NHS FIFE - Balanced Scorecard 2012/13

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1 NHS FIFE - Balanced Scorecard 2012/13 Improving Health - 1 Patient & Staff Experience - 2 Planning for Service Improvement - 3 Delivery & Efficiency - 4 Smoking Cessation 01 Delayed Discharge 09 Stroke Services 07 Financial Performance National (HEAT) s Child Fluoride Varnish HAI 14 A & E Attendance Rate 14 Drug and Alcohol Waiting Times 06 Child Healthy Weight 12 Detect Cancer Early 15 CAMHS Waiting Times 10 Suicide Rate 13 Emergency Inpatient Bed Days 16 Environment 11 Ante-Natal Care 17 Psychological Therapies National (HEAT) Standards Alcohol Brief Interventions 06 Sick Absence Dementia Diagnosis 10 A & E Waiting Times 12 Cancer Waiting Times Weeks RTT 09 Childhood Immunisation Equality & Diversity Patient Safety Child Protection Health & Safety 06 Strategic Planning Local Priorities 08 Staff Governance 10 Improvement Programme 11 IVF 12 Planning for the Elderly 13 Early Years Planning Community Planning 12 Health & Wellbeing 14 Community Safety 18 Economy 15 Education & Skills Total NHS FIFE BALANCED SCORECARD FOR Page 1 of 18 ver

2 Alcohol Brief Interventions - we will aim to deliver 4,5 NS S Number of Interventions 1. National Standard: 01 NHS Boards and Alcohol and Drug Partnerships (ADPs) will sustain and embed alcohol brief interventions (ABI) in the three priority settings (primary care, A&E, antenatal), in accordance with the SIGN74 Guideline. In addition, they will continue to develop delivery of alcohol brief interventions in wider settings. Monitor / scope ABI activity in Primary Care, Antenatal and A & E settings Increase the activity in antenatal to compensate for any reduction in Primary Care ABIs Explore opportunities for the roll out of ABI activity across Community Services and by other disciplines in other settings Monitoring and review of training schedule in order to meet staff and departmental needs Equality and diversity training to ensure staff can identify barriers to getting the information from service users, thus ensuring they access necessary services Mary Porter KL CHP Smoking Cessation (SIMD) - we will aim to deliver 3,550 1-month smoking quits in the 40% most-deprived areas of Fife Mar-14 Number of Quits 1. National : 01 NHSScotland to deliver universal smoking cessation services to achieve at least 80,000 successful quits (at one month post quit) including 48,000 in the 40% most-deprived within-board SIMD areas over the three years ending March 2014 Identify and develop more primary and secondary care entry points to specialist smoking cessation service Improve lost to follow-up rates, data capture and increase activity from community pharmacies Monitor proportion of target from relevant SIMD quintiles and develop targeting as necessary Utilise NRT prescribing data to ensure cost effective prescribing of NRT and to support referral to smoking cessation services Eddie Coyle DWF CHP KL CHP Child Fluoride Varnish Applications (SIMD) - we will aim to give 60% of 3 and 4 year old children two applications of fluoride varnish per year Mar-14 % of 3/4 year olds receiving two applications of fluoride varnish (worst age/quintile) National : 01 Follow up child referrals with dentist to check attendance continuing, and investigate where attendance has not been maintained 1. At least 60% of 3 and 4 year olds in each SIMD quintile to have fluoride varnishing twice a year by March 2014 Ongoing education and support available to all GDPs and staff Aim to have 2/3 monthly checks on all dental practices accepting new patients, to ensure that information given to patients is as up to date as possible Introduction of a new Childsmile protocol in to help prevent loss of children to the programme through repeated consent fatigue Eddie Coyle GNEF CHP Assessment of Child Health Team data, referrals, reasons for referral and drop out rates to be undertaken 06 Identify and develop links to ethnic minority groups NHS FIFE BALANCED SCORECARD FOR Page 2 of 18 ver

