Quality Waits Finance IQPR KPI Summary December 218 Workforce Performance Our Trust Key Performance Indicator Oct 18 Nov 18 Dec 18 YTD** Key Performance Indicator Oct 18 Nov 18 Dec 18 YTD** Incident Reporting Trend* 411 444 419 3572 999 Calls answered in 5 seconds 91.42% 94.1% 94.23% 93.24% Closed incidents reported moderate or higher* 5.6% 1.4%.% 2.6% IUC KPI 1 Calls abandoned in 3 seconds 1.16%.78%.78%.91% Serious Incidents* 1 12 IUC KPI 2 - Calls answered in 6 seconds 9.11% 92.5% 92.59% 91.73% Assaults on Staff (Trustwide) 58 5 53 415 IUC KPI 3a Patient call back 1 minutes 3.53% 34.65% 28.6% 32.8% FFT 111 85.2% 86.5% 82.8% 87.1% IUC KPI 15 Calls receiving Clinical Input 41.75% 41.9% 42.21% 41.68% FFT 999 98.6% 97.7% 94.8% 97.8% C1 Mean :6:14 :6:13 :6:29 :6:1 FFT Scheduled Care 95.3% 88.7% 95.3% 94.2% C1 9 th Centile :1:34 :1:47 :11:17 :1:32 data reported 4 months in arrears Jun 18 Jul 18 Aug 18 YTD C1T 9 th Centile :13:52 :13:36 :13:55 :13:57 Cardiac Arrest Survival Utstein 33.3% 21.4% 58.3% 39.2% C2 Mean :2:4 :23:41 :26:35 :2:4 Call to Thrombolysis Stroke (9 th Centile) 1:4 1:41 1:34 1:39 C2 9 th Centile :43:8 :48:44 :54:5 :41:55 Call to Angiography STEMI (9 th Centile) 2:4 2:46 N/A C3 9 th Centile 2:42:49 1:21:3 3:46:35 2:43:8 Key Performance Indicator Oct 18 Nov 18 Dec 18 Capital service capacity (times) 4.2 4.1 4.4 Liquidity days YTD 23.1 23.9 29.5 I&E margin.5%.6%.9% I&E margin: distance from plan 1.4% 1.6% 1.9% Agency spend cap % 61.9% 48.1% 37.3% Use of Resources Rating (SOF) 1. 1. 1. YTD** 12 month rolling C4 9 th Centile 3:6:29 3:1:6 3:44:9 2:46:58 Hear and Treat (ARP AQI) 4.89% 5.43% 5.35% 5.4% See and Treat (ARP AQI) 25.9% 26.1% 26.3% 24.9% See and Convey to ED (ARP AQI) 57.66% 58.38% 58.12% 58.35% See and Convey (ARP AQI) 69.2% 68.5% 68.4% 69.6% Time on Vehicle < 6 mins (Sched Care) 92.8% 92.7% 92.8% 93.3% On time arrival (Scheduled Care) 78.% 77.4% 77.2% 77.7% Early arrival (Scheduled Care) 17.4% 17.2% 17.6% 18.% Collection within 6 mins (Sched Care) 85.1% 85.4% 84.5% 86.2% Key Performance Indicator Oct 18 Nov 18 Dec 18 YTD Key Performance Indicator Oct 18 Nov 18 Dec 18 YTD** C1 exceeding double 9 th centile.2%.2%.2%.1% Sickness (Trust) 5.89% 5.6% 6.8% 6.39% C2 exceeding double 9 th centile 1.4% 1.9% 3.% 1.5% Vacancy Rate (Trust) -4.8% -4.32% Rolling C3 exceeding double 9 th centile 2.2% 4.5% 8.2% 3.% Turnover Rate (Trust).79%.65% 1.1% 13.59% C4 exceeding double 9 th centile 1.5% 2.9% 3.9% 1.7% *Quality data reported in Quality Dashboard. ** YTD = Financial year April 218 March 219 RAG status is calculated against targets/thresholds where available. Most data reported reflects August 218. Statutory and Mandatory Training Compliance 76.83% 79.5% 8.1% Appraisal Compliance 69.9% 68.39% 65.76% 12 month rolling
Workforce - Sickness, Turnover and Vacancies Our People Sickness MTD Trust 6.8% EOC 7.2% Ops North and South 6.27% Support Services 3.11% Sickness YTD Trust 6.39% Staff Turnover MTD Trust 1.1% YTD Trust 13.59% DBS ESR is reporting 99.86% DBS compliance trust wide. *Vacancies (November 218) The vacancy rate has slightly decreased in November 218, with the percentage of posts vacant reaching -4.34%. Unscheduled care carries the largest vacancy at -7.8% with Support Services second at -2.99%. Figures exclude NEASUS. *November 218 Establishment In post Vacancy wte Vacancy % EOC 59.37 57.93-1.44 -.28% Scheduled Care 43.24 417.81-12.43-2.89% Unscheduled Care 1327. 1233.2-93.98-7.8% Operational Management 66. 69.57 3.57 5.41% Support Services 263.39 255.51-7.88-2.99% Trust Total 2596. 2483.85-112.16-4.32% *Data is reported a month in arrears (Vacancies). 3
