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					                                                                                                                                                               Target/pl
                                                                                       2005/06 AHC                                          Q3 YTD                       Traffic
Existing National Target                                                                           Performance Indicator                                       an                          2005/06 thresholds
                                                                                       score                                                2006/07
                                                                                                                                                               2006/07
                                                                                                                                                                         light

                                                                                                                                            DM21 =
A minimum of 80% of people with diabetes to be offered screening for the early                                                                                                             Achieved = Greater than or equal to 50%,
                                                                                                                                            73%
detection (and treatment if needed) of diabetic retinopathy by March 2006, and         achieved        Diabetic retinopathy screening                                                      Underachieved = Greater than or equal to 40%,
                                                                                                                                            (10818/14                                      Failed = Less than 40%
100% by 2007.
                                                                                                                                            786)                 100%           #VALUE!
                                                                                                                                                                                           Achieved = Less than or equal to 0.1%,
Achieve a maximum wait of six months for inpatients by December 2005.                                  Number of inpatients waiting
                                                                                       achieved                                                                                            Underachieved = Less than or equal to 0.3%,
Working toward a maximum wait of 20 wks by March 2007.                                                 longer than the standard                           1             0                  Failed = Greater than 0.3%
                                                                                                                                                                                           Achieved = Less than or equal to 0.1%,
Achieve a maximum wait of three months for an outpatient appointment by                                Number of outpatients waiting
                                                                                       achieved                                                                                            Underachieved = Less than or equal to 0.3%,
December 2005. Working towards a maximum wait of 11 wks by March 2007.                                 longer than the standard                                                            Failed = Greater than 0.3%
                                                                                                                                                          5             0
                                                                                                                                                                                           Achieved = Greater than or equal to 92%,
Achieve a maximum waiting time of two months from urgent referral to treatment                         All cancers: two month GP
                                                                                       achieved                                                                                            Underachieved = Greater than or equal to 82%,
for all cancers by December 2005.                                                                      urgent referral to treatment             96.88%           100%                      Failed = Less than 82%
                                                                                                                                                                                           Achieved = Greater than or equal to 75%,
                                                                                                       Category A calls meeting 8
All ambulance trusts to respond to 75% of category A calls within 8 minutes.           achieved                                                                                            Underachieved = Greater than or equal to 70%,
                                                                                                       minute target                           75.10%             75%                      Failed = Less than 70%
                                                                                                                                                                                           Achieved = Greater than or equal to 95%,
                                                                                                       Category A calls meeting 19
All ambulance trusts to respond to 95% of category A calls within 19 minutes.          achieved                                                                                            Underachieved = Greater than or equal to 90%,
                                                                                                       minute target                           97.73%             95%                      Failed = Less than 90%
                                                                                                                                                                                           Achieved = Greater than or equal to 95%,
                                                                                                       Catergory B calls meeting 19
All ambulance trusts to respond to 95% of category B calls within 19 minutes.          failed                                                                                              Underachieved = Greater than or equal to 80%,
                                                                                                       minute target                           82.86%             95%                      Failed = Less than 80%
                                                                                                                                                                                           Achieved = Less than or equal to 3.5%,
Delayed transfers of care to reduce to a minimal level by 2006.                        achieved        Delayed transfers of care                                                           Underachieved = Less than or equal to 5%,
                                                                                                                                                 2.66%              2%                     Failed = Greater than 5%
                                                                                                                                                                                           Achieved = Either greater than or equal to 68% or greater than or equal to 38%
Deliver a ten percentage point increase per year in the proportion of people                                                                                                               with a 10 percentage point annual increase,
                                                                                       Data Not        Thrombolysis - 60 minute call to
suffering from a heart attack who receive thrombolysis within 60 minutes of                                                                                                                Underachieved = Either greater than or equal to 38% or a 10 percentage point
                                                                                       Available       needle time                                                                         annual increase,
calling for professional help.
                                                                                                                                                                                           Failed = Less than 38% without a 10 percentage point annual increase
                                                                                                       All cancers: one month                                                              Achieved = Greater than or equal to 95%,
Ensure a maximum waiting time of one month from diagnosis to treatment for all
                                                                                       achieved        diagnosis (decision to treat) to                                                    Underachieved = Greater than or equal to 89%,
cancers by December 2005.                                                                                                                                                                  Failed = Less than 89%
                                                                                                       treatment                                     99%         100%
                                                                                                                                                                                           Achieved = The organisation has performed to a high level overall against the
                                                                                                                                                                                           five parts of the PCT booking indicator,
Ensure that by the end of 2005 every hospital appointment will be booked for the                       Convenience and choice - PCT                                                        Underachieved = The organisation has performed below the required level for
                                                                                       underachieved
convenience of the patient, making it easier for patients and their GPs to choose                      booking                                                                             the PCT booking indicator,
a hospital and consultant that best meets their needs. By December 2005,                                                                                                                   Failed = The organisation has performed poorly against the five parts of the
patients will be able to choose from at least four different health care providers                                                                 27%            90%                      PCT booking indicator

for planned hospital care, paid for by the NHS.                                                        Convenience and choice - PCT
                                                                                       achieved        facilities in place to support
                                                                                                       choice                               survey results                  ?              National Patient Choice Survey (Financial year 2006/2007)
                                                                                                                                                                                           Achieved = Equal to 100%,
                                                                                       achieved        Access to a GP                                                                      Underachieved = Greater than or equal to 99%,
Guaranteed access to a primary care professional within 24 hours and to a                                                                         100%           100%               1.00 Failed = Less than 99%
primary care doctor within 48 hours.                                                                                                                                                       Achieved = Equal to 100%,
                                                                                                       Access to a primary care
                                                                                       achieved                                                                                            Underachieved = Greater than or equal to 99%,
                                                                                                       proffessional                              100%           100%               1.00 Failed = Less than 99%

                                                                                                       Child and adolescent mental
Improve life outcomes of adults and children with mental health problems by       achieved             health services: Commissioning
ensuring that all patients who need them have access to (crisis services by 2005,                      increased services
                                                                                                                                            Yes x3             Yes x3
and) a comprehensive child and adolescent mental health service by 2006.                               Commissioning of cricis                                                             Achieved = Performance consistent with target,
                                                                                  achieved             resolution/home treatment                                                           Underachieved = Performance poorer than target,
                                                                                                       services                                       664          869      0.7640967 Failed = Performance poorer than target by a clear margin.
In primary care, update practice-based registers so that patients with coronary
heart disease and diabetes continue to receive appropriate advice and treatment                                                                                                            Achieved = Greater than or equal to 100% for both coronary heart disease and
                                                                                                                                            Q2:
in line with national service framework standards and, by March 2006, ensure                                                                                                               diabetes local delivery plan,
                                                                                                                                             CHD5
                                                                                                       Practice based registers -                                                          Underachieved = Greater than or equal to 90% for both coronary heart disease
practice-based registers and systematic treatment regimes, including appropriate failed                                                     (proxy) =  CHD5
                                                                                                       existing commitment                                                                 and diabetes local delivery plan,
advice on diet, physical activity and smoking, also cover the majority of patients at                                                       87.1%, DM5 = 92%,                              Failed = Either less than 90% for coronary heart disease local delivery plan or
                                                                                                                                                                            CHD5 =
high risk of coronary heart disease, particularly those with hypertension, diabetes                                                         (proxy) =  DM5 =                0.95, DM5      less than 90% for diabetes local delivery plan
and a BMI greater than 30.                                                                                                                  78.7%      90%                  = 0.87
                                                                                                                                                                                           Achieved = Greater than or equal to 97%,
Maintain a two-week maximum wait from urgent GP referral to first outpatient
                                                                                       achieved        All cancers: two week wait                                                          Underachieved = Greater than or equal to 94%,
appointment for all urgent suspected cancer referrals.                                                                                            100%           100%                      Failed = Less than 94%
                                                                                                                                                                                           Achieved = Greater than or equal to 98%,
Maintain the four hour maximum wait in A&E from arrival to admission, transfer or                      Total time in A&E: four hours or
                                                                                  achieved                                                                                                 Underachieved = Greater than or equal to 97%,
discharge.                                                                                             less                                    97.00%             98%                      Failed = Less than 97%
                                                                                                                                                                                           Achieved = Less than or equal to 0.5%,
                                                                                                       Patients waiting longer that three
Three month maximum wait for revascularisation by March 2005.                          achieved                                                                                            Underachieved = Less than or equal to 1%,
                                                                                                       months for revascularisation                                                        Failed = Greater than 1%
                                                                                                                                                          0             0
                                                                                                                                                               Target/pl
                                                                                       2005/06 AHC                                          Q3 YTD                       Traffic
New National Target                                                                                Performance Indicator                                       an
                                                                                       score                                                2006/07
                                                                                                                                                               2006/07
                                                                                                                                                                         light

