Agenda and supporting papers - Plymouth Hospitals NHS Trust

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C5 Elective & Outpatient Activity Description Referrals vs plan (variance in referrals ; GP and non-GP) Elective activity vs plan (variance in spells) Outpatient activity vs plan (variance in attendances) Length of stay vs 12/13 (variance in days) Day Case Rates PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD 978 -1039 -61 0 -18 -108 -126 0 937 291 1228 0 0.00 0.12 - 0 78.0% 74.9% - 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 Referrals vs Plan 13/14 Actual Referrals 13/14 Planned Referrals Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Referrals vs plan The Trust has received 61 fewer referrals than planned as at the end of Month 2. ANALYSIS OF KEY PERFORMANCE INDICATORS 13/14 Elective Actual Elective Activity vs Plan 13/14 Elective Plan 6,000 5,000 4,000 3,000 2,000 1,000 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar COMMENTARY Outpatient Actual Outpatient Activity vs Plan Outpatient Plan 50,000 45,000 40,000 35,000 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 Elective activity vs plan The Trust has admitted 126 fewer elective inpatients than planned as at the end of Month 2. Outpatient activity vs plan The Trust has seen 1228 more outpatients than planned as at the end of Month 2. 13
C6 Other access & activity metrics Description % patients waiting >6 weeks for diagnostic test % IP/DC planned patients waiting longer that 'treat by' date Suspended patients as % of total waiting list (%) Rapid Access Chest Pain - % patients seen within 2 weeks % pPCI - 150 min call to first balloon inflation % GUM patients offered to be seen within 48 hrs PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Target RAG RAG Thresholds O,A,Q 1.6% 2.8% - 1% Red R > 1% G < 1% 6.5% 6.9% - 5% Amber R > 15% G < 5% 4.7% 5.0% - 5% Green R > 10% G < 5% Q 100.0% 100.0% 100% 100% Green R < 98% G > 99% Q 50.0% 100.0% 81% 75% Green R < 75% G > 75% Q 100.0% 100.0% 100% 100% Green R < 98% G > 99% 3.0% 2.5% 2.0% 1.5% ANALYSIS OF KEY PERFORMANCE INDICATORS Diagnostic Waits Actual Target COMMENTARY Diagnostic Waits As at 31st May 2013, 2.8% of patients (173 patients) on a diagnostic waiting list were waiting over 6 weeks for their test against a National Operating Framework target of 1%. Reperfusion Waiting Times In-month performance against the new pPCI standard in May was 100% (81% year-to-date) against an annual target of 75%. GUM Clinic In May, 100% of those patients attending the GUM clinic were offered an appointment within 48 hours. 1.0% Lower is better 0.5% 0.0% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 14
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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
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Updated: prior to July Board Item 4
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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 and 72: B5 Other safety & quality metrics D
Page 73 and 74: C2 Non-Elective Activity Descriptio
Page 75: C4 Referral To Treatment (RTT) Desc
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.
Page 123 and 124: Item 13 19. The Medical Director ha
Page 125 and 126: 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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