Perspectives - Excel by tyndale



                            LEARNING AND

FINANCE AND                PCT VISION AND                   CUSTOMER AND
 RESOURCE                 BOARD ASSURANCE                   STAKEHOLDER
PERSPECTIVE                 FRAMEWORK                        PERSPECTIVE

                          INTERNAL PROCESS
                                                                     Previous   Current
                                                                      Traffic   Traffic
       Perspective                      Principle Objective            Light     Light
Learning & Growth        Skillled Workforce                           Amber     Amber
Customer & Stakeholder   Patient, Public & Staff Involvement          Amber     Amber
                         Child Protection                             Amber     Amber
                         Prescribing                                   Red       Red
                         Decontamination and Communicable Diseases
                         Improving Health                             Amber     Amber
Internal Process         Effective Commissioning                       Red       Red
                         Clinical & Corporate Governance
                         Shared Services
                         Safe Working Environment
                         Emergency Plan
                         Risk Management                              Amber     Green
Finance and Resource     Financial Management & Value for Money       Green     Green
                         Sufficient Capacity in Facilities
                                                                                             Agreed LDP           Actual        Traffic   Traffic
Perspective              Principle Objective                   Indicator                    Profile/Target    Performance        Light     Light                                 Comments                                   Lead Director
                                                                                               2004/05       (as at 28/02/05)   Dec 04    Feb 05
Learning & Growth        Skilled Workforce     PCT Commissioning - Mental Health -                58                48            Red       Red SWYMHT have submitted a Flexibilities & Fidelity paper to                 Carol McKenna
                                               Assertive Outreach                                                                                 Strategic Health Authority. From a commissioning perspective,
                                                                                                                                                  this service is fully funded and up and running, however, an issue
                                                                                                                                                  has arisen regarding the PCT's local share of the national
                                               PCT Commissioning - Mental Health            Carers Support - Carers Support - Amber       Amber 2 x Carer Support Workers in post. The Gateway Worker function            Carol McKenna
                                               workers                                        2, Graduate      2, Graduate                        is part of the remit of staff within the Crisis Resolution Team.
                                                                                              Worker - 3,      Worker - 3,                        These staff triage and signpost service users into appropriate
                                                                                              Community        Community                          services. 3 Graduate Workers recruited to Huddersfield Central
                                                                                            Gateway Worker Gateway Worker                         PCT , 1 has since left their post but should be replaced later in the
                                                                                                  -1               - 1.5                          year.
                                               PCT Commissioning - Mental Health -                183               104        Red          Red SWYMHT have submitted a Flexibilities & Fidelity paper to                 Carol McKenna
                                               Crisis Resolution                                                                                  Strategic Health Authority. From a commissioning perspective,
                                                                                                                                                  this service is fully funded and up and running, however, an issue
                                                                                                                                                  has arisen regarding the PCT's local share of the national
                                               Staff Opinion Survey - H&S Incidents                                             Amber     Amber Staff survey for 2004/05 distributed End October 2004. PCT                Helena Corder
                                                                                                                                                  response is above national average for the NHS, however,
                                                                                                                                                  detailed analysis needs to be carried out and will be available in
                                               Staff Opinion Survey - HR Management                                             Amber     Amber                                    as above                               Helena Corder
                                               Staff Opinion Survey - Staff Attitudes                                           Amber     Amber                                    as above                               Helena Corder
                                               Workforce Datasets - data quality on             (85%)             (70%)         Amber     Amber Quarterly and annual workforce monitoring reports provided to the         Sally Baines
                                               ethnic group.                                                                                      Board via the HR Strategy Group
                                               Workforce - indicator to include IWL plus                                                                                                                                  Sally Baines
                                               other elements still to be finanalised

Customer & Stakeholder   Patient, Public & Staff PCT Survey - Access & Waiting                                                  Amber     Amber 2004/05 survey to be distributed January 2005. Results of                 Helena Corder
                         Involvement                                                                                                            detailed analysis will be made available to the PCT 31st March
                                               PCT Survey - Better Information, More                                            Amber     Amber                                                                           Helena Corder
                                                                                                                                                                             as above
                                               PCT Survey - Building Closer                                                     Amber     Amber                                                                           Helena Corder
                                                                                                                                                                                as above
                                               PCT Survey - Clean, Comfortable,                                                 Amber     Amber                                                                           Helena Corder
                                                                                                                                                                                as above
                                               Friendly Place
                                               PCT Survey - Safe, High Quality, Co-                                             Amber     Amber                                                                           Helena Corder
                                                                                                                                                                                as above
                                               ordinated Care

