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NHS Performance RatingsAcute Trusts, Specialist Trusts, Ambulance Trusts,

Mental Health Trusts 2001/02

July 2002

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iii

Introduction

What is in the NHS Performance Ratings? 1

Developments in NHS Performance Ratings 1

How does the NHS Performance Ratingssystem work? 2

NHS Acute Trusts 2

Role of CHI in rating performance 4

NHS Specialist Trusts 4

NHS Ambulance Trusts 5

NHS Mental Health Trusts and NHS Community Trusts which provide mental health services 5

Results for 2001/02 7

How will the NHS Performance Ratings help to improve the quality of services? 8

Earned Autonomy and NHS Foundation Trusts 8

Franchising Arrangements 9

What NHS Performance Rating have Trusts received? 9

NHS Performance Ratings

Acute Trusts tables 10Specialist Trusts tables 26

Ambulance Trusts tables 28

Mental Health Trusts 30

Contents

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1

In September 2001, the Government published the first NHS Performance Ratings for NHS Trusts

providing acute hospital services. This was a step towards fulfilling our commitment to provide patients

and the general public with comprehensive, easily understandable information on the performance of

their local health services. Todays publication ofNHS Performance Ratings for 2001/02builds on that

and represents the next stage in delivering a more open and accountable National Health Service.

Patients and the public have a right to know how NHS organisations are performing. In April this year,

the Government announced a further substantial increase in funding for the NHS. Future publications

ofNHS Performance Ratingswill enable the public to see the impact of that extra funding on their localservices. This NHS Performance Ratingsgives a high level summary of the overall performance of NHS

Hospital and Ambulance Trusts against a number of key targets and important indicators of progress.

What is in the NHS Performance Ratings?

This years publication covers all NHS Trusts in England with ratings given for Acute Trusts, Specialist

Trusts, Ambulance Trusts and indicative ratings for Mental Health Trusts. Primary Care Organisations

(PCOs) are the subject of a parallel publication, describing their performance against a range of suitable

indicators. As they are relatively new NHS bodies nearly 60% came into existence as recently as April

2002 PCOs will receive their first overall star ratings in 2003, based on their performance during2002/03.

Summary reports have been produced for each type of NHS Trust, to explain to local people and the

Trust board how the Trust has fared in the ratings. Trusts will also want to use the ratings to judge how

well they are doing in comparison with others, so that successes can be shared and weaknesses addressed.

This publication ofNHS Performance Ratingsbrings together the publication of performance ratings

with the annual performance indicator publication (last published in February 2002). It gives the

position for 2001/02 using the latest data available for each indicator. The independent health service

inspectorate, the Commission for Health Improvement (CHI) has supported the production of theratings by providing information from its programme of clinical governance reviews.

Developments in NHS Performance Ratings

The method used to determine ratings is consistent with that used last year for NHS Trusts. This years

ratings however are tougher than last years, for example the key target on waiting times for cancer

treatment has been extended to cover all types of cancer not just breast cancer. They incorporate key

targets that cover the same priority areas as the 2000/01 ratings, a large and broader set of indicators and

also many more CHI reviews of Trust clinical governance arrangements. We use a balanced scorecard

approach in producing the overall rating for a Trust.

Introduction

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For next years ratings, CHI (which will be the independent regulator of NHS performance) will

take over from the Department of Health responsibility for performance ratings and indicators. The

Government will retain responsibility for setting priorities and key targets in the ratings, but CHI will be

responsible for the development of the methodology and for the ratings. CHI intends to indicate to the

NHS as soon as possible:

How their performance will be assessed for 2002/03. CHI will broadly follow and develop themethods used for 2001/02.

How the system of performance ratings and indicators will be further developed for 2004.

How does the NHS Performance Ratings system work?

The NHS Performance Ratingssystem places NHS Trusts in England into one of four categories:

Trusts with the highest levels of performanceare awarded a performance rating ofthree stars;

Trusts that areperforming well overall, but have not quite reached the same consistently highstandards, are awarded a performance rating oftwo stars;

Trusts where there is some cause for concernregarding particular areas of performance areawarded a performance rating ofone star;

Trusts that have shown thepoorest levels of performanceagainst the indicators are awarded aperformance rating ofzero stars.

Where a Trust has a low rating based on poor performance on a number of key targets and indicators,

this does not necessarily mean that a hospital is unsafe, does not contain some very good clinical services

or that the staff are not working hard in often difficult circumstances. It does mean that performance

must be improved in a number of key areas.

NHS Acute Trusts

Key Targets

All Acute Trusts have been assessed on their performance during 2001/02 against a limited number

of key targets and a larger number and range of indicators. The followingkey targets are the most

significant factors in determining overall performance ratings this year:

no patients waiting more than 18 months for inpatient treatment

fewer patients waiting more than 15 months for inpatient treatment

no patients waiting more than 26 weeks for outpatient treatment

fewer patients waiting on trolleys for more than 12 hours

less than 1% of operations cancelled on the day

no patients with suspected cancer waiting more than two weeks to be seen in hospital

improvement to the working lives of staff

hospital cleanliness

a satisfactory financial position

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Performance against targets is assessed in terms of whether the target has been achieved ( in the table),

whether there has been some degree of underachievement ( in the table) or whether the target was

significantly underachieved ( in the table). Trust performance is considered to be of concern if there are:

a sizeable number of targets with some degree of underachievement

or, a smaller number of targets against which there has been significant levels of underachievement

or a combination of both.

The broader range of indicators make up a balanced scorecard to refine the judgement on ratings.

These indicators have been chosen to provide a balance across the clinical, capacity and capability, and

patient focus areas outlined below:

Indicator

Clinical Focus

risk of clinical negligence

deaths within 30 days of surgery for patients admitted on an unplanned basis

deaths within 30 days of a heart bypass operation

emergency re-admissions to hospital following discharge

emergency re-admissions to hospital following discharge for children

emergency re-admission to hospital following treatment for a fractured hip

emergency re-admission to hospital following treatment for a stroke

returning home from hospital following treatment for a fractured hip

returning home from hospital following treatment for a stroke

Patient Focus

inpatients waiting less than six months for treatment

total inpatient waits

outpatients seen within 13 weeks

total time in A&E

cancelled operations not admitted within a month

heart operations

breast cancer

delayed discharges

inpatient survey of patients co-ordination of care

inpatient survey of patients environment and facilities

inpatient survey of patients information and education

inpatient survey of patients physical and emotional needs

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inpatient survey of patients prompt access

inpatient survey of patients respect and dignity

Capacity and Capability Focus

data quality as measured by the hospital inpatient activity data

staff satisfaction as measured by the staff opinion survey

compliance with the New Deal on junior doctors hours (working a maximum 56 hour week)

the sickness/absence rate for directly employed NHS staff

compliance with targets on confidentiality and information governance

Taken together with the key target measures, the measures of clinical, staff and patient focus constitute

a balanced scorecard approach. A Trust which has received a performance rating ofthree starswill

have demonstrated high standards of performance against the key targets and the three areas above.Similarly, Trusts with a performance rating oftwo starswill have demonstrated good standards

of performance in most, if not all, of these areas. Those Trusts with a performance rating ofone star

have demonstrated some areas for concern in either the key targets or the balanced scorecard. The Trusts

with a performance rating ofzero stars have shown significant areas for concern in the key targets.

The balanced scorecard approach allows a broad range of areas to be measured within a single

methodology. Trusts with high performance ratings therefore have to do well against a rounded set of

indicators. However, it is equally important to be aware that the approach uses high level summary data

and cannot go into every area in depth.

Role of CHI in rating performance

As last year, information from CHIs reviews is used in determining poorly performing (zero star) and

high-performing leading (three star) NHS organisations. CHI reviews will be taken into account for

those trusts where a report has been published since the last ratings were calculated.

A zero star Trust is one which either fails against the DH key targets or has been assessed as having

very poor clinical governance by CHI.

A three star Trust is one that does well on the DH indicators and, if a review has been undertaken, whichhas been reported as having good clinical governance by CHI.

NHS Specialist Trusts

For the first time, this year NHS Specialist Trusts are being star rated. The ratings methodology for

Specialist Trusts is similar to that for Acute Trusts. One of the key targets two week cancer waits and

some individual indicators are only appropriate for some individual Specialist Trusts. For instance two

week cancer waits are not appropriate for Specialist Trusts, such as Moorfields Eye Hospital, which do

not provide cancer services. Similarly emergency re-admissions to hospital following treatment for a

fractured hip is not appropriate to those Specialist Trusts, such as the Royal Marsden Hospital, whichdo not provide orthopaedics services. A Trust rating is allocated on the basis of those key targets and

indicators that are appropriate to the Specialist Trust concerned.

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The indicators for Specialist Trusts are selected, as appropriate to the functions of the individual Trust,

from the list detailed for Acute Trusts.

