Performance of the NHS Provider Sector year ended 31 March ... · Performance of 1.06% at Q4...
Transcript of Performance of the NHS Provider Sector year ended 31 March ... · Performance of 1.06% at Q4...
Performance of the NHS Provider Sector
year ended 31 March 2017
This report has been prepared using final audited accounts data
Contents
2
Summary 2.3 Pay and agency costs
1.0 Operational performance 2.4 Non-pay cost pressures
1.1 Operational performance overview 2.5 Cost improvement programmes
1.2 Accident & emergency (A&E) 2.6 Capital expenditure
1.3 Diagnostic waiting times 2.7 Year-end financial position
1.4 Elective waiting times 3.0 Financial performance by providers
1.5 Cancer waiting times 4.0 Operational performance by providers
1.6 Ambulance response times 5.0 Agency staff
1.7 Infection control End notes and glossary
2.0 Financial performance
2.1 Financial performance overview
2.2 Income & expenditure
Summary
• During 2016/17 the provider sector had to cope with extensive operational pressures including record numbers of ambulance call-outs
and patients attending accident and emergency departments, as the sector experienced exceptional levels of demand for Urgent and
Emergency Care. In response to this demand providers opened an additional 2,600 unfunded escalation beds over winter. This
intense pressure on emergency services had a marked adverse impact on elective care as work was displaced or cancelled due to the
lack of available beds, which affected patient treatment and resulted in a loss of income for most acute providers. This coupled with
increasingly constrained community and social care provision placed further operational and financial strain on the system. Delayed
transfers of care peaked in quarter 4 when 387,259 bed days were lost, which is 20.6% higher than the same period last year.
Collectively, providers failed to meet several key national healthcare standards.
• Despite these operational challenges and the additional financial strain on the system, providers reported a combined deficit of £791
million based on audited results. This was a £1.7 billion improvement on last year’s position (including STF) and £82 million better
than the sector’s forecast at Q3. This financial achievement was a result of tremendous efforts made by staff across the NHS in
England. Whilst the year-end outturn was £211 million worse than the aggregate provider plan of a deficit of £580 million, 177
providers met or exceeded the stretching plans set in 2016/17. This was positive news as many NHS providers managed to arrest the
aggressive deteriorating financial trend of recent years and delivered £3.1 billion of cost improvement in the face of significant cost and
operational pressures.
• As part of the 2016/17 financial reset, we worked with NHS England to design a Sustainability and Transformation Fund (STF). Access
to the fund was partly dependent on providers accepting and achieving a stretch financial control total. The financial objective was to
reduce the aggregate provider sector deficit to £580 million in 2016/17, down from £2.45 billion in the previous year and to stabilise the
sectors financial position. To achieve this, the provider sector had to go further and deliver more than the 2% efficiency included in
national tariffs. In total, 217 out of 228 trusts accepting their control totals benefited from the £1.8 billion STF, 176 outperformed
their control total enabling them to earn “pound for pound” STF incentive funds and 177 providers received bonus STF for delivering
their control total at the year end.
• This financial achievement is a clear demonstration of the level of effort made by providers. It is also a reflection of the positive
outcomes generated by a number of national programmes introduced by NHS Improvement. However, it is recognised that whilst 74%
of providers have delivered or exceeded their control total in 2016/17, for the majority this success has been dependent on a level of
non-recurrent items which do not address the longer term financial sustainability of many providers. NHS Improvement will continue to
support providers in the coming year, holding them to account in their efforts to further reduce the sector deficit, whilst maintaining
patient safety.
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4
1.0 Operational Performance
1.1 Operational performance overview
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Metrics Target NHS Improvement NHS England
Accident & emergency : January – March 2017
A&E attendances - 5,167,508 5,656,352
Performance – All A&E types (%) 95% 86.52% 87.63%
Performance – Acute trusts only (%) 95% 85.51% 85.51%
Type 1 performance (%) 95% 81.35% 81.35%
Diagnostics: at 31 March 2017
Number of diagnostic tests waiting 6 weeks+ (%) 1% 1.06% 1.06%
Referral to treatment (RTT) : at 31 March 2016
18 weeks incomplete (%) 92% 90.02% 90.29%
52-week waits (number) - 1,513 1,529
Cancer: January – March 2017
2-week GP referral to 1st outpatient, cancer (%) 93% 94.72% 94.73%
2-week referral to 1st outpatient - breast symptoms (%) 93% 92.95% 92.93%
31-day wait from diagnosis to first treatment (%) 96% 97.47% 97.47%
62-day urgent GP referral to treatment for all cancers (%) 85% 81.06% 81.08%
62-day referral from screening services 90% 91.17% 91.22%
Ambulance: January – March 2017
Red 1 Calls (%) 75% 68.85% 68.85%
Red 2 Calls (%) 75% 61.38% 61.38%
Category A Call - ambulance arrived within 19 mins (%) 95% 89.52% 89.52%
Infection control: January – March 2017
C. Difficile (Total cases) - 1,095 1,095
1.2 Accident & emergency
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Percentage of A&E all type patients seen within 4 hours
Number of Trusts failing the 4 hour A&E target by month
• In Q4 2016/17 performance dropped to 86.52% (NHS England reported
performance was 87.63%). This quarter’s performance was well below the
level achieved in the same quarter last year (86.58%) and the 95% target.
• A&E performance in March 2017 was 89.15% which also remained below
the aggregate improvement trajectory of 93.57% set for Sustainability and
Transformation Fund (STF) in month twelve for the provider sector.
• Despite record numbers of attendances and emergency admissions in the
first three quarters, the level of A&E attendances of 5.17 million in Q4 was
a 2.3% reduction (like-for-like) on the same quarter last year and a
decrease of 3.6% compared to Q3 2016/17. However, the number of
patients attending a major (type 1) A&E department and requiring admitted
care was similar to the same quarter last year at 1.05 million, indicating
that pressures on the system remained.
• In total, A&E departments this year saw attendances increase by 3.0%
and admitted by 3.0% more patients than last year.
• Available beds to meet the admission demand continued to be constrained
due to high occupancy rates and delayed transfers of care this year which
have resulted in many patients requiring admission waiting significantly
longer in A&E departments for a bed. In Q4 2016/17, 177,317 patients
waited more than four hours for a bed, 14.2% more than a year ago. There
were also 387,259 bed days lost due to delayed transfers of care in acute
hospitals, an increase of 20.6% from a year ago.
