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					Royal Free Hampstead NHS Trust
Balanced Scorecard
As At 30/08/06

Existing National Targets                                                                      Owner   Month   UoM     CurrMthTar   CurrMthAct   CurrMthVar   Rating            YTDTar   YTDAct   YTDVar   Rating
ET001 - All Cancers 2 week wait                                                                 JS      Jun     %         100          100           0          G      same     100.0    100.0     0.0       G      same
ET002 - All Cancers one month diagnosis to treatment                                            JS      Jun     %         98.0        100.0         2.0         G      same      98.0     99.6     1.6       G      better
ET003 - All Cancers two month urgent gp referral to treatment                                   JS      Jun     %         95           100           5          G      better    95.0     99.1     4.1       G      better
ET004a - Cancelled Operations - numbers of patients cancelled                                   DT      Jul    Num        19           22            3          Y      better     76      146       70       Y
ET004b - Cancelled Operations - numbers not re-admitted within 28 days                          DT      Jul    Num         0            0            0          G      same       0        0        0        G
ET005 - Convenience & Choice: elective inpatient, daycase and outpatient booking information    TE      Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
ET006a - Convenience & Choice: achieve 100% daycase booking                                     TE      Jul     %         100          100           0          G      same     100.0    100.0     0.0       G      same
ET006b - Convenience & Choice: achieve 100% inpatient booking by Dec 05                         TE      Jul     %         100          100           0          G      same     100.0    100.0     0.0       G      same
ET006c - Convenience & Choice: achieve 100% outpatient booking by Dec 05                        TE      Jul     %         100          100           0          G      same     100.0    100.0     0.0       G      same
ET007 - Delayed Transfers of Care                                                              GMs      Jul    Num        18           19            1          G      better     72      109       37       Y
ET008a - Number of Inpatients waiting longer than standard - 26wk waiters                      GMs      Jul    Num         0            1            1          G      worse      0        1        1        G
ET009a - Number of outpatients waiting longer than standard - 13wk waiters                     GMs      Jul    Num         0            0            0          G      same       0        0        0        G
ET010 - Three month maximum wait for revascularisation                                          LD      Jul    Num         0            0            0          G      same       0        0        0        G
ET011 - Thrombolysis - 60 minute call to needle time                                            LD      Jul     %         68           n/d          n/a        n/r       ?       68.0     0.0      -68.0     R      same
ET012 - Total time in A&E four hours or less                                                    LD      Jul     %         98.0         98.3         0.3         G      worse     98.0     98.5     0.5       G      worse
ET013 - Waiting times for rapid access chest pain clinic - maximum two week wait                LD      Jul     %         100          100           0          G      better   100.0     99.5     -0.5      G      better



New National Targets                                                                           Owner   Month   UoM     CurrMthTar   CurrMthAct   CurrMthVar   Rating            YTDTar   YTDAct   YTDVar   Rating
NT001 - Access to genito-urinary medicine (GUM) clinics                                         LD      Jul     %         50           n/d          n/a        n/r       ?       50.0     n/d      n/a      n/r       ?
NT002 - Data Quality on Ethnic Group                                                           GMs      Jul     %         95           n/d          n/a        n/r       ?       95.0     n/d      n/a      n/r       ?
NT003 - Drug misusers; information, screen and referral                                        GMs      Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
NT004 - Emergency Bed Days                                                                      n/k     Jul    Ratio       1           n/d          n/a        n/r       ?       1.0      n/d      n/a      n/r       ?
NT005 - Experience of Patients                                                                  n/k     Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
NT006 - Infant health; data completeness                                                       BHL      Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
NT007 - MRSA Bacteraemias (see CL002a,b,c also)                                                 CH      Jul    Num         5            8            3          R      worse      22       27       5        R      worse
NT008 - Obesity; identification and management in secondary care                                AT      Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
NT009 - Participation in audits                                                                 LD      Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
NT010 - Treatment and management of self harm in emergency departments                          LD      Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
NT011 - Smoke Free NHS                                                                          n/k     Jul     %         100          n/d          n/a        n/r       ?      100.0     n/d      n/a      n/r       ?
NT012a - Waiting times for MRI and CT scans - percent waiting more than 26wks                   NM      Jul     %          0            0            0          G      same      0.0      0.0      0.0       G      same