Workforce - Statutory and Mandatory/Appraisal Compliance Our People Statutory and Mandatory Compliance: Trust 8.1% Last year 86.53% New 65.76% EOC 82.91% Last year 86.83% New 76.75% Operations North and South 79.59% Last year 86.42% New 69.48% Support Services 78.4% Last year 86.69% New 64.35% Appraisal Compliance: Trust 65.76% EOC 58.29% Operations North and South 68.76% Support Services 64.35% Operations are reviewing the timings of both statutory and mandatory training and appraisal reviews to ensure these are not scheduled for periods of high demand, to manage compliance through the year. NB. Individual level compliance data is being shared with line managers to target improvements. New competencies were added to the training framework for 218/19 and launched mid-april 218 with staff showing as non-compliant from this date. This has impacted overall figures as this does not take account of renewal dates. Figures are now split to show compliance against both last years and new competencies. 4
Operations Centre Quality and Safety Our Patients Dec 17 Jan 18 Feb 18 Mar 18 Apr 18 May 18 Jun 18 Jul 18 Aug 18 Sep 18 Oct 18 Nov 18 Dec 18 Incidents Reported 128 136 71 13 8 98 79 92 15 98 111 118 12 Serious Incidents 2 3 1 1 2 1 1 Verbal Aggression Over the Telephone 1 3 1 1 4 2 3 2 5 5 2 3 3 Complaints and Appreciations December 218 shows an decrease in both the number of appreciations (from 15 to 1) and in complaints (from 38 to 27). NB. PALS information is not included. Incident Reporting There has been a continued increase in the number of incidents reported since September 218, although a decrease compared to December 217. Patient Safety Incidents Moderate and Above as a proportion of all Patient Safety Incidents (Closed in Period)* There were no patient safety incidents reported moderate or above or patient safety incidents closed in month for December 218. NB. There were changes to the way this is reported in August 218. Serious Incidents* There were no serious incidents reported in December 218. Verbal Aggression towards Staff over the Telephone The position remains static from last month. Managers are actively encouraging staff to raise reports. *Serious incidents and patient safety moderate and above incidents are under review. See the Quality dashboard for more information. 6
Operations Centre 999 1684 1751 1622 1728 1653 1728 171 1828 1829 Call Volume Change from same month last year -1.38% YTD change from last year -4.1% 2 18 16 14 12 1 8 6 4 2 Hear and Treat 5.% 4.9% 5.2% 5.4% 5.3% 4.9% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 218/19 - volume 217/18 - % 218/19 - % 9% 8% 7% 6% 5% 4% 3% 2% 1% % 7