• To support all providers, NHS Improvement has now come together with
NHS England to create a joint Urgent and Emergency Care Programme
under a single National Director. The programme will bring together all
UEC work across the organisations and wider system into a coherent
strategy to drive UEC transformation and A&E performance improvement.
At a regional level, NHS Improvement and NHS England Regional
Directors will be taking accountability on behalf of both organisations for
delivery in local systems, performance managing and supporting changes
and improvement.
1.3 Diagnostic waiting times
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• Diagnostic waiting times are a key part in the delivery of the referral to
treatment (RTT) target as the majority of patients being referred for
hospital treatment will require a diagnostic test. The national waiting time
target for diagnostics states that less than 1% of patients should wait six
weeks or more for a test.
• At the end of Q4 2016/17, 890,404 patients were waiting for a diagnostic
test, an increase of 11.6% from the last quarter. Compared to the same
time last year, the waiting list has increased by 6.6% (like-for-like).
Despite this increase, fewer patients were waiting longer than six weeks.
Performance of 1.06% at Q4 2016/17 (NHS England performance was
also 1.06%) was a significant improvement compared to a performance of
1.77% at Q4 last year. Although performance improved, it remains below
the aggregate STF improvement trajectory of 0.85% for month 12 for the
provider sector.
• Providers in aggregate failed to achieve the waiting time standard for nine
of the 15 key diagnostic tests, two less than in the same period last year.
• The overall improvement in diagnostics performance has been driven by
a reduction in waiting times for endoscopy tests which contribute over
10% of the diagnostics waiting list. A national programme team has been
working with providers to address endoscopy performance and capacity
issues since the start of last year. In March 2017, 2.87% of patients were
waiting over six weeks for an endoscopy test compared to 5.69% a year
ago. To help increase capacity further, NHS Improvement is working with
Health Education England to launch the next stage of its programme to
train 200 additional Non-Medical Endoscopists by 2018.
• Non-obstetric ultrasound was the best performing test despite having the
largest waiting list (35.3% of the total diagnostics waiting list), with only
0.33% of patients waiting over six weeks at the end of the quarter.
Percentage of diagnostic patients waiting over 6 weeks
Diagnostic performance by procedures – March 2017
1.4 Elective waiting times
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• NHS providers continue to fail to achieve the national RTT incomplete
standard target of 92%. Performance at the end of the quarter was
90.02% (NHS England performance was 90.29%) which represents the
lowest performance since providers started to underperform against the
target in December 2015. The performance was also well below the
aggregate STF improvement trajectory of 91.38% for NHS providers.
• Sustained high demand for emergency inpatient care this year has
resulted in many providers struggling to deliver their planned activity
due to elective capacity either being displaced or cancelled. In the
meantime, year-to-date GP referrals increased by 6.2% compared to
the same period last year. As a result, the elective waiting list reached a
record level of 3.55 million at the end of Q4 2016/17, an 6.2% increase
compared to a year ago (like-for-like and excluding providers which
have re-commenced reporting this year).
• In line with the drop in performance and the increase in the overall
waiting list, the number of patients waiting longer than 52 weeks for
treatment also increased. In March 2017, 1,513 patients were waiting
over a year for treatment compared to 865 in March 2016. Three
providers did not report incomplete RTT performance in March 2017, so
the actual number of over 52-week waiters could be significantly higher.
• The Intensive Support Team is continuing to support the most
challenged providers to improve performance by better aligning demand
and capacity. We are also supporting a national programme to improve
outpatient performance through agreeing pilot sites to use software to
improve patient flow and using digital channels to reduce demand and
improve access to services.
RTT 18 week performance and size of waiting list by month
Number of trusts failing RTT 18 week incomplete target by month
1.5 Cancer waiting times
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62-day (urgent GP referral) wait for first treatment by month
62-day (urgent GP referral) wait for first treatment by specialty – Q4
2016/17
• All the cancer waiting-time standards were achieved in Q4 2016/17
except for the 62 day (urgent GP referral) waiting time target for first
treatment, which has not been delivered since Q3 2013/14.
• In response to increasing demand, more patients began treatment
this year. 35,846 patients began cancer treatment in Q4 2016/17,
8.9% more than in the same quarter last year.
• NHS providers failed to achieve the national target of 85% with a
performance of 81.1% in Q4 2016/17 (NHS England performance
was also 81.1%). This was below the performance achieved in the
same quarter last year (82.1%), and was still well below the
aggregate STF improvement trajectory of 85.8% for month 12 for the
provider sector.
• The specialties that contributed most to the underperformance in Q4
2016/17 were Urological (excluding testicular), Lower Gastrointestinal
and Lung. These specialities accounted for only 42% of activity, but
contributed to more than half of the reported breaches (60.1%).
• NHS Improvement has worked with partners to improve cancer
performance by reducing diagnostic delays. We are also continuing to
work with NHS England to introduce the 28 days faster diagnosis
standard for cancer patients. The standard is now being piloted at
test sites in preparation for national roll-out.
1.6 Ambulance response times
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Category A Red 1 and Red 2 performance and volume of response
Category A19 performance and volume of responses
• The national standard states that 75% of calls, presenting conditions
which may be immediately life-threatening (Category A Red 1), or life-
threatening but less time-critical (Category A Red 2), should receive an
emergency response within eight minutes, and 95% of all Category A
responses requiring an ambulance, should be reached within 19
minutes.
• Ambulance services continue to fail the Red 1, Red 2 and 19 minutes
response-time targets with performance of 67.13%, 61.57% and 89.38%
respectively. In Q4 2016/17, none of the eight ambulance services* that
submitted complete data achieved any of the three standards.
• Ambulance services saw an increase in time-critical and life-threatening
calls in Q4 2016/17. Ambulance services responded to 34,477 Red 1
calls in the quarter, an increase of 15.4% compared to the same quarter
last year. The number of Red 2 responses increased by 10.8%
compared to the same period last year.**
• Due to ‘dispatch-on-disposition’ pilots at a number of ambulance
services, a direct like-for-like performance comparison between Q4
2015/16 and Q4 2016/17 for the Red 2 and Category A standards cannot
be made. The pilots allow call handlers extra time to triage Red 2 calls,
and result in different clock start times. In February 2015, London
Ambulance Service and South Western Ambulance Service NHS
Foundation Trust implemented the pilot, and in October 2015 it was
introduced at four more ambulance trusts.
