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

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Board of Directors Part 114th June 20136 AttendanceSickness absence rate (4% current; 3% stretch)Sickness slightly increased in April with an absence rate of 3.58%, compared to3.55% in March. The Trust cumulative absence rate is 3.75%, which continues to bebelow the current target of 4% although above the stretch target of 3%.7 Appraisals90% of appraisals completed within one yearThe Trust achieved 68.51% compliance with the annual appraisal target in Aprilcompared to 70.58% in March. All directorates have developed an action plan andare confirming an indicative trajectory for recovery.8 Admitted RTT – Speciality Level90% of patients on an admitted pathway treated within 18 weeksAs previously anticipated at the Trust Board admitted RTT performance was belowthreshold in General Surgery, Urology, Orthopaedics and Gynaecology. These havebeen predominantly due to elective cancellations as a result of the urgent carepressures and the knock on impact of rebooking patients, as well as the impact offast track referral pathways.9 RecommendationThe TMB are requested to note the performance exceptions to theTrust’s compliance with the 2013/14 Monitor and OperatingFramework requirements.HELEN LINGHAMCHIEF OPERATING OFFICERPerformance Monitoring Page 3 of 3For Information
2013/14 PERFORMANCE INDICATOR MATRIX FOR BOARD OF DIRECTORSArea Indicator Measure Target Monitor Jan-13 Feb-13 Mar-13 Apr-13RAG ThresholdsMonitor Governance Targets & IndicatorsInfection MRSA Bacteraemias Number of hospital acquired MRSA cases - Monitor de-minimis 6 1.0 00 > 1 trajectory < trajectoryReferral toTreatmentCancerRTT Admitted 18 weeks from GP referral to 1 st treatment – specialty level 90% 1.0 91.5%90.5% =90%RTT Non Admitted 18 weeks from GP referral to 1st treatment – specialty level 95% 1.0 98.6%98.6% =95%RTT Incomplete pathway 18 weeks from GP referral to 1st treatment – specialty level 92% 1.0 95.3%96.3% =92%2 week wait From referral to to date first seen - all urgent referrals 93%0.591.4% 94.5% 93.1% =93%2 week wait From referral to to date first seen - for symptomatic breast patients 93% 93.1% 100.0% 92.0% =93%31 day wait From diagnosis to first treatment 96% 0.5 97.1% 97.1% 97.0% =96%31 day wait For second or subsequent treatment - Surgery 94% 100.0% 100.0% 100.0% =94%31 day wait For second or subsequent treatment - anti cancer drug treatments 98% 1.0 100.0% 100.0% 100.0% =98%31 day wait For second or subsequent treatment - radiotherapy 94% =94%62 day wait For first treatment from urgent GP referral for suspected cancer 85%1.085.6% 86.5% 89.2% =85%62 day wait For first treatment from NHS cancer screening service referral 90% 100.0% 100.0% 100.0% =90%A&E 4 hr maximum waiting time From arrival to admission / transfer / discharge 95% 1.0 96.8%94.0% =95%LD Patients with a learning disability Compliance with requirements regarding access to healthcare n/a 0.5 YesNo YesIndicators within the Operating Framework / Key Contractual PrioritiesTIA High Risk Patients High risk TIA cases investigated and treated within 24hrs 60% BPT 47% 61% 40% 61% < 50% 50% - 60% > 60%TIA Low Risk Patients % of patients seen, assessed & treated by stroke specialist < 7 days 100% BPT 83% 77% 81% 86% < 80% 80% - 90% >90%StrokeBrain Imaging – as per indicationsPatients with acute stroke meeting the indications receive brain imagingwithin 1 hr95% BPT 82% 71% 95% 94% < 80% 80% - 90% >90%Brain Imaging – other stroke Other stroke patients receive brain imaging within 24 hrs 100% BPT 95% 91% 92% 90% < 80% 80% - 90% >90%Direct admission to stroke unitPercentage of patients with suspected stroke admitted to a specialist strokeunit within 4 hrs of arrival90% BPT 54% 44% 44% 54% < 80% 80% - 90% >90%Alteplase (Thrombolysis) Percentage of appropriate patients receiving thrombolysis 100% BPT 100% 100% 100% 100% < 80% 80% - 90% >90%90% time spent on stroke wardPercentage of patients spending 90% or more of their time on the stroke wardduring their inpatient stay80% BPT 65% 33% 57% 62% < 70% 70% - 80% >80%MSA Mixed Sex Accommodation No of patients breaching the mixed sex accommodation requirement 0 0 0 0 0 > 0 0IC MRSA Bacteraemias Number of hospital acquired MRSA cases - national stretch 0 0 0 0 0 >= 1 0Cancer 62 day – Consultant upgrade Following a consultant’s decision to upgrade the patient priority * 90% 100.0% 100.0% 100.0% < 90% >=90%VTE Venous Thromboembolism Risk assessment of hospital-related venous thromboembolism 90% 93.7% 94.2% 94.2% 90.5%Diagnostics Six week diagnostic tests Less than 1% of patients to wait longer than 6 wks for a diagnostic test = 1% 0.9%-0.99%
Page 1 and 2: A meeting of the Board of Directors
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EnforcementGuidance28 March 2013Mon
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Licence enforcementDiscretionary re
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Competition lawMonitor has concurre
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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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