Integrated Performance Report - Haringey CCG Papers/20170713/Item 5.2b... · CCG Diagnostics 6 week...

Haringey CCG Performance and Quality

Summary

June 2017

Contents

2

Item Page

Haringey CCG Quality and Performance Dashboard 3

Haringey CCG Performance Summary 4

Haringey CCG Quality Summary 6

Haringey CCG Mental Health Performance Dashboard 7

North Middlesex University Hospital Performance Dashboard 8

North Middlesex University Hospital Quality Dashboard 9

Whittington Health Provider Summary

Whittington Health Performance Dashboard

11

12

Whittington Health Quality & Performance Dashboard – Community Services

Whittington Health – Community Services Summary

Whittington Health Quality Dashboard

13

14

15

Barnet, Enfield and Haringey Mental Health Trust Performance Summary 17

Barnet, Enfield and Haringey Mental Health Trust Performance Dashboard

Barnet, Enfield and Haringey Mental Health Trust Psychiatric Liaison

18

19

NCL Integrated Urgent Care Service (IUC) M10 – Summary 20

LAS Summary 24

Glossary of Terms and Data Sources 26

Haringey CCG Quality and Performance

Dashboard

3

Theme KPI / Measure Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-172016-17

YTD

2016-17

Target

A&E A&E All Types Performance 77.8% 80.7% 81.4% 84.2% 90.3% 93.1% 90.5% 88.8% 86.0% 83.8% 81.3% 86.0% 88.0% 86.1% 95%

18

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18 Weeks RTT Admitted 82.1% 81.4% 84.7% 85.3% 85.4% 86.3% 82.2% 83.0% 82.5% 83.6% 81.9% 79.1% 80.4% 79.9% 83.0% N/A

18 Weeks RTT Non-Admitted 93.1% 92.6% 93.6% 92.3% 94.0% 93.6% 92.6% 93.2% 92.9% 93.5% 94.1% 93.3% 93.5% 93.6% 93.3% N/A

18 Weeks RTT Incomplete Pathways 93.5% 94.2% 94.3% 94.5% 94.7% 93.6% 93.8% 93.8% 94.0% 93.5% 93.5% 93.6% 93.5% 92.8% 93.9% 92%

6 Weeks Diagnostic Waits 0.9% 1.9% 1.4% 0.9% 1.03% 1.14% 0.7% 1.1% 1.1% 1.4% 1.3% 0.4% 0.6% 1.0% 1.1% 1%

>52 weeks wait Admitted 1 0 1 1 1 0 1 1 2 3 9 9 8 1 36 -

>52 week waits Non Admitted 7 6 12 11 7 3 5 5 5 2 5 6 2 7 69 -

>52 week waits Incomplete 0 0 0 0 0 1 2 2 3 1 1 1 0 1 11 0

Can

ce

r W

ait

s

2 Week Cancer Wait 97.3% 95.2% 93.4% 95.5% 96.5% 95.9% 95.0% 95.5% 96.3% 94.3% 93.4% 96.5% 94.0% 95.1% 93%

2 Week Cancer Wait:

Breast Symptoms95.6% 89.2% 90.1% 95.4% 95.4% 95.4% 97.2% 97.4% 98.7% 94.0% 91.7% 99.3% 90.1% 94.5% 93%

31 day Cancer Wait:

1st definitive treatment97.3% 98.5% 97.1% 98.2% 97.0% 97.6% 96.3% 98.6% 98.7% 97.7% 98.8% 97.2% 98.9% 97.9% 96%

31 Day Cancer Wait:

Subsequent treatment (Surgery)100.0% 100.0% 91.7% 100.0% 91.7% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 95.0% 81.3% 95.3% 94%

31 Day Cancer Wait:

Subsequent treatment (Chemotherapy)100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 96.4% 100.0% 100.0% 100.0% 100.0% 100.0% 99.7% 98%

31 Day Cancer Wait: Subsequent

treatment (Radiotherapy)100.0% 100.0% 100.0% 100.0% 100.0% 97.2% 100.0% 100.0% 93.1% 100.0% 100.0% 100.0% 97.0% 98.8% 94%

62 Day Cancer Wait:

GP Referral96.3% 71.4% 79.5% 91.7% 85.2% 76.9% 65.6% 75.7% 86.7% 85.7% 91.4% 81.5% 85.4% 81.4% 85%

62 Day Cancer Wait:

Screening service100.0% 100.0% 100.0% 100.0% 100.0% 94.1% 93.3% 83.3% 85.7% 83.3% 90.0% 85.7% 83.3% 91.0% 90%

62 Day Cancer Wait:

Consultant Upgrade92.9% 86.7% 93.3% 88.9% 92.3% 92.9% 77.8% 100.0% 92.3% 85.0% 88.2% 86.7% 83.3% 88.8% No Threshold

Qu

ali

ty

MRSA reported infections 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0

C. Difficile reported infections 7 6 4 4 7 7 4 3 3 3 7 0 3 51 50

Mixed Sex Accommodation (MSA)

(Number of breaches)1 1 0 1 2 1 1 1 6 4 3 1 4 2 25 0

Haringey CCG

Performance Summary

Key Messages

Accident & Emergency (A&E)

Haringey CCG is underperforming against the 4 hour A&E access standard of 95%, performance for March 2017 was 86.0%. There has been a slight

improvement in performance month on month over the last three months since January 2017. The underperformance is due to Haringey CCG’s two main

A&E providers; North Middlesex University Hospital (NMUH) and Whittington Health where performance is below the operational standard and the

Sustainability and Transformation Fund (STF) performance trajectories.

Performance improvement at NMUH has slowed with the trust failing to achieve either the national standard or their STF over the fourth quarter of 2016-

2017. The key issues effecting the Emergency Department are: higher demand, high numbers of Delayed Transfers of Care (DTOC), Medically Optimised

(MO) patients and a higher proportion of patients needing health and social care support on discharge. Each of these factors effect departmental flow to the

detriment of patients waiting to be seen and have contributed to the lack of progress against the standard. The Commissioner & Trust are committed in

2017/18 to working collaboratively to reduce the numbers of MO and DTOC patients, to enhance performance.

Whittington Health underperformed against the A&E 4 hour standard in March 2017. However, performance has improved month on month since January

2017 and is on course to meet the trajectory outlined in the Islington A&E Delivery Board Improvement Plan.

6 week Diagnostic waits

CCG Diagnostics 6 week wait performance has worsened; performance in April 2017 being 1% compared to 0.6% in March 2017, against the less than 1%

standard. However Trust (NMUH) performance met the target for March 2017 (0.68%) due to the Trust having addressed staffing and capacity issues.

Commissioners have received assurance from NMUH that performance is sustainable, and the Action Plan has been closed. Proactive monitoring of

performance will continue.

Haringey CCG

Performance Summary

Key Messages

Cancer access standards

Haringey CCG missed three out of the nine cancer standards in March. These were:

• 2 Week Cancer Wait: Breast Symptoms 90.1%,

• 31 Day Cancer Wait: Subsequent treatment (Surgery) 81.3%

• 62 Day Cancer Wait: Screening service 83.3%.