• In recent years, ambulance services also experienced difficulties in
recruiting and retaining paramedic staff which had an impact on their
operations. With effect from 1 January 2017, existing paramedic staff are
being re-banded from band 5 to band 6. It is anticipated that this will
result in improved recruitment and retention of paramedic staff with a
knock on improvement in ambulance trust performance.
* There are 11 ambulance services including 10 ambulance trusts as well as Isle of Wight NHS Trust. Three trusts (South Western Ambulance Service and Yorkshire Ambulance Service from April
2016, and West Midlands Ambulance Service from June 2016) have been piloting new call categorisations, and, therefore, have not been submitting data for Red 1, Red 2 and Cat A 19 minute
responses.
** Comparisons exclude South Western Ambulance Service, Yorkshire Ambulance Service and West Midlands Ambulance Service activity in Q2 2015/16 and Q2 2016/17.
1.7 Infection control
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Clostridium Difficile (C. Diff)
• The number of trust apportioned C. Diff cases reported in Q4
2016/17 was 1,095 compared to 1,176 in the corresponding quarter
last year. This was a decrease of 6.9% from the same quarter last
year.
• Between April 2016 and March 2017, there were 4,634 C. Diff
cases reported, a reduction of 10.2% (525 cases) from the same
period last year.
Meticillin-resistant Staphylococcus Aureus (MRSA)
• 98 trust assigned MRSA cases were reported in Q4 2016/17
compared to 77 in the same quarter last year.
• Between April 2016 and March 2017, there were 314 MRSA cases
reported, an increase of 5.4% (16 cases) from the same period last
year.
Number of Meticillin-resistant Staphylococcus Aureus cases
reported
Number of Clostridium Difficile cases
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2.0 Financial Performance
2.1 Financial performance overview
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1. Surplus/(deficit) comparable to control totals are calculated as surplus/(deficit) before impairments, transfers, donated asset income, and donated asset depreciation for all
trusts. For non-FTs, IFRIC 12 adjustments are also deducted. For most FTs gains/(losses) on asset disposals are excluded (unless previously agreed)
2. For FTs, the sector reported surplus/(deficit) includes donated asset income, donated asset depreciation and gains/(losses) on asset disposals (unless previously agreed), as
these items have been excluded from the control total an adjustment is needed to add the figures back to provide the reported sector surplus/(deficit). This also includes the
NHS trust IFRIC12 adjustment for those trusts gaining FT status in year (NHS trust period only).
3. Change in Discount rate is an adjustment to reflect the impact on Trusts which could not have been planned at the start of the year. It was agreed with DH as it is neutral to
the national position
12 months ended 31 March 2017 by sector Number of
providers
Year End - Month 12 2016/17 2016/17 STF
Plan Actual Variance Deficit
providers
Distribution
of £1.8bn
STF
Of which
core STF
Of which,
incentive
STF
Of which,
bonus STF
No. £m £m £m No. £m £m £m £m
Acute 137 (878) (1,163) (285) 83 1,500 1,189 198 114
Ambulance 10 (7) 0 7 3 29 9 14 6
Community 18 25 11 (14) 3 34 20 4 10
Mental Health 56 61 162 101 12 158 64 53 41
Specialist 17 17 80 63 4 75 34 25 15
Total Surplus / (deficit) - control total 1 238 (782) (910) (128) 105 1,796 1,316 294 186
Technical adjustments - FT and part year NHS trusts 2 17 76 59
Reported Financial Position surplus / (deficit) (765) (834) (69) 1,796 1,316 294 186
Unallocated sustainability and transformation fund (STF) 185 (185)
Impact of change in discount rate on provisions3 43 43
Reported Financial Position surplus / (deficit) after STF (580) (791) (211) 1,796 1,316 294 186
12 months ended 31 March 2017 by region
Number
of
Providers
Year End - Month 12 2016/17 2016/17 STF
Plan Actual Variance Deficit
providers
Distribution
of £1.8bn
STF
Of which
core STF
Of which,
incentive
STF
Of which,
bonus STF
No. £m £m £m No. £m £m £m £m
London 36 (226) (235) (9) 15 365 240 93 33
Midlands and East 73 (512) (582) (70) 40 484 375 55 54
North 74 (39) 95 134 27 608 439 103 65
South 55 (5) (188) (183) 23 339 262 43 34
Total Surplus / (deficit) - control total 1 238 (782) (910) (128) 105 1,796 1,316 294 186
Technical adjustments - FT and part year NHS trusts 2 17 76 59
Reported Financial Position surplus / (deficit) (765) (834) (69) 1,796 1,316 294 186
Unallocated sustainability and transformation fund (STF) 185 (185)
Impact of change in discount rate on provisions3 43 43
Reported Financial Position surplus / (deficit) after STF (580) (791) (211) 1,796 1,316 294 186
2.2 Income & expenditure
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• During the year, providers faced unrelenting demand for hospital-based
emergency and urgent care which resulted in unplanned cost pressures for
many providers. These pressures were further heightened over the winter
months as A&E demand reached a record level. Notwithstanding these
external challenges, many providers managed to stabilise or recover their
financial positions during the last quarter. This was achieved through a
number of short term actions outlined in our Q3 report which included
extending Financial Special Measure (FSM) and Financial Improvement
Programmes (FIP) to other providers that require intensive or targeted
support, recovering lost elective income during Q4, and managing the
disposal of surplus NHS properties/land at the best market value.
• This year, we have set tightening financial grip and control as a key priority
for the sector. One action we took was to introduce and agree a ‘financial
control total’ with individual trusts setting the minimum level of financial
performance. In total, 228 out of 238 providers accepted their controls totals,
of which 74% met or exceeded them, allowing full access to a £1.8 billion
Sustainability and Transformation Fund (STF). The extra funding this year
was aimed to support the overall sustainability of the provider sector by
rewarding good performance and improvement.
• In April, we returned £4 million of STF to the Department of Health to cover
the impact of associated PDC dividend, and distributed unearned and
uncommitted STF via incentives and bonus schemes. Following completion
of audits in May, there has been a movement in the reported financial
position of £56 million between draft and final accounts. Most of this was
related to deferred transactions at Royal Free NHS Foundation Trust (£47
million) and Royal Liverpool and Broadgreen University Hospitals NHS Trust
(£10 million). As a result, £21 million of STF was returned and reallocated
based on audited results and as a bonus payment to 49 trusts who had
outperformed their control totals by more than £1.5 million. In total, 217
(91%) trusts received STF in 2016/17, including 176 trusts receiving “pound
for pound” incentive money for exceeding their agreed control totals and 177
providers received bonus STF for achieving their control total at year end.
