ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST
South Essex Mental Health Commissioning Reporting January 2019 Hotspots
1.0 Introduction
The purpose of this report is to provide a summary of the current KPIs and service activity performing below target.
2.0 SUMMARY
Key Performance Indicators (Schedule 4 & 6) For January there were 40 KPI’s from Schedule 4 that were performing above target. Achieved Below
The following KPI’s were below target: Ref Indicator Below Target for Comments 3 months + MH5a Cancelled Appointments No Deep dive to be undertaken 10 MH8 Risk Assessment within 6 hours Yes New KPI part of DQIP Risk assessment within 4 hours MH13a FRT 28 Days (Exc BB CCG) No Expected to meet target in Feb 18 MH16 MAS – referral to assessment Yes There were 27 breaches in January of which 18 were due to service capacity MH17 MAS – assessment to diagnosis Yes Access to scans from Basildon Hospital being arranged which will impact on this KPI 40 MH18 Timeliness of diagnosis letters Yes CPN Issued MH20 Staff Sickness – % Days Lost No 6.2% against 4.8% target. Please note NHS MH Benchmark is 6% 2 MH22c Non CPA care plan Yes 1% below target 6 MH11c Crisis referrals notified of outcome Yes 1 breach within 4hrs (Out of Hours) KPIs Schedule 4 Indicators Schedule 6
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Schedule 6 KPI’s below target: DATA Completeness The proportion of users assigned to a cluster
Activity YTD below target by more than 10%
2017-18 EPUT Mental Health Activity schedule EPUT Service YTD % below Comments FRT activity should not be reviewed alone as linked with RWB. First Response -21% RWB and FRT together are 11% above target. Reduction in activity reporting has been highlighted to operational staff. Remains below target. However Memory service activity has continued to increase and is currently 83% above target. OP CMHT -20% At February 2019 CQRG it was agreed EPUT will put an activity change proposal together for commissioners. Com Rehabilitation (Rehab Recovery Team) -61% Remains below target. This service is now part of IOT and work underway to change reporting. Psychotherapy -50% APN issued Specialist PD -63% APN issued Eating Disorder Total -30% Spec review completed with commissioners
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3.0 Schedule 4 KPI’s below target for 3+ months
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KPI Threshold 17/18 OT Nov 18 Dec 18 Jan 19 Trend CCGs MH8 Risk Assessment inc Risk Management 95% within 6 hours BB: 91% TH: 100% 91% 91% 94% plan in place within 6/ 4 hours of admission (Ass Unit) - DQIP ↑ CPR: 89% SOS: 96% 95% within 4 hours BB: 93% TH: 57% 85% 89% 86% (exc Ass Unit) - DQIP ↓ CPR: 90% SOS: 91% Comments Risk Assessment within 6 hours has continued to improve month on month.
Action Plan Lead Timescale Progress This is discussed at a range of meetings to remind staff of the importance of completing these forms. 1. Senior staff to continue to remind staff these must be Compliance for this is improving each month. Operations Ongoing completed Investigation into breaches has found some errors in bed management recording of admission date and time. This is being addressed with bed management staff.
KPI Threshold 17/18 OT Nov 18 Dec 18 Jan 19 Trend CCGs BB: 100% MH11c % Crisis referrals notified of outcome CPR: 50% 95% 93% 75% 94% within 4hrs (Out of Hours) ↑ SOS: 100% TH: Nil Comments This KPI relates to low numbers of patients. In January one client breached, Work is underway to look at the best way of reporting this, as there can be difficulty responding to referrers out of hours.
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KPI Threshold 17/18 OT Nov 18 Dec 18 Jan 19 Trend CCGs MH16 Total Number waiting over 30 working Average 12 BB: 12 TH: 3 days (6 weeks) from receipt of referral to 0 17 25 27 per month ↑ CPR: 12 SOS: 0 assessment Graph by CCG:
15 BB 10 CPR
5 SOS TH 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Target
Comments This indicator was previously discussed at the KPI hot spots meeting and agreed that commissioners will review if there is a national threshold. The National guidance quoted was the MSNAP guidance; whilst it does have a 0-6 week standard, this is a category 2 standard so not obligatory. NHSE target for delivering on the 0-6 week pathway remains 2020 however if the proposed clinical model has clinical sign-off we can move to implementation by the end of Q4.
