West Suffolk Hospitals NHS Trust

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West Suffolk Hospitals NHS Trust
Agenda item 6.2

• Report To Trust Board
• Date 26th June 2009
• Title Performance Report to end of May 2009
• Report of Gwen Nuttall, Chief Operating Officer

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Summary To include reference to financial impact
plus or negative.This paper focuses on the key
core targets, identified by the Department of
Health and the Care Quality Commission,
summarising performance to the end of May 2009.
Background
Recommendation The Board is asked to receive
and note the contents of this report.
Controls Assurance ReferenceThis paper relates
to Corporate ObjectiveTo Achieve performance
levels in accordance with the CQC Standards for
Better Health
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Contents

• 1. Key Performance Indicator Dashboard
• 2. Introduction
• 3. Emergency Care
• 4. 18 Weeks
• 5. Cancer
• 6. Cancelled Operations
• 7. Productivity Efficiency
• 8. Care Quality Commission
• 9. Infection Control
• 10. CQUIN

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1. Key Performance Indicators
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2. 3. Introduction Emergency Care
1. Introduction This report provides a
briefing to the Board members on the
performance against key targets up to May
2009. The paper focuses on the main targets,
identified by the Department of Health and the
Care Quality Commission.

• 2. Emergency Care Accident and Emergency
• Target 98 of patients seen/treated/discharged
  within 4 hours
• The Trust met the 98 Target for the month of May
  (98.88).
• Alan Bedford action plan continues to be
  implemented and monitored to ensure compliance.
  Alan Bedford revisited the Trust in April.
• The PCT continue to review the health community
  action plan. They will review the impact of the
  early intervention and rapid response teams in
  June.
• PCT held a strategic urgent care event on the
  19th June. Verbal report to the committee on key
  issues for the Trust.

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4. 18 Weeks
Target 90 admitted patients and 95 non
admitted patients to be seen in 18 weeks by Dec
08 this target was brought forward to Oct 08.
Target has to be achieved by each specialty. The
charts show the Trusts overall position.
All Specialities are achieving the 90 and 95
targets. There are no financial penalties
attached to this target.
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4.1 - 18 Weeks
ADMISSIONS
NON ADMITTED
THESE ARE INDICATIVE FIGURES ONLY FOR THE MONTH
OF MAY
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5. Cancer

• Once the cancer targets are confirmed, this page
  will be populated by exception reporting only.

THESE ARE INDICATIVE FIGURES ONLY FOR THE MONTH
OF APRIL
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6. Cancelled Operations

• A high proportion of cancelled cases has been due
  to unforeseen complications in elective patients.
  This is reflected in the lack of theatre time
  column.
• The number of urgent cases also added to theatre
  lists, has also impacted on the cancelled
  operation rate.
• There as been a significant number of
  cancellations due to staff sickness particularly
  in anaesthetics and the inability to back fill
  due to high vacancy factor.
• Work has been ongoing throughout 08/09 to reduce
  cancellations using a variety of approaches
• A review of all cancelled operation reasons.
• Focus on start/finish times and loss of time
  between cases. This is now captured on Opera.
• Theatre planning and scheduling is now carried
  out on a 6 week rolling basis. Staff now have
  greater access to waiting list and theatre
  session information.
• Cancelled operations will continue to be
  performance managed at speciality/ consultant
  level

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7. Productivity Efficiency
It is intended to populate this page with a
selection of efficiency measures on a monthly
basis generally where there are exceptions.
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8. Care Quality Commission
Quarterly report will be submitted to the Board.
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9. Infection Control

• For C-difficile we are above the trajectory
  position by 1 at a monthly total of 5 cases.

• For MRSA bacteraemias we are currently on
  trajectory with 0 cases.

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10. CQUIN
These reports will be quarterly.
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11. Conclusion

• The Trust continues to achieve the lowest
  waiting times for inpatient, day case,
  outpatient cancer services and diagnostic tests.
• An action plan is in place to enhance the AE
  waiting time and ensure that performance
  improves for 2009/10.
• Whilst Cancer performance looks to have
  slipped, this is a result of new reporting
  systems which are not yet nationally validated.
• Performance management of cancelled operations
  will be enhanced at the surgical directorate
  performance review meeting, focussing on reasons,
  speciality and individual if required