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January 2018 Management Data Report

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January 2018 Management Data Report January 2018 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 1 Contents Acute Hospitals Services Community Healthcare Services NSP KPI Overview 4 Health & Wellbeing 88 Inpatient Cases 8 Primary Care 89 Daycase Cases 10 Social Inclusion 97 Elective Discharges 12 Palliative Care 98 Emergency Discharges 14 Mental Health 101 Maternity Discharges 16 Older Persons 105 Inpatient Discharges greater or equal to 75 years 17 Disabilities 109 Daycase Discharges greater or equal to 75 years 19 National Services All Emergency Presentations 21 PCRS 113 New ED Attendances 23 Human Resources Return ED Attendances 24 HR Summary 115 Injury Units 25 Employment by Service Area 116 Other Emergency Presentations 26 Employment by Staff Group 117 ED PET - All Patients 27 Employment by Administration/Section 38 118 ED PET - Patients over 75 years 28 Employment by Acute, Community, HWB, Corporate, HBS 120 ED Patients who leave before completion of Treatment 29 Employment by HG & CHO 122 AMAU within 6 hours 30 Hospital Group Absence 130 Acute Medical Admissions 31 Absence Rates by Service / Staff Category & Division 131 Births 32 Absence Rates by CHO and Divisions YTD 132 Outpatient Attendances (New & Return) 33 Absence by Staff Category 134 Adult In Patient Waiting List 35 EWTD Acute Hospitals 135 Adult Day Case Waiting List 37 EWTD Mental Health Services 136 Child In Patient Waiting List 39 EWTD Disability Services 137 Child Day Case Waiting List 40 Finance Outpatient Waiting List 41 Gross Debtor Days for Private Charges 139 GI Waiting List 43 Service Level Arrangements 140 Urgent Colonoscopy 44 Net Expenditure by Division 141 Inpatient & Day Case Profiles 46 Hospital Groups 142 ALOS excluding over 30 days 48 CHOs 144 Medical ALOS 50 National Ambulance Service 146 Emergency Re-admissions: Medical 51 Health & Wellbeing 147 Surgical ALOS 53 Primary Care (Total) by CHO 148 Surgical Day of Admission 54 Primary Care (excl Social Inclusion & Pall Care) by CHO 149 Laparoscopic Cholecystectomy 56 Primary Care (Social Inclusion) by CHO 150 Emergency Hip Fracture Surgery 58 Palliative Care by CHO 151 Emergency Re-admissions: Surgical 59 Mental Health by CHO 152 Delayed Discharges 61 Social Care (Older Persons) by CHO 153 HCAI - Hospital acquired S. Aureus infection 63 Social Care (Disabilities) by CHO 154 HCAI - Hospital acquired C. Difficile infection 65 Support Services 155 Number of New Cases of CPE 67 PCRS 156 Cancer Services - Breast 68 Demand Led Schemes 157 Cancer Services - Lung 73 Net Expenditure (Pay) 158 Cancer Services - Prostate 76 Net Expenditure (Non Pay) 159 Cancer Services - Radiotherapy 79 Net Expenditure (Income) 160 Cancer Screening Services 81 Agency & Overtime 161 National Ambulance Service NSP KPI Overview 82 Ambulance Turnaround Times 86 2 Acute Hospitals 3 NSP KPI Overview Reporting Period January 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Oct-17 Nov-17 Dec-17 Jan-18 Discharge Activity Inpatient Cases * M - 1M 635,802 640,627 640,627 635,663 -0.8% 635,802 0.0% 52,680 53,553 53,275 0 Inpatient Weighted Units * M - 1M 640,130 639,487 639,487 651,728 1.9% 640,130 1.8% 54,567 56,042 55,293 0 Daycase Cases (includes dialysis) * M-1M 1,054,659 1,062,363 1,062,363 1,072,396 0.9% 1,054,659 1.7% 89,512 96,742 77,927 0 Day Case Weighted Units (includes dialysis) * M-1M 1,044,539 1,028,670 1,028,670 1,057,918 2.8% 1,044,539 1.3% 88,375 96,119 75,268 0 Total inpatient & day cases Cases * M-1M 1,690,461 1,702,990 1,702,990 1,708,059 0.3% 1,690,461 1.0% 142,192 150,295 131,202 0 Emergency Inpatient Discharges * M-1M 428,299 429,872 429,872 432,496 0.6% 428,299 1.0% 35,518 36,479 37,451 0 Elective Inpatient Discharges * M-1M 92,014 94,587 94,587 92,668 -2.0% 92,014 0.7% 7,898 8,236 7,035 0 Maternity Inpatient Discharges * M-1M 115,489 116,168 116,168 110,499 -4.9% 115,489 -4.3% 9,264 8,838 8,789 0 Inpatient Discharges ≥ 75 years * M-1M 116,690 119,938 116,690 2.78% 9,765 10,057 10,447 0 Day case discharges ≥ 75 years * M-1M 179,062 185,891 179,062 3.8% 15,545 16,406 13,776 0 Emergency Care New ED attendances M 1,182,805 1,178,977 92,400 100,499 8.8% 92,700 8.4% 101,156 98,831 101,623 100,499 Return ED attendances M 96,907 97,371 7,441 8,010 7.6% 7,345 9.1% 7,762 7,990 8,006 8,010 Injury Unit attendances M 89,309 91,588 6,740 