MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY

Size: px
Start display at page:

Download "MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY"

Transcription

1 MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 23 rd March 2017 Agenda No: 9.3 Attachment: 15 Title of Document: CCG Governing Body Assurance Report & Scorecards: Month 9 Quality & Performance/ Month 10 Finance & Activity 2016/17 Report Author: Lee Lewis, Senior Performance Manager Contact details: Executive Summary: Purpose of Report: For Approval Lead Director: Chris Clark, Director of Performance, Planning and Informatics 1

2 Key sections for particular note (paragraph/page), areas of concern etc: Page 5: Risks Page 6: A&E 4 hour wait exception report Page 7: 62 day Cancer wait exception report Recommendation(s): The Governing Body is asked to review the performance, finance and quality information within the report. Committees which have previously discussed/agreed the report: Merton Clinical Quality Committee for performance and quality. Audit Committee for the finance information. Financial Implications: Contained within the body of the main report. Implications for CCG Governing Body: The CCG is assessed annually and given an assurance score based upon achievements of the indicators within the four domains and financial position. How has the Patient voice been considered in development of this paper: patientcentric performance and quality indicators. Other Implications: CCG Risk Register Item 802 relates to a failure to deliver constitutional pledges and other priority performance goals 4 x 4 = 16. CCG Risk Register Item 1038 relates to a failure to meet the required standards against the 1617 CCG Improvement and Assessment Framework 3 x 4 = 12 Equality Assessment: The proposals have been assessed against the Merton CCG Equality Statement and found to have no adverse impact on such principles or Public Sector Equality Duty. Information Privacy Issues: Following approval, the quality & performance scorecard will published on the CCG internet website. The scorecard may also be made available to external parties via freedom of information requests. No patient identifiable or commercially sensitive information is held within this report. Communication Plan: (including any implications under the Freedom of Information Act or NHS Constitution) Performance reports shared with the Governing Body are published and available to the general public. Any performance information held by the CCG is available on request by the general public subject to the reasonable limitations set out in the Freedom of Information Act

3 CCG Assurance Report Merton CCG Governing Body 2016/17: Month 09 Quality / Month 10 Finance & Activity

4 Contents Section Page Key Performance Messages: Quality & Safety; Finance & Audit; Contract Activity; Leadership & Sustainability Scorecard: Quality & Safety 4 Quality Risks 5 Quality Exception Reports: A&E 4 hour wait / Cancer 62 day wait 67 Scorecard: Finance 8 Finance Exception Reports & Risks 9 Contract Activity Performance (Acute): Scorecard and charts 1011 Contract Activity Performance (Acute): Variance summary 12 Leadership & Sustainability: Scorecard; Exception reports; risks and issues

5 Key Performance Messages Finance & Audit Performance Summary position (Month 10) This CCG has a control total of a 0.6m deficit and continues to report that plan will be achieved by year end. The acute position had a quieter month than expected. In addition, stability in primary care, prescribing and corporate and estates and some improvement in Mental Health enabled a reduction in the unallocated savings requirement. As reported at M9 that the risked assessed impact of a deterioration in the position stood at 1m that is to say a 1.6m worst case deficit. In view of the M9 data feeding in to the M10 position, this has been reduced to 750k ie a worst case deficit of 1.35m. The major contributors to this would be a worse outturn on acute that forecast, a surge in invoiced activity in CHC and prescribing at year end, an inability to deliver the schemes identified in the unallocated savings section of this report or an inability to find the remaining 254k unallocated savings. Leadership & Sustainability Activity Performance Variance Summary (Month 10) Elective Activity Activity is below plan for most of the elective areas of the acute contracts (referrals; 1 st outpatient attendances; and elective admissions); but a continued increase in followup outpatient appointments. While we are aware of some productivity issues at St. Georges, we are assured that a key driver for this is a consequence of work done with GPs to better manage demand. Nonelective activity This remains above plan: for January the year to date figure is approximately 5.3% above plan for nonelective admissions. We are observed an increase in demand for urgent care over Winter, although variance on attendances to A&E remained below 3%. Good performance: The CCG is rated as Green (2 nd highest tier) overall for Quality of CCG Leadership We have a local Strategic Estates Plan (SEP) in place Challenged performance: Rated as Red for Financial Plan ; and Amber for Inyear financial performance In the third quartile nationally for Digital interactions between primary and secondary care In the third quartile nationally for Effectiveness of working relationships in the local system 3

6 Quality Indicator Scorecard Domain: Better Care IAF Area Cancer Indicator Show Show Show Show Show Show Show Show Show Quality Premium* Cancers diagnosed at early stage 20% 60.0% Annually People with urgent GP referral having first definitive treatment for cancer within 62 days of referral Target Frequency Latest Data Period Previous score Latest score 2014 (remains latest) Change from previous period 13 month / 5 quarter trend Achieved / did not achieve Risk warning 46.0% 48.2% Annual reporting % 25% 85.0% Monthly Dec % 79.3% % Bottom Quartile Nationally Urgent and emergency care Percentage of patients admitted, transferred or discharged from A&E within 4 hours 25% 95.0% Monthly Dec % 87.9% % 4

