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

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