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					                                                            2004/05
DUDLEY SOUTH PCT PERFORMANCE MANAGEMENT REPORTING FRAMEWORK TRUST BOARD REPORT -MAY 2005 (APRIL 2005 POSITION)
KEY TARGETS 2004/05                                         PI'S 2004/05 - KEY TARGETS & BALANCED SCORECARD FOR PCTS FOR STAR RATINGS
                                         NOMINATED




                                                                                                                                                                                                                 2004/2005 YEAR
                                       PERFORMANCE
                                       MANAGEMENT
                                       DIRECTORATE
                        REPORTING        LEAD/ LEAD




                                                                                                                                                                                                                                  Apr-05
TARGET                   MONTHLY/        INDIVIDUAL                            ACTION PLAN




                                                                                                                                                                                                                 END
 CODE                   QUARTERLY       (DRILLDOWN)         LEAD DIRECTOR       HYPERLINK    Targets                                                                                                                                                                     Comments
                                                             OPERATIONS &
                                                                                                                                                                                                                      3            3
   K1                    MONTHLY         AHULFORD           PRIMARY CARE                     Access to a GP. % of patients who are able to be offered an appointment to see a GP within 2 working days
                                                             OPERATIONS &                    Access to a Primary Care Professional (PCP). % of patients offered an appointment to see a Primary Care                                         For the month of April 2005, one practice was not able to offer an
                                                                                                                                                                                                                      3            2
   K2                    MONTHLY         AHULFORD           PRIMARY CARE                     Professional within one working day                                                                                                                            appointment within the target time.
                                                                                             Drug Misusers accessing treatment. Increase in drug misusers accessing treatment. Increase the participation
                                                           CHIEF EXECUTIVE/                  of problem drug users in drug treatment programmes by 55% by 2004 and by 100% by 2008 (from a 1998                       3            3
   K3                    MONTHLY         EHAYWOOD         RICHARD ROGERSON                   baseline). PCTs have been asked to plan to achieve this in their LDP.
                                                                                             Elective Patients waiting longer than the standard. Measurement of the breaches of the 9 month target for an
                                                          MODERNISATION AND                  elective inpatient or day case admission.                                                                                3            3
   K4                    MONTHLY          SCEAIRNS          COMMISSIONING
                                                                                             Financial Management. Achievement of the financial position shown in the 2004/05 Plan, submitted to the DoH,
                                                                                                                                                                                                                      2            2                                          0
   K5                    MONTHLY          SROBERT        FINANCE AND ESTATES                 without the need of unplanned financial support
                                                                                             Four-week smoking quitters. Number of smokers who quit at 4 week follow-up with the NHS smoking cessation
                                                                                             services (performance against plan) (SNT14: National Target. 800,000 smokers from all groups successfully                3            3
   K6                    MONTHLY          TCOLLINS           PUBLIC HEALTH                   quitting at the 4-week stage by 2006).

                                                          MODERNISATION AND                  Outpatients waiting longer than the standard. Measurement of the breaches of the 17 week target for a first              3            3
   K7                    MONTHLY          SCEAIRNS          COMMISSIONING                    outpatient appointment following GP written referral.
                                                                                                                                                                                                                                            The year end figure for 2004/5 was 95.78% which overall for the year
                                                                                                                                                                                                                                             was a reasonable performance. However since January 2005 the
                                                                                                                                                                                                                                                 national target has been set at 98% and for the last quarter
                                                                                                                                                                                                                      1            2       performance has been below this level. For April 2005 performance in
                                                                                                                                                                                                                                             this month was 97.52% which is an improvement and is shown as
                                                          MODERNISATION AND                  Total Time in A&E: 4 hours or less. % of patients waiting 4 hours or less in A&E from arrival to admission,                                    Amber at this stage in that further improvement is possible during the
     K8                   MONTHLY         CSIVITER          COMMISSIONING                    transfer or discharge                                                                                                                                                            year.
BALANCED SCORECARD 2004/05
(5 indicator changes from Balanced Scorecard 2003/04 identified)
(Incorporates revised target codes)

