January 2012 - Sandwell & West Birmingham Hospitals

SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST
RIGHT CARE RIGHT HERE PROGRAMME: PROGRESS REPORT
JANUARY 2012
INTRODUCTION
The Right Care Right Here Programme is the partnership of SWBH, HoB tPCT, Sandwell PCT and
Birmingham and Sandwell local authorities leading the development of health services within Sandwell
and Western Birmingham. This brief paper provides a progress report for the Trust Board on the work
of the Programme as at the end of December 2012. It summarises the Right Care Right Here
Programme Director’s report and the RCRH Service Redesign Report that were presented to the Right
Care Right Here Partnership Board in January.
The work of the Right Care Right Here Programme and involvement of the Trust in this is also
discussed on a monthly basis at the Trust’s Right Care Right Here Implementation Board meetings.
PROJECT PERFORMANCE
The RCRH Programme activity performance reports related to service redesign are included in
Appendix 1 for information. They attempt to summarise overall progress with the Programme in key
areas by providing data for the first seven months of 2011/12 and comparing it with actual performance
in 2010/11, the trajectory in the RCRH Activity and Capacity (A&C) for 2011/12 and the targets in the
A&C model for 2016/17.
In summary activity trends for April-October 2011 show:
Inpatient Activity: Our Acute Occupied Bed Days (OBDs; in Summary A, figure 1) continue to
show a downward trend and are 7.9% below 2010/11 levels but 14% above the 2011/12
trajectory. This includes our emergency inpatient OBDs being 7.2% lower than last year but
17% above the 2011/12 trajectory and our elective inpatient OBDs being 8.3% below last year
and 5% below the 2011/12 trajectory (Summary A, figures 4 and 5).
Community OBDs (in Summary B, figure 3) are 10% below 2010/11 levels and 17% below the
2011/12 trajectory.
The intermediate care/re-ablement beds opened at Rowley Regis Hospital in October but the
activity from these beds is not yet included in the monitoring report. It is envisaged that this
activity will increase the Community OBDs and assist in reducing our Acute OBDs.
Emergency Department Attendances: Our Emergency Department (ED) attendances (in
Summary A, figure 2) are 0.1% above the 2010/11 end of year level, and 8% above the 2011/12
trajectory.
The Urgent Care Centre attendances (in Summary B, figure 2) continue to show a downward
trend but are still 14% above 2010/11 end of year level and 91% above the 2011/12 trajectory.
Outpatient Attendances: Our acute Outpatient Activity (in Summary A, figure 3) is 4.1% below
the 2010/11 end of year level and 0.5% above the 2011/12 trajectory.
Community Outpatient Activity (including our community and new Community Provider activity,
in Summary B, figure 1) remains below the 2010/11 end of year level by 4.5% but is still 222%
above the 2011/12 trajectory although still some way (46%) from the 2016/17 trajectory.
Referrals to acute services have shown a further reduction and are now 12% below the 2010/11
level (in Summary B, figure 4).
At this stage it therefore appears that across all three categories, our acute activity is showing a
downward trend but with further work required to ensure maintenance of this trend, achievement of
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