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					Introduction

Department of Health - Six specific areas of priority
(as stated in 'The NHS in England: The operating framework for 2006/2007')

           Reducing inequalities in health
           Cutting waiting times for treatment for cancer
           Reducing waiting times from GP referral to hospital treatment
           Reducing levels of methicillin resistant Staphlococcus aureus (MRSA)
           Improving patient choice
           Improving sexual health
Citywide Monthly Performance Report
Report Month - September 2006
Last updated: 21/11/06

? = Indicator based on 2005/06 Annual Healthcheck until guidance on new 2006/07 indicators published                                                                                                                   PR01

Target figures are for 2006/07 unless stated.
Key:
         National Priority
         Graph available on following pages                                              Sheffield          Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                           Latest
?        Indicator not yet defined.                                                       Target
NEW                                                                                                          Actual     Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                   06/07                                             Data

A) HEALTHCHECK PERFORMANCE INDICATORS
Department of Health - National Priorities 2006/07
Cutting waiting times for treatment for cancer
       1 Cancer Waits - Ensure a maximum waiting time of one month (31 days) from                                                                        Quarterly figures are used to monitor performance.
         diagnosis to treatment for all cancers (national target to achieve 100%                                                                         Please see graph for a monthly breakdown of the figures.
         compliance by December 2005)                                                     100%                100%           G
                                                                                                                             G            06/07 Q2


       2 Cancer Waits - Ensure a maximum waiting time of two months (62 days) from                                                                       It is accepted that up to 5% of patients may justifiably
         urgent referral to treatment for all cancers (national target to achieve 100%                                                                   exceed the 62 day treatment pathway target due to
         compliance by December 2005)                                                                                                                    following 'complex care pathways'. The experience of
                                                                                                                                                         STHFT as a tertiary centre is that a higher proportion than
                                                                                                                             A                           this follow such complex pathways. This is being raised
                                                                                                                                                         formally with Monitor and the DoH. There are very few
                                                                                          100%               94.96%          A            06/07 Q2
                                                                                                                                                         breaches of this target which are not due to complex care
                                                                                                                                                         pathways. In 2005/6 the HCC judged that PCTs achieving
                                                                                                                                                         90% or above achieved on this indicator.




Reducing waiting times from GP referral to hospital treatment
       3 Out-Patient Waiting Times -Maintain maximum wait of 13 weeks for patients.                                                                      The accompanying graph shows the number of
         By the end of 2006/07 no patients should wait over 11 weeks for an outpatient                                                                   outpatients waiting over 11 weeks.
         appointment.
                                                                                            0                       0        G            06/07 M6




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        National Priority
        Graph available on following pages                                                  Sheffield          Sheffield
JAR     Also a Joint Area Review Indicator
                                                                                                                                              Latest
?       Indicator not yet defined.                                                           Target
NEW                                                                                                             Actual     Traffic Light     Available      Comment from Citywide Lead/PCT Leads
        Indicator new/changed Nov 2006                                                       06/07                                             Data

      4 Out-Patient Waiting Times Milestones for the 18 week referral-to-treatment                                                                          PCT Staff are monitoring performance monthly and are
        target - Ensure that by 2008 nobody waits more than 18 weeks from GP referral                                                                       confident year end targets will be achieved.
        to hospital treatment. By 31 March 2007 at least 97% of patients should be seen
                                                                                              97%                               G
        within 11 weeks                                                                                          96.3%          G            06/07 M6
                                                                                           March 2007
     The PCT will be measured upon the % of patients waiting less than 11 weeks for
 NEW a first out-patient appointment as at March 2007.
      5 In-Patient Waiting Times - Maintain maximum wait of 26 weeks for patients.                                                                          The accompanying graph shows the number of inpatients
        By the end of 2006/07 no patients should wait over 20 weeks for an inpatient                                                                        waiting over 20 weeks.
        appointment.

                                                                                                0                      0        G
                                                                                                                                G            06/07 M6




      6 In-Patient Waiting Times Milestones for the 18 week referral-to-treatment                                                                           PCT Staff are monitoring performance monthly and are
        target - Ensure that by 2008 nobody waits more than 18 weeks from GP referral                                                                       confident year end targets will be achieved.
        to hospital treatment. By 31 March 2007 at least 97% of patients should be seen
        within 20 weeks.                                                                      97%
                                                                                                                 95.4%          G
                                                                                                                                G            06/07 M6
                                                                                           March 2007
     The PCT will be measured upon the % of patients waiting less than 20 weeks for
 NEW an elective admission as at March 2007

      7 Waiting times for Diagnostic Tests - the target is to have a maximum 18 week                                                                        As at the end of September there were 1009 people
        start to treatment time by December 2008. By 31st March 2007 patients should                                                                        waiting 13+ weeks for a diagnostic test, 11.7% of all
        be seen for diagnostic tests within 13 weeks.                                                                                                       people waiting for diagnostic tests.
                                                                                               0%                               A
        The PCT will be measured on the percentage of people waiting 13 weeks or more
                                                                                                                 11.7%          A            06/07 M6
                                                                                                                                                            STH are currently undertaking an internal progress review
                                                                                          by March 2007
        for a diagnostic test as at March 31 2007.                                                                                                          against the 13 week target and are due to report on this in
 NEW                                                                                                                                                        December 2006.

      8 Data Collection for referral-to-treatment waiting times - the target is to have                                                                     The PCT is reliant on the Trusts establishing new data
        a maximum 18 week start to treatment time by December 2008. The PCT will be                                                                         collection mechanisms.
        measured on the number of months (Jan - Mar 2007) where the PCT collected                                                                           There are technical constraints in terms of PAS systems
        and submitted waiting times data on the full referral-to-treatment pathway for                                                                      that need to be overcome.
        patients registered with GPs within the PCT.                                                                            A                           Some initial approximate data will be collected for January
                                                                                                                                A
                                                                                                                                                            2007 onwards but is likely to be incomplete and not fully
 NEW                                                                                                                                                        accurate at that stage.
                                                                                                                                                            There are some discrepancies between Healthcare
                                                                                                                                                            Commission and DH guidance on implementation.




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          National Priority
          Graph available on following pages                                                  Sheffield          Sheffield
JAR       Also a Joint Area Review Indicator
                                                                                                                                                  Latest
?         Indicator not yet defined.                                                           Target
NEW                                                                                                               Actual       Traffic Light     Available      Comment from Citywide Lead/PCT Leads
          Indicator new/changed Nov 2006                                                       06/07                                               Data

Reducing levels of methicillin resistant Staphlococcus aureus (MRSA)
       9 Infection Control - achieve year on year reductions in the number of cases of                                                                          The Healthcare Commission are reviewing the
         MRSA.                                                                                                                                                  construction of this indicator.
                                                                                                                                    G
          The construction of this indicator is being reviewed by the Healthcare                                                                                STHFT are on target to meet the MRSA target at this point
                                                                                                 63
          Commission.                                                                                                32             G            06/07 M6       but are aware that there is still a risk of missing the March
                                                                                            by March 2007                                                       2007 target. The PCT is meeting with STHFT leads in
      ?
                                                                                                                                                                December 2006 to discuss actions.



Improving patient choice
      10 Convenience and Choice - PCT facilities in place to support choice - to                                                                                At present there are no clear targets associated with the
         ensure that by December 2005, patients will be able to choose from at least 4                                                                          survey. An operational target of 80% of people to be
         providers for planned hospital care. Assessment will be based on self-                                                                                 offered choice to be achieved by March 2007 was
         certification and the Choose and Book Monthly Monitoring Return.                                                           R                           announced mid September. Revised trajectories are likely
         i) % of patients eligible for choice and booking surveyed in 2006/07 who                                                                               to be required by the end of 2006.
         answered positively to a question regarding being offered a choice of hospital
         ii) % of patients eligible for choice and booking who answered positively to a                                                                         18% of Sheffield PCT patients surveyed recalled being
         question regarding receiving written information to help them make their choice.                                                                       offered a choice, compared to 35% nationally.
                                                                                                                  i) 18%                                        22% of Sheffield PCT patients surveyed recalled receiving
                                                                                                              (35% National)                                    written information to help them make their choice,
                                                                                                                                    R              Jul-06       compared to 26% nationally.
                                                                                                                 ii) 22%
                                                                                                              (26% National)                                    The PCT will be relaunching the profile of choice with
                                                                                                                                                                practices. Actions being considered are giving patients a
                                                                                                                                                                leaflet on arrival at surgery and making leaflets available
                                                                                                                                                                in public places e.g. libraries and community centres.




