RTT Exception Report

Size: px
Start display at page:

Download "RTT Exception Report"

Transcription

1 Appendix 3 RTT Exception Report 1. Purpose To provide a summary of factors impacting on 18 week RTT performance and a revised forecast of red rated performance for Quarter /16 for the admitted pathway. The planned recovery is described and supported by action plans at specialty level approved by Management Board in February and May Background a. Admitted Performance Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr % 90.5% 90.4% 90.3% 90.8% 90.5% 90.1% 67.2% 91.9% 90.6% 84.4% 63.8% 59.8% The Trust has faced significant non-elective pressure since autumn last year but held the admitted performance target at Trust level with the exception of the planned failures in November 2014 as requested by NHS England. The backlog position towards the end of Q4 2014/15 suggested that further failures of the admitted target were required to ensure the number of long waiters would be reduced. Significant focus has therefore been placed on the booking of patients by clinical priority and then longest wait. b. Non-admitted Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr % 96.1% 95.6% 95.6% 95.4% 95.6% 91.6% 92.7% 93.2% 92.1% 92.9% 93.9% 93.9% Total referrals are shown to have increased over the last 6 months by 3.1% compared to the equivalent period in 2014/15, with particular pressures across a wide range of specialties. The actual numbers vary within the specialties and % increases should therefore not be viewed in isolation. A specialty level summary is shown below: Agenda Item: 14 Page 1 of 6

2 The increase in the number of GP referrals, particularly in cancer specialties which already receive high volumes of demand, have had a significant impact on non-admitted performance and subsequently contributed to the failure against the open pathway target. Unify Specialty Name Nov14-Apr15 Nov13-Apr14 YOY Variance General Surgery (exclud % Urology % Trauma & Orthopaedics % ENT % Ophthalmology % Oral Surgery % Acute Medicine % Gastroenterology % Cardiology % Dermatology % Neurology % Geriatric Medicine % Gynaecology % X01 - Other % Total % The successful reduction in Dermatology referrals is a direct consequence of demand management through negotiation with CCGs, where 8 low risk patient conditions have been identified for treatment within the community setting rather than a referral to secondary care. The rise in Oral surgery referrals is a particular concern as predominantly linked to cancer activity. There have been constraints within specialties and sub-specialties e.g. spine, which have exacerbated the impact of the referrals and further reduced the ability of the Trust to meet the required standard. c. Open Pathway Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr % 93.5% 92.6% 92.4% 92.3% 92.6% 92.3% 92.6% 92.1% 90.6% 90.8% 92.2% 93.0% Open pathway performance measures the percentage of patients who have not received a first definitive treatment within the 18 week pathway, either as an outpatient or an inpatient. As the focus on long waiters has reduced the outpatient and inpatient backlogs, open pathway performance has improved and will continue to do so. Agenda Item: 14 Page 2 of 6

3 d. Patient waiting more than 18 weeks in the backlog The Trust level open pathway and backlog position as at 30 th April 2015 is summarised below: As the longest waiters have been treated, the overall backlog has reduced. However, the inability to deliver the level of additional activity required to reduce the backlog while maintaining capacity to off-set those graduating to >18 week position, the total number in the admitted backlog has remained relatively stagnant (698 on 19 th May 2015). However, this has generated a shift of patients from later in the pathway to shorter backlog wait times. Patients with waits over 30 weeks are monitored individually and listed for surgery as soon as fit and available. Agenda Item: 14 Page 3 of 6

4 The Specialty level open pathway and backlog position as at 30 th April 2015 is summarised below: Backlogs Apr- 15 Performance Unify Specialty Name Elective Backlog Open Pathways > 18 Weeks Proportion on Elective WL * Open Pathways > 30 Weeks Admitted Non Admitted Opens General Surgery % % 93.8% 89.7% Urology % % 90.7% 91.8% Trauma & Orthopaedics % % 90.7% 90.6% ENT % % 89.8% 93.1% Ophthalmology % % 97.9% 96.4% Oral Surgery % % 84.6% 90.8% Acute Medicine % 98.8% 96.6% 98.4% Gastroenterology % % 57.1% 86.1% Cardiology % % 97.9% 96.1% Dermatology % 95.2% Respiratory Medicine % 100.0% 95.1% 98.6% Neurology % 95.4% Rheumatology % 97.4% 99.9% Geriatric Medicine % 94.8% Gynaecology % % 95.7% 93.7% X01 - Other % % 96.7% 95.4% Total % % 93.9% 93.0% * Note - Some patients on elective WL are excluded from RTT and not in open pathways Agenda Item: 14 Page 4 of 6

5 3. The way forward A detailed RTT exception paper was presented to February Management Board, Board of Directors and Monitor where following discussion, actions to support the treatment of the longest waiting patients and reduction of backlog during the period February to June 2015 were agreed. An action plan was presented detailing specialty level plans to address short falls in elective capacity and reduction in outpatient waits. Whilst every effort has been made to increase activity levels so that the number of patients in the backlog can be further reduced, ongoing non-elective and cancer pressures have meant that the number of operations required could not be delivered. Plans to increase capacity with the support of sub-contractors have taken longer to implement than expected, but systems are now in place to step up this activity as part of the mitigation plan over the second quarter. However, improvements in admitted and non-admitted performance continue to improve open pathways which is the key target reflecting overall patients treated. Detailed specialty monitoring plans for admitted performance are now in place showing the level of activity required to deliver a range of performance measures including: Steady state Recovery plan Estimated cancellation numbers Target backlog These will be monitored via weekly PTL meetings, with actual activity versus planned tracked daily. The IMAS tool is to be rolled out across all specialties by the end of June 2015 to improve the capacity modelling and robust planning for ongoing performance delivery. The roll out plan is aimed to address the specialties at highest risk as follows: Specialty Wave 1 ENT 1 2 Gastro 1 3 General Surgery 2 4 Oral Surgery 2 5 Trauma & Orthopaedics 2 6 Urology 2 7 Cardiology 3 8 Neuro 3 9 Ophthalmology 3 10 Paediatrics 4 11 Dermatology 4 12 Other specialties 5 Agenda Item: 14 Page 5 of 6