                                                                                                                                                                                                                                             81.8% (Mar 05) Ambulance Response Times: Category A within 8
                                                          MODERNISATION AND                                                                                                                                           3            3
                                                                                                                                                                                                                                                               minutes. Target = 75%
  BS01                   MONTHLY           CSIVITER         COMMISSIONING                    Ambulance Category A calls meeting 8 minute target.
                                                                                             CAMHS. Child and Adult Mental Health Services (CAMHS): (I) audited needs assessment for the population (ii)
                                                                                                                                                                                                                                           Investment profiles remain on target however it is recognised that the
                                                          MODERNISATION AND                  increase in investment in CAMHS against target expected                                                                  2            2
                                                                                                                                                                                                                                                     needs assessment should be revisited in 2005.
  BS02                   MONTHLY          JWARDER           COMMISSIONING
  BS03                   MONTHLY          TCOLLINS          PUBLIC HEALTH                    Cervical Screening. % of women aged 25-64 screened for cervical abnormalities                                            2            2
                                                                                             Clinical audit data that describes the provision of appropriate lifestyle advice and systematic treatment regimes
                                                                                                                                                                                                                                             Audit is currently being piloted and is planbned to run at the end of
                                                          MODERNISATION AND                  (02/03- % of practices with (CHD) clinical audit data no more than 12 months old)                                        3
                                                                                                                                                                                                                                                                             March.
            OLD 03/04    MONTHLY          EJACKSON          COMMISSIONING
                                                                                             Child Protection. Compliance to recommended child protection systems and procedures
                                                          MODERNISATION AND                                                                                                                                           2            2
  BS04                   MONTHLY          SPRESTON          COMMISSIONING
                                                                                             Commissioning of assertive outreach services.
                                                          MODERNISATION AND                                                                                                                                           3            3
  BS05      NEW 04/05    MONTHLY          JWARDER           COMMISSIONING
                                                                                             Commissiong of new mental health workers and crisis resolution teams.
                                                          MODERNISATION AND                                                                                                                                           2            2
  BS06      NEW 04/05    MONTHLY          JWARDER           COMMISSIONING
                                                                                             Community equipment. Percentage of items of equipment and adaptations delivered within seven days
                                                          MODERNISATION AND                                                                                                                                           2            2
  BS07                   MONTHLY            JCALE           COMMISSIONING
                                                                                             Data Quality on ethnic group. Completeness of trust coding for ethnicity in patient and workforce datasets.
                                                                                                                                                                                                                                            Overall indicator score definition to be confirmed. To be calculated
                                                                                                                                                                                                                                           based on (1) Completeness of Trust Coding in HES (Hospital Episode
                                                                                                                                                                                                                      1            1
                                                                                                                                                                                                                                            Statistics) = RED reported and (2) Number of individual records for
                                                                                                                                                                                                                                                      trust on workforce census with valid ethnic group
  BS08      NEW 04/05    MONTHLY          SJENNENS       FINANCE AND ESTATES
                                                                                             Death rates from cancer, aged under 75. % change in mortality rate from all malignant neoplasms in people
                                                                                                                                                                                                                      2            2
  BS09                   MONTHLY         CANCER LIT          PUBLIC HEALTH                   aged under 75 per 100,000 population (age & sex standardised)
                                                                                             Death rates from circulatory diseases, ages under 75. % change in mortality rate from all circulatory diseases
                                                                                                                                                                                                                      3            3
  BS10                   MONTHLY           CHD LIT           PUBLIC HEALTH                   in persons aged under 75 per 100,000 population (age & sex standardised)




Performance Management Framework 2005/2006                                                                                                                                              Produced by: Dudley South PCT Information and Performance Management Department
                                                            2004/05
DUDLEY SOUTH PCT PERFORMANCE MANAGEMENT REPORTING FRAMEWORK TRUST BOARD REPORT -MAY 2005 (APRIL 2005 POSITION)
KEY TARGETS 2004/05                                         PI'S 2004/05 - KEY TARGETS & BALANCED SCORECARD FOR PCTS FOR STAR RATINGS
                                   NOMINATED




                                                                                                                                                                                                     2004/2005 YEAR
                                 PERFORMANCE
                                 MANAGEMENT
                                 DIRECTORATE
                     REPORTING     LEAD/ LEAD




                                                                                                                                                                                                                      Apr-05
TARGET                MONTHLY/     INDIVIDUAL                       ACTION PLAN




                                                                                                                                                                                                     END
 CODE                QUARTERLY    (DRILLDOWN)     LEAD DIRECTOR      HYPERLINK    Targets                                                                                                                                                                  Comments