NMUH the main cancer provider for Haringey CCG achieved all these standards in March 2017.

NMUH expect to achieve the 62 Day Cancer Wait: GP Referral standard for the fourth quarter of 2016-17. Sustainability against this standard remains an

issue which commissioners are monitoring to ensure there are no slippages in the coming months.

RTT

Performance against the RTT incomplete pathways standard remains strong for Haringey CCG. Performance in April 2017 stood at 92.8% against the

standard of 92%. NMUH the main provider achieved the trajectory for the 18-week Referral to Treatment standard achieved 96.82% against the standard

of 92% in April 2017.

In April 2017 there was 1 Admitted 52 weeks’ waiter at Haringey CCG, recorded at Imperial College Healthcare NHS for General Surgery. There were 7

Non-Admitted 52 weeks’ waiters at Haringey CCG. All patients were at Royal Free London NHS Foundation Trust, comprising of:

• Cardiology x 1

• Ophthalmology x 1

• Urology x 2

• Other x 3.

5

Haringey CCG

Quality Summary

6

Quality Issues & Priorities

Summary

North Middlesex University Hospital (NMUH) Quality Accounts

NMUH have shared with commissioners their the draft Quality Account, which commissioners have reviewed and provided formal statement (on 1st

June 2017) for inclusion within the next version.

NMUH Outpatient patient experience

FFT scores in the outpatient department remain challenging for the Trust with FFT scores of 77% reported in April 2017. NMUH is also the lowest

scoring Trust in London for outpatient FFT. Commissioners have undertaken an Insight and Learning assurance visit of the outpatient department in

May 2017. The report will be discussed at the June 2017 CQRG.

Mental Health Waits in Accident and Emergency Department

Whittington Health continues to report high numbers of mental health 12 hour trolley breaches in their Emergency Department (ED) in April 2017.

Whittington will be holding a Workshop Summit on 13th June 2017 and will looking at demand and capacity. Camden & Islington NHS Foundation Trust

have started on an Improvement Plan focusing on flow.

BEH CQC inspection

The Care Quality Commission (CQC) have advised they will be undertaking a full re-inspection of the Trust week commencing 25th September 2017.

Haringey CCG

Mental Health Performance Dashboard

7

Theme KPI/Measure SourceReporting

PeriodActual Standard

Current Month and Previous Month's Trend

Blue = Actual Red = Target

% Waited less than 6 weeks for a

course of treatment (for those

finishing a course of treatment)

NHS Digital Feb-17 93.00% 75%

% Waited less than 18 weeks for a

course of treatment (for those

finishing a course of treatment)


Reliable Recovery Rate NHS Digital Feb-17 47.00%

Recovery Rate NHS Digital Feb-17 50.00% 50%

Access Rate NHS Digital Feb-17 1.15% 1.25%

Dementia Diagnosis Rate (Age

65+)NHS Digital Apr-17 69.04% 66.7%

The percentage of RTT First

Episode Psychosis (FEP) periods

within 2 weeks of referral.


Proportion of patients on CPA who

were followed up within 7 days after

discharge from psychiatric inpatient

care

NHS Digital 2016-17 Q4 97.81% 95%

Proportion of admissions to acute

wards that were gate kept by the

CRHT teams

NHS Digital 2016-17 Q4 96.03% 95%

IAPT

Mental

Health

93.75% 93.80% 91.90% 94.80% 93.00% 92.00% 95.24% 93.33% 95.00% 97.00% 93.00%

Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17

100.00% 99.30% 99.30% 99.30% 99.00% 99.00% 100.00% 98.33% 99.00% 99.00% 100.00%


45.24% 46.70% 46.30% 49.40% 50.00% 52.00%40.54% 42.86% 48.00% 50.00% 47.00%


50.00% 50.60% 48.20% 50.20% 51.00% 54.00% 45.00% 46.00% 50.00% 52.00% 50.00%


79.11% 78.44% 78.37% 78.37% 79.78% 79.98% 80.25% 81.20% 80.59% 78.64% 79.31% 80.19%

69.04%

Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17

62.50% 81.82% 81.82% 83.33% 71.43%40.00%

50.00% 42.86%20.00% 27.27%

41.67%


99.26% 97.18% 96.77% 100.00% 100.00% 99.28% 97.81%

2015-16 Q2 2015-16 Q3 2015-16 Q4 2016-17 Q1 2016-17 Q2 2016-17 Q3 2016-17 Q4

96.38% 95.74%98.66% 100.00% 100.00% 100.00%

96.03%

2015-16 Q2 2015-16 Q3 2015-16 Q4 2016-17 Q1 2016-17 Q2 2016-17 Q3 2016-17 Q4

1.37% 1.18% 1.47% 1.74% 1.38% 1.30% 1.28% 1.39% 1.28% 1.15% 1.45%


8

North Middlesex University Hospital

Performance Dashboard

18 Weeks RTT Admitted - 81.56% 90.94%

18 Weeks RTT Non-Admitted - 95.86% 95.96%

18 Weeks RTT Incomplete Pathways 92% 96.82% 96.82%

>52 week waits Admitted - 0 0

>52 week waits Non Admitted - 0 0

>52 week waits Incomplete 0 0 0

6 Weeks Diagnostic Waits 1% 0.68% 1.35%

Cancelled Operations (2016-17 Q4) 100% 100.00% 99.38%

2 Week Cancer Wait 93% 94.27% 94.79%

2 Week Cancer Wait:

Breast Symptoms93% 93.12% 93.66%

31 day Cancer Wait:

1st definitive treatment96% 100.00% 99.40%

31 Day Cancer Wait:

Subsequent treatment (Surgery)94% 100.00% 100.00%

31 Day Cancer Wait:

Subsequent treatment (Chemotherapy)98% 100.00% 100.00%


treatment (Radiotherapy)94% 100.00% 99.36%

62 Day Cancer Wait:

GP Referral85% 88.89% 77.23%

62 Day Cancer Wait:

Screening service90% 100.00% 92.39%

62 Day Cancer Wait:

Consultant Upgrade- 96.00% 92.14%

KPI/Threshold

NORTH MIDDLESEX UNIVERSITY

HOSPITAL NHS TRUST

Mar-17 YTD

Mar-17 YTD

KPI/Threshold

NORTH MIDDLESEX UNIVERSITY

HOSPITAL NHS TRUST

A&E All Types Performance 95% 85.61% 81.98%

No of waits from decision to admit to

admission (Trolley waits - over 12 hours)0 24

% Ambulance Handovers within 15 mins:

KPI 1100% 36.20% 36.20%

% Ambulance Handovers within 30 mins:

KPI 2100% 83.40% 83.40%

Number of Ambulance Handover - 30

minute breaches0 120 120



% Patient Records Captured

Electronically: KPI 490% 94.90% 94.90%

NORTH MIDDLESEX UNIVERSITY HOSPITAL

NHS TRUST

Mar-17

Apr-17

KPI/Threshold

NORTH MIDDLESEX UNIVERSITY HOSPITAL

NHS TRUST

YTD

YTD

KPI/Threshold

9


Quality Dashboard

Theme KPI/MeasureReporting

PeriodActual

2015-16

YTD

2016-17

YTD

Current Month and Previous 12 Months Trend

Blue = Actual

Red = Target

SHMI rate - rolling 12 month average

(received quarterly)