6 4. Recommendation The specialty level action plan focusses on three key themes: Generic actions to be implemented across all specialties e.g. text reminder systems Demand and capacity work to work with CCGs in the reduction of demand where possible, and efficiency gains to maximise capacity, both internally and with partner organisations Process reviews where indicated to ensure rapid response mechanisms are in place to minimise delays within individual pathways. The action plan is overseen by the RUH internal PTL and RTT meetings to ensure issues are escalated and focus maintained. It is recognised that the admitted backlog will take longer to address than originally forecast and a planned failure is proposed for Q2. This will allow the Trust to be in a better position by the end of September with the backlog number anticipated to be in line with the RUH internal triggers (320 in total in admitted backlog). This represents the sustainable position reflecting the patient numbers that are on complex pathways, medically unfit or unavailable for admission. 5. Performance - Risk Assessment Framework Monitor caps RTT failure of all 3 measures at a score of 2. Predicted performance by month is detailed below: Performance Indicator Performing Weighting Q1 Q2 Q3 Q4 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 RTT - admitted - 90% in 18 weeks in all specialties 90% % 90.5% 82.9% 79.0% 59.8% RTT - non- admitted - 95% in 18 weeks in all specialties 95% % 95.5% 92.4% 93.0% 93.9% RTT - open pathways in 18 weeks 92% % 92.4% 92.3% 91.2% 93.0% 6. Conclusion The Board is asked to endorse Management Boards recommendation to further reduce the backlog resulting in a further quarter failure of RTT performance for admitted pathways. This will place the Trust in an improved position entering the winter of 2015/16. Agenda Item: 14 Page 6 of 6

APPENDIX ONE. 1 st Appointment (Non-admitted) recovery trajectories

APPENDIX ONE. 1 st Appointment (Non-admitted) recovery trajectories APPENDIX ONE 1 st Appointment (Non-admitted) recovery trajectories The following trajectories show reductions in total waiting list sizes for first appointments. It is difficult for any organisation to

More information

NORTHERN HEALTH AND SOCIAL CARE TRUST. Waiting Times Summary Report

NORTHERN HEALTH AND SOCIAL CARE TRUST. Waiting Times Summary Report NORTHERN HEALTH AND SOCIAL CARE TRUST Waiting Times Summary Report April 2014 1 Waiting Times The Northern Health & Social Care Trust monitors waiting time performance against a number of Departmental

More information

Brighton and Sussex University Hospitals NHS Trust Board of Directors. Mark Smith Chief Operating Officer

Brighton and Sussex University Hospitals NHS Trust Board of Directors. Mark Smith Chief Operating Officer Meeting: Brighton and Sussex University Hospitals NHS Trust Board of Directors Date: 24 th August 2015 Board Sponsor: Paper Author: Subject: Mark Smith Chief Operating Officer Clinical Director and Directorate

More information

DEMAND AND CAPACITY MODELLING

DEMAND AND CAPACITY MODELLING DEMAND AND CAPACITY MODELLING How we used demand and capacity modelling to develop a robust and credible recovery plan Piers Young Deputy Chief Operating Officer (Elective Care) CONTENTS Brief history

More information

WELCOME AND INTRODUCTIONS. Sarah Tedford Chief Operating Officer Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT)

WELCOME AND INTRODUCTIONS. Sarah Tedford Chief Operating Officer Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) WELCOME AND INTRODUCTIONS Sarah Tedford Chief Operating Officer Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) ABOUT US OUR COMMUNITY Two main hospital sites King George Hospital

More information

18 WEEK RTT RECOVERY PLAN. April 2015

18 WEEK RTT RECOVERY PLAN. April 2015 18 WEEK RTT RECOVERY PLAN April 2015 1. Background WHHT is not currently compliant with the national RTT standards which require 95% of non-admitted and 90% of admitted patients to receive their elective

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 08 Ayrshire and Arran NHS Board Monday 25 November 2013 Waiting Times Report Author: Fraser Doris, Planning and Performance Officer Sponsoring Director: Liz Moore, Director of Acute Services Date:

More information

Trust Board Meeting in Public: Wednesday 11 July 2018 TB

Trust Board Meeting in Public: Wednesday 11 July 2018 TB Trust Board Meeting in Public: Wednesday 11 July 2018 Title Integrated Performance Report: Month 2 Status History For information. The report provides a summary of the Trust s performance against a range

More information

Referral to treatment (RTT) waiting times statistics for consultant-led elective care 2014 Annual Report

Referral to treatment (RTT) waiting times statistics for consultant-led elective care 2014 Annual Report Referral to treatment (RTT) waiting times statistics for consultant-led elective care 2014 Annual Report 1 Referral to treatment (RTT) waiting times statistics for consultant-led elective care 2014 Annual