Not all delays are avoidable as some of the delays are based on patient choice and availability, therefore EPUT would like to review the target of 0.
There were 27 breaches in January: 2x due to patient choice 1x Patient refused to be seen 1x Family Cancelled apt due patient in hospital 4x cancelled by client, new appointments have been booked 1x Client Refused as unwell with CDiff, further apt offered but declined rebooked for Feb19 18x appointments booked outside of 6 week target due to capacity Action Plan Lead Timescale 1. Senior manager to look at quicker ways of getting medical EPUT are looking into access to Clinical Record Viewer. There history from GP. Suggested solution access to clinical record SR TBC are discussions underway around additional smart cards and viewed on SystmOne support. 2. Commissioners to look at national target Commissioners
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KPI Threshold 17/18 OT Nov 18 Dec 18 Jan 19 Trend CCGs BB: 74 / TH: 16 MH17 Total number waiting over 6 weeks Average 117 0 137 127 139 CPR: 8/ SOS: 41 from assessment to diagnosis appointment per month ↑
Graph by CCG: 100 80 BB 60 CPR 40 SOS 20 TH 0 Target Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Comments Following escalation to commissioners of delays in scans being received, which was having an impact on EPUTs ability to meet the 6 week target, work has been undertaken with Basildon Hospital and it has been agreed that EPUT staff will have access to scan results directly via ICE.
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KPI Threshold 17/18 OT Nov 18 Dec 18 Jan 19 Trend CCGs BB: 80% MH18 Timeliness of diagnosis letters sent to CPR: 100% 100% 74.32% 98% 84% 93% practices – within 10 working days ↑ SOS: 100% TH: 100% EPUT Graph: 120.00% 100.00% Timeliness of diagnosis letters sent 80.00% to practices – within 10 working 60.00% days 40.00% Target 20.00% 0.00% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Comments CPN has been issued, please see RAP update.
A new issues arose last month where it was identified Consultants were not recording the diagnosis on the outcome sheets, as a result of validation there were additional clients in the December cohort where the GP did not receive the letters within the timescale. All of the missing diagnosis have now been updated and figures refreshed.
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KPI Threshold 17/18 OT Nov 18 Dec 18 Jan 19 Trend CCGs BB: 90% MH22c % of Community Mental Health N/A target CPR: 88% Service users on NON CPA with a care plan 90% 89% 89% 89% change - SOS: 89% (excluding those in first 28 days of treatment) TH: 87% Graph by CCG: 100.00% BB 90.00% CPR
80.00% SOS TH 70.00% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Target
Comments Remains 1% below
Action Plan Lead Timescale All staff have been written to by locality managers reminding them 1. Staff to be reminded to completed correct paperwork SW July 2018 not to add care plans to correspondence. 2. Weekly exception list review by all ward and team managers SW Ongoing Established 3. Review with all areas adding care plans to correspondence SW July 2018 Completed with psychology and OT. sections to be undertaken 4. Senior Managers to meet with the Mobius Clinical Change SW Sept 2018 Complete Managers to review non-CPA care plan on Mobius. 5. Adhoc auditing of breaches to be undertaken by performance Adhoc audits now being undertaken and gaps being addressed with NJ Ongoing team individual members of staff.