Clinical Indicators                                                                            Owner   Month   UoM     CurrMthTar   CurrMthAct   CurrMthVar   Rating            YTDTar   YTDAct   YTDVar   Rating
CL001 - Readmission Rates - Emergency readmission within 28 days                                CB      Jul     %          8           9.5          1.5         Y      better     8       9.8      1.8       Y      better
CL002a - MRSA (all) Cumulative                                                                  CH      Jul    Num         5            8            3          R      worse      22       27       5        R      worse
CL002b - MRSA (renal) Cumulative                                                                CH      Jul    Num         1            1            0          G      worse      4        4        0        G      same
CL002c - MRSA (admitted) Cumulative                                                             CH      Jul    Num         1            0            -1         G      better     4        2        -2       G      better
CL003 - Mortality - crude death rate                                                            KF      Jul     %         1.0          0.6          -0.4        G      worse     1.0      0.7      -0.3      G      better
CL004a - Clinical Coding Completeness                                                           KF      Jul     %         100          99.8         -0.2        G      worse    100.0     99.9     -0.1      G      worse
CL004b - Clinical coding depth
CL005 - Risk (CNST)
CL006 - SUIs
CL007 - Litigation Claims



Operational & Efficiency Indicators                                                            Owner   Month   UoM     CurrMthTar   CurrMthAct   CurrMthVar   Rating            YTDTar   YTDAct   YTDVar   Rating
OE001 - Activity Volumes: New GP referrals received                                            GMs      Jul    Num       6997         6179          -818        R        ↓      29704    26475    -3229      R
OE002a - Activity Volumes: First Outpatient Attendances                                        GMs      Jul    Num       7704         8418          714         Y        ↑      32861    33240     379       G
OE002b - Activity Volumes: Subsequent Outpatient Attendances                                   GMs      Jul    Num       17192        21036         3844        R        ↑      73978    84229    10251      R
OE003 - Subsequent to First Attendance Ratio                                                   GMs      Jul    Rate       2.0          2.5          0.5         Y      better    2.0      2.5      0.5       Y      better
OE004 - Outpatient DNA rate                                                                    GMs      Jul     %         12.0         15.9         3.9         R      worse     12.0     15.5     3.5       R      worse
OE005a - Activity Volumes: Inpatient Elective Spells                                           GMs      Jul    Num       1199          982          -217        R        ↓       4729     3733     -996      R
OE005b - Activity Volumes: Daycase Spells                                                      GMs      Jul    Num       1246         2145          899         G      better    4917     8042     3125      G
OE005c - Activity Volumes: Non-Elective Inpatient Spells                                       GMs      Jul    Num       2362         2165          -197        Y        ↑       9770     8728    -1042      R
Royal Free Hampstead NHS Trust
Balanced Scorecard
As At 30/08/06

