+ All Categories
Transcript

Performance Dashboard - Jan 12 Page 1 of 18

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 2 of 18

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 3 of 18

Standard/

Plan Actual Trend

Standard/

Plan Actual Trend

18 Weeks Admitted Oct-11 90% 93.80% ↑ 90% 95.62% ↑

18 Weeks Non Admitted Oct-11 95% 98.50% ↓ 95% 97.31% ↑

MRSA (MK YTD, Northants Month) Nov-11 2 3 ↓ 1 1 ↓

C. Difficile (MK YTD Northants Month) Nov-11 34 31 ↓ 20 20 ↑

Existing Cancer 62 Days Oct-11 85% 81.80% ↓ 85% 82.80% ↓

Existing Cancer 31 Days Oct-11 96% 98.60% ↓ 96% 98.59% ↓

Existing Cancer 2WW Oct-11 93% 98.70% ↓ 93% 94.86% ↓

Stroke care (% of people who spend 90% of

time on stroke unit)Oct-11 80% 88.89% ↓ 80% 93.06% ↑

TIA (% TIA cases who are scanned <24hrs) Oct-11 65% 83.33% ↓ 60% 69.72% ↑

Choose and Book Oct-11 90% 68.00% ↓ 93% 93.00% ↓

Mixed Sex Accommodation Breaches Oct-11 0 0 ↔ 1 1 ↓

Chlamydia (% 15-24 yr olds screened) Note: Chlamydia reporting under review

Smoking (4 wk quitters) (QTD vs PCT Plan) Sep-11 100% 98.93% ↑ 100% 94.41% ↑

Immunisation – MMR Aged 5 (2nd

Dose) (QTD

vs PCT Plan)Sep-11 92% 86.00% ↑ 90% 89.06% ↑

Dentistry – people seen in last 24 months

(vs PCT Plan)Sep-11 100% 91.37% ↑ 100% 96.90% ↑

GUM Access – (% offered) Oct-11 98% 100.00% ↔ 99.90% 100.00% ↔

Early Intervention (vs PCT Plan) Sep-11 100% 100.00% ↔

Assertive Outreach (vs PCT Plan) Q1 11/12

Crisis Resolution (vs PCT Plan) Q1 11/12 100% 165.28% ↑

Commissioner targets

Performance Indicators

NA

TIO

NA

L P

RIO

RIT

IES

PU

BLI

C H

EALT

H

MILTON KEYNES NORTHANTS M

ENTA

L H

EALT

H

Please note: Trend arrows signify

improvement/deterioration in performance. They are

not related to an increase/decrease in the data.

