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Highland
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NHS HIGHLAND BALANCED SCORECARD



TOTAL NHS HIGHLAND October Board 2006



Reporting Periods

Indicator HEAT Measure Detail Date of latest Reporting Comments

Latest Reported Period report Frequency



Health Improvement

Annual, 3yr Target=improve rate in most deprived by 15%. Rate based on few

1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (8 weeks excl. ASCs 0 0 0 0 0 August 2006 Monthly Actual position for August 2006 based on position on 31st August.

Maximum Radiology Waiting Times:

3.15.K CT Scan Longest wait for radiology investigation: CT Scan 13 9 9 9 5 August 2006 Monthly August 2006 target milestone is 11.

Maximum Radiology Waiting Times:

3.16.K MRI Scan Longest wait for radiology investigation: MRI Scan 16 11 10 8 7 August 2006 Monthly August 2006 target milestone is 12.

Maximum Endoscopy Waiting Times:

3.17.K Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 23 23 25 21 22 August 2006 Monthly August 2006 target milestone is 15.

Maximum Endoscopy Waiting Times:

Lower GI endoscopy (including Longest wait for endoscopy investigation: Lower GI endoscopy

3.18.K colonoscopy) (including colonoscopy) 22 23 24 19 22 August 2006 Monthly August 2006 target milestone is 15.

Treatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 3 6 6 August 2006 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 2008

Doesn't include A&B CHP; uptake for last 5 y - not the LDP target of

4.03.K Cervical Screening rate % of 20-60 yr olds screened 85.2% 84.8% 84.7% 83.2% 82.9% Apr-Jun Quarterly 5.5y

Number of points achieved (out of a possible 12) for 3

QIS Clinical Governance & Risk standards within QIS Clinical Governance & Risk Management LDP target is a movement of 2 points from 7 to 9. Position reviewed

4.04.K Management Standards Improving assessment 7 7 7 7 7 March 2006 Annual March 2007

New Outpatient DNA numbers (this figure includes DNAs and 305 371 326 366 366

4.05.S DNAs CNWs, with or without ASCs ; all acute specialties) 7% 8% 7% 8% 8% August 2006 Monthly New reporting format available from from April 2006. No national target

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 6.6 5.9 5.8 5.8 - Apr-Jun Quarterly

4.07.S Hospital Acquired Infection MRSA bacteraemia rate 0.22 0.06 0.12 0.06 - Jan-Mar06 Quarterly Reduce the rate of MRSA infection per 1,000 acute occ bed days

NHS HIGHLAND BALANCED SCORECARD



SPECIALIST SERVICES UNIT October Board 2006



Reporting Period

Indicator HEAT Measure Detail Date of Reporting Comments

Latest Reported Period

latest report Frequency

Health Improvement

1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (8 weeks excl. ASCs 0 0 0 0 0 August 2006 Monthly Actual position for August 2006 based on position on 31st August.

Maximum Radiology Waiting Times:

3.15.K CT Scan Longest wait for radiology investigation: CT Scan 7 6 7 4 4 August 2006 Monthly August 2006 target milestone is 11.

Maximum Radiology Waiting Times:

3.16.K MRI Scan Longest wait for radiology investigation: MRI Scan 16 11 10 8 7 August 2006 Monthly August 2006 target milestone is 12.

Maximum Endoscopy Waiting Times:

3.17.K Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 16 15 12 5 2 August 2006 Monthly August 2006 target milestone is 15.

Maximum Endoscopy Waiting Times:

Lower GI endoscopy (including Longest wait for endoscopy investigation: Lower GI endoscopy

3.18.K colonoscopy) (including colonoscopy) 19 13 14 2 3 August 2006 Monthly August 2006 target milestone is 15.

Treatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 0 0 1 August 2006 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 2008

4.03.K Cervical Screening rate % of 20-60 yr olds screened

Number of points achieved (out of a possible 12) for 3 standards

QIS Clinical Governance & Risk within QIS Clinical Governance & Risk Management

4.04.K Management Standards Improving assessment Target not disaggregated below Board level

New Outpatient DNA numbers (this figure includes DNAs and 279 246 299 325 328

4.05.S DNAs CNWs, with or without ASCs ; all acute specialties) 8% 6% 7% 8% 8% August 2006 Monthly New reporting format available from from April 2006. No national target

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 6.6 6.1 6.0 5.9 - Apr-Jun Quarterly

4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Highland level

NHS HIGHLAND BALANCED SCORECARD



NORTH HIGHLAND CHP October Board 2006



Reporting Period

Indicator HEAT Measure Detail Date of latest Reporting Comments

Latest Reported Period

report Frequency

Health Improvement

1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (8 weeks excl. ASCs Target not applicable to this operational unit

Maximum Radiology Waiting Times:

3.15.K CT Scan Longest wait for radiology investigation: CT Scan Target not applicable to this operational unit

Maximum Radiology Waiting Times:

3.16.K MRI Scan Longest wait for radiology investigation: MRI Scan Target not applicable to this operational unit

Maximum Endoscopy Waiting Times:

3.17.K Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 23 23 25 21 22 August 2006 Monthly August 2006 target milestone is 15

Maximum Endoscopy Waiting Times:

Lower GI endoscopy (including Longest wait for endoscopy investigation: Lower GI endoscopy

3.18.K colonoscopy) (including colonoscopy) 22 23 24 19 22 August 2006 Monthly August 2006 target milestone is 15

Treatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 2 2 4 August 2006 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 2008