More information

Enc 9 Appendix 5 RTT Recovery Plan June 2015 PROGRESS UPDATE MANAGE R LEAD RISKS TO DELIVERY OF ACTION COMPLETION ON DATE NUMBER ACTION EXEC LEAD

Enc 9 Appendix 5 RTT Recovery Plan June 2015 PROGRESS UPDATE MANAGE R LEAD RISKS TO DELIVERY OF ACTION COMPLETION ON DATE NUMBER ACTION EXEC LEAD Enc 9 Appendix 5 RTT Recovery Plan June 2015 Status Key 5 Complete 4 On track 3 Some delay-expect to complete as planned or implemented but not consistently delivering 2 Significant delay unlikely to be

More information

Statistical Press Notice NHS referral to treatment (RTT) waiting times data November 2016

Statistical Press Notice NHS referral to treatment (RTT) waiting times data November 2016 Statistical Press Notice NHS referral to treatment (RTT) waiting times data November 2016 NHS England released statistics today on referral to treatment (RTT) waiting times for consultant-led elective

More information

Statistical Press Notice NHS referral to treatment (RTT) waiting times data July 2017

Statistical Press Notice NHS referral to treatment (RTT) waiting times data July 2017 Thursday 14 September 2017 Statistical Press Notice NHS referral to treatment (RTT) waiting times data July 2017 NHS England released statistics today on referral to treatment (RTT) waiting times for consultant-led

More information

Trust Board meeting in Public: Wednesday 14 November 2018 TB

Trust Board meeting in Public: Wednesday 14 November 2018 TB Trust Board meeting in Public: Wednesday 14 November 20 Title Integrated Performance Report: Month 6 Status History For information. The report provides a summary of the Trust s performance against a range

More information

Aneurin Bevan Health Board Access 2009 Performance Report

Aneurin Bevan Health Board Access 2009 Performance Report Access 2009 Performance Report 1. Introduction This paper outlines current progress in meeting the Access 2009 Referral to Treatment Time 26 week target. It highlights actions taken to date, key challenges

More information

Statistical Press Notice NHS referral to treatment (RTT) waiting times data July 2018

Statistical Press Notice NHS referral to treatment (RTT) waiting times data July 2018 Thursday 13 September 2018 Statistical Press Notice NHS referral to treatment (RTT) waiting times data July 2018 NHS England released statistics today on referral to treatment (RTT) waiting times for consultant-led

More information

STATISTICAL PRESS NOTICE NHS REFERRAL TO TREATMENT (RTT) WAITING TIMES DATA JANUARY 2013

STATISTICAL PRESS NOTICE NHS REFERRAL TO TREATMENT (RTT) WAITING TIMES DATA JANUARY 2013 STATISTICAL PRESS NOTICE NHS REFERRAL TO TREATMENT (RTT) WAITING TIMES DATA JANUARY 2013 Data are published on consultant-led Referral to Treatment (RTT) waiting times for patients who were treated during

More information

NORTHERN HEALTH AND SOCIAL CARE TRUST

NORTHERN HEALTH AND SOCIAL CARE TRUST NORTHERN HEALTH AND SOCIAL CARE TRUST Trust Corporate Performance Report June 2013 Date Issued: 24/07/13 Contents 1.0 Introduction / Summary 2.0 Commissioner Targets and Associated Activity 3.0 Access

More information

Statistical Press Notice NHS referral to treatment (RTT) waiting times data August 2017

Statistical Press Notice NHS referral to treatment (RTT) waiting times data August 2017 Thursday 12 October 2017 Statistical Press Notice NHS referral to treatment (RTT) waiting times data August 2017 NHS England released statistics today on referral to treatment (RTT) waiting times for consultant-led

More information

Getting It Right First Time. Diabetes Workstream Update

Getting It Right First Time. Diabetes Workstream Update Getting It Right First Time Diabetes Workstream Update Introducing GIRFT 2 Unwarrented Variation 3 GIRFT Regional Hubs The 7 GIRFT Regional Hubs, formed last autumn, will have all gone live by the end

More information

Trust Board of Directors Public. Denise Gale. For Assurance and Information NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

Trust Board of Directors Public. Denise Gale. For Assurance and Information NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE NLG(18)014 DATE OF MEETING 30 January 2018 REPORT FOR Trust Board of Directors Public REPORT FROM Richard Sunley, Deputy Chief Executive CONTACT OFFICER Denise Gale SUBJECT Cancer Performance and Backlog

More information

18 Week 92% Open Pathway Recovery Plan and Backlog Clearance

18 Week 92% Open Pathway Recovery Plan and Backlog Clearance 18 Week 92% Open Pathway Recovery Plan and Backlog Clearance Page 1 of 6 17.05.2012 1.0 Background 18-Week 92% Open Pathway RECOVERY PLAN The Trust has achieved compliance against the admitted and non-admitted

More information

STATISTICAL PRESS NOTICE NHS REFERRAL TO TREATMENT (RTT) WAITING TIMES DATA MAY 2011

STATISTICAL PRESS NOTICE NHS REFERRAL TO TREATMENT (RTT) WAITING TIMES DATA MAY 2011 STATISTICAL PRESS NOTICE NHS REFERRAL TO TREATMENT (RTT) WAITING TIMES DATA MAY 2011 Main Points Data are published on consultant-led Referral to Treatment (RTT) waiting times for patients who were treated