OE005d - Activity Volumes: Regular Day Admission Spells                              GMs      Jul    Num        4658         6984          2326        G      worse     18549      27791      9242      G
OE006a - Length of Stay (Elective)                                                   GMs      Jul    Days        4.0          3.9          -0.1        G      worse      4.0        3.7       -0.3      G      worse
OE006b - Length of Stay (Non-Elective)                                               GMs      Jul    Days        7.0          5.7          -1.3        G      better     7.0        6.0       -1.0      G      better
OE007 - Daycase Rate                                                                 GMs      Jul    Rate        70.0         68.6         -1.4        G      better     70.0       68.4      -1.6      G      better
OE008 - Bed Occupancy                                                                GMs      Jul      %         95.0         82.2        -12.8        R        ↓        95.0       81.8      -13.2     R        ↑
OE009 - Theatre Utilisation
OE010 - Diagnostic Utilisation
OE011 - Augmented Care Utilisation
OE012 - Drug Prescriptions
OE0013a - Diagnostic Waits: MRI / CT - numbers waiting > 26 weeks                     NM      Jul    Num          0            0            0          G      same        0          0         0        G
OE0013b - Diagnostic Waits: Other Imaging - numbers waiting > 26 weeks                NM      Jul    Num         10            0           -10         G      same        40        273       233       R
OE0013c - Diagnostic Waits: Physiological Measurement - numbers waiting > 26 weeks   GMs      Jul    Num         10           367          357         R      worse       40       1293       1253      R
OE0013d - Diagnostic Waits: Endoscopy - numbers waiting > 26 weeks                    LD      Jul    Num          0            0            0          G      same        0          0         0        G
OE014 - Cancellation of OP Appt or Investigation?



Workforce Indicators                                                                 Owner   Month   UoM      CurrMthTar   CurrMthAct   CurrMthVar   Rating            YTDTar     YTDAct     YTDVar   Rating
W001 - Headcount                                                                      NT      Jul    Num        4476         4399          -77         G        ↑        4523      4467       -56       G        ↓
W002 - Use of bank / agency
W003 - Sickness                                                                       NT      Jul      %         3.1          n/d          n/a        n/r       ?        3.1        n/d       n/a      n/r       ?
W004 - Vacancy
W005 - Staff Turnover                                                                 NT      Jul      %         13.6         13.7         0.1         G        ↓        13.9       14.0      0.1       G        ↓
W006 - Diversity                                                                      NT      Jul      %        100.00       99.89        -0.11        G      worse     100.00     99.90      -0.10     G      worse
W007 - Appraisals                                                                     NT      Jul      %        100.0         23.2        -76.8        R      better    100.0       23.2      -76.8     R      better
W009 - % of Senior Managers undertaking OD programmes


Financial Indicators                                                                 Owner   Month   UoM      CurrMthTar   CurrMthAct   CurrMthVar   Rating            YTDTar     YTDAct     YTDVar   Rating
F001 - Income (this will cover contract performance via the FMG report)               PC      Jul    £,000s    -32171.7     -32332.6      -160.9       G      better   -130040.5 -129772.1   268.4      G      better
F002 - Expenditure                                                                    PC      Jul    £,000s    31000.3      31036.3        36.0        G      worse    126196.7   126054.3   -142.4     G      worse
F003 - Income / Expenditure Variance                                                  PC      Jul    £,000s      0.0         -126.9       -126.9       G      better     0.0       124.0     124.0      Y      better
F004 - Debtors                                                                        PC      Jul    £,000s      n/d          n/d          n/a        n/r       ?        n/d        n/d       n/a      n/r       ?
F005 - Cost Improvement Programme - Overall Savings                                   PC      Jul    £,000s      35.0         n/d          n/a        n/r       ?        35.0       n/d       n/a      n/r       ?



Patient Experience Indicators                                                        Owner   Month   UoM      CurrMthTar   CurrMthAct   CurrMthVar   Rating            YTDTar     YTDAct     YTDVar   Rating
PE001 - Staff Attitude
PE002 - Respect
PE003 - Communication
PE004 - Cleanliness
PE005a - Number of formal complaints received                                         n/k     Jul    Num         70           79            9          Y      worse      280        271        -9       G
PE005b - % of formal complaints responded to within 20 working days                   n/k     Jul      %         75.0         60.9        -14.1        Y      better     75.0       43.0      -32.0     R
PE005c - Number of PALS contacts in the reporting period                              KF      Jul    Num         306          385           79         R        ↓        1224      1340       116       G
PE005d - % of PALS contacts responded to within 48 hours                              KF      Jul      %        100.0         91.9         -8.1        G      better    100.0       78.2      -21.8     Y      better
PE006 - Car Parking Notice Disputes

				
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