Operations Centre- IUC Call Volume Change from same month last year YTD change from last year +.29% +4.97% Following mobilisation of the new IUC contract we are currently monitoring 2 sets of KPIs; National KPIs Bid KPIs NB. Some measures are covered by both national and bid sets; KPI 1 & Bid 1 Calls Abandoned KPI 9 & Bid 7 Calls closed as Self-Care by Clinician KPI 11 & Bid 8 Directory of Services Catch All KPI 12 & Bid 9 Average Time to Assessment Outcome Delivery of the national KPI targets has not been agreed locally with commissioners. Note on KPIs not yet reported: KPI 5 Primary Care Cases booked to an Urgent Treatment Centre reporting is being finalised and is expected to be included in the December 218 report. KPI 6 & 7 Revalidation of calls with an initial C3/ C4 disposition / and of calls with an initial ED disposition reporting will commence following the introduction of the combined 999/111 cleric development KPI 1 Prescription medication further guidance is required from NHS England before this can be reported KPIs 12, 13 & 14 Average time to telephone assessment outcome/ Patients receive a face to face consultation in an Urgent Treatment Centre within the specified period/ and Patients receive a face to face consultation within their home residence within the specified period these are system wide measures and rely on the collation of data from other providers 8
Operations Centre IUC KPIs KPI 1 (& Bid 1) Calls Abandoned This reports calls abandoned within 3 seconds after the call is queued to skill set (selection route following local IVR). At.78% for December 218 performance remains well within the <5% target. The <4% target contained within the bid, has also been met. The standard is being consistently achieved. KPI 2 & Bid 2 Calls Answered KPI 2 Calls Answered At 92.59% performance is slightly below the 95% target. Performance remains within normal variation and December sees a continued improvement to the call answering rising closer to the 95% target. There has been a slight improvement in December 218 and call demand has continued to rise with volumes increasing by 13.44% in December 218 compared with November 218. Bid 2 - Average Time to Call Answer Performance has been achieved and continues to decrease below the 2 second target at 14.64 seconds. NB. The call answer performance KPI has changed from 2 second average call answer time (Bid 2) to 95% of calls answered within 6 seconds (KPI 2). Modelling for the bid was based on achieving an average of 2 seconds, and the 95% target will be more challenging to meet. 1
Operations Centre IUC KPIs Fewer clinicians transferred under TUPE arrangement than expected at the beginning of the contract which has impacted a number of performance measures. Clinician recruitment is continuing. As clinician vacancies are filled, and additional clinical pathways in the CAS are turned on, performance against these are expected to increase. Shift patterns will also be reviewed for efficiencies and to align demand to capacity. KPI 3 Clinician Call Backs 1 minute call backs - At 28.6%, the 5% target has not been met. 1 hour call backs - At 65.5%, the 99% target has not been met. The national targets are not expected to be achieved and were not modelled for the bid. Based on historical performance the national targets of 5% of call backs within 1 minutes and 99% within 1 hour remain challenging, especially given the clinical call back time thresholds set out in the national specification range from 15 mins to 4 hrs. However, discussion with the NHS England national team indicate that this KPI will be amended to take this into consideration, limiting this to cases where a timely response is required. Bid 3 Average Time to Urgent Clinical Assessment At 45.12 minutes performance is