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         National Priority
         Graph available on following pages                                                     Sheffield          Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                                  Latest
?        Indicator not yet defined.                                                              Target
NEW                                                                                                                 Actual     Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                          06/07                                             Data

      11 Convenience and Choice - PCT booking to support patients being able to                                                                                 Sheffield PCT trajectories were based upon stated
         choose their appointments in advance. This indicator is made up of two parts:                                                                          assumptions around availability of bookable specialties
         i) Planned trajectory for outpatient booking through Choose and Book from April                                                                        within STHT.
         06- March 07                                                                                                               R                           Sheffield is under achieving against September's
         ii) Outpatient booking through Choose and Book from April 06- March 07                                                                                 trajectory. A significant number of specialties became
         This information will be collected from the Monthly Monitoring Returns                                                                                 available at STH during September therefore we expect to
         (2006/2007).                                                                                                                                           see an improvement in October.
                                                                                               i) 30.4% by
                                                                                                              i) 7.2%                                           There will be a Choice press release in November.
                                                                                                  Sept 06                                                       Choose and Book facilitators are working with practices to
                                                                                                           (29% National
                                                                                                                          R                       Sep-06        encourage engagement. Citywide workshops have been
                                                                                                           against target
                                                                                              90% by March                                                      scheduled for November. Practice performance
                                                                                                              of 58%)                                           monitoring report is planned.
                                                                                                   07
                                                                                                                                                                (please note that the last Board report contained the latest
                                                                                                                                                                October position instead of the September position as
                                                                                                                                                                stated)




Improving sexual health
      12 Access to GUM Clinics - improving sexual health. The HCC will assess PCT                                                                               Access to GUM has improved markedly over the last 12
         performance against PCT plans as set out in the local delivery plan. The indicator                                                                     months but there remain risks around the GUM rebuild,
         will be assessed on the percentage of patients seen within 48hrs against plan.                                                                         possible surges in demand from national awareness
                                                                                              51.2% by Mar                                                      campaigns planned for 2007 and the lack of out-of-
                                                                                                                                    G            06/07 -        hospital treatment options. Data collected by GUM
                                                                                                   07            May-54.7%
                                                                                                                                    G           August 06       indicate around 70% of patients are being offered an
                                                                                              100% by Mar        Aug - 53.6%                      Audit         appointment within 48 hours. National data collection
                                                                                                   08                                                           through Unify from October 2006 should give a better
                                                                                                                                                                indication of performance.




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       National Priority
       Graph available on following pages                                               Sheffield          Sheffield
JAR    Also a Joint Area Review Indicator
                                                                                                                                              Latest
?      Indicator not yet defined.                                                        Target
NEW                                                                                                         Actual         Traffic Light     Available      Comment from Citywide Lead/PCT Leads
       Indicator new/changed Nov 2006                                                    06/07                                                 Data

Reducing inequalities in health
      Inequalities in health
Health of the Population
   13 Cancer - Implementing NICE improving outcomes guidance - reduce                                                                                       Gynaecology - Transfer of specialist surgery will not
      mortality rates from cancer by at least 20% in people under 75.                                                                                       happen by September 2006. The new milestone is April
 NEW Performance will be assessed against the "Cancer Network Improving Outcomes                                                                            2007. This is due to the need for an expansion to HDU
      Guidance Action Plan" at the cancer network level. All PCTs in the network will                                                                       facilities at STHT due to go live in January 2007, and the
      be scored the same. The indicator is made up of 2 parts.                                                                                              lead in time for the recruitment of an additional
      i) Achievement of milestones for establishing the planned number of designated                                                                        gynaecology surgeon.
      specialist multidiscipliniary teams for cancer in the areas of gynaecological
      cancers, upper GI cancers and urological cancers.                                                                                                     Upper GI - Setting up the single specialist MDT has been
      ii) Achievement of milestones for establishing the planned number of designated                                                                       delayed to fit in with the timescale of implementing
      specialist multidiscipliniary teams for cancer in the areas of haematological                                                                         network-wide videoconferencing. The intention is to
      cancers, head and neck cancers and specialist palliative care.                                                                                        operate the new MDT arrangements from November
                                                                                                                                                            2006. All candidate patients for radical surgery are now
                                                                                                                                                            discussed with a surgical member of the central specialist
                                                                                                                                G
                                                                                                                                                            MDT, as required by the peer review team.

                                                                                                                                G                           Haematology - The timescale for achieving JACIE
                                                                                                                                                            accreditation for level 3/4 services has slipped from
                                                                                                                                                            December 2006 to late 2007. This is linked to the need
                                                                                                                                                            for a capital scheme to reshape and expand the
                                                                                                                                                            accommodation to be completed by October 2007.

                                                                                                                                                            We can therefore apply a traffic light of Green to the first
                                                                                                                                                            section. The second section is new and the PCT is
                                                                                                                                                            awaiting comments from the Trent Cancer Registry
                                                                                                                                                            regarding progress in the areas specified.

   14 Breast Cancer Screening - reduce mortality rates from cancer by at least 20%                                                                          Performance against this expanded indicator is currently
      in people under 75 by increasing uptake of breast cancer screening to aid early                                                                       being sought.
      detection. The indicator is measured in two parts:                                                04/05 (Part i.)
      i) Percentage of eligible women aged 53-64 screened for breast cancer.                                = 79.5%
 NEW ii) Percentage of eligible women aged 50-52 and 65-70 screened for breast                          Mar 06 (Part i.)       N/A
      cancer.                                                                                                                  N/A            Mar-06
                                                                                                            = 79.4%
                                                                                                         Mar 06 (Part
                                                                                                         ii.) = 48.7%




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         National Priority
         Graph available on following pages                                                    Sheffield          Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                                     Latest
?        Indicator not yet defined.                                                             Target
NEW                                                                                                                Actual       Traffic Light       Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                         06/07                                                 Data

      15 Cancer Mortality Rate - reduce mortality rates from cancer by at least 20% in                                                                             Cancer mortality rates are falling progressively in line with
         people under 75 by 2010.                                                                122.9                                                             the trajectory necessary to achieve the national target.
         The HCC will assess PCT mortality rates (a 'smoothed' rate from ONS of the 3                                                   A                          Progress is kept under continuous review and U44
                                                                                                (2005)                                           3 year ave 03-
         calendar years 2004, 2005, 2006) per 100,000 population from cancer in people                              123.5              A
                                                                                                                                                      05
         aged under 75 against PCT plans for 2005 as set out in the Local Delivery Plan.
                                                                                             2008 Target -
                                                                                                 117.0

      16 Practice Based Registers - this indicator aims to measure whether our primary
         care providers have up-to-date practice registers to ensure that patients with
         coronary heart disease and diabetes continue to receive appropriate advice and
         treatment in line with NSFs. The indicator consists of two parts:
         i) Percentage of people at risk of CHD who have been called for review within the      76.9%               96.4%
                                                                                                                                     N/A            05/06 Q4
         last 12 months against PCT LDP Plans.                                                  100%                95.2%
         ii) Percentage of people with diabetes who have been called for review within the
         last 12 months against PCT LDP Plans.


      17 Practice Based Registers - the target is to ensure that primary care providers                                                                            There is an agreed citywide protocol in place for
         establish registers of at risk patients in all practices (NSF standard: general                                                                           individuals at risk of developing CHD and the
         practitioners and primary health care teams should identify all people at                                                                                 development of registers.
                                                                                                                                     N/A
         significant risk of cardiovascular disease, but who have not yet developed          56 practices        25 practices        N/A            05/06 Q4
         symptoms and offer them appropriate advice and treatment to reduce their risks).



      18 Blood Pressure - The HCC will assess our performance on patients with CHD                                                                                 This is monitored via QOF. A citywide protocol is in place
         whose the last blood pressure reading (measured within the last 15 months) is                                                                             for managing patients with a high blood pressure. All
         150/90 or less against the target within the local delivery plan                                                              G                           practices have been sent this protocol.
                                                                                                81.5%               84.8%              G            06/07 Q2       The data submitted in Q2 was the same as Q4 2005/6 as
                                                                                                                                                                   data from QMAS was not available nationally.


      19 GP Recording of BMI Status: Tackling the underlying determinants of ill health.                                                                           A citywide group has been established to develop an adult
         The HCC will measure the percentage of people aged 15-75 years on a GP                                                                                    obesity strategy which includes primary care services.
         register with a BMI recorded in the last 15 months against PCT plans as set out        40.0%               27.8%       R                   06/07 Q2       The data submitted in Q2 was the same as Q1 2006/7.
         in the local delivery plan.                                                                                                   R




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         National Priority
         Graph available on following pages                                                   Sheffield          Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                                Latest
?        Indicator not yet defined.                                                            Target
NEW                                                                                                               Actual     Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                        06/07                                             Data

      20 Cholesterol Levels - reduce mortality rates from heart disease and stroke                                                                            This is monitored via QOF. A recently reviewed citywide
         related diseases by at least 40% in people under 75. High cholesterol is a risk                                                                      protocol is in place for the management of cholesterol. All
         factor for heart disease. Effective treatment, which includes diet and exercise,                                                                     practices have been sent this protocol.
         but will primarily be statin therapy, is available and increasingly well used. The                                      N/A
         HCC will measure the % of patients with CHD whose last measured cholesterol
                                                                                               72.5%               72.2%         N/A           06/07 Q2
                                                                                                                                                              The data submitted in Q2 was the same as Q4 2005/6 as
         (measured within the last 15 months) is 5mmol/l or less against PCT plans as set                                                                     data from QMAS was not available nationally.
         out in the Local Delivery Plan.

      21 Cardiovascular Disease Mortality - reduce mortality rates from heart disease                                                                         The citywide figure given is an local figure from HIS
         and stroke related diseases by at least 40% in people under 75. The HCC will                                                                         calculations. The HcC uses ONS data for 05/06 Annual
         assess PCT mortality rates (a 'smoothed' rate from ONS of the 3 calendar years                                                                       Healthcheck.
                                                                                                104.7                             G          3 year ave 03-
         2004, 2005, 2006) per 100,000 population from heart disease, stroke and related
                                                                                                                    92.1          G
                                                                                                                                                  05
         diseases in people aged under 75 against PCT plans for 2005 as set out in the         (2005)
         Local Delivery Plan.


