1, % 80.0% 94.0% 91.0% 88.0% 96.0% 92.0% Jan-00 Jan-00 6b. Percentage of IAPT treatment population moving to recovery (As at 31 March 2015 achieve 50%) >=50% = Green <50% = Red 47.4% 51.3% 69.8% 67.5% 57.7% 66.6%, Quality and, Quality and 7. Recording of service user ethnicity 8. Monthly percentage compliance with hand hygiene audit standards 9. Monthly percentage compliance with hospital cleanliness audit standards 90% = Green 80% - <90% = Amber <80% = Red Local target 90%-to <95% = Amber <90% = Red 90%-to <95% = Amber <90% = Red 95.2% 95.2% 95.2% 95.2% 95.1% 95.1% 97.2% 98.2% 98.6% 97.2% 97.8% 98.2% 98.7% 98.9% 98.8% 98.7% 98.6% 98.8% 96.0% 92.0% 88.0% 95.0% 90.0% 95.0% 90.0% 10. Monthly percentage of community hospital bed days lost due to delayed discharges, as a proportion of the total number of occupied bed days (Contract Target: 3.5% in all months) <=3.5% = Green >3.5%- to <=7.5% = Amber >7.5% = Red 11.1% 8.5% 10.9% 11.0% 10.6% 10.5% Culture and People Culture and People 11. Mandatory Training Aggregate percentage of staff who have received appropriate statutory and mandatory training * - the compliance rates for all individual mandatory training courses must be 90% or higher in order for the composite rate to be rated Green 12. Staff Sickness Absence Rate >=90% = Green 85% - <90% =amber <85% =red <=4%= green >4% to <=5% =amber >5% =red 93.4% 93.5% 93.1% 92.6% 92.4% 92.0% 5.2% 5.3% 5.0% 5.1% 5.0% Data awaited 96.0% 93.0% 90.0% Jun-14 Oct-14 Feb-14 Page 5 of 5

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST BUSINESS ACTION PLAN 2015/16 AND PROGRESS REPORT FOR 1 APRIL 2015 TO 30 JUNE 2015

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST BUSINESS ACTION PLAN 2015/16 AND PROGRESS REPORT FOR 1 APRIL 2015 TO 30 JUNE 2015 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST BUSINESS ACTION PLAN 2015/16 AND PROGRESS REPORT FOR 1 APRIL 2015 TO 30 JUNE 2015 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations:

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

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

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

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST QUALITY ACCOUNT PRIORITIES 2016/17. Report to the Trust Board 22 March 2016

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST QUALITY ACCOUNT PRIORITIES 2016/17. Report to the Trust Board 22 March 2016 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST QUALITY ACCOUNT PRIORITIES 2016/17 Report to the Trust Board 22 March 2016 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations:

More information

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

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST REVISED WARD ESTABLISHMENTS TO SUPPORT THE RETURN TO CORE COMMUNITY HOSPITAL BEDS

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST REVISED WARD ESTABLISHMENTS TO SUPPORT THE RETURN TO CORE COMMUNITY HOSPITAL BEDS SOMERSET PARTNERSHIP NHS FOUNDATION TRUST REVISED WARD ESTABLISHMENTS TO SUPPORT THE RETURN TO CORE COMMUNITY HOSPITAL BEDS Report to the Trust Board 22 November Sponsoring Director: Author: Purpose of

More information

Dudley & Walsall Mental Health Partnership NHS Trust Board

Dudley & Walsall Mental Health Partnership NHS Trust Board Dudley & Walsall Mental Health Partnership NHS Trust Board Date of Board Meeting: 29 th July 2 Subject: Performance Corporate Dashboard Month 3 Trust Board Lead: Jacky O Sullivan, Director of Performance

More information

A. Commissioning for Quality and Innovation (CQUIN)

A. Commissioning for Quality and Innovation (CQUIN) A. Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: Summary of goals Total fund available: 3,039,000 (estimated, based on 2015/16 baseline) Goal Number 1 2 3 4 5 Goal Name Description of

More information

Qu Q a u l a ilt i y t y Ac A c c o c u o n u t n

Qu Q a u l a ilt i y t y Ac A c c o c u o n u t n Quality Account 2010-2011 CONTENTS Statement from the Chief Executive 3 Page Statements from our Service Users 4 Summary of Priorities 6 Summary of Performance 7 Performance Review - Safety 8 Performance