Achieve year on year reductions in MRSA levels, expanding to cover other health                                                                                                            Achieved = 'Yes' to all 4 questions,
care associated infections as data from mandatory surveillance becomes                 achieved        Infection control                                                                   Underachieved = 'Yes' to at least 2 out of 4 questions,
available.                                                                                                                                           0.75               1   TBA            Failed = 'Yes' to fewer than 2 questions
                                                                                                                                                                                           Achieved = Greater than or equal to 100%,
800,000 smokers from all groups successfully quitting at the 4-week stage by
                                                                                       failed          Four week smoking quitters                                                          Underachieved = Greater than or equal to 85%,
2006                                                                                                                                                  1390       2350       0.5914894 Failed = Less than 85%



Improve the quality of life and independence of vulnerable older people by                                                                                                                 Achieved = Greater than or equal to 95%,
supporting them to live in their own homes where possible by supporting them to
                                                                                       underachieved   Community equipment                                                                 Underachieved = Greater than or equal to 85%,
                                                                                                                                                                                           Failed = Less than 85%
live in their own home by 1% annually in 2007 and 2008, and increasing by 2008
the proportion of those supported intensively to live at home to 34% of the total of                                                           84.00%            100%
those being supported at home or in residential care.                                                  Older people's mental health:
                                                                                                       assessment of needs and
                                                                                       new             services                                                yes x6 ?
                                                                                                                                                                                           Achieved = Performance consistent with standard (no change in rate from
                                                                                                       Drug misusers sustained in                                                          previous year),
 Increase the participation of problem drug users in drug treatment programmes achieved                treatment                                                                           Underachieved = Performance poorer than standard,
     by 100% by 2008 (from a 1998 baseline); and increase year on year the                                                                         76%         > 70.54%                    Failed = Performance poorer than standard by a clear margin.
proportion of users successfully sustaining or completing treatment programmes.                        Number of drug misuseres in                                                         Achieved = Performance consistent with plan,
                                                                                achieved                                                                                                   Underachieved = Performance poorer than plan,
                                                                                                       treatment                                   1022            951              1.07 Failed = Performance poorer than plan by a clear margin.
                                                                                                                                                                                           Achieved = Greater than or equal to 80%,
                                                                                       achieved        Data quality on ehtnic group                                                        Underachieved = Greater than or equal to 60%,
                                                                                                                                                90.00%         > 84.54%                    Failed = Less than 60%
                                                                                                                                                                                           Achieved = Actual performance greater than or equal to 75% of planned
                                                                                                                                                                                           performance,
                                                                                                       Infant mortality: Breastfeeding
                                                                                       achieved                                                                                            Underachieved = Actual performance greater than or equal to 55% of planned
                                                                                                       intitiation rates                                                                   performance,
Reduce health inequalities by 10% by 2010 (from a 1997 - 1999 baseline) as
measured by infant mortality and life expectancy at birth.                                                                                      69.05%            58%               1.19 Failed = Actual performance less than 55% of planned performance


                                                                                                                                                                                           Achieved = Actual performance is less than or equal to 25% above planned
                                                                                                                                                                                           performance,
                                                                                                       Infant mortality: Smoking during
                                                                                       achieved                                                                                            Underachieved = Actual performance is less than or equal to 45% above
                                                                                                       pregnancy                                                                           planned performance but greater than 25% above planned performance,
                                                                                                                                                                                           Failed = Actual performance is greater than 45% above planned performance
                                                                                                                                                 6.05% 13.04%                       2.16


                                                                                                       Patients with CHD, diabetes,                                                        Achieved = At least 4 out of 5 quality and outcomes framework thresholds met,
                                                                                                       stroke, COPD or asthma who                                                          Underachieved = At least 3 out of 5 quality and outcomes framework
                                                                                       achieved                                                                                            thresholds met,
                                                                                                       smoke, offered smoking
Reducing adult smoking rates (from 26% in 2002) to 21% or less by 2010, with a                                                              SMOKING2                                       Failed = Less than 3 out of 5 quality and outcomes framework thresholds met
                                                                                                       cessation advice
reduction in prevalence among routine and manual groups (from 31% in 2002) to                                                               = 87.34%           53.10%               1.20
26% or less.                                                                                                                                                                             Achieved = Actual performance greater than or equal to 75% of planned
                                                                                                                                                                                         performance,
                                                                                                       Smoking status among the
                                                                                       achieved                                                                                          Underachieved = Actual performance greater than or equal to 55% of planned
                                                                                                       population aged 15 to 75 years       SMOKING1                                     performance,
                                                                                                                                            = 93.25%           57.50%                1.4 Failed = Actual performance less than 55% of planned performance
                                                                                                                                                                                         Achieved = Performance consistent with plan,
                                                                                                       Access to genito-urinary
                                                                                       achieved                                                                                          Underachieved = Performance poorer than plan,
                                                                                                       medicine (GUM) clinics                   78.17% 70.00%                            Failed = Performance poorer than plan by a clear margin.
                                                                                                       Access to contraception and               two part                                  Achieved = Greater than or equal to 60%,
Reducing the under-18 conception rate by 50% by 2010 (from the 1998 baseline), achieved                termination of pregnancy                                                            Underachieved = Greater than or equal to 40%,
as part of a broader strategy to improve sexual health.                                                services                                           %                 ?              Failed = Less than 40%
                                                                                                                                                                                           Achieved = Performance consistent with standard (a 15% reduction from 1998
                                                                                                                                                                                           baseline),
                                                                                       underachieved   Teenage conception rates             end of year 43.22/                             Underachieved = Performance poorer than standard,
                                                                                                                                            data        1000                               Failed = Performance poorer than standard by a clear margin
Secure sustained national improvements in NHS patient experience by 2008,
ensuring that individuals are fully involved in decisions about their health care,
                                                                                                       Experience of patients:
including choice of provider, as measured by independently validated surveys.          deferred to
                                                                                                       outcome of Diabetic Patient
The experience of black and minority ethnic groups will be specifically monitored      2007                                                  2/10
                                                                                                       Survey
as part of these surveys.                                                                                                                   practices
                                                                                                                                            took part          10/10
                                                                                                                                                                                           Achieved = Performance consistent with plan,
                                                                                       underachieved   CPA 7-day follow up                                                                 Underachieved = Performance poorer than plan,
Substantially reduce mortality rates by 2010 (from the 'Our healthier nation'                                                                        90%         100%                      Failed = Performance poorer than plan by a clear margin.
baseline, 1995 - 1997) from suicide and undetermined injury by at least 20%.                           Commissioning of early                                                              Achieved = Performance consistent with target,
                                                                                       achieved        intervention in psychosis                                                           Underachieved = Performance poorer than target,
                                                                                                       services                                          21         16                     Failed = Performance poorer than target by a clear margin.
                                                                                                                                                                                           Achieved = Greater than or equal to 65% and 'Yes' to question,
                                                                                                       Breast cancer screening for                                                         Underachieved = Greater than or equal to 65% and 'No' to question or greater
                                                                                       underachieved
                                                                                                       women aged 50 to 70 years            end of                                         than or equal to 50% and 'Yes' to question,
Substantially reduce mortality rates by 2010 from cancer by at least 20% in                                                                 year data                                      Failed = Less than 50% and 'Yes' or 'No' to question
people under 75, with a reduction in the inequalities gap of at least 6% between                       Cancer - implementation of                                                          Achieved = Implementation of plan on target for at least 2 (of 3) cancers,
the fifth of areas with the worst health and deprivation indicators and the            achieved        NICE improvement outcomes            end of                                         Underachieved = Implementation of plan on target for 1 (of 3) cancers,
population as a whole.                                                                                 guidance (IOGs)                                                                     Failed = Implementation of plan not on target for any (of 3) cancers
                                                                                                                                            year data
                                                                                                                                                                                           Achieved = Performance consistent with plan,
                                                                                       achieved        Cancer mortality rate                end of             100.9/                      Underachieved = Performance poorer than plan,
                                                                                                                                            year data          100000                      Failed = Performance poorer than plan by a clear margin.
                                                                                                                                                                                           Achieved = Actual performance greater than or equal to 100% of planned
                                                                                                                                                                                           performance,
                                                                                       achieved        Blood pressure                                                                      Underachieved = Actual performance greater than or equal to 90% of planned
                                                                                                                                            CHD6 =                                         performance,
                                                                                                                                            87.04%             75.00%               1.16 Failed = Actual performance less than 90% of planned performance
                                                                                                                                                                                           Achieved = Performance consistent with plan,
                                                                                       achieved        Cardiovascular disease mortality end of                 84/                         Underachieved = Performance poorer than plan,
                                                                                                                                        year data              100000                      Failed = Performance poorer than plan by a clear margin.
                                                                                                                                                                                         Achieved = Actual performance greater than or equal to 100% of planned
                                                                                                                                                                                         performance,
                                                                                       achieved        Cholesterol levels                                                                Underachieved = Actual performance greater than or equal to 90% of planned
                                                                                                                                            CHD8 =                                       performance,
Substantially reduce mortality rates by 2010 from heart disease and stroke and                                                              77.1%              65.00%               1.19 Failed = Actual performance less than 90% of planned performance