The full distribution of £1.8 billion STF can be found in the Appendix 3 of the
report.
12 months ended 31 March 2017
Year End - Month 12 2016/17
Plan Actual Variance
£m £m £m %
Operating revenue for EBITDA 78,953 80,394 1,441 2%
Pay (49,808) (50,619) (811) 2%
Other operating expenses (25,945) (27,032) (1,087) 4%
EBITDA 3,200 2,743 (457) (14%)
All other expenses not included in EBITDA (3,982) (3,653) 329 (8%)
Control total basis surplus / deficit) (782) (910) (128) 16%
Technical Adj. - FT and part year NHS trusts 17 76 59 347%
Provider reported financial position surplus / (deficit) (765) (834) (69) 9%
Unallocated sustainability and transformation fund 185 - (185) (100%)
Discount rate impact - 43 43
Sector reported financial position surplus / (deficit) (580) (791) (211) 36%
EBITDA % 4.1% 3.4%
Control Total Basis Surplus / (Deficit) (1.0%) (1.1%)
12 months ended 31 March 2017
Year End - Month 12 2016/17
Acute Ambulance Community Mental
Health Specialist
£m £m £m £m £m
Operating Revenue for EBITDA 60,123 2,334 2,944 11,671 3,322
Pay (36,749) (1,609) (1,939) (8,459) (1,863)
Other Operating Expenses (21,698) (623) (918) (2,535) (1,258)
EBITDA 1,676 102 87 677 201
All other Expenses not included in
EBITDA (2,839) (102) (76) (515) (121)
Control Total Basis Surplus /
(Deficit) (1,163) - 11 162 80
EBITDA % 2.8% 4.4% 3.0% 5.8% 6.1%
Control Total Basis Surplus /
(Deficit) (1.9%) 0.0% 0.4% 1.4% 2.4%
• The provider sector has significantly cut its combined deficit from
£2.45 billion in 2015/16 to a deficit of £791 million in 2016/17 based on
final audited accounts. The substantial improvement across the sector
is a testament to providers’ commitment to continuous financial
improvement, as well as actions taken by NHS Improvement to help
providers tighten their financial grip and support the sectors return to a
sustainable financial footing.
2.3 Pay and agency costs
• Pay costs are the single biggest area of spend in the NHS, therefore
managing pay bill growth has been one of the top priorities for NHS
Improvement this year. In 2016/17, total pay bill reached £51 billion,
which was £811 million more than plan and £1.8 billion (3.8%) higher
than a year ago. Pay inflationary pressures were significant in 2016/17
with the combined impact of pay awards, pay drift and changes to
pensions adding an estimated 3.3% to costs. Taking these estimated
inflationary pressures into account the pay bill grew by 0.5% in real
terms in the context of a 2.4% growth in cost weighted activity.
• A review undertaken by NHS Improvement at the start of this financial
year showed that some providers’ pay growth was in excess of inflation
and pension effect. During the year, our regional teams worked with
these providers to review their pay growth. This was further aided by
our operational productivity team using a range of benchmarks and
support.
• One of the key contributing factors to the rising pay cost in recent time
has been the use of agency staff. Over the past three years, agency
expenditure has been growing at a rate of 25% per annum. Since
October 2015, we have introduced a series of control measures to
reverse this trend. This has led to agency staff costs falling from £3.6
billion in 2015/16 to £2.9 billion in 2016/17, with 85% of providers
reporting a year-on-year reduction in their agency expenditure.
• Reduction in agency staff costs is a huge achievement against the
record level of demand. However, there is further work to be done. For
example, providers were £559 million off plan and only 46 providers
met their agency ceilings. One cause was that the cost of medical
locums remained high. We recognise this was largely due to medical
staff shortage in emergency departments, and work is currently ongoing
with the Royal College of Emergency Medicine to address this. We are
also setting a £150 million year-on-year reduction target on medical
locums for 2017/18. In addition, we will continue to work with providers
to strengthen their existing workforce, and encourage staff back to the
NHS by offering more flexible working conditions.
15
12 months ended 31 March 2017
Year to Date - Month 12 2016/17
Plan Actual Variance
£m £m £m %
Permanent & bank staff 47,432 47,684 252 0.5%
Agency & Contract staff 2,376 2,935 559 23.5%
Total 49,808 50,619 811 1.6%
Agency costs as a % of total pay costs 4.8% 5.8%
Performance against 2016/17 agency ceilings 2,445 2,935 489
No of trusts met 2016/17 agency ceilings 46
2.4 Non-pay cost pressures
16
• Acute activity in 2016/17 grew by 2.4% on a cost weighted basis
compared to last year. This has put many providers under significant
pressure. The volume factor coupled with rising costs has led to an
adverse variance of £1.1 billion (4.2%) being reported for non-pay
items. In particular, annual spending on drugs, both clinical and general
supplies and premises have significantly exceeded plan by £139 million,
£343 million and £382 million respectively.
• The record level of urgent and emergency demand has resulted in
capacity constraint. Many providers deployed waiting list initiative
sessions or outsourcing to manage elective demand. In 2016/17,
providers spent £209 million on waiting list initiatives and £381 million
on outsourcing, significantly more than the year before.
• In addition, a lack of community and nursing home beds and social care
provision have left many providers finding it difficult to discharge
patients who no longer require an acute hospital bed. The bed days lost
as a result of delayed transfers of care (DToCs) rose by 20.6% this year
compared a year ago. Providers estimated that the direct cost of these
delays cost the sector £173 million this year. However, the full cost
associated with DToCs is likely to be much higher than providers’ direct
cost estimations.
• These operational challenges have left many providers failing to meet a
number of key national standards. In previous years, underperformance
against national standards often resulted in financial sanctions being
levied on providers. However, the introduction of STF has meant that
providers did not face these penalties if they have accepted their control
totals and meet their agreed performance trajectories for access
standards this year. This change has led to a dramatic fall in the
financial sanctions from £308 million in 2015/16 to £99 million this year.
This significant reduction has helped to alleviate some of the financial
pressures on providers.