NHS Ambulance Trusts

For the first time this year, NHS Ambulance Trusts are being star rated. The ratings methodology for

Ambulance Trusts is similar to that for Acute Trusts except that the set of key targets and indicators is

smaller, reflecting the particular range of services offered by Ambulance Trusts. Ambulance Trust ratings

are based on this smaller set of key targets and indicators.

Key Targets

the number of urgent calls meeting the 8 minute target

the number of urgent calls meeting the 14/19 minute target



Indicators

Clinical Focus

the risk of clinical negligence

ensuring that thrombolysis protocols and procedures are in place

Patient Focus

the number of less urgent calls meeting the national 14/19 minute target

the number of GP urgent calls meeting national 15 minute target



staff opinion as measured by the staff opinion survey

NHS Mental Health Trusts and NHS Community Trusts which providemental health services

For the first time this year NHS Mental Health Trusts and Community Trusts that provide mental health

services are awarded an indicative star rating. Many of the mental health services provided by Community

Trusts last year are now provided by other NHS bodies. There are a fairly limited number of specific mental

health indicators currently available. These factors suggested that, while it is important to look now at the

performance of mental health services, we should use these ratings to begin that process rather than as afinished product in themselves. In practice this means the earned autonomy freedoms, and franchising

arrangements described later in this document will not apply to these Trusts during 2002/03. The mental

health indicator set will be developed to provide full ratings for these Trusts in 2003.

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The ratings methodology for NHS Mental Health Trusts is similar to that for Acute Trusts. The

exception is in the choice of indicators and key targets, some variations having been made to reflect the

specialised range of services provided by Mental Health Trusts.

Key Targets

the provision of assertive outreach teams

the integration of Community Mental Health Teams (CMHT)

no patients waiting more than twenty six weeks for an outpatient appointment


hospital cleanliness


Indicators

Clinical Focus

the risk of clinical negligence

number of psychiatric re-admissions

inpatient suicide rates

having Care Programme Approach (CPA) systems in place

Patient Focus

number of outpatients seen within 13 weeks


the number of missed outpatient appointments

staff satisfaction as measured by the staff opinion survey

compliance with the New Deal on junior doctors hours (working a maximum 56 hour week)


compliance with targets on confidentiality and information governance

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How will the NHS Performance Ratings help to improve the quality of services?

Performance ratings are used by NHS Trusts to assess and improve their performance. Summary reports

are produced for each NHS Trust Board. NHS Trusts will want to consider their overall rating, as well

as their score on individual performance indicators, and take action where necessary to improve.

In addition, the ratings are used to incentivise improvements in performance. There are rewards for

good performance and support to sort out poor performance.

Earned Autonomy and NHS Foundation Trusts

The best performing NHS Trusts those with three stars will get earned autonomy freedoms to

help them become even better. They will receive an additional capital allocation of up to 1m to support

service development and the following freedoms:

Higher Delegated Limits for the approval of capital investments

Retention of more of the proceeds of local land sales for re-investment in local services

Less frequent monitoring from the Centre

Direct access to fair shares of central budgets without the need to bid

Opportunity to shape national policy

They will be used as the pilot sites for new initiatives e.g. Agenda for Change implementor sites

Fewer and better co-ordinated inspections

Additional funds from the Local Capital Modernisation Fund Removal of management cost limits

Additional freedom when establishing spin-out companies

Automatic eligibility for the Register of Expertise in franchising poorly performing NHS Trusts

Additional funding for sabbaticals to support the Trust in contributing to the work of theDepartment of Health and the Modernisation Agency

Eligibility to apply for NHS Foundation Trust status

In April this year we published Delivering the NHS Plan: next steps on investment, next steps on reform,in which we outlined a vision for developing a new type of organisation NHS Foundation Trusts

fully part of the NHS but with greater independence from Whitehall control. NHS Foundation Trusts

will reflect the spirit of public sector enterprise that our plans for reform are designed to unleash. They

will have freedom to develop their board and governance structures to ensure more effective involvement

of patients, staff, the local community and other key stakeholders.

In the first instance, the best performing Acute and Specialist Trusts will be invited to apply for NHS

Foundation status on the basis of their 2001/02 ratings. We will shortly make an announcement on the

NHS Foundation Trust application process. At this time we will set out the additional criteria for applying

to become a NHS Foundation Trust and outline the material that will be required for preliminary

applications.

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Franchising Arrangements

The handful of NHS Trusts with zero starswill receive the extra help and external support necessary

to turn them around. It would not be acceptable to local patients to let poor performance continue.

The Modernisation Agency will bring in expertise from elsewhere in the NHS. Local managers will have

to develop immediate plans to improve performance. If this does not happen, the management of the

hospital will be put out to franchise.

NHS Trust franchising finds the best available managers to take on the role of Chief Executive and,

where necessary, supporting teams. The prime concern under new management arrangements will be

to address the particular areas where a Trust has performed poorly and to demonstrate the capacity to

improve performance. The incoming Chief Executive will be responsible for the management of all areas

of the Trusts business, and will report to the Trust board on all aspects of its performance.

Franchise arrangements will be subject to tender from an approved list of both NHS and non-NHS

individuals and organisations which meet a given set of criteria. Interested individuals and organisations

have been invited to apply to be included on the approved list, the NHS Franchising Register of Expertise.

What NHS Performance Rating have Trusts received?

NHS Performance Ratingsare being awarded to most NHS Trusts in England, based on their

performance during 2001/02. Trusts are listed according to their performance rating in the table below.

Further information is available on the following Department of Health website:

www.doh.gov.uk/performanceratings/2002

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10

NHS Performance Ratings Acute Trusts 2001/02

ORGANISATION RATING KEY TARGETS CLINICAL FOCUS

Eighteenmonthinpatientwaits

Fifteenmonthinpatien

twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits

Improvingworkinglives

Hospitalcleanliness

Financialmanagement

Clinicalnegligence

Deathwithin30daysofsurgery

(non-electiveadmissio

ns)

Deathwithin30daysofaheartbypass

operation

Emergencyreadmissiontohospital

followingdischarge


followingdischargefo

rchildren


followingtreatmentfo

rafracturedhip



rastroke

Returninghomefollow

inghospital

treatmentforfractured

hip

Key Targets Achieved Underachieved Significantly underachieved

Acute Trusts

Coveragen/a Not applicable a Data not available b Data not provided

Addenbrookes NHS Trust 4 3 n/a 1 1 3 3 3

Aintree Hospitals NHS Trust 4 3 n/a 1 n/a 3 3 3

Basildon and ThurrockGeneral Hospitals NHS Trust 4 3 n/a 5 3 3 3 3

Blackburn, Hyndburn andRibble Valley Health Care 4 3 n/a 1 3 3 3 1NHS Trust

Blackpool Victoria HospitalNHS Trust 4 3 3 1 3 3 3 3

Bradford Hospitals NHS Trust 4 3 n/a 5 5 3 3 3

Burnley Health Care NHS Trust 5 3 n/a 3 1 3 3 1

Calderdale and HuddersfieldNHS Trust 4 5 n/a 3 3 3 3 5

City Hospitals SunderlandNHS Trust 4 3 n/a 3 5 3 3 3

Countess of Chester HospitalNHS Trust 5 3 n/a 5 3 3 3 3

Doncaster and BassetlawHospitals NHS Trust 4 3 n/a 3 3 3 3 5

East Cheshire NHS Trust 4 3 n/a 3 3 3 3 3

East Gloucestershire NHS Trust 4 1 n/a 5 5 3 3 3

Essex Rivers HealthcareNHS Trust 4 1 n/a 5 3 3 3 3

Frimley Park Hospital NHS Trust

5 1 n/a 5 3 3 3 3

Gloucestershire Royal NHS Trust 4 3 n/a 5 3 3 1 3

Guys and St Thomas NHS Trust 4 5 3 3 5 3 3 3

Heatherwood and WexhamPark Hospitals NHS Trust 1 3 n/a 5 1 3 3 3

Homerton University HospitalNHS Trust 4 3 n/a 3 3 3 3 3

James Paget HealthcareNHS Trust, Norfolk 4 1 n/a 3 1 3 3 3

Kings College Hospital NHS Trust 4 3 3 1 5 3 3 3

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PATIENT FOCUS CAPACITY & CAPABILITY FOCUS CHI

Returninghomefollow

inghospital

treatmentforstroke

Sixmonthinpatientwaits

Totalinpatientwaits

Thirteenweekoutpatientwaits

TotaltimeinA&E

Cancelledoperationsn

otadmitted

withinamonth

Heartoperationwaits

Breastcancertreatmen

t

Delayeddischarges

InpatientsurveyCoo

rdinationofcare

InpatientsurveyEnvironmentand

facilities

InpatientsurveyInfo

rmationand

education

InpatientsurveyPhysicaland

emotionalneeds

InpatientsurveyPromptaccess

InpatientsurveyRespectanddignity

Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate

Informationgovernanc

e

Reviewsbetween19/0

9/01and12/07/02

Focus Areas5 Significantly above average 4 Above average 3 Average 2 Below average 1 Significantly below average