related diseases by at least 40% in people under 75, with a 40% reduction in the                                                                                                           Achieved = Both greater than or equal to 50% of patients with diabetes in
inequalities gap between the fifth of areas with the worst health and deprivation                                                                                                          whom the last HbA1C is 7.4 or less and greater than or equal to 55% of
                                                                                                                                                                                           patients with diabetes in whom the last blood pressure reading is 145/85 or
indicators and the population as a whole.
                                                                                                                                                                                           less,
                                                                                                                                                                                           Underachieved = Both greater than or equal to 40% of patients with diabetes in
                                                                                                       Diabetes: management of blood
                                                                                       underachieved                                                                                       whom the last HbA1C is 7.4 or less and greater than or equal to 45% of
                                                                                                       sugar                                                                               patients with diabetes in whom the last blood pressure reading is 145/85 or
                                                                                                                                            DM20 =                                         less,
                                                                                                                                            62.28%,                                        Failed = Either less than 40% of patients with diabetes in whom the last HbA1C
                                                                                                                                            DM12 =                                         is 7.4 or less or less than 45% of patients with diabetes in whom the last blood
                                                                                                                                            75.60%                60%                      pressure reading is 145/85 or less
                                                                                                                                                                                         Achieved = Actual performance greater than or equal to 100% of planned
                                                                                                                                                                                         performance,
                                                                                       achieved        Practice-based registers                                                          Underachieved = Actual performance greater than or equal to 85% of planned
                                                                                                                                            CHD1 (proxy)                                 performance,
                                                                                                                                            = 95.0%            59.50%               1.60 Failed = Actual performance less than 85% of planned performance

Tackle the underlying determinants of ill health and health inequalities by halting                                                                                                      Achieved = Actual performance greater than or equal to 75% of planned
                                                                                                                                                                                         performance,
the year on year rise in obesity among children under 11 by 2010 (from the                             GP recording of body mass
                                                                                       underachieved                                                                                     Underachieved = Actual performance greater than or equal to 55% of planned
2002/2004 baseline) in the context of a broader strategy to tackle obesity in the                      index (BMI) status                                                                performance,
population as a whole.                                                                                                                          37.79% 53.10%                       0.71 Failed = Actual performance less than 55% of planned performance
                                                                                                                                                                                           Achieved = All 3 months of data signed off within deadline,
                                                                                                       Data collection for referral-to-
                                                                                       underachieved                                                                                       Underachieved = 2 out of 3 months of data signed off within deadline,
                                                                                                       treatment waiting times                          0.33      1.00                     Failed = Less than 2 months of data signed off within deadline
                                                                                                                                                                                           Achieved = Less than or equal to 1%,
                                                                                                       Waiting times for diagnostic
                                                                                       achieved                                             80 over 13                                     Underachieved = Less than or equal to 3%,
                                                                                                       tests                                wks                         0                  Failed = Greater than 3%
To ensure that by 2008 nobody waits more than 18 weeks from GP referral to
hospital treatment.                                                                                    Inpatient waiting times milestone    344 waiting
                                                                                       new             for the 18 week referral-to-         over 20wks in
                                                                                                       treatment target                     Jan                         0
                                                                                                       Outpatient waiting times             120 waiting
                                                                                                       milestone for the 18 week            over 11 wks
                                                                                       new             referral-to-treatment target         in Jan                      0
                                                                                                                                                                                           Achieved = Actual performance greater than or equal to 75% of planned
                                                                                                                                                                                           performance,
                                                                                       failed          Community matrons                                                                   Underachieved = Actual performance greater than or equal to 55% of planned
                                                                                                                                                                                           performance,
                                                                                                                                                          0         12                0 Failed = Actual performance less than 55% of planned performance
To improve health outcomes for people with long term conditions by offering a
                                                                                                                                                                                           Achieved = Less than or equal to 3% plus low activity tolerance (where
personalised care plan for vulnerable people most at risk; and to reduce                                                                                                                   applicable),
emergency bed days by 5% by 2008 (from the expected 2003/2004 baseline)                failed          Emergency bed days                                                                  Underachieved = Greater than 3% plus low activity tolerance (where
through improved care in primary care and community settings for people with                                                                Q2:                                            applicable),
long term conditions.                                                                                                                                                                      Failed = Greater than 10% plus low activity tolerance (where applicable)
                                                                                                                                            144592             1E+05            #VALUE!
                                                                                                                                                                                           Achieved = Actual performance greater than or equal to 75% of planned
                                                                                                                                                                                           performance,
                                                                                                       Number of very high intensity
                                                                                       failed                                                                                              Underachieved = Actual performance greater than or equal to 55% of planned
                                                                                                       users                                                                               performance,
                                                                                                                                                          0        961                0 Failed = Actual performance less than 55% of planned performance
                                                                                                                                                                Target/pl
                                                                                        2005/06 AHC                                          Q4 YTD                       Traffic
Existing National Target                                                                            Performance Indicator                                       an
                                                                                        score                                                2006/07                      light
                                                                                                                                                                2006/07
                                                                                                                                             DM21 =
A minimum of 80% of people with diabetes to be offered screening for the early
                                                                                                                                             80%
detection (and treatment if needed) of diabetic retinopathy by March 2006, and          achieved        Diabetic retinopathy screening
                                                                                                                                             (11640/14
100% by 2007.
                                                                                                                                             605)                 100%
Achieve a maximum wait of six months for inpatients by December 2005. Working                           Number of inpatients waiting
                                                                              achieved
toward a maximum wait of 20 wks by March 2007.                                                          longer than the standard                          13             0
Achieve a maximum wait of three months for an outpatient appointment by                                 Number of outpatients waiting
                                                                        achieved
December 2005. Working towards a maximum wait of 11 wks by March 2007.                                  longer than the standard
                                                                                                                                                           2             0
Achieve a maximum waiting time of two months from urgent referral to treatment for                      All cancers: two month GP urgent
                                                                                   achieved
all cancers by December 2005.                                                                           referral to treatment                   100.00%           100%
                                                                                                        Category A calls meeting 8
All ambulance trusts to respond to 75% of category A calls within 8 minutes.            achieved
                                                                                                        minute target                            79.80%             75%
                                                                                                        Category A calls meeting 19
All ambulance trusts to respond to 95% of category A calls within 19 minutes.           achieved
                                                                                                        minute target                            99.50%             95%
                                                                                                        Catergory B calls meeting 19
All ambulance trusts to respond to 95% of category B calls within 19 minutes.           failed
                                                                                                        minute target                            87.40%             95%
Delayed transfers of care to reduce to a minimal level by 2006.                         achieved        Delayed transfers of care                 2.66%              2%
Deliver a ten percentage point increase per year in the proportion of people
                                                                                        Data Not        Thrombolysis - 60 minute call to
suffering from a heart attack who receive thrombolysis within 60 minutes of calling
                                                                                        Available       needle time
for professional help.
Ensure a maximum waiting time of one month from diagnosis to treatment for all                          All cancers: one month diagnosis
                                                                                        achieved
cancers by December 2005.                                                                               (decision to treat) to treatment
                                                                                                                                                       98%        100%
Ensure that by the end of 2005 every hospital appointment will be booked for the                        Convenience and choice - PCT
                                                                                        underachieved
convenience of the patient, making it easier for patients and their GPs to choose a                     booking                                        30%          90%
hospital and consultant that best meets their needs. By December 2005, patients                         Convenience and choice - PCT
will be able to choose from at least four different health care providers for planned   achieved        facilities in place to support
hospital care, paid for by the NHS.                                                                     choice                               survey results
                                                                                  achieved              Access to a GP                            100% 100%
Guaranteed access to a primary care professional within 24 hours and to a primary
                                                                                                        Access to a primary care
care doctor within 48 hours.                                                      achieved
                                                                                                        proffessional                              100%           100%
                                                                                                        Child and adolescent mental
                                                                                        achieved        health services: Commissioning
Improve life outcomes of adults and children with mental health problems by
                                                                                                        increased services
ensuring that all patients who need them have access to (crisis services by 2005,                                                            Yes x3             Yes x3
and) a comprehensive child and adolescent mental health service by 2006.                                Commissioning of cricis
                                                                                        achieved        resolution/home treatment
                                                                                                        services                                         952        869
In primary care, update practice-based registers so that patients with coronary
heart disease and diabetes continue to receive appropriate advice and treatment in                                                           Q2:
line with national service framework standards and, by March 2006, ensure practice-                                                           CHD5
                                                                                                        Practice based registers -                              CHD5
based registers and systematic treatment regimes, including appropriate advice on failed                                                     (proxy) =
                                                                                                        existing commitment                  93.0%, DM5
diet, physical activity and smoking, also cover the majority of patients at high risk of                                                                        = 92%,
coronary heart disease, particularly those with hypertension, diabetes and a BMI                                                             (proxy) =          DM5 =
greater than 30.                                                                                                                             88.0%              90%
Maintain a two-week maximum wait from urgent GP referral to first outpatient
                                                                                         achieved       All cancers: two week wait
appointment for all urgent suspected cancer referrals.                                                                                              100%          100%
Maintain the four hour maximum wait in A&E from arrival to admission, transfer or                       Total time in A&E: four hours or
                                                                                         achieved
discharge.                                                                                              less                                     97.00%             98%
                                                                                                        Patients waiting longer that three
Three month maximum wait for revascularisation by March 2005.                           achieved
                                                                                                        months for revascularisation
                                                                                                                                                           0             0
                                                                                                                                                                Target/pl
                                                                                        2005/06 AHC                                          Q3 YTD                       Traffic
New National Target                                                                                 Performance Indicator                                       an
                                                                                        score                                                2006/07                      light
                                                                                                                                                                2006/07