12 months ended 31 March 2017
Year to date - Month 12 2016/17
Plan Actual Variance
£m £m £m %
Employee expenses 49,808 50,619 811 1.6%
Drugs 6,724 6,863 139 2.1%
Supplies and services - clinical (excluding drugs) 6,060 6,326 266 4.4%
Supplies and services – general 1,810 1,887 77 4.3%
Purchase of healthcare from non-NHS bodies 1,017 1,076 59 5.8%
Consultancy costs 201 263 62 30.8%
PFI/LIFT operating expenses 917 879 (38) (4.1%)
Clinical negligence 1,565 1,649 84 5.4%
Premises 2,864 3,246 382 13.3%
All other operating non-pay 4,787 4,843 56 1.2%
Non-pay expense included in EBITDA 25,945 27,032 1,087 4.2%
Operating expenditure for EBITDA 75,753 77,651 1,898 2.5%
12 months ended 31 March 2017
Month 12
2016/17
Month 12
2015/16
£m £m
Financial Sanctions (Fines) 161 502
Sanctions reinvested (62) (194)
Sub-total: Financial Sanctions 99 308
Marginal Rate Emergency Tariff (MRET) 269 265
MRET reinvested (16) (34)
Sub-total: MRET 253 231
Readmissions 267 249
Readmissions reinvested (51) (59)
Sub-total: Readmissions 216 190
Delayed transfers of care (DToC) - expenditure incurred on
blocked capacity 175 148
DToC - reimbursement from Local Authorities (2) (3)
Sub-total: Delayed Transfers of Care 173 145
Waiting list initiative work 209 143
Outsourcing of work to other providers 381 241
2.5 Cost improvement programmes
17
• Providers achieved £3.1 billion of savings through cost improvement
programmes (CIPs) during this financial year, including £679 million from
income generation schemes. CIPs reduced total year-to-date expenditure
by 3.7%. Compared to last year, providers delivered an extra £208 million
of cost savings in the most difficult operating conditions.
• However, the level of cost savings achieved was still £266 million short of
plan. This was largely due to a £345 million shortfall reported for pay
savings. The pay saving shortfall combined with a £59 million shortfall for
non-pay savings reflected sustained demand pressures and recruitment
difficulties during the year. Providers however outperformed on their
planned income generation schemes by delivering an extra £138 million to
offset the shortfalls.
• In total, 75% (£2.3 billion) of the savings delivered were recurrent but this
was below the planned level of 92% (or £3.1 billion). Providers offset some
of this shortfall by delivering £789 million of additional savings through non-
recurrent measures in year.
• This year, NHS Improvement established an Operational Productivity Team
to support the sector deliver increased levels of efficiency and accelerate
the implementation of recommendations from Lord Carter’s review. The
team developed a programme of work including workforce productivity,
resource optimisation and benchmarking. To support our wider remit to
strengthen financial performance and accountability, NHS Improvement
also undertook reviews in areas such as pay bill growth and agency
staffing.
• Noticeable progress has been made, including, a reduction in clinical
variation by promoting the ‘Getting it Right First Time’ programme which
generated approximately £50 million of efficiency in orthopaedics this year.
This work is currently being replicated across other clinical areas. The
launch of a purchase price index and benchmark tool also highlighted
variation in prices paid by providers for goods and identified potential
saving opportunities across the sector. In total, the national programme has
achieved c. £300 million of efficiency to date. We will continue to work with
the sector to further progress and embed the programme in the coming
year.
12 months ended 31 March 2017
Year to date - Month 12 2016/17
Plan Actual Variance
£m £m £m
Recurrent 3,093 2,312 (781)
Non-recurrent 274 789 515
Total cost improvement programmes 3,367 3,101 (266)
CIPs as a % of spend 4.0% 3.7%
Note: Cost weighted activity in the acute sector grew by 2.4% in 16/17
with acute sector total expenditure growing by 4.1%. After taking into
account the estimated inflationary pressures in acute trusts in tariff of 3.3%
this equates to real terms expenditure growth of 0.8% delivering 2.4% more
weighted activity. This gives an implied efficiency level of 1.6%.
The cost weighted activity growth takes no account of the change in the
complexity of types of activity from one year to the next which if included
would show a higher level of implied efficiency.
2.6. Capital expenditure
18
• Providers spent £2.902 billion on capital schemes in this
financial year, which was £1.169 billion less than plan and £173
million above the DH target of £2.729 billion.
• Plans submitted by providers included Capital Departmental
Expenditure Limit (CDEL) expenditure of £4.071 billion for
2016/17, which was significantly higher than the £2.729 billion
CDEL budget set by the Department of Health.
• During the year, NHS Improvement focussed on supporting
providers to increase the accuracy of their capital expenditure
forecasts and ensure that sources of funding for providers
capital expenditure were identified and approved.
• Providers with significant levels of capital expenditure remaining
at the end of Q3 were contacted between month 9 and month
12, and asked to review their forecast CDEL position with a view
of stopping or deferring spend where it was appropriate and safe
to do so.
• As a result, a number of providers amended their CDEL forecast
at month 9 from £3.302 billion to £2.981 billion. A similar
exercise was undertaken at Month 11 resulting in a revised
forecast of £2.945 billion, broadly in line with the actual month
12 position reported by providers in their draft accounts.
• Limited availability of capital resource means that managing
capital expenditure within the NHS will remain a challenge in the
coming years.
12 months ended 31 March 2017
Outturn - 2016/17
Plan Actual Variance
£m £m £m %
Acute 3,102 2,160 (942) (30%)
Ambulance 133 103 (30) (23%)
Community 80 64 (16) (20%)
Mental Health 480 389 (91) (19%)
Specialist 276 186 (90) (33%)
Total capital departmental expenditure
limit 4,071 2,902 (1,169) (29%)
Provider Capital Summary Foundation
Trusts NHS Trusts Total 16/17
Capital Departmental Expenditure Limit £m £m £m
Gross Capex 2,133 1,133 3,266
Disposals (143) (50) (193)
Net 1,990 1,083 3,073
Minus PFI (62) (64) (126)
Minus Donated Assets (145) (37) (182)
Plus PFI Residual Interest 54 73 127
Net Financial Assets 17 11 28
Capital PPAs (18) 0 (18)
CDEL 1,836 1,066 2,902
2.7 Year-end financial position
19
• Against record level of demand for urgent and emergency care, the sector
has ended the year with a reported deficit of £791 million. Although the
reported position was £211 million off plan, it was significantly better than
the sector’s forecast at Q3, of a year-end deficit of £873 million, and
almost £1.7 billion better than 2015/16.
• The reported year-end position is a demonstration of huge efforts made by
providers as well as actions taken to support the sector by NHS
Improvement.