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4.0 Schedule 4 KPI’s below target (no trend / breaches for less than 3 months)
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KPI Threshold Nov 18 Dec 18 Jan 19 Comments MH5a MH% of appointments cancelled by the provider (as a % of ALL Clinic appointments 7% 9% 5% 10% Deep dive being undertaken offered)
KPI Threshold Nov 18 Dec 18 Jan 19 Comments MH13a % Routine (FRT) seen within 28 95% 97% 99% 91% Currently on track to meet target for February 2019 days (exc BB CCG July - Sept)
KPI Threshold Nov 18 Dec 18 Jan 19 Comments MH20 % of working days lost to all staff 4.8% 6.0% 4.1% 6.2% Please note MH benchmark is 6% sickness (inc all sickness)
5.0 Schedule 4 KPI’s that were previously hotspots and have now met target
KPI Threshold Nov 18 Dec 18 Jan 19 Comments MH1a % of all (older people) inpatients who have Venothrombosis Embolism (VTE) risk 90% 100% 100% 100% Following further validation – No breaches found assessment completed within 5 days of admission a bed MH 11b % Crisis referrals notified of outcome within 4hrs (9am-5pm Mon-Fri, or next 95% 96% 93% 98% There was 1 breach – No data recorded. working day following weekend) MH12a % Crisis referral seen within 24hrs 95% There were a total of 13 breaches in January 2019. Of the 13: 96% 96% 95% 4x breached due to patient choice 8x breached due to not being able to contact patient in the first instance, Page 8 of 37
KPI Threshold Nov 18 Dec 18 Jan 19 Comments but all patients had an assessment. 1x Patient refused to engage.
As agreed by commissioners those clients referred for support are excluded, hence increase in compliance for December. Full details are in Schedule 4.
6.0 Schedule 6 KPI’s below target
KPI Threshold Nov 18 Dec 18 Jan 19 Comments The breach list for January has been sent to the operational performance MH51 DATA Completeness- % of MHMDS team who are working through the list to improve compliance. Service Records of adults ( 18-69 ) on CPA at month 80% 77.5% 77.4% 76% Managers and Team Managers have been advised of the need to capture end this information for all patients on their caseload. A member of the Operational Performance team has been assigned to this MH40 The proportion of users assigned to a area of performance going forward; to investigate the reasons for the slight 95% 94% 94% 93% cluster dip in Performance and to meet with teams on a regular basis to ensure users are assigned to a cluster on assessment.
7.0 Schedule 6 KPI’s that were previously hotspots and have now met target
Ni
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8.0 IAPT
Please note access threshold has changed to 1.58% from Jan 2019 Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan 19 IAPT Measures Threshold National Figures Internal Figures Recovery Rate 52% 55% 52% 51.2% 50.0% 52.2% 51.2% 56.4% 50.8% 51.0% 52.1% 52.3% 51.8% 50.0% Quarter Recovery Rate 51.2% 52.5% 51.6% BB Access Rate 1.4% 1.5% 1.4% 1.4% 1.4% 1.4% 1.5% 1.3% 1.6% 1.3% 1.4% 1.6% 1.1% 1.5% Quarter Actual Access Rate 4.2% 4.3% 4.1% 4.3% Recovery Rate 51% 54% 54% 50.0% 50.0% 51.7% 53.6% 53.6% 53.1% 52.5% 60.7% 56.3% 52.6% 50.00% Quarter Recovery Rate 50.5% 53.4% 56.3% CPR Access Rate 1.4% 1.5% 1.3% 1.4% 1.4% 1.2% 1.4% 1.2% 1.3% 1.2% 1.2% 1.7% 1.1% 1.3% Quarter Actual Access Rate 4.2% 3.9% 3.7% 4.2% Recovery Rate 50% 52% 52% 50.0% 51.5% 52.6% 50.0% 51.4% 51.2% 40.0% 55.2% 50.8% 52.6% 50.0% Quarter Recovery Rate 51.5% 50.9% 48.7% SOS Access Rate 1.4% 1.6% 1.5% 1.3% 1.4% 1.4% 1.6% 1.5% 1.3% 1.5% 1.5% 1.9% 1.3% 1.6% Quarter Actual Access Rate 4.2% 4.5% 4.4% 4.9%
