Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 042 (a)
SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST - NHS PERFORMANCE FRAMEWORK MONITORING REPORT - 2009/10
Operational Standards and Targets
Indicator
Thresholds
Weight Achieve Fail
Q1
Score
Weight x
Score
Q2
Score
2009 / 2010
Weight x
Q3
Score
Score
Weight x
Score
January
Score
Weight x
Score
A/E Waits less than 4-hours
Cancelled Operations - 28 day breaches
MRSA Bacteraemia
Clostridium Difficile
18-weeks RTT (Admitted)
18-weeks RTT (Non-Admitted)
• Achievement in all specialties (inc. DAA Audiology, exc. Orthopaedics)
• Achievement in Orthopaedics
Cancer - 2 week GP Referral to First Outpatient Appointment
Cancer - 31 day second or subsequent treatment (surgery)
Cancer - 31 day second or subsequent treatment (drug)
Cancer - 31 day diagnosis to treatment for all cancers
Cancer - 62 day referral to treatment from screening
Cancer - 62 day referral to treatment from hospital specialist
Cancer - 62 day urgent referral to treatment for all cancers
3-month revascularisation breaches (as % admissions)
2-week Rapid Access Chest Pain
48-hours GU Medicine Access
Delayed Transfers of Care
Stroke (Stay on Stroke Unit)
Outpatient Waits >13 weeks (% of First OP Attendances)
Inpatient Waits >26 weeks (% of Elective Admissions)
1.00 98.00% 97.00% 99.39% 3 3.00 98.90% 3 3.00 97.26% 2 2.00 97.80% 2 2.00
1.00 5.0% 15.0% 0 3 3.00 0 3 3.00 0 3 3.00 0 3 3.00
1.00 0 >1.0SD 5 3 3.00 2 3 3.00 3 3 3.00 1 3 3.00
1.00 0% >1.0SD 32 3 3.00 39 3 3.00 42 3 3.00 17 3 3.00
1.00 90.0% 85.0% 98.0 3 3.00 >90.0% 3 3.00 >90.0% 3 3.00 >90.0%* 3 3.00
1.00 95.0% 90.0% 98.5 3 3.00 >95.0% 3 3.00 >95.0% 3 3.00 >95.0%* 3 3.00
0.50 95.0% 90.0% >95.0% 3 1.50 >95.0% 3 1.50 >95.0% 3 1.50 >95.0%* 3 1.50
0.50 95.0% 95.0% >95.0% 3 1.50 >95.0% 3 1.50 >95.0% 3 1.50 >95.0%* 3 1.50
1.00 93.0% 88.0% 93.1% 3 3.00 93.3% 3 3.00 94.7% 3 3.00 >93.0%* 3 3.00
0.33 94.0% 89.0%
100% 3 1.50 99.1%
3
1.50
>94.0% 3 0.99 >94.0%* 3 0.99
0.33 98.0% 93.0% >98.0% 3 0.99 >98.0%* 3 0.99
0.33 96.0% 91.0% 99.8% 3 1.50 99.8% 3 1.50 99.6% 3 0.99 >96.0%* 3 0.99
0.33 90.0% 85.0% 99.8% 3 0.99 100% 3 0.99 100% 3 0.99 >90.0%* 3 0.99
0.33 85.0% 80.0% 66.70% 0 0.00 98.6% 3 0.99 90% 3 0.99 >85.0%* 3 0.99
0.33 85.0% 80.0% 90.6% 3 0.99 89.3% 3 0.99 89.3% 3 0.99 >85.0%* 3 0.99
1.00 0.1% 0.2% 0.0% 3 3.00 0.0% 3 3.00 0.0% 3 3.00 0.0%* 3 3.00
1.00 98.0% 95.0% 99.50% 3 3.00 100% 3 3.00 100% 3 3.00 100%* 3 3.00
1.00 98.0% 95.0% 99.60% 3 3.00 100.00% 3 3.00 99.8% 3 3.00 100% 3 3.00
1.00 3.5% 5.0% 2.60% 3 3.00 2.40% 3 3.00 3.40% 3 3.00 2.6% 3 3.00
1.00 60% 30.0% 53.50% 2 2.00 59.60% 2 2.00 58.0% 2 2.00 69.8% 3 3.00
0.50 0.03% 0.15% 0.002% 3 1.50 0.000% 3 1.50 0.000% 3 1.50 0.000%* 3 1.50
0.50 0.03% 0.15% 0.000% 3 1.50 0.000% 3 1.50 0.000% 3 1.50 0.000%* 3 1.50
* Projected
Sum 16.00 45.98 46.97 45.94 46.94
Average Score 2.87 2.94 2.87 2.93
Scoring:
Fail 0
Underachieve 2
Achieve 3
Assessment Thresholds
Performing > 2.40
Performance Under Review 2.10 - 2.40
Underperforming < 2.10