Paper 3 Performance Report Appendices

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							               Summary of Activity by Commissioner                                Appendix 1
               Period 1st April 2005 - 31st May 2005


                          Shropshire County PCT

                 Patient                     Actual-to-
Annual Plan                   Plan-to-Date                Variance   Variance %
                Category                       date
  5,974        Elective IP        958           968          10          1
  19,933        Daycase          3,205         3,502        297          9
  18,741      Emergency IP       3,233         3,533        300          9
               Maternity
   3,353                          560           560          0           0
                Spells
  48,001      Total-Spells       7,956         8,563        607          8

 130,889      Outpatients       23,338        21,727      -1,611         -7
  52,856         A&E            8,809         8,310        -499          -6



                        Telford and Wrekin PCT

                 Patient                     Actual-to-
Annual Plan                   Plan-to-Date                Variance   Variance %
                Category                       date
  3,800        Elective IP        613           672          59         10
  11,477        Daycase          1,847         1,769        -78         -4
  12,624      Emergency IP       2,150         2,213        63           3
               Maternity
   2,645                          442           431         -11          -2
                Spells
  30,546      Total-Spells       5,052         5,085        33           1

 102,349      Outpatients       16,821        16,929        108          1
  50,177         A&E            8,363         8,894         531          6


                                     Other

                 Patient                     Actual-to-
Annual Plan                   Plan-to-Date                Variance   Variance %
                Category                       date
   1,297       Elective IP        201           211         10           5
   3,912        Daycase           618           663         45           7
   4,799      Emergency IP        796           897         101         13
               Maternity
   639                            106           113          7           7
                Spells
  10,647      Total-Spells       1,721         1,884        163          9

  32,446      Outpatients        5,159         5,616        457          9



                             TOTAL (RSH & PRH)

                 Patient                     Actual-to-
Annual Plan                   Plan-to-Date                Variance   Variance %
                Category                       date
  11,071       Elective IP       1,772         1,851         79          4
  35,322        Daycase          5,670         5,934        264          5
  36,164      Emergency IP       6,179         6,643        464          8
               Maternity
   6,637                         1,108         1,104         -4          0
                Spells
  89,194      Total-Spells      14,729        15,532        803          5

 265,684      Outpatients       45,318        44,272      -1,046         -2
 103,033         A&E            17,172        17,328       156           1
                   Monthly variations between Planned Actual Activity   Appendix 2




  Electives                             Elective
  Electives Plan
1100

1000

 900

 800

 700




  Daycases                              Daycase
  Daycases Plan
3500

3000

2500

2000




  Emergencies                          Emergency
  Emergencies Plan
4000
3500
3000
2500
2000




  Maternity                             Maternity
  Maternity Plan
750

500

250

 0
                                Monthly variations between Planned Actual Activity   Appendix 2




            TotalSpells
                                                   Total Spells
            Total Spells Plan

          9000

          8000

          7000

          6000




             Outpatients                            Outpatients
             Outpatients Plan

          26000
Numbers




          24000

          22000

          20000


                                                        Month



             A&E Attendances                      A&E Attendances
             A&E Plan
          11000
          10000
Numbers




           9000
           8000
           7000
           6000


                                                        Month
                                                                                                 Performance Indicators (Star Ratings)                                                                                                       APPENDIX 3

                                                                                                               2005/06




                                                                                                                                                                      Combined Trust


                                                                                                                03/04 National Average /
                                                                         Target 05/06             Data Period          Threshold                Source            2004/05       This year   Comment
                     Key Targets




                     A&E emergency admission waits (12 hours)                100%                  2005/06              99.961%                 Sitreps            100%           100%      04/04/05 - 29/05/05



                                                                                                                                           M12 finance return
                     Financial management                                       tba                2005/06           Not disclosed          05/06/FID-FM        -£10,100,000                2005/06 information not yet available
                                                                11 areas including tidiness,
                                                                toilets, bathrooms, & linen
                                                                marked between 0-5 with 0
                                                                being not acceptable & 5 being
                                                                excellent. Target is average
                     Hospital cleanliness                       score of 4 - Good                  2005/06           Not disclosed               PEAT              99%                      Self Assessment to be undertaken in early 2006




                     Outpatient booking                                                                                76.435%                 KH07ms              79%            81%




                     Elective booking (inpatient and daycase)      100% by December 2005              tba              89.974%                 KH07ms              85%            87%       Apr 05 -May 05 (Catchment based)




5016ccc9-551c-426c-ba28-7cf96e61bd6e.xls
                                                                                                                          Performance Indicators (Star Ratings)                                                                                                            APPENDIX 3

                                                                                                                                        2005/06




                                                                                                                                                                                                    Combined Trust
                                                                                                                                          03/04 National Average /
                                                                                               Target 05/06                Data Period           Threshold                 Source              2004/05        This year

