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January 2012 - Sandwell & West Birmingham Hospitals

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Trust Objectives 2011/12<br />

SWBTB (1/12) 266 (a)<br />

Ref. Objective Measure of Success Baseline<br />

(2010/11)<br />

2.9 Deliver the CQUIN targets<br />

RO/DO’D/RB<br />

<br />

<br />

<br />

VTE prevention<br />

Improve patient experience<br />

Alcohol prevention<br />

92.3% (Q4)<br />

Summary Position as at end of Quarter<br />

Three (December 2011)<br />

VTE prevention remained on track through<br />

Q3 91.8% (Target =>90%)<br />

<strong>January</strong> <strong>2012</strong> Performance remains<br />

generally satisfactory, though with a slight<br />

dip in December.<br />

<br />

<strong>January</strong> <strong>2012</strong> Alcohol CQUIN now deployed<br />

and being performance managed<br />

Alcohol interventions 9.1% Dec 11 (Q4<br />

target = 80%)<br />

Red /Amber<br />

/Green<br />

Assessment<br />

<br />

<br />

Smoking cessation<br />

Nutrition assessment on<br />

admission<br />

2041 referrals<br />

to smoking<br />

cessation<br />

Smoking cessation interventions still being<br />

developed (693 referrals to smoking<br />

cessation service in Q3 (2065 Apr‐Dec 11<br />

Annual target = 2000)<br />

95% Dec 11 (target 75%)<br />

Consistently achieving in excess of 90%<br />

3<br />

<br />

<br />

End of life care – choice of place<br />

to die<br />

Mortality Reviews<br />

End of Life<br />

Care (Acute)<br />

56% (Q4)<br />

55% Nov 11 (66% end year target)<br />

On track to achieve target<br />

Mortality review rates improving on<br />

trajectory<br />

<br />

<br />

Enhanced recovery Stroke<br />

discharge<br />

Medicines management – missed<br />

doses<br />

13% (Dec 2011) (Target 90% throughout<br />

Q4)<br />

Initial benchmark data poor, but team have<br />

rapid improvement trajectory and plan for Q4.<br />

Baseline complete. 8.4% less than base<br />

(end year target 10% less than base)<br />

<br />

Health Visiting response times<br />

HV assessment 65.2% (Nov 11) (70% end<br />

year target)<br />

Page 11

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