Board paper cover sheet - NHS Ayrshire and Arran.

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NHS Board Meeting23 June 2010 Paper 5HEAT 2009/10 had 40 key performance indicators in total. Of the 40 keyindicators, 16 were showing as Red, 2 Amber and the remaining 17 wereGreen. The performance has been summarised in the table below.The indicators A11.1: ‘Faster Access for Drug Misusers’, A12.1: ‘FasterAccess to Specialist CAMHS’ and T7.1: ‘Healthcare Experience’ have no dataavailable for reporting purposes. Furthermore, the indicator T2.1: ‘CGRMStandards’ is not shown below as no data update is yet available. SimilarlyE8.1: ‘Energy Consumption’ is not included in the list below as a planned levelfor 2009/10 was not available for comparison purposes.The following indicators scored as RED (outwith 5% of target)H5.1 Suicide Prevention TrainingH6.1 Smoking CessationH7.1 Breastfeeding at 6-8 weeksE4.4 New Outpatient DNAsE7.1 Online TriageE10.1 eKSFA8.2 Advance Booking - GPA10a 18 weeks RTT: Admitted PerformanceA10c 18 weeks RTT: Non-admitted PerformanceA10d 18 weeks RTT: Non-admitted CompletenessA10.3 Inpatient/Daycase : Max 12 weeksT3.1 Anti-depressant PrescribingT6.1 Long Term ConditionsT9.1 DementiaT10.1 Rate of Attendance at A&ET11.1 MRSA/MSSA ReductionThe following indicators scored as AMBER (within 5% of target)E4.1 Day Case RatesA9.2 All Cancer Treatment (31 days)The following indicators scored as GREEN (achieved or exceedingtarget)H2.1 Dental RegistrationsH3.1 Child Healthy Weight InterventionsH4.1 Alcohol Brief InterventionsH8.1 Inequalities Targeted Cardiovascular Health ChecksE4.2 Emergency Inpatient ALOSE4.3 Review to New Outpatient AttendancesE5.1 Financial PerformanceE6.1 Cash EfficienciesE9.1 CHI UtilisationA8.1 48 Hour Access – GP Practice TeamA9.1 Suspicion of Cancer Referrals (62 days)A10b 18 weeks RTT: Admitted CompletenessA10.2 New Outpatients: Max 12 weeksT4.1 Psychiatric readmissionsT8.1 Older people cared for at homeT11.2 C.Diff ReductionT12.1 Reduction in emergency bed days (65+)Page 26 of 136
NHS Board Meeting23 June 2010 Paper 5The Board has a Health and Performance Governance committee whose remitincludes providing assurance to the Board that systems and procedures are in placeto monitor, manage and improve overall performance.A10.KPM3 : Inpatients & Day Cases: Max 12 weeksLatest data are showing a ‘Red’ with 20 patients waiting more than 12 weeks inMarch 2010 against a plan of zero people waiting over 12 weeks. These were twentyorthopaedic patients who waited more than 12 weeks.The orthopaedic service has continued to experience significant challenges. Asignificant shortfall in orthopaedic medical staffing occurred over a two week periodin March and despite all efforts to address this through movement of other staff,engaging locums etc., staffing levels fell below that which was considered to be asafe level of ward staffing and elective inpatient surgery was suspended. Thisresulted in the cancellation of patients some of whom could not be re-accommodatedin Ayrshire or the private sector prior to the end of March. All efforts were beingmade to redress this situation in April.T3.1: Antidepressant PrescribingThe Guideline for treatment of depression in primary care is being reviewed andexpected to be re-launched later this year.A further internal review of primary care mental health teams (PCMHTs) is underway,which aims to provide a rapid access high volume service for people withmild/moderate depression, through more efficient screening and the use of new SelfHelp Support workers, together with the safe transfer of people with more complexneeds to CMHTs where high intensity psychological therapies will be made available.T6.1: Long Term Conditions and T10.1: Rate of Attendance at A&EGeneral practices in Ayrshire & Arran continue to identify patients at risk ofemergency hospital admission and as multidisciplinary/organisational teams aredeveloping anticipatory care plans and self management plans through an enhancedservice. Recent analysis of all patients demonstrated that over a 2 year period therehas been almost a 40% reduction in the number of admissions for SPARRA (Scottishpatients at risk of readmission and admission) patients and a 41% reduction in thetotal number of bed days.From June 2010 we will commence development of anticipatory care planning withnursing homes. Evidence from the national Long Term Conditions Collaborative hasshown some board areas achieving 40% reductions in emergency admissions fromnursing homes.Three tele-healthcare projects with respective local authorities, community hospitalsand primary/community care teams are proposed which will focus on chronicobstructive pulmonary disease (COPD), Heart Failure and complex high risk patientsawaiting discharge from hospital.T9.KPM1: DementiaPage 27 of 136
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Board paper cover sheet - NHS Ayrshire and Arran.

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