Agenda and supporting papers - Plymouth Hospitals NHS Trust

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£ D5 Contract Penalties & CQUIN Description Never Events Eliminating Mixed Sex Accommodation Cancer (62 days) Cancer (31 days) Cancer (2 Week Waits) RTT 18-week standards RTT 52-week waiters Diagnostic Waits A&E Ambulance Handovers Cancelled Ops 28-day breaches Cancelled Ops Multiple Breach Patients C-Diff 250,000 200,000 150,000 100,000 50,000 - TOTAL CONTRACT PENALTIES Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Target RAG - - - - - - 5,852 4,993 10,845 - - - - - - 105,239 104,599 209,839 25,000 25,000 50,000 23,925 23,371 47,296 15,401 16,450 31,850 16,800 8,200 25,000 768 25,584 26,351 4,856 20,761 25,616 - RAG Thresholds Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable 197,840 228,957 0 0 0 0 0 0 0 0 0 0 426,797 COMMENTARY Contract Penalties As at the end of May, contract penalties have been applied in 9 C-Diff out of the 13 areas totalling over £426k, over half of which has Cancelled Ops Multiple Breach Patients been related to RTT - failure against the National 18-week RTT Cancelled Ops 28-day breaches standards and reporting of 52+ week waiters. Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Ambulance Handovers A&E Diagnostic Waits RTT 52-week waiters RTT 18-week standards Cancer (2 Week Waits) Cancer (31 days) Cancer (62 days) Eliminating Mixed Sex Accommodation Never Events 19
E1 Staffing numbers Description Establishment (WTE) Contracted Staff in Post (WTE) Vacancies (WTE) Discretionary Spend (£000s) Vacancy % - Nursing Vacancy % - Medical Vacancy % - Admin & Managers Vacancy % - Other Staff PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Current Target RAG RAG Thresholds 5,747 5,754 Not applicable 5,392 5,398 Not applicable 355 356 1,753 1,380 - - Red R > 1300 G < 1000 5.65% 5.52% 5.52% - Amber R > 10% G < 3% 6.90% 7.07% 7.07% - Amber R > 10% G < 5% 6.11% 6.60% 6.60% - Amber R > 10% G < 5% 6.25% 6.47% 6.47% - Amber R > 10% G < 5% Establishment Vacancies (WTE) Contracted Staff in Post (WTE) 7,000 6,000 5,000 4,000 3,000 2,000 1,000 - Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar ANALYSIS OF KEY PERFORMANCE INDICATORS Discretionary Pay Spend Discretionary Spend (£000s) 2,000 1,800 1,600 1,400 1,200 1,000 800 600 400 200 - Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Vacancy Rates Vacancy % - Nursing Vacancy % - Medical Vacancy % - Admin & Managers Vacancy % - Other Staff 8% COMMENTARY Overall Establishment The budgeted establishment has increased in Month 2 by 7 WTE to 5,754 WTE. Staff in post has increased in Month 2 by 6 WTE to 5,398. Discretionary Pay Discretionary pay has reduced by £373k in Month 2 to £1.38m. This is principally due to a large reduction in nursing bank and agency. Turnover Annual turnover for Month 2 is 8.50% in comparison to 9.35% in the same period in the previous year. 7% 6% 5% 4% 3% 2% 1% 0% Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 20
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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
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Item 8 Quality Impact Assessment Pa
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Item 8 3.2 Quarterly Summary Hospit
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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 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: D4 Cash Management Description Revi
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
Page 127 and 128: Item 15 incident investigations to
Page 129 and 130: Item 15, Annex 1 3. Review of Actio
Page 131 and 132: 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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