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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 9<br />

SUMMARY REPORT<br />

<strong>Trust</strong> Board 5 July 2013<br />

Subject Performance Report (Month 2)<br />

Prepared by<br />

Approved by<br />

Presented by<br />

Purpose<br />

Advanced Performance Analyst<br />

Deputy Head of Performance<br />

Chief Executive <strong>and</strong> Executive Leads<br />

This paper highlights <strong>and</strong> summarises the key performance issues that have<br />

arisen during May 2013, describes the mitigating actions <strong>and</strong> provides an<br />

assessment of the future projected performance risk.<br />

Corporate Objectives<br />

Decision<br />

Approval<br />

Information<br />

Assurance<br />

Quality Care Inspired People Healthy Organisation Innovate & Collaborate<br />

• • • •<br />

Executive Summary<br />

This is the integrated performance report for May 2013 <strong>and</strong> formally reports much of the data<br />

that was covered verbally at the June 2013 Board.<br />

As with previous reports, performance against key indicators is mixed with a number of areas of<br />

positive performance for example VTE risk assessment. In some cases such as achievement<br />

of the ED 4 hour target performance has improved markedly on April <strong>and</strong> continues to improve<br />

in June 2013. This is also the case with cancelled operations where performance has<br />

improved significantly in recent weeks.<br />

Of concern is the deterioration of performance against the 6 week diagnostic target <strong>and</strong> this is<br />

largely explained by failure in one area <strong>and</strong> a further verbal update will be given at Board<br />

regarding action to resolve. Exception reports for Stroke, cancer 62 day <strong>and</strong> cancelled<br />

operations are included at annex 2, 3 <strong>and</strong> 4.<br />

Quality Impact Assessment<br />

The safety <strong>and</strong> quality section of the report highlights positive performance against a range of<br />

indicators <strong>and</strong> this will be explored further in the quarterly quality report to this Board.<br />

Financial Impact Assessment<br />

The financial position of the <strong>Trust</strong> is on plan at month 2 although significant actions are required<br />

to ensure the achievement of the cost improvement programme.<br />

The contract position at month 2 is significantly under achieving from a financial perspective as<br />

a result of a lower case mix, lower activity in key areas <strong>and</strong> contract fines. Emergency activity is<br />

already above plan. Whilst the financial impact is mitigated in 2013-14 due to the nature of the<br />

contract signed the recurring impact if this continues is of significant concern <strong>and</strong> action is<br />

required to underst<strong>and</strong> the position in more detail.<br />

Regulatory Impact Assessment<br />

This paper addresses the performance of the <strong>Trust</strong> against its statutory financial <strong>and</strong> performance<br />

duties <strong>and</strong> against <strong>Trust</strong> Development Authority <strong>and</strong> Monitor financial st<strong>and</strong>ards.<br />

•<br />

•<br />

1

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