Oct 2015 -

Sep 201688.9 N/A N/A

New Number of acquired pressure ulcers:

Grades 3 & 4

(Safety Thermometer)

Mar-17 N/A 22 7

Old Pressure ulcers that are present on

admission 3 & 4

(Safety Thermometer)

Mar-17 N/A 73 70

The number of patients falls with severe harm

(as per NPSA definition - Safety Thermometer) Mar-17 N/A 0 0

Number of Never Events Mar-17 0 2 3

Serious Incidents (SIs) Number Reported Mar-17 11 95 83

Number of MRSA Bacteraemia Mar-17 0 0 2

Number of Clostridium Difficile Mar-17 3 37 33


PeriodActual

2015-16

YTD

2016-17

YTD


Blue = Actual

Red = Target

Mandatory training (%) Feb-17 81.00% N/A

Average fill rate - Registered

nurses/midwives (Day)Mar-17 103.25% N/A

Average fill rate - Registered

nurses/midwives (Night)Mar-17 96.47% N/A

Average fill rate - Care staff (Day) Mar-17 98.98% N/A

Average fill rate - Care staff (Night) Mar-17 89.97% N/A

Patient Safety

Patient Safety

99.194.9 92.4 90.1 88.9

32

1 1 1 1 12

1 1 1 1

9

47

10 11

57 6

46 5

2

119

711

57

5 5 5

107

59 9

7 811

1

3

65

24

32 2

12

35

6

3

1 12

98%93%

99% 102% 99%93%

102% 102%

92% 94%98% 95% 98% 96%

103%

102% 96% 95% 96% 101% 93%112% 105% 104% 108% 102% 108% 110% 103% 96%

104% 109% 98% 96% 106% 112% 109% 107%88% 93% 84% 83% 91% 92% 99%

110% 115% 113% 100% 105% 105% 108% 105% 101% 96% 96% 97% 104% 110%90%

78% 79% 79% 80% 79% 78% 81%86% 86% 87% 86% 84% 83%81%

10


Quality Dashboard


PeriodActual

2015-16

YTD

2016-17

YTD


Blue = Actual

Red = Target

VTE - % patients who have had a VTE

assessment within 24 hours of admissionDec-16 94.56% N/A

Cancelled operations - Provider cancellation

of Elective Care operation for non-clinical

reasons either before or after Patient

Quarter4 0 0

Stroke - % patients spent 90% of time on

stroke unitQuarter 1 99.20% 84.40%

Emergency - C-Section rate Feb-17 17.60% N/A

Friends & Family test (FFT) - % Recommend

InpatientsMar-17 94.56% N/A

Friends & Family test (FFT) - Response Rate -

InpatientsMar-17 26.39% N/A


A&EMar-17 45.89% N/A


A&EMar-17 27.82% N/A


OutpatientMar-17 78.93% N/A


OutpatientMar-17 5.80% N/A


PeriodActual

2015-16

YTD

2016-17

YTD


Blue = Actual

Red = Target

Maternity Friends & Family test (FFT) -

Question 1 % Recommend (Antenatal Care)Mar-17 100.00%

Maternity Friends & Family test (FFT) - Score

Question 2 % Recommend (Birth)Mar-17 88.50%


Question 3 % Recommend (Post Natal Ward)Mar-17 92.86%


Question 4 % Recommend (Post Natal

Community Provision)

Mar-17 97.64%

Staff Friends & Family test (FFT) - %

Recommended as a place to workQuarter 2 61.47%

Staff Friends & Family test (FFT) - % Not

Recommended as a place to workQuarter 2 16.06%

Staff Friends & Family test (FFT) - %

Recommended as a place for CareQuarter 2 70.18%

Staff Friends & Family test (FFT) - % Not

Recommended as a place for Care Quarter 2 12.39%

Complaints - Number of formal complaints Feb-17 58 702 434

Mixed sex Accommodation - breaches Apr-17 0 0 10

Patient

Experience

Clinical

Effectiveness

Patient

Experience

0 0 0 0

1

0

93% 84%99%

19% 19% 15%20%

15% 15% 17% 13% 17% 21% 21% 20% 21% 18%

96% 95% 96% 91% 94% 94% 94%90%

94% 91% 97% 94% 95% 96% 95%

23%28%

15% 18% 20% 21%14% 17%

22%16% 16%

21% 20% 22%26%

19%25%

19%27% 32%

19%25% 26%

31%

19%26%

09%19%

24% 28%

96% 90% 88% 86% 79% 95%73% 78% 80% 75% 75% 82% 93% 91% 88%

10

5944

5543 40

5742

62 49 6237 41 31 21

48 41 4258

88% 90% 82% 83% 87% 80% 78% 84%67% 57%

86% 100%80% 93%

100% 100% 100% 100% 100% 100% 100% 100%98% 98% 97%

99% 98% 98% 98%

65% 59%47%

61%

96% 96% 96% 95% 96% 95% 96%94%

96% 96% 95% 95%

12%21% 23%

12%

16%21%

28%

16%

70% 59%50%

70%

97% 84% 83% 93% 77% 91% 85% 86% 100% 95% 100%

52% 46% 49% 49% 46% 43% 45% 51% 45% 48% 49%58%

45% 48% 46%

5.84%3.76%

6.04%

10.48%6.70% 5.88% 5.86% 5.11% 4.84% 5.05% 5.70%5.80%

78.82% 77.33%81.35% 79.93%

83.00% 81.08% 82.42% 80.41%75.68% 77.69% 75.54%

78.93%

Whittington Health Trust

Provider Key Messages

Key Messages

Cancer Services

Whittington Health achieved all of the relevant 8 cancer operational standards for January 2016 and is on track to achieve all standards apart from the 2

week wait suspected cancer and 2 week wait breast symptomatic referral standards where performance is expected to be around 92% for the year against

the 93% standard. (See later Cancer section in this report for more details)

11

Key Messages

Accident and Emergency

May 2017 performance against the 4 hour standard was 93.5%, exceeding the agreed performance trajectory for the month which was 92%. Performance

has improved month on month since January 2017 and is on course to meet the trajectory outlined in the Islington A&E Delivery Board Improvement Plan.

Long waits for admission for patients waiting for mental health beds in specialist providers has led to five breaches of the 12 hour maximum wait standard

for admission from April 2017 up until June 1st 2017 and the issue of mental health provision is to be discussed at a system wide stakeholder workshop on

mental health convened by Islington CCG in June 2017.

Referral to Treatment Time and Diagnostics

The percentage of patients waiting for treatment at Whittington Health who have waited less than 18 weeks for treatment remains above the operational

standard of 92% and Whittington Health also achieved the standard of 99% of patients waiting less than six weeks for a diagnostic test in March 2017.

Whittington Health has been asked to provide further assurance that the standards will continue to be met in specific specialties where performance has

dipped in the last three months.

