Agenda and supporting papers - Plymouth Hospitals NHS Trust

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C1 Accident & Emergency Description % of A&E patients waiting 30 mins) Delayed transfers of care (delayed days as % of occupied days) PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Target RAG RAG Thresholds O,A,M,Q 91.7% 94.8% 93.3% 95.0% Red R < 95% G > 95% Q 61 66 64 60 Red R > 60 G < 60 Q 2.2% 1.2% 1.7% 0.0% Red A,Q 3.0% 3.3% 1.7% 3.5% Green R > 5% G < 3.5% ANALYSIS OF KEY PERFORMANCE INDICATORS A&E 4 Hour Standard Actual Target 100.0% 98.0% 96.0% 94.0% 92.0% 90.0% COMMENTARY A&E Performance A&E 4 hour wait performance was below target (95%) at 94.8% in May. Arrival to Definitive Treatment Time Median duration was 66 mins for May. Ambulance Handover Times During May, 1.2% of patients experienced a handover time of over 30 minutes. The Trust is working closely with SWAST on daily liaison. Delayed transfers of care 3.3 % of the total occupied bed days in May were delayed days. Daily escalation and meetings with our wider partners in health and social care continue in order to minimise these delays. Discussing rehab capacity in Plymouth and Cornwall with commissioners. 88.0% 86.0% 91.7% 94.8% 93.3% 84.0% 82.0% 80.0% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD 9
C2 Non-Elective Activity Description Inpatient activity vs plan (variance in spells) Inpatient activity vs 12/13 actual (variance in spells) Marginal Rate Emergency Threshold Adjustment vs plan (000's) All Admissions MAU Admissions From GP All Admissions SAU Admissions From GP All Admissions Ambulatory care Admissions From GP Surgical inpatient length of stay Medical inpatient length of stay Medical Outliers - Average Daily Occupancy Rate 13/ 14 Non-elective Inpatient Activity vs Plan Actual Plan 5,000 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1,000 500 0 3,000 2,500 2,000 1,500 1,000 500 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar All Admissions to SAU, MAU and Ambulatory Care MAU (ALL) SAU (ALL) Ambulatory Care (ALL) PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Target RAG -223 -232 -455 0 -144 -320 -463 0 Available from Mnth 4 £0 0 1,453 1,419 2,872 376 384 760 543 619 1,162 298 342 640 242 243 485 193 182 375 6.93 6.85 9.36 9.35 61 54 - ANALYSIS OF KEY PERFORMANCE INDICATORS £1 £1 £1 £1 £0 £0 £0 3,000 2,500 2,000 1,500 1,000 500 Marginal Rate Emergency Threshold Adjustment Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar GP Admissions to SAU, MAU and Ambulatory Care MAU (GP) SAU (GP) Ambulatory Care (GP) 70 60 50 40 30 20 10 0 Medical Outliers - Average Daily Occupancy Rate RAG Thresholds Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar COMMENTARY 13/14 Inpatient Activity vs Plan and vs 12/13 As at the end of Month 2 we were 455 spells (non-elective inpatient stays) below plan for the year and have seen 463 fewer non-elective inpatients than the same period in 12/13. N.B Due to a change in recording practice, 2500 non-elective Obstetrics patients need to be removed from the 13/14 inpatient plan. Marginal Rate Emergency Threshold The National contract and PBR rules state that any non-elective inpatients treated above and beyond the levels of a nationally set baseline (the levels seen in 08/09) will only attract 30% of the tariff. The amount shown here represents the amount of income lost each month through non-elective inpatients volumes above and beyond the 08/09 levels. N.B Figures will be available from Month 4 onwards Medical Outliers These numbers represent the average daily volume of medical patients outlied on surgical wards. MAU, SAU and Ambulatory Care Admissions These graphs show the overall number of admissions to these three locations and the proportion of which are GP admits. 10
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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
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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 and 70: Response Rate Recommender Score B3
Page 71: B5 Other safety & quality metrics D
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
Page 121 and 122: 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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