                                                MODERNISATION AND                                                                                                                                         3            3
 BS11                MONTHLY        JCALE         COMMISSIONING                   Delayed transfers of care. % of patients whose transfer of care from hospital was delayed
                                                                                  Diabetic retinopathy screening - 80% of people with diabetes to be offered screening for early detection by                                  Programme currently in place for retinopathy screening. However, this
                                                   OPERATIONS &                   2006 & 100% coverage by end 2007. (02/03 - Those PCTs who have completed their baseline assessment of                   2            2       is not a digital photography service which will be dependent upon LDP
 BS12                MONTHLY      AHULFORD         PRIMARY CARE                   diabetes services)                                                                                                                                                           funding.
                                                 CHIEF EXECUTIVE/
                                                                                                                                                                                                          3            3
         OLD 03/04   MONTHLY      EHAYWOOD      RICHARD ROGERSON                  The % of GP Practices in a shared care scheme for problematic drug misusers (30% NTA Target)
 BS13                MONTHLY       TCOLLINS        PUBLIC HEALTH                  Flu vaccinations. Persons vaccinated against flu as a % of number of people aged 65 & over                              3            2
                                                   OPERATIONS &
                                                                                                                                                                                                          3            3
         OLD 03/04   MONTHLY      AHULFORD         PRIMARY CARE                   Appraisal in place for GP Principals
                                                                                  Health Equity Audit. Assessment of the effective us of health equity auditing in service planning, commissioning
                                                                                                                                                                                                          3            3
 BS14                MONTHLY       TCOLLINS       PUBLIC HEALTH                   and delivery in order to tackle health inequalities
 BS15                MONTHLY       TCOLLINS       PUBLIC HEALTH                   Immunisation MMR. % of 2-year-old children who have received the MMR vaccine                                            2            2
                                                                                  Infant Health: Data collection systems to support future indicators for breastfeeding and smoking in pregnancy.
                                                                                                                                                                                                          2            2
 BS16                MONTHLY       TCOLLINS       PUBLIC HEALTH
                                                  OPERATIONS &                    Learning Disability: Identification in primary care and reduction long term NHS residence
                                                                                                                                                                                                          2            2                                        0
 BS17    NEW 04/05   MONTHLY        KHICKS        PRIMARY CARE
                                                  OPERATIONS &                    NHS Dentistry. Plans in place to enable people to obtain NHS dentistry within local standards, following request
                                                                                                                                                                                                          3            3
 BS18                MONTHLY        JROSS         PRIMARY CARE                    for help through NHS Direct & local enquiry points

                                                MODERNISATION AND                                                                                                                                         2            2
         OLD 03/04   MONTHLY       JWARDER        COMMISSIONING                   Mental Health performance indicators (PCT Commissioning of NHS Plan deliverables: mental health (adults))
                                                 ORGANISATIONAL
                                                 DEVELOPMENT &                                                                                                                                            2            3                                        0
 BS19                MONTHLY     JCUNNINGHAM     COMMUNICATION                    PCT patient survey: access and waiting
                                                 ORGANISATIONAL
                                                 DEVELOPMENT &                                                                                                                                            2            3                                        0
 BS20                MONTHLY     JCUNNINGHAM     COMMUNICATION                    PCT patient survey: better information, more choice
                                                 ORGANISATIONAL
                                                 DEVELOPMENT &                                                                                                                                            2            3                                        0
 BS21                MONTHLY     JCUNNINGHAM     COMMUNICATION                    PCT patient survey: building closer relationships
                                                 ORGANISATIONAL
                                                 DEVELOPMENT &                                                                                                                                            2            3                                        0
 BS22                MONTHLY     JCUNNINGHAM     COMMUNICATION                    PCT patient survey: clean, comfortable, friendly place to be
                                                 ORGANISATIONAL
                                                 DEVELOPMENT &                                                                                                                                            2            3                                        0
 BS23                MONTHLY     JCUNNINGHAM     COMMUNICATION                    PCT patient survey: safe, high quality, coordinated care
                                   DJENKINS/      OPERATIONS &                    Prescribing rates of antibacterial drugs (age & sex standardised)
                                                                                                                                                                                                          2            2
 BS24                MONTHLY       ATENNANT       PRIMARY CARE
                                   DJENKINS/      OPERATIONS &                    Prescribing: Mental Health Prescribing - prescribing rates for drugs acting on benzodiazepine receptors (age &
                                                                                                                                                                                                          2            2
         OLD 03/04   MONTHLY       ATENNANT       PRIMARY CARE                    sex standardised)
                                                                                  Risk Management.                                                                                                                                                      TO BE ASSIGNED
 BS25    NEW 04/05

