Managing Health Service Performance in

Northumberland, Tyne and Wear

NHS Plan

PartnershipsClinical

GovernancePublic

InvolvementCorporate

GovernanceNSFs

3 year planning guidance

Local Delivery Plans

PCT Annual Agreements

NHS Trust Annual Agreements

Trust / PCT Service Level Agreements

Measuring Performance

Weekly management information – waiting times & emergency care

Monthly detailed information – waiting times (hospital & GP), hospital activity, cancer waiting, finance etc

Quarterly – mental health, CHD, older people, etc

Yearly – NSF progress etc

Assessing Performance Weekly & monthly comparison to targets

Quarterly “traffic light” against targets in trust and PCO Annual Delivery Agreements – Board reports

Yearly - Star ratings

- qualitative assessment NSF progress etc

Ongoing – routine & ad hoc contact to discuss underlying issues, plans to improve performance, sharing good practice etc

Star Ratings

Based on key targets plus balanced scorecard of indicators

• Local NHS Trusts July 2002Newcastle Hospitals NNN Mental Health Trust

• Next ratings due July 2003 – include PCTs & Ambulance Trusts

SHA Annual Delivery Agreement2002/03 Performance

“traffic light” assessment

Green = target being achievedYellow = marginal under-achievementRed = problems to be resolved

Managing Performance Use of performance assessments to develop and

improve services

Meeting targets is vital but there is more to NHS performance

Links to SSI

Devolution of day to day performance management from SHA to PCOs

Style = facilitative, developmental & supportive, but recognises national targets are a “bottom line”

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Potential 15 mth breaches at end month 0 0 0 0 0 0 0 0 0

Potential 26 wk breaches at end month 235 0 0 207 4 12 12 0 0

IP 12 month waits (position against profile) 45 0 0 45 0 0 0 0 0

OP 21 week waits (position against profile) 541 -6 -67 551 -15 53 22 0 1

IP 9 month waits (position against profile) 923 23 168 726 1 6 0 -1 0

<4 hrs waiting in A&E 90.7% 86.4% 89.2% 91.6% 93.8% 90.5% na na na

>12 hrs trolley waits 0 0 0 0 0 0 na na na

Urgent operations cancelled 0 0 0 0 0 0 na na na

Delayed discharges (% of occupied beds) 2.5% 2.0% 1.1% 2.8% 4.7% 1.5% na na na

Weekly Access ReportWeek ending 7th February 2003

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IP 15 month breaches at end month 0 0 0 0 0 0 0 0 0

OP 26 week breaches at end month 0 0 0 0 0 0 0 0 0

IP 12 month waits 0 0 0 0 0 0 0 0 0

OP 21 week waits 0 0 0 0 0 0 0 0 0

OP 13 week waits -277 0 0 -126 -156 0 14 1 -10

IP 9 month waits (position against target) 556 0 0 517 40 0 0 -1 0

Total Inpatient Waits (position against Target) 451 -279 374 306 -32 -125 18 13 0

<4 hrs waiting in A&E 94.5% 98.7% 92.6% 91.5% 96.2% 94.0% na na na

>12 hrs trolley waits 0 0 0 0 0 0 na na na

Urgent operations cancelled 0 0 0 0 0 0 na na na

Delayed discharges (% of occupied beds) 2.3% 1.9% 1.6% 2.5% 3.9% 1.1% na na na

Monthly Access ReportMarch 2003

CANCER WAITING TIMES MONITORING 2002/03Traffic Light Criteria

% Referrals received in 24 hours & seen in 2 weeks Breast Other

(Total referrals received in 24 hours shown below) Blue 100% 100%

Green >97% >95%

Yellow 95% to 97% 90% to 95%

Red <95% <90%B

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SHA AVERAGE

100% 100% 100% 100% 99% 100% 100% 100% 100% 100% - 100% - 100%

348 74 210 165 112 105 29 67 3 2 0 1 2 1118

TRUST

- 100% 100% 100% 100% 100% 100% 100% 100% - - - 100% 100%

0 22 29 17 13 12 10 1 1 0 0 0 2 107

100% 100% 100% 100% 100% 100% - 100% - - - - - 100%

45 22 38 48 31 25 0 37 0 0 0 0 0 246

100% 100% 100% 100% 100% 100% - 100% - - - - - 100%

110 9 35 31 18 17 0 15 0 0 0 0 0 235

100% 100% 100% 100% 97% 100% 100% 100% - 100% - 100% - 100%

82 7 40 36 36 35 19 9 0 2 0 1 0 267

100% 100% 100% 100% 100% 100% - 100% 100% - - - - 100%

111 14 68 33 14 16 0 5 2 0 0 0 0 263

Newcastle upon Tyne

Northumbria

South Tyneside

City Hosp Sunderland

Gateshead Health

March 2003

Monthly Cancer ReportMarch 2003