Cancer Services

In March 2017 Whittington Health achieved all national cancer access targets apart from the Two Week Wait Urgent GP Referral to Treatment Target which

was missed by one patient whose care was delayed due to the unavailability of specialist radiology staff. Whittington Health are predicting compliance with

all cancer targets for April 2017.

Community Services

Waiting times for access to Community Services at Whittington Health remain a concern both in terms of how they are reported and the impact on patients.

A Community Service Task and Finish Group meets monthly and is reviewing service specifications, key performance indicators and performance

improvement for a selected group of services. Service Specifications are to be submitted for approval to the Community Task and Finish Group in June

2017. The outcomes from this Group also feed into the Community Services Disaggregation Workstream looking at overall cost efficiency and efficacy of

the Community Services provided by Whittington Health.

18 Weeks RTT Admitted - 70.43% 73.39% A&E All Types Performance 95% 88.39% 87.36%

18 Weeks RTT Non-Admitted - 92.14% 90.90% No of waits from decision to admit to

admission (Trolley waits - over 12 hours)0 2 13

18 Weeks RTT Incomplete Pathways 92% 92.02% 92.92%

>52 week waits Admitted - 0 0

>52 week waits Non Admitted - 0 0

>52 week waits Incomplete 0 0 0 % Ambulance Handovers within 15 mins:

KPI 1100% 30.50% 30.50%

6 Weeks Diagnostic Waits 1% 0.84% 0.51% % Ambulance Handovers within 30 mins:

KPI 2100% 97.60% 97.60%

Cancelled Operations (2016-17 Q4) 100% 100.00% 100.00% Number of Ambulance Handover - 30




% Patient Records Captured

Electronically: KPI 490% 91.00% 91.00%

2 Week Cancer Wait 93% 94.58% 96.53%

2 Week Cancer Wait:

Breast Symptoms93% 92.86% 98.03%

31 day Cancer Wait:

1st definitive treatment96% 100.00% 99.73%

31 Day Cancer Wait:

Subsequent treatment (Surgery)94% 100.00% 100.00%

Category A calls resulting in emergency

response arriving within 8 mins (RED 1)75% 74.89% 69.19%

31 Day Cancer Wait:

Subsequent treatment (Chemotherapy)98% 100.00% 100.00%


response arriving within 8 mins (RED 2)75% 73.55% 66.31%


treatment (Radiotherapy)94% 100.00% 100.00%


response arriving within 19 mins95% 95.36% 93.49%

62 Day Cancer Wait:

GP Referral85% 92.86% 87.30%

62 Day Cancer Wait:

Screening service90% 100.00% 100.00%

62 Day Cancer Wait:

Consultant Upgrade- 50.00% 70.00%

Mar-17 YTD

Apr-17 YTD

KPI/Threshold

LONDON AMBULANCE SERVICE NHS

TRUST

KPI/Threshold

THE WHITTINGTON HOSPITAL NHS

TRUST KPI/Threshold


TRUST

Mar-17 YTD Mar-17 YTD

KPI/Threshold


TRUST

Mar-17 YTD

KPI/Threshold


TRUST


Performance DashboardElective Care (RTT, Diagnostics & CWT);

Non Elective (A&E & LAS)

12

KPI Measure Threshold Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17

DNA Rates - Community less than 10% 6.00% 5.80% 5.50% 5.67% 5.70% 5.74% 5.33% 5.53% 5.57% 5.34% 5.40% 5.46%

District Nurse Waiting Times - Urgent OOH - Haringey 80% in 2 hours 94.00% 97.00% 100.00% 100.00% N/A 50.00% 93.30% N/A 80.48% 79.00%

District Nurse Waiting Times - Urgent OOH - Islington 80% in 2 hours 67.00% 60.00% 100.00% 100.00% N/A 87.50% 83.30% N/A N/A 100.00%

District Nurse Response Times - Haringey 95% in 2 days 96.00% 99.00% N/A N/A N/A N/A 97.70% 99.00% 98.90% 94.88% 78.64%

District Nurse Response Times - Islington 95% in 2 days 95.00% 95.00% N/A N/A N/A N/A 98.20% 95.70% 92.85% 98.21% 78.95%

IAPT (Haringey) - Access Rate 75% in 6 weeks 95.70% 95.00% 90.50% 95.11% 93.80% 94.60% 94.40% 94.30% 97.20% 97.20% 93.60%

Haringey IAPT - Recovery Rate 50% 47.37% 51.64% 48.05% 50.00% 51.67% 52.29% 45.74% 47.13% 52.41% 50.44% 49.12%

District Nursing 96.19% 97.22% 97.57% 96.83% 96.16% 97.39% 95.95% 95.90% 96.77% 96.00% 97.11% 97.62%

Community Matron 95.65% 99.03% 96.97% 96.10% 97.59% 99.03% 99.11% 99.37% 98.94% 93.10% 98.96% 100.00%

Lymphodema Care 22.22% 25.00% 23.08% 22.22% 0.00% 4.17% 0.00% 26.32% 25.00% 37.50% 38.46% 57.14%

Tissue Viability Service 97.26% 93.58% 95.73% 100.00% 99.14% 95.70% 93.26% 87.01% 89.01% 90.65% 97.12% 96.49%

Continuing Care/ Care coordination 100.00% 100.00% 100.00% 72.73% 100.00% 100.00% 83.33% 100.00% 100.00% 100.00%

Community Rehabilitation CRT 89.03% 86.49% 83.28% 79.94% 81.34% 80.43% 74.43% 83.61% 88.75% 78.24% 84.23% 78.75%

Intermediate Care REACH 74.30% 72.99% 67.54% 70.77% 66.25% 73.33% 73.76% 58.89% 75.74% 78.53% 86.73% 80.93%

Wheelchair Service 84.62% 94.59% 100.00% 97.87% 100.00% 77.50% 91.30% 89.13% 100.00% 100.00% 100.00% 97.83%

Respiratory Service 56.25% 60.78% 53.54% 62.41% 63.55% 60.00% 68.32% 70.15% 42.77% 67.09% 74.36% 62.32%

Cardiology Service 97.67% 90.48% 96.67% 96.30% 97.37% 94.44% 97.96% 100.00% 77.27% 82.35% 96.43% 83.87%

Diabetes Service 84.36% 85.79% 86.98% 81.99% 97.69% 82.31% 85.71% 82.73% 86.18% 88.60% 92.55% 79.75%

Musculoskeletal Physiotherapy Service 45.33% 42.80% 43.53% 49.32% 61.93% 48.09% 49.60% 40.93% 41.70% 42.69% 48.87% 44.15%

Podiatry (Foot Health) 42.64% 46.94% 34.81% 34.83% 30.40% 27.95% 52.54% 46.93% 47.75% 40.31% 52.98% 56.56%

Nutrition and Dietetics 43.59% 36.24% 38.93% 37.29% 38.43% 40.21% 19.49% 31.23% 30.77% 30.13% 34.23% 42.29%

Bladder And Bowel Management 35.25% 39.84% 49.60% 29.13% 36.25% 43.10% 41.13% 23.48% 39.22% 37.61% 26.71% 35.39%