7 Reference (Date) Cancers diagnosed at early stage Risk Cause / Impact Action(s) Risk owner The CCG will be assessed against this indicator for 2016/17. Currently data are only available to the end of 2014, suggesting that the CCG was at 48.2%. The target is to achieve 62% by Approximately 15% of cases are recorded without the stage at diagnosis. The earlier cancer is diagnosed, the more likely it is to be successfully treated, and survival rates can be dramatically improved. Poor coding of cancer stage at diagnosis impact on the ability to assess how well services are performing against this target. Advice from the Transforming Cancer Services Team is that Commissioners should work with providers to improve staging completeness.the Commissioning lead is reviewing this and will work with providers to improve data. CCG cancer lead Risks % Injuries from falls in people aged 65 and over The CCG has been reported as a national outlier for injuries related to falls. This may indicate an unknown cause for a higher rate of falls or increased nonelective admissions The CCG is currently investigating if the higher reported rate of falls is due to more diligent reporting by our providers, or a real failure of our falls assessment service. This indicator has been selected as a QP (Quality Premium) measure for 2017/18 reporting period in order to prioritise this area. The CCG has engaged with our Community provided falls assessment service to review the effectiveness of the service. Clinical Lead for urgent and unplanned care Additionally the CCG will commission a data audit to benchmark the thresholds for reporting injuries related from falls. 5

8 Issue Cause Action(s) Assurance / Gaps All providers in South West London failed to achieve the national standard in December. All A&E departments in Southwest London have experienced unprecedented high demand over Winter, putting services under additional pressure. In addition to this some ward areas closed beds due to infection. This resulted in severely limited capacity in clinical decision and intensive care wards, leading to admission delays in A&E. All A&E departments are following winter plans to make best use of their capacity and this is monitored through daily system calls with commissioners and the London Ambulance services. Commissioners are also working to facilitate quicker discharges for patients who are ready to leave hospital, to freeup beds on wards. The CCG seeks assurance of progress against improvement plans via regular meetings with the provider. The CCG has rolled out a number of programmes aimed at reducing A&E attendances, including promotion of the Flu vaccination campaign and the Health Help Now app. The committee is asked to note that despite the exceptional pressure on A&E departments, Southwest London performance has remained resilient compared to the rest of London and the wider region. Exception Report A&E 4 hour Waits 6

9 Issue Cause Action(s) Assurance / Gaps Merton CCG has met 7 of the 8 CWT Standards for December (M9) 2016/17. The CCG did not achieve 62 day GP urgent standard 79.3% (6 patients breaching out of 29) The 62 day standard was not achieved due to 6 breaches: 2x delay in workup, 1x administrative, 1x intertrust no information 2x complex diagnostic To address late referrals/ ITTs, SLF are monitoring trusts referrals to the treating trust by day 38. Weekly calls between trusts to agree referral/itt dates are being undertaken and 38 day performance is being monitored on weekly performance calls with the CSU. Trusts are also developing reports to show 38 day breach reasons. (3TP) 3 trust pathways are being monitored through SLF and NHSE London are collating data on 3TP s Head & Neck pathway for SW London is being reviewed by the quality surveillance team. Trusts are developing reports to show 38 day breach reasons. (3TP) 3 trust pathways are being monitored through SLF and NHSE London are collating data on 3TP s Commissioners are awaiting confirmation from SGH of completion of actions following an external review, this is monitored fortnightly. Exception Report Cancer Waits: 62 days waiters 7