Access Rates (Qtly) Q1 Q2 Q3 Target National 4.27% 4.13% 4.27% * 4.2% (Q1, Q2 and Q3) Internal 4.28% 4.16% 4.31% 4.75% (Q4) NHS BASILDON AND BRENTWOOD CCG Difference 0.01% 0.03% National 3.94% 3.71% 3.95% * * Q3 is projected figure as December not yet Internal 3.93% 3.73% 4.16% available nationally NHS CASTLE POINT AND ROCHFORD CCG Difference 0.01% 0.02% National 4.47% 4.40% 4.65% * Internal 4.47% 4.38% 4.90% NHS SOUTHEND CCG Difference 0 0.02%
Please note that access figures from October and Number are significantly different internal to national as there was a problem in EPUTs national uploads when we switches systems to IAPTUS. This meant 300 appointments were missed from the upload. (problem was in how we process APPPage activity 10 of and37 has since been rectified but not in time to show in refresh data)
Issue raised with NHS digital and note put on system to say internal data is more accurate. This will be seen by NHS England. Waiting List for Second Appointment Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec 18 Jan 19 560 599 588 551 611 571 706 638 458 662 Total Referrals NHS BASILDON AND BRENTWOOD Waiting list 2nd 819 866 841 788 834 850 898 992 1,060 1,122 CCG appointment 530 581 489 497 486 521 511 553 747 730 >28 days 353 343 347 306 348 337 417 450 263 438 Total Referrals NHS CASTLE POINT AND ROCHFORD Waiting list 2nd 541 495 490 450 465 489 491 572 600 547 CCG appointment 337 313 284 269 278 261 246 273 396 309 >28 days 353 404 406 381 370 427 523 470 342 481 Total Referrals Waiting list 2nd 535 588 571 516 497 531 509 577 627 590 NHS SOUTHEND CCG appointment 334 378 319 299 299 270 242 274 405 324 >28 days
700 700 600 CPR CCG 600 SOS CCG 500 Total Referrals 500 Total Referrals 400 400 300 Waiting list 2nd 300 Waiting list 2nd 200 appointment 200 appointment 100 >28 days 100 >28 days 0 0
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9.0 Schedule 2 Activity
9.1 Recovery and Wellbeing and First Response Teams
Service Activity (Monthly) YTD Comments Target Month Figure &Trend CCGs below Trend Recovery and Activity for recovery and wellbeing and first response teams are split into medical, 3540 4168 TH Wellbeing (RWB) ↑ ↑ nursing and OT.
First Response BB,CPR, SOS, While FRT activity is below YTD target it should be noted that activity overall for 939 647 Teams (FRT) ↓ TH ↓ FRT and RWB is 11% above target
RWB YTD Graph: FRT YTD Graph: 50,000 10,000 40,000 8,000 30,000 6,000 EPUT RWB Actual EPUT FRT Actual 20,000 4,000 RWB Target FRT Target 10,000 2,000
0 0
Jul
Jul
Jan
Jun
Oct
Apr
Jan
Sep Feb
Jun
Dec
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9.2 Psychology Service Activity (Monthly) YTD Trend YTD Graph Target Month Figure &Trend CCGs below 10000 8000 6000 EPUT Psychology Target Psychology 452 504 ↑ none ↑ 4000 2000 EPUT Psychology Actual
0
Jul
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar May