Performance IndicatorPeriod

Reported

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 4 of 18

Standard/

Plan Actual Trend

Standard

/ Plan Actual Trend

Standard/

Plan Actual Trend

18 Weeks – Admitted Oct-11 90% 95.37% ↑ 90% 93.80% ↑ 90% 96.94% ↑

18 Weeks – Non Admitted Oct-11 95% 96.03% ↑ 95% 98.50% ↓ 95% 98.41% ↑

MRSA (MK YTD, NGH & KGH Month) Nov-11 0 0 ↔ 2 1 ↔ 0 1 ↓

C. Difficile Nov-11 3 1 ↑ 32 11 ↓ 4 5 ↔

Existing Cancer 62 Days Oct-11 85% 88.31% ↓ 85% 81.80% ↓ 85% 78.90% ↓

Existing Cancer 31 Days Oct-11 96% 100.00% ↔ 96% 98.60% ↓ 96% 97.71% ↓

Existing Cancer 2WW Oct-11 93% 95.06% ↓ 93% 98.70% ↓ 93% 94.63% ↓

A&E - YTD Jan-12 95% 92.21% ↓ 95% 96.53% ↓ 95% 94.10% ↓

Mixed Sex Accommodation (MSA) Breaches Oct-11 1 0 ↑ 0 0 ↔ 1 0 ↔

% Admissions risk assessed for VTE Oct-11 90% 92.47% ↑ 90% 90.00% ↑ 90% 93% ↑

Standard/

Plan Actual Trend

Standard

/ Plan Actual Trend

% patients receiving follow up contact

within 7 days of dischargeSep-11 95% 98.32% 95% 99%

Number of patients served by Early

Intervention Teams (YTD)Sep-11 15 15 50

MSA Breaches Dec-11 0 0

Standard/

Plan Actual Trend

Standard

/ Plan Actual Trend

02/01/2012 75% 74.77% ↑

Nov-11 75% 76.81% ↓

02/01/2012 95% 92.31% ↑

Nov-11 95% 95.63% ↑

Performance Indicator Period

Reported

Ambulance Cat A8 YTD

Ambulance Cat A19 YTD

MK CHS

Performance IndicatorPeriod

Reported

Performance Indicator Period

Reported

Please note: Trend arrows signify

improvement/deterioration in performance.

They are not related to an increase/decrease in

the data.

Performance Indicators

NA

TIO

NA

L P

RIO

RIT

IES

KGHFT MKHFT NGH

Acute Trusts

NHFT

EMAS SCAS

NA

TIO

NA

L P

RIO

RIT

IES

Mental Health Trusts

Ambulance Service

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 5 of 18

Risks Action / Resolution

Existing Cancer 62 Days

NGH - After data cleansing NGH performance in October was 79.6%,

In November performance is forecast to be 86.3%.

Performance issue was in Urology PSA clinics.

Performance has now recovered due to corrective action to reduce waiting times between referral to first outpatient appointment; and first

outpatient appointment to biopsy.

MRSA and C Difficile

NGH - Although NGH have exceeded the monthly trajectory for HCAI, the Trust is on trajectory over the year to date (2/2) for MRSA

bacteraemia and is under trajectory for the year to date (33/36) for Clostridium difficile. Root cause investigation and analysis has been

carried out for the bacteraemia and actions implemented. All cases of Clostridium difficile are investigated internally and the Trust has also

completed a half yearly review, actions from these have been implemented.

A&E ytd 95%

On current performance, our three acute trusts will not achieve the 4 hour target this year.

As at 24 January 2012, YTD performance was; NGH 93.75%, KGH 92.33%, MK 93.83%

Both Northants acute trusts are delivering the IST recommendations through their respective programmes (KGH-Urgent and Emergency Care

Transformation Programme and NGH-A&E CQIs Recovery Plan).

During Q4 there has been a focus on the implementation of initiatives to deliver the target in Q4, utilising the Northants and MK allocations

from the £100M announced by the DH on 22 Dec 2011.

A&E performance has and will continue to be a focus for the executive team.

Childhood Immunisations

Milton Keynes HFT - A range of improvement actions are to be implemented by the end of March 2012, these include:

• Incorporating best practice from Leicester City and Derby City

• Improved feedback and management mechanisms

• Health visitors to be actively involved

Choose and Book

Milton Keynes HFT - The published data shows that the 90% target has not been achieved in any month of 2011/12.

Work has commenced to understand the construction of this indicator and to ensure that data used by the Dept. of Health Knowledge and

Intelligence in the calculation of estimated GP referrals to 1st outpatient (the denominator) is based on accurate figures for Milton Keynes.

Chlamydia Screening

Northants - The NHFT are aware they are not reaching their target and held a meeting last week to put together an action plan for Quarter 4

to screen 1234 individuals.

GPS in Northamptonshire are underperforming every month (approx 800) and they have tried several incentives but to no avail. In Quarter 3

they did not screen as many Freshers as originally expected Their plan is to have more University events, Valentine events and a Radio

Evening show on Heart FM over 8 weeks.

Performance Indicators

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 6 of 18

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 7 of 18

Performance Indicator – Previous Period Period

Reported

Standard/

Plan

Milton

Keynes

Standard/

Plan Northants

Quality stroke care (% of people who spend 90% of time on stroke unit) Nov-11 80% 88.89% 80% 80.00%

Quality stroke care (% TIA cases who are scanned and treated within 24hrs) Nov-11 65% 83.33% 60% 60.00%

Smoking (4 wk quitters) Sep-11 100% 98.93% 100% 100.00%

Prevalence of Breast Feeding at 6-8 weeks Sep-11 58% 53.27% 45.9% 45.89%

Maternity 12 weeks access Sep-11 90% 80.10% 90% 92.70%

Teenage Pregnancy rate per 1000 population 2009 33.2 39.9 38.83 40.2

% Children in Reception with height and weight recorded who are obese 2010/11 9.6% 9.76% 9.6% 9.80%

