LEICESTER, LEICESTERSHIRE AND RUTLAND PCT ... - NHS

Right Care ProceduresYTDActualsYTDTargetFOTActualPaper PLLR PCT Cluster Integrated Board Meeting8 September 2011AnnualTargetYear toDate RunRateClinical Commissioning GroupYTD TargetTargetthe YearLeicester, Leicestershire and Rutland 2,847 2,586 262 11,388 10,342 10.1% 949 833Leicester City 828 783 45 3,312 3,131 5.8% 276 256Crescent 897 865 32 3,588 3,460 3.7% 299 285West Leicestershire 1,122 938 184 4,488 3,751 19.6% 374 292Right Care ProceduresYTDActualsYTDTargetPositionagainstPositionagainstFOTActualAnnualTargetPositionagainstAnnualPositionagainstAnnualYear toDate RunRateRequired RunRate ForRemainder ofRequired RunRate ForRemainder ofClusterYTD TargetTargetthe YearLeicester, Leicestershire and Rutland 2,847 2,586 262 11,388 10,342 10.1% 949 833Hernia Surgery 436 313 124 1,744 1,250 39.5% 145 90Septoplasty 77 72 5 308 287 7.3% 26 23Tonsillectomy 223 166 57 892 663 34.5% 74 49Cataract 1,387 1,281 106 5,548 5,123 8.3% 462 415Carpal Tunnel 234 216 18 936 865 8.2% 78 70MSK Hips 214 278 -64 856 1,113 (23.1%) 71 100MSK Knees 276 260 16 1,104 1,041 6.1% 92 8527 The Right Care Plans developed by UHL to address the in year changes toachieve a reduction in new to follow up rates and the shift in care to as lowercost setting as possible were presented at a confirm and challenge session onTuesday the 16th of August led by Dr. Dave Briggs and Dr Simon Freeman.28 Assurance was sought at the meeting about several areas, including the levelof clinical sign up to the plans, the confidence within the organisation thatthese were deliverable. Further work was requested between commissionerand provider to develop the plans for addressing multiple same day outpatientattendances.29 Recommendations about specific additions to the plans in terms of identifyingappropriate clinical leads and the setting of clear milestones for delivery wererequested. On completion of this it was then recommended that the RightCare plans be approved and the first instalment of 33% of the £3.7milliontransformation funds be paid following the CPM on 23 August 2011.30 A Clinical Variation (planned care) performance monitoring schedule has beendeveloped to allow monitoring of activity reductions at CCG level. This isdiscussed at the Delivery Group and fed into the relevant contractmanagement leads.4