More information

KPI s September Megan Boivin Operations Manager 15 October KPI s HAC report 18/10/2007 Operations Manager : Megan Boivin

KPI s September Megan Boivin Operations Manager 15 October KPI s HAC report 18/10/2007 Operations Manager : Megan Boivin KPI s September 27 Megan Boivin Operations Manager 15 October 27 KPI s HAC report 18/1/27 Operations Manager : Megan Boivin 63. Dec-6 May-6 Sep-7 KEY PERFORMANCE INDICATORS Month Year to date Month Year

More information

South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member

South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member Agenda item: 9.4 Subject: Presented by: Submitted to: South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member Governing Body Date: 28 th July Purpose of paper:

More information

South West Cancer Alliances Rapid Diagnostic Pathway for Lung Cancer Project Evaluation

South West Cancer Alliances Rapid Diagnostic Pathway for Lung Cancer Project Evaluation Somerset, Wiltshire, Avon and Gloucestershire Cancer Alliance Peninsula Cancer Alliance South West Cancer Alliances Rapid Diagnostic Pathway for Lung Cancer Project Evaluation Peninsula Thoracic-Oncology

More information

Aligning the Publication of Performance Data Statistics Consultation

Aligning the Publication of Performance Data Statistics Consultation Aligning the Publication of Performance Data Statistics Consultation NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. & Corp. Ops.

More information

SERVICE TRANSITION PLAN SUMMARY. 1 Jan 2015 IHSS Service Transition Plans (version 8) 1

SERVICE TRANSITION PLAN SUMMARY. 1 Jan 2015 IHSS Service Transition Plans (version 8) 1 SERVICE TRANSITION PLAN SUMMARY 1 IHSS Service Transition Plans (version 8) 1 Summary Service Transition Plan Headlines XXX Target milestone date unknown pendency link Activity period Oct Nov c Jan Feb

More information

Report. Page 113 of 220. NHS South Cheshire CCG and NHS Vale Royal CCG Joint Governing Body. Report To (committee):

Report. Page 113 of 220. NHS South Cheshire CCG and NHS Vale Royal CCG Joint Governing Body. Report To (committee): Report Report To (committee): Report Title: Agenda No.: South Cheshire CCG and Vale Royal CCG Joint Governing Body Performance Report Meeting Date: Thursday 5 th April 2018 Report Author(s) Name/s Andy

More information

Report to Trust Board 26/01/2017. Report Title Operational Performance Report - December 2016 & Quarter /17 Report from

Report to Trust Board 26/01/2017. Report Title Operational Performance Report - December 2016 & Quarter /17 Report from Item 10 Report to Trust Board 26/01/2017 Report Title Operational Performance Report - December 2016 & Quarter 3 2016/17 Report from John Quinn, Director of Operations Prepared by Stephen Chinn, Senior

More information

Has the UK had a double epidemic?

Has the UK had a double epidemic? Has the UK had a double epidemic? Dr Rodney P Jones Healthcare Analysis & Forecasting www.hcaf.biz hcaf_rod@yahoo.co.uk Introduction Outbreaks of a new type of epidemic, possibly due to immune manipulation,

More information

GOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4

GOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4 GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services

More information

Cancer Services Position & Recovery Plan June 2015

Cancer Services Position & Recovery Plan June 2015 Appendix 6 Cancer Services Position & Recovery Plan June 2015 Introduction The Trust is required to achieve 85% compliance for patients on a 62 day pathway from the referral date to the date they receive

More information

Consultant-led Referral to Treatment (RTT) waiting times collection timetable: outcome of consultation

Consultant-led Referral to Treatment (RTT) waiting times collection timetable: outcome of consultation Consultant-led Referral to Treatment (RTT) waiting times collection timetable: outcome of consultation Summary Between January and March 2014, NHS England consulted on a proposed change to the timetable

More information

BOARD OF DIRECTORS OPERATIONAL PERFORMANCE REPORT. Month 9 (December 2014) and Quarter 3 (Oct-Dec 14)

BOARD OF DIRECTORS OPERATIONAL PERFORMANCE REPORT. Month 9 (December 2014) and Quarter 3 (Oct-Dec 14) BOARD OF DIRECTORS OPERATIONAL PERFORMANCE REPORT 9 (December 2014) and Quarter 3 (Oct-Dec 14) Presented By: Rob Elek Director of Strategy and Business Development Produced By: Action for Board: For information

More information

Aneurin Bevan Health Board. Quarterly Infection Control Report

Aneurin Bevan Health Board. Quarterly Infection Control Report Aneurin Bevan Health Board Wednesday 18 th November 2009 Agenda Item: 2.5 Aneurin Bevan Health Board Quarterly Infection Control Report 1 Introduction In line with Annual Operating Framework and Local

More information

Improving health service delivery through telehealth expansion in Queensland

Improving health service delivery through telehealth expansion in Queensland Improving health service delivery through telehealth expansion in Queensland Andrew Bryett, Acting Director, Statewide Telehealth Services, Queensland Health, Australia Queensland 22% of the land mass

More information

AHP Musculoskeletal Service Redesign. Judith Reid MSc MMACP Consultant Physiotherapist in MSK NHS Ayrshire and Arran