• This year, most providers have increased the level of grip and control on
their finances. This was evident as the number of providers in deficit
reduced from 157 in 2015/16 to 105 this year. Our regional teams have
worked with the sector and actively engaged with providers in their effort to
mitigate downside risks during the year.
• Intensive support has been provided to 11 trusts in financial difficulties
through our programme of financial special measures (FSM), and up to
£100 million of savings have been identified. Since the launch of this
programme in July 2016, two trusts have successfully exited the
programme.
• Support was also provided to many providers through our Financial
Improvement Programme (FIP) introduced in May 2016. Twenty trusts
volunteered to participate in the first wave of the programme and received
targeted support from teams of improvement experts. Over £100 million
savings were delivered in 2016/17, more than double the £50 million of
savings anticipated at the start of this programme and achieved a return in
year of at least four times its costs based on the projects completed so far.
Following the success, we launched FIP wave 2 in February 2017 and
extended the support to the next cohort of providers.
• In the coming year, we will continue to hold providers directly accountable
for their financial performances to further reduce the sector deficit, and
support their effort to increase operational productivity, improve cost
recovery and reduce agency spend. At the same time, NHS Improvement
is fully committed to working collaboratively with our national partners to
explore new models of care to improve access to services, and deliver a
balanced financial position across the NHS.
Sustainability and
Transformation
fund
Providers 2016/17 STF
Total
number of
trusts
Total
number of
trusts
accepted
control
totals
Total
number of
trusts
received
STF
Total
number of
trusts
received
incentive
STF
Total
number of
trusts
received
bonus STF
Acute 137 133 129 94 94
Ambulance 10 8 7 6 6
Community 18 17 16 15 16
Mental Health 56 53 49 46 46
Specialist 17 17 16 15 15
Total 238 228 217 176 177
20
3.0 Financial Performance by Providers
3.1 Financial performance by providers – London
21
YTD Plan YTD Actual Variance
Barking, Havering and Redbridge University Hospitals NHS Trust Yes (11,900) (10,874) 1,026 0 20,997 19,598 268 1,131
Barnet, Enfield and Haringey Mental Health NHS Trust No (12,590) (12,268) 322 0 0 0 0 0
Barts Health NHS Trust Yes (82,700) (69,062) 13,638 419 46,251 37,900 6,713 1,638
Camden And Islington NHS Foundation Trust Yes 1,700 67 (1,633) 0 0 0 0 0
Central And North West London NHS Foundation Trust Yes (1,030) 6,314 7,344 419 10,102 2,770 5,634 1,698
Central London Community Healthcare NHS Trust Yes 4,820 5,380 560 0 2,778 2,220 2 556
Chelsea And Westminster Hospital NHS Foundation Trust Yes 4,417 10,471 6,054 268 18,761 14,801 2,173 1,787
Croydon Health Services NHS Trust Yes (25,482) (23,787) 1,695 0 8,546 7,146 499 901
East London NHS Foundation Trust Yes 11,774 4,781 (6,993) 0 0 0 0 0
Epsom and St Helier University Hospitals NHS Trust Yes (15,053) (12,687) 2,366 0 13,142 11,300 641 1,201
Great Ormond Street Hospital for Children NHS Foundation Trust Yes 2,241 4,619 2,379 0 4,243 2,400 623 1,220
Guy's And St Thomas' NHS Foundation Trust Yes 6,516 43,832 37,316 419 38,210 17,520 18,719 1,971
Homerton University Hospital NHS Foundation Trust Yes 1,402 4,122 2,720 0 7,979 5,808 876 1,295
Hounslow and Richmond Community Healthcare NHS Trust Yes 1,600 2,962 1,362 0 1,599 600 364 635
Imperial College Healthcare NHS Trust Yes (16,862) (15,330) 1,532 0 25,450 24,100 220 1,130
King's College Hospital NHS Foundation Trust Yes (1,600) (59,617) (58,018) 0 0 0 0 0
Kingston Hospital NHS Foundation Trust Yes 4,200 (3,458) (7,658) 0 4,050 4,050 0 0
Lewisham and Greenwich NHS Trust Yes (20,200) (20,054) 146 0 16,746 15,286 315 1,145
London Ambulance Service NHS Trust Yes (6,694) 6,562 13,256 419 10,055 2,050 6,470 1,535
London North West Healthcare NHS Trust Yes (61,500) (60,384) 1,116 0 22,583 21,500 32 1,051
Moorfields Eye Hospital NHS Foundation Trust Yes 2,631 12,861 10,229 419 7,108 1,100 4,513 1,495
North East London NHS Foundation Trust Yes 462 2,588 2,126 0 3,938 2,260 546 1,132
North Middlesex University Hospital NHS Trust Yes 14,100 (10,464) (24,564) 0 2,450 2,450 0 0
Oxleas NHS Foundation Trust Yes 2,580 3,252 672 0 2,238 1,580 10 648
Royal Brompton and Harefield NHS Foundation Trust Yes (7,493) 13,021 20,515 419 15,790 4,799 9,382 1,609
Royal Free London NHS Foundation Trust Yes 15,500 (44,239) (59,740) (15,192) 4,575 4,575 0 0
Royal National Orthopaedic Hospital NHS Trust Yes (7,372) (6,796) 576 0 1,532 925 84 523
South London And Maudsley NHS Foundation Trust Yes (3,981) 5,510 9,491 419 9,666 2,280 5,701 1,685
South West London and St George's Mental Health NHS Trust Yes 2,108 2,710 602 0 1,560 990 50 520
St George's University Hospitals NHS Foundation Trust Yes (16,851) (73,942) (57,091) 0 0 0 0 0
Tavistock And Portman NHS Foundation Trust Yes 800 1,813 1,013 0 1,309 500 204 605
The Hillingdon Hospitals NHS Foundation Trust Yes 5,061 5,993 932 0 7,520 6,700 122 698
The Royal Marsden NHS Foundation Trust Yes (969) 5,983 6,953 417 5,908 1,481 2,544 1,883
The Whittington Hospital NHS Trust Yes (6,400) (3,670) 2,730 0 7,833 6,243 397 1,193
University College London Hospitals NHS Foundation Trust Yes (11,000) 43,553 54,553 419 41,739 14,333 25,435 1,971
West London Mental Health NHS Trust No 2,000 5,038 3,038 0 0 0 0 0
London Total (225,765) (235,200) (9,435) (11,155) 364,658 239,265 92,537 32,856
Provider Name Control
Total (CT)
Accepted?