9.3 Crisis and RAID Services Service Activity (Monthly) YTD Trend Comments Target Month Figure &Trend CCGs below Crisis Home YTD CRHT is 13% above activity target Resolution 1351 1514 NONE Treatment Team ↑ ↑ YTD RAID is 11% below activity target, under reporting of activity has been (CRHT) identified as the number of referrals seen is less than activity being reported. Rapid Assessment, Number of referrals is different to number of contacts; there will be less referrals CPR and Interface and 295 217 than DDS activity as a person may require a number of contacts. ↓ SOS - Discharge (RAID) CRHT Graph: RAID Graph: 20,000 4,000
15,000 3,000
10,000 EPUT CRHT Actual 2,000 EPUT RAID Actual
5,000 EPUT Target 1,000 EPUT Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May Page 13 of 37
9.4 Older People Services
Service Activity (Monthly) YTD Comments Target Month Figure &Trend CCGs below Trend Memory Service 564 1142 ↑ CPR ↑ 83% above target YTD DIST (East) 392 761 ↑ none ↑ 86% above target YTD Care Home Liaison 343 846 ↑ SOS ↑ 85% above target TYD Remains below target. However Memory service activity has continued to OP CMHT 1226 981 BB, TH ↓ ↓ increase and is currently 83% above target. OP Outpatients 400 376 ↑ BB, CPR ↑ 4% above target YTD OP Day Care 167 293 ↑ NONE ↑ 80% above target YTD Memory Service Graph: OP Outpatients Graph: 12000 6000 10000 5000 8000 4000 EPUT Memory EPUT OP Outpatients 6000 Service Actual 3000 Actual 4000 2000 EPUT OP Outpatients 2000 EPUT Memory 1000 Target
0 Target 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May Care Home Liaison Graph: OP Day Care Graph: 8000 6000 4000 EPUT Care Home 4000 Liaison Actual 3000 EPUT Older people day 2000 EPUT Care Home Target 2000 care Actual 0
1000 EPUT OP Day Care
Jul
Jan Jun
Oct Target
Apr
Sep Feb
Dec
Aug
Nov Mar
May 0
Jul
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar May Page 14 of 37
OP CMHT Graph: Dementia Intensive Support Team (East) Graph: 20000 8000
15000 6000 EPUT Dementia Intensive Support Team 10000 EPUT OP CMHT Actual 4000 (East) Actual
5000 EPUT OP CMHT Target 2000 EPUT DIS Target
0 0
Jul
Jan
Jun
Oct
Jul
Apr
Sep Feb
Dec
Aug
Nov
Mar
Jan
Jun
Oct
May
Apr
Sep Feb
Dec
Aug
Nov Mar May
9.5 Asperger’s Services
Service Activity (Monthly) YTD Comments Target Month Figure &Trend CCGs below Trend Specialist A Business Case is being developed and we are awaiting a response which relates Asperger’s 105 56 ↓ BB, TH ↑ to significantly increased referrals received by this service which is affecting waiting times. Specialist Asperger’s Graph: 2000 There has been an activity reduction over Dec/Jan period due to annual leave across December and January in addition to no assistant psychologist from mid 1500 EPUT Specialist November until the new ones started at the beginning of February. 1000 Asperger's Actual 500 EPUT Target
0
Jul
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar May
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9.6 Other Specialist Services (overall below contractual activity target)
Service Activity (Monthly) YTD Comments Target Month Figure &Trend CCGs below Trend 8% below target YTD Activity has been affected by one of our Thurrock partners (Inclusion employed) to Early Intervention 630 630 BB, SOS, TH - ↓ record their activity and this has now been resolved. In addition there has been some long term sickness in the West team. Spec is under review with commissioners Eating Disorders 506 436 All below ↓ ↓ Day care is 31% above target. Specialist PD 208 68 ↓ All below ↓ APN Open and EPUt is continuing to implement contract monitoring plan.
