Commissioning Plan Performance Report Body Papers... · Operational Executive 18 July 2016 ....

NHS Rotherham Clinical Commissioning Group

Operational Executive 18 July 2016

Strategic Clinical Executive 20 July 2016

GP Members Committee 27 July 2016

Governing Body 3 August 2016

Commissioning Plan Performance Report

Lead Executive: Ian Atkinson, Deputy Chief Officer Lead Officer: Lydia George, Planning and Assurance Manager

Lead GP: N/a Purpose:

For the Governing Body to note:

• that the 2016/17 Commissioning Plan Performance Report has been substantially revised

• current progress with delivery of the Commissioning Plan

Background:

In 2013 a performance framework for the Commissioning Plan was developed so that the CCG could assess its progress against key priorities and on its implementation of the plan. The report has been refined each year but has broadly remained the same.

The performance report each year has been undertaken in July, October and March and reported to OE, SCE, GPMC and Governing Body each time. The report provided important evidence for Investors in Excellence.

Analysis of key issues and of risks In line with the new CCG Improvement and Assessment Framework and the revision of the GB overall performance report it was decided that the Commissioning Plan performance framework would be revised to provide a fuller picture of delivery. The key changes are:

• Each of the 15 priority areas from the Commissioning Plan are reported • Each priority area has clear milestones and targets aligned to the Commissioning Plan • Each priority area includes Key Performance Indicators taken from the new CCG

Improvement and Assessment Framework metrics, the new Governing Body Performance report, Quality Premiums, the Better Care Fund or are regular key local metrics already reported

• QIPP information is included for those priority areas that are subject to QIPP • Any associated risks from the GB Assurance Framework / Risk Register are reported • Lead GP and Lead officers are reported

Lead officers have provided commentary against the milestones and metrics where performance is off track. In quarter 2 officers will also be asked to provide a forward view where it is anticipated that they would be off track by the following reporting quarter.

From 2016/17 the performance framework will be reported 4 times a year and will be received at Governing Body in August, November, February with a final year- end report in May.

To note

This is a substantial update of the report and is still very much work in progress and still is subject to minor modification.

In addition, a number of the metrics taken from the Improvement and Assessment Framework are still awaiting data nationally.

Progress with implementation of the Commissioning Plan by the end of quarter 1 Milestones There are 51 milestones in total, see breakdown below:

Red 1 Amber 3 Green 43 *TBC 4 Total 51

*Note – these milestones need further clarification with the lead officer.

Overall there are approximately 82% of milestones on track, however this is not conclusive given the number of milestones to be confirmed.

RAG rate

No. Milestone description Commentary

Red 1 Involvement of the Care Co-ordination Centre in the End of Life Care pathway

Discussions are still taking place on its implementation.

Amber 3 Primary care self-care pilot complete tele-health evaluation

Expand the role of the CCC to manage the interface between acute/community

Achieve 40% implementation of the case management palliative care template in primary care

Delay in commencing due to provider (‘EE’) connection

CCC expansion on track, further discussions needed around the clinician to clinician proposal

Decision to be included only recently made, therefore implementation is just taking traction

Key Performance Indicators There are 48 milestones in total, see breakdown below:

Red 6 Amber 5 Green 13 **TBC 25 Total 48

** Note – these metrics need either further clarification with the lead officer or are awaiting further data nationally

Overall there are approximately 27% of KPIs on track, however this is not conclusive given the number of KPIs still to be confirmed.

Below is a list of the red and amber Key Performance Indicators, commentary on performance can be found in the Governing Body Performance Report or Governing Body Quality Report.