3 Child Healthy Weight Interventions - we will aim to deliver 1,060 interventions Mar-14 Number of Interventions National : 01 Child healthy weight workers to work closely with families to improve accessibility of service and provide maximum opportunity to engage 1.06 To achieve 14,910 completed child healthy weight interventions over the three years ending March 2014 Ongoing monitoring of outcomes, with feedback from families undertaking the programme Discussions to take place to ensure to ensure both the sustainability of the service and how key components can be integrated into mainstream services Review staff contracts to ensure sustainability of service delivery Delivery of a targeted approach to most deprived quintiles, with outcome data available to assess success Susan Manion DWF CHP Childhood Immunisation - we will improve the NHS Fife uptake of MMR1 at Age 2, against the standard of 95% LP Mar-13 MMR1 Uptake, Age Local Priority: 01 NHS Fife will take action to ensure that the uptake of the MMR1 vaccine by children aged 2 improves against the national standard Ensure that we have a robust knowledge base of MMR uptake within Fife enabling us to identify and understand local trends and target support to GP practices as required Increase the uptake of MMR rates through health promotion and additional support to families that have not had their children immunised for MMR Eddie Coyle DWF CHP Suicide Rate - we will achieve a 20% reduction in suicide rate based on 20 figures Dec-13 Rate per 100, Population 1.10 Person-centred National : 01 Reduce suicide rate between 20 and 2013 by 20% The local multidisciplinary Choose Life Group will continue to deliver on the local evidence-based suicide prevention action plan which focuses on highrisk groups for suicide Choose Life publicity will focus on signposting those in high-risk groups for suicide to appropriate sources of help, and encouraging individuals to seek help early Eddie Coyle KL CHP NHS FIFE BALANCED SCORECARD FOR Page 3 of 18 ver

4 Ante-Natal Care - by March 2015, at least 80% of expectant mothers in the most deprived SIMD quintile will book for antenatal care by the 12th week of gestation Mar-15 % Bookings 1.11 National : 01 At least 80% of pregnant women in each NHS Board deprivation quintile will have booked for antenatal care by the 12th week of gestation by March 2015 so as to ensure improvements in breast feeding rates and other important health behaviours Ensure there is a system in place to continually review service performance and capacity Review the data fields in the SWHMR notes and engage with data coding staff to ensure that the correct data is recorded Explore with ehealth colleagues the possibility of amending a data field within the Oasis patient information system Investigate the possibility of hand held data entry devices for midwives Continue to work closely with GPs to ensure a consistent approach Susan Manion DWF CHP 06 Ensure the national maternity manpower tool is completed and that the results of this are considered Health & Wellbeing - TBD CP Mar-13 TBD Community Planning: 1.12 Eddie Coyle TBD Wording/scope to be agreed NHS FIFE BALANCED SCORECARD FOR Page 4 of 18 ver

5 Delayed Discharges - we will aim to achieve no waits over 4 weeks Apr-13 Number DD > 4 weeks Person-centred Person-centred National : 01 Monitor demand and adjust plans if required No people will wait more than 28 days to be discharged from hospital into a more appropriate care setting once treatment is complete, from April 2013; followed by a 14 day maximum wait from April 2015 Equality & Diversity - we will improve the of Healthcare Services through strict adherence to the principles of Equality & Diversity Local Priority: 01 Ensure service users are treated with dignity and respect, and that the principles of human rights and equality provide the foundation for delivery of the highest quality healthcare services Continue dialogue with Fife Council colleagues to monitor availability of Home Care staff Ensure coding is applied when patient complexity is an issue LP Mar-13 None at present Establish a model of engagement for all 9 strands of Equality & Diversity Demonstrate that Equality & Diversity groups have accessed health services Provide opportunities for staff to share existing good practice and lessons learned across services, to increase access to hard to reach groups Vicky Irons Susan Manion DWF CHP GNEF CHP KL CHP OD DWF CHP CRR 9 - Capacity Planning HAI - we will aim to reduce the rate of staphylococcus aureus bacteraemia (including MRSA) to 0.26 and maintain a rate of C diff infection in the over 65s of less than 0.39 National : 01 Mar-13 Rate of Sabs (cases per 1,000 AOBD) Rate of C diff (cases per 1,000 TOBD) Maintain focus on device related SABs in hospital, and develop initiatives to help reduce community SABs cases 2. Safe Further reduce healthcare associated infections so that by 2012/13 NHS Boards staphylococcus aureus bacteriamia (including MRSA) cases are 0.26 or less per 1000 acute occupied bed days; and the rate of Clostridium difficile infections in patients aged 65 and over is 0.39 cases or less per 1000 total occupied bed days Rapid Event Investigations (REI) of all SAB cases to identify and rectify gaps in practice MRSA screening to be extended for acute admissions to identify patients potentially at risk of MRSA SABs All hospital and community CDI cases to be investigated (REI for selected cases) to identify likely cause, with feedback to wards and units Gordon Birnie OD CRR 9 - Capacity Planning CRR HAI Infection Control CRR HAI Decontamination Systematic monitoring of antibiotic prescribing 06 Integration of Infection Control into Scottish Patient Safety Programme activity NHS FIFE BALANCED SCORECARD FOR Page 5 of 18 ver