4.03.K Cervical Screening rate % of 20-60 yr olds screened 86.2% 86.0% Apr-Jun Quarterly Uptake for last 5 y - not the LDP target of 5.5y

4.04.K QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards

Management Standards Improving within QIS Clinical Governance & Risk Management

assessment Target not disaggregated below Board level

4.05.S DNAs New Outpatient DNA numbers (this figure includes DNAs and 15 15 20 18 26 June 2006 Monthly New reporting format available from from April 2006. No national target

CNWs, with or without ASCs ; all acute specialties) 6% 5% 7% 6% 8%

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 6.8 6.7 5.9 6.0 - Apr-Jun Quarterly

4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Board level

NHS HIGHLAND BALANCED SCORECARD



MID HIGHLAND CHP October Board 2006



Reporting Period

Indicator HEAT Measure Detail Date of latest Reporting Comments

Latest Reported Period

report Frequency

Health Improvement

1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (8 weeks excl. ASCs Target not relevant for this Operational Unit

Maximum Radiology Waiting Times:

3.15.K CT Scan Longest wait for radiology investigation: CT Scan 13 9 9 9 5 August 2006 Monthly August 2006 target milestone is 11

Maximum Radiology Waiting Times:

3.16.K MRI Scan Longest wait for radiology investigation: MRI Scan Target not relevant for this Operational Unit

Maximum Endoscopy Waiting Times:

3.17.K Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy N/A N/A N/A N/A N/A Data not available

Maximum Endoscopy Waiting Times:

Lower GI endoscopy (including Longest wait for endoscopy investigation: Lower GI endoscopy

3.18.K colonoscopy) (including colonoscopy) N/A N/A N/A N/A N/A Data not available

Treatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 0 2 0 August 2006 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 2008

4.03.K Cervical Screening rate % of 20-60 yr olds screened 82.9% 82.6% Apr-Jun Quarterly Uptake for last 5 y - not the LDP target of 5.5y



QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards

4.04.K Management Standards Improving within QIS Clinical Governance & Risk Management assessment Not disaggregated below Board level

New Outpatient DNA numbers (this figure includes DNAs and 11 10 7 7 12

4.05.S DNAs CNWs, with or without ASCs ; all acute specialties) 7% 5% 5% 4% 6% August 2006 Monthly New reporting format available from from April 2006. No national target

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 6.3 4.5 3.9 4.5 - Apr-Jun Quarterly

4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Board level

NHS HIGHLAND BALANCED SCORECARD



SOUTH EAST HIGHLAND CHP October Board 2006



Reporting Period

Date of latest Reporting

Latest Reported Period

Indicator HEAT Measure Detail report Frequency Comments

Health Improvement

1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (8 weeks excl. ASCs Not applicable for this operational unit

Maximum Radiology Waiting Times:

3.15.K CT Scan Longest wait for radiology investigation: CT Scan Not applicable for this operational unit

Maximum Radiology Waiting Times:

3.16.K MRI Scan Longest wait for radiology investigation: MRI Scan Not applicable for this operational unit

Maximum Endoscopy Waiting Times:

3.17.K Upper GI endoscopy Waiting Times:

Maximum Endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy Not applicable for this operational unit

Lower GI endoscopy (including Longest wait for endoscopy investigation: Lower GI endoscopy

3.18.K colonoscopy) (including colonoscopy) Not applicable for this operational unit

Treatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 1 2 1 August 2006 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 2008

4.03.K Cervical Screening rate % of 20-60 yr olds screened 82.3% 82.0% Apr-Jun Quarterly Uptake for last 5 y - not the LDP target of 5.5y

Number of points achieved (out of a possible 12) for 3

QIS Clinical Governance & Risk standards within QIS Clinical Governance & Risk Management

4.04.K Management Standards Improving assessment

4.05.S DNAs New Outpatient DNA numbers (this figure includes DNAs and Target not relevant for this Operational Unit

CNWs, with or without ASCs ; all acute specialties)

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) Target not relevant for this Operational Unit

4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Board level

NHS HIGHLAND BALANCED SCORECARD



ARGYLL & BUTE CHP October Board 2006



Reporting Period

Latest Reported Date of latest Reporting

Indicator HEAT Measure Detail Period report Frequency Comments

Health Improvement

1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (8 weeks excl. ASCs Procedure not carried out in Argyll & Bute

Maximum Radiology Waiting Times:

3.15.K CT Scan Longest wait for radiology investigation: CT Scan 4 5 5 June 2006 Monthly Milestone to be clarified

Maximum Radiology Waiting Times:

3.16.K MRI Scan Longest wait for radiology investigation: MRI Scan Procedure not carried out in Argyll & Bute

Maximum Endoscopy Waiting Times:

3.17.K Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 14 17 20 June 2006 Monthly Milestone to be clarified

Maximum Endoscopy Waiting Times:

Lower GI endoscopy (including Longest wait for endoscopy investigation: Lower GI endoscopy

3.18.K colonoscopy) (including colonoscopy) 18 21 24 June 2006 Monthly Milestone to be clarified

Treatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 52 August 2006 Monthly Mid September position @14.9 = 43

4.03.K Cervical Screening rate % of 20-60 yr olds screened To follow



QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards

4.04.K Management Standards Improving within QIS Clinical Governance & Risk Management assessment No data available

New Outpatient DNA numbers (this figure includes DNAs and

4.05.S DNAs CNWs, with or without ASCs ; all acute specialties) To follow

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) To follow

4.07.S Hospital Acquired Infection MRSA bacteraemia rate To follow


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