      22 Diabetic Retinopathy Screening - % of people offered screening (target is for                                                                        Eye screening using digital photography to people 12 and
         100% of people with diabetes to be offered screening for the early detection (and                                                                    over with diabetes has continued to improve and is now at
         treatment if needed) of diabetic retinopathy by March 2007).                                                                                         93.6%. Anecdotally we understand the PCT is performing
                                                                                                                                                              above the national average.
                                                                                                                                  G
                                                                                                                                                              Guidance on how to take account of people who for
                                                                                               100%                93.6%          G            06/07 Q2
                                                                                                                                                              legitimate reasons cannot be offered screening has been
                                                                                                                                                              issued by the DOH, and work is in progress to apply the
                                                                                                                                                              guidance to the Sheffield service. This application should
                                                                                                                                                              bring Sheffield even closer to 100%.


         Diabetes: Management of Blood Sugar and Blood Pressure - reduce mortality                                                                            In 2005/6 the Healthcare Commission gave 'achieved ' to
         rates from heart disease and stroke related diseases by at least 40% in people                                                                       PCTs above or equal to 50% and 55% respectively. The
         under 75. Blood sugar levels (HbA1c) are seen as a proxy for good systematic                                                                         PCT had previously given this indicator a traffic light of
         care of diabetes as a whole. The indicator consists of two parts:                                                                                    green.
         i) The percentage patients with diabetes in whom the last blood sugar measure
                                                                                                                   62.6%
         (HbA1C) is 7.4 or less in the last 15 months.                                                                                         05/06 Q4
         ii) The percentage of patients with diabetes in whom the last blood pressure                              71.4%
         reading is 145/85 or less.
         THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK




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         National Priority
         Graph available on following pages                                                Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                           Latest
?        Indicator not yet defined.                                                         Target
NEW                                                                                                           Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                     06/07                                           Data

      23 Four Week Smoking Quitters - % of people who have successfully quit smoking                                                                     Delivery of smoking quitters to Q2 is approximately 20%
         against 06-08 LDP plan                                                                                                                          higher than the same period last year but remains
                                                                                                                                                         significantly below target levels. The planned new sources
                                                                                                                                                         for increasing the number of smoker referrals, namely
                                                                                                                             R                           from hospital pre-surgery pathways and from city council
                                                                                                                                           06/07 Q2      services have not yet kicked in. Pre-surgery referrals are
                                                                                             4865              1113          R
                                                                                                                                          (estimate)     expected to commence during Q3 once staff training has
                                                                                                                                                         been undertaken. The city council will take a while longer
                                                                                                                                                         to get organised.



         Patients with CHD, diabetes, stroke, COPD or asthma who smoke, offered                                                                          In 2005/6 the Healthcare Commission gave 'achieved ' to
         smoking cessation advice                                                                             93.8%                                      PCTs with at least 4 out of the 5 areas above the QOF
                                                                                                              91.6%                                      thresholds. The PCT had previously given this indicator a
         The percentage of patients in each of the above groups that have been offered                        93.8%                       05/06 Q4       traffic light of green.
         smoking cessation advice in the last 15 months.                                                      94.1%
                                                                                                              86.8%
         THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK
      24 Smoking Status - this indicator will provide a proxy measure in support of                                                                      In 2005/6 the Healthcare Commission gave 'achieved ' to
         obtaining information on the prevalence of smoking. The HCC will assess PCT                                                                     PCTs that achieved at least 75% of plan.
         performance regarding the number of people aged 15 to 75 years on a GP
         register with a smoking status recorded in the last 15 months against PCT plans      250,159        189,943         G
                                                                                                                             G            05/06 Q4
         as set out in the local delivery plan.



   25 Access to Reproductive Health Services - to reduce the under 18 conception                                                                         There has been no reduction in teenage conceptions from
      rate by 50% by 2010 compared to 1998 baseline. In addition to national targets,                                                                    1998 baseline and this target is unlikely to be met. The
      local under-18 conception rate targets have been agreed with Teenage                  Improve                                                      Teenage Pregnancy Programme is being redesigned in
      Pregnancy Partnership areas, which are co-terminous with top-tier local authority                                                                  the light of independent review to emphasise
      areas in England. These local targets range between a 40% to 60% reduction by
                                                                                           conception         7.59%          R               2004
                                                                                                                                                         socioeconomic determinants of teenage conceptions.
      2010. Each PCT is signed-up to the target for their Teenage Pregnancy                   rate
      Partnership area.
      i. The difference between the 1998 rate and the 2005 rate.
   26 Infant Mortality - Smoking During Pregnancy. The HCC will assess PCT                                                                               The position has deteriorated which is reflected in there
  JAR performance against PCT plans as set out in the local delivery plan.                                                                               being a higher percentage smoking in pregancy that
                                                                                                                             A                           target. An action plan is being implemented to increase
                                                                                             15.7%            16.7%          A            06/07 Q2       referrals to specialist service and raise overall awareness.
                                                                                                                                                         This should lead to an improved position before the end of
                                                                                                                                                         the year.




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           3/31/2010                                                                                 Page 10 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
         National Priority
         Graph available on following pages                                                      Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                                 Latest
?        Indicator not yet defined.                                                               Target
NEW                                                                                                                 Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                           06/07                                           Data

     27 Infant Mortality - Breast Feeding: Reducing health inequalities and life                                                                                Improved position reflected in actual being above target.
    JAR expectancy at birth. The HCC will assess PCT performance against PCT plans                                                                             This may be due to improved data collection which
        as set out in the local delivery plan.                                                    73.6%             74.5%          G
                                                                                                                                   G
                                                                                                                                                06/07 Q2       includes home birth and action being taken to include
                                                                                                                                                               neonatology unit.

      28 Data Quality on Ethnic Group - reduction in health inequalities by 10% by 2010                                                                        Figure not yet available centrally for 06/07. Locally
         as measured by infant mortality and life expectancy at birth. In order to monitor                                                                     produced information shows a slight increase in data
         the reduction of health inequalities related to ethnic diversity it is essential that                                                                 quality to 86.1% for Apr-Sep 06.
         the data sources used for this purpose include adequate information on ethnic
         group. This indicator is measured in two parts                                                                            G                      In 2005/6 the Healthcare Commission gave 'achieved ' to
         i. The percentage of FCEs on Hospital Episode Statistics with valid 2001 census                            85.8%          G          05/06 Q1-Q3 PCTs with at least 80% valid coding.
         coding for ethnic category.
         ii. The percentage of care spells on the Mental Health Minimum Dataset with
         valid 2001 census coding for ethnic category.



      29 Childhood Obesity: Data Quality - Halting the year on year rise in obesity                                                                            This is the first year that the height and weight recording
         among young children by 2010 from the 2002/2004 baseline. The HCC will                                                                                policy has been implemented nationally. Sheffield
    NEW assess PCT performance based on the % of primary school children (YR and Y6)                                                                           performed above target and anecdotally we are aware that
         with height and weight recorded in the past year.                                                                                                     other parts of the country have not been as successful.
                                                                                                                                   G
                                                                                                   80%              85.4%          G              2005/6       The data on Sheffield is currently being analysed and
                                                                                                                                                               when complete, a paper will be presented to Board
                                                                                                                                                               highlighting the key issues for Sheffield.




.

Mental Health
         Child and Adolescent Mental Health - This indicator is measured in two parts                                                                          A comprehensive 'Needs Assessment' has been
         i. Existence of up-to-date needs assessment                                                                                                           conducted which is informing the new CAMHS strategy,
         ii. Increase in investment in tier 2 -4 CAMHS in 2005-2006 compared to 2004-                                                                          due out in December. Key findings were presented to the
         2005                                                                                                                                                  CAMHS strategy group, and are being written into a report
                                                                                                                                                               enabling each PCT and sector CAMHS team to refer to.
         THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK                                              Yes               Yes                                       This has drawn on demographic and diagnostic data, in
                                                                                                                                                05/06 Q4       relation to both generic CAMHS and vulnerable children
                                                                                                                    20.8%
                                                                                                                                                               and young people. A further programme of 'service User'
                                                                                                                                                               consultation and involvement is in preparation.