Recommendation to remove the distinction between Psychotherapy and specialist PD targets, and join them. The action plan paper for the CPN explains this in detail. Psychotherapy 784 622 ↓ All below ↓ The mid-term solution relating to transforming these services is going through commissioning process AOT 873 970 ↓ SOS ↑ AOT is 5% above target YTD. Comm Rehab 414 185 ↓ BB, SOU, TH ↓ Comm Rehab will be included in IOT activity once the service is established. Early Intervention Graph: Eating Disorders Graph: 8000 7000 6000 6000 5000 EPUT Early Intervention 4000 EPUT Eating Disorder 4000 Actual Actual 3000 EPUT Early Intervention EPUT Eating Disorder 2000 2000 Target 1000 Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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Psychotherapy Graph: Specialist PD Graph: 10000 3000 8000 2500 6000 EPUT Psychotherapy 2000 EPUT Specialist PD Actual 1500 Target 4000 1000 2000 EPUT Psychotherapy EPUT Specialist PD Target 500 Actual
0 0
Jul
Jan
Jun
Oct
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Apr
Sep Feb
Dec
Aug
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Mar
Jan
Jun
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May
Apr
Sep Feb
Dec
Aug
Nov
Mar May
Community Rehabilitation Graph: Assertive Outreach Graph: 6000 15000
4000 EPUT Com 10000 EPUT Assertive Rehabilitation Actual Outreach Actual 2000 5000 EPUT Com Rehab Target EPUT Assertive Outreach Target
0 0
Jul
Jan
Jun
Jul
Oct
Apr
Sep Feb
Dec
Aug
Nov Jan
Jun
Mar
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Sep Feb
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9.7 Inpatient Services
9.7.1 Adult Wards
Service Target % Bed Occupancy Comments Adult Inpatients 52 beds 85% 96% PICU is significantly above target and weekly reports are provided to (Grangewaters and Cedar) commissioners who monitor this. Adult Inpatients 10 beds (Thorpe) N/A (not commissioned) Adult Inpatients 10 beds (Kelvedon) N/A (not commissioned) PICU 70% 126% Assessment Unit 60% 92% Adult Inpatients 52 beds (Grangewaters and Cedar) Graph: Adult Inpatients 10 beds (Thorpe) Graph: 120% 100% 100% Adult Inpatient 80% 80% (Grangewaters and 60% Adult Inpatients 60% Cedar) 40% (Thorpe) Bed 40% Target 20% Occupancy 20% 0%
0%
Jul
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov
Mar
May
Jul
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar
May
PICU Graph: Assessment Unit Graph: 140% 120% 120% 100% 100% 80% 80% Assessment Bed PICU Bed Occupancy 60% Occupancy 60% 40% Target 40% Target 20% 20%
0% 0%
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May Page 18 of 37
Adult Inpatients 10 beds (Kelvedon) Graph:
150% Adult Inpatients 100% (Kelvedon) Bed Occupancy 50% Target
0%
Jul
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar May
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9.7.2 Inpatients – Older People
Service Target % Bed Occupancy Comments Organic Assessment Wards 90% 39% Over November and December the number of patients was reduced to facilitate Maple Ward moving into Meadowview Ward as part of Winter Plan. Functional Older Peoples Treatment 95% 69% Wards Organic Assessment Wards Graph: Functional Older Peoples Treatment Wards Graph: 100% 100% 80% 80% Functional Older Peoples Treatment Wards Bed 60% Organic Assessment 60% Wards Bed Occupancy Occupancy 40% 40% 20% Target 20% Target
0% 0%
Jul
Jan
Jun
Oct
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Sep Feb
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Jan Mar
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Report Produced by Jackie Fisher Business Analyst On behalf of
Nicola Jones AD Business Analysis and Reporting 22nd February 2019
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Appendix 1 ACTIVITY GRAPHS BY CCG Recovery Wellbeing BB CPR 15,000 15,000
10,000 10,000 BB RWB Actual CPR RWB Actual 5,000 5,000 RWB Target RWB Target
0 0
Jul
Jan
Jun
Oct
Apr
Sep Feb
Jul
Dec
Aug
Nov
Mar
Jan
May