AHP Musculoskeletal Service Redesign. Judith Reid MSc MMACP Consultant Physiotherapist in MSK NHS Ayrshire and Arran AHP Musculoskeletal Service Redesign Judith Reid MSc MMACP Consultant Physiotherapist in MSK NHS Ayrshire and Arran Local Drivers Routine referral practice Via acute care, duplication Long waiting times

More information

Quality & Safety Committee Date: 22 June 2016 Agenda item: 4.4

Quality & Safety Committee Date: 22 June 2016 Agenda item: 4.4 SUMMARY REPORT ABM University Health Board Quality & Safety Committee Date: 22 June 20 Agenda item: 4.4 Subject Prepared by Approved by Infection Prevention & Control Delyth Davies, Head of Nursing, Infection

More information

Intelligence supporting Isle of Barra Health Needs Assessment and St. Brendans Hospital Reprovision

Intelligence supporting Isle of Barra Health Needs Assessment and St. Brendans Hospital Reprovision Intelligence supporting Isle of Barra Health Needs Assessment and St. Brendans Hospital Reprovision Public Health Intelligence & Information Services Department Contents 1. Demographics 3 2. St. Brendan

More information

Primary Care Commission Study Visit. 26 March 2015

Primary Care Commission Study Visit. 26 March 2015 Primary Care Commission Study Visit 26 March 2015 1 Agenda 1. How we got to where we are? 2. Suffolk GP Federation 3. North East Essex diabetes service 4. Working at scale issues and challenges 2 1. How

More information

Overseas Vistiors upfront charging tariff 2017/18. James Paget University Hospitals NHS Foundation Trust

Overseas Vistiors upfront charging tariff 2017/18. James Paget University Hospitals NHS Foundation Trust Overseas Vistiors upfront charging tariff 2017/18 James Paget University Hospitals NHS Foundation Trust From 6 April 2015 relevant NHS bodies should only be using the risk-share agreement with commissioners

More information

Referral to treatment consultant-led waiting times

Referral to treatment consultant-led waiting times Referral to treatment consultant-led waiting times How to Measure DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance

More information

IAPT Performance Workshop

IAPT Performance Workshop IAPT Performance Workshop May 2015 Els Drewek Head of Intensive Support) England (els.drewek @nhs.net) 1 This set of slides is provided in support of the interactive workshop on IAPT Performance and will

More information

Contract Headlines. OPD headlines 07Jan15

Contract Headlines. OPD headlines 07Jan15 Contract Headlines OPD headlines 07Jan15 Contract Headlines Key issues: ENHT PAH Royal Free HUC Acute In Hours Visiting Service (AIHVS) Contract Headlines Updates: Format / frequency for future updates

More information

Clinical Prioritisation Criteria (CPC) Project

Clinical Prioritisation Criteria (CPC) Project Clinical Operations Strategy Implementation Clinical Prioritisation Criteria (CPC) Project Clinical Prioritisation Criteria (CPC) Project Mike Hamilton: Suzanne Watling: Project Sponsor: GPLO MNHHS Project

More information

Parity: Innovation in Practice

Parity: Innovation in Practice Parity: Innovation in Practice Karen Turner Director of Mental Health 11 February 2016 Why does parity matter? 1:4 adults experience at least one diagnosable mental health problem a year 1:10 children

More information

Hospital Norovirus Outbreak Reporting

Hospital Norovirus Outbreak Reporting Second Report of the Health Protection Agency. Hospital Norovirus Outbreak Reporting Summary findings In January 2009 the HPA in conjunction with the Infection Prevention Society launched a voluntary National

More information

Breast Test Wales Screening Division Public Health Wales

Breast Test Wales Screening Division Public Health Wales Breast Test Wales Screening Division Public Health Wales Programme Level Agreement with Welsh Government Quarterly Report October - December Breast Test Wales - Quarterly Report October - December Service

More information

Long-stay patients methodology Published by NHS England and NHS Improvement

Long-stay patients methodology Published by NHS England and NHS Improvement Long-stay patients methodology Published by NHS England and NHS Improvement July 2018 1 Document Title: Long-stay patients methodology Version number: 1.0 First published: 9 July 2018 Updated: Prepared

More information

Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes

Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes Organisation Name: Ko Awatea, Counties Manukau Health Presenter: Bob Diepeveen HRT 1520 Innovations

More information

Emergency Department Boarding of Psychiatric Patients in Oregon

Emergency Department Boarding of Psychiatric Patients in Oregon College of Public Health and Human Sciences Emergency Department Boarding of Psychiatric Patients in Oregon Jangho Yoon, PhD, Jeff Luck, PhD April 25, 2017 Scope Quantify the extent of psychiatric emergency

More information

East London Community Kidney Service

East London Community Kidney Service East London Community Kidney Service Sally Hull, Neil Ashman, Sec Hoong, Nicola Thomas, Helen Rainey April 2017 Haemodialysis/million population What is the Problem? Fast rising ESRD rates in East London

More information

Increase in GP referral to dermatology: which conditions?