at its highest in 12 months. The <15 minutes target has not been achieved. KPI 15 Clinical Input At 42.21% performance is below the 5% target, and has reduced slightly against historical performance, although this reduction was expected. NB. There have been changes to coding and calculations for this measure from October 218. ED dispositions had previously been revalidated out of hours, which has been removed due to clinical capacity. Also some refused dispositions which had previously been sent to clinicians are now routed to the new Senior Health Advisor posts, to free up clinical capacity and improve patient experience. This measure was not included as a KPI in the original specification, however is referenced within the detail and we modelled to achieve at least 5%. This is one that we have been monitoring and reporting on to NHS England for some time, and are yet to achieve the 5% target. The concern with this measure is in the potential for this to become a perverse incentive, driving inefficient use of clinical capacity, instead of ensuring that NHS Pathways triage deliver the most accurate outcome first time. 11
Operations Centre IUC KPIs KPI 4 Primary Care IUC Treatment Centre Bookings This measures the number of callers recommended to contact primary care who are given an appointment with a GP extended hours service or an IUC Treatment Centre. Although at 64.31% to 95% target has not been met, performance has been steadily improving with an upward trajectory. Direct bookings both in and out of hours are system wide measures, achievement of the targets rely on considered alignment of released appointments with demand by hour of day and day of week in order to maximise the direct bookings made. There is a risk that the impact of direct bookings to Urgent Treatment Centres on the 4- hour A&E target may lead to reduced direct bookings to these services if providers limit or remove availability of appointments. Further work is on-going to understand appointment availability and utilisation across the region. Bid 4 & Bid 5 Direct Primary Care Bookings This measures both in and out of hours primary care bookings. Within the bid, this measure is split into 2 measures; a) In hours (1%) b) Out of hours (9%) Further work is needed to report against these individual measures, although data is available on combined results. At 47.49% there has been a slight increase form last month, however this remains within normal variation. KPI 11 (& Bid 8) DoS Catch All This reports the number of times the DoS is fired but no appropriate service is available for selection, this results in a catch-all service profiling. At.12% December s performance remains well below the <3% national target and is not an area for concern. The standard has been consistently achieved. 12
Operations Centre IUC MDS New National KPIs NHS England have confirmed that the targets set for self-care are aspirational (given current Pathways restrictions which make this unachievable) and there is not an expectation that these will be achieved by any service. Data is for monitoring purposes only. Self-care targets will be under review nationally to understand the level that could be achieved, taking account of acuity of calls. KPI 8 Non-Clinician Self-Care At.9% the 15% target has not been met. KPI 9 (& Bid 7) Clinician Self-Care At 16.13% the 