Period Standard Plan NNUH

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Osborne Fowler
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1 ational and local Quality measures Period Standard Plan UH Trend over 6 months orfolk & Suffolk HS FT Trend over 6 months orfolk Community Health and Care Ambulance Trust Trend over 6 months Preventing people from dying prematurely Positive experience of care nhancing quality of life for people with long term conditions nsuring that people have a positive experience of care Safe environment and protecting from avoidable harm Ambulance Cat A (8mins) orfolk Performance Mar-13 68% 68.50% Ambulance Cat A (8mins) Trust Target Mar-13 75% 69.55% Ambulance Cat A (19mins) Mar-13 95% 80.90% Ambulance Turnaround Mar-13 70% 45.00% Stroke % spending 90% of time on Stroke unit Mar-13 80% 70.80% Higher risk TIAs treated within 24hrs Mar-13 60% 60.00% Cancer 31 day first definitive treatment Mar-13 96% 97.00% 31 day subsequent treatment - surgery Mar-13 94% 94.80% 31 day subsequent treatment - drug Mar-13 98% 99.90% 31 day subsequent treatment - radiotherapy Mar-13 94% 98.70% 62 day standard Mar-13 85% 87.70% 62 day screening Mar-13 90% 97.60% 62 day upgrade Mar-13 90% % 2 week wait Mar-13 93% 97.80% Breast symptom 2 week wait Mar-13 93% 96.10% Mental Health IAPT - % entering treatment Mar IAPT - % of people moving to recover Mar-13 50% 52.5% Friends & Family (et Promoter) Jan-13 0% 70.00% TT Admitted Feb-13 90% 90.10% TT on-admitted Feb-13 95% 97.00% 99.2% TT Incompletes Feb-13 92% 93.50% Diagnostics - 6 weeks+ Feb-13 1% 0.40% A& waits <4h Mar-13 95% 87.70% Mixed -sex accomodation Mar MSA Mar MSA plan Plan 4 1 C.difficile Mar C.difficile plan Plan 51 9 VT Feb-13 90% 98.60% 94%

ational Target A& waits <4h D 100.00 98.00 96.00 94.00 92.00 90.00 88.00 86.00 84.00 82.00 A& waits < 4hrs 2011/12 95.97 96.62 96.

2 ational Target A& waits <4h D A& waits < 4hrs 2011/ / Commentary last updated on: 14th May 2013 A/ was subject to a contract query in March 2013, this has been worked on alongside the Project Domino, which HS orwich CC are playing a leading part. The trust managed to achieve the 95% target for the whole year.

Ambulance Provider ast of ngland Ambulance Service ational Target Ambulance CAT A8 minutes- orfolk performance 80.00 75.00 70.00 65.00 60.00 55.00 50.00 45.00 40.00 35.00 30.

3 Ambulance Provider ast of ngland Ambulance Service ational Target Ambulance CAT A8 minutes- orfolk performance Ambulance CAT A 8 minutes orfolk Performance 2011/ / Commentary last updated on: 14th May 2013 This is the orfolk target, within the 2012/2013 contract which was 68%. The trust managed to achieve this performance in March 2013, which was the first time in 2012/2013, hence the 62% for the full year. The trust continues to meet with the CC weekly and is a key partner in the Operation Domino.

4 Ambulance Provider ast of ngland Ambulance Service ational Target Ambulance CAT A- 8 minutes Trust D Ambulance CAT A8 minutes Trust Target 2011/ / Commentary last updated on: 14th May March overall performance for the trust across the ast of ngland. This also contributed to the Trust missing the overall target for the full year.

5 Provider ast of ngland Ambulance HS trust KPI Title: Ambulance CAT A19 minutes D Ambulance CAT A19 minutes 2011/ / Commentary last updated on: 14th May 2013 The above number continue to represent the orfolk figure for the contract year 2012/2013. The CC are working closely with the local Ambulance management teams in the capacity planning group and with Operation Domino of which they are a key representative.

6 Ambulance Provider ast of ngland Ambulance Service ational Target Ambulance Turnaround D Ambulance Turnaround Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 ov-12 Dec-12 Jan-13 Feb-13 Mar-13 YTD 2012/ Commentary last updated on: 14th May 2013 The above shows that Operation Domino and the work around this is key and HS orwich CC continue to play a key leading role in this, with the launch of "Domino 2" and the focus on this. 2013/2014 now has a number of contracual levers in it so the focus on pushing this performance up, and performance has increased this year already.

ational Target TT Admitted 100.00 TT Admitted 90.00 80.00 70.00 2011/12 89.77 88.86 92.32 90.34 89.27 90.65 91.

7 ational Target TT Admitted TT Admitted / / Commentary last updated on: 17th May 2013 UHFT are green for March performance, however the figure for the year remained red at This is mainly due to T&O, the trust has a contract query related to year performance.

Delivery Unit: UH KPI Title: TT on-admitted 99.00 TT on-admitted 98.00 97.00 96.00 95.00 94.00 93.00 2011/12 98.14 98.34 97.

8 Delivery Unit: UH KPI Title: TT on-admitted TT on-admitted / / Commentary last updated on: 17th May 2103 UH non admitted TT still continues to be green although a slight drop from last month; contracts team will be regularly meeting with the contracts team at the CSU to monitor performance.

ational Target % spending 90% of time on Stroke unit D 100 90 80 70 60 50 40 30 20 10 0 % spending 90% of time on Stroke unit 2011/12 64.77 73.08 68.60 70.37 73.08 81.69 78.41 79.00 81.82 82.02 77.

9 ational Target % spending 90% of time on Stroke unit D % spending 90% of time on Stroke unit 2011/ / Commentary last updated on: 14th May 2013 UH continue to have medical outliers in the stroke beds which effects flow in these beds. Contract manager for the CC now seeing the dashboard with the information behind these figures. Board to note the numbers behind March performance 76 patients with 59 achieving the standard.

