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Enc E Isle of Wight NHS Trust Board Performance Report 2015/16 March 16 Enc E Isle of Wight NHS Trust Board Performance Report 2015/16 March 16 Title Isle of Wight NHS Trust Board Performance Report 2015/16 Sponsoring Executive Director Chris Palmer - Executive Director of Financial & Human Resources Author(s) Iain Hendey - Deputy Director of Information Purpose To update the Trust Board regarding progress against key performance measures and highlight risks and the management of these risks. Action required by the Board: Receive X Approve Previously considered by (state date): Trust Executive Committee Mental Health Act Scrutiny Committee Audit and Corporate Risk Committee Renumination and Nominations Committee Charitable Funds Committee Quality Governance Committee Finance, Information, Investment & Workforce Committee 29/03/2016 Please add any other committees below as needed Other (please state) Staff, stakeholder, patient and public engagement: Executive Summary: This paper sets out the key performance indicators by which the Trust is measuring its performance in 2015/16. A more detailed executive summary of this report is set out on page 4. For following sections – please indicate as appropriate: Trust Vision: Quality care for everyone,everytime Excellent patient care; Working with others to keep improving our services; A positive experience for patients, service users and staff; Trust Goals: Skilled and capable staff; Cost effective, sustainable services Principal Risks (please enter applicable BAF references – eg 1.1; 1.6) Assurance Level (shown on BAF) £ Red £ Amber £ Green Legal implications, regulatory and consultation requirements None Date: Tuesday 26th April 2016 Completed by: Iain Hendey, Deputy Director of Information Page 1 Isle of Wight NHS Trust Board Performance Report 2015/16 March 16 Index Balanced Scorecard - Aligned to 'Key Line of Enquiry' (KLOEs)……………………………………………………………………………………………………………………………………………………… 3 Executive Summary………………………………………………………………………………………………………………………………………………………………………………………………………… 4 Performance Summary Pages……………………………………………………………………………………………………………………………………………………………………………………………… 5-9 Surgery, Women's and Children's Health……………………………………………………………………………………………………………………………………………………………………………………………… 5 Medicine…………………………………………………………………………………………………………………………………………………………………………………………………………………………………… 6 Clinical Support, Cancer and Diagnostics…………………………………………………………………………………………………………………………………………………………………………………………… 7 Ambulance, Urgent Care and Community…………………………………………………………………………………………………………………………………………………………………………………………… 8 Mental Health and Learning Disabilities……………………………………………………………………………………………………………………………………………………………………………………………… 9 Highlights……………………………………………………………………………………………………………………………………………………………………………………………………………………… 10 Lowlights……………………………………………………………………………………………………………………………………………………………………………………………………………………… 11 Exception Reports…………………………………………………………………………………………………………………………………………………………………………………………………………… 12-19 Pressure Ulcers………………………………………………………………………………………………………………………………………………………………………………………………………………………… 12 Patient Safety…………………………………………………………………………………………………………………………………………………………………………………………………………………………… 13 Formal Complaints……………………………………………………………………………………………………………………………………………………………………………………………………………………… 14 A&E Performance - Emergency Care 4 hours Standard…………………………………………………………………………………………………………………………………………………………………………… 15 Ambulance………………………………………………………………………………………………………………………………………………………………………………………………………………. 16 Theatre Utilisation……………………………………………………………………………………………………………………………………………………………………………………………………………………… 17 Referral To Treatment Times…………………………………………………………………………………………………………………………………………………………………………………………………………… 18 Improving Access to Psychological Therapies (IAPT) – Proportion of people who have completed treatment and moving to recovery………………………………………………………………………………… 19 Benchmarking of Key National Performance Indicators………………………………………………………………………………………………………………………………………………………………… 20-23 Summary Report………………………………………………………………………………………………………………………………………………………………………………………………………………………… 20 IW Performance Compared To Other 'Small Acute Trusts'………………………………………………………………………………………………………………………………………………………………………… 21 IW Performance Compared To Other Trusts in the 'Wessex Area'………………………………………………………………………………………………………………………………………………………………… 22 Ambulance Performance………………………………………………………………………………………………………………………………………………………………………………………………………………… 23 Data Quality…………………………………………………………………………………………………………………………………………………………………………………………………………………… 24 Workforce Report…………………………………………………………………………………………………………………………………………………………………………………………………………… 25-27 Summary - RAG rated based on Out-Turn position………………………………………………………………………………………………………………………………………………………………………………… 25 Sickness…………………………………………………………………………………………………………………………………………………………………………………………………………………………………… 