Trust Board papers November 2012 - Barking Havering and ...

3. Performance
Referral to treatment – delivery in all specialties Specialties continue to fail on the
admitted RTT pathway. The Trust has not been commissioned to deliver RTT by
specialty in 2012/13 but is required to meet the target as a cumulative performance.
Discussions have commenced with Commissioners regarding the approach in 2013/14.
The Trust requires an early decision as to whether specialty performance will be
purchased as this will require an additional investment in 2013/14 over and above that
already agreed as specialty backlog will need to be cleared. A scoping exercise is
currently under way.
Cancer - 62 days urgent RTT from hospital specialist – this is an in-month problem due to
the small number of patients who are affected. The year to date performance is 88.6% for
this measure against an 85% target. Three patients breached the standard in the month
and these were complex clinical cases.
Four hour wait in A&E – in September the Trust failed to meet the 95% standard and has
deteriorated from the August performance. The Trust achieved Trust 89.37% with Queens at
85.14 and KGH at 95.79%
% of patients referred to specialist team < 2hours of registration - the percentage of patients
waiting more than 2hrs from registration to referral has remained the same. Daily performance
information is shared with Emergency Department senior staff with peer challenge of decision
making to identify alternatives to referrals by using care pathways such as ambulatory care /
virtual ward.
% Patients seen by speciality team within less than 30 minutes of request – the percentage
of patients seen by specialty teams within 30 minutes has deteriorated in September. Any that
occur are fed back daily to the specialties concerned to discuss with their teams with feedback
requested at the daily bed meetings.
Number of ambulance black breaches - there were 14 black breaches in September all of
which occurred during the week beginning 17th September. Full Serious Incident investigations
were undertaken for each patient and in the main these breaches were caused by lack of bed
availability. The extended Rapid Assessment and Treatment area will be completed by the end of
November and will improve offload times and support a reduction in the number of black
breaches.
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