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar May SOS TH 20,000 8,000 15,000 6,000
10,000 SOS RWB Actual 4,000 TH RWB Actual 5,000 RWB Target 2,000 RWB Target
0 0
Jul
Jan
Jun
Oct
Jul
Apr
Sep Feb
Dec
Aug
Nov
Jan Mar
Jun
Oct
May
Apr
Sep Feb
Dec
Aug
Nov Mar May
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First Response BB CPR 5,000 2,000 4,000 1,500 3,000 BB FRT Actual 1,000 CPR FRT Actual 2,000 1,000 FRT Target 500 FRT Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 4,000 2,500
3,000 2,000 1,500 2,000 SOS FRT Actual TH FRT Actual 1,000 1,000 FRT Target FRT Target 500 0
0
Jul
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Jul
Nov
Mar
May
Jan
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar May
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Psychology
BB CPR 3000 2,500 2500 2,000 2000 1,500 1500 BB Psychology Target CPR Psychology Target 1,000 1000 BB Psychology Actual CPR Psychology Actual 500 500
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 3,000 800 600 2,000 SOS Psychology Target 400 TH Psychology Target 1,000 SOS Psychology Actual 200 TH Psychology Actual
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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CRHT
BB CPR 6,000 4,000 3,000 4,000 BB CRHT Actual 2,000 CPR CRHT Actual 2,000 BB Target 1,000 CPR Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 6,000 2,500 2,000 4,000 1,500 SOS CRHT Actual TH CRHT Actual 2,000 1,000 SOS Target 500 TH Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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RAID
BB CPR 1,200 600 1,000 500 800 400 600 BB RAID Actual 300 CPR RAID Actual 400 200 BB Target CPR Target 200 100
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 2,000 800 1,500 600
1,000 SOS RAID Actual 400 TH RAID Actual 500 SOS Target 200 TH Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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Memory Service
BB CPR 15000 1500
10000 BB Memory Service 1000 CPR Memory Service Actual Actual 5000 500 BB Memory Target CPR Memory Target
0 0
Jul
Jul
Jan
Jun
Oct
Jan
Apr
Sep Feb
Jun
Dec
Oct
Apr
Aug
Sep Feb
Nov
Dec
Mar
Aug
Nov
May Mar May SOS TH 2,000 4,000 3,000 1,500 SOS Memory Service TH Memory Service 1,000 Actual 2,000 Actual 1,000 500 SOS Memory Target TH Memory Target
0 0
Jul
Jan
Jul
Jun
Oct
Apr
Sep Feb
Dec
Aug
Jan
Nov
Jun
Mar
Oct
Apr
Sep Feb
May
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Dementia Intensive Support Team (DIST)
BB CPR 20 4000
15 3000 CPR Dementia BB DIS Target Intensive Support 10 2000 Team (East) Actual 5 BB Dementia Intensive 1000 Support Team (East) CPR DIS Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 4,000 10
3,000 SOS Dementia Intensive 8 TH DIS Target Support Team (East) 6 2,000 Actual 4 1,000 SOS DIS Target TH Dementia Intensive 2 Support Team (East)
0 0 Actual
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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Care Home Liaison BB CPR 4000 1500 3000 BB Care Home Liaison 1000 CPR Care Home 2000 Actual Liaison Actual 500 1000 BB Care Home Target CPR Care Home Target
0 0
Jul
Jul
Jan
Jan
Jun
Jun
Oct
Oct
Apr
Apr
Sep Feb
Sep Feb
Dec
Dec
Aug
Aug
Nov
Nov
Mar
Mar May May SOS TH 2,500 800 2,000 600 TH Care Home Liaison 1,500 SOS Care Home Liaison Actual 400 Actual 1,000 200 TH Care Home Target 500 SOS Care Home Target 0
0
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Older People’s CMHT BB CPR 6000 2500 5000 2000 4000 1500 3000 BB OP CMHT Actual CPR OP CMHT Actual 1000 2000 BB OP CMHT Target CPR OP CMHT Target 1000 500
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 5,000 2,500 4,000 2,000 3,000 1,500 SOS OP CMHT Actual TH OP CMHT Actual 2,000 1,000 SOS OP CMHT Target TH OP CMHT Target 1,000 500
0 0
Jul
Jul
Jan
Jan
Jun
Jun
Oct
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Oct
Sep Feb
Apr
Sep Feb
Dec
Dec Aug
Aug
Nov
Nov
Mar
Mar May May
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Older People Outpatients BB CPR 2000 1500