RAG No. Key Performance Indicator Description

rate

Red 7 Utilise NHS e-referral service to enable choice at 1st routine elective referral

Achieve A&E 4 hour access standard

People who have had a stroke who are admitted to the acute stroke unit in 4 hours of arrival to hospital

Number of A&E attendances by care home residents

Cat A ambulance response calls within 8 minutes

Percentage of people moving to recovery of those who have completed IAPT treatment

Cancer (all) diagnosed at stage 1 and 2

Amber 4 Proportion of people waiting 6 weeks or less from referral to entering a course of IAPT treatment

Patients requiring a Continuing Healthcare assessment will have an eligibility assessment within 28 days from the receipt of the continuing healthcare checklist – Adults

Patients requiring a Continuing Healthcare assessment will have an eligibility assessment within 6 weeks from the receipt of the continuing healthcare checklist – Childrens

Percentage seen within 62 days after a referral by GP

The level of QIPP savings is still to be determined.

Approval history:-

OE 18 07 2016

SCE 20 07 2016

GPMC 27 07 2016

Recommendations:

The Governing Body are asked to:

1. Note the revised Commissioning Plan Performance Report and provide any feedback to its development at this stage.

2. Note that the Performance report is still work in progress, and is still subject to minor modification.

3. At this point it is difficult to gain an overall understanding of progress to date since there are a number of milestones, and a significant number of Key Performance Indicators still to be confirmed. Note that the latter is mostly due to the data not being available yet nationally.

4. Note that reporting for 2016/17 has increased from 3 times per year to 4 times per year.

Commissioning Plan Performance Report 2016/17

Meeting Date

Operational Executive 18 07 2016 Strategic Clinical Executive 20 07 2016 CCG Governing Body 03 08 2016 GP Members Committee 27 07 2016

DRAFT Definitions for RAG Ratings:

Red KPI Milestones QIPP

Less than 2% achieved Not started or significant issues Not started or Started but still high risk

Amber

KPI Milestones QIPP

Within 2% achieved Started but not on track OK with medium risk

Green

KPI Milestones QIPP

Achieved On track Achieving as planned

Please note

• That there are a significant number of KPIs from the new Improvement and Assessment Framework where data is not available yet.

• There is a glossary on the back page. • The QIPP position will be reported in the Governing Body version of this paper.

1 Primary Care Lead GP: Jason Page Lead Officer: Jacqui Tufnell

Funding in 2016/17 = £0.6m for the LIS, £1.2m for Case Management and funding for the CCG Commissioned LES’s

Deliverable Milestones for 2016/17 Source 2016/17 Target Q1 Q2 Q3 Q4 Comments

M1 Primary Care Quality Contract – implement and monitor 3 standards for 2016/17.

Com / primary care plan

Q1 On track

M2 Primary Care Quality Contract – develop remaining standards for 2017/18


Q3 On track

M3 Primary Care Quality Contract – Agree contracts for 2017/18 standards


Q4 On track

M4 Primary Care Self-care pilot – complete tele-health evaluation


Q2 Scheme started but not on track, delay with start due to provider (‘EE’) connection

M5 Monitor and evaluate the effectiveness of the Care Home Alignment with GP practices


Q4 On track

Key Performance Indicators (KPIs) 2016/17 Target Q1 Q2 Q3 Q4

K1 Patient experience of GP services I&A Framework Quality

premium

85% or a 3% increase on Jul-

16

TBC Jan 15 – Sep 15 performance = 70.5%

K2 Utilise NHS e-referral service to enable choice at 1st routine elective referral

I&A Framework Quality

premium

80% or 20% increase on

Mar-16

63.7% April 16

Not on track - AHD Note - March 16 figure is 64% so we will be looking at the 80%.

