Integrated Quality & Performance Report 4 March 2019

Size: px
Start display at page:

Download "Integrated Quality & Performance Report 4 March 2019"

Transcription

1 Integrated Quality & Performance Report 4 March 2019 Safe & Effective Kind & Caring Exceeding Expectation Agenda Item No: 9.2

2 Meeting Date: 4 th March 2019 Trust Board Report Title: Executive Summary: Integrated Quality & Performance Report The report provides the Board with an update of performance against National and Local quality and performance indicators for January Action Requested: Receive and note: Current Progress For the attention of the Board Assure This report provides an integrate focus on key performance indicators that are monitored through the National contract and those metrics that the organisation measure for operational efficiency and patient safety. All data reported with thorough validation checks and relevant departments are aware of any underperformance. Advise None in this report Alert None in this report Author + Contact Details: Links to Trust Strategic Objectives Resource Implications: Report Data Caveats Performance Manager ext Lesley.burrows2@nhs.net Deputy Chief Nurse ext Vanessa.whatley@nhs.net Deputy Directory Strategic Planning and Performance ext simon.evans8@nhs.net 1. Create a culture of compassion, safety and quality 3. To have an effective and well integrated local health and care system that operates efficiently 4. Attract, retain and develop our staff, and improve employee engagement 6. Be in the top 25% of all key performance indicators None All data reported with thorough validation checks and relevant departments are aware of underperformance.

3 CQC Domains Equality and Diversity Impact Risks: BAF/ TRR Public or Private: Other formal bodies involved: NHS Constitution: Safe: patients, staff and the public are protected from abuse and avoidable harm. Effective: care, treatment and support achieves good outcomes, helping people maintain quality of life and is based on the best available evidence. Caring: staff involve and treat everyone with compassion, kindness, dignity and respect. Responsive: services are organised so that they meet people s needs. Well-led: the leadership, management and governance of the organisation make sure it's providing high-quality care that's based around individual needs, that it encourages learning and innovation, and that it promotes an open and fair culture. None Not applicable Public Session Trust Management Committee, Finance & Performance Committee and QGAC In determining this matter, the Board should have regard to the Core principles contained in the Constitution of: Equality of treatment and access to services High standards of excellence and professionalism Service user preferences Cross community working Best Value Accountability through local influence and scrutiny Page 2 of 2

4 Integrated Quality & Performance Report January 2019 Exceeding Expectation Page 1 of 26

5 Contents Indicator Page Indicator Page Executive Summary - Quality 3 Performance Dashboard 15 Quality Dashboard 4 Referral to Treatment - Incomplete 16 Mortality 5-7 Diagnostic Test - 6 week wait 16 Late patient moves 8 Urgent care 17 Maternity - emergency C-section rates 8 Ambulance handover breaches 17 Complaints 9 Ambulance conveyances 18 HCAI 9 Emergency Admissions via ED 19 VTE risk assessment 10 Cancer waiting times 20 FFT response and recommendation rates 11 Theatre utilisation Safety Thermometer 12 Executive Summary - Integrated Care 23 Safer staffing & Care Hours per Patient Day 13 Integrated Care Dashboard 24 Executive Summary - Performance 14 Primary Care Page 2 of 26

6 QUALITY - EXECUTIVE SUMMARY VTE Risk Assessment Performance has been maintained in month, additional resource will help support performance. Complaints The number of complaints increased for the first time since August 2018, particular increase in Elderly Medicine and Obstetric & Gynaecology Directorate. Page 3 of 26