Increase in GP referral to dermatology: which conditions? Increase in GP referral to dermatology: which conditions? Rodney P Jones, PhD, ACMA, CGMA Statistical Advisor Healthcare Analysis & Forecasting, Camberley, UK hcaf_rod@yahoo.co.uk For further articles

More information

Integrated Cancer Services Action Plan. Colchester Hospital University NHS Foundation Trust 31 March 2014

Integrated Cancer Services Action Plan. Colchester Hospital University NHS Foundation Trust 31 March 2014 Integrated Cancer Services Action Plan Colchester Hospital University NHS Foundation Trust 31 March KEY Implemented, clearly evidenced and externally approved On Track to deliver Some issues narrative

More information

Cancer Improvement Plan Update. September 2014

Cancer Improvement Plan Update. September 2014 Cancer Improvement Plan Update September 2014 1 Contents Page 1. Introduction 3 2. Key Achievements 4-5 3. Update on Independent Review Recommendations 6-13 4. Update on IST Recommendations 14-15 5. Update

More information

PERFORMANCE AGAINST IMMUNISATION TIER 1 TARGETS

PERFORMANCE AGAINST IMMUNISATION TIER 1 TARGETS AGENDA ITEM 2.2 4 March 2014 PERFORMANCE AGAINST IMMUNISATION TIER 1 TARGETS Executive Lead: Executive Director of Public Health Author: Consultant in Public Health Medicine Contact Details for further

More information

Crisis Connections Crisis Line Phone Worker Training (Online/Onsite) Winter 2019

Crisis Connections Crisis Line Phone Worker Training (Online/Onsite) Winter 2019 Crisis Connections Crisis Line Phone Worker Training (Online/Onsite) Winter 2019 20-Jan 21-Jan 22-Jan 23-Jan 24-Jan 25-Jan 26-Jan between January 14th - January 21st Please Note: The application deadline

More information

Breast Screening Data Stephen Scott Head of Informatics LCA

Breast Screening Data Stephen Scott Head of Informatics LCA Breast Screening Data Stephen Scott Head of Informatics LCA stephenscott@nhs.net The London Cancer Alliance Overview 62 day screening to 1 st treatment performance Key surgical measures monitored by LCA

More information

Reviewing of planned adult orthopaedic surgery in north central London Pack of graphs and tables to accompany the case for change.

Reviewing of planned adult orthopaedic surgery in north central London Pack of graphs and tables to accompany the case for change. Reviewing of planned adult orthopaedic surgery in north central London Pack of graphs and tables to accompany the case for change 16 August 2018 1 This document should be read alongside: North London Partners

More information

FIRST IN SERVICE BEST IN PRACTICE WEAVING A BOLD TAPESTRY OF HEALTH JUSTICE

FIRST IN SERVICE BEST IN PRACTICE WEAVING A BOLD TAPESTRY OF HEALTH JUSTICE JAN 15: SANKRANTHI (OP HOLIDAY) JAN 26:REPUBLIC DAY (OP HOLIDAY) JANUARY 1 2 3 4 5 6 7 8 EXTRA S & WORKS: INTERNATIONAL TELE GRAND ROUNDS 1 01 2017 16 17 18 1 20 21 22 23 24 25 :00 1:00 PM 27 28 2 30 31

More information

McLean ebasis plus TM

McLean ebasis plus TM McLean ebasis plus TM Sample Hospital (0000) Report For Qtr HBIPS Core Measures McLean Hospital 115 Mill Street Belmont, MA 02478 1 2012 Department of Mental Health Services Evaluation Tel: 617-855-3797

More information

Primary Care Dashboard December 2016

Primary Care Dashboard December 2016 Primary Care Dashboard December 2016 Primary Care Commissioning Committee Introduction The Primary Care Dashboard is an ongoing development and will be used to monitor some areas of quality and performance

More information

HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN

HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN 2016-2021 1 1. Introduction Herts Valleys Palliative and End of Life Care Strategy is guided by the End of Life Care Strategic

More information

An Acute Neurology Service How Can it Help Your MAU?

An Acute Neurology Service How Can it Help Your MAU? An Acute Neurology Service How Can it Help Your MAU? Thomas Peukert 13/11/2017 Plan Pilot project data How has the Acute Neurology Service influenced ED admission rates? ED Attendances Aug 2013 Symphony

More information

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version Policy No: OP90 Version: 1.0 Name of Policy: Cancer Services Operational Policy Effective From: 02/11/2016 Date Ratified 30/11/2015 Ratified Corporate Management Team Review Date 01/11/2017 Sponsor Director

More information

2017 ST3 Competition Ratios Medical Specialties

2017 ST3 Competition Ratios Medical Specialties 2017 ST3 Competition Ratios Medical Specialties Applications Received Posts Available Competition Ratio Acute Internal Medicine 245 125 1.96 Allergy 8 3 2.67 Audiovestibular Medicine 9 1 9 Cardiology 361

More information

HealthStat for Hospitals Guide

HealthStat for Hospitals Guide HealthStat for Hospitals Guide 30 JUNE 2010 Version History The table below outlines the changes that have been made to the dashboard and as such this latest version of the HealthStat for Hospitals Guide

More information

Limitations of the HRG Tariff: The trim point

Limitations of the HRG Tariff: The trim point Limitations of the HRG Tariff: The trim point Dr Rod Jones (ACMA) Statistical Advisor Healthcare Analysis & Forecasting hcaf_rod@yahoo.co.uk For further articles in this series please go to: www.hcaf.biz

More information

Evelina London Children s Hospital (ELCH)

Evelina London Children s Hospital (ELCH) Evelina London Children s Hospital (ELCH) Lead Consultant Jenny Handforth PID Pharmacist Faye Chappell Paediatric OPAT CNS Vacant Overview Paediatric OPAT in London Paediatric OPAT ELCH Children s Hospital