                         Partnerships          Indicator to be developed

                         Child Protection      Child Protection - compliance to                (91.02%)         (77.77%)        Amber     Amber Healthcare Commission self-assessment tool completed and                  Kath Basnett
                                               recommended child protection systems                                                             returned. Local priorities for action defined, agreed by the Board
                                               and procedures.                                                                                  and implemented.
                         Prescribing           Prescribing Rates - Antibacterial Drugs          (1.07)            (1.35)         Red       Red A retrospective antibiotic audit was developed and rolled-out to           Kath Basnett
                                                                                                                                                practices in August 2004.
                         Decontamination       Indicator to be developed
                         Communicable          Indicator to be developed
                         Improving Health      Substance Misuse - Access                         810              1043          Green     Green Figures shown are plan and actual for September period only -    Sohail Bhatti
                                                                                                                                                DMT monthly return figures show month on month increase as
                                                                                                                                                planned and expected.
                                               4 Week Smoking Quitters                           1419             1163          Amber     Amber The PCT is achieving locally agreed profiles and is on course to Sohail Bhatti
                                                                                                                                                achieve the March 2005 Plan figure. Current measures in place to
                                                                                                                                                improve performance.
                                               Immunisation - % of 2-year old children          (80%)             (87%)         Green     Green Robust monitoring mechanisms in place.                           Sohail Bhatti
                                               who have received the MMR vaccine
                                               Infant Health - Breastfeeding (2% increase        64%              54%           Green     Green Excellent initiation rates, but focus needs to shift to encouraging       Sohail Bhatti
                                               year-on-year)                                                                                    women to continue to breastfeed, in particular, disadvantaged
                                                                                       Agreed LDP           Actual         Traffic   Traffic
Perspective        Principle Objective                     Indicator                  Profile/Target    Performance         Light     Light                              Comments                                     Lead Director
                                                                                         2004/05       (as at 28/02/05)    Dec 04    Feb 05
                                         Infant Health - Smoking & Pregnancy (1%          14.9%             14.5%          Green     Green Good progress in achieving national target of reducing the number        Sohail Bhatti
                                         decrease year-on-year)                                                                              of those smoking at delivery to 18% by 2005 - achievement of
                                                                                                                                             national target already exceeded.
                                         Sexual Health - access to early unintended       (52%)             (57%)          Amber     Amber The PCT has submitted a bid for additional term of pregnancy             Sohail Bhatti
                                         pregnancies                                                                                         funding to the DoH and a decision is awaited.
                                         Suicide Audit                                     Yes               Yes           Green     Green Draft strategy produced, going to the Partnership Board for              Carol McKenna
                                                                                                                                             ratification by January 2005. Work identified in the Action Plans is
                                                                                                                                             underway. A SWYT Audit is completed annually and is presented
                                                                                                                                             to the Partnership Board.
                                         Teenage Pregnancy - conceptions below            (9%)               (6%)           Red        Red Local rates will decrease in the future in line with the national and    Sohail Bhatti
                                         age 18                                                                                              local targets.
                                         Health Equity Audit                               (4)                4            Green     Green Annual Public Health Report produces. Equity Audits for key              Sohail Bhatti
                                                                                                                                             services agreed by the PCT Board, Mental Health, Nursing and
                                                                                                                                             CHD, now being published.
                                         Flu Vaccination                                  70%              data not        Green     Green National and local flu campaign commenced October 2004.                  Sohail Bhatti
                                                                                                       available at time                     Uptake rate data will not be available at time of reporting, but,
                                                                                                         of reporting                        early indications show the national target will be maintained if not
                                         Diabetic Retinopathy Screening (numbers          80%                64%           Amber     Amber Screening uptake rate has been static for the past 2 years -             Carol McKenna
                                         taking up the offer of screening)                                                                   investigations underway to understand reasons why and action
                                                                                                                                             plan produced to address to ensure December 2006 target is
                                         Death Rates Circulatory Disease <75              (4%)              (-4%)          Amber     Amber A Kirklees Physical Activity Strategy is agreed and specific PSA         Sohail Bhatti
                                                                                                                                             targets set. A Kirklees Obesity Strategy is being developed with
                                                                                                                                             specific PSA targets being set.
                                         Death Rates Cancer <75                           (2%)              (-2%)          Amber     Amber SRB Initiative and Healthy Living Centres all have a focus on            Sohail Bhatti
                                                                                                                                             reducing cancer rates through promoting healthy eating and
                                                                                                                                             smoking cessation. Local Cancer Network in place.
                                         Cervical Cancer Screening                        (81%)             (85%)          Green     Green Overall coverage rate is good. Further work is needed to                 Sohail Bhatti
                                                                                                                                             breakdown this information by ethnic groups.

Internal Process   Effective             Access to a GP                                   100%              100%           Green     Green National target is 100% achievement by December 2004.                    Carol McKenna
                                         Access to a PCP                                  100%               98%           Amber     Amber                             As above                                     Carol McKenna
                                         Inpatient Waiting Times (over 9                    0                 0            Green     Green The PCT is working with local partners through modernisation             Carol McKenna
                                         months)                                                                                           frameworks to pro-actively manage profiles throughout the year.