4% target has not been met. Bid 6 & 7 Calls closed as self care (see above for clinician breakdown) This measures both clinician and non-clinician self care. Within the bid and national specification, this measure is split into 2 measures; a) By Health Advisor/ Non-Clinician (15%) b) By Clinical Advisor/ Clinician (4%) These measures replace the previous KPI measuring the combined percentage of calls closed as self care. Individual measures are reported above, although this data shows combined results. 13
Unscheduled Care Quality and Safety Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Our Patients 12 Complaints and Appreciations 1 8 6 56 67 62 4 2 18 Complaints Appreciations Incidents Reported 216 183 21 222 23 23 235 24 26 23 248 232 Pt Incidents Reported Moderate or Above * 1 2 2 5 7 6 18 4 5 2 1 Serious Incidents* 1 1 1 Unscheduled Care FFT Violence/Assaults/Aggression 2 1% 6 18 16 14 12 1 94.8% 98% 96% 5 4 43 34 41 8 94% 3 6 4 92% 2 2 9% 1 FFT Responses FFT % Recommending From August 218 calculated using Patient Safety Incidents closed in month. *Serious incidents and patient safety moderate and above incidents are under review. See the Quality dashboard for more information. 15
Unscheduled Care Response Times 6:3 1:26:5 1:59 3:2:24 6:34 1:12:49 1:43 2:46:51 6:27 1:31:41 1:58 3:37:17 5:53 :51:48 9:58 1:58:26 5:5 :51:12 9:48 1:57:1 6:3 1::7 1:17 2:17:46 6:19 1:9: 1:51 2:45:22 6:8 1:5:28 1:22 2:33:28 6:11 1:11:51 1:36 2:51:52 6:14 1:8:43 1:34 2:42:49 6:13 1:21:3 1:47 3:1:6 6:29 1:36:24 11:17 3:46:35 1:14:56 23:4 2:41:26 :47:31 1:11:3 19:53 2:36:5 :39:48 1:16:12 22:3 2:41:35 :45:58 :48:32 1:46:23 16:46 :33:3 :57:17 16:52 2:3:12 :34:1 1:1:1 17:39 2:16:35 :36:13 1:1:1 2:26 :37:4 2:33:52 19: 1:9:3 :38:41 2:52:46 2:15 1:19:31 :41:18 3:41:53 2:4 1:13:22 :43:8 3:6:29 23:41 1:24:2 :48:44 3:37:55 26:35 1:27:4 :54:5 3:44:9 Category 1 Category 2 16: 1:: 14: 12: :5: 1: :4: 8: :3: 6: :2: 4: 2: :1: - - 4:: Category 3 4:: Category 4 3:3: 3:3: 3:: 3:: 2:3: 2:3: 2:: 2:: 1:3: 1:3: 1:: 1:: :3: :3: - - NEAS Mean NEAS 9 th Centile England Average Mean England Average 9 th Centile National Standard C1 - M C1-9th C2 - M C2-9th C3 M* C3-9th C4 - M C4-9th Variance from target -::31 -:3:43 :8:35 :14:5 :36:24 1:46:35 - :44:9 Change from previous month ::16 ::3 :2:54 :6:6 -:54:55-2:15:16 :3:2 :6:14 National Ranking Position (out of 11) 2 nd 2 nd 9 th 9 th 1 th 1 th 7 th 16 9 th
Unscheduled Care Benchmarking IoW EMAS EMAS EoE SECAMB SWAS NWAS IoW EoE LAS YAS SCAS SCAS SECAMB SWAS NWAS WMAS YAS 6:29 :13:56 NEAS NEAS LAS WMAS IoW EMAS SECAMB SWAS :26:35 EMAS NEAS EoE NWAS NWAS EoE SCAS YAS SWAS LAS YAS SECAMB WMAS IoW 11:17 NEAS SCAS LAS WMAS 12: 1: 8: 6: 4: 2: : Category 1 Response Times - Mean response (min:sec) - December 218-19 2: 18: 16: 14: 12: 1: 8: 6: 4: 2: : Category 1 Response Times - 9th centile response (min:sec) - December 218-19 England Target England Target 45: 4: 35: 3: 25: 2: 15: 1: 5: : Category 1T Response Times - 9th centile response (hour:min:sec) - December 218-19 35: 3: 25: 2: 15: 1: 5: : Category 2 Response Times - Mean response (hour:min:sec) - December 218-19 England Target England Target 17
