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13. Monthly Performance Report - Southern Health and Social Care ...

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4.1 Access & TargetsElective access targets: The Trust continues to work with the local Commissioner <strong>and</strong> <strong>Health</strong> <strong>and</strong> <strong>Social</strong> <strong>Care</strong> Board to securethe level of investment required for the development of recurrent solutions to ensure the maintenance of access targets issustainable.• Recurrent investment has been secured for ENT, neurology, Allied <strong>Health</strong> Professions <strong>and</strong> Pain Management services.• Management efforts continue to focus on securing the recurrent investments required for gynaecology, endoscopy,ophthalmology <strong>and</strong> Trauma & orthopaedics services.• Discussions regarding the future local urology service model have been initiated in parallel with consultation on the regionalurology review.• The Trust is also working with the BHSCT <strong>and</strong> SEHSCT to secure the additional local service capacity required for SHSCT inrespect of visiting regional services, specifically oral surgery <strong>and</strong> neurophysiology.Delay in securing investment has however introduced risk to achievement of access targets as non-recurrent solutions have had tobe sustained longer than anticipated leading to cost <strong>and</strong> operational pressures. Key areas of risk for the achievement of accesstargets in year have been discussed with, <strong>and</strong> recognised by, the <strong>Performance</strong> Management & Service Improvement Division inrespect of urology, endoscopy, trauma & orthopaedics <strong>and</strong> MRI services. Whilst the Trust continues to work towards sustaining itsaccess times for these areas it is anticipated that these services will not be delivered within the current access st<strong>and</strong>ards but willnot exceed a 17 week access time position.Robust operational <strong>and</strong> monitoring arrangements have been established to ensure maximisation of capacity to minimise the volume<strong>and</strong> impact of any access st<strong>and</strong>ard breaches.<strong>Monthly</strong> <strong>Performance</strong> <strong>Report</strong> 16 February 10 29

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