Achieve year on year reductions in MRSA levels, expanding to cover other health
                                                                                  achieved              Infection control
care associated infections as data from mandatory surveillance becomes available.
                                                                                                                                                       0.75              1
800,000 smokers from all groups successfully quitting at the 4-week stage by 2006 failed                Four week smoking quitters
                                                                                                                                                         1390      2350


Improve the quality of life and independence of vulnerable older people by
                                                                                        underachieved   Community equipment
supporting them to live in their own homes where possible by supporting them to
live in their own home by 1% annually in 2007 and 2008, and increasing by 2008
                                                                                                                                                 81.37%           100%
the proportion of those supported intensively to live at home to 34% of the total of
                                                                                                        Older people's mental health:
those being supported at home or in residential care.
                                                                                                        assessment of needs and
                                                                                        new             services                             yes x6             yes x6
                                                                                                        Drug misusers sustained in
Increase the participation of problem drug users in drug treatment programmes by achieved
                                                                                                        treatment                                      76%      > 70.54%
100% by 2008 (from a 1998 baseline); and increase year on year the proportion of
                                                                                                        Number of drug misuseres in
       users successfully sustaining or completing treatment programmes.         achieved
                                                                                                        treatment                                  1022             951
                                                                                        achieved        Data quality on ehtnic group             90.00%         > 84.54%
                                                                                                        Infant mortality: Breastfeeding
Reduce health inequalities by 10% by 2010 (from a 1997 - 1999 baseline) as              achieved
                                                                                                        intitiation rates                        69.22%             58%
measured by infant mortality and life expectancy at birth.
                                                                                                        Infant mortality: Smoking during
                                                                                        achieved
                                                                                                        pregnancy                                  4.93% 13.04%
                                                                                                        Patients with CHD, diabetes,
                                                                                                        stroke, COPD or asthma who
Reducing adult smoking rates (from 26% in 2002) to 21% or less by 2010, with a          achieved
                                                                                                        smoke, offered smoking               SMOKING2 =
reduction in prevalence among routine and manual groups (from 31% in 2002) to
                                                                                                        cessation advice                     92.00%              53.10%
26% or less.
                                                                                                        Smoking status among the             SMOKING1 =
                                                                                        achieved
                                                                                                        population aged 15 to 75 years       95.00%              57.50%
                                                                                                          Access to genito-urinary medicine
                                                                                          achieved
                                                                                                          (GUM) clinics                            78.17% 70.00%
Reducing the under-18 conception rate by 50% by 2010 (from the 1998 baseline),                                                                      two part
                                                                                          achieved        Access to contraception and
as part of a broader strategy to improve sexual health.
                                                                                                          termination of pregnancy services                 %
                                                                                                                                               end of year      43.22/
                                                                                          underachieved   Teenage conception rates             data             1000
Secure sustained national improvements in NHS patient experience by 2008,
ensuring that individuals are fully involved in decisions about their health care,
                                                                                                          Experience of patients:
including choice of provider, as measured by independently validated surveys. The deferred to
                                                                                                          outcome of Diabetic Patient
experience of black and minority ethnic groups will be specifically monitored as part 2007                                                      2/10
                                                                                                          Survey
of these surveys.                                                                                                                              practices
                                                                                                                                               took part  10/10
                                                                                          underachieved   CPA 7-day follow up                         90% 100%
Substantially reduce mortality rates by 2010 (from the 'Our healthier nation'
                                                                                                          Commissioning of early
baseline, 1995 - 1997) from suicide and undetermined injury by at least 20%.              achieved
                                                                                                          intervention in psychosis services
                                                                                                                                                        21               16
                                                                                                          Breast cancer screening for          end of year
                                                                                          underachieved
                                                                                                          women aged 50 to 70 years            data
Substantially reduce mortality rates by 2010 from cancer by at least 20% in people
                                                                                                          Cancer - implementation of NICE
under 75, with a reduction in the inequalities gap of at least 6% between the fifth of
                                                                                       achieved           improvement outcomes guidance        end of year
areas with the worst health and deprivation indicators and the population as a
                                                                                                          (IOGs)                               data
whole.
                                                                                                                                               end of year 100.9/
                                                                                       achieved           Cancer mortality rate
                                                                                                                                               data        100000
                                                                                                                                               CHD6 =
                                                                                          achieved        Blood pressure                       89.00%            75.00%
                                                                                                                                               end of year 84/
                                                                                          achieved        Cardiovascular disease mortality
                                                                                                                                               data        100000
Substantially reduce mortality rates by 2010 from heart disease and stroke and                                                                 CHD8 =
                                                                                          achieved        Cholesterol levels                   80.00%            65.00%
related diseases by at least 40% in people under 75, with a 40% reduction in the
inequalities gap between the fifth of areas with the worst health and deprivation                                                              DM20 =
                                                                                                          Diabetes: management of blood        65.00%,
indicators and the population as a whole.                                                 underachieved
                                                                                                                                               DM12 =
                                                                                                          sugar
                                                                                                                                               78.00%              60%

                                                                                          achieved        Practice-based registers             CHD1 (proxy)
                                                                                                                                               = 95.0%           59.50%
Tackle the underlying determinants of ill health and health inequalities by halting the
year on year rise in obesity among children under 11 by 2010 (from the 2002/2004                          GP recording of body mass index
                                                                                          underachieved
baseline) in the context of a broader strategy to tackle obesity in the population as a                   (BMI) status
whole.                                                                                                                                             37.79% 53.10%
                                                                                                          Data collection for referral-to-
                                                                                          underachieved
                                                                                                          treatment waiting times                        0.33       1.00
                                                                                                                                               80 over 13
                                                                                          achieved        Waiting times for diagnostic tests
                                                                                                                                               wks                0
To ensure that by 2008 nobody waits more than 18 weeks from GP referral to                                Inpatient waiting times milestone
hospital treatment.                                                                       new             for the 18 week referral-to-        6 waiting over
                                                                                                          treatment target                    20wks in Jan        0
                                                                                                          Outpatient waiting times
                                                                                                          milestone for the 18 week referral- 0 waiting over
                                                                                   new                    to-treatment target                 11 wks in Jan       0
                                                                                   failed                 Community matrons                               3      12
To improve health outcomes for people with long term conditions by offering a
                                                                                                                                              Q4:
personalised care plan for vulnerable people most at risk; and to reduce emergency failed                 Emergency bed days
                                                                                                                                              124898         136196
bed days by 5% by 2008 (from the expected 2003/2004 baseline) through improved
                                                                                                          Number of very high intensity
care in primary care and community settings for people with long term conditions.  failed
                                                                                                          users                                           0     961