QIPP APMS Core Contract Values QIPP Plan £125,000 G Premises Costs reimbursements QIPP Plan £118,000 G Property Services QIPP Plan £274,000 G

Risks Risk Description Risk Score GP quality and Efficiency GB Assurance

Framework Failure to improve GP quality and efficiency in partnership with NHS England (current concerns are due to overall GP capacity

d l )

12

CQC inspection of practices GB Assurance Framework

Worst case scenario, a practice may be identified as so inadequate that emergency arrangements have to be enacted

12

Impact of changes to primary care support England from NHS to Capita contract

GB Assurance Framework

Issues in relation to collection and delivery of medical records, this is a national not local issue

16

To note, the following KPIs are within the I&A Framework but are not currently in publication • Primary care access • Primary care workforce

2 Unscheduled Care Lead GP: David Clitherow Lead Officer: Dominic Blaydon

Funding in 2016/17 = £60.1m


M1 Completion of the capital Build for the Emergency Centre (Q2 2017/18)

Com Plan STP

Q4 On track - Handover from Kier planned for May 17 (currently ahead of schedule likely April 17). Once handed over, infrastructure (IT and equipment) will be put in place before cleaning ready for decant from B1.

M2 Implement new IT system Com Plan Q3 On track for Oct 16

M3 Full implementation of the Emergency Centre Model

Com Plan STP

Q3 On track - scheduled for 6th July 17

M4 Expand role of the Care Co-ordination Centre (CCC) to manage the interface between acute /community

Com Plan STP

Q3 Expansion of CCC on track but further discussions to take place around the clinician to clinician proposals still ongoing.

M5 Ensure replacement Risk Stratification Tool is in place to support the reduction in emergency admissions

Com Plan Q3 On track

Key Performance Indicators (KPIs)

K1 Contain growth in the number of non-elective admissions

Contractual target

BCF

29417 Admissions

TBC AHD Note - this is probably best coming from NHSE monitoring of our planning return. – I haven’t seen any yet which is unusual. They may be waiting till their new portal is up and running. Checked with Andy at Bassetlaw as well and he hasn’t seen anything.

K2 Contain growth in A&E attendances Contractual target

82031 Attendances

TBC As above

K3 Achieve 4 hour access standard for A&E Constitutional GB Report

95% by Q4 As at 18 07 16

91.07%

Not on track - Performance decreased April to May but steadied through June. Pressures continue to be seen within the system with May seeing the highest number of attendances (6978) at A&E for the last 2 years. The agreed A&E action plan continues to be monitored. The cumulative position for our health economy (A&E and WIC) would have achieved 94.56% for April and May against an England national position of 90.0%. Further information can be found in the GB performance report.

K4 Reduce unplanned hospitalisation for chronic Ambulatory Care Sensitive conditions

I&A Framework GB Report

1,074 TBC AHD note - Will check with EMBED exactly what this target is – think it is a rate

QIPP Delivery of A and E Assessments through the Clinical Decision Unit

QIPP Plan £286,000 G

Reducing levels of Activity growth in A&E QIPP Plan £280,000 A

Reduce IHAM NHSE growth assumption in line with local trend analysis

QIPP Plan £226,000 R

Risks Risk Description Risk Score Unscheduled Care QIPP GB Assurance

Framework Failure to deliver system wide efficiency programme for unscheduled care

20

A&E target GB Assurance Framework

Failure to meet A&E targets 16

3 Transforming Community Services

Lead GP: Phil Birks Lead Officer: Dominic Blaydon Funding in 2016/17 =£28.5m


M1 Implement and monitor the Integrated Locality Team at the Health Village


M2 Implement and monitor the Integrated Rapid response Service

Com Plan Q2 On track - Note that staff are integrated on one site a lead has been identified but not in place as yet

M3 Completion of the Business Care for the Re-ablement Village



K1 People who have had a stroke who are admitted to the acute stroke unit in 4 hours of arrival to hospital

Quality Premium

90% national standard

50.0% Not on track – as per GB report in January 2016 – the target is not being achieved because non-elective workloads have meant that stroke beds have had to be used to accommodate medical outliers. TRFT have addressed by implementing a new policy which sets out criteria for exceptional utilisation of the Stroke Unit beds. Medical outliers on the Stroke Unit are being identified at daily bed meetings and the patient flow team has been instructed to prioritise repatriation. This policy is starting to gain traction.