CHI Reviewn/a Not applicable Significant area of weakness Some strengths Many strengths Significant strengths

3 3 2 3 3 2 n/a 2 2 3 3 3 4 3 3 2 5 4 4 5

3 3 3 3 1 3 n/a 5 3 3 4 4 4 2 4 4 2 3 3 4 n/a

3 4 3 4 1 3 n/a 5 1 2 2 2 2 2 1 5 3 3 3 4 n/a

3 3 3 4 4 3 n/a 5 5 4 4 3 3 3 4 4 4 3 3 3 n/a

3 3 3 3 4 5 1 2 5 3 4 3 3 3 3 4 a 5 2 3 n/a

3 3 4 4 4 5 n/a 5 5 4 3 2 3 4 3 2 a 3 3 4

3 2 2 2 4 3 n/a 5 5 3 3 3 3 3 3 4 3 4 2 2 n/a

3 5 4 3 4 5 n/a 3 4 4 3 4 4 4 4 3 2 4 3 2 n/a

3 3 3 2 4 3 n/a 5 3 4 3 3 3 4 4 3 3 4 2 5

3 1 3 3 3 2 n/a 5 4 3 3 4 4 4 4 2 3 5 3 3 n/a

3 5 4 4 5 3 n/a 5 4 3 4 4 3 4 4 5 3 a 2 4

3 4 1 2 3 2 n/a 3 4 4 4 4 3 3 3 5 3 3 2 4 n/a

3 4 3 4 5 3 n/a 5 3 4 3 4 3 4 2 4 5 2 3 3 n/a

1 3 3 2 3 5 n/a 5 4 2 3 3 2 3 2 4 2 3 4 4 n/a

1 3 3 3 3 3 n/a 3 1 3 3 2 3 2 3 3 4 4 5 4

3 4 3 3 4 2 n/a 5 3 3 3 4 4 3 3 4 3 2 2 3 n/a

3 2 5 1 2 5 5 2 3 3 2 3 4 3 3 1 3 4 5 3 n/a

3 4 3 4 3 5 n/a 5 2 3 2 3 2 3 2 4 3 2 a 5 n/a

3 5 5 3 3 5 n/a 5 4 1 2 2 1 2 2 2 5 5 3 5 n/a

3 3 1 3 3 5 n/a 3 2 4 4 4 4 5 5 4 3 3 5 3

3 3 3 4 2 3 5 5 3 2 1 2 2 3 2 2 3 4 3 5 n/a

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Lewisham Hospital NHS Trust 4 5 n/a 1 1 1 1 1

Newcastle Upon TyneHospitals NHS Trust 4 1 3 1 1 3 3 3

North Tees and HartlepoolNHS Trust 4 5 n/a 1 3 3 3 3

Northallerton HealthServices NHS Trust 4 3 n/a 5 3 3 3 3

Northern Lincolnshire andGoole Hospitals NHS Trust 1 3 n/a 5 3 3 3 3

Peterborough HospitalsNHS Trust 4 3 n/a 3 1 3 3 5

Queens Medical Centre,Nottingham University 4 1 n/a 1 3 3 3 3Hospital NHS Trust

Rochdale Healthcare NHS Trust 4 3 n/a 5 3 3 3 3

Rotherham General HospitalsNHS Trust 5 3 n/a 1 3 3 3 3

Royal Devon and ExeterHealthcare NHS Trust 5 5 n/a 5 5 3 3 3

Sandwell Healthcare NHS Trust 4 3 n/a 5 3 3 3 3

Sheffield Teaching HospitalsNHS Trust 4 3 1 1 n/a 3 3 3

South BuckinghamshireNHS Trust 4 3 n/a 5 5 3 3 3

South Durham Health CareNHS Trust 4 3 n/a 1 1 3 3 3

Southampton University

Hospitals NHS Trust 4 5 3 1 3 3 3 3

Southern Derbyshire AcuteHospitals NHS Trust 5 3 n/a 3 5 3 3 5

St Marys NHS Trust, London 4 5 3 5 5 3 3 3

Stockport NHS Trust 4 3 n/a 3 1 3 3 3

University College LondonHospitals NHS Trust 4 3 1 1 n/a 3 3 3

University Hospital BirminghamNHS Trust 5 1 3 1 n/a 3 3 3

Walsall Hospitals NHS Trust 4 3 n/a 1 3 3 3 3



twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence



ns)


operation


followingdischarge



rchildren



rafracturedhip



rastroke

Returninghomefollow

inghospital


hip



Acute Trusts

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13



Returninghomefollow

inghospital

treatmentforstroke


Totalinpatientwaits


TotaltimeinA&E


otadmitted

withinamonth

Heartoperationwaits


t

Delayeddischarges

InpatientsurveyCoo

rdinationofcare


facilities

InpatientsurveyInfo

rmationand

education


emotionalneeds



Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

Reviewsbetween19/0

9/01and12/07/02

1 2 2 2 3 3 n/a n/a 2 2 3 2 2 2 1 1 5 4 3 3

3 3 2 3 4 3 5 5 3 4 4 5 5 4 5 5 2 3 3 5

5 4 3 4 5 5 n/a 5 3 4 3 4 4 3 4 3 4 3 3 4

3 5 5 5 5 5 n/a 5 3 5 5 5 5 5 5 1 a 4 3 3 n/a

3 4 5 4 3 5 n/a 5 a 3 3 3 2 4 3 3 3 3 3 3 n/a

3 4 2 2 3 2 n/a 5 1 3 3 3 3 3 3 3 4 3 3 5

3 3 4 3 3 5 n/a n/a 4 3 3 3 3 2 3 2 3 3 2 3

3 3 2 3 2 5 n/a 2 n/a 3 5 3 3 3 3 5 3 3 1 2 n/a

3 5 3 4 3 3 n/a 3 3 2 3 3 3 4 2 5 4 2 1 3 n/a

3 3 3 3 4 3 5 3 3 3 4 3 4 3 4 4 3 2 3 3

3 5 4 2 3 3 n/a 2 3 3 4 3 3 2 2 3 3 3 a 4

3 3 3 2 3 3 5 5 3 3 4 4 4 3 4 5 a 3 a 4 n/a

3 3 4 4 3 5 n/a 5 2 3 2 3 4 3 3 3 4 1 4 2 n/a

3 4 4 5 5 3 n/a 5 3 5 4 4 4 5 5 2 3 3 3 4 n/a

3 3 3 4 3 3 5 2 2 3 3 3 4 3 2 3 3 2 4 4 n/a

3 4 4 3 2 5 n/a 5 4 4 4 3 3 3 4 2 3 2 4 3 n/a

3 3 4 3 1 3 5 5 3 3 1 2 3 2 1 2 a 2 a 3

3 2 3 3 3 3 n/a 5 5 4 3 2 3 3 3 5 3 3 2 3

3 3 4 3 3 3 5 3 3 3 3 4 4 3 3 3 3 3 3 4 n/a

3 3 5 5 4 5 5 3 4 1 2 3 2 3 1 4 5 3 3 5 n/a

1 4 3 3 5 5 n/a n/a 3 3 3 3 3 4 3 5 2 3 2 3 n/a



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West Dorset General HospitalsNHS Trust 4 5 n/a 5 3 3 3 3

Wirral Hospital NHS Trust 5 5 n/a 1 1 3 3 1

York Health Services NHS Trust 4 5 n/a 5 5 3 3 3

Airedale NHS Trust 4 3 n/a 3 3 3 3 3

Barnsley District GeneralHospital NHS Trust 5 1 n/a 1 3 3 3 3

Barts and The London NHS Trust * 4 5 3 1 3 3 3 3

Birmingham Heartlands andSolihull (Teaching) NHS Trust 5 3 n/a 1 3 3 3 1

Bolton Hospitals NHS Trust 4 1 n/a 1 1 1 n/a 1

Brighton Health Care NHS Trust 4 3 3 5 5 3 3 1

Burton Hospitals NHS Trust 4 3 n/a 5 5 3 3 3

Bury Health Care NHS Trust 4 3 n/a 3 5 3 3 3

Central Manchester andManchester Childrens 1 3 3 3 3 3 3 3University NHS Trust

Chelsea and WestminsterHealthcare NHS Trust 4 1 n/a 1 1 1 1 1

Chesterfield and NorthDerbyshire Royal Hospital 5 3 n/a 3 3 3 5 1NHS Trust

City Hospital NHS Trust,

Birmingham 4 3 n/a 3 5 3 3 1

Dewsbury Health CareNHS Trust 5 3 n/a 1 3 3 3 3

Dudley Group of HospitalsNHS Trust 5 1 n/a 5 3 3 3 1

Ealing Hospital NHS Trust 4 5 n/a 5 5 3 3 3

East Somerset NHS Trust 4 1 n/a 5 3 3 3 3

Epsom and St Helier NHS Trust 1 1 n/a 5 5 3 3 3

Gateshead Health NHS Trust 4 1 n/a 1 3 1 3 3



twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence



ns)


operation


followingdischarge



rchildren



rafracturedhip



rastroke

Returninghomefollow

inghospital


hip



Acute Trusts

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George Eliot Hospital NHS Trust,Warwickshire 4 3 n/a 5 3 3 3 3