Distribution
of £1.8bn
of which
Core STF
of which
Incentive
STF
Control Total Basis Surplus Deficit
Including STF
Year to date
Sustainability & Transformation Fund (STF)STF Final
Adjustment
(memo
only)
of which
Bonus STF
3.2 Financial performance by providers – Midlands and East
(1/2)
22
YTD Plan YTD Actual Variance
Basildon And Thurrock University Hospitals NHS Foundation Trust Yes (15,443) (13,698) 1,745 0 12,473 10,319 997 1,157
Bedford Hospital NHS Trust Yes (10,200) (8,300) 1,900 0 7,214 5,752 486 976
Birmingham And Solihull Mental Health NHS Foundation Trust Yes 372 2,828 2,456 0 3,085 1,370 843 872
Birmingham Children's Hospital NHS Foundation Trust Yes 8,831 17,010 8,179 3,869 10,220 5,400 3,380 1,440
Birmingham Community Healthcare NHS Foundation Trust Yes 3,910 4,746 836 0 2,410 1,610 56 744
Birmingham Women's NHS Foundation Trust Yes (2,044) (2,172) (128) 0 1,483 1,483 0 0
Black Country Partnership NHS Foundation Trust Yes (1,129) (546) 583 0 1,151 610 37 504
Burton Hospitals NHS Foundation Trust Yes (9,885) (7,815) 2,070 0 7,549 5,735 814 1,000
Cambridge University Hospitals NHS Foundation Trust Yes (56,333) (52,721) 3,613 0 17,534 14,983 1,331 1,220
Cambridgeshire And Peterborough NHS Foundation Trust Yes 1,447 2,265 818 0 1,941 1,170 177 594
Cambridgeshire Community Services NHS Trust Yes 1,580 2,098 518 0 1,586 1,080 12 494
Chesterfield Royal Hospital NHS Foundation Trust Yes 7,066 7,790 724 0 7,550 6,627 229 694
Colchester Hospital University NHS Foundation Trust Yes (31,707) (18,494) 13,213 419 16,957 8,917 6,369 1,671
Coventry and Warwickshire Partnership NHS Trust Yes 2,200 6,130 3,930 58 3,643 1,200 1,644 799
Derby Teaching Hospitals NHS Foundation Trust Yes (11,216) (9,149) 2,067 484 14,824 12,410 1,195 1,219
Derbyshire Community Health Services NHS Foundation Trust Yes 4,570 5,706 1,136 0 2,585 1,640 271 674
Derbyshire Healthcare NHS Foundation Trust Yes 2,530 3,467 937 0 1,736 830 297 609
Dudley and Walsall Mental Health Partnership NHS Trust Yes 1,700 2,199 499 0 995 500 4 491
East and North Hertfordshire NHS Trust Yes (8,650) (29,533) (20,883) 0 5,216 5,216 0 0
East Midlands Ambulance Service NHS Trust Yes (8,142) (4,493) 3,649 0 2,935 759 1,486 690
East of England Ambulance Service NHS Trust Yes 1,500 (9,989) (11,489) 0 0 0 0 0
George Eliot Hospital NHS Trust Yes (14,715) (13,770) 945 0 5,085 4,193 265 627
Heart Of England NHS Foundation Trust Yes (13,476) (11,602) 1,874 0 25,192 23,300 503 1,389
Hertfordshire Community NHS Trust Yes 1,530 2,512 982 0 1,676 880 219 577
Hertfordshire Partnership University NHS Foundation Trust Yes 1,881 12,045 10,164 419 7,111 1,280 4,335 1,496
Hinchingbrooke Health Care NHS Trust Yes (9,800) (21,169) (11,369) 0 1,000 1,000 0 0
Ipswich Hospital NHS Trust Yes (20,108) (17,500) 2,608 0 7,847 6,665 255 927
James Paget University Hospitals NHS Foundation Trust Yes 2,374 4,088 1,714 824 7,356 5,800 636 920
Kettering General Hospital NHS Foundation Trust Yes (5,966) (24,552) (18,586) 0 1,900 1,900 0 0
Leicestershire Partnership NHS Trust Yes 1,642 2,401 759 0 2,389 1,640 7 742
Lincolnshire Community Health Services NHS Trust Yes 3,189 3,940 751 0 2,236 1,550 104 582
Lincolnshire Partnership NHS Foundation Trust Yes 731 2,507 1,776 0 1,971 580 531 860
Luton And Dunstable University Hospital NHS Foundation Trust Yes 11,817 12,885 1,069 0 10,078 9,100 134 844
Mid Essex Hospital Services NHS Trust Yes (26,600) (23,977) 2,623 0 10,858 8,683 965 1,210
Milton Keynes University Hospital NHS Foundation Trust Yes (25,014) (19,977) 5,037 281 10,828 7,300 2,205 1,323
Norfolk And Norwich University Hospitals NHS Foundation Trust No (24,042) (24,319) (277) 0 0 0 0 0
Provider Name Control
Total (CT)
Accepted?
