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Management Data Report September 2020

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Management Data Report September 2020 September 2020 Management Data Report Heat Map: Performance RAG Rating Finance RAG Rating HR - Absence HR - Indicative Workforce Red > 10% of target Red • ≥ 0.75% Red • > 4% Red • > 1.5% of target Amber > 5% ≤ 10% of target Yellow/Amber • ≥ 0.10% to < 0.75% Amber • ≥3.7%<4.0% Amber • > 0.5% ≤1.5% of target Green ≤ 5% of target Green • < 0.10% Green • <3.7% Green • ≤ 0.5% of target Grey No result expected Contents Acute Hospitals Services Population Health and Wellbeing Data Coverage Issues NSP KPI Overview 4 Population Health and Wellbeing (metrics are quarterly) 92 Data coverage issues Acute Services 188 Inpatient Cases 8 Community Healthcare Services Data coverage issues Community Healthcare 190 Daycase Cases 10 Primary Care 96 Emergency Discharges 12 Social Inclusion 106 Elective Discharges 14 Palliative Care 109 Maternity Discharges 16 Mental Health 111 Inpatient Discharges greater or equal to 75 years 17 CAMHS Waiting List 116 Daycase Discharges greater or equal to 75 years 19 Older Persons 117 Level GI 21 Disabilities 121 Level dialysis 23 National Services Level chemo 24 PCRS 124 Inpatient & Day Case Profiles 26 National Screening Service All Emergency Presentations 28 National Screening Service 128 New ED Attendances 30 Finance Return ED Attendances 31 Gross Debtor Days for Private Charges 130 Injury Units 32 Service Level Arrangements 131 Other Emergency Presentations 33 Net Expenditure by Division 132 Births 34 Hospital Groups 133 Outpatient Attendances (New & Return) 35 CHOs 136 Adult In Patient Waiting List 37 National Ambulance Service 138 Adult Day Case Waiting List 38 Health and Well being 139 Child In Patient Waiting List 40 Primary Care (Total) by CHO 140 Child Day Case Waiting List 41 Primary Care (excl Social Inclusion) by CHO 141 Outpatient Waiting List 42 Primary Care (Social Inclusion) by CHO 142 GI Waiting List 44 Mental Health by CHO 143 Urgent Colonoscopy 46 Social Care (Older Persons Total) by CHO 144 ED PET - All Patients 48 Palliative Care by CHO 145 ED PET - Patients over 75 years 49 Social Care (Older Persons) by CHO 146 ED Patients who leave before completion of Treatment 50 Social Care (Disabilities) by CHO 147 ALOS excluding over 30 days 51 Health and Wellbeing by CHO 148 Medical ALOS 53 Support Services 149 AMAU within 6 hours 54 PCRS 150 Acute Medical Admissions 55 Demand Led Schemes 151 Emergency Re-admissions: Medical 57 Net Expenditure (Pay) 152 Surgical ALOS 59 Net Expenditure (Non Pay) 153 Surgical Day of Admission 60 Net Expenditure (Income) 154 Laparoscopic Cholecystectomy 62 Income by Category 155 Hip Fracture Surgery 64 Agency & Overtime 156 Emergency Re-admissions: Surgical 65 Human Resources Delayed Transfer of Care 67 Employment by Service Area 160 HCAI - Hospital acquired S. Aureus infection 69 Employment by Staff Group 161 HCAI - Hospital acquired C. Difficile infection 71 Employment by Administration/Section 38 162 Number of New Cases of CPE 73 Employment by HG & CHO 164 Cancer rapid access within recommended timeframe 75 WTE by Hospital Group Absence 175 Cancer Services - Breast 77 Absence Rates by Service / Staff Category & Division YTD 176 Cancer Services - Lung 81 Absence Rates by CHO and Divisions YTD 177 Cancer