Mid Essex CCG Performance Dashboard September 2013

Transcription

1 Mid Essex CC Dashboard September 2013 MS ugust 0 The CC had 2 cases reported in pril. 0 MS cases in June/July/ugust. Current position Status Update Key Points isk bove ceiling. Please see the Quality eport. Improvement in June/July/ugust C Difficile July 57 CC 4 in ugust date) (23 to ction plan in place. Continues to perform just within trajectory. Cancer s 12 MEHT 2 in ugust. date) July 8 s MEHT met all the standards in July The CC failed 3 standards: 62 day 13 breaches dmitted 6.5 MEHT, 3 CHUFT (5 to Non admitted 2.5 MEHT, 0.5 CHUFT,0.5 oyal Marsden Whilst performance is strong within breach tolerance, there are issues with shared treatments particularly urology. Impact of inter-trust breaches. Contract query too be raised with CHUFT. 31 day adiotherapy 4 breaches all at CHUFT 62 day screening 1 breach 0.5 MEHT, 0.5 Ipswich 1

2 Mid Essex CC Dashboard September 2013 Stroke &E 4hr wait standard July (Prov) Up to 12 th Sept % (90% stay on stroke unit) 60% TI Scan Current position Status Update Key Points isk June 56.1% July 83.3% ug- 80% June 65% July - 75% ug - 75% 95% MEHT achieved Q %. Q2 to 12 th Sept % ugust was-92.95% YTD % Patients are being stepped down due to capacity. Focused work continues to review the rehab pathway. bed audit has been undertaken. continues to meet the standard ugust performance fell below 95% and Q2 may not be achieved. Weekends have been below standard. The Trust has a recovery plan (appendix 1) with imminent actions to improve and sustain performance. The QIPP front door model is to be implemented and installed by November Strong improvement following capacity issues in January/February. Continues to perform well. New Urgent Care Strategy CC require winter resources to maintain and sustain performance. Daily conferences. CEO to O meetings. Weekly and daily reporting. Key actions being taken by the Trust to improve and sustain performance. Delayed Transfers of Care July To reduce to 17 Patients Bed Days lost pril May June July Working with MEHT the CC has instigated: -dditional rehab beds -Pathways for neuro and stroke rehab -Clarified spec for neuro patients n action plan (attached appendix 2) is in place with key actions and timescales to deliver sustained CC has bid for winter resources. Undertaken a bed audit. Improving fast track overall. Strengthening discharge team. Key actions being taken to improve performance. 2

3 Mid Essex CC Dashboard September 2013 mbulance Turnaround Diagnostic tests and 6+ week waits IPT Cancelled Operations ug 85% MEHT 51.0% CHUFT 39.9% Lowest Watford 43.3% Highest Bedford 87.1% July <1% 0.2% within national aggregate threshold. One test -cystoscopy is still below standard Qtr.1/ 10% (3928) Qtr. 1 achieved 1022 (2.6%) ugust Qtr. 2.5%(982) Below weekly trajectory in Q2. Week ending 8 th Sept 524 achieved against trajectory of 755. Q.1 educe 204 cancelled 6 not treated within 28days improvements. Current position Status Update Key Points isk Below trajectory. Monitored weekly. new audit has been undertaken to establish how much time (in minutes) will be allowed for the handover time (currently 3 minutes). The results will be written into the Tripartite agreement. MEHT has increased capacity through weekend sessions to address the issue in cystoscopy. The provider submits weekly data so the CC can closely monitor. MEHT remodelling surgical emergency admissions linking a number of service reviews. The CC has been applying contract penalties and the Trust has been fined for poor performance Strong performance continues at aggregate level. Strong first Qtr. Q2, weekly data showing a drop in performance, recovery plan and trajectory requested. Case by case review and contract levers applied with financial penalties MS July 0 pril -1 loucestershire Hospital May -0 June-2 Barking and Barts Host Commissioners seeking action plans Working with Host Commissioners to apply contract levers 3

4 Mid Essex CC Dashboard September 2013 Family and Friends Test 18 weeks pathway from referral to treatment July 15% response &E -9.1% Inpatient -37.5% Combined 20.2% July dmitted = 90% Non-dmitted = 95% 52 weeks + ug Zero tolerance is to be applied in 13/14 Current position Status Update Key Points isk ggregate was met in July for all standards. Specialties continue to fail to meet standards in T&O and S. dmitted: S-86.1% T&O -85.8% Non-dmitted: S-86.8% T&O-94.9% &E response low, CC seeking actions to improve. The Trust continues to meet the standards at aggregate level. Unplanned care is impacting on the waiting list affecting T&O and S. bed audit has been undertaken by the CC. 2 1 at Braintree, an error by BCH as patient was treated at MEHT. We have assurance BCH has contacted Unify to remove this patient. Strong performance in Inpatient, but below in &E. CQUIN penalties will be applied. Strong performance continues at aggregate level The CC has been applying contract penalties and the Trust has been fined for under performance The Trust has a plan and trajectory to address the failing specialities. CC closely monitoring PTLs and Unify. 1 Barts patient has a TCI 24 th ugust. ssurance from Barts that they are now monitoring their PTLs and are in close dialogue with the CC. 4

5 Mid Essex CC Dashboard September WEEKS Backlog as at 1 st Sept week TT non-admitted - latest weekly figure shows backlog of week TT admitted. latest weekly figure shows backlog of 286, behind trajectory. lthough MEHT optimistic that they will reach target in November. dmitted Care actual v trajectory SPECILTY June Trajectory July Trajectory ugust Trajectory November Trajectory ENT CDIOLOY ENEL SUEY YN OPTH OL PIN & NESTHETICS PLSTICS TUM & OTHOPEDICS ULOY OTHE TOTL

6 Mid Essex CC Dashboard September 2013 Public Health/NHS England s Q1 Current position Status Update isk Health Checks Q1 Offered 23,727 Completed 14,236 Offered 2,893 Completed 2,732 below target. Public health has a series of actions in place to improve. t the tail-end of last year (Q4), PH invested a substantial amount of money to increase the number of invites. s a result, it is expected people who didn t visit their Ps by the end of March, will do so over the subsequent months Smoking Q YTD 295 Smoking is historically slow in early year performance with a strong surge around xmas and new year. Chlamydia Screening Q1 2,300 YTD 518 Chlamydia screening continues to underperform Obesity Q1 Public Health report states no data until Dec 13 Breastfeeding Q1 Prevalence 48.0% Coverage 95% Q % Q % CC receives information from CECS. Flu uptake Public Health report states no data until Nov

7 Mid Essex CC Dashboard September 2013 Current position Status Update isk LD Health Checks Q1 nnual targetunderachieved in both 2011/12 and 2012/ % achieved in 2012/13. Comprehensive action plan in place to improve. Immunisations Q1 Public Health report states no data to be received until Sept NEFPT Mental Health Q1 Details Threshold / Plan Q1 Current ating Care Programme pproach (CP) patients receiving follow-up contact within 7 days of discharge 95.00% 96.9% Minimising delayed transfers of care <=7.5% 1.7% dmissions to inpatient services had access to Crisis esolution Home Treatment Teams (atekeeping) 95.00% % HoNOS Care Cluster within Maximum eview 51.9% 7

8 Mid Essex CC Dashboard September 2013 KEY This arrow shows where performance has dropped. This arrow shows where performance hasn t changed. This arrow shows where performance has improved even if the risk is still red. 8