% Children in Reception with height and weight recorded 2010/11 91% 92.66% 91% 96.90%

% Children in Year 6 with height and weight recorded who are obese 2010/11 16.1% 19.86% 18.2% 17.12%

% Children in Year 6 with height and weight recorded 2010/11 88% 81.46% 88% 92.71%

Immunisation DTaP/IPV/Hib Aged 1 Nov-11 95% 97% 96.42%

Immunisation PCV Aged 2 Nov-11 95% 97% 98.38%

Immunisation Hib/Men C Aged 2 Nov-11 95% 96% 97.04%

Immunisation MMR Aged 2 Nov-11 95% 95% 94.35%

Immunisation DTaP/IPV Aged 5 Nov-11 92% 90% 92.72%

Immunisation MMR 2nd

Dose Aged 5 Nov-11 92% 90% 90.76%

Chlamydia Screening (% of 15-24 population) Note: Chlamydia reporting under review

NHS Health Check – No. offered Sep-11 18% 18.10% 14% 2.63%

NHS Health Check – Uptake rate Sep-11 1.6% 2.63%

Hospital admissions for alcohol related harm per 100,000 population 2009 1837.0 1596.3

Tie

r 3

East Midlands Key Performance Indicators – Public Health

Tie

r 1

Tie

r 2

Primary Care Trusts

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 8 of 18

Risks Action / Resolution

% Children with height and weight

recorded who are obese

The results for Northamptonshire show pleasing results for Year 6 children but indicates further progress must be

made with those in Reception year.

The obesity prevalence in Reception is rising year and year and the current prevalence in the county is 9.8%, larger

than national (9.4%) and regional (8.9%) results. Five out of the seven districts in the county have an obesity

prevalence that is higher than the national average. The district results for reception year children found Corby

(12.2%) and Northampton (10.5%) had the highest prevalence of obesity in the county.

Year 6 data underlines that real improvements have been made in the health status of older school age children. In

2010/11 the obesity prevalence for Year 6 children in Northamptonshire is 17.1%, which is lower than the regional

average (18.3%) and significantly lower than national (19.0%) results. All districts in the county now have a Year 6

obesity prevalence which is below the national average. Compared to 2009/10 results, the county obesity prevalence

decreased by 1.04 percentage points, which is even more pleasing considering the national prevalence rose between

these years.

Chlamydia Screening

The NHFT are aware they are not reaching their target and held a meeting last week to put together an action plan

for Quarter 4 to screen 1234 individuals.

GPS in Northamptonshire are underperforming every month (approx 800) and they have tried several incentives but

to no avail. In Quarter 3 they did not screen as many Freshers as originally expected Their plan is to have more

University events, Valentine events and a Radio Evening show on Heart FM over 8 weeks.

East Midlands Key Performance Indicators – Public Health

Northamptonshire

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 9 of 18

Risks Action / Resolution

Breastfeeding at 6-8 weeks MKHFT has an established identified Breast Feeding lead. Commissioners are working with MK Council to engage children's centres in supporting increased prevalence and

Breast feeding prevalence is included in monthly reports to the MK programme Board, chaired by MK CCG.

Maternity 12 week access A paper was presented to the December 2011 meeting of Children and Maternity Programme Board, noting the concerns of the SHA about the 12 week booking target for

Milton Keynes. This summarised the current position against target and a draft action plan to improve performance. Work on the action plan is currently underway and is

being led by the Community Midwifery Matron from MKHFT. Quarterly progress reports will be presented to the Children and Maternity Programme Board.

Childhood measurement programme

Reception - % recorded as

obese

The percentage achieved in Milton Keynes in 2010/11 was 9.8%, compared to last year 9.5%. Although there has been an increase in number of children who are classed as

obese at reception year over time, this is in line with the national trend and is not significantly different to England (9.4%) and East Midlands (8.9%).

The HEY (Healthy Early Years) Award has been launched for all early years settings to work towards, thus providing support for the development of healthier, happier babies

and young children, by meeting criteria in healthy eating, physical activity and lifestyle influences.