10 Scorecard: Finance & Audit Year To Date Full Year Forecast Outturn SUMMARY Budget Actual Variance Budget Forecast Variance Period Jan17 000's 000's 000's 000's 000's 000's Revenue Resource Limit 228, , , ,163 0 EXPENDITURE Acute 113, ,286 (1,510) 136, ,117 (1,507) Non Acute 55,018 55,237 (219) 66,022 66,239 (218) Year To Date Full Year Forecast Outturn Primary Care & Prescribing 48,400 47,357 1,043 57,881 56,542 1,339 ACUTE CONTRACT EXPENDITURE TOP 5 (see table 2) Budget Actual Variance Budget Forecast Variance Corporate & Estate Costs 9,439 10,377 (938) 11,328 12,420 (1,092) 000's 000's 000's 000's 000's 000's Reserves & Other 2, ,542 2,923 1,444 1,479 ST GEORGE'S HEALTHCARE TRUST 50,793 52,205 (1,412) 61,030 62,520 (1,489) Total Expenditure 228, ,041 (81) 274, ,763 0 EPSOM & ST. HELIER UNIVERSITY HOSPITALS NHS TRUST ACUTE 26,733 26, ,080 32,223 (142) In Year Surplus (500) (581) (81) (600) (600) 0 KINGSTON NHS TRUST 8,644 8,916 (272) 10,373 10,760 (387) LAS EMERGENCY SERVICE CONTRACT 5,390 5,481 (91) 6,468 6,577 (109) EPSOM & ST. HELIER UNIVERSITY HOSPITALS NHS TRUST SWLEOC 3,986 3, ,783 4, Year To Date Full Year Forecast Outturn ALL OTHER CONTRACTS + ACUTE NONSLA BUDGETS 18,230 18, ,875 21, NON ACUTE (see tables 3,4) Budget Actual Variance Budget Forecast Variance 113, ,286 (1,510) 136, ,117 (1,507) 000's 000's 000's 000's 000's 000's TOTAL MENTAL HEALTH 19,758 19, ,710 23, TOTAL LEARNING DIFFICULTIES 1,455 1,580 (125) 1,745 1,896 (150) ACUTE CONTRACT VARIANCE BY POD TOTAL END OF LIFE CARE AND HOSPICES (69) (82) Elective (260) 151 (66) (576) (751) TOTAL LONG TERM CONDITIONS Emergency (151) 292 TOTAL URGENT AND INTERMEDIATE CARE 5,670 5, ,804 6, NonElective (47) TOTAL COMMUNITY SERVICES 16,458 16, ,750 19, Maternity Pathway (75) (19) 676 TOTAL CHILDREN SERVICES 2,157 2, ,589 2, A&E (47) (50) (17) TOTAL ADULT CONTINUING CARE 8,635 9,453 (819) 10,362 11,344 (982) Out Patient 1st (21) TOTAL NON ACUTE COMMISSIONING 55,018 55,237 (219) 66,022 66,239 (218) Out Patient Follow Up (58) 122 (60) Out Patient Procedure (744) (570) Unbundled Diagnostics (249) 115 (6) (91) (231) Year To Date Full Year Forecast Outturn Critical Care (20) PRESCRIBING (see table 5) Budget Actual Variance Budget Forecast Variance Other PODs (1,629) (1,074) (224) 981 (1,947) 000's 000's 000's 000's 000's 000's (1,489) (142) (387) 512 (1,507) TOTAL PRESCRIBING 19,680 19, ,616 23, TOTAL PRIMARY CARE DELEGATED BUDGET 25,055 24, ,867 29, LOCAL ENHANCED SERVICES Actual TOTAL OUT OF HOURS 1,625 1, ,950 1, BALANCE SHEET AS AT Jan17 000's TOTAL PRIMARY CARE OTHER 1,759 1, ,111 1, Property, Plant And Equipment 705 TOTAL PRIMARY CARE & PRESCRIBING 48,400 47,357 1,043 57,881 56,542 1,339 Current Trade And Other Receivables 3,033 Cash And Cash Equivalents (139) Current Trade And Other Payables (21,067) Year To Date Full Year Forecast Outturn Current Other Liabilities (574) CORPORATE AND ESTATES (see table 6) Budget Actual Variance Budget Forecast Variance (18,042) 000's 000's 000's 000's 000's 000's General Fund 18,042 TOTAL RUNNING COSTS 3,687 3,688 (1) 4,425 4,425 0 TOTAL CSU CHARGES (55) (66) TOTAL OTHER CORPORATE COSTS 3,635 3,750 (114) 4,362 4,501 (139) PROPERTY COSTS 1,533 2,301 (768) 1,840 2,728 (888) TOTAL CORPORATE & ESTATE COSTS 9,439 10,377 (938) 11,328 12,420 (1,092) STATUTORY DUTIES AND PERFORMANCE Statutory Duty Area YTD Forecast Not to exceed RRL Revenue (581) (600) Not to exceed running cost allocation Running costs (1) 0 Not to exceed CRL Capital 0 0 Deliver a recurrent surplus Revenue (0.7)% (0.7)% Deliver a 0.5% in year surplus Revenue (0.3)% (0.2)% Comply with BPPC # Business conduct 98.3% 98.3% Comply with BPPC Business conduct 99.1% 99.1% Fully deliver planned QIPP QIPP 110.4% 90.4% 8,000,000 7,000,000 6,000,000 5,000,000 4,000,000 3,000,000 2,000,000 1,000,000 0 QIPP Target Gross Savings by month Cumulative Actual SGH ESH KHT Other Providers Total 8

11 Finance & Audit: Exception Reports & Risks Key variances, risks and mitigations Acute The full year forecast (FYF) acute position shows an adverse variance to plan of 1,507k which is 820k better than M9. Much of this is technical as we moved 316k relating the St George s RTT fines from reserves (causing that variance to move adversely) to the acute position. We applied similar logic to estimated 2016/17 CQUIN payments which moved 204k to the acute position and we applied the financial impact of reduced QMH activity on elderly rehabilitation beds worth 83k direct to the acute position and deducted similar from reserves (via the back end loaded QIPP mechanism we have discussed hitherto. Non Acute Overall, the FYF position has improved 514k since M9 to stand at an M10 FYF of 218k adverse. The major contributor to this improved position is in the IAPT contract where the variance has improved by 440k to a FYF favourable variance of 738k. 340k activity reductions have been accounted for and 100k contractual penalties. The CHC forecast has marginally deteriorated by 67k to 982k adverse. The position has remained stable for the last six months, however, our FYF is subject to the last minute invoicing that many providers adopt in this area. Primary Care & Prescribing Overall, the FYF position shows a 1,339k underspend at M10 which is a deterioration of 96k over M9. Prescribing deteriorated by 57k in month reflecting slightly higher activity using the CCG s routine forecasting tool. Again, the FYF has remained very stable all year and we expect this to continue to year end. Corporate and Estates The Corporate and Estates FYF position improved in M10 by 31k to a full year forecast adverse variance of 1,092k. The IAT received in month was 28k higher than anticipated previously which has resulted in a slight improvement to the position. However the full I&E effect of the change in market rents policy remains muddled. Reserves The FYF shows a favourable variance of 1,479k which is an adverse variance of 1,269k. 9

