Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
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Diagnostics – Introduction of ‘Hot’ Reporting of CT & MRI Scans: To support the<br />
A&E four hour target <strong>and</strong> to ensure maximum efficient use of <strong>Trust</strong> ward beds ‘hot’<br />
reporting on a five day week with a view to extend to seven day week has commenced.<br />
Continued progress is being monitored. Additional schemes are under review.<br />
Diagnostics - Interventional Radiology (non clinical): To date a review of current<br />
activity is being undertaken by Radiology <strong>and</strong> will be completed in three main phases;<br />
1. A review of recorded <strong>and</strong> reported activity with cross referencing to income,<br />
audit data <strong>and</strong> PAS/RIS information<br />
2. A cross referencing of this analysis with the current Contractual (Device)<br />
exclusions<br />
3. A cross referencing with Procurement colleagues to assess cost saving<br />
opportunities.<br />
This work is in progress. Data from the <strong>Trust</strong> Information department has now been<br />
received <strong>and</strong> analysis has commenced.<br />
Outpatients - Reduction in DNA <strong>and</strong> Cancellations: Key metrics have been<br />
developed <strong>and</strong> are being monitored <strong>and</strong> action taken as required with the General<br />
Managers. All specialties have developed action plans to reduce the need for additional<br />
activity <strong>and</strong> capacity, <strong>and</strong> ensure that efficient use of resources is optimised.<br />
Outpatients – e.Choose <strong>and</strong> Book <strong>and</strong> administration: Efficiency <strong>and</strong> Clinical<br />
governance assurance has now been achieved with E Choose & Book now compliant<br />
(71%). Turnaround times for referral validation have reduced further. The review of PAS<br />
clinic letter volumes reducing from 7000 to 900.<br />
Outpatients – Dem<strong>and</strong> & Capacity: Action plan for the delivery of a reduction in New to<br />
Follow Up attendances is now at the implementation stage. All specialities have<br />
developed action plans to reduce the need for additional activity <strong>and</strong> capacity.<br />
Outpatients – Printing & Postage Services (non-clinical): Work is about to<br />
commence on the outsourcing of printing <strong>and</strong> postage services <strong>and</strong> resultant potential<br />
savings. Implementation is likely to commence in Q4.<br />
Theatres – Theatre Utilisation: Theatre utilisation has been reviewed to encompass<br />
start times <strong>and</strong> rescheduling of theatre lists. Workstream programmes have been ratified.<br />
Audits are underway which have <strong>and</strong> will inform the work programme for the next month.<br />
Theatre – Consumables (non-clinical): Procurement analysis on key consumables<br />
have been completed outcomes to be implemented.<br />
Facilities & Estates: Work is on going to identify new opportunities.<br />
Medicine Management – Drugs: Full uptake of homecare services has taken place.<br />
PbR exclusion drug reimbursement <strong>and</strong> the reduction in FP10 issues still to be<br />
addressed.<br />
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