7 Quality Dashboard Patient Experience Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Number of cancelled operations on the day of surgery for non-medical reasons Surveillance Cancelled operations as a % of elective admissions <0.8% 0.94% 1.11% 1.00% 0.26% 0.38% 0.51% 0.41% 0.47% 0.47% 0.62% 0.64% 0.44% 0.59% Cancelled operations as a % of elective admissions (cumulative) <0.8% 0.45% 0.50% 0.53% 0.26% 0.32% 0.39% 0.39% 0.41% 0.42% 0.42% 0.47% 0.47% 0.48% Number of cancelled operations not re-admitted within 28 days Number of urgent cancelled operations cancelled for a 2nd time Number of complaints as a % of admissions 0.44% 0.44% 0.40% 0.32% 0.38% 0.33% 0.36% 0.45% 0.34% 0.33% 0.34% 0.31% 0.43% Complaints response rate against Policy 90% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 97% 90% 100% FFT response rates (Trust Wide - excluding ED & Maternity) 20.7% 19.6% 20.2% 19.4% 19.2% 17.9% 20.5% 21.5% 22.9% 22.0% 22.2% 21.6% 21.6% FFT recommendation rates (Trust Wide - excluding ED & Maternity) 93.8% 93.4% 92.9% 93.3% 92.8% 93.9% 94.1% 93.9% 94.6% 94.7% 94.7% 94.7% 94.2% FFT response rates (Emergency Department) 13.9% 13.0% 15.8% 14.8% 14.4% 16.5% 16.5% 16.3% 16.6% 16.8% 15.5% 15.4% 15.9% FFT recommendation rates (Emergency Department) 82.3% 81.6% 82.5% 83.1% 86.8% 86.4% 86.3% 87.0% 86.0% 87.9% 86.7% 87.1% 85.8% Late observations (Trust Wide) 5% 6.90% 6.24% 6.14% 4.15% 4.04% 4.42% 4.74% 4.68% 4.66% 4.68% 4.83% 4.70% 5.22% Late patient moves (after 10pm) Duty of Candour - Element 1: notifying patients and families of the incident and investigation taking place. Due 10 working days after incident is reported to STEIS Duty of Candour - Element 2: sharing outcome of investigation with patients/relatives. Due 10 working days after final RCA report is submitted to CCG Patient Outcomes Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Safety Thermometer - Harm Free Care 95% 96.13% 96.63% 96.23% 96.83% 96.80% 95.15% 95.83% 97.02% 95.18% 96.68% 96.48% 97.19% 96.73% Pressure Injuries - all cases Pressure Injuries - STEIS reportable cases Patient falls - rate per 1,000 occupied bed days < Crude mortality rate 4.24% 3.69% 3.53% 3.20% 2.67% 2.52% 2.54% 2.84% 2.49% 2.95% 3.27% 3.13% 3.44% RWT SHMI Number of deaths Patient Safety Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 VTE % risk assessment data 95% 96.10% 95.75% 95.76% 92.65% 92.03% 91.50% 91.31% 92.83% 93.19% 93.87% 94.30% 93.03% 93.05% Clostridium Difficile MRSA Bacteraemia E.Coli Surveillance % Rate of medication error 0.73% 0.89% 1.01% 1.34% 1.39% 1.25% 1.69% 1.68% 1.51% 1.88% 1.90% 1.73% 1.52% Serious incident reporting - report incidences within 48 hours Serious incident reporting - update on immediate actions within 72 hours Serious incident reporting - share investigations report/action plan (60 days) Never Events Radiation incident rate - radiotherapy Radiation incident rate - radiology Care hours per patient - total nursing & midwifery staff actual Care hours per patient - registered nursing & midwifery staff actual Care hours per patient - healthcare workers actual The % of patients who met the criteria of the local protocol for sepsis screening and were screened for sepsis and for whom sepsis is appropriate - 90% 95.2% 95.6% Not yet available Emergency Department (reported 1 month in arrears) The % of patients who met the criteria of the local protocol for sepsis screening and were screened for sepsis and for whom sepsis is appropriate - 90% 75.8% 74.7% Not yet available Acute Inpatient Departments (reported 1 month in arrears) The % of patients who present with suspected sepsis to emergency departments and other units that directly admit emergencies, and were administered intravenous antibiotics within 1 hour - Emergency Department 90% 45.9% 52.0% Not yet available (reported 1 month in arrears) The % of patients who present with suspected sepsis to emergency departments and other units that directly admit emergencies, and were administered intravenous antibiotics within 1 hour - Acute Inpatient Departments (reported 1 month in arrears) 90% 83.1% 80.0% Not yet available Maternity Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 C-Section rates - elective <12% 11.4% 12.6% 12.2% 10.9% 10.7% 7.9% 10.7% 11.2% 12.2% 12.7% 12.3% 12.8% 11.1% C-Section rates - emergency <14% 17.0% 20.6% 17.1% 16.8% 17.7% 18.4% 14.7% 20.9% 16.4% 19.5% 16.8% 20.0% 18.5% Midwife to birth ratio </= FFT response rates (Maternity only) 6.7% 9.4% 7.2% 3.0% 4.6% 3.6% 5.4% 4.5% 3.3% 3.2% 7.5% 16.1% 10.9% FFT recommendation rates (Maternity only) 92.6% 98.0% 94.3% 100.0% 97.8% 93.9% 96.7% 98.5% 96.1% 96.8% 99.0% 99.0% 97.9% Page 4 of 26

8 Mortality Mortality The graph below (on the left - Jan 18 to Aug 18) provide the SJR allocation and reviewed figures when all deaths were being reviewed. The graph on the right is post the new criteria introduction in Sep SJR Divisional Allocation v Reviewed Jan 18 - Aug 18 Div 1 Allocated Div 1 reviewed Div 2 Allocated Div 2 Reviewed SJR Divisional Allocation v Reviewed Sep 18 - Jan 19 Div 1 Allocated Div 1 reviewed Div 2 Allocated Div 2 Reviewed The identified allocations for the period Sep 18 to Jan 19 were 151 cases (up to 14th February 2019). Total completed reviews between Sep 18 and Jan 19 is 101. January data shows no completed SJR1 reviews returned the follow up process is to be revisited. Cases subject to SJR1 review are identified and will expect to be completed within 4 weeks of death if anyone of the criteria is satisfied: 1. LD deaths (identified on allocation) 2. Deaths in people with mental illness (identified on allocation) 3. Elective admissions (identified at times of allocation) 4. DATIX incident or complaints (identified at time of allocation) 5. 10% random selection of all other deaths (identified by Directorate) 6. Deaths directorate consider should be reviewed e.g. Unexpected deaths (identified by Directorate) The figures identify those cases that meet the criteria of points 1-4 for each specialty and where those specific cases have been reviewed or are outstanding. These are the minimum requirements for each speciality to complete. The position has improved in terms of numbers complete and will continue to improve once the ME role is embedded across the Trust to allow focus to move to learning and quality improvement. Page 5 of 26

9 Mortality Mortality Cont. *Estimates; to be replaced with published data once available Actions: The Patient Experience lead is in discussions regards a family liaison role as per the learning from deaths guidance around engaging families. A third audit of deceased patient records following death from sepsis or pneumonia has been undertaken and fed back to MRG. A system of quality audits of wards is in the final stages of development aimed at identifying risks for deterioration. Page 6 of 26

10 Mortality Mortality Cont. 30 SJR2 - Phases Judgements - Summary Phase 1 Admission Phase 2 Ongoing Care Phase 3 Care during Procedure Phase 4 Perioperative Care Phase 5 EoL Care Phase 6 Overall Care 1 - Very Poor 2 - Poor Care 3 - Adequate Care 4 - Good Care 5 - Excellent Care Of the 101 reviews undertaken in the period (Sep 18 to Jan 19), 10 identified as poor/very poor care. These will receive an independent review via the SJR2 process. The following overall themes have been identified following all SJR2 reviews:- End of life care - earlier intervention with specialist palliative care team to improve the care provided. Recognition of the deteriorating patient - initiation of Sepsis 6 could be improved along with identification of deteriorating patient. Safeguarding - improved knowledge of MCA/DoLs to improve care. Documentation - primary diagnosis unclear in patient record. All of the above themes are being managed via the Quality Improvement Programme for Mortality which is reported against separately. The above summary indicates at this stage that more detailed analysis of patient care through admission and on-going care should be considered to identify any further themes. All directorate packs have been circulated for each mortality lead to provide a summary of learning. The responses to these are awaited. Page 7 of 26