12 Scorecard: Activity Performance (Month 10: January 2017) EM Number EM7 EM Detail Metric Actual 15/16 Apr16 6,050 May16 5,961 Jun16 6,456 Jul16 6,633 Aug16 5,507 Sep16 6,570 Oct16 6,631 Nov16 6,105 Dec16 5,269 Jan17 5,585 Feb17 5,961 Mar17 5,836 Year to Date 60,767 Year End Totals & Forcast Outurn 72,564 Total Referrals (Specific Acute) Plan 16/17 5,926 6,150 6,156 6,457 5,585 6,644 6,533 5,915 5,490 5,639 5,393 6,175 60,495 72,063 Actual 16/17 5,672 5,810 6,125 5,469 5,446 5,424 5,812 5,701 4,950 5,494 55,903 66,756 FOT 16/17 5,484 5,369 55,903 66,756 Variance ,510 % Variance Vs Plan 4.3% 5.5% 0.5% 15.3% 2.5% 18.4% 11.0% 3.6% 9.8% 2.6% 7.6% 7.6% 16/17 Actual Growth 6.25% 2.53% 5.13% 17.55% 1.11% 17.44% 12.35% 6.62% 6.05% 1.63% 8.00% EM8 Consultant Led First Outpatient Attendances (Specific Acute) Actual 15/16 5,660 5,874 6,732 6,340 5,501 6,508 6,464 6,603 5,352 5,290 5,684 5,488 60,324 71,496 Plan 16/17 6,086 6,369 6,402 6,780 5,773 6,934 6,874 6,170 5,741 5,921 5,707 6,387 63,050 75,144 Actual 16/17 5,886 5,871 6,171 5,626 5,759 5,937 5,901 6,412 5,138 5,853 58,554 69,398 FOT 16/17 5,517 5,327 58,554 69,398 Variance ,395 % Variance Vs Plan 3.3% 7.8% 3.6% 17.0% 0.2% 14.4% 14.2% 3.9% 10.5% 1.1% 7.1% 7.2% 16/17 Actual Growth 3.99% 0.05% 8.33% 11.26% 4.69% 8.77% 8.71% 2.89% 4.00% 10.64% 2.93% EM9 Consultant Led Outpatient Follow Up Attendances (Specific Acute) Actual 15/16 11,303 10,893 12,067 11,824 9,993 11,738 11,764 11,623 10,419 10,279 10,802 10, , ,461 Plan 16/17 10,755 10,811 11,096 11,594 9,624 11,359 11,103 10,260 9,789 10,455 9,691 11, , ,598 Actual 16/17 10,725 10,858 11,232 10,718 10,860 11,651 11,490 12,176 10,029 11, , ,774 FOT 16/17 10,746 10, , ,774 Variance ,377 % Variance Vs Plan 0.3% 0.4% 1.2% 7.6% 12.8% 2.6% 3.5% 18.7% 2.5% 10.8% 4.2% 4.2% 16/17 Actual Growth 5.11% 0.32% 6.92% 9.35% 8.68% 0.74% 2.33% 4.76% 3.74% 12.73% 0.51% EM10 Total Elective Admissions (Spells) (Specific Acute) [Ordinary Electives + Daycases] Actual 15/16 1,503 1,498 1,674 1,715 1,467 1,703 1,607 1,756 1,461 1,566 1,647 1,541 15,950 19,138 Plan 16/17 1,637 1,614 1,757 1,848 1,589 1,753 1,743 1,613 1,444 1,616 1,580 1,762 16,614 19,956 Actual 16/17 1,450 1,410 1,579 1,623 1,603 1,653 1,658 1,759 1,462 1,588 15,785 18,940 FOT 16/17 1,630 1,525 15,785 18,940 Variance % Variance Vs Plan 11.4% 12.6% 10.1% 12.2% 0.9% 5.7% 4.9% 9.1% 1.2% 1.7% 5.0% 5.0% 16/17 Actual Growth 3.53% 5.87% 5.68% 5.36% 9.27% 2.94% 3.17% 0.17% 0.07% 1.40% 1.03% EM11 Total NonElective Admissions (Spells) (Specific Acute) Actual 15/16 1,400 1,383 1,454 1,458 1,368 1,377 1,531 1,545 1,594 1,514 1,447 1,493 14,624 17,564 Plan 16/17 1,415 1,460 1,460 1,537 1,437 1,516 1,635 1,479 1,588 1,486 1,288 1,489 15,013 17,790 Actual 16/17 1,496 1,540 1,607 1,586 1,606 1,538 1,548 1,571 1,693 1,625 15,810 18,988 FOT 16/17 1,564 1,614 15,810 18,988 Variance to plan % Variance Vs Plan 5.7% 5.5% 10.1% 3.2% 11.8% 1.5% 5.3% 6.2% 6.6% 9.4% 5.3% 5.4% 16/17 Actual Growth 6.86% 11.35% 10.52% 8.78% 17.40% 11.69% 1.11% 1.68% 6.21% 7.33% 8.11% EM12 Total A&E Attendances excluding planned follow ups Actual 15/16 5,743 6,007 6,033 6,098 5,633 5,775 6,080 6,163 5,984 6,010 6,114 6,767 59,526 72,407 Plan 16/17 5,697 6,054 6,186 6,213 5,594 6,153 6,164 6,082 6,280 5,583 5,236 6,254 60,006 71,496 Actual 16/17 5,907 6,404 6,222 6,518 5,887 6,060 6,137 6,106 6,394 5,839 61,474 74,777 FOT 16/17 6,314 6,988 61,474 74,777 Variance ,762 % Variance Vs Plan 3.7% 5.8% 0.6% 4.9% 5.2% 1.5% 0.4% 0.4% 1.8% 4.6% 2.4% 2.5% 16/17 Actual Growth 2.86% 6.61% 3.13% 6.89% 4.51% 4.94% 0.94% 0.92% 6.85% 2.85% 3.27%

