Minutes of the Leicester, Leicestershire and Rutland PCT ... - NHS

Paper A
LLR PCT Cluster Board meeting
14 June 2012
significant overspend for NHS LCR at University Hospitals of Leicester
NHS Trust (UHL) of c£5m (month 12 estimated position prior to
contractual challenges), offset in part by under spends on specialised
services and out of county acute contracts of £2.3m. The position for
NHS LC at UHL has changed from being slightly under plan to £0.9m
over plan.
Dr Freeman said that of the combined overspend in the UHL contract,
£3m remains to be resolved.
Close management of UHL’s recovery of a number of targets is still
required, it is also recognised that a lot of hard work has been carried
out by staff in UHL and progress made in improving performance.
Performance targets in a number of areas remain of concern at UHL,
notably:
In respect of the 18 weeks admitted RTT standard, performance
was 82.02% against the target of 90% at February 2012. This is
an expected deterioration from the previous month’s
performance as a result of UHL addressing backlogs of long
waits in several specialties, including General Surgery,
Ophthalmology and Urology.
UHL’s March 2012 position for the admitted RTT is 83.7%.
Commissioners have concerns, however, that there are several
specialties where there is a risk that backlogs will increase again
in 2012/13, therefore close scrutiny of the backlogs will continue
and contract remedies will be pursued should this be the case.
With regard to the 62 day standard for cancer treatment, UHL’s
cumulative performance for April 2011 to February 2012 shows
83.0% against the 85% target. The February 2012 monthly
position is reported as 85.3%, with trajectories agreed for March
2012 as 85.3%.
Despite the improvement in quarter 4, the year-end cumulative
position of 85% will not be achieved. Commissioners also have
on-going concerns regarding performance in Urology and Lower
GI tumour sites, which is considerably below national
benchmarks. Mrs Ellis asked if we can ask the Trust to focus on
this. Dr Freeman said that he would raise a contractual question.
Mr Mell queried why UHL are not looking at the root cause of the
performance in Urology and Lower GI. Dr Freeman said that with
regard to Lower GI it is a capacity issue. Mrs Rowbotham said
that it is related to the cumulative effect of issues such as referral
forms not marked urgent.
Mr Wilson asked if the voluntary sector could offer anything to
deal with the lack of capacity. Dr Freeman said that it was
difficult to split the care pathways.
25