K2 Emergency readmissions within 30 days of discharge from hospital

BCF GB report

10% TBC

K3 Delayed transfers of care from hospital I&A Framework BCF

GB Report Quality

Premium

Threshold = 5595 delayed

days

252.4 On track

K4 Number of unscheduled admissions of patients > 65 years out of hours

TCS reporting Threshold = -15%

TBC Waiting for data

K5 Number of A&E attendances by care home residents

TCS reporting Threshold = 1250

April / May =

270

Not on track – total number for April and May attendances were 270, continuation on this trajectory would equate to 1620 by Q4. Audit/review of the ANP Care Homes Service has been proposed

K6 GP satisfaction rate for the Integrated Community Nursing Service

TCS reporting Threshold = 80%

TBC Q4 2015/16 achieved green, awaiting data for Q1

QIPP Reducing levels of Activity in Emergency Admissions - neuro rehab, integrated rapid response and integrated locality teams

QIPP Plan £1,039,000 A

Risks Risk Description Risk Score None identified GB Assurance

Framework

4 Ambulance and Patient Transport Services

Lead GP: David Clitherow Lead Officer: Julia Massey


M1 Develop a process to understand the CPR performance delivered to support improved patient outcomes

Com Plan Q4 TBC Milestones to be checked with DB

M2 Improved hospital pre alert and treatment plans for patients with suspected Sepsis

Com Plan Q4 TBC Milestones to be checked with DB

Key Performance Indicators (KPIs) K1 Response to category A (Red1)

ambulance calls within 8mins I&A Framework 75% 58.7% Not on track - YAS continue to participate

in an NHS England-led Ambulance Response Programme (ARP), which went live from the 21st April 2016. The pilot will run for 3 months initially with evidence reviewed on a bi weekly basis. This review involves a change in how calls are recorded from the previous current Red/Green system. Given the YAS participation in the pilot, the CCG is not in a position to report the Ambulance constitutional standards at this point in time.

QIPP None identified

Risks Risk Description Risk Score Ambulance Targets GB Assurance

Framework Failure of YAS to achieve RED 1 8 minute Target at CCG level and Yorkshire & Humber wide

20

5 Clinical Referrals (Diabetes is a clinical priority within the I&A Framework)

Lead GP: Anand Barmade Lead Officer: Janet Sinclair-Pinder Funding in 2016/17 = £66.7m


M1 Implement 10 clinical thresholds Com Plan Q4 On track M2 Extension of virtual clinics from

haematology to other areas such as endocrinology


M3 Delivery of agreed audit programme and implementation of recommendations (6 in 2016/17 – 4 clinical thresholds, 1 cancer, 1 emergency admissions)


M4 Review and implement Rotherham Diabetes Care model around the Portsmouth care model which focuses around “super six” care.


Key Performance Indicators (KPIs) K1 Patients waiting 18 weeks or less from

referral to hospital treatment Constitution /


92% 95.1% - % Patients on incomplete non-emergency pathways waiting no more than 18 weeks

K2 Contain growth in elective activity Contractual 39671 Spells TBC AHD note - This is probably best coming from NHSE monitoring of our planning return. – I haven’t seen any yet which is unusual. They may be waiting till their new portal is up and running. Checked with Andy at Bassetlaw as well and he hasn’t seen anything.

K3 Achievement of outpatient follow up ratios

Contractual TBC TBC AHD note - May need to reconsider – target is specialty level not overall

QIPP Reduction in follow-ups where TRFT are above peer average


Reducing levels of Activity growth in direct access pathology in line with clinical pathways


Reduce IHAM NHSE growth assumption in line with local trend analysis


Risks Risk Description Risk Score Planned Care QIPP GB Assurance

Framework Failure to deliver system wide efficiency programme for planned care

20

6 Medicines Management

Lead GP: Avanthi Gunasekera Lead Officer: Stuart Lakin Funding in 2016/17 =£48.0m


M1 Potential savings of £447,500 have been identified by the introduction of a range of branded generic drugs. This figure will be adjusted as further schemes evolve. A target of 90% compliance has been set = annual savings £402,750.