                                                                                                                                                                                                          2            2
 BS26                MONTHLY       TCOLLINS       PUBLIC HEALTH                   Sexual Health. % of NHS funded abortions undertaken at up to & including 9 completed weeks gestation
                                                  OPERATIONS &                    Appropriate implementation plan in place for local out of hours providers which will make available single
                                                                                                                                                                                                          3            3
         OLD 03/04   MONTHLY      AHULFORD        PRIMARY CARE                    telephone access to primary care out of hours services through NHS Direct by December 2004
                                                                                  Six month inpatient waits. Number of patients who had been waiting less than 6 months for inpatient treatment
                                                MODERNISATION AND                 as % of no. of patients on the inpatient waiting list                                                                   3            3
 BS27                MONTHLY       SCEAIRNS       COMMISSIONING
                                                                                  Staff opinion survey: health, safety & incidents
                                                                                                                                                                                                                                Oct 2004 Staff Survey results received Feb 2005. Improvement has
                                                 ORGANISATIONAL
                                                                                                                                                                                                          2            2       been made. Positive feedback also received from staff involved in IWL
                                                 DEVELOPMENT &
                                                                                                                                                                                                                                       Self Assessment' in working towards Practice Plus'
 BS28                MONTHLY        JLAMB        COMMUNICATION
                                                                                  Staff opinion survey: human resource management.
                                                                                                                                                                                                                                Oct 2004 Staff Survey results received Feb 2005. Improvement has
                                                 ORGANISATIONAL
                                                                                                                                                                                                          2            2       been made. Positive feedback also received from staff involved in IWL
                                                 DEVELOPMENT &
                                                                                                                                                                                                                                       Self Assessment' in working towards Practice Plus'
 BS29                MONTHLY        JLAMB        COMMUNICATION




Performance Management Framework 2005/2006                                                                                                                                Produced by: Dudley South PCT Information and Performance Management Department
                                                            2004/05
DUDLEY SOUTH PCT PERFORMANCE MANAGEMENT REPORTING FRAMEWORK TRUST BOARD REPORT -MAY 2005 (APRIL 2005 POSITION)
KEY TARGETS 2004/05                                         PI'S 2004/05 - KEY TARGETS & BALANCED SCORECARD FOR PCTS FOR STAR RATINGS
                                   NOMINATED




                                                                                                                                                                                                 2004/2005 YEAR
                                 PERFORMANCE
                                 MANAGEMENT
                                 DIRECTORATE
                     REPORTING     LEAD/ LEAD




                                                                                                                                                                                                                  Apr-05
TARGET                MONTHLY/     INDIVIDUAL                       ACTION PLAN




                                                                                                                                                                                                 END
 CODE                QUARTERLY    (DRILLDOWN)     LEAD DIRECTOR      HYPERLINK    Targets                                                                                                                                                              Comments
                                                                                  Staff opinion survey: staff attitudes
                                                                                                                                                                                                                            Oct 2004 Staff Survey results received Feb 2005. Improvement has
                                                 ORGANISATIONAL
                                                                                                                                                                                                      2            2       been made. Positive feedback also received from staff involved in IWL
                                                 DEVELOPMENT &
                                                                                                                                                                                                                                   Self Assessment' in working towards Practice Plus'
 BS30                MONTHLY        JLAMB        COMMUNICATION

                                                MODERNISATION AND                                                                                                                                     2            2
         OLD 03/04   MONTHLY       JWARDER        COMMISSIONING                   Local system for suicide audit implemented
                                                                                  Teenage pregnancy. % of change in the under 18 conception rate between 1998 & 2002 (02/03 - 2001)
                                                                                                                                                                                                      3            3
 BS31                MONTHLY       TCOLLINS       PUBLIC HEALTH
                                                                                  Thrombolysis - 60 minute call to needle time. Deliver a ten percentage point increase per year in the
                                                MODERNISATION AND                 proportion of people suffering from a heart attack who receive thrombolysis within 60 minutes of calling for        3            3
 BS32    NEW 04/05   MONTHLY       SCEAIRNS       COMMISSIONING                   professional help.
                                                 ORGANISATIONAL                   Workforce Indicator. Workforce indicator to include Improving Working Lives plus other elements to be
                                                 DEVELOPMENT &                    confirmed                                                                                                           3            3
 BS33                MONTHLY       JDIPPLE       COMMUNICATION




Performance Management Framework 2005/2006                                                                                                                                  Produced by: Dudley South PCT Information and Performance Management Department