Speech and Language Therapy 62.58% 59.25% 53.89% 50.70% 61.21% 55.08% 60.61% 58.93% 68.30% 60.09% 57.06% 47.33%

Occupational Therapy 45.83% 39.13% 12.50% 10.53% 31.25% 15.38% 27.27% 48.00% 33.33% 38.24% 27.27% 33.33%

Physiotherapy 38.26% 48.24% 32.32% 42.11% 59.26% 51.76% 60.00% 66.35% 70.00% 65.48% 69.32% 72.04%

Child Development Services 36.84% 32.00% 45.00% 53.85% 21.05% 39.66% 25.00% 31.58% 52.00% 48.00% 22.22% 35.00%

CAMHS / Psychology Service 52.08% 51.10% 65.77% 69.92% 82.47% 68.22% 64.57% 73.33% 73.20% 63.01% 58.39% 64.93%

PIPs 76.92% 83.30% 90.00% 88.24% 50.00% 56.25% 85.71% 92.31% 75.00% 62.50% 72.22% 90.00%

Audiological Medicine Total 61.76% 82.41% 78.98% 78.52% 85.92% 86.09% 94.24% 85.67% 82.46% 72.54% 91.79% 65.68%

Community Children's Nursing 92.98% 97.69% 91.96% 95.20% 95.70% 94.12% 99.21% 97.04% 98.43% 92.68% 94.29% 94.87%

Community Paediatrics Services 45.36% 53.76% 59.65% 48.05% 26.87% 54.84% 50.51% 56.19% 43.59% 43.37% 51.39% 56.64%

Haematology Sickle Cell Service 96.67% 100.00% 100.00% 100.00% 100.00% 95.83% 94.44% 95.59% 95.45% 92.31% 100.00% 97.50%

Looked After Children 88.89% 85.71% 81.48% 76.47% 84.62% 66.67% 85.71% 78.38% 93.75% 67.86% 90.00% 92.31%

Health Visiting 92.42% 94.36% 93.48% 94.47% 94.64% 93.30% 93.50% 94.77% 92.03% 90.28% 93.10% 95.08%

School Nursing 84.55% 85.19% 84.39% 86.73% 74.07% 76.92% 84.21% 88.40% 84.54% 81.40% 74.14% 85.82%

Access

Rates

95% seen in 6

weeks

13


Quality and Performance DashboardCommunity Services

Area Current Position/Risks Mitigating ActionsCurrent level of Assurance/

Recommendations

Community

Services

Current Key Performance Indicators for Community

Services are based on 2016/2017 Contract requiring

95% of patients to be seen within six weeks of

referral.

According to this metric in March 2017:

• 7 out of 28 services complied with this metric

(compared to 6 in February 2017)

• 10 out of 28 services reported 90% or more

patients seen in 6 weeks (compared to 11 in

February 2017)

• At a high level, the above indicates access to

services is not getting worse but not improving

Whittington Health and Commissioners have agreed

that the six week metric is not applicable to all

services and recognise that Service Specifications

and monitoring of contract Key Performance

Indicators need to be aligned while at the same time

ensuring waiting times for access to some community

services need to be improved.

A review of the cost efficiency and efficacy of the

Community Services provided by Whittington Health is

underway as part of the Community Disaggregation

Workstream.

To support the above a Community Task and Finish

Group has been established to review Service

Specifications for Community Services involving

commissioners from Islington, Haringey and Camden

CCGs to agree appropriate specifications and Key

Performance Indicators.

Community Task & Finish Group is

meeting monthly.

Services identified for first wave review

with specifications to be signed off in June

are:

• District Nursing

• Bladder and Bowel Services

• Continuing Healthcare

Service due to report back with update in

June:

• Integrated Community Ageing Team

(ICAT)

Services due to report back in September

are:

• REACH/ICTT (Islington and

Haringey Intermediate Care

Services)

• Children’s Speech and Language Therapy

Further services identified for review from

June are:

• Community Podiatry

• Child and Adolescent Mental Health

Services

Community Services Performance Task &

Finish Group is meeting monthly, chaired by

the Haringey/Islington CCG Director of

Performance and reporting into the

Whittington Contract Review Group.

The first outcomes, i.e. draft Service

Specifications with analysis of current

performance against the specifications and

recommendations as to future performance

metrics, are due for discussion at the June

Community Services Task and Finish Group.

14

Whittington Health TrustCommunity Services


PeriodActual YTD



SHMI rate - rolling 12 month average

(received quarterly)

Oct 15 - Sep

1669.0%

Proportion of Patients New Pressure Ulcers

(Safety Thermometer) Apr-17 11 11

Proportion of Patients Falls With Severe Harm

(as per NPSA definition - Safety Thermometer) Apr-17 0 0

Number of Never Events Apr-17 0 0

Serious Incidents (SIs) Reports Submitted Apr-17 2 0

Number of MRSA Bacteraemia Mar-17 0 2

Number of Clostridium Difficile Mar-17 2 7

Mandatory Training rate Q4 2016-17 82%

Average fill rate - Registered nurses/midwives (Day) Mar-17 88%

Average fill rate - Registered nurses/midwives (Night) Mar-17 93%

Average fill rate - Care staff (Day) Mar-17 115%

Average fill rate - Care staff (Night) Mar-17 122%

Patient Safety

66.1 65.2 66.9 67.8 69.4 69.0

13 14 15 11 9 15 16 11 11

12

0 0 0 01 1

00 0 0 0 0 0 0 0 0

36 9 9

24 5 4

2

1 1

2

1

0

1

0 0 0 0 0 0

92% 95% 94% 96% 94% 89% 88% 88%

93% 98% 96% 99% 98% 92% 91% 93%

116% 108% 111% 115% 111% 113% 115% 115%

123% 122% 128% 129% 120% 120% 121% 122%

82% 81% 80% 81% 82%


Quality Dashboard

15


PeriodActual YTD



VTE - % patients who have had a VTE assessment within 24 hours of

admissionDec-16 95.9% 96.3%

Cancelled operations - Number of patients not treated within 28 days of

last minute elective cancellationQ4 2016-17 0 0

Overall Maternity - C-Section rate (Trust Data) Dec-16 30.5%

Friends & Family test (FFT) - % Recommend Inpatients Mar-17 94.1%

Friends & Family test (FFT) - Response Rate % Inpatients Mar-17 26.8%

Friends & Family test (FFT) - % Recommend A&E Mar-17 83.0%

Friends & Family test (FFT) - Response Rate % A&E Mar-17 14.6%

Maternity Friends & Family test (FFT) - Question 1 % Recommend

(Antenatal Care)Mar-17 100.0%

Maternity Friends & Family test (FFT) - Score Question 2 % Recommend

(Birth)Mar-17 95.1%


(Post Natal Ward)Mar-17 86.2%


(Post Natal Community Provision)Mar-17 96.8%

Friends & Family test (FFT) - % Recommended Outpatients Mar-17 93.1%

Friends & Family test (FFT) - Response Rate % Outpatients Mar-17 3.2%

Staff Friends & Family test (FFT) - % Recommended as a place to work Q2 2016-17 59.7%

