Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SANDWELL AND WEST BIRMINGHAM HOSPITALS PERFORMANCE MONITORING REPORT - JANUARY 2010
EXECUTIVE SUMMARY
SWBTB (2/10) 044(a)
Note
a
b
Comments
The percentage of Cancelled Operations increased to 1.0% overall during the month of January, with numerical increases seen in a
number of specialties.
Delayed Transfers of Care reduced on both sites, and overall, to 2.6%. This compares with 3.9% for the previous month.
c
d
Stroke Care - the proportion of patients spending at least 90% of their hospital stay on a Stroke Unit improved during the months of
December and January to 64.0% and 69.8% respectively. Actions to facilitate the transfer to Stroke patients to a bed on a Stroke Unit
as soon as practicable, and the on-going validation of data have now been implemented.
Accident & Emergency 4-hour waits - performance improved on both sites improved during the month, increasing performance
overall for the month to 97.8%, marginally short of the 98.0% operational threshold. Performance for the year to date is 98.41%.
e
f
The overall number of cases of C Diff reported across the Trust during the month of January increased to 17. Of these, 14 were
attributable to the City site. There was one case of MRSA Bacteraemia reported during the month. The Trust continues to meet
National and Local performance trajectories.
Overall Referral to Treatment Time targets for Admitted Care (=>90%) and Non-Admitted Care (=>95%) were both met during the
month of January, although the percentage of Non-Admitted patients in Trauma & Orthopaedics whose treatment commenced within 18
weeks of referral is reported as 79.27%.
CQUIN:
Outpatient source of Referral - Performance remains well within the trajectory set for this target.
Caesarean Section Rate - The rate for the month increased to 25.8%. The rate for the year to date is 23.4%, within the trajectory for
the period.
g
Brain Imaging - Throughout the most recent 5 months the proportion of patients admitted as an emergency following a stroke who
received a brain scan within 24 hours of admission has remained in excess of 80%. With performance to date reported as 80.1%.
Hip Fracture - Performance during January fell slightly to 83.9%, with performance year to date 84.2%.
Smoking Cessation Referrals - The number of referrals made to PCT smoking cessation services of patients specifically prior to listing
for Elective Surgery for the month of January improved significantly, with indications of continued improvement into February. Year to
date referrals now total 639.
Inpatient Patient Satisfaction Survey - The second survey has been concluded with at least 50 responses received to the
questionnaire per ward.
h
Detailed analysis of Financial Performance is contained within a separate paper to this meeting.
Activity (trust-wide) to date is compared with the contracted activity plan for 2009 / 2010 - Month and Year to Date.
i
Month
Year to Date
Actual Plan Variance % Actual Plan Variance %
IP Elective 1117 1138 -21 -1.8 11431 10874 557 5.1
Day case 4130 4318 -188 -4.4 43437 41272 2165 5.2
IPE plus DC 5247 5456 -209 -3.8 54868 52146 2722 5.2
IP Non-Elective 5248 5311 -63 -1.2 55491 54869 622 1.1
OP New 12372 13699 -1327 -9.7 135276 137152 -1876 -1.4
OP Review 33730 34210 -480 -1.4 347412 324974 22438 6.9
Activity to date is compared with 2008 / 09 for the corresponding period
2008 / 09 2009 / 10 Variance %
IP Elective 10938 11431 493 4.5
Day case 42332 43437 1105 2.6
IPE plus DC 53270 54868 1598 3.0
IP Non-Elective 55061 55491 430 0.8
OP New 129075 135276 6201 4.8
OP Review 310939 347412 36473 11.7
j
Bank and Agency - The Nurse Bank Fill Rate improved to 84.1%. Overall Nurse Bank and Nurse Agency shifts worked and costs
increased during the month. Overall Medical Agency and Medical Locum costs during January were similar to those incurred during
December. The spend on Agency staff during the month was 2.90% of the total pay spend.
k
Overall Sickness Absence increased to 5.39% during the month of January, the highest level for any month during the year to date. An
increase is seen in both short-term and long-term absence. Rates by Division for the month range from 0.0% - 8.0%.
l
Overall compliance with Mandatory Training modules is reported as 60.7% at the end of January. The number of PDRs reported as
completed improved during January, increasing numbers year to date to 4016, representing an overall compliance of 90%.