1500 BB OP Outpatients 1000 CPR OP Outpatients 1000 Actual Actual 500 500 BB OP Outpatients CPR OP Outpatients Target Target
0 0
Jul
Jul
Jan
Jun
Oct
Apr
Jan
Sep Feb
Jun
Dec
Oct
Aug
Apr
Sep Feb
Nov
Dec
Mar
Aug
Nov
May Mar May SOS TH 1,200 1,000 1,000 800 800 SOS OP Outpatients 600 TH OP Outpatients 600 Actual Actual 400 400 SOS OP Outpatients TH OP Outpatients 200 200 Target Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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Older People Day Care BB CPR 800 300
600 200 CPR Older people day 400 BB OP Day Care Actual care Actual 100 200 BB OP Day Care Target CPR OP Day Care Target
0 0
Jul
Jan
Jun
Jul
Oct
Apr
Sep Feb
Dec
Aug
Jan
Nov
Jun
Mar
Oct
Apr
Sep Feb
May
Dec
Aug
Nov Mar May SOS TH 1,000 1,500 800 1,000 600 SOS Older people day TH Older people day care Actual care Actual 400 500 200 SOS OP Day Care Target TH OP Day Care Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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Early Intervention BB CPR 2,500 2,000 2,000 1,500 1,500 BB Early Intervention CPR Early Intervention Actual 1,000 Actual 1,000 500 BB Early Intervention 500 CPR Early Intervention Target Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 2,500 2,000 2,000 1,500 TH Early SOS Early Intervention 1,500 Intervention Actual Actual 1,000 1,000 500 SOS Early Intervention 500 TH Early Target
0 0 Intervention Target
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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Assertive Outreach BB CPR 3,000 400 2,500 300 2,000 BB Assertive Outreach CPR Assertive Outreach 1,500 Actual 200 Target 1,000 BB Assertive Outreach 100 CPR Assertive Outreach 500 Target Actual
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 3,000 6,000 2,500 5,000 2,000 SOS Assertive Outreach 4,000 TH Assertive Outreach 1,500 Actual 3,000 Actual 1,000 SOS Assertive Outreach 2,000 TH Assertive Outreach 500 Target 1,000 Target
0 0
Jul
Jan
Jun
Oct
Apr
Sep Feb
Jul
Dec
Aug
Nov
Mar
Jan
May
Jun
Oct
Apr
Sep Feb
Dec
Aug
Nov Mar May
Page 33 of 37
Psychotherapy BB CPR 4,000 1,500 3,000 BB Psychotherapy 1,000 CPR Psychotherapy 2,000 Actual Actual 500 1,000 BB Psychotherapy CPR Psychotherapy Target Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 4,000 2,500
3,000 2,000 SOS Psychotherapy 1,500 TH Psychotherapy 2,000 Actual Actual 1,000 SOS Psychotherapy TH Psychotherapy 1,000 500 Target Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
Page 34 of 37
Specialist PD BB CPR 1200 500 1000 400 800 300 CPR Specialist PD 600 BB Specialist PD Target Target 200 400 BB Specialist PD Actual CPR Specialist PD 100 200 Actual
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 800 400
600 300 TH Specialist PD 400 SOS Specialist PD Target 200 Target 200 SOS Specialist PD Actual 100 TH Specialist PD Actual
0 0
Jul
Jan
Jun
Oct
Jul
Apr
Sep Feb
Dec
Aug
Nov
Mar
Jan
Jun
Oct
May
Apr
Sep Feb
Dec
Aug
Nov Mar May
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Eating Disorders BB CPR 2,500 1,500 2,000 1,000 1,500 BB Eating Disorder CPR Eating Disorder Actual Actual 1,000 BB Eating Disorder 500 CPR Eating Disorder 500 Target Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 2,000 1,400 1,200 1,500 1,000 SOS Eating Disorder 800 TH Eating Disorder 1,000 Actual Actual 600 500 SOS Eating Disorder 400 TH Eating Disorder Target 200 Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
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Specialist Asperger’s BB CPR 1,000 200 800 150 600 BB Specialist Asperger's CPR Specialist Actual 100 Asperger's Actual 400 200 BB Target 50 CPR Target
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May SOS TH 500 200
400 150 300 SOS Specialist Asperger's TH Specialist Actual 100 Asperger's Actual 200 SOS Target TH Target 100 50
0 0
Jul Jul
Jan Jan
Jun Jun
Oct Oct
Apr Apr
Sep Feb Sep Feb
Dec Dec
Aug Aug
Nov Nov
Mar Mar May May
END
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