11 Maternity - Emergency C-Section Rate Late Patient Moves after 10pm Quality 12,000 Late Patient Moves after 10pm 400 Of the 376 patients moved after 10pm; 297 (79%) were moved from AMU onto a ward as part of normal process, and 79 (21%) patients were moved between wards. The themes identified are: Capacity Outlying patients to create capacity Clinical need 10,000 8,000 6,000 4,000 2, Actions: Action plan currently in development. After 10pm ED Admissions All Admissions ED >4 hour Breaches 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Maternity - Emergency C-Section Rates Themes: Restrictions on booking numbers have been successful thus far with end of calendar year birth rate figures slightly over for commissioned births of 5,000 - end of year total was 5,025. An audit into emergency C-section rates has been completed and has indicated that RWT is not an outlier in terms of national total rates. Actions: Monitoring of booking numbers continues with a review on booking restrictions in the spring. The maternity dashboard has been reviewed and following the latest national data from NHS digital HES data 2017/18 the maternity service will be altering tolerance indicators s to reflect the national levels for Caesarean section rate. Total C/S rates 29%, new tolerances will be; Emergency rates = 16.0%, Elective rates 13.0%. These changes will occur in April Actual Target Page 8 of 26

12 HCAI Complaints Quality cont Complaints Number of complaints as a % of admissions 0.50% 0.45% 0.40% 0.35% 0.30% 0.25% 0.20% 0.15% 0.10% 0.05% 0.00% Themes: General care of patient (17.28%) Communication (16.05%) Delay in receiving outpatient appointment (14.81%) - The category of delay in receiving an outpatient appointment has seen further improvement (January x 12, December x 14 and November x 20), this could be attributed to effective communication between staff and patients. In particular Elderly Medicine and Obstetric & Gynaecology wards saw an increase in the number of complaints this month for both services. The main themes were general care of patient, attitude or communication. Actions: The Patient Experience Team to include outpatients in their outreach schedule to gain real time feedback from service users around appointments. Elderly Medicine and Obstetric & Gynaecology Directorates to review individual action plans and monitor for trends. Number of complaints received Themes: E.coli bacteraemia numbers are within the improvement trajectory. Actions: The Community Continence Service has commenced the reviewing of patients from the VI practices who were discharged with a urinary catheter (regarding Gram negative bacteraemia reduction). The multi agency action plan continues E.coli Page 9 of 26

13 % VTE Risk Assessment Quality cont 97.00% 96.00% 95.00% 94.00% 93.00% 92.00% 91.00% 90.00% 89.00% VTE Risk Assessments Actual % VTE Assessment Target % VTE Assessment Themes: During January elective activity returned to normal, however, the Trust experienced an increase in emergency admissions and obstetric admissions. Actions: Increased ward visits from mid-january (additional support from anticoagulation services). Medical Director to send a Trust wide regarding a focus on VTE risk assessment. Paediatric increased ward visits has commenced. This has identified some patients who are under the care of general surgery, urology or Maxillo Facial teams whilst in paediatric areas. A reminder has been sent to all surgical/theatre teams regarding paper risk assessments for under 16 year olds in paediatric areas. Paper assessments have also been supplied to ED as some patients within this group are admitted from ED to theatre before going onto the ward. Page 10 of 26

14 Friends and Family Test - Recommendation and Response Rates Quality cont FFT Response Rates (Trust Wide - Excluding ED) 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 96.0% 95.0% 94.0% 93.0% 92.0% 91.0% FFT Recommendation Rates (Trust Wide - Excluding ED) RWT England RWT England 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% FFT Response Rates (Emergency Department) 90.0% 88.0% 86.0% 84.0% 82.0% 80.0% 78.0% FFT Recommendation Rates (Emergency Department) RWT Target England RWT England The Trust remains above the national average for ED, Outpatients and Births in terms of recommendation rates. Response rates are consistent with the previous two months (response rate 20% and recommendation rate 93%). Actions: Review of Matrons/Ward Managers access to Envoy to be undertaken. Matrons/Ward Managers to log onto Envoy to view comments from patients to enable proactive action to be taken in order to increase recommendation rates. Page 11 of 26

15 Safety Thermometer Quality cont Pressure Injury Prevalence New Old Falls Causing Harm 0.50% 0.40% 0.30% 0.20% 0.10% 0.00% Catheters & UTI's 0.40% 0.30% 0.20% 0.10% New VTE's 0.00% Catheters UTI's Catheters New UTI's 97.50% 97.00% 96.50% 96.00% 95.50% 95.00% 94.50% 94.00% 93.50% Safety Thermometer - Harm Free Care Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Actual Target Page 12 of 26

16 Safer Staffing Quality cont Safer Staffing 82% of wards achieved 80% or higher fill rate for registered nurses on days which is an 11% improvement from the previous month. Night fill rates for registered nurses remains a challenge with 62% of wards achieving 80% or higher fill rate, this is a 3% improvement on the previous month. The shortfall on nights particularly has been mitigated by providing additional Healthcare Assistants to support the registered nurses and meet the needs of the patients. High percentage fill rates for HCA's reflect cover where registered nurses cannot be recruited or there is high acuity of patients. Actions: Recruitment events are planned for February and March 2019, including attending the RCN career event on 12th March in Birmingham. Interviews for International and UK Clinical Nursing Fellowship programme continue. Finalisation of procurement contract for overseas recruitment will occur February. Care hours per patient day (CHPPD) Care hours per patient day is monitored via the nursing quality dashboard, alongside other nurse sensitive indicators on a monthly basis. Adult inpatient wards range between Critical care/neonatal units range between There is currently no nationally agreed CHPPD score for specialities. Page 13 of 26