More information

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support

More information

Mental Health Services - Delayed Discharges: Update

Mental Health Services - Delayed Discharges: Update NHS Greater Glasgow & Clyde NHS Board Meeting Chief Officer, Glasgow City HSCP and Nurse Director October 20 Paper No: /56 Mental Health Services - Delayed Discharges: Update Recommendation:- The NHS Board

More information

COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP

COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP Report To: Governing Body 11 September 2013 Report From: Title of Report: Purpose of the Report: Jacqueline Barnes, Executive Nurse The Nursing and Quality

More information

QUALITY REPORT

QUALITY REPORT Humber NHS Foundation Trust Humber Mental Health Teaching NHS Trust Humber NHS Foundation Trust (Foundation Trust status awarded 1st February 2010) QUALITY REPORT 2009-10 Contents Quality Statement 4

More information

The Royal Wolverhampton NHS Trust

The Royal Wolverhampton NHS Trust The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 24 June 2013 Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:

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

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

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL HOME TREATMENT SERVICE OPERATIONAL PROTOCOL Document Type Unique Identifier To be set by Web and Systems Development Team Document Purpose This protocol sets out how Home Treatment is provided by Worcestershire

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

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

Re-designing Adult Mental Health Secondary Care Services through co-production and consultation. 1 Adult Mental Health Secondary Care Services

Re-designing Adult Mental Health Secondary Care Services through co-production and consultation. 1 Adult Mental Health Secondary Care Services 2016 Re-designing Adult Mental Health Secondary Care Services through co-production and consultation 1 Adult Mental Health Secondary Care Services Contents Forward Vision & Values Introduction Adult Mental

More information

Item E1 - Bart s Health Quality Indicators

Item E1 - Bart s Health Quality Indicators Item E1 - Bart s Health Quality Indicators 1.0 Purpose 1.1 The purpose of this report is to provide the CCG Board with an update on quality matters across pertaining to our main local Provider organisations.

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

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

Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16

Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16 Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16 Goal No. Indicator Name Contract 1 Acute Kidney Injury CWS CCG Contract - National CQUIN 2a Sepsis Screening CWS CCG Contract - National

More information

Improving Mental Health Services in Bath & North East Somerset

Improving Mental Health Services in Bath & North East Somerset Improving Mental Health Services in Bath & North East Somerset Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers

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

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

Commissioning for quality and innovation (CQUIN): 2013/14 guidance. Draft December 2012

Commissioning for quality and innovation (CQUIN): 2013/14 guidance. Draft December 2012 Commissioning for quality and innovation (CQUIN): 2013/14 guidance Draft December 2012 1 Commissioning for quality and innovation (CQUIN): 2013/14 guidance First published: December 2012 This document

More information

Avon & Wiltshire Mental Health Partnership NHS Trust Commissioning for Quality and Innovation (CQUIN) Schedule 2015/16

Avon & Wiltshire Mental Health Partnership NHS Trust Commissioning for Quality and Innovation (CQUIN) Schedule 2015/16 Avon & Wiltshire Mental Health Partnership NHS Trust Commissioning for Quality and Innovation (CQUIN) Schedule 2015/16 4A Nationally Mandated CQUIN IMPROVING PHYSICAL HEALTHCARE TO REDUCE PREMATURE MORTALITY

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

Operational Plan 2018/19

Operational Plan 2018/19 Operational Plan 2018/19 Contents Section Page 1 Strategic context 3 2 Quality 10 3 Service plans 17 4 5 6 Workforce Financial plan Membership 25 28 33 7 West Yorkshire and Harrogate Health and Care Partnership

More information

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST SAFER STAFFING REPORT: MARCH AND APRIL Report to the Trust Board 26 May 2015

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST SAFER STAFFING REPORT: MARCH AND APRIL Report to the Trust Board 26 May 2015 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST SAFER STAFFING REPORT: MARCH AND APRIL 2015 Report to the Trust Board 26 May 2015 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations:

More information

Inpatient and Community Mental Health Patient Surveys Report written by:

Inpatient and Community Mental Health Patient Surveys Report written by: 2.2 Report to: Board of Directors Date of Meeting: 30 September 2014 Section: Patient Experience and Quality Report title: Inpatient and Community Mental Health Patient Surveys Report written by: Jane

More information

Mental Health Liaison Workshop

Mental Health Liaison Workshop Mental Health Liaison Workshop UEC Improvement Collaborative Event The Kia Oval, 07 December 2017 Neil Brimblecombe - Chair (co MH Clinical Lead UECC) Barbara Cleaver - Consultant in Emergency Medicine