Meds Management

Priority

90% Progress May 2016

Octasa 26%, Biquille 79%, Neditol 35%, Repinex 19.3%

M2 12 projects to be delivered over the financial year two have been completed £273,000 savings identified this figure will evolve has schemes are still being evaluated

Meds Management

Priority

12 projects Two schemes have been completed and have delivered £103,456.

M3 6 practices to have committed to become waste beacons and have begum the transformational work plan by September 2016. 9 practices have committed to the programme and timescales

Meds Management

Priority

Q3 TBC No figures will be available until Q3.

Key Performance Indicators (KPIs) K1 Reduction in the number of antibiotics

prescribed in primary care Quality

premium / I&A Framework /

GB Report

4% reduction or 1.161 items per

STAR-PU

1.192 On track

K2 Appropriate prescribing of broad spectrum antibiotics in primary care

Quality premium / I&A Framework /

GB Report

lower than 10%, or to reduce by 20% from each CCG’s 2014/15

value

8.5 On track

K3 Number of finance and quality “green” indictors

Meds Management

75% og 1302 indicators to be

green 976

552 (42%) Green

On track

QIPP Medicines Waste reduction QIPP Plan £700,000 A Medicines Management QIPP QIPP Plan £550,000 A Branded Generics QIPP Plan £250,000 G Rebates and contract efficiencies. QIPP Plan £200,000 G Do not prescribe QIPP Plan £150,000 A Nationally Negotiated Price Reductions QIPP Plan £1,000,000 A Service redesign - Nutrition/Gluten Free QIPP Plan £90,000 A UNIDENTIFIED QIPP Plan £190,000 R

Risks Risk Description Risk Score Prescribing QIPP GB Assurance

Framework Failure to deliver system wide efficiency programme for prescribing

20

7 Mental Health (Mental Health and Dementia are clinical priorities within the I&A Framework) Lead GP: Russell Brynes (Adults) Richard Cullen (Childrens) Lead Officer: Kate Tufnell (Adults) Nigel Parkes (Childrens)

Funding in 2016/17 =£35.0m


M1 Externally evaluate Adult Mental Health Liaison and MH Social Prescribing programmes

Com Plan STP

Q3 On track

M2 RDaSH to produce a delivery plan including milestones and timescales for the delivery of the Adult Transformation Plan


M3 Dementia – Implement and evaluation the Dementia LES


M4 Children and Young People - All children and young people will follow the agreed process in transitioning to adult services and all will have a transition plan in place.

Com Plan STP

Q4 On track

M5 Review of out of area placements in partnership with RDASH

Com Plan STP

Q2 On track

Key Performance Indicators (KPIs) K1 People with 1st episode of psychosis

starting treatment with a NICE- recommended package of care treated within 2 weeks of referral

I& A Framework STP

GB report

50% 72.9% On track

K2 Percentage of people who are "moving to recovery" of those who have completed IAPT treatment


Quality Premium

51.3% 47.6% at the end of

Q1

Not on track - IAPT remedial discussions are on-going. Steps are being taken to increase clinical and administration staff capacity to cover vacancy and lost capacity. A move to self-referral has been proposed by RDASH to address the extremely high attrition and DNA rates.

