View June's Board Pack - Royal Bournemouth Hospital

Board of Directors Part 110 June 20111 BackgroundPerformance Reporting 2011/12The 2011/12 Monitor Compliance Framework was published on 31 March 2011following its earlier consultation exercise and publication of the OperatingFramework for the NHS in England 2011/12. A paper was submitted to theBoard in May outlining the amendments to the Framework. This includedchanges that had been made to the governance indicators to reflect the2011/12 Operating Framework.In light of these changes and the proposed PCT contract schedules, in order toensure governance of our key national and local indicators, the followingamendments to the Trust’s performance reporting is proposed.2 AdditionsThe following indicators will be added to the Trust Board report (a number ofthese have been included within the report in recent months due to theanticipated changes in indicators):Indicator Measure MonitorTargetOperatingFrameworkPCTContractInternalTargetReferral to Treatment Waiting TimesAdmitted (95 th percentile) 18 weeks from GP referral to 1 st 23 wks Yes 23 wks 23 wkstreatment – aggregate levelNon Admitted (95 th percentile) 18 weeks from GP referral to 1 st 18.3 Yes 18.3 wks 18.3 wkstreatment – aggregate level wksAdmitted (median)18 weeks from GP referral to 1 st N/A Yes 11.1 wks 11.1 wkstreatment – aggregate levelNon Admitted (median) 18 weeks from GP referral to 1 sttreatment – aggregate levelN/A Yes 6.6 wks 6.6 wksA&E Quality IndicatorsTotal Time in A&E (95 thpercentile)Percentage of patients spending 4hours or less in A&ETime to Initial Assessment Percentage of patients receiving(95 th percentile) 1 initial assessment in 15 mins orlessTime to Treatment Decision(median) 1Unplanned ReattendanceRate 1Left Department Without BeingSeen 1Ambulatory CareA&E Service ExperienceConsultant Sign-offPercentage of patients seeingdecision making clinician in 1 hr orlessPercentage of patients reattendingA&E within 7 daysPercentage of patients who leftdepartment without being seenAmbulatory care for cellulitis casesand DVT careExperience of 24hr nature ofservice collected and acted uponPercentage of patients presentingat A&E sites in certain high riskcategories who are reviewed by anemergency medicine consultantbefore being discharged< 4 hrs Yes < 4 hrs < 4 hrs< 15minsYes < 15mins< 15 mins< 1 hr Yes < 1 hr < 1 hr< 5 % Yes < 5 % < 5 %< 5 % Yes < 5 % < 5 %N/A Yes tbc tbcN/A Yes tbc tbcN/A Yes tbc tbc1 Note: these measures are not reportable to Monitor until Q. 2Performance Reporting 2011/12 Page 1 of 4For decision