Staff Friends & Family test (FFT) - % Not Recommended as a place to

workQ2 2016-17 28.3%

Staff Friends & Family test (FFT) - % Recommended as a place for Care Q2 2016-17 76.2%

Staff Friends & Family test (FFT) - % Not Recommended as a place for

Care Q2 2016-17 8.5%

Friends & Family test (FFT) - % Recommended Community Mar-17 96.0%

Friends & Family test (FFT) - Response Rate % Community Mar-17 3.7%

Mixed sex Accommodation - Breaches Apr-17 0 0

Complaints - Number of formal complaints (Trust data) Q4 2016-17 94 347

Clinical

Effectiveness

Patient

experience

0 0 0 0 0

95% 96% 93% 96% 92% 96% 94%

20% 18% 18% 13% 07%17%

27%

4% 4%

17% 17% 15% 16% 15%

92% 96% 95% 96% 89% 89% 95%

84% 79% 82% 85% 81% 84% 86%

100% 100%98%

100% 100% 100%

97%

50% 70% 65% 60%

95% 96% 96% 97% 96% 97% 97% 96% 96%

12%6% 8% 9%

33%17% 22% 28%

73%82% 80% 76%

100%98%

100% 100% 100% 100% 100%

96% 90%82% 84% 83% 84% 83%

98% 98% 98% 99% 98% 97% 96%

2% 2% 3% 2% 2% 4% 4%

132 81 96 76 94

28% 31% 27% 28% 30% 26% 32% 31%

1.75% 2.34% 2.96% 1.11% 2.77% 2.36%3.19%

89% 88%93%

87%94%

89%93%

16


Quality Dashboard

Barnet, Enfield and Haringey MH Trust

Quality and Performance Summary

17

Key Priorities

• BEHMHT have provided a Recovery Action Plan in response to sustained poor performance in meeting EIP standards in Haringey. Local

report data indicates a significant improvement in performance in April (83%) and commissioners will be seeking assurance about a

sustained position.

• Commissioners are working with BEHMHT to finalise the impact of the agreed £800k investment in EIP services in terms of NICE

compliant treatments and timely access.

• Commissioners continue to seek assurance about improved access to assessment and timely treatment for CAMHS services.

Barnet, Enfield and Haringey MH Trust

Mental Health Performance Dashboard

18

Barnet Enfield and Haringey MH Trust

Psychiatric Liaison

59Data Source: Local data from Trust

The service has had difficulties in meeting the access standards during 2016/17. Commissioners have worked with the service

to try and match staffing and skill mix to the times when patients are presenting with mixed results.

NCL STP have successfully bid for national funding to support the provision of a Core 24 Psychiatric Liaison Service by BEHMHT

at North Middlesex Hospital.. The funding is available in 2018/19.

NHSE is developing a compact for Access to Mental Health inpatient services across London. This is based upon organisations

across London working as a system to support mental health patients in crisis receiving a mental health response within an hour

and having a physical and mental health assessment and care plan in place within 4 hours.

One of the national acute/mental health CQUINs for 2017/18 is focussed on reducing by 20% the number of attendances to A&E

for those within a selected cohort of frequent attenders who would benefit from mental health and psychosocial interventions, and

establish improved services to ensure this reduction is sustainable.

Theme KPI Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-172016-17 national

Target

% Assessments begun within 1 hour

in A&E82% 80% 71% 81% 86% 83% 84% 86% 85% 85% 85% 88% 85% 95%

% Assessments begun within 4

hours in AMU70% 71% 73% 61% 62% 71% 52% 73% 63% 91% 86% 88% 78% 95%

% Assessments begun within 24

hours on wards80% 80% 80% 82% 82% 84% 84% 66% 88% 92% 87% 86% 90% 95%

RAID Mental Health

Liaison Service

(North Middlesex

Univeristy Hospital

NHS Trust)

NCL Integrated Urgent Care Service (IUC) M1 – SummaryLondon Central West

Unscheduled Care Collaborative (LCW)

There were 22,427 calls to the NCL IUC service in April 2017. This is an increase of 6 calls on the previous month.

NCL STP (Sustainability and Transformation Plan)

The NCL IUC Programme team submitted a delivery plan for the continued and future development of IUC across NCL. This includes the merger of

IUC with the Urgent and Emergency Care (UEC) workstream of the STP as well as the growth of IUC to bring more UC services under the IUC brand

across NCL. The delivery plan and target achievement figures were both approved by the STP/UEC Board.

Business Intelligence

Due to the Cyber attack experienced by the NHS in May, a number of data recording systems relied upon by LCW were affected as a consequence

some data fields are not available for reporting this month. All service level indicators and KPIs have been recorded and reported.

The following slides provide updates on:

• Performance & Quality KPIs – Commissioners, Patient representatives and the Provider will be part of a task and finish group that will look at the

current local KPIs and the performance against them and then determine which will stay and determine new ones for the second year of the contract

based on year 1 performance and achievement. The National KPIs are being revised again and we await these from NHSE. These will be

incorporated into the contract KPIs and some will have a financial value against them for non-compliance

• SI Incident – An update and information on the SI that was reported by LCW at the end of March

• NHS111 Online Pilot

Key Messages

72

NCL Integrated Urgent Care Service (IUC) M1

Performance against quality and performance KPIs

In line with the IUC contract, LCW are reporting performance of local and national KPIs but are not being formally performance managed against these

in the first year of the contract, Work is underway to formally agree the final suite of local KPIs through the IUC CQRG/CRM meetings, however the

new national KPIs have not yet been published.

These KPIs will be monitored and revised throughout the first year of the contract. From the second year of the contract 20% of the block contract value

will be apportioned against an agreed number of KPIs and LCW will be liable for performance management should the agreed KPIs not be met.

The table below shows performance against KPIs for April 2017. The majority of performance KPIs were achieved. The call waiting time standard was

0.6% above the standard. The KPIs that are grey and state TBA refer to national KPIs where agreement has still not been reached at a local or national

level. Work is underway across London to monitor and improve re-triage rates to LAS (green ambulances only) and ED. LCW are performing well

within London and are working with commissioners to improve further.

The two ‘red’ KPIs are again a topic being discussed both regionally and nationally – these targets have not been achieved by any Provider of 111/IUC.

Data Source: LCW Reports

A B C Apr-17

NCL-IUC

Engaged calls Performance <0.1% ≤0.1% ≤0.3% ≤0.5% 0.0%

Abandoned calls Performance <5% <5% ≤6% ≤7% 0.4%

Answer Time Performance ≥95% ≥95% ≥92% ≥90% 100.0%

Call waiting time Performance ≥95% ≥95% ≥92% ≥90% 95.6%

Life threatening referrals Quality 100% 100% 100% <100% 100.0%

Meeting individuals needs Quality 100% 100% ≥98% ≥95% 100.0%

Safeguarding Quality 100% 100% 100% <100% 100.0%

Triage rate Quality TBA 106.6%

Transfer to 999 Performance TBA 9.6%

Attend Accident & Emergency Department Performance TBA 9.4%

Referred to Primary Care and other dispositions Performance TBA 55.5%

Warm Transfers Performance 98% ≥98% ≥96% ≥94% 68.1%

Time taken for call back Performance 100% 100% 100% 100% 10.6%

Notifications Quality 100% 100% 100% <100% 100.0%

Patient Education Quality 100% 100% 100% <100% 100.0%

Quality and Performance Indicators KPI Type TargetPerformance Band Qrt 1

NCL Integrated Urgent Care Service (IUC) M1LCW (IUC Provider) Serious Incident

A Serious Incident (SI) occurred at LCW pertaining to an undercover journalist from The Sun newspaper claiming a number of allegations against

LCW, NCL and INWLs IUC/111/GP OOHs Provider. There were 12 allegations made to Department of Health and NHSE, however, only some

allegations were published. These allegations were made available on the Sun’s website and were in print on the 2 and 3 April 2017 respectively.