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         National Priority
         Graph available on following pages                                                         Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                                    Latest
?        Indicator not yet defined.                                                                  Target
NEW                                                                                                                    Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                              06/07                                           Data

   30 Commissioning a comprehensive child and adolescent mental health                                                                                            1) 24 hr cover, 7 days a week is initially provided by junior
  JAR service                                                                                                                                                     doctor (1st on call) and CAMHS Psychiatrist (2nd on call).
         1) Are arrangements in place to ensure 24hr cover is available to meet the urgent mental                                                                 Multi agency crisis response has been identified as a
         health needs of children and young people and specialist mental health assessments                                                                       current priority for development. 2) There is a dedicated
         undertaken within 24 hrs or during the next working day?                                                                     G                           Learning Disability Specialist CAMHS team
         2) Is a full range of CAMHS for children and young people who also have a learning                                                                       commissioned, which delivers Tiers 2 and 3 elements of
         disability explicitly commissioned by or on behalf of the PCT?                                                                                           provision. Access to Tier 4 services (specialist in-patient,
         3)Do all 16 and 17 year olds in the PCT area who need CAMHS have access to service
                                                                                                      Yes                Yes                                      outpatient and out-reach for severe and complex
         appropriate to their age and level of maturity?
                                                                                                      Yes                Yes          G            06/07 Q2       problems) are commissioned by the PCT on an individual
                                                                                                      Yes                Yes                                      basis. 3) There is current flexible provision for 16-17 year
                                                                                                                                                                  olds in CAMHS upon an individual basis. There is joint
                                                                                                                                                                  working between CAMHS and the Early Intervention in
                                                                                                                                                                  Psychosis Service (aged 14-35). There is a written and
                                                                                                                                                                  active transition protocol from CAMHS to Adult Services




      31 Crisis Resolution/Home Treatment - To ensure that all patients who need them                                                                             The tightening of the definition of types of episode to be
         have access to crisis services (national target to achieve 100% compliance to                                                                            included by DoH in Q4 05/06 worked against PCTs
         target by December 2005)                                                                                                                                 performance. Ongoing discussions with SHA and SCT re
                                                                                                                                      R                           benchmarking exercise looking at wider range of
         This indicator will be measured by dividing the number of episodes of home                                                                               indicators, as varied levels being reported across region.
         treatment provided by crisis resolution teams in quarter 4 by the PCT's allocation                                                                       This remains an issue for 06/07. While we can investigate
         of the December 2005 national target.                                                                                                     06/07 Q2       some improvement in capacity within current resources,
                                                                                                      1202               588          R
                                                                                                                                                   Forecast       activity is unlikely to double, and we may need to contest
                                                                                                                                                                  the target. Discussions with SCT around maximising
                                                                                                                                                                  performance by reducing inappropriate assessment work
                                                                                                                                                                  to release resources for home treatment.




         Commissioning of Assertive Outreach Services - the HCC will assess PCT                                                                                   No plan to change this position at present. It is unlikely
         performance against PCT plans as set out in the local delivery plan.                                                                                     that we will have the financial or management capacity to
                                                                                                                                                                  address the issues in the short term, due to our focus on
         THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK                                                 240                201                       06/07 Q2       the MH elements of the turnaround plan. The PCT had
                                                                                                                                                                  previously given this indicator a traffic light of red.




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           3/31/2010                                                                                          Page 12 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
         National Priority
         Graph available on following pages                                                 Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                            Latest
?        Indicator not yet defined.                                                          Target
NEW                                                                                                            Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                      06/07                                           Data

      32 CPA 7 Day follow up - aiming to substantially reduce mortality rates by 210 from                                                                 The position improved from 86.9% in Q1 to 96.6% in Q2
         suicide and undetermined injury by at least 20%. The HCC will assess PCT                                                                         to give a cumulative position of 91.4%.
         performance against plan regarding the number of people under mental illness
         specialties on enhanced CPA receiving follow up (by phone or face to face)                                           A
         within 7 days of discharge from hospital.                                            95%              91.4%          A            06/07 Q2




   33 Commissioning of early intervention in psychosis services - aiming to                                                                               As a result of the financial recovery plan the final phase of
      substantially reduce mortality rates by 2010 from suicide and undetermined injury                                                                   investment originally planned for 2006/7 has been
 NEW by at least 20%. The HCC will assess PCT performance against plan regarding                                                                          delayed. The PCT could therefore not plan for increased
      the number of people with newly diagnosed cases of first episode psychosis                                                                          capacity over this period. Had we been able to invest the
      receiving early intervention in psychosis services.                                      0                 27           G
                                                                                                                              G            06/07 Q2       target would have been 90 new patients. However within
                                                                                                                                                          current resources 27 new cases have been taken on this
                                                                                                                                                          year.


   34 Older People's Mental Health - aiming to improve the quality of life and                                                                            The PCT can answer "Yes" to all the questions.
      independence of vulnerable older people by supporting them to live in their own
 NEW homes where possible.
      The HCC will assess PCT performance in two parts (as at March 2007):
      Part 1
      i. Has the PCT carried out an assessment of older people's mental health needs
      and services?
      ii. Is the assessment up to date?
      iii. Does the assessment cover the full geographic area of the PCT?
      Part 2
      i. Does the assessment include:
      a) Local epidemiological information on the prevalence of older people’s mental                                         G
                                                                                                                              G
      health problems forecast over the next 10 years?
      b) An audit of services provided, based on the service mapping exercise where
      available?
      c) A gap analysis of services against the elements of service recommended in
      Everybody’s Business and the National Service Framework for Older People?
      d) an analysis of service usage?
      ii. Have the views of service users and carers been considered?
      iii. Is the needs assessment part of a completed multi-agency OPMH strategy?




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           3/31/2010                                                                                  Page 13 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
         National Priority
         Graph available on following pages                                                   Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                              Latest
?        Indicator not yet defined.                                                            Target
NEW                                                                                                              Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                        06/07                                           Data

.

Long term Conditions and Care of the Elderly
      35 Delayed Transfers of Care - the percentage of patients occupying an acute                                                                          This is the cumulative % DTOC as at July 2006
         hospital bed with delayed discharge (the aim is to reduce the percentage to a       Reduction on
         minimum level by 2006)                                                                 05/06             1.7%          G            06/07 M6
                                                                                            2005/06 - 1.8%
      36 Number of very high intensity users - the initial focus of the Long Term                                                                           Numbers appear to be on track to meet trajectory.
         Conditions strategy is on proactive case management of Very High Intensity
         Users (VHIUs). There is a need to build upon the existing good practice of care
         for patients with long-term conditions. The HCC expects whole health systems to
         work together to deliver a more systematic care planning approach to better                                            G
         benefit all patients with long-term conditions. Our performance on the number of       1900              2034          G            06/07 Q2
         very high intensity users (under the case management of a community matron or
         additional case manager) will be measured against PCT plans as set out in the
         local delivery plan.


      37 Community Equipment - Equipment plays a vital role in enabling disabled                                                                            The move to new premises which took place in March has
         people of all ages to maintain health and independence, and preventing                                                                             not delivered the expected improvement in performance.
         inappropriate hospital admissions. The Priorities and Planning Framework 2003-                                                                     The service is achieving 97% for "order to delivery within 5
         2006 stated that by December 2004 all community equipment for older people                                                                         working days" which suggests the problem is the time lag
         (aids and minor adaptations) would be provided within seven working days. The                                                                      between assessment and receipt of order. There are a
         Healthcare Commission is committed to work with CSCI over the next six months                                                                      number of actions being undertaken to improve
         to agree new proposals for shared indicators of improvement which directly                                             R                           performance:
         support the focus to support older people to live at home. We expect to apply                                                                      - stronger performance management of assessors
         these new indicators from 2006/2007.                                                                                                               - implementation of improved systems
                                                                                                                 79.8%                       06/07 Q2       - change in counting system that meets DoH guidelines.
                                                                                                100%             82.4%          R            06/07 Q1
                                                                                                                 82.7%                        05/06         A target of 100% is not likely to be achieved but an
                                                                                                                                                            improvement from a position of 'failed' to 'underachieved'
                                                                                                                                                            is possible.

                                                                                                                                                            There is a risk that demand for the service may outstrip
                                                                                                                                                            available resource.




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           3/31/2010                                                                                    Page 14 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
         National Priority
         Graph available on following pages                                            Sheffield          Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                          Latest
?        Indicator not yet defined.                                                     Target
NEW                                                                                                         Actual     Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                 06/07                                              Data

      38 Community Matrons and Additional Case Managers- improve health                                                                                 There may be the potential to redefine roles to meet this
         outcomes for people with long term conditions and to reduce emergency bed
                                                                                         i) 29              i) 10.26                                    target. It would be difficult to justify additional expenditure
         days. The PCT will be measured upon performance against plan on:                WTE                  WTE                                       in this area. Community Matrons and Case Managers
                                                                                                                            A
                                                                                                                            A            06/07 Q2
         i. community matrons                                                                                                                           combined are working to meet the needs of the Very High
         ii. Additional case managers                                                   ii) 32.9           ii) 58.05                                    Intensity Users.
                                                                                          WTE                 WTE
      39 Emergency Bed Days - improve health outcomes for people with long term                                                                        2006/07 (Q1 and Q2) - 181,084.
         conditions and to reduce emergency bed days. Our performance will be                                                                           50% of the plan figure for 2006/07 is 206,425 so we are
         measured on numbers of emergency bed days in Q1-Q3 2006/7 compared to                                                                          currently below target.
         75% of the plan.
    NEW                                                                                                                                                 The guidance says that SUS will be used to determine the
                                                                                                                                                        number of emergency bed days in 2006/07. It also states
                                                                                                                                                        if the quality of SUS data is not sufficient then HES data
                                                                                                                                                        for 2005/06 will be used and performance will be
                                                                                     75% of 06/07 =                         G                           measured against the plan for 2005/06. For reference (in
                                                                                                           181,084          G            06/07 Q2
                                                                                        309,638                                                         case HES data is used):

                                                                                                                                                        2005/06 estimate - 415,975
                                                                                                                                                        2005/06 plan - 423,545

                                                                                                                                                        Again we are below target.



.




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         National Priority
         Graph available on following pages                                                     Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                                Latest
?        Indicator not yet defined.                                                              Target
NEW                                                                                                                Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                          06/07                                           Data

Access
      40 Access - Guaranteed access to see a GP within 48 hours (national target to                                                                           The PCAS survey is now included within the Access DES.
         achieve 100% compliance by 31st December 2004 and maintain the same level                                                                            In October 2006 the survey changed from a fixed time to a
         of performance each month thereafter)                                                                                    G                           random phone call each month. The current contingency
                                                                                                                                                              plans are being reviewed due to the change in format of
                                                                                                                                                              the survey.

