View June's Board Pack - Royal Bournemouth Hospital

Board of Directors Part 110 June 2011Indicator Measure MonitorTargetStroke IndicatorsTIA Low Risk PatientsBrain Imaging – as perindicationsPercentage of low risk patientsseen, assessed and treated by astroke specialist within 7 days ofcontactOperatingFrameworkPCTContractN/A N/A tbc -100%Patients with acute stroke meeting N/A N/A tbc –imaging within 1 hr 2the indications receive brain95%InternalTargettbc - 100%tbc – 95%N/A N/A tbc –Brain Imaging – other stroke Other stroke patients receive braintbc - 100%imaging within 24 hrs 3 N/A N/A tbc -100%Direct Admission to Stroke Patients with suspected stroke aretbc – 90%within 4 hrs of arrival 4Unitadmitted to a specialist stroke unit90%Alteplase (Thrombolysis) Percentage of appropriate patients N/A N/A tbc 100%receiving thrombolysisOther Quality and Performance TargetsMixed Sex AccommodationBreachesNo of patients affected by a breachof the mixed sex sleepingN/A Yes 0 0Bowel Cancer ScreeningWorkforceAttendanceAppraisalsaccommodation requirementTo meet the current minimumstandards set by the BCSPPercentage of monthly andcumulative sickness by directoratePercentage compliance with annualappraisalsN/A N/A QtrlyaudittbcN/A N/A N/A 4% - 3%stretchN/A N/A N/A 90%A summary of hospital activity including relevant elective and non electiveadmissions, outpatient and ED attendances will be provided at the beginning ofthe monthly report to provide context to the Trust’s performance against thegovernance indicators.MSSA, E Coli and Readmission measures will be added during the year iftargets are confirmed.3 AmendmentsIndicator Measure MonitorTargetCancerCancer 62 Day Wait fromConsultant UpgradeOperatingFrameworkPCTContractInternalTargetAlthough this measure is no longer required by Monitor, it remains within the OperatingFramework although the PCT target has yet to be confirmed. This will continue to beincluded in the Board report following confirmation of the agreed target .Infection ControlC Difficile and MRSAThe PCT are currently in discussion with the Trust to confirm local targets and anyamendments will be reflected in the Trust Board report going forward. The Monitortargets will remain at 87 for C Difficile and 6 (de minimis) for MRSA and achievementagainst these will continue to be reported.Indicator Measure MonitorTargetOperatingFrameworkPCTContractInternalTarget2 The stroke best practice tariff requires imaging within 1hr. Network aspirations are for 30mins and therefore, thePCT target is under discussion.3 The stroke best practice tariff requires imaging within 24 hrs. Network aspirations are for 12 hrs and therefore,the PCT target is under discussion.4 The stroke best practice tariff requires direct admission within 4 hrs. Network aspirations are 45 mins linked tothrombolysis assessment and therefore, the PCT target is under discussion.Performance Reporting 2011/12 Page 2 of 4For decision