Summary brief on red areas:
Convenience and Choice - PCT Booking: Inititally brent's performance against the C&B trajectory is as good and one of the best in London. However it has been
diffuclt to sustain & improve the level of performance due to ongoing technical and capacity issues both within primary care and our main acute providers, this is
not an isolated problem and has national recognition. PCT's are peroforming well, where a centralised Clinical Assessment Service has been introduced. On a
local level we encourage GP's to continously communicate issues so we can feed them back to the StHA team.
Four week smoking quitters: Q1 and Q2 saw excellent performance in this area. Q3 was weak due to withdrawal of resources. Q4 has historically achieved the
highest number of quitters. Q4 position will be known in mid May.
Community Equipment: Not all items are being dispatched within 7 days. Problem is that there is no named lead looking after this indicator.
Experience of patients: Since too small of a sample of GP practices took part in the survey the tPCT is seen as not having supplied data for this indicator and as a
consequence the Healthcare Commission have allocated the lowest possible score of "weak". This has the added implication that the entire section of "Meeting
New National Targets " achieves a maximum score of "Fair" for 2006/2007.
Inpatient 18 week milestone: The total number waiting is increasing and the numbers in the 8 – 12 weeks increases from Feb as they are moved along the waiting
list. However, the numbers beyond 13 weeks do not change significantly (apart from 13-14 weeks which goes down from 161 in Feb to 99 in Mar). The numbers at
the high end of the waiting list do drop more significantly (e.g 52 plus goes down from 1427 in Feb to 1063 in Mar)
Community Matrons & Very High Intensity Users: These are related indicators both without any ownership / a named person.
                                                                                                                                                                Target/pl
                                                                                        2005/06 AHC                                          Q3 YTD                       Traffic
Existing National Target                                                                            Performance Indicator                                       an
                                                                                        score                                                2006/07                      light
                                                                                                                                                                2006/07
                                                                                                                                             DM21 =
A minimum of 80% of people with diabetes to be offered screening for the early
                                                                                                                                             73%
detection (and treatment if needed) of diabetic retinopathy by March 2006, and          achieved        Diabetic retinopathy screening
                                                                                                                                             (10818/14
100% by 2007.
                                                                                                                                             786)                 100%
Achieve a maximum wait of six months for inpatients by December 2005. Working                           Number of inpatients waiting
                                                                              achieved
toward a maximum wait of 20 wks by March 2007.                                                          longer than the standard                           1             0
Achieve a maximum wait of three months for an outpatient appointment by                                 Number of outpatients waiting
                                                                        achieved
December 2005. Working towards a maximum wait of 11 wks by March 2007.                                  longer than the standard
                                                                                                                                                           5             0
Achieve a maximum waiting time of two months from urgent referral to treatment for                      All cancers: two month GP urgent
                                                                                   achieved
all cancers by December 2005.                                                                           referral to treatment                    96.88%           100%
                                                                                                        Category A calls meeting 8
All ambulance trusts to respond to 75% of category A calls within 8 minutes.            achieved
                                                                                                        minute target                            75.10%             75%
                                                                                                        Category A calls meeting 19
All ambulance trusts to respond to 95% of category A calls within 19 minutes.           achieved
                                                                                                        minute target                            97.73%             95%
                                                                                                        Catergory B calls meeting 19
All ambulance trusts to respond to 95% of category B calls within 19 minutes.           failed
                                                                                                        minute target                            82.86%             95%
Delayed transfers of care to reduce to a minimal level by 2006.                         achieved        Delayed transfers of care                 2.66%              2%
Deliver a ten percentage point increase per year in the proportion of people
                                                                                        Data Not        Thrombolysis - 60 minute call to
suffering from a heart attack who receive thrombolysis within 60 minutes of calling
                                                                                        Available       needle time
for professional help.
Ensure a maximum waiting time of one month from diagnosis to treatment for all                          All cancers: one month diagnosis
                                                                                        achieved
cancers by December 2005.                                                                               (decision to treat) to treatment
                                                                                                                                                       99%        100%
Ensure that by the end of 2005 every hospital appointment will be booked for the                        Convenience and choice - PCT
                                                                                        underachieved
convenience of the patient, making it easier for patients and their GPs to choose a                     booking                                        27%          90%
hospital and consultant that best meets their needs. By December 2005, patients                         Convenience and choice - PCT
will be able to choose from at least four different health care providers for planned   achieved        facilities in place to support
hospital care, paid for by the NHS.                                                                     choice                               survey results
                                                                                  achieved              Access to a GP                            100% 100%
Guaranteed access to a primary care professional within 24 hours and to a primary
                                                                                                        Access to a primary care
care doctor within 48 hours.                                                      achieved
                                                                                                        proffessional                              100%           100%
                                                                                                        Child and adolescent mental
                                                                                        achieved        health services: Commissioning
Improve life outcomes of adults and children with mental health problems by
                                                                                                        increased services
ensuring that all patients who need them have access to (crisis services by 2005,                                                            Yes x3             Yes x3
and) a comprehensive child and adolescent mental health service by 2006.                                Commissioning of cricis
                                                                                        achieved        resolution/home treatment
                                                                                                        services                                         952        869
In primary care, update practice-based registers so that patients with coronary
heart disease and diabetes continue to receive appropriate advice and treatment in                                                           Q2:
line with national service framework standards and, by March 2006, ensure practice-                                                           CHD5
                                                                                                        Practice based registers -                              CHD5
based registers and systematic treatment regimes, including appropriate advice on failed                                                     (proxy) =
                                                                                                        existing commitment                  87.1%, DM5
diet, physical activity and smoking, also cover the majority of patients at high risk of                                                                        = 92%,
coronary heart disease, particularly those with hypertension, diabetes and a BMI                                                             (proxy) =          DM5 =
greater than 30.                                                                                                                             78.7%              90%
Maintain a two-week maximum wait from urgent GP referral to first outpatient
                                                                                         achieved       All cancers: two week wait
appointment for all urgent suspected cancer referrals.                                                                                              100%          100%
Maintain the four hour maximum wait in A&E from arrival to admission, transfer or                       Total time in A&E: four hours or
                                                                                         achieved
discharge.                                                                                              less                                     97.00%             98%
                                                                                                        Patients waiting longer that three
Three month maximum wait for revascularisation by March 2005.                           achieved
                                                                                                        months for revascularisation
                                                                                                                                                           0             0
                                                                                                                                                                Target/pl
                                                                                        2005/06 AHC                                          Q3 YTD                       Traffic
New National Target                                                                                 Performance Indicator                                       an
                                                                                        score                                                2006/07                      light
                                                                                                                                                                2006/07

Achieve year on year reductions in MRSA levels, expanding to cover other health
                                                                                  achieved              Infection control
care associated infections as data from mandatory surveillance becomes available.
                                                                                                                                                       0.75              1
800,000 smokers from all groups successfully quitting at the 4-week stage by 2006 failed                Four week smoking quitters
                                                                                                                                                         1390      2350


Improve the quality of life and independence of vulnerable older people by
                                                                                        underachieved   Community equipment
supporting them to live in their own homes where possible by supporting them to
live in their own home by 1% annually in 2007 and 2008, and increasing by 2008
                                                                                                                                                 81.37%           100%
the proportion of those supported intensively to live at home to 34% of the total of
                                                                                                        Older people's mental health:
those being supported at home or in residential care.
                                                                                                        assessment of needs and
                                                                                        new             services                             yes x6             yes x6
                                                                                                        Drug misusers sustained in
Increase the participation of problem drug users in drug treatment programmes by achieved
                                                                                                        treatment                                      76%      > 70.54%
100% by 2008 (from a 1998 baseline); and increase year on year the proportion of
                                                                                                        Number of drug misuseres in
       users successfully sustaining or completing treatment programmes.         achieved
                                                                                                        treatment                                  1022             951
                                                                                        achieved        Data quality on ehtnic group             90.00%         > 84.54%
                                                                                                        Infant mortality: Breastfeeding
Reduce health inequalities by 10% by 2010 (from a 1997 - 1999 baseline) as              achieved
                                                                                                        intitiation rates                        69.05%             58%
measured by infant mortality and life expectancy at birth.
                                                                                                        Infant mortality: Smoking during
                                                                                        achieved
                                                                                                        pregnancy                                  6.05% 13.04%
                                                                                                        Patients with CHD, diabetes,
                                                                                                        stroke, COPD or asthma who
Reducing adult smoking rates (from 26% in 2002) to 21% or less by 2010, with a          achieved
                                                                                                        smoke, offered smoking               SMOKING2 =
reduction in prevalence among routine and manual groups (from 31% in 2002) to
                                                                                                        cessation advice                     87.34%              53.10%
26% or less.
                                                                                                        Smoking status among the             SMOKING1 =
                                                                                        achieved
                                                                                                        population aged 15 to 75 years       93.25%              57.50%
                                                                                                          Access to genito-urinary medicine
                                                                                          achieved
                                                                                                          (GUM) clinics                            78.17% 70.00%
Reducing the under-18 conception rate by 50% by 2010 (from the 1998 baseline),                                                                      two part
                                                                                          achieved        Access to contraception and
as part of a broader strategy to improve sexual health.
                                                                                                          termination of pregnancy services                 %
                                                                                                                                               end of year      43.22/
                                                                                          underachieved   Teenage conception rates             data             1000
Secure sustained national improvements in NHS patient experience by 2008,
ensuring that individuals are fully involved in decisions about their health care,
                                                                                                          Experience of patients:
including choice of provider, as measured by independently validated surveys. The deferred to
                                                                                                          outcome of Diabetic Patient
experience of black and minority ethnic groups will be specifically monitored as part 2007                                                      2/10
                                                                                                          Survey
of these surveys.                                                                                                                              practices
                                                                                                                                               took part  10/10
                                                                                          underachieved   CPA 7-day follow up                         90% 100%
Substantially reduce mortality rates by 2010 (from the 'Our healthier nation'
                                                                                                          Commissioning of early
baseline, 1995 - 1997) from suicide and undetermined injury by at least 20%.              achieved
                                                                                                          intervention in psychosis services
                                                                                                                                                        21               16
                                                                                                          Breast cancer screening for          end of year
                                                                                          underachieved
                                                                                                          women aged 50 to 70 years            data
Substantially reduce mortality rates by 2010 from cancer by at least 20% in people
                                                                                                          Cancer - implementation of NICE
under 75, with a reduction in the inequalities gap of at least 6% between the fifth of
                                                                                       achieved           improvement outcomes guidance        end of year
areas with the worst health and deprivation indicators and the population as a
                                                                                                          (IOGs)                               data
whole.
                                                                                                                                               end of year 100.9/
                                                                                       achieved           Cancer mortality rate
                                                                                                                                               data        100000
                                                                                                                                               CHD6 =
                                                                                          achieved        Blood pressure                       87.04%            75.00%
                                                                                                                                               end of year 84/
                                                                                          achieved        Cardiovascular disease mortality
                                                                                                                                               data        100000
Substantially reduce mortality rates by 2010 from heart disease and stroke and                                                                 CHD8 =
                                                                                          achieved        Cholesterol levels                   77.1%             65.00%
related diseases by at least 40% in people under 75, with a 40% reduction in the
inequalities gap between the fifth of areas with the worst health and deprivation                                                              DM20 =
                                                                                                          Diabetes: management of blood        62.28%,
indicators and the population as a whole.                                                 underachieved
                                                                                                                                               DM12 =
                                                                                                          sugar
                                                                                                                                               75.60%              60%