K3 Diagnosis rate for people with dementia, as a percentage of the estimated prevalence

GB Report I&A Framework

67% 72.9% On track

K4 Proportion of people waiting 6 weeks or less from referral to entering a course of IAPT treatment

GB Report I&A Framework

75% 71.8% Started but not on track, As no. 2

K5 95% of children and young people who present at A&E in crisis will be seen within 1 hour

STP Com plan

No existing data – awaiting

STP

TBC No data for Q1

K6 95% of adults who present at A&E in crisis will be seen within 1 hour

STP Com plan

No existing data – awaiting

STP

TBC No data for Q1

QIPP MH and LD – joint risk share with RDASH to reduce the Out of Area activity


Risks Risk Description Risk Score IAPT Waiting Times GB Assurance

Framework Failure to deliver the National IAPT waiting times standards for 6 and 18 weeks

16

CAMHS Reconfiguration GB Assurance Framework

Inability to deliver CAMHS reconfiguration in a timely manner

16

CAMHS Transformation GB Assurance Framework

Delivery of the CAMHS Local Transformation Plan 12

8 Learning Disability (Learning Disabilities is a clinical priority within the I&A Framework)

Lead GP: : Russell Brynes (Adults) Richard Cullen (Childrens) Lead Officer: Kate Tufnell


M1 Deliver the required number of bed reductions as per Rotherham element of the plan

Com plan Q4 On track

M2 Deliver GP training to support the Annual Health check DES

Com plan Q2 On track


K1 Ensure that patients receive a CTR prior to a planned admission to an Assessment and Treatment Unit or mental health inpatients

Com Plan STP

95% On track

K2 Ensure that patients in an Assessment and Treatment Unit receive a Care and Treatment Review (CTR) every 6 months

Com Plan STP

100% On track. Note that of the 5 patients, 4 received a CTR and 1 (due to the complexity of the individual who was transferring from hospital to hospital) received a more in-depth CTR

K3 Reduce the number of people admitted in line with the South Yorkshire and North Lincolnshire LD TCP trajectory

Local Reporting Target = 3 – CCG funded

LD beds

5 – NHSE funded secure

LD beds

On track – position as at July data – 4 and 4

QIPP Review of Assessment and Treatment Unit capacity in block purchase or spot purchase



Framework

To note, the following KPIs are within the I&A Framework but are not currently in publication • % of people with a learning disability on a GP register having annual health check • Reliance on specialist inpatient care for people with learning disability/autism

9 Maternity and Children’s Services (Maternity is a clinical priorities within the I&A Framework)

Lead GP: Richard Cullen Lead Officer: Emma Royle


M1 Complete a gap analysis and ‘next steps’ against the National Maternity Review: Better Births

Com Plan

Q3 On track - TRFT have undertaken a gap analysis which they will share once it has been through their governance structure.

M2 Complete a revised strategy and service specification for maternity services

Com Plan

Q3 On track - The strategy is complete, and will be sent to the CCG DCO and Assistant Joint Director of Commissioning and Performance for comment. It will then go through the CCG governance structure. The service Specification is in development.

M3 Develop a new community services specifications including children’s community nursing and specialist nurses to support the Care Closer to Home work-stream

Com Plan

Q3 On track - Consultation has taken place with staff, and the parent carers forum are undertaking a consultation exercise. Work is taking place with the Deputy Chief Nurse, who will be key to its development.


K1 Reduce the number of neonatal mortality and still births

I&A Framework Outcomes

Framework

TBC TBC Latest position is 8 in 2013

K2 % of children aged 10-11 classified as overweight or obese

I&A Framework Public Health

TBC TBC Latest position is 35.3% in 2014/15

K3 Maternal smoking at delivery I&A Framework Public Health

TBC TBC Latest position is 19.3% at Q3 2015/16

K4 Improve Women’s experience of maternity services (national maternity services survey)

I&A Framework Outcomes

Framework

TBC TBC Not currently in publication

K5 Emergency admissions for children with lower respiratory tract infections

I&A Framework 541.8 TBC Latest position is 541.8 in 2014/15

K6 Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19’s

I&A Framework 364 TBC Latest position is 364.0 in 2014/15


Risks Risk Description Risk Score Health Assessments for Children in Care GB Assurance

Framework NHS RCCG reputation as responsible commissioner for Children in Care - not having initial health assessments within statutory framework