Hammersmith HospitalsNHS Trust 4 3 3 3 5 3 3 3

Harrogate Health Care NHS Trust 4 3 n/a 5 1 5 3 3

Hereford Hospitals NHS Trust 4 5 n/a 5 5 3 5 3

Hillingdon Hospital NHS Trust 4 3 n/a 5 5 3 3 3

Hull and East YorkshireHospitals NHS Trust 4 3 3 1 5 3 3 5

Isle of Wight HealthcareNHS Trust 4 3 n/a 3 5 3 3 3

Kettering General HospitalNHS Trust 5 3 n/a 5 5 3 3 3

Kingston Hospital NHS Trust 4 3 n/a 5 5 3 3 3

Leeds Teaching HospitalsNHS Trust 4 1 5 1 1 3 3 3

Luton and Dunstable HospitalNHS Trust 4 3 n/a 3 1 3 3 3

Maidstone and TunbridgeWells NHS Trust 4 3 n/a 5 5 3 3 3

Mayday Healthcare NHS Trust,Surrey 4 1 n/a 5 5 3 3 3

Medway NHS Trust 4 3 n/a 1 1 3 n/a 1

Mid Cheshire Hospitals

NHS Trust 4 1 n/a 1 3 3 3 3

Mid Essex Hospital ServicesNHS Trust 4 5 n/a 5 3 3 3 5

Mid Staffordshire GeneralHospitals NHS Trust 4 3 n/a 5 1 3 3 3

Morecambe Bay HospitalsNHS Trust 4 3 n/a 5 5 3 3 3

Newham Healthcare NHS Trust 4 1 n/a 5 n/a 3 3 3

Norfolk and NorwichUniversity Hospital NHS Trust 5 3 n/a 5 1 5 3 1

North Cumbria AcuteHospitals NHS Trust 4 3 n/a 5 3 3 3 3



twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence



ns)


operation


followingdischarge



rchildren



rafracturedhip



rastroke

Returninghomefollow

inghospital


hip



Acute Trusts

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17



Returninghomefollow

inghospital

treatmentforstroke


Totalinpatientwaits


TotaltimeinA&E


otadmitted

withinamonth

Heartoperationwaits


t

Delayeddischarges

InpatientsurveyCoo

rdinationofcare


facilities

InpatientsurveyInfo

rmationand

education


emotionalneeds



Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

Reviewsbetween19/0

9/01and12/07/02

3 3 5 3 3 3 n/a n/a 3 3 5 3 3 2 3 3 1 5 1 2 n/a

3 4 4 4 2 5 5 5 3 3 2 3 3 3 3 4 3 2 4 3 n/a

3 4 4 5 5 5 n/a 5 4 3 4 5 4 4 5 3 3 3 5 4

3 2 4 3 4 5 n/a 5 2 2 3 3 3 4 2 3 1 4 5 2

3 4 4 2 2 5 n/a 5 1 1 1 1 1 1 3 3 4 1 4 3

3 2 3 2 2 2 5 2 4 3 2 2 1 3 1 2 3 3 3 4

3 2 1 4 4 3 n/a 5 3 4 3 3 3 3 4 3 5 3 3 3

1 3 4 3 3 3 n/a n/a 2 2 3 2 2 2 2 3 3 1 a 4

3 3 3 3 1 5 n/a 5 2 2 1 2 2 1 2 3 3 2 a 4 n/a

5 3 3 2 2 2 5 5 a 3 3 5 4 3 3 3 2 2 3 1 n/a

3 4 3 3 2 5 n/a 5 4 2 2 1 1 2 2 3 4 3 3 5 n/a

3 2 3 3 2 3 n/a n/a 2 2 2 3 3 2 1 3 3 1 4 3 n/a

3 3 3 3 2 2 n/a 1 3 2 1 1 1 1 3 2 3 5 a 2

n/a 2 3 4 3 5 n/a 5 3 1 2 1 1 2 1 3 4 3 2 4 n/a

1 3 5 3 5 2 n/a 5 4 3 3 2 3 3 3 3 2 3 3 4

3 2 2 3 2 3 n/a 5 5 2 3 2 2 3 3 3 2 4 3 1 n/a

3 3 3 3 4 2 n/a 5 2 3 4 2 2 2 3 4 3 5 2 2

3 3 3 3 5 2 n/a 1 2 4 5 4 5 4 5 3 1 3 1 3

1 4 5 3 1 1 n/a 5 4 1 1 1 1 1 1 1 3 3 3 2

3 3 1 2 3 3 n/a 3 4 3 1 2 4 4 3 5 2 3 2 3 n/a

3 2 3 4 5 2 n/a 3 2 4 3 3 3 4 3 3 1 a 3 2 n/a


CHI Reviewn/a Not applicable Significant area of weakness Some strengths Many strengths Significant strengths See p.24

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18



North Durham Health CareNHS Trust 4 3 n/a 1 3 3 3 5

North Hampshire HospitalsNHS Trust 4 5 n/a 5 3 3 3 3

North Manchester HealthcareNHS Trust 4 1 n/a 5 n/a 3 3 3

North Middlesex UniversityHospital NHS Trust 4 3 n/a 1 3 3 3 3

North Staffordshire HospitalNHS Trust 5 3 3 5 1 3 3 3

Northern Devon HealthcareNHS Trust 4 3 n/a 5 3 3 3 3

Northumbria Health CareNHS Trust 4 5 n/a 1 3 1 3 3

Nottingham City HospitalNHS Trust n/a 4 3 3 1 3 n/a 3 n/a

Oldham NHS Trust 4 3 n/a 1 1 3 3 3

Pinderfields and PontefractHospitals NHS Trust 5 5 n/a 1 5 3 3 5

Poole Hospitals NHS Trust 4 5 n/a 1 1 3 3 3

Preston, Chorley and SouthRibble NHS Trust 4 1 n/a 5 5 3 3 3

Queen Elizabeth HospitalNHS Trust 4 3 n/a 5 5 3 3 3

Royal Berkshire and BattleHospitals NHS Trust 4 1 n/a 5 3 3 3 1

Royal Bournemouth and

Christchurch Hospitals NHS Trust 4 3 n/a 5 5 n/a 3 n/a

Royal Free Hampstead NHS Trust 4 3 3 5 5 3 3 5

Royal Liverpool and BroadgreenHospitals University Hospitals 4 1 n/a 1 n/a 3 3 1NHS Trust

Royal Shrewsbury HospitalsNHS Trust 5 5 n/a 3 3 3 3 3

Royal Surrey County HospitalNHS Trust 5 3 n/a 5 3 3 3 5

Royal Wolverhampton HospitalsNHS Trust 4 3 n/a 1 1 3 3 5

Salisbury Health Care NHS Trust 4 3 n/a 5 5 3 3 3



twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence



ns)