6 Health & Safety - we will implement and review the annual local action plans for Health and Safety LP Mar-13 Number of Staff Incidents Number of Staff Injuries Number of RIDDOR Incidents Local Priority: 01 Support local groups to move key areas from the NHS Fife health and safety workplan over to local plans and support activities that will systematically review and capture any new or emerging risks Maintain wider awareness of health and safety through quarterly reports on NHS Fife as a whole, and on local workplan progress 2. Safe Develop appropriate training materials and training packages for local Violence & Aggression trainers to ensure that training is delivered within exisiting resources and meets the needs of the various different staff groups Rona King HS CRR Health & Safety CRR Fire Safety CRR Legionella Precautions NHS Fife will implement and review the annual local actions plans for Health and Safety Review selected RIDDOR reports to identify and rectify any gaps in practice and share from lessons learnt Monthly analysis of incident trends in order to direct support arrangements and reduce the likelihood of recurrence 06 Review the skin health checks surveillance arrangements process to identify and address any identified gaps in order to ensure it meets the needs of the staff Sick Absence - we will aim to achieve and sustain a sickness absence rate of no more than 4% National Standard: 01 NS S % Sickness Absence Rate Develop a sustainable attendance management rolling training programme 2.06 We will aim to achieve and sustain a sickness absence rate of no more than 4% Utilise the reporting capability of SSTS to its full capacity to support management in producing meaningful reports on sickness absence to target appropriate action and assist in the identification of absence patterns Review of OHSAS Management Referral processes to minimise occurrence of DNA and cancellation rates Rona King SG CRR Staff Governance, Sickness Absence Establish an NHS Fife Attendance Management Group to share best practice, organisational learning and to monitor attendance management performance within NHS Fife NHS FIFE BALANCED SCORECARD FOR Page 6 of 18 ver

7 Staff Governance - we will aim to ensure staff governance strategy setting and action planning processes are in place Local Priority: 01 LP Mar-13 None at present Consider local implementation of emerging PIN Guidelines as these become available 2.08 Person-centred We will aim to ensure staff governance strategy setting and action planning processes are in place Implement eess (e: Employee Support System) within Phase 1 of the national implementation programme (eess is a NHS Scotland Management Information System) Review local reporting arrangements in line with the revised SGHD template to be used for completion of the Staff Governance Self Assessment Audit tool Contribute to the National consultation on the revised Staff Governance Standard to ensure that it is fit for purpose, and review local arrangements as appropriate Rona King SG CRR Workforce Modernisation & Development Ensure that the outcome of the Staff Survey results are incorporated into both the coporate NHS Fife and Local Action Plans Detect Cancer Early - by 2014/15, at least 20% of cancer patients will be diagnosed and treated in the first stage of breast, colorectal and lung cancer Mar-15 Cancer Detection Rate Clinic National : 01 An implementation group, which will include GPs, lead clinicians, primary care and community staff will develop a plan with involvement from all sectors ally effective Person-centred To increase the proportion of people diagnosed and treated in the first stage of breast, colorectal and lung cancer by 25% by 2014/2015 Reduction in Emergency Bed Day Rates for Patients Aged by 2014/15, we will aim to reduce the bed days rate to 4,8 National : 01 NHS Boards and partners will reduce the rate of emergency inpatient bed days for people aged 75 and over per 1,000 population, by at least 12% between 2009/10 and 2014/15 Maintain high case ascertainment in cancer audit and current level of collection of staging data Identify proportion of patients following different routes to diagnosis, and consider clinical pathways when analysing this Continue local initiatives on cancer symptom awareness Review the Cancer Referral Unit reporting in order to provide regular reports to the referrers Bed Day Rate per 1,000 Mar-15 Population Aged 75+ Establishment of Partnership Project Group (PPG) to oversee implementation of ICASS arrangements across Fife Project management plans to be in place, and robust communication plans to be established to underpin service changes Performance and monitoring arrangements to be reviewed by Partnership Management Group (PMG) as an integral component of change fund plans Brian Montgomery Vicky Irons CG GNEF CHP CRR 9 - Capacity Planning NHS FIFE BALANCED SCORECARD FOR Page 7 of 18 ver