13 1,496 5,907 1,540 1,607 1,586 1,606 1,538 1,548 1,571 1,693 1,625 1,564 1,614 6,404 6,222 6,518 5,887 6,060 6,137 6,106 6,394 5,839 6,314 6,988 1,450 1,410 10,725 10,858 11,232 10,718 10,860 11,651 11,490 12,176 10,029 1,579 1,623 1,603 1,653 1,658 1,462 11,588 10,746 10,701 1,759 1,588 1,630 1,525 5,672 5,810 6,125 5,469 5,446 5,424 5,812 5,701 4,950 5,494 5,484 5,369 5,886 5,871 6,171 5,626 5,759 5,937 5,901 5,138 6,412 5,853 5,517 5,327 Scorecard: Activity Performance (Month 10: January 2017) Total Referrals (Specific Acute) Consultant Led First Outpatient Attendances (Specific Acute) 7,000 6,000 5,000 4,000 3,000 2,000 5,926 6,150 6,156 6,457 5,585 6,644 6,533 5,915 5,490 5,639 5,393 6,175 8,000 7,000 6,000 5,000 4,000 3,000 2,000 6,086 6,369 6,402 6,780 5,773 6,934 6,874 6,170 5,741 5,921 5,707 6,387 1,000 1,000 Apr16 May16 Jun16 Jul16 Aug16 Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr16 May16 Jun16 Jul16 Aug16 Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Actual 16/17 FOT 16/17 Plan 16/17 Actual 16/17 FOT 16/17 Plan 16/17 14,000 Consultant Led Outpatient Follow Up Attendances (Specific Acute) Total Elective Admissions (Spells) (Specific Acute) [Ordinary Electives + Daycases] 12,000 10,000 8,000 6,000 4,000 10,755 10,811 11,096 11,594 9,624 11,359 11,103 10,260 9,789 10,455 9,691 11,061 2,000 1,800 1,600 1,400 1,200 1, ,637 1,614 1,757 1,848 1,589 1,753 1,743 1,613 1,444 1,616 1,580 1,762 2, Apr16 May16 Jun16 Jul16 Aug16 Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Actual 16/17 FOT 16/17 Plan 16/17 Actual 16/17 FOT 16/17 Plan 16/17 Total NonElective Admissions (Spells) (Specific Acute) Total A&E Attendances excluding planned follow ups 1,800 1,600 1,400 1,200 1, ,415 1,460 1,460 1,537 1,437 1,516 1,635 1,479 1,588 1,486 1,288 1,489 8,000 7,000 6,000 5,000 4,000 3,000 5,697 6,054 6,186 6,213 5,594 6,153 6,164 6,082 6,280 5,583 5,236 6, , ,000 Apr16 May16 Jun16 Jul16 Aug16 Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr16 May16 Jun16 Jul16 Aug16 Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Actual 16/17 FOT 16/17 Plan 16/17 Actual 16/17 FOT 16/17 Plan 16/17 11

14 Activity Performance: Variance Commentary Variance commentary Referrals (7.6% Year to date) The underperformance is an expected direction of travel, and continues to show a downward trend. The main driver for this is a reduction in GP referrals; analysis shows that consultant to consultant referrals have increased, which is limiting the benefit to reducing demand on outpatients. We are therefore confident and assured that this downturn represents a successful campaign to manage demand for acute services. Consultant led 1 st Outpatient Attendances (7.1% Year to date) For Merton CCG has focussed a significant part of its QIPP and Transformation programmes on mitigating historical growth in demand for planned care. We have so far observed a positive effect over and above what we initially planned to deliver. We have observed an overall downturn in outpatient activity at all three of our main acute providers. Whilst we are conscious that acute data quality is not perfect, we are confident that the vast majority of this variance against plan is real reduction in activity, and that this positive change is in part due to our work with primary care to mitigate demand. However we are also conscious that there are significant capacity and operational effectiveness issues declared by St Georges hospital resulting in large backlogs of patients waiting to be seen. This may also be driving some of the underperformance against plan in outpatient activity. Consultant led Followup Outpatient Attendances (+4.2% Year to date) Whilst we have continued to drive down demand on outpatients from new referrals, we are observing an increase in followup attendances. This means demand on outpatient services remains high and it impedes RTT recovery. We are continuing to analyse the source of this demand and will be working with particular Trusts to find a resolution. Elective Admissions (5.0% Year to date) Merton CCG feel assured that this is a positive change, in part due to our work to mitigate demand on acute hospitals. We are assured that this variance is due to actual activity rather than data. Again we are also aware however of a serious productivity issue with St Georges hospital resulting in a significant admitted backlog, and we have observed an increase in inpatient and daycase runrates which is reassuring that the backlog is being cleared. Nonelective admissions (+5.3% Year to date) Activity remains above plan. Merton CCG is aware of an increase in the number of shortstay patients admitted as an emergency, particularly at St Georges. We are observing particular pressure on urgent care during Winter and are managing the situation with our acute providers on a daily basis to ensure they are supported through challenging periods. A&E attendances (+2.4% Year to date) Whilst hospitals have experienced continued pressure throughout Winter the our variance against plan for A&E attendances has reduced significantly to 2.4% 12

15 CCG Improvement & Assessment Framework: Sustainability / WellLed Domain: SUSTAINABILITY IAF Area Indicator Latest Data Period Show Show Show Show Previous score Latest CCG score England Score Change from previous period Financial sustainability Financial plan 2016 Red Red % Allocative efficiency Paperfree at the point of care Inyear financial performance Q2 2016/17 Amber % Outcomes in areas with identified scope for improvement Expenditure in areas with identified scope for improvement Digital interactions between primary and secondary care CCG not included in wave one Risk warning Q3 2016/17 (Q2):57.4% 58.5% % Estates strategy Local strategic estates plan (SEP) in place 2016/17 Yes Yes Domain: WELL LED Show Show Show Show IAF Area Indicator Latest Data Period Change period Previous Latest CCG England from Risk score score Score previous warning Workforce engagement Staff engagement index Progress against workforce race equality standard Effectiveness of working relationships in the CCGs local relationships local system Jul % 2015/ % 66.4% % Quality of leadership Quality of CCG leadership Q2 2016/17 Green Green 13

