Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

52 3. Quality Indicators
Royal Devon and Exeter NHS Foundation Trust
Quality Report 2012/13
Indicator Group Indicator Description Data
Monitor Indicators -
Quality
Monitor Indicators -
Patient Experience
Monitor Indicators -
Patient Experience
Monitor Indicators -
Patient Experience
Monitor Indicators -
Quality
Monitor Indicators -
Quality
Monitor Indicators -
Quality
Monitor Indicators -
Quality
Monitor Indicators -
Patient Experience
CQUIN Indicator
All cancers: 62-day wait for first treatment
from: NHS Cancer Screening Service referral
Maximum time of 18 weeks from point of
referral to treatment in aggregate – admitted
Maximum time of 18 weeks from point of
referral to treatment in aggregate – nonadmitted
Maximum time of 18 weeks from point of
referral to treatment in aggregate – patients
on an incomplete pathway
All cancers: 31-day wait from diagnosis to
first treatment
Cancer: two week wait from referral to date
first seen comprising: all urgent referrals
(cancer suspected)
Cancer: two week wait from referral to date
first seen comprising: for symptomatic breast
patients (cancer not initially suspected)
A&E: maximum waiting time of four hours
from arrival to admission/transfer/discharge
Certification against compliance with
requirements regarding access to healthcare
for people with a learning disability
1. Venous Thrombo-embolism (VTE) Risk
Assessment
2012/13 - 96.9%
2011/12 - 93.8%
2010/11 - 96.9%
2012/13 - 88.6%
2011/12 - 93.6%
2010/11 - 94.7%
2012/13 - 98.1%
2011/12 - 97.8%
2010/11 - 98.0%
2012/13 -91.9%
2011/12 - 84.4% (no target)
2010/11 - 86.5% (no target)
2012/13 - 96.3%
2011/12 - 98.1%
2010/11 - 97.3%
2012/13 - 95.5%
2011/12 - 95.3%
2010/11 - 97.8%
2012/13 - 96.5%
2011/12 - 99.1%
2010/11 - 98.4%
2012/13 - 96.2%
2011/12 - 95.6%
2010/11 - 97.9%
2012/13 - Compliant
2011/12 - Compliant
2010/11 - Compliant
Q1 - 94.7% (Target 90%)
Q2 - 94.7% (Target 90%)
Q3 - 91.4% (Target 90%)
Q4 - 94.6% (Target 90%)
CQUIN Indicator 2. Patient Experience Q1 - N/A (Target N/A)
Q2 - N/A (Target N/A)
Q3 - N/A (Target N/A)
Q4 - 73.3% (Target 73.5%)
CQUIN Indicator 3a. Dementia Case Finding Q1 - Implementation Plan agreed between Trust and NHS
Devon (Target Plan agreed)
Q2 - Plan agreed (No target for Q2)
Q3 - Plan agreed (No target for Q3)
Q4 - 32% (Target 90%)
CQUIN Indicator
3b. Dementia Diagnostic Assessment and
Investigation
Q1 - Implementation Plan agreed between Trust and NHS
Devon (Target Plan agreed)
Q2 - Plan agreed (No target for Q2)
Q3 - Plan agreed (No target for Q3)
Q4 - 40% (Target 90%)