operation


followingdischarge



rchildren



rafracturedhip



rastroke

Returninghomefollow

inghospital


hip



Acute Trusts

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19



Returninghomefollow

inghospital

treatmentforstroke


Totalinpatientwaits


TotaltimeinA&E


otadmitted

withinamonth

Heartoperationwaits


t

Delayeddischarges

InpatientsurveyCoo

rdinationofcare


facilities

InpatientsurveyInfo

rmationand

education


emotionalneeds



Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

Reviewsbetween19/0

9/01and12/07/02

5 3 2 2 2 2 n/a 5 3 5 4 5 4 4 4 2 3 3 1 4 n/a

3 3 3 3 3 3 n/a 5 1 2 3 3 3 4 3 3 4 1 5 3 n/a

3 4 3 2 2 5 n/a 2 3 2 2 2 3 2 3 5 4 3 1 4 n/a

3 2 3 1 3 5 n/a 5 3 1 1 1 1 1 2 4 3 2 a 3 n/a

3 3 2 1 1 2 5 2 3 3 4 3 3 2 3 3 3 3 1 3

3 3 3 5 4 3 n/a 5 4 3 4 3 3 5 5 5 2 3 2 3

5 3 5 4 4 3 n/a 5 5 4 3 2 3 4 3 4 1 2 3 4

5 3 2 4 n/a 3 5 1 4 3 3 3 3 3 3 4 4 3 2 4

3 4 3 4 3 3 n/a 2 4 4 3 4 3 3 4 4 3 3 2 2

3 2 3 3 4 1 n/a 3 4 4 3 2 3 3 2 3 3 4 2 2 n/a

3 5 4 5 3 3 n/a 3 3 3 5 3 4 2 4 2 4 2 2 1 n/a

1 4 3 2 3 5 n/a 5 4 3 5 3 3 4 3 n/a n/a 3 3 3

3 4 1 2 1 5 n/a 5 2 1 2 1 2 1 2 3 3 3 a 4 n/a

3 2 3 2 2 2 n/a 5 3 3 3 3 2 3 2 3 3 2 5 5 n/a

3 5 3 5 3 5 n/a 5 3 3 3 3 3 3 3 3 4 4 1 5

3 3 4 2 4 3 5 1 3 2 2 3 2 3 3 3 3 2 5 3

3 2 3 1 1 3 n/a 1 4 2 2 2 2 2 3 5 3 4 3 2 n/a

3 3 3 3 4 2 n/a 5 5 4 5 4 3 4 4 2 3 5 4 3

3 1 3 3 2 3 n/a 2 1 1 2 3 2 1 3 2 4 2 4 3

3 4 5 3 4 3 n/a 5 5 4 3 2 4 3 3 3 2 3 3 2

3 3 2 5 3 1 n/a 5 2 3 3 3 3 3 2 3 5 1 2 4



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20





twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence



ns)


operation


followingdischarge



rchildren



rafracturedhip



rastroke

Returninghomefollow

inghospital


hip



Acute Trusts

Scarborough and North EastYorkshire Health Care NHS Trust 4 3 n/a 3 5 3 3 3

Sherwood Forest HospitalsNHS Trust 4 3 n/a 1 3 3 5 1

South Devon Health CareNHS Trust 4 3 n/a 5 5 3 5 3

South Tees Hospitals NHS Trust 4 3 3 1 1 3 3 3

South Tyneside Health CareNHS Trust 4 3 n/a 1 5 3 3 5

Southend Hospital NHS Trust 4 3 n/a 1 5 1 1 3

Southport and OrmskirkHospital NHS Trust 5 3 n/a 5 3 3 3 3

St Georges HealthcareNHS Trust, London 4 3 3 1 5 3 3 3

Swindon and MarlboroughNHS Trust 4 3 n/a 5 3 3 3 3

Taunton and Somerset NHS Trust 4 3 n/a 5 5 3 3 3

Trafford Healthcare NHS Trust 4 3 n/a 5 3 3 3 3

United Lincolnshire HospitalsNHS Trust 4 1 n/a 3 1 3 3 3

University Hospitals of LeicesterNHS Trust 4 1 3 1 1 3 3 3

Whittington HospitalNHS Trust, London 5 3 n/a 3 5 3 3 5

Winchester and Eastleigh

Healthcare NHS Trust 4 1 n/a 3 3 3 3 1

Worcestershire AcuteHospitals NHS Trust 4 3 n/a 5 5 3 3 5

Wrightington, Wigan andLeigh NHS Trust 4 1 n/a 1 5 3 3 1

Ashford and St Peters HospitalsNHS Trust 5 3 n/a 5 5 3 3 3

Barking, Havering andRedbridge Hospitals NHS Trust 4 1 n/a 5 5 3 3 1

Bromley Hospitals NHS Trust 4 1 n/a 1 1 1 1 1

Dartford and GraveshamNHS Trust 4 1 n/a 1 3 1 3 3

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21



Returninghomefollow

inghospital

treatmentforstroke


Totalinpatientwaits


TotaltimeinA&E


otadmitted

withinamonth

Heartoperationwaits


t

Delayeddischarges

InpatientsurveyCoo

rdinationofcare


facilities

InpatientsurveyInfo

rmationand

education


emotionalneeds



Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

Reviewsbetween19/0

9/01and12/07/02

3 3 4 4 5 5 n/a 5 3 3 5 3 4 5 4 2 1 3 3 1

1 4 4 2 4 5 n/a 5 3 2 3 3 5 3 2 4 3 3 2 3 n/a

3 3 2 5 3 2 n/a 5 3 4 3 3 3 3 3 2 2 2 4 5 n/a

3 3 3 3 4 3 5 5 3 4 5 4 5 5 4 3 3 4 3 3 n/a

3 5 5 3 4 5 n/a 5 3 4 4 4 2 4 4 3 4 3 2 2

3 3 3 4 3 3 n/a 3 2 2 3 3 3 3 4 3 5 3 4 3

3 2 4 3 4 5 n/a 5 4 3 3 3 2 3 3 4 3 3 3 3

3 2 1 2 2 1 5 1 4 2 2 3 2 2 1 3 4 2 4 1 n/a

3 3 2 3 3 2 n/a 2 2 2 2 3 2 3 2 4 3 2 1 4 n/a

3 3 3 3 5 3 n/a 2 2 5 4 4 3 5 4 2 3 3 3 4

3 3 3 3 3 3 n/a 5 3 4 3 3 3 2 4 3 4 4 1 3

3 3 3 3 4 3 n/a 1 4 4 4 5 5 4 4 4 a 3 3 1 n/a

3 4 4 2 1 3 5 3 4 3 3 4 4 3 3 3 2 3 1 1 n/a

3 4 4 3 3 2 n/a 5 2 1 2 2 1 1 1 3 5 2 4 3

3 2 2 3 3 3 n/a 5 2 4 4 2 3 3 3 4 5 1 5 3

3 2 3 3 3 3 n/a 5 3 3 3 2 2 3 2 1 1 2 3 3 n/a

3 3 3 3 b 3 n/a 1 3 3 4 2 3 3 3 5 2 4 2 3 n/a

3 2 4 3 4 3 n/a 5 2 2 1 1 1 1 2 1 3 1 5 3

3 1 2 1 3 1 n/a 2 2 1 2 1 1 1 1 3 2 a 4 3 n/a

1 1 2 4 2 2 n/a 3 3 3 3 3 3 2 2 1 3 4 a 3

3 2 3 3 1 5 n/a 1 1 1 3 2 2 1 3 2 3 2 3 4 n/a



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22





twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence



ns)