8 Community Safety - TBD CP Mar-13 TBD Community Planning: 2.14 Rona King TBD Wording/scope to be agreed Education & Skills - TBD CP Mar-13 TBD Community Planning: 2.15 David Christie TBD Wording/scope to be agreed NHS FIFE BALANCED SCORECARD FOR Page 8 of 18 ver

9 3. Effective, efficient and timely Dementia - we will aim to have a proportion of diagnosed patients consistent with the European measure of prevalence registered on the Outcomes Framework National Standard: Maintain the proportion of people with a diagnosis of dementia on the and Outcomes Framework (QOF) dementia register and other equivalent sources NS S % Dementia Patients Registered on QOF Mary Porter HSCP CRR Primary Care/GP Patient Safety (including SPSP): we will aim to reduce mortality as measured by HSMR in a reliable and sustainable way, thus contributing to the national aim of reduced HSMR by 15% by December 2012 LP Mar-13 Performance Score (1-5) HSMR Extranet Data 3. Safe Local Priority: 01 Acute Patient Safety Programme activities A key aim of the national patient safety programme is to reduce mortality, as measured by HSMR, by 15% by December Methods to achieve this include the adoption, spread and sustainability of the core patient safety programme activities, and the locally developed preventing harm action plan. Progressing Preventing Harm Action Plan Brian Montgomery CG Strategic Planning - we will develop NHS Fife's Strategic Planning Capacity LP Mar-13 None at present Clinicall y effective Local Priority: 01 We will develop NHS Fife's Strategic Planning Capacity Ensure processes are in place which support engagement g in the development of local (Fife) plans Participate in Regional Groups and support the delivery of Regional Workplans Contribute to National Plans, as appropriate Brian Montgomery SR Stroke Services - we will aim for 90% of all patients admitted with a diagnosis of stroke to be admitted to a stroke unit on the day of admission, or the day following presentation National : 01 Mar-13 % of Stroke Patients admitted to or transferred to a stroke unit within 2 days To minimise delay in patient referral from Primary Care, use IT to monitor and improve delivery and communication 3.09 To improve stroke care, 90% of all patients admitted with a diagnosis of stroke will be admitted to a stroke unit on the day of admission, or the day following presentation by March 2013 To improve robustness of out-of-hours service, identify core staff who can lead service delivery 24/7 Initiate robust system and processes of patient transfer to improve direct admissions to the stroke designated ward Ensure daily identification of available bed capacity across NHS Fife includes stroke bed availability for both acute admission and post acute rehabilitation George Cunningham OD CRR 9 - Capacity Planning Agree improvement access targets to the CT scanning service for all patients who present as suspected stroke 06 Ensure a daily projection of stroke beds required available to whole system NHS FIFE BALANCED SCORECARD FOR Page 9 of 18 ver

