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

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1 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 completed as planned 1 Not yet commenced 0 Objective raised NUMBER ACTION EXEC LEAD MANAGE R LEAD COMPLETION ON DATE RISKS TO DELIVERY OF ACTION PROGRESS UPDATE STATUS FORUM REPORTED TO Trust wide actions A1 A2 Corporate oversight of performance against recovery plan and assurance of delivery. Weekly Access meetings to monitor activity against plans and hold teams to account Weekly Weekly Actions not implemented Actions not implemented Fortnightly reporting at EMT and Board Weekly meetings in place All OSM s to attend with breach analyses for patients over 119 days 5 Executive Team and Board 5 Executive Team All OSM s to report on trajectory achievement outline plans for recovery if applicable Standard Access meeting Who has been

2 treated Who is still waiting both RTT and Non RTT to be treated/seen Who has dates and who does not Offering dates in order to those without a date No. of patients breached who are awaiting treatment How many patients have passed their breach date within the last 7 days Why are patients breaching Patient Access meeting now in situ combining 18 week and Cancer standards Assurance meetings Monthly N/A Director of Ops 5 Executive

3 A3 A4 with key stakeholders to review performance against plans Validation of high risk areas by deployment of 18 week team N/A Minimum Monthly Phase 1 completion 21/8/14 Capacity meetings Patient Access Group Urgent Care Board IDM Access Programme meeting Request made to TDA in respect of capacity/expertise for validation of pathways Team 5 RTT Meeting Phase 2 completed 28/2/15 Internal validation occurring Phase 1; Pain management (admitted) Gastroenterol ogy (admitted) Renal (admitted and non-admitted) Ophthalmolog y(non admitted) Oncology (admitted and non-admitted) Phase 2 External validation team provided by NECS

4 A5 A6 Requirement for Diagnostic PTL and Follow up PTL to be produced and analysed as part of RTT meeting Demand and Capacity modelling to completed for all remaining RTT pathways Completed Information team capacity and capability commenced 7 th January 2015 Head of Information commenced employment Liaise with CCG for with developing IT portal for RTT IST visit 17 th October to work with OSM s and Information team to agree a suite of data to enable effective and real time management of 18 week standard 30/9/15 Capacity Arrange dates with IST and OSM s Demand and Capacity Steering Group established Aug/Sept 15 re-run of all 5 4

5 A7 A8 A9 Formal training at all levels for RTT Maximising elective capacity at WCH Robust Consultant Job Planning to maximise capacity to deliver RTT pathways S/ S/ GM s and Directors Commenced 1/5/15 Phase 1 completed D&C models Capacity and Trust to skills evaluate e- learning module from Sheffield Hospitals Trust Trust to develop internal package of training including portal training Capacity Proposed plan approved by Executive Team 1/8/14 Phase 2 17/10/15 30/11/15 Team job planning occurring August and September Performance management of job plans will be required 4 4 3

6 A10 Maximise Independent sector, Internal and other NHS capacity s Orthopaedics Gynaecology General Urology Oral Ophthalmology Cardiology Respiratory Endocrinology Appropriate specialities available Trust continues to work with a number of local and national providers 3 Ophthalmology (admitted & non-admitted) B1 Target 6 weeks completed Available OPD capacity and admin. Sustained clinical sign up Additional from Medinet / Isight/ Internal WLI 3wte additional consultant to be interviewed July 15 4 RTT Meeting B2 non admitted 21/8/2014 Time management 5 RTT meeting

7 B3 Non admitted: 95% compliance B4 1/10/14 set trajectory of improvement In line with trajectory timeline for admin managers Sign up from clinical teams Cancellation on day % 5 RTT meeting Additional capacity internal 86.89% 4 RTT Meeting Urology (admitted and non-admitted) C1 C2 C3 C4 6 week target non admitted Non admitted: 95% to be complete 30/9/14 30 th August 2014 Staff do not have the skills in waiting list validation Lack of capacity 1/10/15 Lack of capacity Additional consultant to commence August RTT Meeting completed 5 RTT Meeting 90.88% 4 RTT Meeting 77.58% 3 RTT Meeting

8 ENT (admitted and non-admitted) D1 6 week target to be complete 30/9/14 Audiology 5 th Consultant BC approved commencing November RTT meeting D2 D3 D4 non admitted Non admitted: 95% 1 st October 2015 Admin Robust admin Transcription Anaesthetics Theatre efficiency Emergency bed pressures completed 5 RTT meeting 97.46% 5 RTT meeting 85.09% 4 RTT meeting

9 Gynaecology (admitted and non-admitted) E1 to be complete 30/9/14 Demand and capacity steering group sign off required 4 RTT Meeting E2 non admitted and admitted 30 th August 2014 Admin completed 5 RTT meeting E3 Non admitted: 95% 1/10/15 Robust admin Transcription 98.44% 5 RTT Meeting E4 1/10/15 Anaesthetics Theatre efficiency Emergency bed pressures 82.78% 3 RTT Meeting

10 General (Non-admitted and admitted) F1 F2 non admitted to be completed 30 th August 2014 Increase in referrals. Provision of outpatient space for additional clinics Raised nonadmitted Demand and capacity steering group sign off required 4 RTT meeting completed 5 RTT meeting F3 Non admitted: 1/10/15 Robust admin Transcription 91.19% 3 RTT meeting F4 1/10/15 Anaesthetics Theatre efficiency Emergency bed pressures 77.71% 3 RTT meeting

11 Orthopaedics (Non admitted and admitted) G1 G2 6 weeks non admitted to be complete 30/9/14 30 th August 2014 Increase in referrals. Provision of outpatient space for additional clinics Raised nonadmitted Business case to be completed by 24/6/15 4 RTT meeting completed 5 RTT meeting G3 Non admitted: 95% completed Inadequate capacity 95.08% 4 RTT meeting G4 1/10/ % 3 RTT meeting Oral (admitted and non-admitted) H1 H2 non admitted to be completed completed Admin Demand and capacity steering group sign off required 4 RTT meeting 5 RTT meeting

12 H3 Non admitted: 95% 1/10/15 admin 90.29% 2 RTT meeting H4 1/10/15 Anaesthetics Theatre efficiency Emergency bed pressures Admin 61.49% 2 RTT meeting Dermatology (Non admitted and admitted) I1 I2 I3 non admitted Non admitted: to be complete 30/9/14 completed Recruitment of locum Dermatologist Admin 5 RTT meeting 5 RTT meeting 98.79% 5 RTT meeting

13 I4 95% Recruitment of locum Dermatologist Robust admin Transcription Recruitment of locum Dermatologist 97.76% 5 RTT meeting Gastroenterology (Non admitted and admitted) J1 J2 admitted and non - admitted to be completed 21 st August 2014 Recruitment of locum Dermatologist Admin 5 RTT meeting completed 5 RTT meeting Non 98.79% 5 RTT meeting

14 J3 J4 95% Purchasing of independent sector capacity Purchasing of independent sector capacity 97.76% 5 RTT meeting