16 Sustainability & Leadership: Risks Risks and mitigations Domain / Area Issue / Risk Mitigation Sustainability: Financial sustainability ISSUE. The financial plan is rated as Red for 2016/17. This is a default rating as the CCG did not achieve a 1% surplus as required by NHS Business Rules. Sustainability: Financial sustainability RISK. The Inyear financial performance is rated as Amber (Q2 2016/17). The CCG has forecast a yearend deficit of 0.6M, reliant on delivery of QIPP programmes. This again is not with in the business rules requirement of achieving a 1% surplus. The CCG QIPP programme is designed to deliver cost reduction and efficiency in the CCGs business and commissioned services in order to restore financial balances to a sustainable position. Sustainability: Paper free at the point of care RISK. Digital interactions between primary and secondary care are in the third (i.e. second bottom) quartile nationally. This indicator is a composite of: % utilisation of EPS2 (electronic prescribing) Use of the NHS ereferral system; Accessing GP summary information across ambulance, 111 and A&E services; % of care summaries shared with GPs when patients are discharged. As at January 2017, the % usage of electronic prescribing in Merton practices ranged from 89%, down to 17%; the overall average percentage use was 47%. There is a 2016/17 GMS contract target for 80% of repeat prescriptions to be issued electronically. The CCG has a known issue with use of the ereferral system. As at December 2016 CCG Merton scored 12.2% utilisation rate which remains considerably below the London average of 36%. The South West London Performance Group chaired by CCG Merton are actively monitoring performance and will be contacting CCGs achieving best practice to share any lessons learnt. Well led: Effectiveness of working relationships in the local system RISK. Effectiveness of working relationships in the local system (2015/16: 66.4%) shows performance levels are in the third (i.e. second bottom) quartile nationally. This indicator is scored as the average response of each respondent to two of the questions in the 360 degree review of the CCG, that is completed by key local stakeholders. In 2016/17 Merton CCG has embarked on a significant initiative to engage with primary care and work with providers in a more effective way. We are already seeing the benefits of this including buyin to reducing demand and delivering transformation 14 Governing Body CCG Assurance Report 2016/17 January Report

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

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

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

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

NHS performance statistics

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

More information

NHS Performance Statistics

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

More information

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

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

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

More information

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

Improvement and Assessment Framework Q1 performance and six clinical priority areas

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

More information

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

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

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

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 th January 2018 Agenda No: 7.2 Attachment: 7 Title of Document: Acute Sustainability at Epsom & St Helier University Hospitals NHS

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

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

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

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

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

More information

Service Transformation Report. Resource and Performance

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

More information

GOVERNING BODY REPORT

GOVERNING BODY REPORT GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Finance, Performance and Commissioning Committee Report 3. Key Messages: At the end of March 2017 the clinical commissioning

More information

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

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

More information

NHS Dorset Clinical Commissioning Group Governing Body Meeting Financial Position as at 31 st July C Hickson, Head of Management Accounts

NHS Dorset Clinical Commissioning Group Governing Body Meeting Financial Position as at 31 st July C Hickson, Head of Management Accounts NHS Dorset Clinical Commissioning Group Governing Body Meeting Financial Position as at 31 st July 2013 9.4 Date of the meeting 18/09/2013 Author Sponsoring GB member Purpose of report Recommendation Resource

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT 9.6 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT Date of the meeting 18/07/2018 Author Sponsoring Board member Purpose of Report

More information

REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY PART 1

REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY PART 1 REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY PART 1 Date of Meeting: 24 September 2015 Agenda No: 8.2 Attachment: 14 Title of Document: South West London Collaborative Commissioning programme

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

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

Waiting Times Report Strategic. Thematic Goals

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

More information

Monthly and Quarterly Activity Returns Statistics Consultation

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

More information

Update Report to Clinical Members. Quarter 3; what have we done so far

Update Report to Clinical Members. Quarter 3; what have we done so far Update Report to Clinical Members Quarter 3; what have we done so far Introduction: Dr Charlotte Canniff, Clinical Chair Following our Council of Members meeting in October we heard and recognised a clear

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 26 March 2018 Financial Management Report for the 11 months to 28 February 2018 Author: Bob Brown, Assistant Director of Finance Governance and Shared Services

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

Council of Members. 20 January 2016

Council of Members. 20 January 2016 Council of Members 20 January 2016 Feedback on election process: Council of Members Chair and Deputy Chair Malcolm Hines, Chief Financial Officer Minutes of last meeting: 14 October 2015 Dr. Richard Proctor,

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

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

More information

Strategic Risk Report 12 September 2016

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

More information

Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust

Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust 1. Strategic Context 1.1. It has long been recognised that

More information

Urgent Care Short Term Actions to Improve Performance

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

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

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

More information

St. George s University Hospitals NHS Foundation Trust. Annual Plan 2016/17

St. George s University Hospitals NHS Foundation Trust. Annual Plan 2016/17 St. George s University Hospitals NHS Foundation Trust Annual Plan 2016/17 1 Excellence in specialist and community healthcare Contents Page 1.0 Executive Summary 3 2.0 The strategic context and the emerging