10 3.10 Improvement Programme - we will deliver the NHS Fife Improvement Programme Local Priority: 01 We will deliver the NHS Fife Improvement Programme LP Mar-13 None at present Support the Hub and the Programme Management Office (PMO) in delivering their objectives Brian Montgomery SR 3.11 Person-centred IVF - we will reduce the waiting time for IVF treatment to ensure that nobody will wait longer than 12 months for the first cycle by March 2015 Local Priority: 01 We will reduce the waiting time for IVF treatment to meet Scottish Government aims LP Mar-15 Number Waiting for First Cycle Continue to participate in National discussions and consider the output from the National Infertility Group when available (due to report Spring 2013) Implement guidelines currently used in NHS Lothian as proposed at SEAT Regional Group Eddie Coyle CG Planning for the Elderly - we will shift the Balance of Care for Older People LP Mar-13 TBD Person-centred Person-centred Person-centred Local Priority: 01 Deliver Change Fund Plans We will shift the Balance of Care for Older People Early Years Planning - we will deliver Integrated Models of Care for Children across NHS Fife and Fife Council Local Priority: 01 We will deliver Integrated Models of Care for Children across Council and Health Services Rate of Attendance at Accident and Emergency - we will aim to reduce the rate of attendance at VHK to 1,311 National : 01 To support shifting the balance of care, NHS Boards will achieve agreed reductions in the rates of attendance at A&E between 2009/10 and 2013/14 Work towards Health & Social Care integration of services Implement Intermediate Care Assessment and Support Service (ICASS) LP Mar-13 TBD Implement as appropriate the recommendations of the Early Years Taskforce work Progress against Change Fund objectives Review the Early Years Action Plan Introduce the Family Nurse Partnership Programme Mar-14 Co-locate health services for children at Queen Margaret Hospital Map patient flows by activity and presentation type and analyse frequent attendees at A&E Define service provided by Emergency Departments, raising staff and public awareness Monitor A&E attendance at VHK, and carry out a full review of in relation to the agreed trajectory after 6 months of the FY Agree a set of key variables against which attendances will be monitored and analysed on an ongoing basis Attendance at A&E at VHK per 100,000 Population George Cunningham Susan Manion Brian Montgomery TBD D&WF CHP SR Develop redirection protocols and deliver training, and incorporate redirection into mainstream A&E activity 06 Development of awareness raising programme and exploration of ways of targeting different groups NHS FIFE BALANCED SCORECARD FOR Page 10 of 18 ver

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12 4. Safe Child Protection - we will ensure that information is shared appropriately to support Child Protection Local Priority: 01 Ensure that information is shared appropriately to support Child Protection LP Mar-13 % Information Shared within 6 Working Days Consider relevant findings of inspection report due April 2012 Continue to improve performance in Inter-agency Referral Discussion (IRD) document completion Progress multi-agency Child Plans As part of our work on 'Getting It Right For Every Child' (GIRFEC), pursue the development of a Multi-agency chronology Anne Buchanan CG DWF CHP CR Child Protection CR Child Health Services 4.07 Financial performance - we will aim to i) operate within our RRL, ii) operate within our CRL, iii) meet our cash requirement National : 01 NHS Boards to operate within their agreed revenue resource limit; operate within their capital resource limit; meet their cash requirement Mar-13 Ensure that the online Child Protection Register and messaging system is effective Deficit/Surplus for End FY against Total RRL Monthly monitoring and reporting of the financial position including both the revenue and capital position to relevant committees including the Finance and Resources and the Board Robust process of year-end forecasting of out-turn position from mid-year review and high level forecasting from the first quarter Regular budget review meetings with key budget holders to monitor progress and agree actions to ensure year-end targets are met Chris Bowring F&R CRR Capital Building Properties, Insurance CRR Financial Reporting CRR Capital Planning CRR Financial Planning CRR Budgetary Control CRR Prescribing and Medicines Management CRR 25 - Level of Capital Receipts A&E Waiting Time - we will aim to have 98% of attendees seen within 4 hours NS S % Waiting <= 4 hours National Standard: 01 Consistently achieve 100% compliance in the Emergency Department minors flow 4.10 We will aim to have 98% of attendees seen within 4 hours Highlight delays within flows in the Emergency Department, acute receiving units (medical, surgical and orthopaedics), specialty wards and community hospitals to inform improvements around demand, capacity and queue across the 7 day week Develop and test breach analysis processes to establish root cause, actions and monitoring of actions to avoid breaches Deliver standard by ensuring clear roles, responsibilities, communication, escalation mechanisms, structured meetings with appropriate attendance and agreed actions, and by monitoring effect on quality of patient care George Cunningham OD CRR 9 - Waiting Times CRR 9 - Capacity Planning CRR Implementation of MMC Ensure operational data supports whole system management of and improvement against the 4 hour emergency access standard 06 Improve discharge and transfer arrangements across acute and community wards NHS FIFE BALANCED SCORECARD FOR Page 12 of 18 ver