operation


followingdischarge



rchildren



rafracturedhip



rastroke

Returninghomefollow

inghospital


hip



Acute Trusts

East and North HertfordshireNHS Trust 4 1 n/a 3 3 3 3 5

East Kent Hospitals NHS Trust 4 3 n/a 1 3 3 3 3

Eastbourne Hospitals NHS Trust 4 3 n/a 5 1 3 3 5

Hastings and Rother NHS Trust 4 3 n/a 1 3 3 3 5

Ipswich Hospital NHS Trust 4 1 n/a 1 1 1 1 1

Kings Lynn and WisbechHospitals NHS Trust 5 1 n/a 1 1 1 1 1

Mid Sussex NHS Trust 4 3 n/a 1 1 1 1 1

Milton Keynes GeneralHospital NHS Trust 4 3 n/a 1 1 3 3 3

North Bristol NHS Trust 4 1 n/a 5 1 3 3 3

North Cheshire HospitalsNHS Trust 1 3 n/a 1 3 3 3 3

North West London HospitalsNHS Trust 4 1 n/a 1 1 1 1 n/a

Northampton General HospitalNHS Trust 5 3 n/a 3 1 3 3 3

Oxford Radcliffe HospitalsNHS Trust 4 3 3 1 5 3 3 3

Plymouth Hospitals NHS Trust 4 3 5 1 3 3 3 3

Princess Alexandra Hospital

NHS Trust, Essex 4 3 n/a 5 5 3 3 3

Princess Royal HospitalNHS Trust, Shropshire 4 3 n/a 1 1 3 3 5

Queen Marys Sidcup NHS Trust 4 3 n/a 5 3 3 3 5

Royal Cornwall HospitalsNHS Trust 4 5 n/a 5 3 3 3 1

Royal West Sussex NHS Trust 5 1 n/a 5 3 3 3 1

Salford Royal HospitalsNHS Trust 4 1 n/a 1 n/a 3 3 3

South Manchester UniversityHospitals NHS Trust 4 3 3 5 5 3 3 3

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23



Returninghomefollow

inghospital

treatmentforstroke


Totalinpatientwaits


TotaltimeinA&E


otadmitted

withinamonth

Heartoperationwaits


t

Delayeddischarges

InpatientsurveyCoo

rdinationofcare


facilities

InpatientsurveyInfo

rmationand

education


emotionalneeds



Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

Reviewsbetween19/0

9/01and12/07/02

3 3 3 2 3 1 n/a 3 3 3 1 4 4 3 3 2 3 3 3 2

3 2 2 2 3 3 n/a 2 3 2 2 3 2 2 3 2 2 1 3 3

1 2 2 4 3 3 n/a 5 1 3 2 1 3 3 3 3 3 3 4 3

3 3 3 2 3 2 n/a 5 1 3 3 2 3 3 3 3 2 3 4 3 n/a

1 3 2 2 3 3 n/a 5 3 3 3 4 3 4 3 2 4 3 3 3

1 2 3 2 3 2 n/a 5 3 3 4 3 4 3 3 3 2 3 2 2

1 1 3 2 3 2 n/a 5 1 2 3 3 3 3 2 2 a 1 3 2 n/a

3 1 2 1 3 1 n/a 5 3 2 2 2 2 2 2 2 2 2 4 3

3 1 1 3 3 2 n/a 5 2 3 3 4 3 3 3 3 3 1 3 3

3 1 4 5 3 3 n/a 2 3 5 3 4 5 3 4 3 3 3 1 1 n/a

1 3 2 4 2 2 n/a 1 3 1 1 2 2 1 2 2 4 2 5 3

3 2 2 2 2 1 n/a 2 2 3 2 3 3 3 3 3 4 4 a 4

3 3 2 3 1 1 5 2 3 4 2 4 4 3 2 3 3 1 5 1

3 1 2 1 3 3 5 5 3 2 2 3 2 3 2 1 1 2 4 4

3 2 4 3 2 5 n/a 1 3 n/a n/a n/a n/a n/a n/a 4 2 4 3 3

3 5 3 1 4 2 n/a 2 5 3 4 3 3 4 3 4 2 3 3 3 n/a

3 1 3 1 2 2 n/a 5 2 2 1 1 1 2 1 1 1 5 3 3 n/a

3 3 3 3 3 2 n/a 5 3 2 4 4 4 2 3 1 2 4 1 3

1 2 2 3 2 3 n/a 2 3 3 5 3 3 3 4 2 5 4 4 3

5 3 2 2 3 3 n/a 5 3 3 3 3 4 3 4 3 2 4 4 4

3 3 1 3 3 3 5 5 5 4 3 3 4 3 4 3 2 3 2 5



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24





twaits

Twentysixweekoutpa

tientwaits

Twelvehourtrolleywa

its

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence



ns)


operation


followingdischarge



rchildren



rafracturedhip



rastroke

Returninghomefollow

inghospital


hipAcute Trusts

St Helens and KnowsleyHospitals NHS Trust 4 3 n/a 1 1 3 3 3

Stoke Mandeville HospitalNHS Trust 4 5 n/a 5 5 3 3 3

Surrey and Sussex HealthcareNHS Trust 4 3 n/a 5 3 3 3 3

Tameside and Glossop AcuteServices NHS Trust 5 1 n/a 5 5 3 3 3

University Hospitals Coventryand Warwickshire NHS Trust 1 1 1 1 5 3 3 3

West Hertfordshire HospitalsNHS Trust 4 1 n/a 5 n/a 3 3 1

West Middlesex UniversityNHS Trust 4 3 n/a 5 5 3 3 3

West Suffolk Hospitals NHS Trust 4 3 n/a 5 5 3 3 3

Whipps Cross UniversityHospital NHS Trust 4 3 n/a 3 5 3 1 5

Worthing and SouthlandsHospitals NHS Trust 4 1 n/a 1 1 1 1 3

Barnet and Chase FarmHospitals NHS Trust 4 3 n/a 5 3 3 3 3

Bedford Hospitals NHS Trust 4 1 n/a 1 1 1 1 5

Good Hope Hospital NHS Trust,West Mids 4 3 n/a 5 5 3 3 3

Hinchingbrooke Health CareNHS Trust 4 3 n/a 3 1 3 3 3

Portsmouth Hospitals NHS Trust

1 3 n/a 1 3 3 3 3

Royal United Hospital BathNHS Trust 4 5 n/a 5 3 5 3 3

South Warwickshire GeneralHospitals NHS Trust 4 3 n/a 3 3 3 3 1

United Bristol HealthcareNHS Trust 5 5 5 5 5 3 3 3

Weston Area Health NHS Trust 4 3 n/a 3 n/a 3 3 3



Notes* Barts and The London NHS Trust had a number of long outpatient waits due to administrative error which was not the fault of the Trust. Hull and East Yorkshire Hospitals NHS Trust had a CHI review report published prior to 18th September, which was considered as part of last years Performance Ratings. The report highlighted

some strengths, but not at the level required for the award of three stars. Their CHI report has also been used in determining their current Performance Rating because they have made insufficientprogress with the recommendations in their CHI reports, as assessed by the Department of Health.

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25



Returninghomefollow

inghospital

treatmentforstroke


Totalinpatientwaits


TotaltimeinA&E


otadmitted

withinamonth

Heartoperationwaits


t

Delayeddischarges

InpatientsurveyCoo

rdinationofcare


facilities

InpatientsurveyInfo

rmationand

education


emotionalneeds



Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

Reviewsbetween19/0

9/01and12/07/02



5 3 3 3 1 1 n/a 5 1 2 3 4 3 2 4 3 a 3 2 3

3 3 3 3 2 5 n/a 5 3 3 3 4 3 3 2 3 5 1 5 3 n/a

3 1 3 3 2 2 n/a n/a 1 n/a n/a n/a n/a n/a n/a 2 2 1 3 2 n/a

3 4 2 3 2 1 n/a 2 3 1 3 1 3 2 3 5 1 4 2 2

3 3 1 1 3 5 5 5 2 2 2 3 2 2 3 3 3 4 1 4 n/a

1 2 4 3 2 3 n/a 2 3 2 1 3 3 3 3 1 a 3 3 1 n/a

3 2 4 4 1 5 n/a 2 1 1 1 1 1 1 2 3 2 3 a 2

3 1 1 2 3 2 n/a 5 3 3 3 2 2 3 3 3 2 4 1 3 n/a

3 1 2 1 1 1 n/a 5 2 2 1 2 1 1 1 3 4 a a 2 n/a

3 1 2 1 3 3 n/a 3 3 3 2 3 3 3 3 1 2 4 4 4

3 2 2 1 2 1 n/a n/a 3 1 1 1 1 1 2 3 1 3 a 3

3 1 2 1 3 1 n/a 5 3 3 3 1 2 1 3 1 4 2 3 1 n/a

3 4 3 4 3 5 n/a 5 2 1 2 2 1 1 2 4 3 3 4 1 n/a

3 3 1 3 4 2 n/a 2 2 3 3 2 2 2 1 2 4 2 3 2 7

3 3 2 2 5 3 n/a 3 2 3 4 5 4 4 4 2 2 2 2 3

3 1 1 4 1 1 n/a 2 3 3 4 2 3 2 3 2 2 1 4 1

3 4 3 1 4 3 n/a n/a 3 2 3 4 3 3 3 3 1 4 3 4

3 3 2 2 2 2 5 1 2 3 2 4 4 3 3 4 4 3 3 3 n/a

3 1 1 2 3 2 n/a 2 3 1 3 2 1 2 1 2 5 3 4 5

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Specialist Trusts

26

NHS Performance Ratings Specialist Trusts 2001/02

ORGANISATION RATING KEY TARGETS CLINICAL FOCUS PATIENT FOCUS

Moorfields Eye HospitalNHS Trust, London n/a 5 n/a n/a n/a 5 5 3 n/a n/a

Nuffield OrthopaedicNHS Trust, Oxford n/a 4 n/a n/a 2 4 1 5 n/a n/a

Papworth Hospital NHS Trust n/a 4 3 n/a 3 5 n/a 5 5 n/a

Queen Victoria HospitalNHS Trust, Sussex n/a 4 n/a n/a 3 3 3 5 n/a 1

Robert Jones and AgnesHunt Orthopaedic and District n/a 5 n/a n/a 1 3 2 5 n/a n/aHospital NHS Trust, Shropshire

Royal Marsden HospitalNHS Trust, London 4 n/a n/a 5 1 n/a 5 n/a 3

Royal National Hospital forRheumatic Diseases NHS Trust, n/a n/a 4 n/a n/a 5 5 4 n/a n/a n/aBath

Birmingham Womens HealthCare NHS Trust 5 n/a n/a 5 5 5 5 n/a n/a

Cardiothoracic Centre Liverpool NHS Trust n/a 4 1 n/a 3 1 n/a 2 5 n/a

Christie Hospital NHS Trust,Manchester 4 n/a n/a 4 3 n/a 5 n/a 5

Clatterbridge Centre forOncology NHS Trust n/a n/a 4 n/a n/a 5 3 n/a n/a n/a 5

Great Ormond Street Hospitalfor Children NHS Trust, London n/a 5 n/a 5 3 4 3 3 n/a n/a