                                                                                                                                                              There is a risk of practices disengaging from the Access
                                                                                                                                                              DES, because of changes in the way the access survey is
                                                                                                 100%               100%          G            06/07 M7       run and fears among GPs of potential breaches in patient
                                                                                                                                                              confidentiality, as indicated by the GPC and the GP press.

                                                                                                                                                              The thresholds for achievement against this indicator are
                                                                                                                                                              being reviewed by the Healthcare Commission in light of
                                                                                                                                                              the changes to the survey.



      41 Access - Guaranteed access to see a Primary Care Professional within 24 hours                                                                        As above
         (national target to achieve 100% compliance by 31st December 2004 and
         maintain the same level of performance each month thereafter)                           100%               100%          G
                                                                                                                                  G            06/07 M7



      42 Cancer Waits - Maintain a two-week maximum wait from urgent GP referral to                                                                           Quarterly figures are used to monitor performance.
         first out-patient appointment for all urgent suspected cancer referrals (national                                                                    Please see graph for a monthly breakdown of the figures.
         target to achieve 100% compliance by 31st December 2000 and maintain the
                                                                                                 100%               100%          G
                                                                                                                                  G            06/07 Q2
         same level of performance thereafter)



      43 Revascularisation Waiting Times - No. of people waiting 3 months or longer for
         a revascularisation (maintaining the national target to ensure that no patient waits
         over 3 months for a revascularisation).                                                   0                  0           G
                                                                                                                                  G            06/07 M6



         Waiting times for other diagnostic tests and procedures - the target is to
         have a maximum 18 week start to treatment time by December 2008. The LDP
         target is to have no patients waiting over 13 weeks as at March 31 2007.
         THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK - COMBINED WITH MRI                          0                 419                       06/07 M6
         AND CT SCANS




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           3/31/2010                                                                                      Page 16 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
         National Priority
         Graph available on following pages                                                 Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                              Latest
?        Indicator not yet defined.                                                          Target
NEW                                                                                                            Actual      Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                      06/07                                             Data

         Data Quality on waiting times for MRI and CT scans - the target is to have a                                                                       Target reflects monthly returns submitted to monthly
         maximum 18 week start to treatment time by December 2008. A new data                                                                               timescale
         collection is being introduced from January 2006 and our PCT will be measured
         on data quality. This will consist of two parts:
         i) The number of months where the PCT checked and signed off the new
                                                                                           Returns to be
         commissioner level domestic waits information.                                                      6/6 returns
         ii) The number of months where the PCT submitted populated information for       submitted once                                     06/07 M6
                                                                                                             submitted
         their independent sector diagnostic procedure providers to the DoH within the       a month
         published deadline..
         THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK



      44 Thrombolysis - deliver a 10 % point increase per year in the proportion of                                                                         The low Q1 figures were discussed with STHT and were
         people suffering a heart attack who receive thrombolysis within 60 minutes of                                                                      found to be a non recurrent problem. Recent figures at
         calling for help. Target is 68% from 05/06 onwards.                                                                                                hospital trust level show large improvements at the
         2 measures of performance will used - improvement score since 03/04 and            20% point 06/07Q1 - 47%                                         Northern General and Hallamshire.
         absolute level achieved in 06/07. The improvement score is the % point              increase  05/06-73.8%
                                                                                                                                G
                                                                                                                                G            06/07 Q1
         increase between 03/04 and 05/06.                                                      OR     04/05 -71.7%
                                                                                          68% minimum


      45 A&E Waiting Times - Maintain the four hour maximum wait in A&E from arrival                                                                        STHFT reports risks to this target, the main problem being
         to admission, transfer or discharge.                                                                                                               large volumes of attendance at A&E. The PCT is meeting
                                                                                                                                G                           with STHFT leads in December to identify actions that are
                                                                                               98%             98.1%            G            06/07 M6
                                                                                                                                                            in place to rectify the position.


      46 Ambulance Response Times - All ambulance trusts to respond to 75% of                                                                               South Yorkshire figures shown. The accompanying
         Category A calls within 8 minutes                                                                                                                  graphs show the Sheffield figures.
                                                                                               75%             79.5%            G            06/07 M6


      47 Ambulance Response Times - All ambulance trusts to respond to 95% of                                                                               South Yorkshire figures shown. The accompanying
         Category A calls 19 minutes.                                                                                                                       graphs show the Sheffield figures.
         Change in definition as distinction between urban and rural responses has been        95%             99.4%            G            06/07 M6
         removed and the 19 min target for Cat A calls now measures time from request
         to receipt of transport.
      48 Ambulance Response Times - All ambulance trusts to respond to 95% of                                                                               South Yorkshire figures shown. The accompanying
         Category B calls within 19 minutes.                                                                                                                graphs show the Sheffield figures.
         Change in definition as distinction between urban and rural responses has been        95%             96.9%            G            06/07 M6
         removed




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           3/31/2010                                                                                  Page 17 of 27          Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
         National Priority
         Graph available on following pages                                              Sheffield        Sheffield
JAR      Also a Joint Area Review Indicator
                                                                                                                                         Latest
?        Indicator not yet defined.                                                       Target
NEW                                                                                                         Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
         Indicator new/changed Nov 2006                                                   06/07                                           Data

   49 Access to Reproductive Health Services - % of abortions carried out at less                                                                      A lead responsible officer for this area of work has not yet
      than 9 weeks . The Healthcare Commission will measure the following areas:                                                                       been agreed.
 NEW Part 1
      i. Does the PCT have a strategy in place to encourage sexual health service
      uptake?
      ii. Does the PCT have a process in place to ensure information about local
      sexual health information provision is readily available to enable people to
      access the services they need?
      iii. Does the PCT have a process in place to ensure people have access to clear,
      accurate and up-to-date contraceptive information?                                                                  N/A
      iv. Do all PCT-provided or commissioned contraceptive services either provide or
      signpost where people can access free condoms?
      v. Does the PCT have a process in place to ensure that where a general practice
      has opted not to provide contraceptive services, it is made explicit in practice
      information and suitable alternative provision is available?
      Part 2
      i. % of NHS funded abortions undertaken up to and including 9 weeks gestation.




Other areas
      50 Drug Misusers sustained in treatment - Increase the participation of problem                                                                  Due to quarterly fluctuations in performance it is not clear
         drug users in drug treatment programmes by 100% by 2008 (from 1998 baseline)                                                                  at this point whether the overall annual target will be met.
         and increase year on year the proportion of users successfully sustaining or                                                                  There is however a positive improvement from the
         completing treatment programmes. This indicator will measure                                                      A                           previous year, Q2 figures are showing a 5 %
         i. The percentage of drug misusers discharged during the financial year, who                                                                  improvement. There is a continued need to address
         were retained in treatment for 12 weeks or more compared to plan.                                                                             retention and this has been raised with all service
                                                                                           70%               66%           A            06/07 M6       providers as part of their mid term SLA reviews. All have
                                                                                                                                                       been requested to audit those dropping out to see if there
                                                                                                                                                       are key issues or common trends that could be
                                                                                                                                                       addressed.




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           3/31/2010                                                                               Page 18 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
           National Priority
           Graph available on following pages                                                Sheffield        Sheffield
JAR        Also a Joint Area Review Indicator
                                                                                                                                             Latest
?          Indicator not yet defined.                                                         Target
NEW                                                                                                             Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
           Indicator new/changed Nov 2006                                                     06/07                                           Data

      51 Number of Drug Misusers in treatment:                                                                                                             Numbers of clients entering treatment shows a lower
         This indicator will measure performance against PCT plans as set out in the local                                                                 increase than expected.
         delivery plan.                                                                                                                                    Factors affecting performance include:
                                                                                                                               A
                                                                                                                                                           1. NTA delay in announcing funding, delayed recruitment
                                                                                                                                                           of new drug workers. Recruitment is now complete.
                                                                                                                                                           2. GPs in Shared care are not always recording
                                                                                                                                                           performance. A project to encourage GPs reporting is
                                                                                                                                                           ongoing, 4 are now reporting and 6 are looking to report in
                                                                                                                                                           the next 12 months. The remaining 4 practices will be
                                                                                                                                                           worked with during Q3.
                                                                                                                                                           3. Consent now required to report in 2006-7, which has
                                                                                                                                                           delayed inputting activity with 1 provider and several GPs.
                                                                                               2412              2108          A            06/07 M6
                                                                                                                                                           Consent issues have been raised in provide meetings
                                                                                                                                                           where relevant.
                                                                                                                                                           4. Education has been given to providers to record clients
                                                                                                                                                           only in structured treatment,
                                                                                                                                                           5. One treatment provider has had software reporting
                                                                                                                                                           issues during Quarter 2, resulting in lower activity. The
                                                                                                                                                           software provider issue was resolved during October
                                                                                                                                                           2006.




      52 Experience of Patients:                                                                                                                           Awaiting more detail from the Healthcare Commission.
         Ensure that individuals are fully involved in decisions about their healthcare.                                                                   The Healthcare Commission National Diabetes Survey,
    NEW                                                                                                                                                    conducted in September 2006, may possibly be used for
                                                                                                                              N/A
         Technical details about this indicator will be made available later and will used                                    N/A                          this indicator. The results of this survey are not yet
         data from a Healthcare Commission patient survey.                                                                                                 available.
       ?

.

