April 1st 2009 to March 31st 2010

Our Performance in more detail18 weeks Referral to TreatmentThe Trust has maintained its performance againstthe 18 week referral to treatment target for boththe admitted and non-admitted pathways sinceDecember 2007. During 2009 the Trust continuedto review and redesign pathways for the benefitof patients enabling the achievement of shorterwaiting times and delivery of the 18 week referralto treatment target across all specialties.Cancer Plan Access TargetsThe introduction and delivery of the new GoingFurther on Cancer Waits performance targetshas been a significant challenge for the Trust,particularly with regards to the delivery of the 62-day Screening target. The Trust failed to achievethe target in the first three quarters of the year.A great deal of work was undertaken to addressissues across organisations to shorten pathwaysfor patients identified with cancer through ascreening service and delivery of the target wasachieved in Quarter 4.Bowel Cancer Screening CentreThe Lancashire Bowel Cancer ScreeningProgramme has been in operation since April2008. The programme has demonstratedimproved outcomes in terms of the healthbenefits for patients who take up the offer ofbowel cancer screening, especially relating toearly detection and treatment of cancers.Through hard work and close co-operationbetween Acute Trusts, Endoscopy Units, PrimaryCare Trusts and Public Health Departments, wehave been able to roll out the programme acrossthe whole of Lancashire and patients are reapingthe benefits. Since April 2008 we have detected123 patients with cancer at an earlier stage.Over the next 12 months we will be extendingthe scheme to patients up to 75 years of age.Health Care Acquired InfectionsFollowing the significant reductions in MRSABacteraemia (78%) and Clostridium DifficileInfection (33%) in 2008/2009, the Trust hascontinued to embed Infection Preventionprinciples across the organisation to ensure thatthe risk of acquiring an infection for patients isfurther reduced.MRSA Bacteraemia rates continue to fall. FromApril 1st 2009 to March 31st 2010 there wereeight MRSA Bacteraemias, only three of which areattributed to the Acute Trust. The remaining fiveare attributed to the relevant PCT as an infectionthat developed in the community as opposed tothe hospital.There were 241 cases of Clostridium DifficileInfection (CDI) between April 2009 and March2010 in comparison to 315 in the same periodlast year. This demonstrates a percentagereduction of 23% which is above the 17% yearlyreduction incorporated into the three year plantrajectories. Of the 241 cases this year, 134 havebeen attributed to the Acute Trust. The Trust isrequired to achieve a 52% reduction in CDI ratesfrom the 2007 level by 2011. The Trust is currentlybelow the planned trajectory of 152 cases for2010/11 with a reduction of 58% in relation tothe 2007/08 figures.Further information on our work to prevent andreduce infections is outlined in our DeliveringPlans section on page 46.40Blackpool, Fylde and Wyre Hospitals