More information

Waiting Times for Suspected and Diagnosed Cancer Patients

Waiting Times for Suspected and Diagnosed Cancer Patients Waiting Times for Suspected and Diagnosed Cancer Patients 2015-16 Annual Report Waiting Times for Suspected and Diagnosed Cancer Patients 1 Waiting Times for Suspected and Diagnosed Cancer Patients Prepared

More information

Hips & Knees Priority Action Team

Hips & Knees Priority Action Team Hips & Knees Priority Action Team Current State Data Refresh September 5, 27 Overview Population Profile Health Status Utilization of Hip & Knee Total Joint Services 1 1 Population Profile 2 SouthWest

More information

IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE. A Clinical Quality Improvement Program

IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE. A Clinical Quality Improvement Program IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE A Clinical Quality Improvement Program Today: National completion rates for OTP s hover between 11 14% Retention

More information

The Single Cancer Pathway

The Single Cancer Pathway The Single Cancer Pathway Background and Case for Change Case for Change (1) Broadly patient experience of cancer services in Wales is good: 93% of patients rate their care as 7/10 or better (WPES) But

More information

March 2012: Next Review September 2012

March 2012: Next Review September 2012 9.13 Falls Falls, falls related injuries and fear of falling are crucial public health issues for older people. Falls are the most common cause of accidental injury in older people and the most common

More information

Vision for quality: A framework for action - technical document

Vision for quality: A framework for action - technical document 3. Frailty Vision for quality: A framework for action - technical document Contents 1.0 Introduction 1 2.0 The current situation in Warwickshire North 2 3.0 The case for change 4 4.0 Views and opinions

More information

Kansas EMS Naloxone (Narcan) Administration

Kansas EMS Naloxone (Narcan) Administration Kansas EMS Naloxone (Narcan) Administration Executive Summary Kansas Board of Emergency Medical Services August 217 The following pages denote an ongoing trending of naloxone administration by Kansas Emergency

More information

Leeds West CCG Paediatric asthma project. January 2015-January 2017

Leeds West CCG Paediatric asthma project. January 2015-January 2017 Leeds West CCG Paediatric asthma project. January 2015-January 2017 Aims to raise asthma awareness improve care reduce emergency attendances and unplanned admissions to secondary care for children with

More information

Briefing Paper. Single Cancer Pathway

Briefing Paper. Single Cancer Pathway Briefing Paper Single Cancer Pathway Author: Tom Crosby, Clinical Director, Wales Cancer Network Owner: Wales Cancer Network Date: 27 th November 2017 Version: 1.0 Publication/ Distribution: Wales Cancer

More information

Primary Care Dashboard February 2017

Primary Care Dashboard February 2017 Primary Care Dashboard February 2017 Primary Care Commissioning Committee Introduction The Primary Care Dashboard is an ongoing development and will be used to monitor some areas of quality and performance

More information

Application Deadlines

Application Deadlines Anaesthesia PGME Application Deadline Department Website Anaesthesia Fellowships http://www.anesthesia.utoronto.ca/fellowships offered Adult Critical Care PGME Application Deadline Department Website Critical

More information

FRAILTY PATIENT FOCUS GROUP

FRAILTY PATIENT FOCUS GROUP FRAILTY PATIENT FOCUS GROUP Community House, Bromley 28 November 2016-10am to 12noon In attendance: 7 Patient and Healthwatch representatives: 4 CCG representatives: Dr Ruchira Paranjape went through the

More information

NHS Bowel Cancer Screening Programme in Merseyside: Till Receipt Awareness Campaign in 2014

NHS Bowel Cancer Screening Programme in Merseyside: Till Receipt Awareness Campaign in 2014 NHS Bowel Cancer Screening Programme in Merseyside: Till Receipt Awareness Campaign in 2014 Screening & Imms Team\Cancer Screening\2-Year Plan for Uptake Rates\BCSP Till Receipt Campaign Mar-Jun14.docx

More information

Overview of the Radiation Exposure Doses of the Workers at Fukushima Daiichi Nuclear Power Station

Overview of the Radiation Exposure Doses of the Workers at Fukushima Daiichi Nuclear Power Station Click here for the corrections made < Reference > December 3, 212 Tokyo Electric Power Company Overview of the Radiation Exposure Doses of the Workers at Fukushima Daiichi Nuclear Power Station * As of

More information

Planning for delivery in 15/16 for the Dementia and IAPT Ambitions

Planning for delivery in 15/16 for the Dementia and IAPT Ambitions Planning for delivery in 15/16 for the Dementia and IAPT Ambitions 24th March 2015 Welcome to the planning WebEx: Dementia and IAPT delivery in 2015/16 Please ensure you are logged into the audio via a

More information

Seasonality of influenza activity in Hong Kong and its association with meteorological variations

Seasonality of influenza activity in Hong Kong and its association with meteorological variations Seasonality of influenza activity in Hong Kong and its association with meteorological variations Prof. Paul Chan Department of Microbiology The Chinese University of Hong Kong Mr. HY Mok Senior Scientific

More information

Paired Exchange Results Quarterly Report

Paired Exchange Results Quarterly Report Paired Exchange Results Quarterly Report As of September 3, 213 Table of Contents Message From the Founder... 1 Transplants Facilitated by Year... 2 Patient Referrals to NKR Member Centers... 2 New Pair

More information

We have reviewed the Winter Planning guidance for 2011/12 and have applied the guidance, where relevant, within this refreshed plan.

