Trust Board papers - University Hospital Southampton NHS ...

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Monthly MeasuresPatient ExperienceHow would you rate the care you received?Patient SafetySerious Incidents Requiring Investigation (SIRI)Patient OutcomesUnadjusted Mortality RateClinical EffectivenessReadmission Rate (28 days)Staff ExperienceSickness AbsenceClinical EfficiencyTrust Inpatient Bed Occupancy (%)Financial EfficiencyCost Improvement PlanFinancial ManagementIncome and ExpenditurePatientExperiencePatient SafetyPatient OutcomesClinical EffectivenessStaff ExperienceClinical EfficiencyFinancial EfficiencyFinancial Management‣The summary action plan for Staff Experience can be found in Appendix 2 of the Trust BoardKey Performance Indicator report.4. 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 the Red Indicators are included as Appendix 2.5. ConclusionsTrust Board are asked to note the Key Performance Indicators Report and consider whetherthere is appropriate assurance regarding current and future performance.Key Performance Indicators Report Page 2 of 2
Appendix 1Summary Risk Assessment of Key Performance Indicators as at the end of November 2012Please Note: These about RAG ratings show the risk assessment for the key Trust performanceindicators. These may differ from the individual monthly, quarterly and YTD RAGs but highlightareas of concern.% Appraisals1. WorkforceCompleted2. Patient Experience3. Patient Safety4. Patient Flow and OutcomesSickness AbsenceSurvey - Overallsatisfaction withcareTurnover(excluding Percentage Junior ofDoctors) complaints closedin target timeSurvey -Recommendhospital to familyand friendsNutrition - %Patients withMUST Screeningin 24 hoursSurvey - SameSexAccommodationMRSAbacteraemiareductionNever EventsClostridiumdifficile reductionSerious IncidentsRequiringInvestigation(SIRI)Pressure Ulcers(Grades III and IV)No. of Falls% Pts spending90% of time onStroke UnitHigher Risk TIAcases seen within24 hoursRe-adsmissionswith 30 daysHospitalStandardisedMortality Rate(HSMR) - UHStotal% Patients VTEAssessedTotal WorkforceSigned off by(FTE)the Director of Nursing Signed off by the Director of Nursing Signed off by the Director of Nursing Signed off by the Medical Director and ChiefOperating Officer5. R&Dand to targetTotal recruited toNIHR portfoliocommercialstudiesTotal recruited toNIHR portfolio noncommercialstudies (excl. % of studiesband 1)% of NIHRportfolio studiesrecruiting on timeachieving NHSpermission within30 days of receiptof application.Income fromcontractcommercialstudiesDamage/Misuse -Number ofBreakdownsTotal noncommercialincome% Maintenancecompleted withinplanned time6. Estates% PlannedMaintenanceCompleted -MandatorySystem Reliability% PlannedMaintenanceCompleted -Statutory7. IM&T ‐ Updated QuarterlyReportingReliabilityTraining NeedsAnalysisMandatoryTraining8. Education ‐ Updated QuarterlyE-prescribing% PlannedProjectEvaluation ofSigned off by the Medical Director Signed off by the Director Maintenance of Finance Signed off by the Director of IM&T Signed off by the DirectorClinicalof NursingCompleted - GoodPlacementsPracticeExternalAccreditationVisitsEffective Use ofEducationBudgetsEnc 8 ii Appendix 1 Key Performance Indicators Page 1
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UHSFT - Directors’ Actions Summar
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172/12 b) A discussion followed cov
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176/12 b) A discussion followed cov
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UNIVERSITY HOSPITAL SOUTHAMPTON NHS
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Worked wtes rose by 105 in November
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) Delivering an in-year financial s
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FINANCE REPORTSchedule 1 2012/13 Mo
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Schedule 2bINCOME & EXPENDITURE FOR
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Schedule 4Central and Divisional Re
Page 24 and 25: Schedule 6DIVISIONAL/HEADQUARTERS P
Page 26 and 27: Schedule 7CIPS BEING WORKED OotalDi
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Page 30 and 31: Schedule 10Finance Risk Indicators:
Page 32 and 33: Annex 2DIVISIONAL/HEADQUARTERS INCO
Page 34 and 35: Annex 4CAPITAL EXPENDITURE 2012/13
Page 36 and 37: Trust Board ReportTITLEFRIENDS AND
Page 38 and 39: 2.3 Other Guidance ReceivedThe DOH
Page 40 and 41: 3.0 Scope of the ProjectThere are 4
Page 42 and 43: 8.0 Project BudgetDoH anticipated a
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Page 48 and 49: 2 SECTION 1: What Patients are Tell
Page 50 and 51: 2.2 Complaints and ConcernsIt is po
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Page 54 and 55: 3.1 Nutrition3.1.1 MUST Screening a
Page 56 and 57: The Clinical accreditation Scheme (
Page 58 and 59: 1 Purpose1.1 The UHS patient qualit
Page 60 and 61: DRAFT UHS Patient Improvement Frame
Page 62 and 63: 2012/13 PIF (For Reference)Appendix
Page 64 and 65: Board Paper Cover SheetTitleChief E
Page 66 and 67: 4. Signing & Sealing4.1 The Seal of
Page 68 and 69: performance target and C-Diff targe
Page 70 and 71: University Hospital Southampton NHS
Page 72 and 73: Appendix 2Exception Reports - Novem
Page 84 and 85: IM&T Report - Nov 20121. Purpose1.1
Page 86 and 87: 2.2. Information to support patient
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