                                                                                          achieved        Practice-based registers             CHD1 (proxy)
                                                                                                                                               = 95.0%           59.50%
Tackle the underlying determinants of ill health and health inequalities by halting the
year on year rise in obesity among children under 11 by 2010 (from the 2002/2004                          GP recording of body mass index
                                                                                          underachieved
baseline) in the context of a broader strategy to tackle obesity in the population as a                   (BMI) status
whole.                                                                                                                                             37.79% 53.10%
                                                                                                          Data collection for referral-to-
                                                                                          underachieved
                                                                                                          treatment waiting times                        0.33       1.00
                                                                                                                                               80 over 13
                                                                                          achieved        Waiting times for diagnostic tests
                                                                                                                                               wks               0
To ensure that by 2008 nobody waits more than 18 weeks from GP referral to                                Inpatient waiting times milestone 344 waiting
hospital treatment.                                                                       new             for the 18 week referral-to-        over 20wks in
                                                                                                          treatment target                    Jan                0
                                                                                                          Outpatient waiting times            120 waiting
                                                                                                          milestone for the 18 week referral- over 11 wks
                                                                                   new                    to-treatment target                 in Jan             0
                                                                                   failed                 Community matrons                               0     12
To improve health outcomes for people with long term conditions by offering a
                                                                                                                                              Q2:
personalised care plan for vulnerable people most at risk; and to reduce emergency failed                 Emergency bed days
                                                                                                                                              144592        136196
bed days by 5% by 2008 (from the expected 2003/2004 baseline) through improved
                                                                                                          Number of very high intensity
care in primary care and community settings for people with long term conditions.  failed
                                                                                                          users                                           0    961

Summary brief on red areas:
Convenience and Choice - PCT Booking: Inititally brent's performance against the C&B trajectory is as good and one of the best in London. However it has been
diffuclt to sustain & improve the level of performance due to ongoing technical and capacity issues both within primary care and our main acute providers, this is
not an isolated problem and has national recognition. PCT's are peroforming well, where a centralised Clinical Assessment Service has been introduced. On a
local level we encourage GP's to continously communicate issues so we can feed them back to the StHA team.
Four week smoking quitters: Q1 and Q2 saw excellent performance in this area. Q3 was weak due to withdrawal of resources. Q4 has historically achieved the
highest number of quitters. Q4 position will be known in mid May.
Community Equipment: Not all items are being dispatched within 7 days. Problem is that there is no named lead looking after this indicator.
Experience of patients: Since too small of a sample of GP practices took part in the survey the tPCT is seen as not having supplied data for this indicator and as a
consequence the Healthcare Commission have allocated the lowest possible score of "weak". This has the added implication that the entire section of "Meeting
New National Targets " achieves a maximum score of "Fair" for 2006/2007.
Inpatient 18 week milestone: This is at great danger of not being met with volumes of long waiters not showing any sign of reducing (as at the end of January).
Community Matrons & Very High Intensity Users: These are related indicators both without any ownership / a named person.
    Performance Traffic light Report                                                         Board version Jan`07




                                                                                                                                                                                                     Target/pl
                                                                                                                     2005/06 AHC                                                     Q3 YTD                    Traffic
Existing National Target                                                                                                         Performance Indicator                                               an
                                                                                                                     score                                                           2006/07                   light
                                                                                                                                                                                                     2006/07
800,000 smokers from all groups successfully quitting at the 4-week stage by 2006                                    failed          Four week smoking quitters                             967          2350
A minimum of 80% of people with diabetes to be offered screening for the early detection (and treatment if needed)                                                                   47.3%,
                                                                                                                     achieved        Diabetic retinopathy screening
of diabetic retinopathy by March 2006, and 100% by 2007.                                                                                                                             Q2                  100%
Achieve a maximum wait of six months for inpatients by December 2005. Working toward a maximum wait of 20                            Number of inpatients waiting longer than the
                                                                                                                     achieved
wks by March 2007.                                                                                                                   standard                                             1                 0
Achieve a maximum wait of three months for an outpatient appointment by December 2005. Working towards a                             Number of outpatients waiting longer than the
                                                                                                                     achieved
maximum wait of 11 wks by March 2007.                                                                                                standard                                             5                 0
Achieve a maximum waiting time of two months from urgent referral to treatment for all cancers by December                           All cancers: two month GP urgent referral to 96.88%,
                                                                                                                     achieved
2005.                                                                                                                                treatment                                     Q2                    100%
All ambulance trusts to respond to 75% of category A calls within 8 minutes.                                         achieved        Category A calls meeting 8 minute target       75.21%                75%
All ambulance trusts to respond to 95% of category A calls within 19 minutes.                                        achieved        Category A calls meeting 14 minute target      97.70%                95%
All ambulance trusts to respond to 95% of category B calls within 19 minutes.                                        failed          Catergory B calls meeting 14 minute target     93.78%                95%
                                                                                                                                                                                   2.77%,
Delayed transfers of care to reduce to a minimal level by 2006.                                                      achieved        Delayed transfers of care
                                                                                                                                                                                   Q2                     2%
Deliver a ten percentage point increase per year in the proportion of people suffering from a heart attack who       Data Not
                                                                                                                                     Thrombolysis - 60 minute call to needle time
receive thrombolysis within 60 minutes of calling for professional help.                                             Available
                                                                                                                                     All cancers: one month diagnosis (decision to   98.28%,
Ensure a maximum waiting time of one month from diagnosis to treatment for all cancers by December 2005.             achieved
                                                                                                                                     treat) to treatment                             Q2                  100%
Ensure that by the end of 2005 every hospital appointment will be booked for the convenience of the patient,         underachieved   Convenience and choice - PCT booking            ?                    90%
making it easier for patients and their GPs to choose a hospital and consultant that best meets their needs. By                      Convenience and choice - PCT facilities in
                                                                                                                     achieved
December 2005, patients will be able to choose from at least four different health care providers for planned                        place to support choice                         ?               ?
                                                                                                                     achieved        Access to a GP                                      100%            100%
Guaranteed access to a primary care professional within 24 hours and to a primary care doctor within 48 hours.
                                                                                                                     achieved        Access to a primary care proffessional              100%            100%
                                                                                                                                     Child and adolescent mental health services:
Improve life outcomes of adults and children with mental health problems by ensuring that all patients who need      achieved
                                                                                                                                     Commissioning increased services
them have access to (crisis services by 2005, and) a comprehensive child and adolescent mental health service                                                                        end of year data
by 2006.                                                                                                                             Commissioning of cricis resolution/home
                                                                                                                     achieved
                                                                                                                                     treatment services                              end of year data
                                                                                                                                                                                     Q2:
In primary care, update practice-based registers so that patients with coronary heart disease and diabetes                                                                            CHD5
continue to receive appropriate advice and treatment in line with national service framework standards and, by                                                                       (proxy) =
                                                                                                                                     Practice based registers - existing             87.1%,          CHD5
March 2006, ensure practice-based registers and systematic treatment regimes, including appropriate advice on        failed
                                                                                                                                     commitment                                      DM5             = 92%,
diet, physical activity and smoking, also cover the majority of patients at high risk of coronary heart disease,
particularly those with hypertension, diabetes and a BMI greater than 30.                                                                                                            (proxy) =       DM5 =
                                                                                                                                                                                     78.7%           90%
Maintain a two-week maximum wait from urgent GP referral to first outpatient appointment for all urgent suspected                                                                    99.89%,
                                                                                                                  achieved           All cancers: two week wait
cancer referrals.                                                                                                                                                                    Q2                  100%
Maintain the four hour maximum wait in A&E from arrival to admission, transfer or discharge.                      achieved           Total time in A&E: four hours or less            97.55%              98%
                                                                                                                                     Patients waiting longer that three months for
Three month maximum wait for revascularisation by March 2005.                                                        achieved
                                                                                                                                     revascularisation                                           0          0




