A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

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Board of Directors Part 114th June 2013Performance Exception Report2012/13 - June1 Purpose of the ReportThis report accompanies the Performance Indicator Matrix and outlines the Trust’sperformance exceptions against key access and performance targets for the monthof April 2013, as set out in Everyone counts: Planning for Patients 2013/14, theMonitor Compliance Framework and in our contracts.2 Accident and EmergencyPerformance against 4 Hour Maximum Waiting TimeThe performance for April was 94.01%, below the threshold of 95%. Following aninitial below threshold performance this has now improved.3 CancerTwo week wait from referral to date first seen for symptomatic breast patientsTwo patients were not seen within two weeks due to patient choice. Due to the lownumber of referrals in the month, this also resulted in a below thresholdperformance, however, the target was achieved across the quarter.4 Stroke IndicatorsPerformance against Stroke Best Practice Tariff and Network indicatorsStrokeTotal Patients(April)Number ofPatients FailingTarget (April)April 2013TIA High Risk Patients 44 17 61.4%TIA Low Risk Patients 22 3 86.4%Performance Monitoring Page 1 of 3For Information
Board of Directors Part 114th June 2013Alteplase (Thrombolysis) 3 0 100%90% Time Spent on Stroke Ward 55 21 61.8%Direct Admission to Stroke Unitwithin 4 hoursBrain Imaging – urgent within 1hourBrain Imaging – other within 24hours50 23 54.0%16 1 93.8%51 5 90.2%TIA High Risk performance improved to 61.4% compared to 40% in March. 17patients failed the target. Of these 7 were due to reduced clinics or clinics full, 2patients had a delay in GP referral, 2 changed appointment times and 1 was due topatient choice. TIA Low Risk performance improved to 86.4% in April compared to81% in March.Performance against the 90% time on the stroke unit target improved in April.61.8% of patients had 90% of their stay on a Stroke Unit compared to 44% inMarch. 21 patients failed the target for various reasons including poor prognosis,treatment required prior to transfer, patients awaiting discharge transferred off of theunit and bed capacity.54% of patients had a Direct Admission to the Stroke Unit within 4 Hours comparedto 43.9% in March. Non compliance was primarily due to bed capacity and delayeddiagnosis, but also included patients with poor prognosis who were appropriatelymanaged on other wards. 64% of patients had a direct admission to the stroke unit(regardless of 4hr) compared to 58% in March.5 Cancelled OperationsPatients not seen within 28 days of cancellation - YTD Cumulative rate (
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EnforcementGuidance28 March 2013Mon
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ForewordThe Health and Social Care
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1 IntroductionThe Health and Social
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Table 1.1 Monitor’s enforcement p
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Licence enforcementDiscretionary re
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Competition lawMonitor has concurre
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SeriousnessMonitor will take into a
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provide regular case updates to par
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Non-compliance penaltiesUnder sched
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AnnexMonitor’s powers of enforcem
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Board of Directors Business Program
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A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

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