Services - Prostate 84 Absence by Staff Category 182 Cancer Services - Radiotherapy 86 EWTD Acute Hospitals 184 NAS 88 EWTD Mental Health Services 185 National Ambulance Service NSP KPI Overview 89 EWTD Disability Services 186 Data used in this report refers to the latest performance information available at the time of publication Acute Services 3 NSP KPI Overview Reporting Period September 2020 Outturn Reporting Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Previous Year Performance Activity / KPI Frequency Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Jun-20 Jul-20 Aug-20 Sep-20 Discharge Activity Inpatient M-1M 635,532 645,037 427,360 369,380 -13.6% 422,951 -12.7% 45,496 51,198 48,313 0 Inpatient Weighted Units M-1M 641,751 636,992 422,282 377,342 -10.6% 423,857 -11.0% 44,470 50,130 46,177 0 Day case (includes dialysis) M-1M 1,106,491 1,142,437 769,881 583,277 -24.2% 736,980 -20.9% 67,550 83,307 76,825 0 Day case Weighted Units (includes dialysis) M-1M 1,085,928 1,066,369 717,130 548,109 -23.6% 723,942 -24.3% 63,005 78,798 71,647 0 Total inpatient and day cases M-1M 1,742,023 1,787,474 1,197,241 952,657 -20.4% 1,159,931 -17.9% 113,046 134,505 125,138 0 Emergency inpatient discharges M-1M 438,544 444,606 295,272 261,462 -11.5% 292,029 -10.5% 33,286 35,694 33,481 0 Elective inpatient discharges M-1M 89,238 91,635 60,433 43,523 -28.0% 58,970 -26.2% 4,270 6,836 7,211 0 Elective day case discharges M-1M New KPI 2020 N/A N/A Maternity inpatient discharges M-1M 107,750 108,796 71,655 64,395 -10.1% 71,952 -10.5% 7,940 8,668 7,621 0 Inpatient discharges ≥75 years M-1M 126,385 126,828 84,929 76,576 -9.8% 83,732 -8.5% 9,743 10,716 9,666 0 Day case discharges ≥75 years M-1M 204,226 209,249 141,509 109,239 -22.8% 134,959 -19.1% 12,866 15,838 14,562 0 Level of GI scope activity M-1M 107,069 108,260 72,189 43,587 -39.6% 71,443 -39.0% 4,855 6,705 5,968 0 Level of dialysis activity M-1M 177,341 180,969 121,900 119,592 -1.9% 117,783 1.5% 14,571 15,168 14,997 0 Level of chemotherapy (R63Z) and other Neoplastic Dis, MINC M-1M 220,989 226,443 151,267 130,251 -13.9% 147,455 -11.7% 15,551 18,309 15,626 0 (R62C) Emergency Care New ED attendances M 1,251,506 1,283,401 964,216 797,918 -17.2% 935,387 -14.7% 91,198 97,269 96,882 97,056 Return ED attendances M 111,252 116,180 88,408 65,080 -26.4% 83,329 -21.9% 7,864 7,763 7,753 7,893 Injury unit attendances M 99,222 103,215 79,740 68,927 -13.6% 74,706 -7.7% 7,732 8,787 8,950 9,695 Other emergency presentations M 44,456 44,916 33,681 27,842 -17.3% 32,779 -15.1% 3,087 3,480 3,309 3,487 Births Total no. of births M 59,406 59,247 44,354 42,833 -3.4% 44,443 -3.6% 4,685 5,056 4,836 4,945 Outpatients No. of new and return outpatient attendances M 3,354,919 3,318,610 2,496,399 2,184,779 -12.5% 2,525,473 -13.5% 232,206 266,349 247,194 293,118 New: Return Ratio (excluding obstetrics, warfarin and haematology M 2.6 1 : 2.4 2.4 2.9 20.8% 2.6 11.5% 3.0 2.9 2.8 2.7 clinics) Activity Based Funding (MFTP) model HIPE Completeness – Prior month: % of cases entered into HIPE M-1M 89% 95% 95% 87% -8.4% 88% -1.1% 87% 86% 87% Inpatient, Day Case and Outpatient Waiting Times % of adults waiting <15 months for an elective procedure (inpatient) M 86.0% 85% 85% 77.5% -8.8% 84.3% -8.1% 81.8% 79.8% 78.2% 77.5% M 93.3% 95% 95% 87.0% -8.4% 92.2% -5.6% 90.7% 89.1% 87.9% 87.0% % of adults waiting <15 months for an elective procedure (day case) % of