Unscheduled Care Benchmarking EMAS SECAMB SWAS 3:53:19 NEAS :54:5 NEAS EMAS NWAS NWAS EoE SWAS YAS EoE LAS LAS SECAMB IoW IoW YAS SCAS SCAS WMAS WMAS SECAMB SECAMB 1:4:55 NEAS IoW EMAS 3:44:9 NEAS NWAS SWAS SWAS NWAS EoE EoE IoW SCAS LAS LAS YAS EMAS SCAS YAS WMAS WMAS 1: : 5: 4: 3: 2: 1: : Category 2 Response Times - 9th centile response (hour:min:sec) - December 218-19 11: 1: 9: 8: 7: 6: 5: 4: 3: 2: 1: - Category 3 Response Times - Mean response (hour:min:sec) - December 218-19 England Target England Target 4:3: 4:: 3:3: 3:: 2:3: 2:: 1:3: 1:: :3: - Category 3 Response Times - 9th centile response (hour:min:sec) - December 218-19 5:: 4:3: 4:: 3:3: 3:: 2:3: 2:: 1:3: 1:: :3: - Category 4 Response Times - 9th centile response (hour:min:sec) - December 218-19 England Target England Target 18
Unscheduled Care See and Treat/Convey 7975 8712 8275 885 8298 7988 942 8781 8782 23329 24392 2346 2433 23591 23388 24179 2345 24717 19197 234 196 2255 19579 196 2136 19648 2132 4, 35, 3, 25, 2, Incident Demand 34,741 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 217/18 218/19 Change from same month last year Incident Volume 2.44% YTD change from last year.83% See and Treat See and Convey See and Convey to ED 1 8 6 4 2 26.2% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 218/19 - volume 217/18 - % 218/19 - % 3% 25% 2% 15% 1% 5% % 3 25 2 15 1 5 68.41% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 218/19 - volume 217/18 - % 218/19 - % 75% 7% 65% 6% 55% 5% 25 2 15 1 5 58.12% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 218/19 - volume 217/18 - % 218/19 - % 6% 58% 56% 54% 52% 5% 19
Unscheduled Care Handovers Arrivals Hours Lost 25 2 15 1 5 Arrivals and Time Lost to Handovers 1551 168 1476 144 176 1117 12 138 978 896 96 866 82 83 668 72 619 48 24 19541 17384 19285 1915 2294 19612 2273 19547 19478 259 19717 2141 Arrivals Hours Lost to Handover Linear (Hours Lost to Handover) Hospital Handovers Dec-18 % Completed in 15 mins Hours Lost Average Handover (mins) Darlington Memorial 72.5% 66 :13:35 James Cook 42.9% 118 :18:15 NSECH 34.9% 52 :23:2 Queen Elizabeth 84.7% 36 :12:55 RVI 59.8% 15 :14:28 South Tyneside 52.2% 123 :18:33 Sunderland Royal 53.4% 232 :18:15 University Hsp of North Durham 64.% 233 :17:57 University Hsp of North Tees 75.2% 4 :12:33 Trust 6.% 1476 :16:37 Average Turnaround time (Mins) 42: 4: 38: 35:36 36: 35:1 35:9 34:45 33:47 34:21 34:16 34:14 33:3 34: 32: 3: 28: Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Post Handovers Dec-18 % Completed in 15 mins Hours Lost Average Post Handover (mins) Darlington Memorial 37.7% 166 :19:31 James Cook 47.% 123 :17:7 NSECH 48.9% 267 :16:46 Queen Elizabeth 33.2% 249 :2:55 RVI 4.% 251 :18:57 South Tyneside 37.% 126 :19:41 Sunderland Royal 33.8% 3 :2:39 University Hsp of North Durham 38.7% 249 :19:32 University Hsp of North Tees 4.8% 145 :18:49 Trust 39.7% 1882 :19:6 2
Unscheduled Care Long Waits 5% 5% 4% 4% 3% 3% 2% 2% 1% 1%.1%.3% 4.2%.2%.2% 2.7%.%.1% 3.6% Category 1.%.1%.%.1%.%.%.1%.1%.1%.%.1% 3.6% 3.1% 2.7% 2.3% 1.7% 1.9%.1%.%.2%.2% 3.% 2.9%.2%.2% 3.8% RAG 25% 2% 15% 1% 5%.7%.7% 2.7% 2.4%.4% 1.6% 15.1% 14.2% 1.1% Category 2 1.2% 1.1%.2%.2%.2%.3%.3% 1.2% 1.% 1.1%.3% 1.2%.3% 1.4% 7.3% 7.4% 7.9% 8.8% 9.3% 1.8% 9.2%.4% 3.%.4% 1.9% 2.4% 16.1% RAG % % 45% Category 3 RAG 3% Category 4 RAG 4% 35% 3% 25% 2% 15% 1% 5% % 1.2% 2.1% 2.3% 8.2%.4% 7.1% 7.3% 4.5%.1%.6%.2%.3% 3.9% 2.6%.1% 3.5% 2.2% 25.4%.1% 2.3% 31.3%.2%.1% 1.5% 23.9% 25.1% 1.2% 19.% 1.2% 18.6% 19.4% 16.3% 18.3% 13.6% 1.3% 9.9% 25% 2% 15% 1% 5% % 2.% 5.4%.3%.% 2.9% 2.9%.2%.%.2% 1.5%.2%.% 1.7% 1.4% 1.5% 17.4% 1.5%.%.3%.% 11.1% 1.1% 9.4% 9.2% 12.% 13.9%.8%.9% 1.%.% 1.4%.2% 5.1% 6.1% 6.% 2.7% 21