6,547 -2.9% 6,569 -0.3% 7,514 7,112 6,154 6,547 Other emergency presentations M 47,428 48,709 4,456 4,290 -3.7% 4,294 -0.1% 3,774 3,785 3,776 4,290 Births Total Number of births M 61,946 61,720 5,242 5,181 -1.2% 5,227 -0.9% 5,312 5,144 4,996 5,181 Outpatients Number of new and return outpatient attendances M 3,303,921 3,337,967 285,238 293,421 2.9% 282,245 4.0% 276,587 301,595 219,572 293,421 Outpatient Attendances - New : Return Ratio (excluding obstetrics, warfarin and haematology clinics) M 2.5 1 : 2 2.0 2.6 30.0% 2.6 0.0% 2.5 2.5 2.6 2.6 Activity Based Funding (MFTP) model HIPE Completeness - Prior month: % of cases entered into HIPE M - 1M 94% 100% 100% 94% -6.0% 95% 92% 94% Inpatient & Day Case Waiting Times % of adults waiting <15 months for an elective procedure (inpatient) M 87% 90% 90% 84.3% -6.3% 87.8% -4.0% 85.9% 85.8% 86.5% 84.3% % of adults waiting <15 months for an elective procedure (day case) M 92.6% 95% 95% 91.5% -3.7% 91.7% -0.2% 93.5% 93.2% 92.6% 91.5% % of children waiting <15 months for an elective procedure (inpatient) M 88.7% 90% 90% 88.8% -1.3% 91.3% -2.8% 87.0% 88.9% 88.7% 88.8% % of children waiting <15 months for an elective procedure (day case) M 85.9% 90% 90% 85.2% -5.3% 90.0% -5.3% 88.3% 87.5% 85.9% 85.2% % of people waiting < 52 weeks for first access to OPD services M 72.4% 80% 80% 72.1% -9.9% 79.7% -9.6% 73.6% 72.9% 72.4% 72.1% Colonoscopy / Gastrointestinal Service Number of people waiting greater than 4 weeks for an urgent colonoscopy M 68 0 0 8 24 11 0 1 8 % of people waiting < 13 weeks following a referral for routine colonoscopy or OGD M 57.8% 70% 70% 53.7% -23.3% 57.0% -5.8% 51.9% 56.9% 57.8% 53.7% Emergency Care and Patient Experience Time % of all attendees at ED who are discharged or admitted within six hours of registration M 66.3% 75% 75% 61.3% -18.3% 66.4% 65.6% 63.1% 61.3% % of all attendees at ED who are discharged or admitted within nine hours of registration M 80.9% 100% 100% 75.9% -24.1% 80.5% 80.5% 78.7% 75.9% % of ED patients who leave before completion of treatment M 5.6% <5% <5% 6.0% -19.8% 5.8% 5.5% 6.3% 6.0% % of all attendees aged 75 years and over at ED who are discharged or admitted within six hours of registration M 43.2% 95% 95% 34.8% -63.4% 42.1% 41.1% 38.0% 34.8% % of all attendees aged 75 years and over at ED who are discharged or admitted within nine hours of registration M 62.0% 100% 100% 51.1% -48.9% 60.4% 60.3% 57.1% 51.1% 4 NSP KPI Overview Reporting Period January 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Oct-17 Nov-17 Dec-17 Jan-18 % of all attendees aged 75 years and over at ED who are discharged or admitted within 24 hours of registration M 92.4% 100% 100% 85.7% -14.3% 91.8% 92.7% 91.5% 85.7% % of all attendees at ED who are in ED <24 hours M 96.9% 100% 100% 94.7% -5.3% 96.7% 96.9% 96.7% 94.7% Length of Stay ALOS for all inpatient discharges excluding LOS over 30 days M - 1M 4.6 4.3 4.3 4.7 9.3% 4.7 4.7 4.6 0.0 Medical Medical patient average length of stay M - 1M 6.8 6.3 6.3 6.8 7.9% 6.9 7.0 6.9 0.0 % of medical patients who are discharged or admitted from AMAU within six hours AMAU registration M 63.1% 75% 75% 59.8% -20.3% 61.8% 60.3% 60.2% 59.8% % of all medical admissions via AMAU M - 1M 35.1% 45% 45% 33.4% -25.8% 33.3% 33.0% 30.3% 0.0% % of emergency re-admissions for acute medical conditions to the same hospital within 30 days of discharge M - 1M New KPI 2017 11.1% 11.1% 11.1% 0.0% 10.5% 10.2% 10.6% 0.0% Surgery Surgical patient average length of stay M - 1M 5.5 5 5 5.4 8.0% 5.2 5.4 6.0 0.0 % of elective surgical inpatients who had principal procedure conducted on day of admission M - 1M 72.9% 82% 82% 74.1% -9.6% 74.9% 74.9% 72.4% 0.0% % day case rate for Elective Laparoscopic Cholecystectomy M - 1M 43.4% >60% >60% 45.0% -25.0% 45.8% 45.9% 42.3% 0.0% % of emergency hip fracture surgery carried out within 48 hours M - 1M 85.3% 95% 95% 85.7% -9.8% 87.7% 86.8% 87.7% 0.0% % of surgical re-admissions to the same hospital within 30 days of discharge M - 1M 2.1% <3% <3% 2% -33.3% 1.8% 1.9% 1.9% 0.0% Delayed Discharges Number of bed days lost through delayed discharges M 191,898 ≤182500 15,500 15,007 -3.2% 16,846 16,519 16,061 15,007 Number of beds subject to delayed discharges M 480 500 500 519 3.8% 451 15.1% 563 582 480 519 Health Care Compliance Infections (HCAI) <1/10,000 M 0.9 <1 1.0 0.0% 1.0 0.9 0.9 1.0 Rate of new cases of Hospital acquired Staph.
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