More information

NHS Trafford Clinical Commissioning Group (CCG) Annual General Meeting(AGM) 26th September

NHS Trafford Clinical Commissioning Group (CCG) Annual General Meeting(AGM) 26th September RIGHT CARE RIGHT TIME RIGHT PLACE NHS Trafford Clinical Commissioning Group (CCG) Annual General Meeting(AGM) 26th September 2017 Introduction Matt Colledge Chair Introduction Trafford Clinical Commissioning

More information

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

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

More information

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

Improving Healthcare Together : NHS Surrey Downs, Sutton and Merton clinical commissioning groups Issues Paper

Improving Healthcare Together : NHS Surrey Downs, Sutton and Merton clinical commissioning groups Issues Paper Improving Healthcare Together 2020-2030 NHS Surrey Downs, Sutton and Merton CCGs Improving Healthcare Together 2020-2030: NHS Surrey Downs, Sutton and Merton clinical commissioning groups Surrey Downs

More information

Croydon CCG. A consolidated view of provider performance across. A consolidated view of CCG contracting performance. Month 11.

Croydon CCG. A consolidated view of provider performance across. A consolidated view of CCG contracting performance. Month 11. Croydon CCG A consolidated view of provider performance across South London Epsom Croydon & CCG St. Helier Integrated University Report A consolidated view of CCG contracting performance Month 11 Month

More information

Performance of the NHS provider sector for the month ended 31 December 2017

Performance of the NHS provider sector for the month ended 31 December 2017 Performance of the NHS provider sector for the month ended 31 December 2017 Contents Overview Performance comparisons 2.4 Employee expenses pay costs 2.5 NHS provider vacancies 1.0 Operational performance

More information

Kingston Clinical Commissioning Group Report Summary

Kingston Clinical Commissioning Group Report Summary Kingston Clinical Commissioning Group Report Summary Meeting Title Governing Body in public Date 6 th March 2018 Report Title Integrated Governance Report Agenda Item 11 Attachment F Purpose (please indicate

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

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

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

SUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPs

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

More information

NHS 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

Governing Body meeting on 13th September 2018

Governing Body meeting on 13th September 2018 Governing Body meeting on 13th September 2018 Report from the Chair of the Integrated Governance Committee (IGC) Date of Meetings Reported: 9 th August 2018 Key achievements Author: Martin Wilkinson, Chair

More information

National Trends Winter 2016

National Trends Winter 2016 National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn

More information

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 January 2018

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 January 2018 MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 January 2018 Agenda No: 7.1 Attachment: 6 Title of Document: South West London Health & Care Partnership one year on Report Author:

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

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

2015/16 Annual General Meeting

2015/16 Annual General Meeting 2015/16 Annual General Meeting Welcome Dr Hari Pathmanathan tweet #ENHCCGAGM follow us @enhertsccg Financially Healthy? 2015/16 Finance Report Alan Pond Chief Finance Officer Statutory financial duties

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

Balanced Scorecard. Paper 5.2. TRUST BOARD 24 th September 2015 TITLE EXECUTIVE SUMMARY

Balanced Scorecard. Paper 5.2. TRUST BOARD 24 th September 2015 TITLE EXECUTIVE SUMMARY TRUST BOARD 24 th September 2015 TITLE EXECUTIVE SUMMARY Balanced Scorecard The Trust reported an in-month deficit of 0.7m against a deficit budget of 0.6m, resulting in a year to date surplus to 0.2m

More information

PRIMARY CARE COMMISSIONING COMMITTEE

PRIMARY CARE COMMISSIONING COMMITTEE PRIMARY CARE COMMISSIONING COMMITTEE 1. Date of Meeting: 2. Title of Report: Western Avenue Medical Centre Personal Medical Services (PMS) Reinvestment Report 3. Key Messages: The Personal Medical Services

More information

REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY

REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 26 th January 2106 Agenda No: 5 Attachment: 04 Title of Document: Clinical Chair and Chief Officer Report Report Author: Adam

More information

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

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

More information

REPORT TO CROYDON CLINICAL COMMISSIONING GROUP GOVERNING BODY Meeting in Public. 30 April 2013

REPORT TO CROYDON CLINICAL COMMISSIONING GROUP GOVERNING BODY Meeting in Public. 30 April 2013 REPORT TO CROYDON CLINICAL COMMISSIONING GROUP GOVERNING BODY Meeting in Public 30 April 2013 Title of Paper: CONTRACT PERFORMANCE AND MANAGEMENT: NON ACUTE CONTRACTS Lead Director Report Author Contact

More information

Mental Health Crisis Pathway Analysis

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

More information

Strategic Risk Report 4 July 2016

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

More information

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

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

5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework?