                                                                                                  Page 6 of 9
    Performance Traffic light Report                                                          Board version Jan`07




                                                                                                                                                                                                   Target/pl
                                                                                                                      2005/06 AHC                                                      Q3 YTD                Traffic
New National Target                                                                                                               Performance Indicator                                            an
                                                                                                                      score                                                            2006/07               light
                                                                                                                                                                                                   2006/07
Achieve year on year reductions in MRSA levels, expanding to cover other health care associated infections as
                                                                                                                      achieved        Infection control
data from mandatory surveillance becomes available.                                                                                                                                    TBA         TBA
Improve the quality of life and independence of vulnerable older people by supporting them to live in their own
homes where possible by supporting them to live in their own home by 1% annually in 2007 and 2008, and
                                                                                                                      underachieved   Community equipment
increasing by 2008 the proportion of those supported intensively to live at home to 34% of the total of those being
supported at home or in residential care.                                                                                                                                                 84.00% 100%
  Increase the participation of problem drug users in drug treatment programmes by 100% by 2008 (from a 1998          achieved        Drug misusers sustained in treatment                    76% > 70.54%
    baseline); and increase year on year the proportion of users successfully sustaining or completing treatment      achieved        Number of drug misuseres in treatment                    948      951
                                                                                                                                                                                        90.24%,
                                                                                                                      achieved        Data quality on ehtnic group
                                                                                                                                                                                        Q2         > 84.54%
Reduce health inequalities by 10% by 2010 (from a 1997 - 1999 baseline) as measured by infant mortality and life                                                                        68.22%,
                                                                                                                      achieved        Infant mortality: Breastfeeding intitiation rates
expectancy at birth.                                                                                                                                                                    Q2             58%
                                                                                                                                                                                        6.62%,
                                                                                                                      achieved        Infant mortality: Smoking during pregnancy
                                                                                                                                                                                        Q2         13.04%
                                                                                                                                      Patients with CHD, diabetes, stroke, COPD Q2:
                                                                                                                      achieved        or asthma who smoke, offered smoking              SMOKING
Reducing adult smoking rates (from 26% in 2002) to 21% or less by 2010, with a reduction in prevalence among                          cessation advice                                  2 = 63.8%   53.10%
routine and manual groups (from 31% in 2002) to 26% or less.                                                                                                                           Q2:
                                                                                                                                      Smoking status among the population aged
                                                                                                                      achieved                                                         SMOKING
                                                                                                                                      15 to 75 years                                   1 = 80.5%    57.50%
                                                                                                                                      Access to genito-urinary medicine (GUM)          Q2:
                                                                                                                      achieved
                                                                                                                                      clinics                                          74.45%      70.00%
Reducing the under-18 conception rate by 50% by 2010 (from the 1998 baseline), as part of a broader strategy to
improve sexual health.                                                                                                achieved        Access to termination of pregnancy services
                                                                                                                                                                                       end of year data
                                                                                                                      underachieved   Teenage conception rates                         end of year data
Secure sustained national improvements in NHS patient experience by 2008, ensuring that individuals are fully
involved in decisions about their health care, including choice of provider, as measured by independently validated deferred to
                                                                                                                                      Experience of patients
surveys. The experience of black and minority ethnic groups will be specifically monitored as part of these surveys. 2007
                                                                                                                                                                                       end of year data
                                                                                                                                                                                       Q2:
                                                                                                                      underachieved   CPA 7-day follow up
Substantially reduce mortality rates by 2010 (from the 'Our healthier nation' baseline, 1995 - 1997) from suicide                                                                      92%         100%
and undetermined injury by at least 20%.                                                                                              Commissioning of assertive outreach
                                                                                                                      achieved
                                                                                                                                      services                                         end of year data
                                                                                                                                      Breast cancer screening for women aged 50
                                                                                                                      underachieved
Substantially reduce mortality rates by 2010 from cancer by at least 20% in people under 75, with a reduction in the                  to 70 years                                      end of year data
inequalities gap of at least 6% between the fifth of areas with the worst health and deprivation indicators and the                   Cancer - implementation of NICE
                                                                                                                     achieved
population as a whole.                                                                                                                improvement outcomes guidance (IOGs)             end of year data
                                                                                                                     achieved         Cancer mortality rate                            end of year data




                                                                                                   Page 7 of 9
    Performance Traffic light Report                                                            Board version Jan`07




                                                                                                                                                                                                   Target/pl
                                                                                                                       2005/06 AHC                                                     Q3 YTD                Traffic
New National Target (continued...)                                                                                                 Performance Indicator                                           an
                                                                                                                       score                                                           2006/07               light
                                                                                                                                                                                                   2006/07
                                                                                                                                                                                       Q2:
                                                                                                                       achieved        Blood pressure                                  CHD6 =
                                                                                                                                                                                       77.7%        75.00%
                                                                                                                       achieved        Cardiovascular disease mortality
                                                                                                                                                                                       Q2:
                                                                                                                       achieved        Cholesterol levels                              CHD8 =
Substantially reduce mortality rates by 2010 from heart disease and stroke and related diseases by at least 40% in                                                                     58.6%        65.00%
people under 75, with a 40% reduction in the inequalities gap between the fifth of areas with the worst health and                                                                     Q2:
                                                                                                                                                                                       DM20 =
deprivation indicators and the population as a whole.                                                              underachieved       Diabetes: management of blood sugar             48.43%,
                                                                                                                                                                                       DM12 =
                                                                                                                                                                                       68%             60%
                                                                                                                                                                                       Q2:
                                                                                                                                                                                       CHD1
                                                                                                                       achieved        Practice-based registers                        (proxy) =
                                                                                                                                                                                       69.3%        59.50%
Tackle the underlying determinants of ill health and health inequalities by halting the year on year rise in obesity
                                                                                                                                       GP recording of body mass index (BMI)
among children under 11 by 2010 (from the 2002/2004 baseline) in the context of a broader strategy to tackle           underachieved                                                   Q2:
                                                                                                                                       status
obesity in the population as a whole.                                                                                                                                                  28.56%       53.10%
                                                                                                                                       Data quality on waiting times for MRI and CT
                                                                                                                       underachieved
To ensure that by 2008 nobody waits more than 18 weeks from GP referral to hospital treatment.                                         scans                                        submitted all in 0607
                                                                                                                       achieved        Waiting times for MRI and CT scans           some breaches
                                                                                                                                                                                    Q2:
                                                                                                                       failed          Community matrons
                                                                                                                                                                                    0                   12
To improve health outcomes for people with long term conditions by offering a personalised care plan for
                                                                                                                                                                                    Q2:
vulnerable people most at risk; and to reduce emergency bed days by 5% by 2008 (from the expected 2003/2004            failed          Emergency bed days
                                                                                                                                                                                    144592 136196
baseline) through improved care in primary care and community settings for people with long term conditions.
                                                                                                                                                                                    Q2:
                                                                                                                       failed          Number of very high intensity users
                                                                                                                                                                                    0                  961




                                                                                                      Page 8 of 9
       November Board                                                                   Brent AHC 2006/07 traffic light report                                                                                   Q2 position