children waiting <15 months for an elective procedure M 91.9% 95% 95% 83.6% -12.0% 91.3% -8.4% 86.2% 86.4% 85.0% 83.6% (inpatient) % of children waiting <15 months for an elective procedure (day M 85.4% 90% 90% 80.7% -10.3% 82.7% -2.4% 82.3% 80.3% 78.7% 80.7% case) % of people waiting <52 weeks for first access to OPD services M 68.9% 80% 80% 59.2% -26.0% 68.6% -13.8% 62.4% 61.2% 60.2% 59.2% Colonoscopy / Gastrointestinal Service % of people waiting <13 weeks following a referral for routine M 55.4% 65% 65% 36.2% -44.3% 47.9% -24.5% 27.1% 31.7% 34.1% 36.2% colonoscopy or OGD No. of new people waiting > four weeks for access to an urgent M 209 0 0 4922 175 2712.6% 513 557 598 450 colonoscopy Emergency Care and Patient Experience Time % of all attendees at ED who are discharged or admitted within six M 62.7% 65% 65% 69.6% 7.1% 73.4% 70.2% 69.3% 68.7% hours of registration % of all attendees at ED who are discharged or admitted within nine M 78.1% 80% 80% 84.2% 5.2% 87.7% 85.3% 84.5% 83.7% hours of registration % of ED patients who leave before completion of treatment M 6.6% <6.5% <6.5% 4.1% -18.0% 3.1% 3.8% 4.2% 4.2% % of all attendees at ED who are in ED <24 hours M 96.1% 97% 97% 98.0% 1.0% 99.1% 98.8% 98.6% 98.2% % of all attendees aged 75 years and over at ED who are M 40.6% 95% 95% 51.3% -46.0% 57.3% 51.8% 50.1% 47.5% discharged or admitted within six hours of registration % of all attendees aged 75 years and over at ED who are M 58.7% 99% 99% 70.7% -28.6% 77.9% 71.7% 70.7% 67.6% discharged or admitted within nine hours of registration % of all attendees aged 75 years and over at ED who are M 90.2% 99% 99% 95.2% -3.8% 98.3% 97.5% 97.0% 95.5% discharged or admitted within 24 hours of registration Length of Stay ALOS for all inpatient discharges excluding LOS over 30 days M-1M 4.8 ≤4.8 ≤4.8 4.9 2.1% 4.8 2.1% 4.8 4.8 4.7 0.0 4 NSP KPI Overview Reporting Period September 2020 Outturn Reporting Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Previous Year Performance Activity / KPI Frequency Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Jun-20 Jul-20 Aug-20 Sep-20 Medical Medical patient average length of stay M-1M 7.2 ≤7.0 ≤7.0 7.1 1.4% 7.1 0.0% 6.5 6.6 6.8 0.0 % of medical patients who are discharged or admitted from AMAU M 61.9% 75% 75% 70.5% -6.0% 62.2% 13.3% 65.6% 77.7% 76.0% 74.7% within six hours AMAU registration % of all medical admissions via AMAU M-1M 32.5% 45% 45% 28.8% -36.0% 32.3% -10.8% 24.6% 28.9% 28.4% 0.0% % of emergency re-admissions for acute medical conditions to the M-1M 11.4% ≤11.1% ≤11.1% 11.8% 6.3% 11.4% 3.5% 12.2% 11.3% 11.3% 0.0% same hospital within 30 days of discharge Surgery Surgical patient average length of stay M-1M 5.5 ≤5.2 ≤5.2 6.2 19.2% 5.4 14.8% 6.0 5.0 5.3 0.0 % of elective surgical inpatients who had principal procedure M-1M 75.2% 82% 82% 73.4% -10.5% 75.1% -2.3% 71.0% 74.1% 76.5% 0.0% conducted on day of admission % day case rate for Elective Laparoscopic Cholecystectomy M-1M 43.6% 60% 60% 44.9% -25.2% 44.9% 0.0% 54.5% 39.8% 38.6% 0.0% % hip fracture surgery carried out within 48 hours of initial Q-1Q 76.1% 85% 85% 76.9% -9.5% 75.2% 2.2% 77.1% 0.0% assessment (Hip fracture database) % of surgical re-admissions to the same hospital within 30 days of M-1M 1.9% ≤2% ≤2% 2.1% 5.0% 2.0% 5.00% 2.8% 2.0% 1.9% 0.0% discharge Delayed Transfers of Care No.
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