B) Healthcare Standards - Ensuring all standards are met (Healthcheck measure)
      53 Core Standards                                                                                                                                    The core standards for the period 1st April to 31st
                                                                                                                                                           September have been managed separately in each PCT.
                                                                                                                               A                           For the period 1st Oct 06 to 31st March 07, work has
                                                                                                                               A                           begun to manage this at a city level and merge the four
                                                                                                                                                           previous existing systems. Core standards will contribute
                                                                                                                                                           to the 06/07 ratings.




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            3/31/2010                                                                                  Page 19 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
           National Priority
           Graph available on following pages                                        Sheffield        Sheffield
JAR        Also a Joint Area Review Indicator
                                                                                                                                     Latest
?          Indicator not yet defined.                                                 Target
NEW                                                                                                     Actual    Traffic Light     Available      Comment from Citywide Lead/PCT Leads
           Indicator new/changed Nov 2006                                             06/07                                           Data

           Developmental Standards                                                                                                                 In 06/07 PCTs will be assessed only on public health
                                                                                                                                                   standards, This will take the form of a shadow
                                                                                                                                                   assessment and will not contribute to the performance
           THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK
                                                                                                                                                   ratings in 06/07.

           Service reviews and national studies                                                                                                    Service reviews and national studies replace the
                                                                                                                                                   performance reviews for 06/07. PCTs will be assessed on
                                                                                                                                                   three service reviews: diabetes, substance misuse and
           THIS INDICATOR IS NOT IN 2006/7 HEALTH CHECK
                                                                                                                                                   race equality. The following national studies will be
                                                                                                                                                   undertaken: an audit of services to people with learning
                                                                                                                                                   disabilities, an audit of handling complaints and a study of
                                                                                                                                                   healthcare associated infection. However it is not yet
                                                                                                                                                   clear which studies the PCT will be subjected to - further
                                                                                                                                                   guidance is awaited. Service reviews and national studies
                                                                                                                                                   will not contribute to the performance ratings for 06/07.



.

C) Financial Balance (Healthcheck measure)
        54 Financial Balance - to achieve financial balance by 31st March 2007                                                                     Sheffield PCT is currently forecasting a year end deficit.
                                                                                                                                                   The PCT is drawing up a detailed action plan to minimise
                                                                                                                       R
                                                                                                                       R                           the deficit.



                                                                                                                        


Traffic Light Summary

           Achieving - used to flag indicators that the PCT has achieved or is
    G                                                                                   30
           on target to achieve
           Off Plan - used to flag indicators that the PCT has partially achieved,
    A      has some risk of not achieving or where insufficient information is          10
           available to make a judgement on performance
           At Risk - used to flag indicators where there is a significant risk of
    R                                                                                   8
           not achieving the target
           Not applicable. Traffic light will be updated once 06/07 data
    N/A                                                                                 6
           becomes available




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            3/31/2010                                                                          Page 20 of 27        Produced by HIS Performance Team and Cath Tilney, Acting Assistant Director, Sheffield West PCT
 Cancer Information

                                                                                                                                                                                                                                              Breast Screening Uptake Rates
                                                              Breast Screening Uptake Rates                                                                                                                                                   (Women aged 53-64)
                                                                   (Women aged 53-64)
   85%                                                                                                                                                                                                                                        There is no definite target for this indicator but, in order
   84%                                                                                                                                                                                                                                        to reduce mortality rates from cancer by at least 20% in
                                                                                                                                                                                                                                              people under 75 by increasing uptake of breast cancer
   83%                                                                                                                                                                                                                                        screening to aid early detection, the higher the
   82%                                                                                                                                                                                                                                        percentage, the better.
   81%
                                                                                                                                                                                                                                              The 2004/2005 Uptake Rate for Sheffield, reported by
   80%                                                                                                                                                                                                                                        the Department of Health, is 79.5%.
   79%

   78%
   77%

   76%

   75%
           Mar-05                       Jun-05                    Sep-05                       Dec-05                     Mar-06                       Jun-06                     Sep-06                        Mar-07

                                                                                             City Wide                                      Target




                                                                                                                                                                                                                                              Breast Screening Uptake Rates
                                                              Breast Screening Uptake Rates                                                                                                                                                   (Women aged 50-52 & 65-70)
                                                               (Women aged 50-52 & 65-70)
   80%                                                                                                                                                                                                                                        There is no definite target for this indicator but, in order
                                                                                                                                                                                                                                              to reduce mortality rates from cancer by at least 20% in
   70%                                                                                                                                                                                                                                        people under 75 by increasing uptake of breast cancer
                                                                                                                                                                                                                                              screening to aid early detection, the higher the
                                                                                                                                                                                                                                              percentage, the better.
   60%


   50%


   40%


   30%


   20%
           Mar-05                       Jun-05                    Sep-05                       Dec-05                     Mar-06                       Jun-06                     Dec-06                        Mar-07

                                                                                              City Wide                                     Target




                                                                                                                                                                                                                                              Urgent GP Referral to Date First Seen -
                                      Urgent GP Referral to Date First Seen - 2 Weeks                                                                                                                                                         2 Weeks
  100.0%
                                                                                                                                                                                                                                              Quarterly Figures - as used for reporting purposes:

                                                                                                                                                                                                                                              Q1 0506 = 99.87%
   99.5%                                                                                                                                                                                                                                      Q2 0506 = 99.81%
                                                                                                                                                                                                                                              Q3 0506 = 100.00%
                                                                                                                                                                                                                                              Q4 0506 = 100.00%
   99.0%                                                                                                                                                                                                                                      Q1 0607 = 100.00%
                                                                                                                                                                                                                                              Q2 0607 = 100.00%

   98.5%
                                                                                                                                                                                                                                              PLEASE NOTE: Monthly figures should be used as
                                                                                                                                                                                                                                              guidance figures only - Quarterly figures are used
                                                                                                                                                                                                                                              for performance.
   98.0%                                                                                                                                                                                                                                      Summing the 3 months' of data for each quarter
           Apr-05




                                       Jul-05




                                                                  Oct-05




                                                                                                                          Apr-06




                                                                                                                                                       Jul-06




                                                                                                                                                                                  Oct-06
                             Jun-05




                                                                           Nov-05
                                                                                    Dec-05
                                                                                              Jan-06




                                                                                                                                             Jun-06


                                                                                                                                                                Aug-06
                                                                                                                                                                         Sep-06


                                                                                                                                                                                            Nov-06
                                                                                                                                                                                                      Dec-06
                                                                                                                                                                                                                Jan-07
                                                Aug-05
                                                         Sep-05




                                                                                                                 Mar-06




                                                                                                                                                                                                                                    Mar-07
                    May-05




                                                                                                        Feb-06




                                                                                                                                   May-06




                                                                                                                                                                                                                          Feb-07




                                                                                                                                                                                                                                              results in discrepancies due to data quality.

                                                                                             City Wide                                       Target




                                                                                                                                                                                                                                              Decision To Treat to First Definitive Treatment - 31
                        Decision To Treat to First Definitive Treatment - 31 Days                                                                                                                                                             Days
  100.0%
                                                                                                                                                                                                                                              Quarterly Figures - as used for reporting purposes:
   99.0%
   98.0%                                                                                                                                                                                                                                      Q1 0506 = 93.47%
   97.0%
                                                                                                                                                                                                                                              Q2 0506 = 95.07%
                                                                                                                                                                                                                                              Q3 0506 = 96.72%
   96.0%                                                                                                                                                                                                                                      Q4 0506 = 100.00%
   95.0%                                                                                                                                                                                                                                      Q1 0607 = 98.89%
   94.0%
                                                                                                                                                                                                                                              Q2 0607 = 100.00%
   93.0%                                                                                                                                                                                                                                      PLEASE NOTE: Monthly figures should be used as
   92.0%                                                                                                                                                                                                                                      guidance figures only - Quarterly figures are used
   91.0%
                                                                                                                                                                                                                                              for performance.
   90.0%                                                                                                                                                                                                                                      Summing the 3 months' of data for each quarter
                                                                  Oct-05




                                                                                                                                                                                   Oct-06
                             Jun-05
                                       Jul-05


                                                         Sep-05




                                                                                    Dec-05
                                                                                               Jan-06
                                                                                                        Feb-06




                                                                                                                                              Jun-06
                                                                                                                                                       Jul-06
                                                                                                                                                                Aug-06
                                                                                                                                                                         Sep-06




                                                                                                                                                                                                       Dec-06
                                                                                                                                                                                                                 Jan-07
                                                                                                                                                                                                                           Feb-07
                                                Aug-05
           Apr-05
                    May-05




                                                                                                                          Apr-06




                                                                                                                                                                                                                                     Mar-07
                                                                                                                 Mar-06


                                                                                                                                   May-06
                                                                           Nov-05




                                                                                                                                                                                             Nov-06




                                                                                                                                                                                                                                              results in discrepancies due to data quality.