The Motiv8 programme has been commissioned to support overweight and obese children aged 5-8 and their families to develop healthy and active behaviours. The

programme is over 10 weeks tailored to this age group to work with the family with a multidisciplinary approach in regards to healthy eating, physical activity and an overall

healthy lifestyle change.

The Motiv8 programme can support children identified by the National Child Measurement programme at reception year.

HENRY (Health, Exercise, Nutrition for the Really Young), aims to reduce the number of children who enter Reception year as overweight or obese

HENRY is currently in the process of being commissioned to roll out, as from April 2012, the Let’s Get Healthy with HENRY programme to support families with children aged 0-

2 years. This 8-week programme has been designed to cover the key lifestyle areas including healthy eating, eating patterns and physical activity. 18 courses are planned in

the coming year.

The HENRY programme already provides professional training for those promoting a healthy lifestyle with young families from children centres and health visitor teams. To

date 31 health visitors and 31 children centre staff have attended the core training.

Year 6 - % recorded as obese The percentage achieved in Milton Keynes in 2010/11 was 19.9%, compared to last year 17.3%. Although there has been an increase in number of children who are classed as

obese at year 6 over time, this is in line with the national trend and is not significantly higher than England (19.0%) and East Midlands (18.3%).

Milton Keynes did not meet the target for number of children measured at year 6, which may have had an impact on the percentage children recorded as obese, however

without further investigation, this cannot be substantiated. Due to a school being missed, an action plan is in place to ensure a successful outcome.

The Motiv8 programme has been commissioned to support overweight and obese children aged 5-8 and their families to develop healthy and active behaviours. The

programme is a 10 week tailored to this age group to work with the family with a multidisciplinary approach in regards to healthy eating, physical activity and an overall

healthy lifestyle change.

The Motiv8 programme can support children identified by the National Child Measurement programme at year 6.

% Children in Year 6 with

height and weight recorded

The underachievement against target is due to the continued non-participation of two schools in the programme. These schools have been visited over the last few years to

reiterate the importance of the programme and the lead Consultant in Public Health will continue to engage with these schools. Also this year one school was missed by the

provider during the measurement process – this has been discussed with the provider and an action plan put in place to prevent this happening in future.

In addition the schools will be approached through alternative routes of influence, for example Milton Keynes Council. NHS MK is using the data gained through the

programme to target associated work programmes and this will raise the profile and relevance of the programme and further encourage all schools to increase their

participation rate.

East Midlands Key Performance Indicators – Public Health

Milton Keynes

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 10 of 18

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 11 of 18

Plan ActivityActual

Activity

Activity

VariancePlan Cost

£

Actual Cost

£

Cost Variance

£’000

NATIONAL TARIFF

Outpatients - First Attendances 24,656 37,134 3,869 5,323,986 5,944,115 620,129

Outpatients - Follow-up Attendances 32,169 48,450 6,209 3,778,723 4,319,758 541,035

Outpatients - Procedures 6,871 10,349 4,261 1,110,283 1,699,454 589,171 Highest Risk Lowest Risk

Admissions - Elective 8,159 12,288 2,762 10,528,229 12,452,157 1,923,928

Admissions - Emergency 9,035 13,552 1,382 19,440,417 20,972,666 1,532,249

Emergency readmissions adjustment -1,057,005 1,057,005

Emergency adms baseline adjustment 0 0

Admissions - Other non-elective 3,083 4,625 19 6,735,387 6,238,571 -496,816

Admissions - Excess bed days 4,187 6,280 -1,201 1,757,367 1,435,747 -321,620

Accident & Emergency 26,470 38,973 7,070 3,060,744 3,586,086 525,342

Community - Home births 49 74 7 83,292 91,617 8,325

Sub-total - national tariff 114,679 171,725 24,378 50,761,423 56,740,171 5,978,748

Market Forces Factor @ 10.6109% 5,386,244 6,020,643 634,399 Oct-11 Nov-11 Dec-11 YTD

Sub-total - National Tariff inc MFF 56,147,667 62,760,814 6,613,147 81.8% 91.4%

LOCAL TARIFF

Outpatients - First Attendances 9,968 15,013 3,054 845,506 1,057,816 1,273,414

Outpatients - Follow-up Attendances 25,012 37,670 6,240 1,865,489 2,210,075 2,809,609