Liverpool Womens HospitalNHS Trust 4 n/a n/a 5 4 5 5 n/a n/a

Royal Brompton andHarefield NHS Trust n/a 4 3 n/a 3 3 n/a 3 5 n/a

Royal Liverpool Childrens

NHS Trust 4 n/a 5 5 3 4 2 n/a n/a

Royal Orthopaedic HospitalNHS Trust, Birmingham n/a 4 n/a n/a 4 5 3 5 n/a n/a

Sheffield Childrens HospitalNHS Trust 4 n/a 1 4 5 3 3 n/a n/a

Walton Centre for Neurologyand Neurosurgery NHS Trust n/a 4 n/a n/a 4 3 1 3 n/a n/a

Birmingham Childrens HospitalNHS Trust 1 n/a 3 4 2 5 3 n/a n/a

Royal National OrthopaedicHospital NHS Trust, Middlesex n/a 4 n/a n/a 2 1 1 5 n/a n/a



twaits

Twentysixweekoutpa

tientwaits

Cancelledoperations

Twoweekcancerwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence


operation



rchildren


Totalinpatientwaits



otadmitted

withinamonth

Heartoperationwaits


t



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27

NHS Performance Ratings Specialist Trusts 2001/02

CAPACITY & CAPABILITY FOCUS CHI

Delayeddischarges

InpatientsurveyCoo

rdinationofcare

InpatientSurveyEnvironmentand

facilities

InpatientSurveyInfo

rmationand

education

InpatientSurveyPhysicalandemotional

needs

InpatientSurveyPromptaccess


Dataquality

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

Reviewsbetween19/0

9/01and12/07/02

n/a 5 5 5 5 5 5 3 a 3 4 3

4 5 4 5 5 4 5 3 3 1 5 3 n/a

5 5 4 5 5 5 5 3 5 3 4 3

5 4 4 5 5 5 3 3 5 1 4 3 n/a

5 5 5 5 5 5 5 1 3 5 4 4

a 5 5 5 5 5 5 4 4 3 3 4 n/a

n/a 5 5 4 4 5 5 2 4 5 2 3 n/a

4 n/a n/a n/a n/a n/a n/a 4 3 1 3 4

a 5 5 5 5 5 5 4 3 4 3 5 n/a

a n/a n/a n/a n/a n/a n/a 4 4 5 4 3 n/a

n/a n/a n/a n/a n/a n/a n/a 5 4 2 1 3

5 n/a n/a n/a n/a n/a n/a 4 5 3 5 4 n/a

n/a n/a n/a n/a n/a n/a n/a 3 1 5 1 4

a 5 3 5 5 5 5 1 4 2 2 3 n/a

5 n/a n/a n/a n/a n/a n/a 5 3 5 2 3 n/a

4 4 3 5 4 4 4 4 1 4 2 2 n/a

5 n/a n/a n/a n/a n/a n/a 3 4 2 5 5 n/a

3 5 4 4 5 5 5 3 a 3 3 4 n/a

5 n/a n/a n/a n/a n/a n/a 4 2 3 3 3 n/a

4 4 2 5 4 4 3 2 2 5 5 1



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28

NHS Performance Ratings Ambulance Trusts 2001/02

ORGANISATION RATING KEY TARGETS CLINICAL PATIENTFOCUS FOCUS

Bedfordshire and HertfordshireAmbulance and Paramedic 4 a 3 3 3 2Service NHS Trust

East Anglian AmbulanceNHS Trust 4 5 3 3 4 3

Kent Ambulance NHS Trust 4 5 3 3 4 2

Lancashire Ambulance ServiceNHS Trust 5 5 4 5 4 5

North East Ambulance ServiceNHS Trust 4 5 3 3 2 3

Royal Berkshire AmbulanceService NHS Trust 4 5 4 2 3 a

Shropshires Community andMental Health Services 4 a 5 5 a 4

Staffordshire AmbulanceService NHS Trust 4 5 5 4 3 3

Surrey Ambulance ServiceNHS Trust 4 a 3 3 4 4

Two Shires AmbulanceNHS Trust, Milton Keynes 4 5 5 4 4 4

Warwickshire AmbulanceService NHS Trust 4 5 3 4 3 4

West Midlands metropolitanAmbulance Service NHS Trust 4 5 3 2 2 4

Cumbria Ambulance ServiceNHS Trust 2 5 3 5 4 3

East Midlands AmbulanceService NHS Trust 4 5 1 2 2 3

Essex Ambulance Service

NHS Trust 4 5 3 4 2 1

Gloucestershire AmbulanceServices NHS Trust 2 a 4 4 3 2

Greater Manchester AmbulanceService NHS Trust 4 5 2 1 3 4

Hereford and WorcesterAmbulance Service NHS Trust 4 5 4 3 1 3

Isle of Wight HealthcareNHS Trust a 5 5 5 5

Lincolnshire Ambulance andHealth Transport Service 5 5 4 3 a 1NHS Trust

London Ambulance ServiceNHS Trust 5 a 1 1 5 3

CategoryAcallsmeeting8mintarget

CategoryAcallsmeeting14/19min

target


Financialmanagement

Clinicalnegligence

Thrombolysisprotocolsandprocedures

CategoryB/Ccallsme

etingnational

14/19minutetarget

GPurgentcallsmeetin

gnational

15minutetarget

Staffopinionsurvey

Sicknessabsencerate



CAPACITY &CAPABILITY

FOCUS

Ambulance Trusts

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Ambulance Trusts

29

NHS Performance Ratings Ambulance Trusts 2001/02


ORGANISATION RATING KEY TARGETS CLINICAL PATIENTFOCUS FOCUS

CategoryAcallsmeeting8mintarget

CategoryAcallsmeeting14/19min

target


Financialmanagement

Clinicalnegligence

Thrombolysisprotocolsandprocedures

CategoryB/Ccallsme

etingnational

14/19minutetarget

GPurgentcallsmeetin

gnational

15minutetarget

Staffopinionsurvey

Sicknessabsencerate

CAPACITY &CAPABILITY

FOCUS

Oxfordshire AmbulanceNHS Trust 4 5 2 1 3 3

South Yorkshire MetropolitanAmbulance and Paramedic 4 5 3 3 3 3Service NHS Trust

Sussex Ambulance ServiceNHS Trust 4 a 2 3 3 2

Tees East and North YorkshireAmbulance Service NHS Trust 4 5 4 3 2 2

West Yorkshire MetropolitanAmbulance Service NHS Trust 4 a 3 4 1 5

Westcountry AmbulanceServices NHS Trust 5 5 2 3 4 3

Wiltshire Ambulance ServiceNHS Trust 4 a 3 3 a 5

Avon Ambulance ServiceNHS Trust 4 a 1 2 3 2

Dorset Ambulance NHS Trust 2 5 3 3 1 3

Hampshire Ambulance ServiceNHS Trust 5 a 2 2 2 1

Mersey Regional AmbulanceService NHS Trust 2 a 2 2 3 3

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NHS Performance Ratings Mental Health Trusts 2001/02

ORGANISATION RATING KEY TARGETS CLINICAL FOCUS CAPACITY & CAPABILITY FOCUS

Barnsley Community andPriority Services NHS Trust 5 4 5 5 3 2 3 5 4 a

Dorset Health Care NHS Trust 5 5 4 5 5 3 3 5 4 a

Guild Community HealthcareNHS Trust, Preston 5 5 2 5 5 3 a 5 3 a

South Birmingham MentalHealth NHS Trust 5 3 3 5 3 2 3 5 5 3

Avon and Wiltshire MentalHealth Partnership NHS Trust 5 4 4 2 5 3 3 1 3 4

Berkshire Healthcare NHS Trust 3 3 a 5 3 5 a 3 5 a

Black Country Mental HealthNHS Trust a 5 3 3 5 4 1 a 5 a 4

Blackpool, Wyre and FyldeCommunity Health Services 5 4 a a 4 4 2 5 a aNHS Trust

Bournewood Community andMental Health NHS Trust a 5 a a 5 3 4 a 5 1 a

Bradford Community HealthNHS Trust 3 5 4 2 3 4 3 5 4 3

Buckinghamshire MentalHealth NHS Trust 3 4 4 5 3 3 3 n/a 3 2

Community Health Care Service(North Derbyshire) NHS Trust 5 4 5 2 2 3 3 a 4 a

Community Health SheffieldNHS Trust 5 3 4 5 1 2 5 5 2 a

Cornwall Healthcare NHS Trust 5 a a 5 3 3 3 5 3 a

County Durham and Darlington

Priority Services NHS Trust 3 5 4 5 3 3 1 5 4 3

Coventry Healthcare NHS Trust 5 3 2 a 3 2 5 5 2 a

Doncaster and South HumberHealthcare NHS Trust 5 2 3 5 5 2 3 a 4 a

Dudley Priority Health NHS Trust 5 3 3 5 5 3 a 5 4 a

East Kent Community NHS Trust 3 1 1 5 2 4 2 a 3 a

Eastbourne and CountyHealthcare NHS Trust 3 a a 5 3 4 4 5 4 a

Harrow and HillingdonHealthcare NHS Trust 3 a a 5 4 1 a 2 a a

Assertiveoutreachteams

CMHTintegration

Twentysixweekoutpa

tientwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence

Psychiatricreadmissions

Preventingsuicide

CPAsystems


Missedoutpatientapp

ointments

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e



PATIENT

FOCUS

Mental Health Trusts

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Hertfordshire PartnershipNHS Trust 3 4 3 5 2 3 3 2 3 a