13 Cancer Waiting Times - we will aim to; i) treat any patient urgently referred with a suspicion of cancer within 62 days ii) treat any cancer patient within 31 days of decision to treat NS S i) Cancer: % RTT within 62 days ii) Cancer: % DTT within 31 days National Standards: 01 Work with the endoscopy service to ensure that suspected cancer patients, both screened positive and symptomatic patients, are prioritised within the service % of all patients diagnosed with cancer to begin treatment within 31 days of decision to treat, and 95% of those referred urgently with a suspicion of cancer to begin treatment within 62 days of receipt of referral Monitor and analyse the steps in pathways for patients transferred to other health boards, to identify areas for improvement Work with the clinical teams and directorate management to ensure enough surgical, outpatient and diagnostic capacity for cancer patients Undertake a review of the non-surgical oncology service locally, and undertake redesign as appropriate Cancer Services Improvement Manager to continue to review all care pathways, including the pathways for screening patients, and undertake re-design as appropriate Brian Montgomery OD CRR 9 - Waiting Times CRR 9 - Capacity Planning 06 Review the Central Cancer Referral unit processes and performance and implement changes identified to improve the service 18 Weeks RTT - we will aim to deliver a maximum 18 weeks referral to treatment NS S % Patients Treated within 18 Weeks of Referral National Standards: 01 Clinical outcome recording to be optimised Ensure information transferred between health boards in order to manage and track patients between neighbouring health boards % of planned/elective patients to commence treatment within 18 weeks of referral Ensure a solution in place for prospective monitoring and reporting of 18 week RTT Review capacity planning and management for inpatient and daycase capacity; review DCAQ, and monitor utilisation of theatre session Review capacity planning and management in outpatients for all specialities, with specific emphasis on high volume specialities (in particular Orthopaedics) George Cunningham OD CRR 9 - Waiting Times CRR 9 - Capacity Planning 06 In order to sustain 18 weeks, develop and implement a Productive Flow improvement programme to maintain effective scheduled and unscheduled flow NHS FIFE BALANCED SCORECARD FOR Page 13 of 18 ver

14 4.14 Drug and Alcohol Waiting Times - we will aim to have 90% of clients wait no longer than 3 weeks from referral to treatment National : 01 By March 2013, 90% of clients will wait no longer than 3 weeks from referral received to appropriate drug or alcohol treatment that supports their recovery Mar-13 Formalisation and review of current joint working arrangements, review of existing exit strategies and scope/monitor current performance Monitor 3rd sector services performance via the ADP, and take remedial action as necessary Review and monitor existing service provision, particularly Primary Care arrangements % Clients Referred for Drug/Alcohol Treatment treated within 3 weeks from date referral received Mary Porter KL CHP CRR 9 - Waiting Times Faster Access to Mental Health Services - we will aim to have no one waiting longer than 26 weeks from referral to treatment for specialist CAMHS services Mar-13 Number waiting > 26 wks from referral to treatment 4.15 National : 01 Deliver faster access to mental health services by delivering 26 weeks referral to treatment for specialist Child and Adolescent Mental Health Services (CAMHS) services from March 2013, reducing to 18 weeks by December 2014 Work with key partner agencies to ensure high level of awareness of the contribution of CAMHS outcomes to the SOA and Local Children s Services Plan Change Autistic Spectrum Disorder assessment process in order to better manage demands on Fife Autistic Spectrum Team Mary Porter KL CHP CRR 9 - Waiting Times Environment - we will aim to reduce: i) CO² emissions, from the consumption of fossil fuels, by 3% per year ii) Energy consumption by 1% per year Mar-15 i) CO² Emissions in tonnes ii) Energy Consumption in GJ 4.16 National : 01 NHSScotland to reduce energy-based carbon emissions and to continue a reduction in energy consumption to contribute to the greenhouse gas emissions reduction targets set in the Climate Change (Scotland) Act 2009 Provide monthly monitoring reports to appropriate groups Installation of high efficiency plant and equipment and where possible renewable technologies Internal temperatures, building controls and time clocks to be set appropriately and reviewed on a regular basis Jim Leiper OD Consumption of fossil fuels to be monitored on a monthly basis NHS FIFE BALANCED SCORECARD FOR Page 14 of 18 ver

