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Council of Governors Meeting Elaine Hobson Chief Operating Officer January 2010, Item 7 Relates to Domain 1 (C4a) and Domain 5 (C18, C19) Key Targets 1 Hospital Acquired Infections Performance Indicators Incidence of Clostridium difficile MON01, CQC16 Incidence of MRSA MON02, CQC15 Current Year to Date Position Position Nov 2009 Risk Rating Target 2009-10 Low 183 (112) 13 66 Med 18 (9) 0 4 -0 7 Ju n07 Au g07 Oc t-0 7 De c-0 7 Fe b08 Ap r-0 8 Ju n08 Au g08 Oc t-0 8 De c-0 8 Fe b09 Ap r-0 9 Ju n09 Au g09 Oc t-0 9 Ap r Key Targets 1 Hospital Acquired Infections C. Difficile Infections MRSA Bacteraemias 6 5 4 3 2 1 0 Key Targets 2 Cancer Waiting Times Performance Indicators Risk Rating Target 2009-10 Current Position Nov 2009 Year to Date Position Cancer: 14 day wait from urgent GP referral MON09, CQC18 Low 93% 98.5% (8 of 547) 98.5% (72 of 4870) Cancer: 31 days from diagnosis to treatment for all cancers MON10, CQC19.I Low 96% 95.7% (68 of 1576) 95.9% (8 of 195) Cancer: 31 days for subsequent cancer treatments Surgery MON03.I, CQC19.II Low 94% 96.7% (1 of 30) 95.1% (10 of 203) Cancer: 31 days for subsequent cancer treatments – Anti-Cancer Drugs MON03.II, CQC19.III Low 98% 99.7% (1 of 288) 96.7% (1 of 30) Cancer: 62 days referral to treatment - GP Urgent Referral MON04.I, CQC20.I Low 85% 86.4% (12 of 88.5) 84.7% (112 of 734) Cancer: 62 days referral to treatment – Consultant Screening Service MON04.II, CQC20.II Low 90% 93.3% (1 of 15) 97.6% (2 of 85) Cancer: 62 days referral to treatment – Consultant Upgrade CQC20.III Low 90% 66.7% (3 of 9) 86.7% (3 of 22.5) Key Targets 2 Cancer Waiting Times Cancer 31 Day Wait For First Treatment Cancer 62 Day Wait For First Treatment Key Targets 3 Emergency Department Performance Indicators Maximum waiting time of 4 hours in A&E from arrival to admission, transfer or discharge (bracketed figure is RD&E activity only) MON07, CQC04 Risk Rating Target 2008-09 Current Year to Date Position Nov Position 2009 Very Low 98% 97.7% 98.8% (95.6%) (97.5%) Key Targets 3 Emergency Department Key Targets 4 Referral to Treatment Waiting Times Risk Rating Target 2009-10 Current Position Nov 2009 Year to Date Position 18-week maximum wait Admitted patients. MON05, CQC17.III Low 90% 92.3% n/a 18-week maximum wait Non-admitted patients. MON06,CQC17.IV Low 95% 97.1% n/a 18-week maximum wait by 2010 Admitted orthopaedic patients. LOC3 Low 90% 70.6% n/a 18-week maximum wait by 2010 Non-admitted orthopaedic patients. LOC4 Low 95% 90.1% n/a 13-week maximum wait by 2010 Admitted patients (excl orthopaedics). LOC1 Low 90% 90.0% n/a 13-week maximum wait by 2010 Non-admitted patients (excl orthopaedics). LOC2 Low 95% 94.7% n/a Cancelled operations. CQC09 Med 0.80% 1.21% 2.57% Performance Indicators Key Targets 4 Referral to Treatment Waiting Times Referral to Treatment for Admitted Pathways Referral to Treatment for Non-Admitted Pathways Current Capacity Pressures 11 wards affected by Norovirus – 25 – 50 beds empty and blocked Increase in trauma admissions due to adverse weather conditions Increased number of medical outliers significantly reducing surgical and orthopaedic bed capacity Short term difficulty due to weather conditions in transferring patients home and to community beds Reduction in elective surgery impacting adversely on 18 week target Increase in A&E 4 hour breaches due to lack of bed availability for admissions Actions underway Additional cleaning staff provided to ensure wards can be opened as quickly as possible Additional medical and nursing staff provided at weekends and evenings for Emergency Department, Trauma and Medical Wards Devon Health and Social Care Complex Care Teams pulling patients out of RDE to home Actions underway Additional bed and day case areas being opened as an exception Extra elective capacity being provided - Vanguard mobile theatre and beds, Nuffield, Plymouth Independent Sector Treatment Centre Daily Eastern Devon multi-agency conference call Board rounds are being rolled out across the wards Joint consultant/GP work to agree admission criteria for community hospitals Council of Governors Meeting Suzanne Tracey Director of Finance and Business Development January 2010, Item 7 Finance Report – Month 8 Year to Date £5.0m surplus approx £400k below budget Clinical income broadly on plan but overspends on expenditure budgets Significant overspend on non pay budgets – action taken on authorisation levels Year end forecast still to achieve planned surplus of £7m Financial Risk Rating Year to date 4 Capital Expenditure Annual planned expenditure £23.5m YTD plan £14.7m, expenditure £10m Forecast expenditure £18.6m Annual slippage £4.8m – Pain Management – Replacement of CT scanner – Integrated minimal access theatre – Order Communications and E Prescribing Understanding slippage Savings on schemes Maintaining operational capacity Ensuring the scheme meets requirements Ensuring procurement meets regulations Further action – improvements to capital planning process