Hounslow and SpelthorneCommunity and Mental Health a 5 a a a 4 2 a a a aNHS Trust

Hull and East RidingCommunity Health NHS Trust a 5 4 3 5 2 3 4 5 5 a

Invicta Community CareNHS Trust, Kent 5 3 2 5 3 5 4 1 2 5

Lifespan Health Care NHS Trust,Cambridge a a 5 a a a 2 3 a 5 4 a

Lincolnshire HealthcareNHS Trust a 3 3 3 5 3 3 2 5 4 a

Manchester Mental HealthPartnership a 3 a 3 5 3 2 n/a 2 2 2

Mental Health Services ofSalford NHS Trust 3 4 4 5 4 3 2 5 2 4

Mersey Care NHS Trust 3 5 4 5 3 1 1 5 1 1

Newcastle, North Tyneside andNorthumberland Mental Health 5 3 a 2 3 2 a 5 1 4NHS Trust

North and East DevonPartnership NHS Trust 3 3 a 5 4 3 a 5 3 3

North Cumbria Mental Healthand Learning Disabilities 5 1 5 5 4 3 1 5 3 2NHS Trust

North East London MentalHealth NHS Trust 5 2 3 5 2 2 3 5 4 3

North Sefton and WestLancashire Community a 5 3 5 a 5 4 a 5 3 aNHS Trust

North Staffordshire Combined

Healthcare NHS Trust a 5 4 a 5 3 4 3 3 2 a

North Warwickshire NHS Trust 5 a a 5 4 3 2 5 2 a

Northamptonshire HealthcareNHS Trust 5 1 2 5 3 4 2 a a a

Northern BirminghamMental Health NHS Trust n/a 5 5 3 5 n/a 1 2 5 3 2

Nottinghamshire HealthcareNHS Trust 3 5 2 5 3 5 3 2 2 2

Oxfordshire Mental HealthcareNHS Trust n/a 3 4 5 5 5 2 1 3 4

Oxleas NHS Trust, Kent n/a 3 3 3 5 n/a 2 5 3 3 3


CMHTintegration

Twentysixweekoutpa

tientwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence


Preventingsuicide

CPAsystems


Missedoutpatientapp

ointments

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

PATIENT

FOCUS


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Portsmouth Health CareNHS Trust 5 a a a 3 5 a a 3 a

Priority Healthcare WearsideNHS Trust 3 3 3 5 2 3 4 a 2 a

Rotherham Priority HealthServices NHS Trust 3 2 3 5 4 3 a 5 2 a

Severn NHS Trust 3 2 1 5 2 5 a a 3 a

Somerset Partnership NHS andSocial Care Trust 5 2 1 5 3 4 3 5 2 4

South Downs Health NHS Trust 5 a a 5 4 3 4 5 5 a

South London and MaudsleyNHS Trust 5 3 5 b 4 3 4 5 5 5

South Staffordshire HealthcareNHS Trust 5 a a 5 2 4 4 5 4 a

South West London andSt Georges Mental Health 5 4 3 5 3 3 4 2 3 3

NHS TrustSouthern DerbyshireCommunity and Mental Health 5 3 3 5 4 3 2 2 4 aServices NHS Trust

Surrey Hampshire BordersNHS Trust 5 3 4 2 3 3 2 1 5 a

Surrey Oaklands NHS Trust 5 a a 5 3 3 1 5 2 a

Sussex Weald and DownsNHS Trust 5 a a a 2 5 4 5 4 a

Tameside and GlossopCommunity and Priority a 5 3 1 5 2 4 a 5 3 aServices NHS Trust

Tees and North East Yorkshire

NHS Trust 5 3 5 5 4 3 3 5 2 a

Thames Gateway NHS Trust 5 3 4 5 5 3 a 3 1 a

Wakefield and PontefractCommunity Health NHS Trust 5 2 3 5 3 2 a a 2 a

Walsall Community HealthNHS Trust a 5 2 2 5 1 4 a 5 3 a

Warrington CommunityHealth Care NHS Trust 5 a 5 a 2 2 3 5 5 a

West London Mental HealthNHS Trust a 3 2 2 5 3 2 2 5 1 4

Wirral and West CheshireCommunity NHS Trust 5 a a 5 4 3 5 2 3 a


CMHTintegration

Twentysixweekoutpa

tientwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence


Preventingsuicide

CPAsystems


Missedoutpatientapp

ointments

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e



PATIENT

FOCUS


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Wolverhampton Health CareNHS Trust 5 3 2 2 3 3 a 5 3 a

Worcestershire Community andMental Health NHS Trust a 5 4 3 a 1 1 3 5 a a

Worthing Priority Care ServicesNHS Trust a 5 a a a 5 5 1 a 4 a

Barnet, Enfield and HaringeyMental Health NHS Trust 3 3 2 5 1 3 a 2 4 1

Brent, Kensington, Chelsea andWestminster Mental Health 3 3 3 5 1 1 4 2 a 3NHS Trust

Camden and Islington MentalHealth NHS Trust 5 1 3 5 3 1 a 2 a 3

East London and The CityMental Health NHS Trust 3 2 a 5 2 1 3 2 4 3

Leeds Community and MentalHealth Services Teaching 3 1 3 2 3 2 3 2 3 aNHS Trust

Leicestershire and RutlandHealthcare NHS Trust a 3 2 3 5 2 4 3 1 3 a

Local Health PartnershipsNHS Trust, Ipswich 3 a a 2 3 3 3 1 2 a

Norfolk Mental Health CareNHS Trust 5 3 2 2 3 5 1 2 1 5

North Essex Mental HealthPartnership NHS Trust 3 3 2 5 3 4 3 2 3 1

North West Anglia HealthCare NHS Trust 3 a a 5 1 2 3 a 3 a

Shropshires Community andMental Health Services NHS Trust 5 1 2 5 1 4 a 5 3 a

South Essex Mental Health and

Community Care NHS Trust 5 2 3 5 1 a 3 a 2 a

West Hampshire NHS Trust 3 3 3 2 4 3 3 1 3 3

Bedfordshire and LutonCommunity NHS Trust 5 2 4 5 3 2 a a a a

South Warwickshire CombinedCare NHS Trust 5 a a 5 3 3 2 5 5 a

Tavistock and PortmanNHS Trust (1) n/a n/a 5 n/a n/a 5 2 4 5 n/a 5 3

Calderstones NHS Trust,Lanchashire(2) n/a n/a n/a 5 n/a n/a n/a n/a n/a 4 n/a 3 5

Oxfordshire LearningDisability NHS Trust(2) n/a n/a n/a 3 n/a n/a n/a n/a n/a 5 n/a 3 2


CMHTintegration

Twentysixweekoutpa

tientwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence


Preventingsuicide

CPAsystems


Missedoutpatientapp

ointments

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e

PATIENT

FOCUS


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New Possibilities NHS Trust,Colchester(2) n/a n/a n/a 5 n/a n/a n/a 2 n/a 4 5 3 2

Northgate and PrudhoeNHS Trust, Northumberland(2) n/a n/a 5 4 n/a n/a 4 n/a 5 5 3 4


CMHTintegration

Twentysixweekoutpa

tientwaits


Hospitalcleanliness

Financialmanagement

Clinicalnegligence


Preventingsuicide

CPAsystems


Missedoutpatientapp

ointments

Staffopinionsurvey

Juniordoctorshours

Sicknessabsencerate


e



PATIENT

FOCUS


Balanced Scorecard5 Significantly above average 4 Above average 3 Average 2 Below average 1 Significantly below average

Notes(1) Comparisons with other Mental Health Trusts are invalid because of significant differences in the services provided.(2) On the basis of the few indicators that apply to these Trusts, they have been assigned two stars. Comparisons with Mental Health Trusts are invalid because of significant differences in

the services provided. CHI review undertaken between 19 September 2001 and 12 July 2002 identified some strengths.

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DH_4059773

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