Agenda and supporting papers - Plymouth Hospitals NHS Trust

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B4 Infection Control Description MRSA cases (hospital apportioned) C-Diff cases (hospital apportioned) MSSA cases (hospital apportioned) MRSA Screening -Elective MRSA Screening -Non Elective Wards closed due to norovirus Number of days wards closed due to norovirus PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Target RAG O,A,Q 0 0 0 3 Green O,A,Q 2 2 4 25 Green 2 5 7 93% 91% 95% 94% 95% 94% 0 0 0 0 RAG Thresholds See graph below See graph below ANALYSIS OF KEY PERFORMANCE INDICATORS MRSA Year To Date Target Upper Threshold Clostridium Difficile 7 6 40 35 5 30 4 25 20 3 15 2 10 1 5 - - - - - - - - - - - - 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 6 5 MSSA Cases Actual cases in month Ward Closures due to Norovirus 30 Wards closed due to norovirus 25 Number of days wards closed due to norovirus COMMENTARY MRSA The Trust reported no cases of hospital apportioned MRSA bacteraemia in May. Clostridium Difficile The Trust reported 2 cases of hospital apportioned Clostridium Difficile in May. The rate per 100,000 bed days and SW benchmark are currently unavailable whilst the SHA performance website is migrated to reflect the new CCG structure. Ward Closures No ward closures were reported during May due to Norovirus. 4 20 3 15 2 10 1 5 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 0 0 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 7
B5 Other safety & quality metrics Description % of eligible patients VTE risk assessed % of hip fracture patients operated on within 36 hrs % stroke patients >90% of time on stroke unit Follow-up backlog - actual (no.of patients) PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Target RAG RAG Thresholds O,A,CQ 95% 95% 95% 90% Green R < 95% G > 95% Q 81% 76% 78% 85% Amber R < 70% G > 85% Q 59% 67% 63% 80% Red R < 75% G > 80% 23,538 24,305 ANALYSIS OF KEY PERFORMANCE INDICATORS VTE Risk Assessment Actual Target Hip Fractures 120% 90% COMMENTARY VTE Risk Assessment 95% of patients admitted in May who required a VTE risk assessment recieved it on admission. 100% 80% 80% 70% 60% Hip Fractures During May 76% of FNOF patients were operated on within 36 hours of admission. 60% 40% 50% 40% 30% Stroke During May 67% of stroke patients spent >90% of their stay on the stroke unit. 20% 0% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 20% 10% 0% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Follow-Up Backlog As at the end of May, the follow-up backlog had risen to 24,305 patients. Stroke Patients 90% 80% 70% 60% 50% 40% 30% 20% 10% Follow-up Backlog 30,000 25,000 20,000 15,000 10,000 5,000 0% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar - Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 8
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Trust Board Friday 5 July 2013, 9.0
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Members of Plymouth Hospitals NHS T
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Item 3 observer. The Chairman requi
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Item 3 Board oversight of contribut
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Item 3 the Board next month. • Th
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Item 3 been involved and there was
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Item 3 continuing to build. Mr Babe
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Item 3 to Norovirus, Professor Lewi
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Item 3 • Careful communication of
Page 19 and 20: Item 3 • Approved the writing off
Page 21 and 22: Updated: prior to July Board Item 4
Page 23 and 24: Updated: prior to July Board Item 4
Page 25 and 26: Item 8 Quality Impact Assessment Pa
Page 27 and 28: Item 8 3.2 Quarterly Summary Hospit
Page 29 and 30: Item 8 4.4 Monthly Proportion of Pa
Page 31 and 32: Item 8 Inpatient falls are currentl
Page 33 and 34: Item 8 REI signage PALS were contac
Page 35 and 36: Item 8 Complaints received listed b
Page 37 and 38: Item 8 The graphs below illustrate
Page 39 and 40: Item 8 5.5 Friends and Family Test
Page 41 and 42: Item 8 1. Pressure Ulcers (EoC) 2.
Page 43 and 44: Item 8 Observations The essence of
Page 45 and 46: Item 8a SUMMARY REPORT Trust Board
Page 47 and 48: Annex 2 Item 8a Summary of Serious
Page 49 and 50: Item 9 Key Recommendations The Trus
Page 51 and 52: Item 9 Effective Care (Section B2 o
Page 53 and 54: Item 9 Description 31 days from 'de
Page 55 and 56: Item 9 4.6 Non Elective Activity is
Page 57 and 58: Item 9 Summary of performance excep
Page 59 and 60: Item 9 Ensure that all patients adm
Page 61 and 62: Item 9 Forecast Significant progres
Page 63 and 64: Item 9 Update on previous actions C
Page 65 and 66: Contents EXECUTIVE SUMMARY D FINANC
Page 67 and 68: B1 Safe care Description Hospital S
Page 69: Response Rate Recommender Score B3
Page 73 and 74: C2 Non-Elective Activity Descriptio
Page 75 and 76: C4 Referral To Treatment (RTT) Desc
Page 77 and 78: C6 Other access & activity metrics
Page 79 and 80: D2 Cost improvement programme (CIP)
Page 81 and 82: D4 Cash Management Description Revi
Page 83 and 84: E1 Staffing numbers Description Est
Page 85 and 86: E3 Sickness absence PERFORMANCE IND
Page 87 and 88: Risk Rating F2 Monitor's Financial
Page 89 and 90: Item 10 DETAILED REPORT Trust Board
Page 91 and 92: Item 10 4. Key Issues for the Board
Page 93 and 94: Item 11 SUMMARY REPORT Trust Board
Page 95 and 96: Item 11 DETAILED REPORT Trust Board
Page 97 and 98: Item 11 • Challenge in respect of
Page 99 and 100: Item 11 Over the past two years, me
Page 101 and 102: Item 11 Getting it Right Charter An
Page 103 and 104: Item 11 Outcome of review with exte
Page 105 and 106: Item 11 Learning Disabilities Natio
Page 107 and 108: Item 11 Peer Review 2.5 Peer Review
Page 109 and 110: Item 12 Next Steps 1. Conversation
Page 111 and 112: Item 12 2. Board Inclusion Developm
Page 113 and 114: Item 12 EDS Grades and E & D Object
Page 115 and 116: Item 12 Plymouth Hospitals Trust -
Page 117 and 118: Item 12 3.6 The workforce is suppor
Page 119 and 120: Item 13 Key Recommendations The Tru
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Item 13 Telephone conversations.
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Item 13 19. The Medical Director ha
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Item 14 SUMMARY REPORT Trust Board
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Item 15 incident investigations to
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Item 15, Annex 1 3. Review of Actio
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Item 15, Annex 1 • Top three issu
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Item 15, Annex 1 The Chair asked SS
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Item 16 COMMITTEE MINUTES Finance,
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Item 16 pay and staffing, highlight
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Item 16 • PACS contract - likely
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Item 17 Terms and Conditions of Emp
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Item 17, Annex 1 29/2013 Minutes an
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Item 17, Annex 1 31/2013 Francis Re
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Item 18 SUMMARY REPORT Trust Board
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Item 18 Next Steps The Audit Commit
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Item 18, Annex 1 Matters arising 4/
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Item 18, Annex 1 time to embed and
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Item 18, Annex 1 Payroll & Expenses
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Item 18, Annex 1 The Committee note
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Item 18, Annex 1 Going Concern Revi
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Item 18, Annex 1 if Internal Audit
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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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