Admissions (patient bed days) 620 930 277 148,595 334,879 222,892

Accident & Emergency Triage 225 331 -6,597 138,555 6,620 204,000

Critical Care - Adult 866 1,299 71 1,743,803 1,720,372 2,615,705

Critical Care - Neonatal 0 0 0 0 0 0

Imaging - Direct Access 16,574 24,962 1,450 1,372,844 1,428,310 2,067,637

Pathology - Direct Access 166,438 250,672 -404 2,627,991 2,586,004 3,958,010

Community services 10,879 16,384 1,418 830,500 904,277 1,250,814

Sub-total - Local Tariff 230,581 347,261 5,510 9,573,282 10,248,353 14,402,081

Sub Total Non-Tariff 5,286,650 6,386,843 1,100,193

Adjustments -4,558,376 -4,558,376

CQUIN Adjustments assuming 50% success 532,557 561,282 28,725

TOTAL 345,261 518,986 29,888 71,540,156 75,398,915 3,858,759

62 Day Standard

Year to Date as at Month 8

Mo

nit

or

Ris

k R

atin

g Q

2 1

1/1

2

Milton Keynes Hospital NHS Foundation Trust

MKHFT Key Issues

Finance

Governance

MKHFT

Cancer

0

50

100

150

200

250

300

350

400

0

250

500

750

1000

1250

1500

1750

2000

2250

2500

2750

Bre

ach

es

Att

end

an

ces

A&E Attendances and Breaches

MKHFT Attendances MKHFT Breaches

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 12 of 18

Risks

o introduction of a community based service for Ophthalmology (pilot) has started from December and there is a slight improvement

o A new, more robust policy for C2C referrals has been agreed by the referrals team and is being placed in the CQUIN quality schedule for the acute hospital.

Also triangulation of C2C data has shown a decrease in referral numbers for the 1st 7 months (Apr – Oct) of 2011/12 as compared to 2010/11

o Planned Care and Children’s & Maternity Programme Boards are actively addressing ‘Other referrals’ category areas. An audit of Obstetrics referrals is

underway

o A Follow-Up Transfer of Care LES is being finalised and will be rolled out. This will hopefully work towards a decrease in 1st OP appointments/attendances

o All C2C for chronic pain pathway clinic have been stopped as of December 2011 with introduction of prescribing algorithm and electronic referral form to

facilitate the GPs

o The MSK pilot with 4 practices has commenced from December and the results are being awaited

o Electives are increasing – this has been discussed with secondary care colleagues at the monthly contract review meetings. It is understood that the

capacity generated by reduced GP referrals may be contributing to reduced waiting times to be seen and treated.

In addition the application of prior approvals processes for procedures of limited clinical value has also reduced demand for services and may have

contributed to higher conversion rates for surgery

It will be important to strike a balance between commissioning the required capacity for 12/13 and the available funding. MK Commissioning wishes to

ensure that a realistic plan is submitted to the SHA based on outturn whilst continuing to provide stretching targets for referrers in order to reduce the

overall spend within secondary care.

Unplanned Care The non elective FFCEs activity indicator exceeded plan by 12.2% in October 2011 and 20.1% YTD.

This particular target has a direct link to the 4 hour A&E target. It is known that when the A&E department are under pressure there are more non-elective

admissions. The work carried out earlier in the year to reduce the number of people attending A&E has had limited success, although the number of presenting

people has not increased despite the fact that Milton Keynes has a higher than expected population growth in 2010/11 however, the acuity of patients has changed.

Historically MKHFT have been operating at 60% minors and 40% majors. In recent months there has been a change with major cases above the 50% mark. This has

resulted in more patients being admitted.

Non -Financial

Milton Keynes Hospital Foundation Trust

Organisation Specific Issues

Action / Resolution

Planned Care The COO of MK Commissioning has formally responded as follows to the Cluster Director of Commissioning Development concerning over performance against

activity plans.

• The Plan set for 11/12 was exceptionally ambitious in an attempt to address the financial constraints facing Milton Keynes PCT

• Programme Boards have been working on the associated QIPP plans to reduce activity within secondary care; however, these have taken longer to develop than

first envisaged. Consequently activity within secondary care remains above plan

• GP initiated referrals have decreased from 2010-11 levels.