17 PERFORMANCE - EXECUTIVE SUMMARY Referral to Treatment - Incomplete - Performance saw deterioration during January. This is a knock on effect from reduced activity over the bank holiday period and patients choosing to prolong their waits until the new year. We continue to focus on reducing the backlog where possible and work closely with Directorates to use all available capacity effectively. Diagnostics - This target has shown slight improvement during January 2019, however, we have seen an increase of cardiac referrals into Radiology for CT and MRI Heart. The radiology department is working closely with the Cardiac Directorate to utilise scan capacity and in addition to this extra capacity has been made available during February and March 2019 to help reduce the backlog. Emergency Department - The Trust failed to achieve both Type 1 and the All Types target for the month. There was one patient who breached the 12 hour decision to admit target during the month of January. This was a child waiting for a PICU bed. Ambulance handover saw a deterioration during January 2019 for both the minutes and the >60 minute target compared with the previous month. We continue to see a rise of ambulance conveyances into the Trust, receiving an additional 524 (11.17%) during January 2019 compared with the same period last year. This equates to an additional 17 ambulances per day or the equivalent of 3.5 days extra activity. Cancer - We are currently predicting possible failure of the 2 week wait, 2 week wait Breast Symptomatic, 31 Day First Treatment, 31 Day Sub Surgery, 31 Day Sub Radiotherapy, 62 Day wait for First Treatment, 62 Day Screening and 62 Day Consultant Upgrade for January, validation is ongoing. Final cancer data is uploaded nationally 6 weeks after month end. Specific actions are:- Model impact on RWT on the interactions of Gynae oncology service following transition from SWBH/UHB. Improve quality and timeframe of tertiary referrals. CCG to support GP's to improve referrals into the Trust. Continued support from the Intensive Support Team. Page 14 of 26

18 Performance Dashboard Waiting Times Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 RTT - % of patients on an incomplete pathway 92% 90.25% 90.37% 90.13% 90.40% 90.62% 90.94% 90.94% 90.98% 90.84% 90.89% 90.80% 90.76% 90.05% RTT - number of patients waiting over 52 weeks Diagnostic Test - % of patients waiting 6 weeks or more <1% 0.76% 0.84% 0.80% 0.83% 0.82% 0.74% 0.95% 0.97% 2.38% 3.75% 2.71% 1.86% 1.74% Urgent Care Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Total time spent in ED (4 hours) - New Cross Hospital 95% 73.80% 76.08% 74.57% 84.09% 90.27% 85.55% 86.06% 89.33% 86.83% 86.91% 82.73% 87.85% 80.69% Total time spent in ED (4 hours) - Phoenix Walk in Centre 95% % % % % % % % % % % % % % Total time spent in ED (4 hours) - Cannock Minor Injuries Unit 95% % % % % % % % % % % 99.92% 99.92% % Total time spent in ED (4 hours) - Vocare 95% 93.90% 96.29% 96.02% 98.56% 98.42% 98.48% 98.73% 98.61% 98.62% 97.47% 95.68% 96.46% 96.33% Total time spent in ED (4 hours) - Combined 95% 84.73% 86.27% 85.08% 90.81% 94.16% 91.29% 91.58% 93.51% 91.82% 91.80% 89.15% 92.44% 88.23% Trolley waits in ED longer than 12 hours Ambulance handover breaches minutes Ambulance handover breaches - >60 minutes % of emergency admissions via Emergency Department Surveillance 19.51% 17.86% 18.82% 18.75% 18.01% 18.70% 18.63% 18.91% 18.38% 19.09% 18.68% 19.65% 18.07% Cancer Waiting Times Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 2 Week Wait - Cancer Referrals 93% 90.78% 93.97% 91.52% 79.03% 80.68% 84.07% 89.01% 86.64% 84.76% 87.63% 85.98% 82.38% 80.77% 2 Week Wait - Breast Symptomatic Referrals 93% 93.33% 94.50% 88.33% 42.02% 48.03% 69.61% 73.91% 74.77% 66.67% 85.22% 64.42% 59.65% 66.67% 31 Day to First Treatment 96% 96.36% 97.22% 96.36% 91.79% 92.21% 93.28% 94.04% 90.37% 86.96% 92.92% 85.08% 90.82% 84.04% 31 Day Sub Treatment - Anti Cancer Drug 98% % % % % % % % % % % % % 98.00% 31 Day Sub Treatment - Surgery 94% 71.70% 84.38% 84.21% 89.47% 88.00% 82.14% 80.56% 75.76% 78.79% 72.55% 71.43% 59.26% 57.14% 31 Day Sub Treatment - Radiotherapy 94% 98.06% % 94.63% 96.15% 93.86% 88.64% 69.29% 82.58% 89.08% 93.15% 85.83% 95.28% 80.62% 62 Day Wait for First Treatment 85% 70.18% 67.88% 74.76% 69.89% 62.38% 65.17% 60.81% 58.57% 56.88% 75.36% 60.43% 67.02% 59.02% 62 Day Wait - Screening 90% 60.00% 91.67% 72.41% 73.68% 87.50% 75.00% 86.67% 88.57% 66.67% 71.88% 81.48% 88.89% 73.91% 62 Day Wait - Consultant Upgrade (local target) 88% 90.82% 88.41% 90.21% 92.25% 88.24% 90.20% 81.01% 74.47% 80.79% 86.13% 78.34% 82.58% 71.43% Stroke Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Patients admitted with primary diagnosis of stroke should spend greater than 90% of their hospital stay on a dedicated stroke unit 80% 80.00% 86.80% 95.10% 94.00% 93.00% 89.00% 95.00% 87.00% 82.00% 88.50% 96.00% 96.00% 99.00% High risk patients will be assessed and treated within 24 hours 60% 71.40% 69.10% 69.00% 78.00% 81.00% 77.00% 81.00% 92.00% 83.00% 80.80% 96.00% 87.00% 97.00% Organisational Efficiency Target Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Theatre Utilisation (Trust Wide) 90% 86.00% % 89.00% 84.00% 94.00% 80.00% 84.00% 95.00% 91.18% 91.00% 90.30% 90.73% 88.99% NHS E-referral - Sufficient appointment slots <10% 17.22% 20.35% 18.62% 21.72% 27.05% 36.22% 23.27% 19.61% 20.03% 28.27% 21.58% 20.90% Delayed Transfers of Care - All <4% 2.56% 3.09% 3.48% 3.38% 2.36% 2.68% 2.98% 3.63% 4.24% 2.91% 3.17% 2.79% 2.90% Delayed Transfers of Care - Excluding social care delays <2% 1.02% 1.30% 1.48% 0.92% 0.77% 0.82% 0.97% 1.26% 1.75% 0.85% 0.84% 1.10% 1.06% Page 15 of 26