                                                                                             City Wide                                       Target




                                                                                                                                                                                                                                              Urgent GP Referral to First Definitive Treatment - 62
                     Urgent GP Referral to First Definitive Treatment - 62 Days                                                                                                                                                               Days
  100.0%
                                                                                                                                                                                                                                              Quarterly Figures - as used for reporting purposes:
   95.0%
   90.0%                                                                                                                                                                                                                                      Q1 0506 = 71.51%
   85.0%
                                                                                                                                                                                                                                              Q2 0506 = 86.25%
                                                                                                                                                                                                                                              Q3 0506 = 89.64%
   80.0%                                                                                                                                                                                                                                      Q4 0506 = 91.16%
   75.0%                                                                                                                                                                                                                                      Q1 0607 = 92.37%
   70.0%
                                                                                                                                                                                                                                              Q2 0607 = 94.96%
   65.0%                                                                                                                                                                                                                                      PLEASE NOTE: Monthly figures should be used as
   60.0%                                                                                                                                                                                                                                      guidance figures only - Quarterly figures are used
   55.0%
                                                                                                                                                                                                                                              for performance.
   50.0%                                                                                                                                                                                                                                      Summing the 3 months' of data for each quarter
                                                                  Oct-05




                                                                                                                                                                                  Oct-06
                                                                                    Dec-05




                                                                                                                                                                Aug-06
                                                                                                                                                                         Sep-06




                                                                                                                                                                                                      Dec-06
                                                Aug-05
                                                         Sep-05
           Apr-05
                    May-05


                                       Jul-05




                                                                                                        Feb-06


                                                                                                                          Apr-06
                                                                                                                                   May-06


                                                                                                                                                       Jul-06




                                                                                                                                                                                                                          Feb-07
                             Jun-05




                                                                           Nov-05


                                                                                              Jan-06




                                                                                                                                             Jun-06




                                                                                                                                                                                            Nov-06


                                                                                                                                                                                                                Jan-07
                                                                                                                 Mar-06




                                                                                                                                                                                                                                    Mar-07




                                                                                                                                                                                                                                              results in discrepancies due to data quality.

                                                                                             City Wide                                      Target




ba4cee43-c096-4540-bd07-4293d0a977eb.xls, 3/31/2010
 Hospital Waiting Lists

                                                  Number of 11+ Week Outpatient Waiters                                                                         From December 2005, no Trusts should have any
                                                                                                                                                                13+ week waiters for Outpatients.
  600
                                                                                                                                                                There were 0 people waiting 13+ weeks as at the end of
  550
                                                                                                                                                                September 2006.
  500
  450
  400
  350
  300
  250
                                                                                                                                                                There were 13307 Outpatient waiters as at the end of
  200
                                                                                                                                                                September 2006.
  150
  100
  50
    0
                                                     Jul-06
                                      Jun-06




                                                                                         Oct-06




                                                                                                                                  Jan-07
            Apr-06




                                                                   Aug-06




                                                                                                         Nov-06


                                                                                                                        Dec-06
                                                                              Sep-06




                                                                                                                                                      Mar-07
                                                                                                                                            Feb-07
                        May-06




                                                       11+ Week Waiters                             11+ Week Waiters Target




                                          Number of 20+ Week Inpatient Waiters                                                                                  From December 2005, no Trusts should have any 6+
                                                                                                                                                                month (26+ week) waiters for Inpatients.
  650
                                                                                                                                                                There were 0 people waiting 26+ weeks as at the end of
  600
                                                                                                                                                                September 2006.
  550
  500
  450
  400
  350
  300
  250                                                                                                                                                           There were 9107 Inpatient waiters as at the end of
  200                                                                                                                                                           September 2006.
  150
  100
   50
    0
                                                     Jul-06




                                                                                         Oct-06
            Apr-06




                                      Jun-06




                                                                                                                                  Jan-07
                                                                                                         Nov-06


                                                                                                                        Dec-06




                                                                                                                                                      Mar-07
                                                                   Aug-06


                                                                              Sep-06




                                                                                                                                            Feb-07
                        May-06




                                                              20+ Week Waiters                        20+ Week Waiters Target




                                    Total Number of 13+ Week Diagnostic Waiters                                                                                 Waiting times for Diagnostic Tests - the target is to
                                                                                                                                                                have a maximum 18 week start to treatment time by
  2000                                                                                                                                                          December 2008. By 31st March 2007 patients
  1800                                                                                                                                                          should be seen for diagnostic tests within 13 weeks.

  1600                                                                                                                                                          There were 8619 diagnostic waiters as at the end of
  1400                                                                                                                                                          September 2006. 1008 of these were 13+ week waiters
                                                                                                                                                                - this is 11.7% of the total waiters.
  1200

  1000

   800

   600

   400

   200

        0
                                         Jun-06


                                                       Jul-06
               Apr-06




                                                                                                                                   Jan-07
                                                                     Aug-06


                                                                                Sep-06


                                                                                           Oct-06


                                                                                                          Nov-06


                                                                                                                         Dec-06




                                                                                                                                             Feb-07


                                                                                                                                                       Mar-07
                           May-06




                                               Total 13+ Week Waiters                                             13+ Week Waiters Target




ba4cee43-c096-4540-bd07-4293d0a977eb.xls, 3/31/2010
 Hospital Pressures

                                                                                                                                                                                                                                                                                                              Delayed Transfers Of Care
                                                                                                   Delayed Transfers Of Care
  80                                                                                                                                                                                                                                                                                           4.0%           As per the Annual Health Check guidance, this indicator
                                                                                                                                                                                                                                                                                                              should be the cumulative figure for the year.
  70                                                                                                                                                                                                                                                                                           3.5%
                                                                                                                                                                                                                                                                                                              September 2006: YTD % DTOC = 1.7%
  60                                                                                                                                                                                                                                                                                           3.0%

  50                                                                                                                                                                                                                                                                                           2.5%

  40                                                                                                                                                                                                                                                                                           2.0%

  30                                                                                                                                                                                                                                                                                           1.5%

  20                                                                                                                                                                                                                                                                                           1.0%

  10                                                                                                                                                                                                                                                                                           0.5%

      0                                                                                                                                                                                                                                                                                        0.0%




                                                                                                                                                                                                                              Jun-06
                                                       Jun-05

                                                                         Jul-05




                                                                                                                                                          Jan-06




                                                                                                                                                                                                 Apr-06




                                                                                                                                                                                                                                                Jul-06
                             Apr-05




                                                                                                    Sep-05

                                                                                                               Oct-05

                                                                                                                                Nov-05
              Mar-05




                                                                                       Aug-05




                                                                                                                                              Dec-05



                                                                                                                                                                         Feb-06

                                                                                                                                                                                    Mar-06




                                                                                                                                                                                                                                                             Aug-06

                                                                                                                                                                                                                                                                           Sep-06
                                          May-05




                                                                                                                                                                                                                May-06
                                                                                     Delayed Transfers of Care (Average)                                                                                  % DToC




                                          Non Elective Bed Days against LDP Emergency Bed Days Target

  90000

  80000

  70000
                                                                                                             Emergency Bed Days
  60000

  50000                                                                                                 WORK IN PROGRESS
  40000
                                                                                         Definition for EBD has changed
  30000

  20000

  10000

          0
                                                                             38504




                                                                                                                        38565




                                                                                                                                                                                                                                          38718
                             38443


                                                   38473




                                                                                                   38534




                                                                                                                                                  38596


                                                                                                                                                                       38626


                                                                                                                                                                                         38657


                                                                                                                                                                                                                38687




                                                                                                                                                                                                                                                                38749


                                                                                                                                                                                                                                                                                             38777




                                                                                              20042005 Actual                                                                       20052006 Actual
                                                                                              20042005 Target                                                                       20052006 Target




                                                                                                                                                                                                                                                                                                              Total Time in A&E - waiting 4 hours or less
                                                                  Total Time in A&E - waiting 4 hours or less
  100%                                                                                                                                                                                                                                                                                                        There were 20096 A&E attendances during August
                                                                                                                                                                                                                                                                                                              2006, of which 373 waited over 4 hours for
  99%
                                                                                                                                                                                                                                                                                                              transfer, admission or discharge,
  98%
                                                                                                                                                                                                                                                                                                              September 2006 YTD % waiting under 4 hours = 98.1%
  97%

  96%

  95%

  94%

  93%

  92%

  91%

  90%
                                                                                                              Sep-05

                                                                                                                                Oct-05




                                                                                                                                                                                                                                                                                    Aug-06
                                                                                                   Aug-05




                                                                                                                                                                                                                                                                                                     Sep-06
                                                                                                                                                          Dec-05



                                                                                                                                                                                      Feb-06
                                                    May-05




                                                                                                                                                                           Jan-06




                                                                                                                                                                                                                     Apr-06
                                      Apr-05



                                                                    Jun-05

                                                                                     Jul-05




                                                                                                                                                                                                                                  May-06

                                                                                                                                                                                                                                                    Jun-06

                                                                                                                                                                                                                                                                  Jul-06
                        Mar-05




                                                                                                                                              Nov-05




                                                                                                                                                                                                   Mar-06




                                                                                                              % of Attendances to AE waiting <4 hrs                                                                                               Target




                                                                                                                                                                                                                                                                                                              Number of MRSA infections at STHT
                                                                                  Number of MRSA infections at STHT
  8                                                                                                                                                                                                                                                                                                           Cummulative Target 06/07 = 63

  7                                                                                                                                                                                                                                                                                                           September 2006: YTD MRSA Infections = 32
  6

  5

  4                                                                                                                                                                                                                                                                                                           Note: Target figures taken from LDP PSA20a1
                                                                                                                                                                                                                                                                                                              trajectory.
  3

  2

  1

  0
                                                                                                                                                              Oct-06




                                                                                                                                                                                                            Dec-06




                                                                                                                                                                                                                                                              Feb-07
                                                                                          Jul-06


                                                                                                              Aug-06


                                                                                                                                         Sep-06
                                                                Jun-06




                                                                                                                                                                                                                                       Jan-07
               Apr-06


                                       May-06




                                                                                                                                                                                    Nov-06




                                                                                                                                                                                                                                                                                         Mar-07




                                                                                                Monthly Total                                                                       Monthly Target




ba4cee43-c096-4540-bd07-4293d0a977eb.xls, 3/31/2010
 Public Health

                                                                                                            Number of Smoking Quitters
                                Number of Smoking Quitters
  6000                                                                                                      The target for 2006/07 is 4865.