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 13 of 18

Plan Activity Actual Activity Activity VariancePlan Cost

£’000

Actual Cost

£’000

Cost Variance

£’000

Day Case 21,833 20,234 -1,599 14,786 13,780 -1,006

Elective 3,922 3,681 -241 10,008 9,494 -514 Oct-11 Nov-11 Dec-11 YTD

Non Elective 21,801 24,046 2,245 36,337 40,274 3,937 78.9% 85.0%

Out Patient First Attendance 57,973 49,378 -8,595 8,344 7,093 -1,251

Out Patient Follow Up 115,656 102,963 -12,693 8,320 7,413 -907

Out Patient Procedure 11,590 21,048 9,458 1,769 3,086 1,317

Chemo 2,967 2,636 -331 930 916 -14

Non Face to Face 372 620 248 9 14 5

A&E 42,704 45,223 2519 3,784 4,197 413

Total 278,818 269,829 -8,989 84,287 86,267 1,980

Northampton General Hospital NHS Trust

NGH Key Issues

Year to Date as at Month 8

NGH

62 Day Standard

Cancer

0 50 100 150 200 250 300 350 400

0 250 500 750

1000 1250 1500 1750 2000 2250 2500 2750

Bre

ach

es

Att

en

da

nce

s

A&E Attendances and Breaches

NGH Attendances NGH Breaches

0

1000

2000

3000

4000

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11

NGH Outpatient Procedures

3,000

3,200

3,400

3,600

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11

NGH Non-Elective Admissions

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 14 of 18

Risks Action / Resolution

A&E Attendances are over plan 1. An action plan is in place with the trust to manage overperformance in this

area.

2. This is being closely monitored and managed through operational meetings

with the trust.

Non-Elective Admissions are over plan This activity is being investigated and will continue to be managed through

operational meetings with the trust

Outpatient Procedures are over plan OPPROCS increase is as a direct result of the initiative to move more costly DC

procedures to OPPROCS where appropriate.

62 Day Cancer standard is below targetNGH confirm they have met the quarterly target.

The contract is 1.9m over plan

Non -Financial

Organisation Specific Issues

Northampton General Hospital NHS Trust

Contract

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 15 of 18

Plan Activity Actual Activity Activity Variance

Plan Cost

£’000

Actual Cost

£’000

Cost Variance

£’000

Day Case 14,790 17,116 2,326 11,030 12,206 1176

Elective 2,897 3,261 364 7,818 8,995 1177

Non Elective 18,014 18,070 56 28,785 31,607 2823 Highest Risk Lowest Risk

Out Patient First Attendance 33,402 30,537 -2,865 5,500 5,183 -317

Out Patient Follow Up 72,816 70,142 -2,674 6,691 6,442 -249

Out Patient Procedure 15,129 16,561 1,432 2,412 2,470 58

Out Patient Procedure Non

Mandatory3,912 4,996 1084 681 831 150

Out Patient Non Face to Face 377 716 339 9 17 8

Chemo 1358 1332 -26 461 494.38 33 Oct-11 Nov-11 Dec-11 YTD

A&E 43,526 43,677 151 4,180 4,069 -111 81.80% 91.12%

Total 206,221 206,408 187 67,566 72,315 4,749

Governance

Year To Date as at Month 8

KGH

62 Day Screening Standard

Kettering General Hospital NHS Trust

KGH Key Issues

Mo

nit

or

Ris

k R

atin

g Q

2 1

1/1

2

Finance

Cancer

0

25

50

75

100

125

150

175

200

225

250

275

300

325

350

375

400

0

250

500

750

1000

1250

1500

1750

2000

2250

2500

Bre

ach

es

Att

en

dan

ces

A&E Attendances and Breaches

KGH Attendances KGH Breaches

0

1000

2000

3000

4000

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11

KGH Outpatient Procedures

0

1000

2000

3000

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11

KGH Day Cases

300

400

500

600

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11

KGH Elective Admissions

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 16 of 18

Risks Action / Resolution

A&E Attendances are over plan This is being closely monitored and managed through operational meetings with the trust.