15 Faster Access to Mental Health Services - we will aim to have no one waiting longer than 18 weeks from referral to treatment for Psychological Therapies Dec-14 Number waiting > 18 wks from referral to treatment National : 01 Highlight the roll out of OASIS/MIDAS to community mental health and psychology services as a priority, and maximise the capacity of current local IT systems to meet the target requirements 4.17 Deliver faster access to mental health services by delivering 18 weeks referral to treatment for Psychological Therapies from December 2014 Ensure all relevant services identified and included in service audits to determine inclusion and data collection requirements Undertake detailed workforce and service provision audits to identify gaps and to inform service redesign and training requirements Ensure psychological therapy target holds appropriate level of priority within the local ehealth strategy Mary Porter KL CHP CRR 9 - Waiting Times Improve service provision for those who are hearing impaired or where English is not their spoken language, by learning from other Boards and adopting any national guidance Economy - TBD CP Mar-13 TBD Community Planning: 4.18 Rona King TBD Wording/scope to be agreed NHS FIFE BALANCED SCORECARD FOR Page 15 of 18 ver

16 NHS FIFE - Balanced Scorecard List of abbreviations CG - CHP - CP - DWF - F&R - GNEF - HS - HSCP - KL - LP - NS - - OD - SG - SR - Clinical Governance Community Health Partnership Community Planning Dunfermline & West Fife Finance & Resources Glenrothes & North East Fife Health & Safety Health & Social Care Partnership Kirkcaldy & Levenmouth Local Priority National Standard National Operational Division Staff Governance Service Redesign NHS FIFE BALANCED SCORECARD FOR Page 16 of 18 ver

17 NHS Scotland The Ambitions In 2010, the Healthcare for NHSScotland set out the overarching aim of achieving world-leading quality healthcare services across Scotland, underpinned by the 3 Healthcare Ambitions; Healthcare Ambitions Person-centred - Mutually beneficial partnerships between patients, their families and those delivering healthcare services which respect individual needs and values and which demonstrate compassion, continuity, clear communication and shared decision-making. Safe - There will be no avoidable injury or harm to people from healthcare they receive, and an appropriate, clean and safe environment will be provided for the delivery of healthcare services at all times. Clinically Effective - The most appropriate treatments, interventions, support and services will be provided at the right time to everyone who will benefit, and wasteful or harmful variation will be eradicated. The included a commitment to develop a Measurement Framework to support our shared vision of healthcare quality. It was proposed that progress towards the three Ambitions would be assessed by reference to a number of Outcome Measures, and that these measures would be based on a combination of patient and staff perspectives, alongside measures of safety and effectiveness. These measures would be used to assess direction of travel, and would not be set as targets. As part of the proposal for the Measurement Framework, the made a commitment that the HEAT targets would be aligned to the Ambitions. The HEAT targets would therefore reflect the agreed areas for specific accelerated improvement each year, contributing to progress towards the Ambitions. NHS FIFE BALANCED SCORECARD FOR Page 17 of 18 ver

18 NHS Fife Balanced Scorecard - audit trail of changes No/s Nature Change / Comment Version Baselined for April 2012 Board Meeting Draft created NHS FIFE BALANCED SCORECARD FOR Page 18 of 18 ver

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