19 Diagnostic Tests - 6 week wait Referral to Treatment - Incomplete Performance Themes: Patient choice extending pathways. Capacity issues at sub-specialty level. Actions: Monthly prediction reports circulated to Managers and Waiting list detailing expected activity numbers and priority patients Continue to monitor specialties against individual trajectories. On-going validation of all patients >18 weeks and training issues/errors picked up Additional sessions being undertaken in some specialties during quarter 4 to help to reduce the overall backlog % 92.00% 91.00% 90.00% 89.00% 88.00% 87.00% 86.00% 85.00% RTT - Incomplete Actual Target 4.00% 3.00% Diagnostic - 6 week wait Themes: Gastroscopy, Colonoscopy and Flexi Sigmoidoscopy are now booking back within standard. However, we have seen an increase of cardiac referrals into radiology for CT and MRI Heart. 2.00% 1.00% 0.00% Actual Target Actions: The radiology department is working closely with the Cardiac Directorate to utilise scan capacity and in addition to this extra capacity has been made available during February and March 2019 to help reduce the backlog. Endoscopy - Daily monitoring of lists continues to ensure capacity is fully utilised. Flexing of lists to ensure specific demand is continually being met. Page 16 of 26

20 Ambulance Handover Emergency Department Performance cont Themes: Continued increase of attendances through ED in month (9.14%) compared with same period last year, this continues to be linked to the on-going rise in ambulance conveyances that we experienced in January Actions: WMAS are in discussion about the implementation of 'Intelligent Conveyances' between hospitals % 93.00% 88.00% 83.00% 78.00% Total Time Spent in ED (4 hours) Actual Target Ambulance Handover Breaches (30-60 minutes) 240 ambulances breached the minute ambulance handover target during January compared with 199 for the same period last year. 24 ambulances breached the >60 minutes handover target during the month compared with 66 for the same period last year Ambulance Handover Breaches (over 60 minutes) The longest waiting ambulance during the month was recorded at 2 hours and 52 minutes. This was on 18th of the month when we had 162 ambulance conveyances and a total of 395 attendances on the day. The average daily number over the rest of the month were 151 ambulances and 397 attendances. Page 17 of 26

21 Ambulance Conveyances Performance cont 250 Stroke (Ambulances into NX) 5,000 Ambulance Conveyance Numbers ,000 3,000 2,000 1, / /19 RWT Dudley City & Sandwell Walsall Q1 Q2 Q3 2018/ / /19 Jan 2017/18 11,714 11,320 12,168 4, /19 11,860 12,081 13,236 4,690 Diff , % Var 1.23% 6.30% 8.07% 11.17% 2017/18 9,874 9,874 10,711 3, /19 10,253 10,386 11,162 4,015 Diff % Var 3.70% 4.93% 4.04% 8.04% 2017/18 13,335 13,467 14,271 4, /19 13,687 14,020 14,603 5,062 Diff % Var 2.57% 3.94% 2.27% 6.26% 2017/18 8,067 7,819 8,732 2, /19 8,115 8,146 8,949 3,094 Diff % Var 0.59% 4.01% 2.42% 5.37% In the graph above it is noted that January saw a continuation in the upward trend in the number of ambulance conveyances into the Trust with an additional 524 (11.17%) during the month. Year to date there has been an overall rise in numbers of 2,499 (5.97%). The tables to the left show the number of ambulance conveyances into RWT and surrounding Trusts and the variance compared with the same period last year. Page 18 of 26

22 Attendances Admissions Emergency Admissions via ED Performance cont 20.50% 20.00% 19.50% 19.00% 18.50% 18.00% 17.50% 17.00% 16.50% 16.00% 15.50% % of Emergency Admissions via ED Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 2018/ /18 2,500 2,000 1,500 1, Number of Emergency Admissions via ED Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 2018/ /18 Emergency Admissions via ED vs. ED Attendances 13,800 2,500 11,800 9,800 7,800 5,800 3,800 1,800 2,000 1,500 1, These graphs show the admission rates and numbers of patients who are admitted via the Emergency Department compared with the same period last year. At the end of month ten we have seen and additional 2,877 attendances in ED compared with last year, and an increase of 590 emergency admissions (2.74%) in the same period. ED Attendances Admissions via ED Page 19 of 26

23 Cancer Waiting Times Performance cont Themes: The breaches in month were as follows: % due to internal issues (capacity) 17.88% due to patient choice. 9.41% due to complexity of case 5.65% were tertiary referrals received between days 32 and 221 of the patient pathway. Of the tertiary referrals received 6 (25%) were received before day 40 of the pathway, and 9 (38%) were received on or after day 62 of the patient pathway. Actions: Continued support from the Intensive Support Team. Patients over 104 days - Following December 2018 month end final upload, 15 patients were treated at 104+ days on a cancer pathway during the month, all of these patients had a harm review and no harm was identified. Tumour Site Breast Colorectal Gynaecology Haematology Head & Neck Lung Skin Upper GI Urology Total Total Pts Breaches % % % % % % % % % % % Average Cancer Waiting Times by tumour site The following table shows the average wait time of all patients who were treated on a 62 day pathway within the month they are treated - this is shown by cancer tumour site and shows; of the patients who were treated in month the average waiting time in days. Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Breast Colorectal Gynae Haem H&N Lung Skin Upper GI Urology Page 20 of 26