12

10 Continuing Care and Funded Nursing Care Lead GP: Richard Cullen Lead Officer: Alun Windle


M1 Put in place a comprehensive range of agreed local policies and protocols in line with any contemporary guidance

CHC Standards AQuA

Assurance Report

Adults November

On track

Children September

On track

M2 Develop a CHC training package for health and social care staff regarding local process and provision of CHC

CHC Standards AQuA

Assurance Report

Q4 On track

M3 Implement processes fit for purpose with identified panels having an appropriate number, scope, size and membership

CHC Standards AQuA

Assurance Report

Adults Q1

On track

Children Q3

On track

Key Performance Indicators (KPIs) K1 People eligible for standard NHS

continuing healthcare I&A Framework

GB report TBC TBC Not currently in publication

K2 Personal Health Budgets I&A Framework GB report

TBC TBC Not currently in publication

K3 Patients in receipt of CHC will have a completed annual review

CHC Key Performance

Indicators

Adults 25-30%

outstanding

Children 0%

outstanding

K4 Patients referred by Fast Track referral will receive a funding decision within 48 hours

CHC Key Performance

Indicators

100% Q4

K5 Patients requiring a Continuing Healthcare assessment will have an eligibility assessment within 28 days from the receipt of the continuing healthcare checklist - Adults

CHC Key Performance

Indicators

100% Q4

Started but not on track - increased focus on implementation and monitoring of the national framework, it is anticipated that it will gain traction.

K6 Patients requiring a Continuing Healthcare assessment will have an eligibility assessment within 6 weeks from the receipt of the continuing healthcare checklist – Childrens

CHC Key Performance

Indicators

100% Q4

Started but not on track - increased focus on implementation and monitoring of the national framework, it is anticipated that it will gain traction.

QIPP Review of Children's CHC packages QIPP Plan £250,000 A Review of Assessment tool for determining care packages

QIPP Plan £150,000 A

Review of High Cost Care packages QIPP Plan £100,000 A Risks Risk Description Risk Score

Equipment via IFR/CHC GB Assurance Framework

Equipment provided by RCCG via IFR/CHC - failure to have a procurement service to ensure cost effectiveness and service that ensures that the purchased equipment has a record of maintained and safety.

15

11 End of Life Care (EOLC)

Lead GP: Avanthi Gunasekera Lead Officer: Nigel Parkes Funding in 2016/17 =£3.0m


M1 Involvement of the Care Co-ordination Centre in the EOLC pathway

Com Plan Q4 Not on track - discussions still take place on implementation.

M2 Achieve 40% implementation of the Case Management Palliative Care Template in Primary Care

Com Plan Q4 Started but not on track, target = Q2 20%, Q3 30%, Q4 40%. The decision for this to be part of the case management template was taken recently so implementation is just taking traction.


K1 Percentage of deaths which take place in hospital


TBC TBC 2014/15 Q4 - 2015/16 Q3 – latest data - 48.8%. AHD - Can’t immediately find a target for this – perhaps a reduction

K2 Percentage of deaths not in hospital Public health 54% by Q4 TBC On track - Please note - 5 month lag on data. 2016 has started well with January to March all above 2015 average and above 2015 January to March values. This has maintained the upturn in the 12 month moving averages. However, January and February are provisional and March and April are incomplete therefore liable to change. Q1 2016 provisional = 55%



Framework

12 Specialised Services

Lead GP: Richard Cullen Lead Officer: Jacqui Tufnell


M1 Ensure robust arrangements for tier 3 Obesity in readiness for the transfer of tier 4 bariatric surgery in collaboration with public health


Key Performance Indicators (KPIs) K1 n/a No KPIs


Risks Risk Description Risk Score Collaborative commissioning GB Assurance

Framework Effective collaborative commissioning of specialised services

12

13 Joint Work – local and Regional

Lead GP: Julie Kitlowski Lead Officer: Dominic Blaydon Funding in 2016/17 = BCF is £24.3m