                     Clinical Focus
                                                                                       Level of compliance against
                     Clinical Risk Management                                                     CNST                         tba                  N/A                    NHS LA               Level 1                   Assessed later in the year
                                                                                     Deaths within 30 days of surgery
                                                                                     (incl. Deaths in hospital and
                                                                                     after discharge for non elective
                                                                                     admissions, excl. diagnosis of       calendar year
                     Deaths following selected non-elective surgical procedures      cancer)                                  2005               4784.963                    HES                3.97%                     April 04 - March 05
                                                                                                                          calendar year
                     Emergency readmissions following discharge (adults)                                                      2005                 8.712                     HES                8.46%          9.40%      Jan 05 - May 2005 unvalidated data
                                                                                                                          calendar year
                     Emergency readmissions following discharge for a fracture hip                                            2005                 9.475                     HES                8.72%          8.50%      Jan 05 - May 2005 unvalidated data
                                                                                      Performance on a broad range
                     Indicator on Stroke care                                              of Stroke Measures               2005/06                 N/A              Sentinel Stroke Audit      49.50%                    Self Assessment to be undertaken in early 2006

                                                                                                                                                                       Self Assessment
                     Child Protection                                                CHI Self Assessment Audit Tool            tba                91.40%                     Audit              100%                      Self Assessment to be undertaken in early 2006


                                                                                     Providers should participate fully
                     Composite of participation in audits                              in comparative clinical audit        2005/06                 18                       tba                  18                      Which Audits will be advised later in the year
                                                                                     The indicator looks at absolute
                                                                                     MRSA rates, as well as
                                                                                                                                                                            PEAT
                                                                                     improvements in rate and the
                                                                                                                                                                       LDPR special
                                                                                     presence of near-patient alcohol
                                                                                                                                                                         collection
                                                                                     gel on wards.
                                                                                                                                                                            KH03
                                                                                                                                                                      Health Protection
                     MRSA                                                                                                   2005/06                 N/A                    Agency                 51             12       Apr 05 - May 05


                                                                                     30 minutes door to needle 75%          2005/06                 N/A                    MINAP                84.0%
                                                                                     60 minutes from call to needle
                     Thrombolysis – 60 and 30 minute composite target                             58%                       2005/06                48.0%                    MINAP               59.0%                     05/06 data not yet avaliable

                     Patient Focus

                     A&E emergency admission waits             (4 hours)                           90%                      2005/06              92.942%                    QMAE               97.18%          97.38%     04/04/05 - 29/05/05

                     Better Hospital Food                                            Self Assessment and Inspection         2005/06               86.88%                    PEAT               96.48%                     Self Assessment to be undertaken in early 2006

                                                                                     % of admissions cancelled/Total
                     Cancelled operations                                             number of elective admissions         2005/06                1.2%                QMCO/KH07ms              1.10%          0.30%      Apr 05 - May 05


                     Delayed transfer of care                                                                               2005/06               3.440%                   SitReps              2.30%          1.44%      04/04/05 - 29/05/05
                                                                                        % of written complaints
                                                                                     achieving LR within 20 working
                     Patient Complaints                                                           days                      2005/06              71.630%                    K041A              80.40%                     05/06 data not yet avaliable
                                                                                       % of patiens seen in RACPC
                                                                                      following decision to refer with
                     RACPC                                                                 new onset chest pain             2005/06                 N/A                     LDPR                100%            100%      Apr 05 - May 05
                                                                                      % of inpatients who have been
                                                                                      waiting 6 months or less at the
                     6 month inpatient waits                                                 end at the quarter                tba               90.939%                    KH07               92.20%          92.00%     Total list @ 31/05/05

                     Thirteen week outpatient waits                                         % seen within 13w                  tba                79.93%                    QM08               75.00%          75.00%     Total list @ 31/05/05

                     Capacity and Capability
                                                                                                                          Calendar year
                     Data quality on ethnic groups                                                                            2005                                           HES                 0.95           0.93      Jan 05 - May 05 (Non rext data)

                                                                                     Completeness of coding - score                                                   Annual Workforce
                     Data quality on ethnic groups workforce                          between 0 - 2 (2 being good)             tba                1.531                   Census                 0.83           0.90      May-05
                                                                                                                                                <40% Red
                                                                                                                                              40-69% Amber              Information
                     Information Governance Toolkit                                             RAG Score                      tba          70% or more Green        Governance Toolkit          72%                      Self Assessment to be undertaken in early 2006
                                                                                                                          Calendar year
                     Information Governance - Data Quality                           Maintain or improve on 2004/05           2005                  N/A                      HES               90.06%                     Assessed later in the year


                                                                                       Combination of Improving                                                                               Green IWL
                                                                                      Working Lives, Junior Doctors                                                                            99.50 JDH
                     Workforce Indicator                                               hours and Sickness rates                tba                  N/A                      tba             4.11 Sickness                05/06 data not yet avaliable




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