We have reviewed the Winter Planning guidance for 2011/12 and have applied the guidance, where relevant, within this refreshed plan. NHS National Waiting Times Centre Winter Plan 2011/12 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This

More information

TRANSFORMING STROKE CARE IN THE CAPITAL: THE LONDON STROKE STRATEGY

TRANSFORMING STROKE CARE IN THE CAPITAL: THE LONDON STROKE STRATEGY TRANSFORMING STROKE CARE IN THE CAPITAL: THE LONDON STROKE STRATEGY LUCY GROTHIER Director South London Cardiac and Stroke Network lucy.grothier@slcsn.nhs.uk 27 th May 2011 Gaps in London stroke care GAPS

More information

Centralising to a 7 day stroke stroke service in Greater Manchester - lessons learnt

Centralising to a 7 day stroke stroke service in Greater Manchester - lessons learnt Centralising to a 7 day stroke stroke service in Greater Manchester - lessons learnt Sarah Rickard, Network Manager @GMStrokeODN www.gmsodn.org.uk 2010 2011 2014 2015 2016 2017 Partial centralisation of

More information

The PROMs Programme in the NHS in England

The PROMs Programme in the NHS in England The PROMs Programme in the NHS in England Veena Raleigh Senior Fellow, The King s Fund HCQI, 7 November 2013 The background Improving NHS quality a government priority since 2008 Quality defined as: effectiveness,

More information

The paper provides an update for the Trust Board on hospital mortality and presents the updated Trust Mortality Action Plan.

The paper provides an update for the Trust Board on hospital mortality and presents the updated Trust Mortality Action Plan. ENC No 13 Meeting Trust Board Date 28 th November 2013 Title of Paper Lead Director Author Hospital Mortality Update Mr Amir Khan, Medical Director Mr Amir Khan, Medical Director PURPOSE OF THE PAPER The

More information

Insulin Administration Errors in Adult Community Nursing. Hedy Lehman Assistant Director of Professional Standards, Adult Community Nursing

Insulin Administration Errors in Adult Community Nursing. Hedy Lehman Assistant Director of Professional Standards, Adult Community Nursing Insulin Administration Errors in Adult Community Nursing Hedy Lehman Assistant Director of Professional Standards, Adult Community Nursing Organisational Background, Changes and Context Prior to April

More information

Hypoglycaemia in the community

Hypoglycaemia in the community Hypoglycaemia in the community Using local data to monitor the quality of diabetes services Adrian R Scott 11 th April 2008 Sheffield Teaching Hospitals NHS Foundation Trust DCCT: the price of improved

More information

Improving Cancer Pathways. Mel Warwick Macmillan Cancer Manager / Lead Nurse Aintree University Hospital NHS Foundation Trust

Improving Cancer Pathways. Mel Warwick Macmillan Cancer Manager / Lead Nurse Aintree University Hospital NHS Foundation Trust Improving Cancer Pathways Mel Warwick Macmillan Cancer Manager / Lead Nurse Aintree University Hospital NHS Foundation Trust Background Poor / inconsistent 62 day performance, across a number of specialities

More information

Wednesday 29 July Management of Pandemic Flu

Wednesday 29 July Management of Pandemic Flu JOINT TRUST BOARD AND MEMBERSHIP COUNCIL MEETING TITLE Wednesday 29 July 2009 Management of Pandemic Flu PURPOSE To provide a briefing and assurance to the Trust Board and Governors on the actions taken

More information

ALCOHOL AND DRUGS PLANNING FRAMEWORK

ALCOHOL AND DRUGS PLANNING FRAMEWORK ALCOHOL AND DRUGS PLANNING FRAMEWORK 1. NATIONAL CONTEXT 1.1 Scotland continues to have the highest alcohol and drug-related death rates in the UK with drug and alcohol problems particularly affecting

More information

An Updated Approach to Colon Cancer Screening and Prevention

An Updated Approach to Colon Cancer Screening and Prevention An Updated Approach to Colon Cancer Screening and Prevention Kevin Liebovich, MD Director for Quality for Gastrointestinal diseases Advocate Condell Medical Center Colon Cancer Screening and Prevention

More information

6.1.2 Other multi-agency groups which feed into the ADP and support the on-going work includes:

6.1.2 Other multi-agency groups which feed into the ADP and support the on-going work includes: 6. ALCOHOL AND DRUGS PLANNING FRAMEWORK 6.1 Analysis of Local Position 6.1.1 The Alcohol and Drug Partnership (ADP) in Renfrewshire has responsibility for local planning of alcohol and drug services. ADPs

More information

Sets out clearly the DoH s expectations of the NHS and the roles and responsibilities of each part of the system over the coming months.

Sets out clearly the DoH s expectations of the NHS and the roles and responsibilities of each part of the system over the coming months. NORTH EAST AMBULANCE SERVICE NHS TRUST UPDATE AND RESILIENCE ACTIONS FOR NHS BOARDS REPORT BY : Director of Ambulance Operations INTRODUCTION As Board members are aware, the World Health Organisation (WHO)

More information

ESPA Directorate KPI Report: Quarter 1,

ESPA Directorate KPI Report: Quarter 1, ESPA Directorate KPI : 2015 2016 Quarter 1, Compiled by ESPA Operations Manager The Key Performance Indicators (KPIs) detailed in this report give direction to the ESPA Directorate and its activities.

More information