                                         Inpatient Waiting Times (over 6 months -          58                103            Red       Red                                  as above                                 Carol McKenna
                                         80% reduction in number of patients)
                                         Outpatient Waiting Times (over 17                  0                 0            Green     Green                                 As above                                 Carol McKenna
                                         Outpatient Waiting Times (over 13                 140               278            Red       Red Capacity issues in Orthopaedics. Patch-wide approach being                Carol McKenna
                                         weeks - reduce number of patients)                                                                taken to address. Uptake of CHOICE impacting, resulting in
                                                                                                                                           financial pressures.
                                         A&E Waiting Times                                98%               98.3%          Green     Green The PCT, in collaboration with the Emergency Care Network, is            Carol McKenna
                                                                                                                                           leading the delivery of this target via a Demand Management
                                                                                                                                           Group which has been established.
                                         Access to NHS Dentistry - indicator to be                                                                                                                                  Sohail Bhatti
                                         Delayed Transfers of Care                          0                 7             Red       Red     The PCT is continuing to support the Whole Systems Approach to Carol McKenna
                                                                                                                                              develop best practice in discharge management and build on
                                                                                                                                              existing positive joint arrangements. Transitional bed model
                                                                                                                                              implemented to assist the process.
                                         Community Equipment - By December                100%               91%            Red       Red     The national target has not been achieved and this is particularly   Kath Basnett
                                         2004, all community equipment for older                                                              due to the inability of the current IT system to allow direct e'mail
                                         people (aids and minor adaptations) will                                                             referrals to the equipment service. Also, a 'man with a van' fitting
                                         be provided by social services within 7                                                              service, has commenced and this should also improve compliance
                                         working days                                                                                         with the national target.
                                                                                                       Agreed LDP           Actual        Traffic   Traffic
Perspective                    Principle Objective                      Indicator                     Profile/Target    Performance        Light     Light                              Comments                               Lead Director
                                                                                                         2004/05       (as at 28/02/05)   Dec 04    Feb 05
                                                       Child and Adolescent Mental Health              Audit & 10%          (3.3%)        Amber     Amber Preventative and health promoting approaches are being piloted in Carol McKenna
                                                       Services (audited needs assessment and                                                               conjunction with Education, Social Services, Kirklees Healthy
                                                       increase in investment by 10%)                                                                       Schools Programme and Children's fund. Primary mental health
                                                                                                                                                            workers have been recruited and further recruitment is planned
                                                                                                                                                            using CAMHS development funding from social services and the
                                                       Learning Disabilities - PCTs assessed on:                                          Amber     Amber Linkages needed with Social Services and general practice          Carol McKenna
                                                       systems in primary care for identifying                                                              registers. Compliance needed across primary care regarding
                                                       people with learning disabilities; actions                                                           Read Coding. Systems are in place which ensure LD placements
                                                       taken to reduce long-term NHS residence.                                                             are reviewed on a regular basis for appropriateness/suitability.

                                                       CHD - thrombolysis 60 minute 'call to              58%               52%            Red       Red  National target not being achieved which is a national issue.       Carol McKenna
                                                       needle time' - % of patients receiving                                                             Various initiatives ongoing to adress, ie. roll-out work with WYMAS
                                                       thrombolytic therapy within 60 minutes of                                                          and clinicians to ensure paramedic led thrombolysis will ensure
                                                       call time.                                                                                         improvements in call to needle time.
                                                       Ambulance category 'A' calls meeting 8-            75%               92%           Green     Green Target being achieved by WYMAS for waiting times. Monitoring of Carol McKenna
                                                       minute target - % of ambulance category                                                            this objective is taken forward by the Local Implementation Team.
                                                       'A' calls getting a first response within 8-
                                                       minutes (performance of the ambulance
                                                       truts will be mapped back to PCTs)

                               Clinical & Corporate    Indicator to be developed
                               Shared Services         Indicator to be developed
                               Safe Working            Indicator to be developed
                               Emergency Plan          Indicator to be developed
                               Risk Management         Level of compliance against the NHS            Level One (A &    Level 1A & B      Amber     Green The PCT has achieved Level One A & B                             Helena Corder
                                                       Litigation Authority (NHSLA) risk                    B)            achieved
                                                       management standard for PCTs

Finance & Resources            Financial              Financial Management                              Financial      target being met   Green     Green As at 28th February 2005, the PCT is on course to achieving      Alex Farrell
                               Management & Value                                                       Balance                                           financial balance at year-end.
                               for Money
                               Sufficient Capacity in Indicator to be developed
                               IM&T                   Indicator to be developed

Targets in blue are star rating key targets
Figures in brackets are national averages from 2003/04
All other figures are actual targets or performance, unless stated
Actual Performance is based upon most current data available

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