24 Theatre Utilisation Performance cont Total Specialty Available Sessions 110.0% 90.0% 70.0% 50.0% Cancelled Sessions % of Utilisation - Jan 2019 Cardiothoracic - New Cross Theatre Utilisation Trend from Previous Cardiothoracic % ENT % Maxillo Facial % Urology % Orthopaedics Nx % Ophthalmology % General Surgery % Gynaecology % Orthopaedics CCH % The table to the left shows what percentage of available theatre sessions were actually used during the month of January and the trend compared with the previous month. The top 3 reasons for cancelled sessions during the month were:- 1) Consultant Leave 2) Consultant on call 3) Consultant in clinic In addition to this the individual graphs below demonstrate, of the theatre sessions that were used how much theatre time was utilised during the same period % 90.0% 80.0% 70.0% 60.0% 50.0% Ear, Nose & Throat - New Cross Theatre Utilisation Actual Target Actual Target 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% General Surgery - New Cross Theatre Utilisation 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% Gynaecology - New Cross Theatre Utilisation Actual Target Actual Target Page 21 of 26

25 Theatre Utilisation Performance cont 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% Maxillo Facial - New Cross Theatre Utilisation 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% Ophthalmology - New Cross Theatre Utilisation Actual Target Actual Target 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% Orthopaedic - New Cross Theatre Utilisation 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% Urology - New Cross Theatre Utilisation Actual Target Actual Target 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% Orthopaedic - Cannock Chase Theatre Utilisation Actual Target Utilisation is below target in a number of specialties due to reduction in elective operating during the first week of January due to Human Factors training and Consultant vacancies. OTEG work plan for the forthcoming year is in the final stages of development following recent workshops and will include an assessment/action against opportunities identified in the recent NHSI publication in February Continued over performance against stretched plan of 618k (day case/elective only) in month. Page 22 of 26

26 INTEGRATED CARE - EXECUTIVE SUMMARY Sexual Health: Recruitment is underway for a Clinical Nurse Specialist in Sexual Health/HIV. This role will support the delivery of HIV targets as well as the wider sexual health targets. The percentage of tests being offered to the appropriate cohort of patients has increased whilst the percentage of test uptake has seen a slight drop. Emergency Admissions: The Community Transformation Team are now in post, scoping is underway to form a baseline of the current services. The first Community Transformation Workshop has taken place with key stakeholders present, which formed part of the launch of the Community Transformation Programme Health Visitors: The percentage of mothers who received a first face- to- face antenatal contact with a Health Visitor was on plan in December. In addition the percentage of infants who receive a face to face New Birth Visit (NBV) within 14 days from birth, by a Health Visitor was also on plan as well as the percentage of infants who receive a face to face New Birth Visit (NBV) within 14 days from birth, by a Health Visitor. GP Appointments: Across the service there are on average 49 appointments being offered per 1,000 patients in comparison to the Royal College of General Practitioners suggested target of 45 per 1,000 patients. In addition there are 37 other (includes nursing and other health professionals) appointments being delivered compared to the RCGP target of 27. A Demand and Capacity review alongside a review of all job plans is underway to identify potential additional capacity within the service. Page 23 of 26

27 Integrated Care Dashboard Sexual Health (Quarterly) Target Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Total number of appointments against block contract 4,500 per Qtr 4,777 4,733 4,837 % appropriate patients offered HIV test (reported 1 month in arrears) 95% 58.20% 50.44% 73.12% Community Nursing (Rapid Intervention Team) Target Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Referrals received Surveillance Patients accepted and seen (actuals) Surveillance Number of patients sent to ED or admitted to hospital by RITs (Including accepted patients and patients who have been telephone triaged and an Surveillance emergency ambulance advised) % of referred patients who are sent to ED/admitted Surveillance 10.1% 11.1% 8.0% 7.8% 7.5% 7.5% 9% 9% 8.4% 6.3% Number of referral from West Midlands Ambulance Service Surveillance Health Visiting (reported 1 month in arrears) Target Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 % of infants who receive a face to face New Birth Visit (NBV) within 14 days from birth, by a Health Visitor 93% 92.00% 89.24% 89.93% 88.72% 88.85% 90.59% 94.12% 93.96% 92.73% % of children who receive a 6-8 week review 82.5% 73.14% 77.43% 69.06% 87.22% 74.52% 82.75% 82.70% 73.58% 85.82% 0-19 School Nursing (reported 1 month in arrears) Target Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 % of health assessment or carried out at school entry 95% 68.00% 73.00% 83.00% 92.00% 99.00% 0.00% 0.00% 0.00% 0.06% % of health assessment or carried out at year 6 95% 68.00% 73.00% 83.00% 98.00% 98.00% 2.00% 21.24% 35.41% 8.50% Primary Care (Appointments per 1,000 patients) Target Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Total appointments - all VI practices GP appointments - all VI practices Other appointments - all VI practices Page 24 of 26

28 Primary Care Integrated Care Emergency Admissions per 1,000 Patients The graph to the right illustrates the number of Emergency admissions per 1,000 Vertical Integration (VI) patients per month. It can be seen that the average post VI integration figure of 7.73 is lower than the average pre VI figures of VI Emergency Admissions per 1,000 patients Pre VI Average Post VI Average Emergency Admissions per 1,000 patients - VI vs Non VI VI Emergency Admissions per 1,000 patients Non VI Emergency Admissions per 1,000 patients The graph to the left shows compares VI practices to Non VI practices in terms of ED attendances per 1,000 patients and it can be seen that VI practices overall have lower emergency admissions. In actual terms, there are on average 400 emergency admissions (over last 12 months) per month across all VI practices, the reduction in emergency admissions post VI integration equates to approximately 40 admissions per month. Page 25 of 26

29 Primary Care Integrated Care cont GP Appointments per 1,000 patients - by VI Practice GP Practice Alfred Squire Coalway Road Lea Road Penn Thornley West Park Warstones Ettingshall Lakeside VI Total Target Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan These 2 tables show the number of appointments offered to patients each month by the VI practices, split by GP and other. Targets are taken from Royal College of GP's recommended weekly targets and have been converted into monthly targets. Other Appointments per 1,000 patients - by VI Practice GP Practice Alfred Squire Coalway Road Lea Road Penn Thornley West Park Warstones Ettingshall Lakeside VI Total Target Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan Page 26 of 26

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Health Board Report INTEGRATED PERFORMANCE DASHBOARD

Health Board Report INTEGRATED PERFORMANCE DASHBOARD AGENDA ITEM 4.4 2 nd March 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact

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

Quality Improvement Scorecard November 2017

Quality Improvement Scorecard November 2017 Mortality: HSMR Performance remained below target in July Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday) vs. HSMR

More information

Quality Framework Healthier, Happier, Longer

Quality Framework Healthier, Happier, Longer Quality Framework 2015-2016 Healthier, Happier, Longer Telford & Wrekin Clinical Commissioning Group (CCG) makes quality everyone s business. Our working processes are designed to ensure we all have the

More information

Quality Improvement Scorecard December 2017

Quality Improvement Scorecard December 2017 Mortality: HSMR Performance improved in August Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday) vs. HSMR (weekend)

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

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

Overall rating for this trust Good. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective?