  5000


  4000


  3000


  2000


  1000


     0
           Q1 0506            Q2 0506              Q3 0506               Q4 0506             Q1 0607
                      Number of People Setting a Quit Date - Cumulative for Year
                      Number of People Sucessfully Quit at 4 Week Follow-up - Cumulative for Year
                      4 Week Quitters Target




                                                                                                            Access To GUM Clinics
                         GUM Attenders Seen Within 48 Hours
   70%                                                                                                      2005/2006
                                                                                                            The cumulative percentage of GUM service attenders
   60%                                                                                                      seen <48 hours was 34.2% - the cumulative target was
                                                                                                            28.9%.
   50%
                                                                                                            2006/2007 cumulative % seen = 54.2%
   40%                                                                                                      2006/2007 cumulative target = 51.1%

   30%


   20%


   10%


    0%
          38473      38565       38657         38749       38838        38930       39022           39114

                              % Seen <48 Hours                            Quarterly Target




ba4cee43-c096-4540-bd07-4293d0a977eb.xls, 3/31/2010
 Ambulance Information

                                                                               South Yorkshire Ambulance Service                                                                                                                                                                                      South Yorkshire Ambulance Service
                                                                           (Category A) Response Times - within 8 mins                                                                                                                                                                                (Category A) Response Times - within 8 mins
   100%
    95%
    90%
    85%
    80%
    75%
    70%
    65%
    60%
    55%
    50%
                                                         Jul-05




                                                                                                                                                                                                               Jul-06
                                                                                                                                          Jan-06




                                                                                                                                                                                                                                                                           Jan-07
                                               Jun-05




                                                                                                                Nov-05




                                                                                                                                                                                                    Jun-06




                                                                                                                                                                                                                                                         Nov-06
                   Apr-05




                                                                                                   Oct-05


                                                                                                                             Dec-05




                                                                                                                                                                              Apr-06




                                                                                                                                                                                                                                               Oct-06


                                                                                                                                                                                                                                                                  Dec-06
                                                                                     Sep-05




                                                                                                                                                                                                                                     Sep-06
                                                                       Aug-05




                                                                                                                                                      Feb-06




                                                                                                                                                                                                                          Aug-06




                                                                                                                                                                                                                                                                                    Feb-07
                                                                                                                                                                  Mar-06




                                                                                                                                                                                                                                                                                             Mar-07
                                 May-05




                                                                                                                                                                                         May-06

                                                                                                 Sheffield YTD                                                              SY YTD                                                 Target (SY YTD)




                                                                   South Yorkshire Ambulance Service                                                                                                                                                                                                  South Yorkshire Ambulance Service
                                                             (Category A) Response Times - within 14/19* mins                                                                                                                                                                                         (Category A) Response Times - within 14 mins
   100%
                                                                                                                                                                                                                                                                                                      * From April 2006 - change in definition as distinction
    95%                                                                                                                                                                                                                                                                                               between urban and rural responses has been removed
    90%                                                                                                                                                                                                                                                                                               and the 19 min target for Cat A calls now measures time
    85%
                                                                                                                                                                                                                                                                                                      form request to receipt of transport.
    80%
    75%
    70%
    65%
    60%
    55%
    50%
                                                         Jul-05




                                                                                                                                                                                                               Jul-06
                                                                                                                                          Jan-06




                                                                                                                                                                                                                                                                           Jan-07
                                               Jun-05




                                                                                                                Nov-05




                                                                                                                                                                                                    Jun-06




                                                                                                                                                                                                                                                         Nov-06
                   Apr-05




                                                                                     Sep-05
                                                                                                   Oct-05


                                                                                                                             Dec-05




                                                                                                                                                                  Mar-06
                                                                                                                                                                              Apr-06




                                                                                                                                                                                                                                     Sep-06
                                                                                                                                                                                                                                               Oct-06


                                                                                                                                                                                                                                                                  Dec-06




                                                                                                                                                                                                                                                                                             Mar-07
                                                                       Aug-05




                                                                                                                                                                                                                          Aug-06
                                                                                                                                                      Feb-06




                                                                                                                                                                                                                                                                                    Feb-07
                                 May-05




                                                                                                                                                                                         May-06




                                                                                              Sheffield YTD                                                             SY YTD                                          Target (SY YTD)




                                                                   South Yorkshire Ambulance Service                                                                                                                                                                                                  South Yorkshire Ambulance Service
                                                             (Category B) Response Times - within 14/19* mins                                                                                                                                                                                         (Category B) Response Times - within 14 mins
   100%
                                                                                                                                                                                                                                                                                                      * From April 2006 - change in definition as distinction
    95%                                                                                                                                                                                                                                                                                               between urban and rural responses has been removed
    90%                                                                                                                                                                                                                                                                                               and the 19 min target for Cat A calls now measures time
    85%
                                                                                                                                                                                                                                                                                                      form request to receipt of transport.
    80%
    75%
    70%
    65%
    60%
    55%
    50%
                                                         Jul-05




                                                                                                                                                                                                               Jul-06
                                                                                                                                          Jan-06




                                                                                                                                                                                                                                                                           Jan-07
                   Apr-05


                                               Jun-05




                                                                                                   Oct-05




                                                                                                                                                                              Apr-06


                                                                                                                                                                                                    Jun-06




                                                                                                                                                                                                                                               Oct-06
                                                                                     Sep-05


                                                                                                                Nov-05




                                                                                                                                                                                                                                     Sep-06


                                                                                                                                                                                                                                                         Nov-06
                                                                       Aug-05




                                                                                                                             Dec-05




                                                                                                                                                                  Mar-06




                                                                                                                                                                                                                          Aug-06




                                                                                                                                                                                                                                                                  Dec-06




                                                                                                                                                                                                                                                                                             Mar-07
                                                                                                                                                      Feb-06




                                                                                                                                                                                                                                                                                    Feb-07
                                 May-05




                                                                                                                                                                                         May-06




                                                                                                Sheffield YTD                                                              SY YTD                                          Target (SY YTD)




                                                                  South Yorkshire Ambulance Service                                                                                                                                                                                                   South Yorkshire Ambulance Service
                                                              (Category B) Response Times - within 8 mins                                                                                                                                                                                             (Category B) Response Times - within 8 mins
  100%
  90%
  80%
  70%
  60%
  50%
  40%
  30%
  20%
  10%
   0%
                                                                                                                                                                                                  Jun-06
                                                                                                                                                                                                             Jul-06




                                                                                                                                                                                                                                                                           Jan-07
                                      Jun-05
                                                    Jul-05




                                                                                                                                      Jan-06
          Apr-05




                                                                                                                                                                                                                                              Oct-06
                                                                                              Oct-05




                                                                                                                                                                           Apr-06
                                                                  Aug-05




                                                                                                            Nov-05
                                                                                                                         Dec-05




                                                                                                                                                               Mar-06




                                                                                                                                                                                                                                                                                    Feb-07
                                                                                Sep-05




                                                                                                                                                   Feb-06




                                                                                                                                                                                                                        Aug-06
                                                                                                                                                                                                                                    Sep-06


                                                                                                                                                                                                                                                        Nov-06
                                                                                                                                                                                                                                                                  Dec-06




                                                                                                                                                                                                                                                                                             Mar-07
                        May-05




                                                                                                                                                                                       May-06




                                                                                         Sheffield YTD                                                                  SY YTD                                          Target (SY YTD)




ba4cee43-c096-4540-bd07-4293d0a977eb.xls, 3/31/2010
Log started - 11/08/06             Location D:\Docstoc\Working\pdf\[ba4cee43-c096-4540-bd07-4293d0a977eb.xls]ChangesLog

 8/11/2006   LDP targets for 06/07 checked against the final LDP submission (figures in L:\SFF\ldp05-08\Final LDP - Sheffield - ann
 8/24/2006   Changes made to comments as stated in Emails from Cath Tilney
 8/25/2006   Changes made from C. Tilney's Email dated 24/08/06 to the board - some TL changed and the totals changed to exclu
 8/25/2006   TL changed for Indicators 1 and 2 based on Jeremy Wight's Email of 25/08/06
 8/29/2006   City Performance figures updated
 8/30/2006   Comment for Indicator 2 changed based on Jeremy Wight's Email (forwarded by Claire Holden on 29/08/06)
  9/4/2006   A couple of changes from Diana Clegg - changed comment on 54 to comment shown in the NTS report
  9/5/2006   Changed traffic lights for 18,23 and 47
10/12/2006   Hidden the 05/06 summary as separate report is being generated
10/17/2006   Access To GUM Clinics - graph added to 'Public Health' worksheet
 11/1/2006   "Comments Last Updated" field added and old comments/other yellow shaded columns deleted
11/21/2006   Combined diagnostic waiters graphs
-c096-4540-bd07-4293d0a977eb.xls]ChangesLog

 es in L:\SFF\ldp05-08\Final LDP - Sheffield - annette laban 1-aug-06.xls)

ome TL changed and the totals changed to exclude 05/06 indicators


 warded by Claire Holden on 29/08/06)
 omment shown in the NTS report



w shaded columns deleted

				
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