The correct process was followed by LCW in terms of reporting to StEIS, Commissioners and NHSE. There are currently two investigations being

undertaken. An internal investigation by LCW and an external investigation being led by Enfield CCG, the Host Commissioner for the contract.

These are following the SI Framework as per the contract.

As well as the two aforementioned investigations, under the General Conditions of the NHS Standard Contract, LCW are provided a report to

Enfield CCG within 20 days of the incident. This 20 day period was extended by 10 days due to additional information being provided by the Sun

newspaper at the last minute.

LCW conducted and exceptionally robust and comprehensive report to commissioners that addressed each of the 12 allegations made and what, if

any action had been taken. This response was delivered to all NCL commissioners via the May CQRG/CMG meetings and was well received.

Sarah Thompson, SRO for IUC for NCL wrote to LCW following their report thanking them and stating that the internal CCG investigation was

satisfactorily closed.

The two further Provider and NHSE investigations continue at pace and the findings will be published upon completion of the route cause analysis

and further reports.

NCL, represented by Enfield CCG commissioners were interviewed by the external investigation panel as part of the investigation process. This

was a successful meeting and evidence to support the positive feedback given by the commissioners is being submitted to the external panel.

It is pertinent to note that LCW had already identified some issues related to training and were dealing with these prior to the story appearing in the

news. LCW remain a very proactive and responsive Provider.

LCW continue to be consistently one of the best performing providers of IUC/111 nationally and the initial feedback from their recent CQC

inspection was very good.

It has been agreed with the Care Quality Commission that the full CQC inspection report publication will be delayed until after the SI investigations

have been concluded.

NCL Integrated Urgent Care Service (IUC) M1

111 Online Pilot

The NHS111 Online pilot in NCL has been operational since the 31 January 2017.

The recording (played when caller dials 111) to notify patients of the NHS111 app was initially

played to NCL, non-PRM tagged patients (Non Group 1 patients who are referred directly to a

Clinician) for four hours each day, Monday to Friday. It was played for 6 hours each Saturday and

Sunday. Between weeks 3-4 post go-live the recording was played for 8 hours each day. As of 1st

March, the recording is now played 24/7 to NCL, non-PRM tagged patients.

A full communication and marketing plan was implemented across NCL, in March 2017.

Commissioners, patient representatives and stakeholders are regularly briefed through the CMG

and CQRG meetings and have been involved in the meetings during the planning stages of the

pilot.

To date (30/04/17)

5,009 callers to IUC subsequently downloaded the app to their smartphone

4,962 people completed full registration with the app

Of those, 2,779 competed a full triage utilising the app

1,109 people submitted their triage info to the IUC service

Of those, 1667 resulted in a call back from the IUC service

Average age of app user - 26



LAS Summary

Haringey LAS Performance

Dashboard`Target

Monthly

Trajectory

April 2017

Performance

Year to Date

Trajectory

Year to Date

Performance

Red 1 Performance (8 minutes) 75% 0.0% 70.7% 0.0% 70.7% Amber

Red 2 Performance (8 minutes) 75% 0.0% 63.3% 0.0% 63.3% Red

Cat A Performance (19 minutes) 95% 0.0% 95.8% 0.0% 95.8% Green

Green 1 Performance (45 minutes) 50% 0.0% 62.5% 0.0% 62.5% Green

Green 1 Performance (60 minutes) 75% 0.0% 71.7% 0.0% 71.7% Amber

Green2 Performance (60 minutes) 50% 0.0% 72.8% 0.0% 72.8% Green






Key Messages

Haringey Red 1(conditions which

may be immediately life

threatening) performance

increased in month by 2.7% to

70.7%.

London (as a whole) Red 1

performance is currently at 79.2%.

Red 2 (life threatening but less

time critical) performance has

decreased by 0.5% to 63.3%.

Other categories have also started

the year well & this performance

shows a marked improvement

from 16/17.

The monthly and year to date

trajectories have not been finalised

but these will populate the

dashboard once shared. Full

information is available in the

monthly LAS CCG performance

pack.

LAS 16/17 Performance(Red 1 & Red 2 combined) LAS 16/17 Performance(Red 1 & Red 2 Combined)76

LAS 16/17

Contract Management Information

17-19 Contract Update

17-19 contract cap is contingent on CCG demand management plans

delivering the activity baselines. If a CCG does not deliver their

demand management target in a quarter, over performance will not be

capped. CCGs have been asked to share their final Care Home / HCP

Demand Management Returns for inclusion in the contract.

Quarterly closedowns and monthly forecasts are planned. Cost per

case has now been determined at £211 (which includes adjustment for

Marginal rate.)

Flex data has been shared for month 1 and shows a London wide

over-performance of 3%. NCL cluster is currently underperforming and

FOT after one months data shows an underperformance of £116k.

This was discussed at the newly formed Finance and Information

Group (FIG), which reports to the CPM. Terms of Reference have

been shared.

Performance targets for pan-London, STP and CCG-level, including

Cat A8 performance to meet 75% for pan-London, 72% for STP-level

and 60% for CCG-level by 1st October.

There have been some additions to the Quality Schedule EG

monitoring of performance tails

17-18 Performance (London Wide)

Cat A8 M1 Performance in to 30 April 2017 recorded as:

• 73.7% London Wide

• 68.9% NCL Wide

• 82.5% Camden CCG; 74.1% Islington CCG; 64.9% Barnet CCG;

63.4% Haringey CCG; 61.9% Enfield CCG

All CCGs performance for Cat A8 is reported above 60% with 14 CCGs

performing above 75% and a further 9 between 70-74%.

However, NCL remains the poorest performing CCG cluster in London for this

category.

17-18 Demand Management

NCL have identified up to 26 initiatives at borough level and 4 initiatives at NCL

level that are aiming to deliver activity reductions across NCL.

• 60% of initiatives are currently in delivery, meaning that these initiatives have

commenced, and should be seeing activity reduction benefits

• 30% are in their planning phase, meaning that a start date has been set, and

the majority of schemes will have activity reductions identified

• 10% are in their inception phase, meaning no start has been set, and no

impact has been modelled

NCL CCGs are in the process of establishing both local and STP footprint level

frequent user forums. A key function for these groups will be to develop and

manage frequent users in order to contribute to the NCL demand management

programme. Frequent user forums are currently in place for LAS frequent callers

only. This will be rolled out to include the whole UEC system frequent users

once information governance requirements are met.