Overall rating for this trust Good. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective? Barnsley Hospital NHS Foundation Trust Inspection report Gawber Road Barnsley South Yorkshire S75 2EP Tel: 01226 730000 www.barnsleyhospital.nhs.uk Date of inspection visit: 17 to 19 October, 15 to 17

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

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

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

QUALITY REPORT. Part A Patient Experience

QUALITY REPORT. Part A Patient Experience QUALITY REPORT Part A Patient Experience 1 Number of complaints Complaints and Patient Advice and Liaison Report 40 Total number of complaints received 30 20 10 Number of complaints received Trendline

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

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

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

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

Quality Improvement Scorecard February 2017

Quality Improvement Scorecard February 2017 Mortality: HSMR Nat Performance continued to improve into Q3 2016/17. NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday)

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

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

Integrated Quality Report

Integrated Quality Report Integrated Quality Report Data provided by Patient Services and the Clinical Governance and Risk Department June 2018 Included this month: Health-care Associated Infections Patient Falls Pressure Ulcers

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S REPORT. BOARD OF DIRECTORS 21 st March 2012

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S REPORT. BOARD OF DIRECTORS 21 st March 2012 SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST I CHIEF EXECUTIVE S REPORT BOARD OF DIRECTORS 21 st 212 1. PERFORMANCE In overall terms, the Trust continues to perform well against both regulatory and

More information

Quality Improvement Scorecard March 2018

Quality Improvement Scorecard March 2018 Mortality: HSMR Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Performance further improved in October. November data not yet available. Mortality:

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

Hard Truths Public Board 29th September, 2016

Hard Truths Public Board 29th September, 2016 Hard Truths Public Board 29th September, 2016 Presented for: Presented by: Author Previous Committees Governance Professor Suzanne Hinchliffe CBE, Chief Nurse/Deputy Chief Executive Heather McClelland

More information

Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone Fax

Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone Fax Agenda Item Meeting of Lanarkshire NHS Board 25 February 2009 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.co.uk WAITING TIMES 1.

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

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

Integrated Quality and Performance Report

Integrated Quality and Performance Report Integrated Quality and Performance Report Agenda Item No: 12.1 The Royal Wolverhampton NHS Trust Meeting Date: 28 th April 214 Trust Board Report Title: Executive Summary: Action Requested: Report of:

More information

Learning from Deaths Policy LISTEN LEARN ACT TO IMPROVE

Learning from Deaths Policy LISTEN LEARN ACT TO IMPROVE Learning from Deaths Policy LISTEN LEARN ACT TO IMPROVE EQUALITY IMPACT The Trust strives to ensure equality and opportunity for all, both as a major employer and as a provider of health care. This policy

More information

Delivering Improvement in Practice

Delivering Improvement in Practice v Delivering Improvement in Practice NHS Providers Governance Conference 7 July 2016 Sir Mike Aaronson Chairman, Frimley Health NHS Foundation Trust 2006-2016 Frimley Health FT Comprises: Frimley Park

More information

Quality Improvement Scorecard June 2017

Quality Improvement Scorecard June 2017 Mortality: HSMR Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Performance remained below target in February. Mortality: HSMR (weekday) vs.

More information

Open and Honest Care in your Local Hospital

Open and Honest Care in your Local Hospital Open and Honest Care in your Local Hospital Report for: Royal Wolverhampton NHS Trust January 2016 The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent

More information

Board of Director s Meeting

Board of Director s Meeting Board of Director s Meeting Meeting Date: 15 November 212 Agenda item: 6.1 Title: Purpose: Summary: Recommendation: Author: Presented by: QUALITY AND PATIENT SAFETY ASSURANCE COMMITTEE To provide an exception

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST BOARD HELD ON 18 NOVEMBER 2015

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST BOARD HELD ON 18 NOVEMBER 2015 SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST BOARD HELD ON 18 NOVEMBER 2015 Subject: Supporting TEG Member: Authors: Status 1 Data Quality Baseline Assessment

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

The Royal Wolverhampton NHS Trust

The Royal Wolverhampton NHS Trust Title: Safe Staffing; Planned Versus Actual Staffing by Ward September 2016 data The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 31 st October 2016 Title: Nursing Workforce Report Executive

More information

Warrington and Halton Hospitals NHS Foundation Trust Quality Report

Warrington and Halton Hospitals NHS Foundation Trust Quality Report Warrington and Halton Hospitals NHS Foundation Trust Quality Report 2016-2017 Contents Part 1 Statement of Quality from the Chief Executive 7 Part 2 Improvement Priorities & Statement of Assurance from

More information

Report to: Trust Board 25 th April Enclosure 4. Title Integrated Performance Report March Sponsoring Executive Director

Report to: Trust Board 25 th April Enclosure 4. Title Integrated Performance Report March Sponsoring Executive Director Report to: Trust Board 25 th April 2013 Title Integrated Performance Report March 2013 Enclosure 4 Sponsoring Executive Director Author(s) Purpose Previously considered by Peter Herring Chief Executive

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

INTEGRATED PERFORMANCE REPORT

INTEGRATED PERFORMANCE REPORT 1 North Bristol NHS Trust INTEGRATED PERFORMANCE REPORT January 2018 (presenting December 2017 data) CONTENTS 2 CQC Domain / Report Section Sponsor / s Page Number Performance Dashboard and Summaries Director