More information

BOARD MEETING. Document is for: (indicate with an x) Assurance x Information Decision. Executive Summary

BOARD MEETING. Document is for: (indicate with an x) Assurance x Information Decision. Executive Summary Document Title: Presenter: Author: Contact details for further information: BOARD MEETING Review of Pressure Ulcer Prevalence across DCHS services March June 2012 Kath Henderson, Chief Nurse Michelle O

More information

Avon & Wiltshire Mental Health Partnership NHS Trust. Extract from NHS STANDARD MULTILATERAL MENTAL HEALTH AND LEARNING DISABILITY SERVICES CONTRACT

Avon & Wiltshire Mental Health Partnership NHS Trust. Extract from NHS STANDARD MULTILATERAL MENTAL HEALTH AND LEARNING DISABILITY SERVICES CONTRACT SCHEDULE 4 QUALITY PERFORMANCE INCENTIVE SCHEMES 2011/12 Schedule 4 Part 1: Nationally Mandated Incentive Schemes Schedule 4 Part 2: National Incentive Framework for Commissioning for Quality and Innovation

More information

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

Discharge to Assess Standards for Greater Manchester

Discharge to Assess Standards for Greater Manchester Discharge to Assess Standards for Greater Manchester 1 Contents 1. Introduction... 3 2. Definition of Discharge to Assess... 3 3. Discharge to Assess Pathways... 4 4. Greater Manchester Standards for Discharge

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

My Discharge a proactive case management for discharging patients with dementia

My Discharge a proactive case management for discharging patients with dementia Shine 2013 final report Project title My Discharge a proactive case management for discharging patients with dementia Organisation name Royal Free London NHS foundation rust Project completion: March 2014

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

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

Commissioning for quality and innovation (CQUIN): 2014/15 guidance. February 2014

Commissioning for quality and innovation (CQUIN): 2014/15 guidance. February 2014 Commissioning for quality and innovation (CQUIN): 2014/15 guidance February 2014 1 NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning

More information

THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES

THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES Interim Policy Implementation Guidance and Standards [July 2010] - 1 - CONTENTS 1. Introduction... 3 2. The guiding

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

Overall rating for this location Requires improvement

Overall rating for this location Requires improvement Riverdale Grange Clinic Quality Report 93 Riverdale Road Ranmoor Sheffield South Yorkshire S10 3FE Tel:0114 230 2140 Website:http://www.riverdalegrange.co.uk Date of inspection visit: 9 August 2017 Date

More information

REQUIREMENT. Identify a minimum of 4 theme areas which are considered to have caused concern for patients during 2012/13

REQUIREMENT. Identify a minimum of 4 theme areas which are considered to have caused concern for patients during 2012/13 2012/13 SSOTP CQUIN INDICATOR TARGETS INDICATOR REQUIREMENT 1. Patient Experience Milestone 1 (15th working day of April 2012) Identify a minimum of 4 theme areas which are considered to have caused concern

More information

Changing for the Better 5 Year Strategic Plan

Changing for the Better 5 Year Strategic Plan Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section

More information

MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY

MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY (To be read in conjunction with Handover Policy) Version: 3 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible

More information

PERFORMANCE IMPROVEMENT REPORT

PERFORMANCE IMPROVEMENT REPORT PERFORMANCE IMPROVEMENT REPORT First Quarter Fiscal Year 214 October-December, 213 Daniel Coffey, CEO 1 Executive Summary The Quarterly Performance Improvement Report summarizes the measures used to monitor

More information

Mental Health Crisis Pathway Analysis

Mental Health Crisis Pathway Analysis Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking

More information

This SLA covers an enhanced service for care homes for older people and not any other care category of home.

This SLA covers an enhanced service for care homes for older people and not any other care category of home. Care Homes for Older People Service Level Agreement 2016-2019 All practices are expected to provide essential and those additional services they are contracted to provide to all their patients. This service

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

Westminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road

Westminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road Westminster Partnership Board for Health and Care 21 February 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome

More information

NHS Equality Delivery System for Isle of Wight NHS Trust. Interim baseline assessment against the

NHS Equality Delivery System for Isle of Wight NHS Trust. Interim baseline assessment against the Interim baseline assessment against the NHS Equality Delivery System for Isle of Wight NHS Trust The NHS Isle of Wight has adopted the NHS Equality Delivery System as the framework to achieve compliance

More information

Westminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road

Westminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road Westminster Partnership Board for Health and Care 17 January 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome

More information

Patient Safety & Clinical Quality Committee Chair s Report. Sue Hayter, Governing Body Registered Nurse Member

Patient Safety & Clinical Quality Committee Chair s Report. Sue Hayter, Governing Body Registered Nurse Member Agenda Item: 10.2 Subject: Presented by: Patient Safety & Clinical Quality Committee Chair s Report Sue Hayter, Governing Body Registered Nurse Member Submitted to: NHS West Norfolk CCG Governing Body,

More information

NHS Grampian. Intensive Psychiatric Care Units

NHS Grampian. Intensive Psychiatric Care Units NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance

More information

Quality Accounts For Northern Pathways 2014/15

Quality Accounts For Northern Pathways 2014/15 Quality Accounts For Northern Pathways 2014/15 Contents PART ONE... 3 Statement on Quality... 3 Statement on Quality from the Chair of the Northern Pathways Board Andy James.. 3 Overview of Services...

More information

Delivering the transformation of children and young people s mental health services

Delivering the transformation of children and young people s mental health services Delivering the transformation of children and young people s mental health services Simon Medcalf Head of Mental Health, NHS England 4 October 2016 1 Context: Implementing the Five Year Forward View for

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

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

SCHEDULE 2 THE SERVICES

SCHEDULE 2 THE SERVICES SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7.Optional to use, detail for local determination

More information

Shaping the best mental health care in Manchester

Shaping the best mental health care in Manchester Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in

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

2017/18 Trust Balanced Scorecard

2017/18 Trust Balanced Scorecard ITEM 8b ENC 9 2017/18 Trust Balanced Scorecard Author: Performance Management Team March 2017 The purpose of this paper is to provide an update on the development of the 2017/18 Balanced Scorecard for

More information

BOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010

BOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010 BOARD OF DIRECTORS PAPER COVER SHEET Meeting Date: 1 st December 2010 Agenda Item: 9 Paper No: E Title: Management of Pressure Ulcers Purpose: For Information Summary: This paper provides a report on the

More information

Marginal Rate Emergency Threshold. Executive Summary

Marginal Rate Emergency Threshold. Executive Summary Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director

More information

Improving Mental Health Services in South Gloucestershire

Improving Mental Health Services in South Gloucestershire Improving Mental Health Services in South Gloucestershire Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers Information

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

Worcestershire Early Intervention Service. Operational Policy

Worcestershire Early Intervention Service. Operational Policy Worcestershire Early Intervention Service Operational Policy Document Type Service Operational Unique Identifier CL-158 Document Purpose To Outline The Operation Of The Early Intervention Service Document

More information

The future of mental health: the Taskforce 5 year forward view and beyond

The future of mental health: the Taskforce 5 year forward view and beyond The future of mental health: the Taskforce 5 year forward view and beyond May 2016 Content Mental Health Taskforce Overview Achieving Better Access Safe, Effective and Compassionate Care Integrating Physical

More information

Islington Practice Based Mental Health Care: Roll-out plans and progress

Islington Practice Based Mental Health Care: Roll-out plans and progress Report to: Board of Directors (Public) Paper number: 3.2 Report for: Information Date: 26 th October 2017 Report author/s: Emily van de Pol, Divisional Director, Community Mental Health and Primary Care

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

Two Years On The Five Year Forward View for Mental Health

Two Years On The Five Year Forward View for Mental Health Two Years On The Five Year Forward View for Mental Health Tim Kendall National Clinical Director for Mental Health, NHS England and NHS Improvement 15 May 2018 Mental Health Five Year Forward View: priorities

More information

Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee

Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee EPB53/825 Title of Report: Prepared By: Sponsor: Action Required: Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee Gale Hart, Director

More information

Q U A L I T Y A C C O U N T Hertfordshire Partnership University NHS Foundation Trust Quality Account

Q U A L I T Y A C C O U N T Hertfordshire Partnership University NHS Foundation Trust Quality Account Q UALIT Y ACCOUNT 2016 2017 Hertfordshire Partnership University NHS Foundation Trust Quality Account 2016 2017 Contents Part 1 Part 2 Statement on quality from the Chief Executive 5 Priorities for improvement

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

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May 20 Report to: Trust Board July 20 Report from: Sponsoring Executive: Aim of Report/Principle Topic: Review History to date:

More information

Nursing Strategy Nursing Stratergy PAGE 1

Nursing Strategy Nursing Stratergy PAGE 1 Nursing Strategy 2016-2021 Nursing Stratergy 2016-2021 PAGE 1 2 PAGE Nursing Stratergy 2016-2021 foreword Welcome to Greater Manchester West Mental (GMW) Health NHS Trust s Nursing Strategy. This document