Delivery Unit: UH KPI Title: Higher risk TIAs treated within 24hrs 90 80 70 60 50 40 30 20 10 0 Higher risk TIAs treated within

10 Delivery Unit: UH KPI Title: Higher risk TIAs treated within 24hrs Higher risk TIAs treated within 24hrs 2011/ / Commentary last updated on: 14th May 2013 The target remains green although a drop from February performance, the numbers behind these figures are there were 12 patients with 20 being treated within the 24 hours.

Acute Provider orfolk and Suffolk FT ational Target IAPT - umber of people entering treatment O S T A T U S 10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 IAPT - umber of people entering

11 Acute Provider orfolk and Suffolk FT ational Target IAPT - umber of people entering treatment O S T A T U S IAPT - umber of people entering treatment Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 ov-12 Dec-12 Jan-13 Feb-13 Mar-13 YTD 2012/ Commentary last updated on: 13 May 2013 The Trust missed the 2012/13 target of 13%, only achieving 10.8%. This will be raised with the provider and a contract query issued. The provider has already submitted an action plan to improve performance in January The plan was to implement a significant marketing campaign, trying to attract more people into the service. The plan was implemented in Febraury 2013; it included billboard advertising, adverts on buses and trains, radio adverts, local publicity events, sponsoring two orwich City FC games, introducing overtime hours for existing staff to work in evenings and at weekends. In order to record someone as having entered treatment the patient must attend two treatment sessions, these sessions can be anything up to 28 days apart and therefore the results of the plan are

entered treatment the patient must attend two treatment sessions, these sessions can be anything up to 28 days apart and therefore the results of the plan are unlikely to be seen until June and July

12 entered treatment the patient must attend two treatment sessions, these sessions can be anything up to 28 days apart and therefore the results of the plan are unlikely to be seen until June and July There is an added variable with the introduction of the Access and Assessment Service at the provider. The service receives all P IAPT referrals and triages them, sending some to IAPT and others to specialities in the provider. This is a potential interface issue and will need to be monitored. Delivery Unit: orfolk and Suffolk FT KPI Title: IAPT - % of people moving to recover IAPT - % of people moving to recover 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 ov-12 Dec-12 Jan-13 Feb-13 Mar-13 YTD 2012/ % 49.2% 46.1% 47.2% 42.6% 40.3% 41.8% 46.7% 42.0% 43.6% 46.7% 52.5% 45.3% Commentary last updated on: 13 May 2013 March 2013 performance for the orfolk area reached the target at 52%, although over the course of 2012/13 it averaged at 45.3%. A contract query was raised with the provider in February 2013 and the provider subsequently submitted an action plan. The provider has implemented a more robust triaging process to re-

13 with the provider in February 2013 and the provider subsequently submitted an action plan. The provider has implemented a more robust triaging process to realign referrals (patients with a high level of acuity/complexity) with more appropriate pathways in secondary mental health. They feel we are starting to see the results of this change but given many patients stay in service for 3-6 months we may not see a sustained recovery until the summer of 2013.

ational Target 31 day first definitive treatment 105.00 100.00 95.00 90.00 85.00 80.00 75.00 70.00 65.00 60.00 31 day first definitive treatment 2011/12 96.94 95.32 97.

14 ational Target 31 day first definitive treatment day first definitive treatment 2011/ / Commentary last updated

15 ational Target 31 day subsequent treatment - surgery day subsequent treatment - surgery 2011/ / Commentary last updated on:

16 ational Target 31 day subsequent treatment - drug day subsequent treatment - drug / / Commentary last updated on:

ational Target 31 day subsequent treatment - radiotherapy 101.00 100.00 99.00 98.00 97.00 96.00 95.00 94.00 93.00 92.00 91.00 31 day subsequent treatment - radiotherapy 2011/12 99.28 98.

17 ational Target 31 day subsequent treatment - radiotherapy day subsequent treatment - radiotherapy 2011/ / Commentary last updated on:

18 ational Target 62 day standard day standard 2011/ / Commentary last updated on:

ational Target 62 day screening 102.00 100.00 98.00 96.00 94.00 92.00 90.00 88.00 86.00 84.00 82.00 62 day screening 2011/12 93.48 95.45 89.74 91.89 94.44 91.

19 ational Target 62 day screening day screening 2011/ / Commentary last updated on:

ational Target 62 day upgrade 120.00 62 day upgrade 100.00 80.00 60.00 40.00 20.00 0.00 2011/12 66.67 100.00 100.00 83.33 80.00 66.67 100.00 100.00 100.00 75.

20 ational Target 62 day upgrade day upgrade / /

ational Target 2 week wait 100.0 99.0 98.0 97.0 96.0 95.0 94.0 93.0 92.0 91.0 90.0 2 week wait 2011/12 96.92 95.93 95.54 96.72 95.19 95.70 97.

21 ational Target 2 week wait week wait 2011/ / Commentary last updated on:

ational Target Breast symptom 2 week wait 100.

61 96.79 93.13 98.53 99.34 98.85 98.58 97.42 97.93 98.33 97.34 98.15 97.

22 ational Target Breast symptom 2 week wait Breast symptom 2 week wait / / Commentary last updated on:

ational Target Diagnostics > 6 weeks 3.50 3.00 2.50 2.00 1.50 1.00 0.50 0.00 Diagnostics > 6 weeks 2011/12 0.58 0.84 0.75 0.55 1.27 2.08 1.87 1.

23 ational Target Diagnostics > 6 weeks Diagnostics > 6 weeks 2011/ / Commentary last updated on: 30th ovember 2012

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