This will include agreeing a work plan to reduce LAS demand, agree a

performance trajectory (i.e. reduction of Cat A, Cat C activity), monitor progress

of initiatives, and manage programme risks.

LAS (London) Performance against improvement trajectory

There are currently no trajectory reports available for 17/18 .

Performance

ImprovementSept Oct Nov Dec Jan Feb Mar

Trajectory 68.4% 69.2% 70.7% 66.5% 72.4% 72.0%71.5

%

Actual 63.4% 66.4% 69.4% 64.0% 62.3% 67.8%73.5

%

Glossary of Terms

LAS – London Ambulance Service

Category A - Red 1Incidents presenting conditions which may be immediately life threatening.

75% within 8 minutes

Category A - Red 2Incidents presenting conditions which may be life threatening but less time critical.

75% within 8 minutes

Category C - Green 1 (C1)Incidents presenting conditions which are non life threatening but have serious clinical need.

90% with 20 minutes and 99% within 45 minutes

Category C - Green 2 (C2)Incidents presenting conditions which are non life threatening but have less serious clinical need.

90% within 30 minutes and 99% within 60 minutes

Category C - Green 3 (C3)Incidents presenting conditions which are non life threatening and do not require an emergency response.


Category C - Green 4 (C4)Incidents presenting conditions which are non life threatening and do not require an emergency response.


Data Sources and Glossary of Terms

Part 1 of 2

27

Abbreviation Term DefinitionA&E/ED Accident and Emergency Accident and Emergency department.

C.Diff Clostridium Difficile Clostridium Difficile is an infection that may occur within a healthcare environment, leading to diarrhoea.

CCG Clinical Commissioning GroupClinical Commissioning Groups (CCGs) are clinically-led statutory NHS bodies responsible for the planning and commissioning of health

care services for their local area.

CSU Commissioning Support Unit The CSU provide services such as contract management, service redesign, finance & analytical support & other professional services.

FOT Forecast Outturn An assumption at a point in time of what the end of year position will be.

FY Financial Year The financial year runs from 1st April until 31st March, every year.

HCAI Healthcare Associated Infections Healthcare-Associated Infections (HCAI) are those infections that develop as a direct result of any contact in a healthcare setting.

HAS Hospital Alert System The Hospital Alert System is an electronic replacement to the paper forms used for documenting patient handover.

KPI Key Performance Indicator KPIs help you define and measure progress towards organisational goals. http://www.england.nhs.uk/everyonecounts/

MRSAMethicillin-resistant Staphylococcus

aureusMRSA is a type of bacterial infection that is resistant to a number of widely used antibiotics.

MSA Mixed Sex Accommodation Mixed sex accommodation is when members of the opposite sex are placed on the same ward/unit. This should not occur.

NELIENorth East London Information

ExchangeNELIE is the system and process of information exchange between personnel across various organisations within North East London.

NHS ConstitutionThe NHS constitution for England is a formal constitution which, in one document, lays down the objectives of the National Health

Service. Full details can be found at https://www.gov.uk/government/publications/the-nhs-constitution-for-england

NHSI NHS ImprovementNHS Improvement support foundation trusts and NHS trusts to give patients consistently safe, high quality, compassionate care within

local health systems that are financially sustainable.

OP Outpatients A patient who receives medical treatment without being admitted to a hospital: "attending a clinic as an outpatient".

PAS Patient Administration System A PAS records the patient's demographics (e.g. name, home address, date of birth) and details all patient contact with the hospital.

Data sources Appendices Finance & Performance

Unify2 - RTT, Diagnostic Waits, A&E, LAS Data, FFT, VTE,

MSA As listed here.

LAS Portal - LAS Data

Open Exeter - Cancer Waits

Provider returns – IAPT

STEIS System - Serious Incidents

HSCIC - NHS Safety Thermometer

Public Health England - C.Difficile & MRSA

Provider returns / Omnibus and Unify - Mental Health Data

Provider returns - Community Data

http://www.england.nhs.uk/everyonecounts/

https://www.gov.uk/government/publications/the-nhs-constitution-for-england

Data Sources and Glossary of Terms

Part 2 of 2

28

Abbreviations of Trust NamesBCF Barnet and Chase Farm Hospitals NHS Trust

BEH Barnet, Enfield and Haringey Mental Health Trust

BARTS Barts Health NHS Trust

C&I Camden and Islington NHS Foundation Trust

CLCH Central London Community Healthcare NHS Trust

CNWL Central and North West London NHS Foundation Trust

CHEL WEST Chelsea and Westminster Hospital NHS Foundation Trust

ELFT East London NHS Foundation Trust

GOS Great Ormond Street Hospital for Children NHS Foundation Trust

HOM Homerton University Hospital NHS Foundation Trust

LAS London Ambulance Service NHS Trust

MEH Moorfields Eye Hospital NHS Trust

NORTH MID North Middlesex University Hospital NHS Trust

RFL Royal Free London NHS Foundation Trust

RNOH Royal National Orthopaedic Hospital NHS Trust

T&P The Tavistock and Portman NHS Foundation Trust

UCLH University College London Hospitals NHS Foundation Trust

WHITT The Whittington Hospital NHS Trust

Abbreviation Term Definition

PIR Post Infection ReviewAs of 1 April 2013, all NHS organisations reporting positive cases of Methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia via

the Healthcare Associated Infections Data capture system (HCAI DCS) will be required to complete a Post Infection Review (PIR).

QIPPQuality, Innovation, Productivity and

Prevention

Quality, Innovation, Productivity and Prevention (QIPP) is a set of 'stretch' targets, varying from Trust to Trust, which aim to achieve more

efficient commissioning and higher levels of productivity

Quality PremiumThe ‘quality premium’ is intended to reward Clinical Commissioning Groups (CCGs) for improvements in the quality of the services that

they commission. http://www.england.nhs.uk/wp-content/uploads/2013/05/qual-premium.pdf

RTT Referral to TreatmentThe RTT data measures referral to treatment (RTT) waiting times in weeks, split by treatment function. The length of the RTT period is

reported for patients whose RTT clock stopped during the month.

SI Serious IncidentA serious incident is defined by the National Patient Safety Agency as an incident that occurs in NHS-funded services and care resulting

in various levels of harm.

SLA Service Level Agreement A Service Level Agreement outlines specific services and products delivered by the CSU.

SUS Secondary Users Service The Secondary User Service is designed to provide anonymous patient based data for purposes including direct clinical care.

VTE Venous Thromboembolism Venous Thromboembolism (VTE) is a disease that includes both deep vein thrombosis (DVT) and pulmonary embolism (PE).

YTD Year to Date Year-to-date is a period, starting from the beginning of the current financial year.

http://www.england.nhs.uk/wp-content/uploads/2013/05/qual-premium.pdf

To know more

If you would like to discuss any element

of this presentation, please contact:

Shana Vijayan

Tel: 020 3688 1120

Email: [email protected]

www.nelcsu.nhs.uk

Report Version: 1.74

Template Last Updated: 05/01/15

http://www.nelcsu.nhs.uk/

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