Day Cases are over plan This over activity is largely due to the increase in demand through DRS and Bowel Cancer services,

along with an increase in the number of cases of major oral surgery procedures being completed.

Elective Admissions are over plan The application of the Hip and Knee oxford scoring policy has resulted in slightly more appropriate

procedures being undertaken at KGH.

Non-Elective Admissions are over plan This is being closely monitored and managed through operational meetings with the trust.

Outpatient Procedures are over plan OPFA has improved along with OPFU however OPPROC activity remains an issue and this is being

closely monitored and managed through operational meetings

Monitor Risk Rating Governance - The governance risk rating for this foundation trust was amended from amber-green

to red at quarter 2 2011/12 due to a failure to meet a healthcare target. Assurance is being sought

that a plan has been developed for returning to a more acceptable rating.

Non -Financial

Contract

The contract is 4.7m over plan

Organisation Specific Issues

Kettering General Hospital NHS Trust

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 17 of 18

Month Average Clinical

Handover

Average Post

Handover

Oct 00:16:30 ↑ 00:16:32 ↑

Nov 00:16:00 ↑ 00:14:57 ↑

Dec

Month % Handover delays >

15 mins

% turnaround

delays > 30 mins

July 35.60% ↓ 25.80% ↔

Aug 37.20% ↑ 26.30% ↔

Sept 39.70% ↑ 28.10% ↑

Oct

Nov

YTD 36.10% ↔ 27.40% ↔

Ambulance Service Performance (SHA Positions)EMAS Key Issues

SCAS Key Indicators

68.0%

73.0%

78.0%

83.0%

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11

SCAS CAT A - 8 mins

75.0%

80.0%

85.0%

90.0%

95.0%

100.0%

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11

SCAS CAT A - 19 mins

Ambulance Turnaround - SCAS

Ambulance Turnaround - EMAS

0%

20%

40%

60%

80%

100%

Q1 2011/12 Q2 2011/12 03-Oct-11 10-Oct-11 17-Oct-11 24-Oct-11 31-Oct-11 07-Nov-11 14-Nov-11 21-Nov-11 28-Nov-11 05-Dec-11 12-Dec-11 19-Dec-11 26-Dec-11 02-Jan-12

EMAS CAT A - 8 mins

Northamptonshire All EMAS

0%

20%

40%

60%

80%

100%

Q1 2011/12

Q2 2011/12

03-Oct-11 10-Oct-11 17-Oct-11 24-Oct-11 31-Oct-11 07-Nov-11 14-Nov-11 21-Nov-11 28-Nov-11 05-Dec-11 12-Dec-11 19-Dec-11 26-Dec-11 02-Jan-12

EMAS CAT A - 19 mins

Northamptonshire All EMAS

Produced by: BI Performance Team 26/01/2012

Performance Dashboard - Jan 12 Page 18 of 18

Infection control – C.Difficile & MRSA

MRSA

C-Difficile

0

10

20

30

40

50

60

70

80

90

100

APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR

Cumulative C.Diff infections - KGH 2008/09 - KGH cumulative 2009/10 - KGH cumulative

2010/11 - KGH cumulative 2011/12 - KGH cumulative

2011/12 - KGH ceiling Linear (2011/12 - KGH cumulative)

0

10

20

30

40

50

60

70

80

90

100

APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR

Cumulative C.Diff infections - NGH 2008/09 - NGH cumulative total 2009/10 - NGH cumulative total

2010/11 - NGH cumulative total 2011/12 - NGH cumulative total

2011/12 - NGH ceiling Linear (2011/12 - NGH cumulative total)

0 2 4 6 8

10 12 14 16 18 20

APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR

Cumulative MRSA Bacteraemia - KGH 2008/09 - KGH cumulative total 2009/10 - KGH cumulative total 2010/11 - KGH cumulative total 2011/12 - KGH cumulative total 2011/12 - KGH ceiling

0

2

4

6

8

10

12

14

16

18

20

APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR

Cumulative MRSA Bacteraemia - NGH 2008/09 - NGH cumulative total 2009/10 - NGH cumulative total 2010/11 - NGH cumulative total 2011/12 - NGH cumulative total 2011/12 - NGH ceiling

Produced by: BI Performance Team 26/01/2012


Top Related