Unscheduled Care Clinical Indicators Cardiac Arrest - ROSCs Cardiac Arrest Survival to Discharge 8% 7% 7% 6% 6% 5% 5% 4% 3% 4% 3% 2% 2% 1% 1% % Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 % Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 NEAS Overall NEAS Utstein England Overall England Utstein NEAS Overall NEAS Utstein England Overall England Utstein STEMI Stroke 1% 2:3 1% 1:3 9% 8% 2:15 9% 8% 1:25 7% 6% 2: 7% 6% 1:2 5% 1:45 5% 1:15 4% 3% 1:3 4% 3% 1:1 2% 1% 1:15 2% 1% 1:5 % Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 1: % Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 1: NEAS Care Bundle England Care Bundle NEAS PPCI 15 (Mean) England PPCI 15 (Mean) NEAS Care Bundle England Care Bundle NEAS FAST (Mean) England FAST (Mean) Cardiac Arrest ROSC Cardiac Arrest Survival to Discharge Stroke STEMI* ROSC ROSC Utstein Survival to Discharge Survival to FAST FAST 6 (Mean) Discharge Utstein 6 (9th Centile) PPCI 15 (Mean) PPCI 15 (9th Centile) Jul-18 43.9% 6.% 15.8% 58.3% 1:8: 1:34: #N/A #N/A YTD 32.1% 63.5% 11.7% 39.2% 1:9: 1:39: 1:51 2:34 National Ranking (out of 11) 4 th 3 rd 1 st 1 st 3 rd 1 st #N/A #N/A Clinical Ambulance Indicators (data produced in arrears) * For August 218, STEMI data not available. NHSE are working with data suppliers on a solution and hope to publish these data alongside the September 218 data.
Unscheduled Care Late Finishes 45 Late Finishes (Hours) 4 35 3 25 2 2,275 1,823 1,738 Data not currently 2,287 available 2,97 1,869 1,888 1,871 15 1 5 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 23
Scheduled Care Quality and Safety Jan-18 Jan-18 Feb-18 Feb-18 Mar-18 Mar-18 Apr-18 Apr-18 May-18 May-18 Jun-18 Jun-18 Jul-18 Jul-18 Aug-18 Aug-18 Sep-18 Sep-18 Oct-18 Oct-18 Nov-18 Nov-18 Dec-18 Dec-18 Our Patients Incidents Moderate or Above Complaints and Appreciations 4.5 6% 4 3.5 3 2.5 2 1.5 5% 4% 3% 2% 12 1 8 6 9 6 1 1% 4.5.% % 2 Incidents Reported Moderate or Above Incidents Reported Moderate or Above as a proportion of Patient Safety Incidents Complaints Appreciations 3 25 Incidents Reported 4 4 51 36 36 34 22 57 53 43 58 45 Pt Incidents Reported Moderate or Above * 1 2 2 1 4 1 1 2 Serious Incidents* 1 Scheduled Care FFT 95.3% 1% 98% 96% 8 7 Violence/Assaults/Aggression 7 2 15 1 5 94% 92% 9% 88% 86% 84% 82% 6 5 4 3 2 4 3 8% 1 FFT Responses FFT % Recommending From August 218 calculated using Patient Safety Incidents closed in month. *Serious incidents and patient safety moderate and above incidents are under review. See the Quality dashboard for more information. 24
Scheduled Care Timeliness Indicators Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Arrival Time performance has decreased slightly for a number of consecutive months due to a small increase in the number of Late Arrivals. The number of patients collected within 6 minutes has decreased month on month and in December was below the 85% target for the first time since December 217; although there has been an increase in performance for Time on Vehicle which continues to consistently achieve local standard. There has been a large decrease in the total number of completed journeys for December 217. Arrival Time Collection within 6 Mins 1% 1% 9% 95% 8% 7% 6% 9% 85% 8% 84.5% 5% 4% 77.2% 75% 7% 3% 65% 2% 6% 1% 55% % 5% On Time Early Arrival Late Arrival Collection within 6 Mins Time On Vehicle < 6 mins Completed Journeys 1% 52 1% 9% 92.8% 5 48 9% 8% 46 8% 7% 44 42 43957 7% 6% 4 6% 38 5% 5% Time on Vehicle <6 Mins Completed Journeys - Total Completed Journeys - % 25