M1 Develop and deliver the STP STP Q3 On track M2 Develop and deliver the local place

based plan STP Q3 On track

M3 Oversee the implementation of the BCF with RMBC

Com Plan / BCF Plan

Q4 On track

Key Performance Indicators (KPIs) K1 Achievement of BCF KPIs – see BCF Plan Com Plan / BCF

Plan Q4 Please see BCF page of GB report


Risks Risk Description Risk Score Funding for BCF GB Assurance

Framework Resources reduced through introduction of BCF 12

14 Child Sexual Exploitation

Lead GP: Lead Officer:


M1 As part of the annual update for GPs and practice staff, ensure minimum training level 3 is delivered


M2 Offer the same training as above to the remainder of primary care, social care and providers


M3 Provide ongoing support to current and emerging SYP and NCA historic investigations

Com Plan Q1-Q4 On track

M4 Provide 2 members to be part of the Multi Agency Safeguarding Hub team

Com Plan Q1- Q4 On track

Key Performance Indicators (KPIs) K1 None identified



Framework

15 Cancer (Cancer is a clinical priorities within the I&A Framework)

Lead GP: Richard Cullen Lead Officer: Janet Sinclair-Pinder


M1 Support on-going delivery of the TRFT Cancer Improvement action plan focusing on one year survival rates.

Com Plan STP

Q4 On track

M2 Implementation of NICE Cancer Guidelines

Com Plan STP

Q4 On track

M3 Fully engage with the Macmillan Living With and Beyond Cancer (LWABC) Programme to identify gaps in service and develop an action plan

Com Plan STP

Q3 On track

M4 Focus work on awareness raising / early diagnosis / 2 week wait

Com Plan STP

Q3 On track

Key Performance Indicators (KPIs) K1 Cancer (all) diagnosed at stage 1 and 2 I&A Framework

Quality Premium

>60% or 4 % point

improvement

36.5% Off track but inconclusive as the latest reporting period was 2014

K2 Percentage seen within 2 weeks following an urgent referral by GP for suspected cancer

GB Report 93% 95.9% On track - EMBED are producing a new cancer dashboard – AHD / DJ have access

K3 Percentage seen within 62 days after a referral by GP

Quality Premium

I&A Framework

85% 82.4% Not on track - 62 day GP RTT target was under the national standard of 85% at 82.4%, a decrease from March position of 84.21%. TRFT performance dropped from March 96.2% to April 89.0% but were still within the national standard. National performance as at Q4 15/16 was 81.9%. There were 9 breaches in April for RCCG patients: • 3 due to inadequate elective capacity, 2

of these at Sheffield Teaching FT, 1 at Rotherham FT.

• 5 due to pathway delays, 4 between Rotherham FT and Sheffield Teaching FT. 1 within Rotherham FT only.

K4 Patient satisfaction rates >89% (Secondary care)

Com Plan STP

Q1 On track – note this is annual data

K5 Percentage of patients satisfied with support from their GP during treatment >66%

Com Plan STP

Q1 On track – note this is annual data



Framework

To note, the following KPIs are within the I&A Framework but are not currently in publication • Cancer one year survival rates – 2013 data • Cancer patient experience – 2014 data

Glossary (AHD refers to Alex Henderson-Dunk, DB refers to Dominic Blaydon)

APMS Alternative Provider Medical Services BCF Better Care Fund CCC Care Co-ordination Centre CHC Continuing Healthcare

CAMHS Child and Adolescent Mental Health Services CQC Care Quality Commission EOLC End of Life Care GB Governing Body IFR Individual Funding Request I&A Improvement and Assessment LES Local Enhanced Services ‘Q’ ‘Quarter’

QIPP Quality Innovation Productivity and Prevention RMBC Rotherham Metropolitan Borough Council STP Sustainability and Transformation Plan TRFT The Rotherham Foundation Trust WIC Walk in Centre

Commissioning Plan Performance Report Body Papers... · Operational Executive 18 July 2016 ....

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