                                                                                                                                                                                                      Target/pl
                                                                                                                  2005/06 AHC                                                         Q2 YTD                    Traffic
Existing National Target                                                                                                      Performance Indicator                                                   an
                                                                                                                  score                                                               2006/07                   light
                                                                                                                                                                                                      2006/07
800,000 smokers from all groups successfully quitting at the 4-week stage by 2006                                 failed          Four week smoking quitters                          Q1 =   533         2350
A minimum of 80% of people with diabetes to be offered screening for the early detection (and treatment if
                                                                                                                  achieved        Diabetic retinopathy screening
needed) of diabetic retinopathy by March 2006, and 100% by 2007.                                                                                                                       47.30%           100%
Achieve a maximum wait of six months for inpatients by December 2005. Working toward a maximum wait                               Number of inpatients waiting longer than the
                                                                                                                  achieved
of 20 wks by March 2007.                                                                                                          standard                                                        1          0
Achieve a maximum wait of three months for an outpatient appointment by December 2005. Working                                    Number of outpatients waiting longer than the
                                                                                                                  achieved
towards a maximum wait of 11 wks by March 2007.                                                                                   standard                                                        5          0
Achieve a maximum waiting time of two months from urgent referral to treatment for all cancers by December                        All cancers: two month GP urgent referral to
                                                                                                                  achieved
2005.                                                                                                                             treatment                                                 2               0
All ambulance trusts to respond to 75% of category A calls within 8 minutes.                                      achieved        Category A calls meeting 8 minute target             75.53%             75%
All ambulance trusts to respond to 95% of category A calls within 19 minutes.                                     achieved        Category A calls meeting 14 minute target            97.60%             95%
All ambulance trusts to respond to 95% of category B calls within 19 minutes.                                     failed          Catergory B calls meeting 14 minute target
                                                                                                                                                                                       82.77%             95%
Delayed transfers of care to reduce to a minimal level by 2006.                                                achieved           Delayed transfers of care                             2.77%              2%
Deliver a ten percentage point increase per year in the proportion of people suffering from a heart attack who Data Not
                                                                                                                                  Thrombolysis - 60 minute call to needle time
receive thrombolysis within 60 minutes of calling for professional help.                                       Available
                                                                                                                                  All cancers: one month diagnosis (decision to
Ensure a maximum waiting time of one month from diagnosis to treatment for all cancers by December 2005. achieved
                                                                                                                                  treat) to treatment                             100% 100%
Ensure that by the end of 2005 every hospital appointment will be booked for the convenience of the patient, underachieved        Convenience and choice - PCT booking          ?       90%
making it easier for patients and their GPs to choose a hospital and consultant that best meets their needs.                      Convenience and choice - PCT facilities in
                                                                                                             achieved
By December 2005, patients will be able to choose from at least four different health care providers for                          place to support choice                       ?     ?
Guaranteed access to a primary care professional within 24 hours and to a primary care doctor within 48      achieved             Access to a GP                                  100% 100%
hours.                                                                                                       achieved             Access to a primary care proffessional          100% 100%
                                                                                                                                  Child and adolescent mental health services:
Improve life outcomes of adults and children with mental health problems by ensuring that all patients who        achieved
                                                                                                                                  Commissioning increased services
need them have access to (crisis services by 2005, and) a comprehensive child and adolescent mental                                                                                   end of year data
health service by 2006.                                                                                                           Commissioning of cricis resolution/home
                                                                                                                  achieved
                                                                                                                                  treatment services                                  end of year data
In primary care, update practice-based registers so that patients with coronary heart disease and diabetes                                                                            CHD5
                                                                                                                                                                                      (proxy) =
continue to receive appropriate advice and treatment in line with national service framework standards and,                                                                                           CHD5
                                                                                                                                  Practice based registers - existing                 87.1%,
by March 2006, ensure practice-based registers and systematic treatment regimes, including appropriate            failed
                                                                                                                                  commitment                                          DM5             = 92%,
advice on diet, physical activity and smoking, also cover the majority of patients at high risk of coronary heart
                                                                                                                                                                                      (proxy) =       DM5 =
disease, particularly those with hypertension, diabetes and a BMI greater than 30.
                                                                                                                                                                                      78.7%           90%
Maintain a two-week maximum wait from urgent GP referral to first outpatient appointment for all urgent
                                                                                                                  achieved        All cancers: two week wait
suspected cancer referrals.                                                                                                                                                              100%           100%
Maintain the four hour maximum wait in A&E from arrival to admission, transfer or discharge.                      achieved        Total time in A&E: four hours or less                97.88%            98%
                                                                                                                                  Patients waiting longer that three months for
Three month maximum wait for revascularisation by March 2005.                                                     achieved
                                                                                                                                  revascularisation                                               0          0
                                                                                                                                                                                                      Target/pl
                                                                                                                  2005/06 AHC                                                         Q2 YTD                    Traffic
New National Target                                                                                                           Performance Indicator                                                   an
                                                                                                                  score                                                               2006/07                   light
                                                                                                                                                                                                      2006/07
Achieve year on year reductions in MRSA levels, expanding to cover other health care associated infections
                                                                                                                achieved          Infection control
as data from mandatory surveillance becomes available.                                                                                                                                TBA             TBA
Improve the quality of life and independence of vulnerable older people by supporting them to live in their own
homes where possible by supporting them to live in their own home by 1% annually in 2007 and 2008, and
                                                                                                                underachieved     Community equipment
increasing by 2008 the proportion of those supported intensively to live at home to 34% of the total of those
being supported at home or in residential care.                                                                                                                                        85.28%           100%
  Increase the participation of problem drug users in drug treatment programmes by 100% by 2008 (from a achieved                  Drug misusers sustained in treatment                    78%         > 70.54%
   1998 baseline); and increase year on year the proportion of users successfully sustaining or completing      achieved          Number of drug misuseres in treatment                    710            951
                                                                                                                achieved          Data quality on ehtnic group                         90.24%         > 84.54%

Reduce health inequalities by 10% by 2010 (from a 1997 - 1999 baseline) as measured by infant mortality           achieved        Infant mortality: Breastfeeding intitiation rates
                                                                                                                                                                                       68.22%             58%
and life expectancy at birth.
                                                                                                                  achieved        Infant mortality: Smoking during pregnancy
                                                                                                                                                                                         6.62% 13.04%
                                                                                                                                  Patients with CHD, diabetes, stroke, COPD
                                                                                                                  achieved        or asthma who smoke, offered smoking                SMOKING
Reducing adult smoking rates (from 26% in 2002) to 21% or less by 2010, with a reduction in prevalence
                                                                                                                                  cessation advice                                    2 = 63.8%        53.10%
among routine and manual groups (from 31% in 2002) to 26% or less.
                                                                                                                                  Smoking status among the population aged            SMOKING
                                                                                                                  achieved
                                                                                                                                  15 to 75 years                                      1 = 80.5%        57.50%
                                                                                                                                  Access to genito-urinary medicine (GUM)
                                                                                                                  achieved
                                                                                                                                  clinics                                              74.45% 70.00%
Reducing the under-18 conception rate by 50% by 2010 (from the 1998 baseline), as part of a broader
strategy to improve sexual health.                                                                                achieved        Access to termination of pregnancy services
                                                                                                                                                                                      end of year data
                                                                                                                  underachieved   Teenage conception rates                            end of year data
Secure sustained national improvements in NHS patient experience by 2008, ensuring that individuals are
fully involved in decisions about their health care, including choice of provider, as measured by independently
                                                                                                                deferred to
validated surveys. The experience of black and minority ethnic groups will be specifically monitored as part of                   Experience of patients
                                                                                                                2007
these surveys.
                                                                                                                                                                                      end of year data
                                                                                                                  underachieved   CPA 7-day follow up                                     92% 100%
Substantially reduce mortality rates by 2010 (from the 'Our healthier nation' baseline, 1995 - 1997) from
                                                                                                                                  Commissioning of assertive outreach
suicide and undetermined injury by at least 20%.                                                                  achieved
                                                                                                                                  services                                            end of year data
                                                                                                                                  Breast cancer screening for women aged 50
                                                                                                                  underachieved
Substantially reduce mortality rates by 2010 from cancer by at least 20% in people under 75, with a reduction                     to 70 years                                         end of year data
in the inequalities gap of at least 6% between the fifth of areas with the worst health and deprivation                           Cancer - implementation of NICE
                                                                                                              achieved
indicators and the population as a whole.                                                                                         improvement outcomes guidance (IOGs)                end of year data
                                                                                                              achieved            Cancer mortality rate                               end of year data
                                                                                                                                                                                      CHD6 =
                                                                                                                  achieved        Blood pressure                                      77.7%            75.00%
                                                                                                                  achieved        Cardiovascular disease mortality
                                                                                                                                                                                      CHD8 =
                                                                                                                  achieved        Cholesterol levels                                  58.6%            65.00%
Substantially reduce mortality rates by 2010 from heart disease and stroke and related diseases by at least
40% in people under 75, with a 40% reduction in the inequalities gap between the fifth of areas with the worst                                                                        DM20 =
                                                                                                                                                                                      48.43%,
health and deprivation indicators and the population as a whole.                                                  underachieved   Diabetes: management of blood sugar                 DM12 =
                                                                                                                                                                                      68%                 60%
                                                                                                                                                                                      CHD1
                                                                                                                  achieved        Practice-based registers                            (proxy) =
                                                                                                                                                                                      69.3%            59.50%
Tackle the underlying determinants of ill health and health inequalities by halting the year on year rise in
                                                                                                                                  GP recording of body mass index (BMI)
obesity among children under 11 by 2010 (from the 2002/2004 baseline) in the context of a broader strategy        underachieved
                                                                                                                                  status
to tackle obesity in the population as a whole.                                                                                                                                        28.56% 53.10%
                                                                                                                                  Data quality on waiting times for MRI and CT
                                                                                                                  underachieved
To ensure that by 2008 nobody waits more than 18 weeks from GP referral to hospital treatment.                                    scans                                               submitted all in 0607
                                                                                                           achieved               Waiting times for MRI and CT scans                  some breaches
To improve health outcomes for people with long term conditions by offering a personalised care plan for   failed                 Community matrons                                         0     12
vulnerable people most at risk; and to reduce emergency bed days by 5% by 2008 (from the expected          failed                 Emergency bed days                                   144592 136196
2003/2004 baseline) through improved care in primary care and community settings for people with long term failed                 Number of very high intensity users                       0    961
                                                                                                                                                                                                      Germaine Cumming