Scheduled Care Planned vs Same Day Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Completed Journeys - Same Day vs Planned Third Party Rate - Same Day vs Planned 5 88% 7% 45 4 84.3% 86% 84% 6% 35 3 82% 8% 5% 25 2 15 78% 75.9% 76% 74% 4% 3% 1 5 72% 7% 2% 68% 1% Completed Journeys (Planned) Completed Journeys (Same Day) Completed Journeys (Planned) % Completed Journeys (Same Day) % There has been a decrease in the number of Completed Same Day Journeys and there is a downward trajectory for the number of Planned journeys completed following a number of consecutive months of small percentage decreases. Third Party Rate performance has increased for both Planned and Same Day journeys. % Third Party Rate (Planned) % Third Party Rate (Same Day) % 26
Workforce Finance Performance Quality KPI Thresholds Key Performance Indicator Key Performance Indicator Our Service Incident Reporting Trend Decrease Static Increase 999 Calls answered in 5 seconds National <9% 9%-95% >=95% % Incidents reported moderate or higher >7% 5% - 7% <5% IUC KPI 2 - Calls answered in 6 seconds National <9% 9%-95% >=95% Serious Incidents 1 NA Assaults on Staff (Sched & Unsched) 1 NA FFT 85%> Data reported 4 months in arrears Cardiac Arrest Survival Utstein Stroke FAST 6 9th Centile STEMI PPCI 15 9th Centile National <25% National National > 21 Mins >18 Mins <=25.1% <3% >181 Mins <29 Mins >151 Mins <179 Mins >3% <18 Mins <15 Mins IUC KPI 3 Patients called back within 1 minutes IUC KPI 4 Primary Care cases booked into IUC Treatment Centre/ OOH GP IUC KPI 15 Calls receiving Clinical Input C1 Mean C1 9 th Centile National National National <45% National >:7:43 National >:16:31 >=5% in 1 mins/ >=99% in 1 hour <9% 9%-95% >=95% >:7:1 <:7:42 >:15:1 <:16:3 >=5% <:7: <:15: Key Performance Indicator Capital service capacity (times) 2.5 1.75 1.25 <1.25 Liquidity days -7-14 <-14 C1T 9 th Centile C2 Mean National >:33:1 National >:19:49 >:3:1 <:33: >:18:1 <:19:48 <:3: <:18: I&E margin 1% % -1% <=-1% I&E margin: distance from plan % -1% -2% <=-2% Agency spend cap % > or = % %-25% Key Performance Indicator Sickness Local >8% 5-8% <5% Vacancy Rate Local Turnover Rate Local 1.25% (ytd 1%) Statutory and Mandatory Training Compliance 25%- 5% Use of Resources Rating (SOF) 1. >5% Local <9% 9 95% 95%> C2 9 th Centile C3 9 th Centile C4 9 th Centile National >:44:1 National >2:2:1 National >3:3:1 >:4:1 <:44: >2::1 <2:2: >3::1 <3:3: <:4: <2:: <3:: Hear and Treat (ARP AQI) Local 1-3% 4-7% 7-11% See and Treat (ARP AQI) See and Convey (ARP AQI) No Target No Target See and Convey to ED (ARP AQI) National >57.% >53<57% <53.% Time on Vehicle < 6 mins (Sched Care) Contractual <8% 8%-9% >9% On time arrival (Scheduled Care) Contractual <75% 75%-8% >8% Appraisal Compliance Local <9% 9 95% 95%> Early Arrival (Scheduled Care) 27 Collection within 6 mins (Sched Care) Contractual <8% 8%-85% >85%
Waits KPI Thresholds contd. Our Service Key Performance Indicator Long Waits National >3% exceeding triple >6% exceeding double >1% <3% exceeding triple <1% <3% exceeding double <1% exceeding triple <3% exceeding double 28