5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework? Item Number: 6.3 Governing Body Meeting: 4 February 2016 Report Sponsor Anthony Fitzgerald Director of Strategy and Delivery Report Author Anthony Fitzgerald Director of Strategy and Delivery 1. Title

More information

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

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

More information

Minutes of Part 1 of the Merton Clinical Commissioning Group Governing Body Tuesday, 26 th January 2016

Minutes of Part 1 of the Merton Clinical Commissioning Group Governing Body Tuesday, 26 th January 2016 Minutes of Part 1 of the Merton Clinical Commissioning Group Governing Body Tuesday, 26 th January 2016 Chair: Dr Andrew Murray Present: CC Cynthia Cardozo Chief Finance Officer CChi Dr Carrie Chill GP

More information

GOVERNING BODY REPORT

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

More information

Integrated Corporate Performance Report. August Page 1 of 9

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

More information

Redesign of Front Door

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

More information

Integrated Performance Report. NHS Rotherham Board 6 July 2011

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

More information

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

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

More information

WAITING TIMES 1. PURPOSE

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

More information

July (Month 4) Integrated Performance Report. John Grinnell, Director of Finance. Executive Directors. For Information For Discussion For Approval

July (Month 4) Integrated Performance Report. John Grinnell, Director of Finance. Executive Directors. For Information For Discussion For Approval BOARD OF DIRECTORS Subject/Title July (Month 4) Integrated Performance Report Executive Responsible Paper prepared by (if different from above) John Grinnell, Director of Finance Executive Directors Nature

More information

MINUTES MERTON CLINICAL COMMISIONING GROUP GOVERNING BODY PART 1 18 th April The Broadway, Wimbledon, SW19 1RH

MINUTES MERTON CLINICAL COMMISIONING GROUP GOVERNING BODY PART 1 18 th April The Broadway, Wimbledon, SW19 1RH MINUTES MERTON CLINICAL COMMISIONING GROUP GOVERNING BODY PART 1 18 th April 2018 120 The Broadway, Wimbledon, SW19 1RH Chair: Dr Andrew Murray In attendance: Members SB Sarah Blow Accountable Officer

More information

Community Pharmacy in 2016/17 and beyond

Community Pharmacy in 2016/17 and beyond Community Pharmacy in 2016/17 and beyond Stakeholder briefing sessions 1 CONTENTS Contents This presentation describes our vision for community pharmacy, and outlines proposals for achieving that vision,

More information

NHS Portsmouth CCG 2013/14 Contract Agreements Summary. Michelle Spandley Deputy Chief Finance Officer May Improving health services

NHS Portsmouth CCG 2013/14 Contract Agreements Summary. Michelle Spandley Deputy Chief Finance Officer May Improving health services NHS Portsmouth CCG 2013/14 Contract Agreements Summary Michelle Spandley Deputy Chief Finance Officer May 2013 Contents Contracts Summary Portsmouth Hospitals NHS Trust Solent NHS Trust South Central Ambulance

More information

WOLVERHAMPTON CCG. Governing Body Meeting 8 April 2014

WOLVERHAMPTON CCG. Governing Body Meeting 8 April 2014 WOLVERHAMPTON CCG Governing Body Meeting ` Agenda item:12 TITLE OF REPORT: REPORT PRESENTED BY: Commissioning Committee Summary Dr Kamran Ahmed Title of Report: Update from the Commissioning Committee

More information

PERSPECTIVES. High Performing Emergency Pathways PERFORMANCE IMPROVEMENT

PERSPECTIVES. High Performing Emergency Pathways PERFORMANCE IMPROVEMENT PERFORMANCE IMPROVEMENT High Performing Emergency Pathways In Spring 2013, as many hospitals emergency departments buckled under the strain of an extended winter, 2020 Delivery began exploring the causes

More information

Chief Accountable Officer Director Transformation and Quality. Director Transformation and Quality Chief Accountable Officer

Chief Accountable Officer Director Transformation and Quality. Director Transformation and Quality Chief Accountable Officer Governing Body Assurance Framework (July/August 2016) Introduction The Governing Body Assurance Framework identifies the CCG s principal, strategic objectives and the principal risks to their delivery.

More information

Integrating Telemedicine into mental Health Care

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

More information

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

GOVERNING BODY REPORT

GOVERNING BODY REPORT GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Chief Executive Officer s Business Report 3. Key Messages: This report provides an overview of important clinical commissioning

More information

Kingston Primary Care commissioning strategy Kingston Medical Services

Kingston Primary Care commissioning strategy Kingston Medical Services Kingston Primary Care commissioning strategy Kingston Medical Services Kathryn MacDermott Director of Planning and Primary Care Kathryn.macdermott@kingstonccg.nhs.uk kmacdermott@nhs.net 1 Contents 1. Introduction...

More information

Integrated Performance Report

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

More information

NHS Stockport Clinical Commissioning Group Governing Body Part 1 A G E N D A

NHS Stockport Clinical Commissioning Group Governing Body Part 1 A G E N D A Chair: Enquiries to: Ms J Crombleholme Laura Latham 07827 239332 Laura.latham1@nhs.net NHS Stockport Clinical Commissioning Group Governing Body Part 1 A G E N D A The next meeting of the NHS Stockport

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

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

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY AND URGENT CARE BOARD UPDATE

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY AND URGENT CARE BOARD UPDATE NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY AND URGENT CARE BOARD UPDATE Date of the meeting 17/05/2017 Author Sponsoring GB member Purpose of Report Recommendation Stakeholder

More information

WAITING TIMES AND ACCESS TARGETS

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

More information

NHS ENGLAND BOARD PAPER

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

More information

Main body of report Integrating health and care services in Norfolk and Waveney

Main body of report Integrating health and care services in Norfolk and Waveney Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of

More information

Marginal Rate Emergency Threshold. Executive Summary

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

More information

SWLCC Update. Update December 2015

SWLCC Update. Update December 2015 SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West

More information

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

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

More information

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

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

More information

Report to Patients. A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15. Healthy Norwich. Patient

Report to Patients. A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15. Healthy Norwich. Patient Report to Patients A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15 Healthy Norwich GP Care Patient Quality YourNorwich The work of the CCG, what it has achieved for patients,

More information

NHS Milton Keynes CCG Board Meeting

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

More information