More information

Richard Wilson, Quality Insight and Intelligence Director

Richard Wilson, Quality Insight and Intelligence Director To: Board For meeting: 24 May 2018 Agenda item: 8 Report by: Richard Wilson, Quality Insight and Intelligence Director Report on: Quality Dashboard Purpose 1. This paper highlights the key observations

More information

The safety of every patient we care for is our number one priority

The safety of every patient we care for is our number one priority HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally

More information

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT Agenda item A5(iv) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT EXECUTIVE SUMMARY The Tissue Viability Team assists wards and departments to reduce

More information

Norfolk and Suffolk NHS Foundation Trust. Quality Account

Norfolk and Suffolk NHS Foundation Trust. Quality Account Norfolk and Suffolk NHS Foundation Trust Quality Account 2011-12 Contents 4 Statement from the chief executive 8 Information about the quality account 9 Trust quality priorities 2012-13 10 Feedback from

More information

COUNCIL OF GOVERNORS MEETING. Thursday, 20 April 2017 PERFORMANCE ASSURANCE REPORT. Non-Executive Directors

COUNCIL OF GOVERNORS MEETING. Thursday, 20 April 2017 PERFORMANCE ASSURANCE REPORT. Non-Executive Directors 3.5 COUNCIL OF GOVERNORS MEETING Thursday, 20 April 2017 PERFORMANCE ASSURANCE REPORT Non-Executive Directors PURPOSE OF THE PAPER: The National Health Service Act 2006 (as amended) places a general duty

More information

QUALITY ACCOUNTS 2015/16 CAMDEN AND ISLINGTON NHS FOUNDATION TRUST

QUALITY ACCOUNTS 2015/16 CAMDEN AND ISLINGTON NHS FOUNDATION TRUST CAMDEN AND ISLINGTON NHS FOUNDATION TRUST Contents 1.0 Quality Account... 3 Part 1.0: Statement on quality from the Chief Executive... 3 1.1 Introduction... 6 1.2 Quality highlights for 2015/16... 8 Part

More information

EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning

EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning EXECUTIVE SUMMARY D REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY 2018 Subject Supporting TEG Member Author Status 1 A review of progress against Corporate Objectives 2017/18 and planned Corporate Objectives

More information

Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 2018

Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 2018 Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 218 Purpose The purpose of this paper is to update the Trust Board on progress with implementing the mandatory

More information

Staffordshire and Stoke on Trent Partnership NHS Trust. Operational Plan

Staffordshire and Stoke on Trent Partnership NHS Trust. Operational Plan Staffordshire and Stoke on Trent Partnership NHS Trust Operational Plan 2016-17 Contents Introducing Staffordshire and Stoke on Trent Partnership NHS Trust... 3 The vision of the health and care system...

More information

INFORMATION STANDARDS GOVERNANCE PROCESS. INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD

INFORMATION STANDARDS GOVERNANCE PROCESS. INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD INFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD Project to develop dataset to inform KPIs / AOF targets for

More information

Mortality Report Learning from Deaths. Quarter

Mortality Report Learning from Deaths. Quarter Mortality Report Learning from Deaths Quarter 3 2017 Introduction In December 2016 the CQC report Learning, Candour and accountability: A review of the way NHS Trusts review and investigate the deaths

More information

Preparing to implement the new access and waiting time standard for early intervention in psychosis

Preparing to implement the new access and waiting time standard for early intervention in psychosis Preparing to implement the new access and waiting time standard for early intervention in psychosis Sarah Khan Deputy Head of Mental Health (Policy & Strategy) 1. Context for the introduction of access

More information

Agenda Item number: 9.1. Maggie Bayley, Director of Nursing and Quality

Agenda Item number: 9.1. Maggie Bayley, Director of Nursing and Quality Board meeting date: 15 December, 2011 Agenda Item number: 9.1 Enclosure: 6 Title Quality report Accountable Director: Authors(name & title): Maggie Bayley, Director of Nursing and Quality Maggie Bayley,

More information

Leeds and York Partnership NHS Foundation Trust

Leeds and York Partnership NHS Foundation Trust Leeds and York Partnership NHS Foundation Trust Community-based mental health services for adults of working age Quality Report Leeds and York Partnership NHS Foundation Trust Tel: 0113 305 5000 Website:

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

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