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

Dartford and Gravesham NHS Trust. Susan Acott Chief Executive

Dartford and Gravesham NHS Trust. Susan Acott Chief Executive Dartford and Gravesham NHS Trust Susan Acott Chief Executive A First in Kent Retired policeman Richard Oliver aged 59 was the first patient to be fitted with the EMBLEM, Subcutaneous Implantable Cardiac

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

DELIVERING THE LONDON QUALITY STANDARDS AND 7 DAY SERVICES

DELIVERING THE LONDON QUALITY STANDARDS AND 7 DAY SERVICES Enclosure I DELIVERING THE LONDON QUALITY STANDARDS AND 7 DAY SERVICES Trust Board Meeting Item: 13 Date: 25 th May 2016 Purpose of the Report: Enclosure: I To update the Board on the Trust s current performance

More information

TRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality

TRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality TRUST BOARD Document Title: Presenter: Quality Report Jo Hunter, Deputy Chief Nurse Authors: Contact details for further information: Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director Jo Hunter,

More information

Safer Nursing and Midwifery Staffing Recommendation The Board is asked to: NOTE the report

Safer Nursing and Midwifery Staffing Recommendation The Board is asked to: NOTE the report To: Board of Directors Date of Meeting: 26 th July 20 Title Safer Nursing and Midwifery Staffing Responsible Executive Director Nicola Ranger, Chief Nurse Prepared by Helen O Dell, Deputy Chief Nurse Workforce

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

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

Quality Improvement Scorecard December 2016

Quality Improvement Scorecard December 2016 Mortality: HSMR Nat The improvement in performance has been maintained in year. NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the average of Apr-15 to Mar-16. Mortality: HSMR (weekday)

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 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

Performance Improvement Bulletin

Performance Improvement Bulletin SPECIAL DELIVERY UNIT/ NATIONAL TREATMENT PURCHASE FUND Issue No.1 08/12 Performance Improvement Bulletin Featured Work underway - Maximum Waiting Time Targets 2 Case Study No. 1 Galway & Roscommon University

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

Annual General Meeting 17 September 2014

Annual General Meeting 17 September 2014 Annual General Meeting 17 September 2014 Quality Accounts Mike Wright Executive Director of Nursing & Patient Experience Director of Infection Prevention and Control Quality Account 2013/14 2013/14 in

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

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

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

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

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

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008)

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1. Trust Profile STATEMENT OF PURPOSE August 2015 Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1.1 Worcestershire Acute Hospitals NHS Trust was formed on 1

More information

Learning from Deaths; Mortality Review Policy

Learning from Deaths; Mortality Review Policy Learning from Deaths; Mortality Review Policy Version: 4.0 New or Replacement: Replacement Policy number: CESC/2012/066 (Version 4) Document author(s): Executive Sponsor: Non-Executive Sponsor: Title of

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

TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013

TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 1. EXECUTIVE SUMMARY As reported to the Board last month, the reporting on safety and quality to the Trust Board has changed. Each month a summary

More information

Complaints Report. Quarter 1, 2014/2015

Complaints Report. Quarter 1, 2014/2015 Complaints Report Quarter 1, 2014/2015 (1 st April 30 th June 2014) Authors: Tanya Tofts, Patient Support and Complaints Manager Chris Swonnell, Head of Quality (Patient Experience and Clinical Effectiveness)

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

Paper 8 DECISION NOTE. Recommendation

Paper 8 DECISION NOTE. Recommendation Paper 8 Recommendation DECISION NOTE Reporting to: The Trust Board is asked to: Discuss the current performance in relation to key quality indicators as at the end of August 20 Consider the actions being

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

FOR: Information Assurance Discussion and input Decision/approval

FOR: Information Assurance Discussion and input Decision/approval Nursing & Midwifery (N&M) Establishments Trust Board Meeting - Part 1 Item: 7.4 27 th November 2013 Enclosure: F Purpose of the Report: This paper sets out the Trusts current approach to nurse establishment

More information

Executive Workforce Report

Executive Workforce Report Executive Workforce Report (v2) Safe & Effective Kind & Caring Exceeding Expectation Agenda Item No: 9.3 The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 27 th November 2017 Title: Executive

More information

Quarter /13 Quality Account (Quality and Safety)

Quarter /13 Quality Account (Quality and Safety) Airedale NHS Foundation Trust Board of Directors:23 rd January 213 Title: Quarter 2 212/13 Quality Account (Quality and Safety) Author: Alison Fuller, Assistant Director Healthcare Quarter 2 212/13 Quality

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

102/14(ii) Bridgewater Board Date. Thursday 5 June Agenda item. Safe Staffing April 2014 Review

102/14(ii) Bridgewater Board Date. Thursday 5 June Agenda item. Safe Staffing April 2014 Review Bridgewater Board Date Thursday 5 June 2014 Agenda item 102/14(ii) Title Safe Staffing April 2014 Review Sponsoring Director Authors Presented by Purpose Dorian Williams, Executive Nurse/Director of Governance

More information

ESHT Our ambition to be outstanding by 2020

ESHT Our ambition to be outstanding by 2020 ESHT 2020 Our ambition to be outstanding by 2020 June 2018 1 Contents Page 3 Page 4 Page 6 Page 8 Background 2017/18 progress Vision, values and objectives CQC ratings Page 10 What we will have achieved

More information

SUMMARY REPORT TRUST BOARD 1 March 2018 Agenda Number: 07

SUMMARY REPORT TRUST BOARD 1 March 2018 Agenda Number: 07 SUMMARY REPORT TRUST BOARD 1 March 218 Agenda Number: 7 Title of Report Accountable Officer Author(s) Purpose of Report Recommendation Consultation Undertaken to Date Signed off by Executive Owner Integrated

More information

TRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS

TRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS TRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 def Agenda Item: 10c PURPOSE PREVIOUSLY CONSIDERED BY Objective(s) to which issue relates * Risk Issues (Quality, safety, financial, HR, legal

More information