26 Overpayments Summary………………………………………………………………………………………………………………………………………………………………………………………………………………… 27 Finance Report……………………………………………………………………………………………………………………………………………………………………………………………………………… 28-39 Summary - RAG Rating based on Out-turn position & CIP graph………………………………………………………………………………………………………………………………………………………………… 28 Continuity of Service Risk Rating……………………………………………………………………………………………………………………………………………………………………………………………………… 29 Surplus…………………………………………………………………………………………………………………………………………………………………………………………………………………………………… 30-31 Income…………………………………………………………………………………………………………………………………………………………………………………………………………………………………… 32-33 Cost Improvement Programme………………………………………………………………………………………………………………………………………………………………………………………………………… 34 Cash……………………………………………………………………………………………………………………………………………………………………………………………………………………………………… 35-36 Statement of Financial Position………………………………………………………………………………………………………………………………………………………………………………………………………… 37 Capital…………………………………………………………………………………………………………………………………………………………………………………………………………………………………… 38 Governance Risk Rating…………………………………………………………………………………………………………………………………………………………………………………………………… 39 Glossary of Terms…………………………………………………………………………………………………………………………………………………………………………………………………………… 40 Page 2 Isle of Wight NHS Trust Board Performance Report 2015/16 March 16 Balanced Scorecard - Aligned to Our Goals In Annual Actual A positive experience for patients, Annual Cost effective, sustainable Actual Annual Month Area YTD Month Trend Area Actual Performance YTD Month Trend Area month YTD Excellent Patient Care Target Performance Target Performance Target Trend service users and staff services plan Patients that develop a grade 4 pressure ulcer TW 14 0 Mar-16 14 è Emergency Care 4 hour Standards AUC 95% 84% Mar-16 89% è RTT % of incomplete pathways within 18 weeks - IoW CCG TW 92% 89% Mar-16 92% 91% è Number of patients who have waited over 12 hours in A&E from decision Patients that develop an ungraded pressure ulcer TW 17 Mar-16 49 è AUC 0 3 Mar-16 31 è RTT % of incomplete pathways within 18 weeks - NHS England TW 92% 88% Mar-16 92% 90% è to admit to admission VTE (Assessment for risk of) TW >95% 98.6% Mar-16 99.2% è Ambulance Category A Calls % < 8 minutes AUC 75% 70% Mar-16 74.0% æ Zero tolerance RTT waits over 52 weeks (Incomplete Return) TW 0 0 Mar-16 0% 5 •– MRSA (confirmed MRSA bacteraemia) TW 0 0 Mar-16 3 •– Ambulance Category A Calls % < 19 minutes AUC 95% 95% Mar-16 95% æ No. Patients waiting > 6 weeks for diagnostics TW <8 3 Mar-16 <100 53 è C.Diff TW 7 2 Mar-16 23 è Number of Ambulance Handover Delays between 1-2 hours AUC N/A 38 Mar-16 221 è % Patients waiting > 6 weeks for diagnostics TW <1% 0.3% Mar-16 <1% 0.5% è (confirmed Clostridium Difficile infection - stretched target) Clinical Incidents (Major) resulting in harm TW 30 2 Mar-16 19 æ % of CPA patients receiving FU contact within 7 days of discharge MH 95% 97.6% Mar-16 96.6% è New Cases of Psychosis by Early Intervention Team MH 1 1 Mar-16 18 28 •– (all reported, actual & potential, includes falls & PU G4) Clinical Incidents (Catastrophic) resulting in harm CWC / TW 0 Mar-16 2 •– % of CPA patients having formal review within last 12 months MH 95% 95.2% Mar-16 96.7% è Theatre utilisation 83% 77% Mar-16 83% 77% è (actual only - as confirmed by investigation) CCD % of MH admissions that had access to Crisis Resolution / Home Falls - resulting in significant injury TW 5 0 Mar-16 4 •– MH 95% 93.8% Mar-16 95.0% •– Total pay costs (inc flexible working) (£000) TW £9,364 £10,536 Mar-16 £114,726 £121,312 Treatment Teams (HTTs) SWC / Symptomatic Breast Referrals Seen <2 weeks* CCD 93% 96.4% Mar-16 97.4% è All Cancelled Operations on/after day of admission 16 Mar-16 183 è Staff in Post (£000) TW £8,954 £9,070 Mar-16 £112,095 £108,982 CCD Cancelled operations on/after day of admission SWC / Cancer patients seen <14 days after urgent GP referral* CCD 93% 96.3% Mar-16 96.0% æ (not rebooked within 28 days) - including those not rebooked at the time of 0 2 Mar-16 30 •– Variable Hours (£000) TW £410 £1,466 Mar-16 £2,631 £12,330 CCD reporting Cancer Patients receiving subsequent Chemo/Drug <31 days* CCD 98% 100.0% Mar-16 99.6% •– Patient Satisfaction (Friends & Family test - Total response rate) TW 4% Mar-16 6% æ Staff sickness absences TW 3% 4.63% Mar-16 3% 4.26% Cancer Patients receiving subsequent surgery <31 days* CCD 94% 100.0% Mar-16 98.2% æ Patient Satisfaction (Friends & Family test - A&E response rate) TW 5% Mar-16 9% è Staff Turnover TW 5% 0.85% Mar-16 5% 7.85% Cancer diagnosis to treatment <31 days* CCD 96% 97.9% Mar-16 99.1% è Mixed Sex Accommodation Breaches TW 0 0 Mar-16 59 •– Achievement of financial plan TW N/A (£0.6m) Mar-16 (£4.6m) (£8.4m) è Cancer Patients treated after screening referral <62 days* CCD 90% 100.0% Mar-16
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