Trust Board papers - University Hospital Southampton NHS ...

performance target and C-Diff target reductions.Predicted risk in Quarter 3 is the 4 hour ED target.Predicted risks in Quarter 4 are the 4 hour ED target and C Difficile performanceSee Appendix 1 for further analysis of the financial rating.3.1.1 Monitor Service Performance Aggregate ScoreAreas of concern• ED• Stroke• 18 Weeks IncompletesMore detailed exception reports are included in Appendix 24. Performance as at the end of November 2012 (Appendices 1)The scorecards showing current performance can be found in Appendices 1. The summaryaction plans to support any areas of concern are included as Appendix 2.5. Changes to indicatorsThe unplanned re-attendance at A&E within 7 days indicator has been updated to show all reattendancesto A&E regardless of complaint. Previously, the indicator only showed thepercentage of re-attendances within 7 days for the same complaint as per guidance at the time.This has been updated to ensure it accurately reflects the national guidance. The impact of thechange is performance drops from an average of 3% per month to a YTD figure of 8.9% pushingthe Trust above the 5% target. A mitigation plan is being agreed between Divison B and theDirector of Performance.The performance will be impacted by frequent attendee projects and other QUIP schemesdesigned to reduce re-attendance to ED. As per DoH best practice guidance and reflected in ourcontracts, UHS needs to delivery against one of the two patient impact indicators. UHS isconsistently delivering against the standard of percentage of patients who left the departmentbefore being seen. This has no impact on the Monitor rating as Monitor only measures the 4hour 95% target.Key Performance Indicators Report Page 2 of 2