Distribution
of £1.8bn
of which
Core STF
of which
Incentive
STF
Control Total Basis Surplus Deficit
Including STF
Year to date
Sustainability & Transformation Fund (STF)STF Final
Adjustment
(memo
only)
of which
Bonus STF
3.2 Financial performance by providers – Midlands and East
(2/2)
23
YTD Plan YTD Actual Variance
Norfolk And Suffolk NHS Foundation Trust Yes (4,824) (3,339) 1,485 0 2,630 1,270 593 767
Norfolk Community Health and Care NHS Trust Yes 1,770 2,695 925 0 1,586 770 233 583
North Essex Partnership University NHS Foundation Trust Yes (3,026) (6,875) (3,849) 0 0 0 0 0
North Staffordshire Combined Healthcare NHS Trust Yes 1,400 2,051 651 0 1,104 500 82 522
Northampton General Hospital NHS Trust Yes (15,129) (13,847) 1,282 0 10,739 9,619 258 862
Northamptonshire Healthcare NHS Foundation Trust Yes 1,340 4,074 2,734 376 3,010 1,140 1,159 711
Nottingham University Hospitals NHS Trust Yes (21,987) (20,108) 1,879 0 25,554 23,141 894 1,519
Nottinghamshire Healthcare NHS Foundation Trust Yes 8,130 10,234 2,104 0 4,720 2,730 728 1,262
Papworth Hospital NHS Foundation Trust Yes 2,188 3,093 905 0 2,970 2,200 200 570
Peterborough and Stamford Hospitals NHS Foundation Trust Yes (20,150) (17,672) 2,478 0 12,561 10,710 718 1,133
Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust Yes (5,326) (18,157) (12,831) 0 0 0 0 0
Sandwell and West Birmingham Hospitals NHS Trust Yes 6,600 (11,933) (18,533) 0 5,297 5,297 0 0
Sherwood Forest Hospitals NHS Foundation Trust Yes (57,018) (48,288) 8,730 419 15,423 10,128 3,633 1,662
Shrewsbury and Telford Hospital NHS Trust Yes (5,900) (5,631) 269 0 10,767 9,844 20 903
Shropshire Community Health NHS Trust Yes 800 2,596 1,796 0 1,934 656 562 716
South Essex Partnership University NHS Foundation Trust Yes 257 6,205 5,948 389 5,429 1,430 2,475 1,524
South Staffordshire and Shropshire Healthcare NHS Foundation Trust Yes 3,127 6,155 3,028 0 3,154 1,130 1,019 1,005
South Warwickshire NHS Foundation Trust Yes 7,993 9,656 1,663 0 7,441 5,800 753 888
Southend University Hospital NHS Foundation Trust Yes (16,174) (10,324) 5,850 419 11,423 6,970 2,759 1,694
Staffordshire and Stoke on Trent Partnership NHS Trust No (6,200) (32,934) (26,734) 0 0 0 0 0
The Dudley Group NHS Foundation Trust Yes 9,870 11,609 1,739 0 11,945 10,500 390 1,055
The Princess Alexandra Hospital NHS Trust Yes (29,665) (26,715) 2,950 0 9,299 7,406 863 1,030
The Robert Jones And Agnes Hunt Orthopaedic Hospital NHS Foundation Trust Yes 1,987 2,587 600 0 1,048 484 53 511
The Royal Orthopaedic Hospital NHS Foundation Trust Yes (3,200) (4,341) (1,141) 0 0 0 0 0
The Royal Wolverhampton NHS Trust Yes 7,082 8,542 1,460 0 11,628 10,004 432 1,192
United Lincolnshire Hospitals NHS Trust Yes (47,900) (56,891) (8,991) 0 9,660 9,660 0 0
University Hospitals Birmingham NHS Foundation Trust Yes 4,600 11,178 6,578 419 21,067 16,352 2,777 1,938
University Hospitals Coventry and Warwickshire NHS Trust Yes 1,100 946 (154) 0 16,803 15,444 243 1,116
University Hospitals of Leicester NHS Trust Yes (8,300) (27,152) (18,852) 0 11,408 11,408 0 0
University Hospitals of North Midlands NHS Trust Yes 698 (27,773) (28,471) 0 8,883 8,883 0 0
Walsall Healthcare NHS Trust Yes (6,136) (21,392) (15,256) 0 2,100 2,100 0 0
West Hertfordshire Hospitals NHS Trust Yes (22,553) (29,431) (6,878) 0 8,250 8,250 0 0
West Midlands Ambulance Service NHS Foundation Trust Yes 1,952 2,885 933 0 2,219 1,340 175 704
West Suffolk NHS Foundation Trust Yes (5,000) (3,684) 1,316 96 7,221 5,719 648 854
Worcestershire Acute Hospitals NHS Trust Yes (34,583) (28,329) 6,254 419 16,374 11,134 3,319 1,921
Worcestershire Health and Care NHS Trust Yes 4,200 5,089 889 0 2,054 1,200 260 594
Wye Valley NHS Trust No (28,500) (37,204) (8,704) 0 0 0 0 0
Midlands and East Total (512,075) (581,583) (69,508) 8,891 484,315 374,701 55,033 54,581
Provider Name Control
Total (CT)
Accepted?
Distribution
of £1.8bn
of which
Core STF
of which
Incentive
STF
Control Total Basis Surplus Deficit
Including STF
Year to date
Sustainability & Transformation Fund (STF)STF Final
Adjustment
(memo
only)
of which
Bonus STF
3.3 Financial performance by providers – North (1/2)
24
YTD Plan YTD Actual Variance
5 Boroughs Partnership NHS Foundation Trust Yes (610) (60) 550 0 1,616 1,090 23 503
Aintree University Hospital NHS Foundation Trust Yes 1,285 2,206 921 0 10,284 9,203 138 943
Airedale NHS Foundation Trust Yes 5,591 6,193 602 0 5,877 5,300 62 515
Alder Hey Childrens NHS Foundation Trust Yes (239) 3,622 3,861 93 6,299 3,700 1,733 866
Barnsley Hospital NHS Foundation Trust Yes (8,024) (6,514) 1,510 0 7,874 6,600 451 823
Blackpool Teaching Hospitals NHS Foundation Trust Yes 62 3,036 2,974 0 12,350 10,000 944 1,406
Bolton NHS Foundation Trust Yes 11,901 15,606 3,705 0 11,732 9,200 1,216 1,316
Bradford District Care NHS Foundation Trust Yes 2,140 2,911 771 0 1,555 790 197 568
Bradford Teaching Hospitals NHS Foundation Trust Yes 9,009 10,606 1,597 0 12,475 10,519 645 1,311
Bridgewater Community Healthcare NHS Foundation Trust Yes (609) 2,090 2,699 0 3,640 1,550 1,100 990
Calderdale And Huddersfield NHS Foundation Trust Yes (16,153) (14,703) 1,450 0 12,654 11,300 261 1,093
Calderstones Partnership NHS Foundation Trust Yes (1,161) (1,232) (71) 0 125 125 0 0
Central Manchester University Hospitals NHS Foundation Trust Yes 5,918 56,843 50,925 419 44,076 19,948 22,157 1,971
Cheshire And Wirral Partnership NHS Foundation Trust Yes (890) (72) 818 0 1,696 970 151 575
City Hospitals Sunderland NHS Foundation Trust Yes (2,167) 5,901 8,068 419 15,504 10,600 3,235 1,669
Countess Of Chester Hospital NHS Foundation Trust Yes (3,949) (3,500) 449 0 7,550 5,716 1,045 789
County Durham And Darlington NHS Foundation Trust Yes 6,659 11,720 5,061 167 19,207 15,600 1,921 1,686
Cumbria Partnership NHS Foundation Trust Yes (4,513) (2,506) 2,007 0 3,571 1,960 921 690
Doncaster And Bassetlaw Hospitals NHS Foundation Trust Yes (26,468) (7,293) 19,176 419 22,576 11,800 8,862 1,914
East Cheshire NHS Trust Yes (19,600) (14,960) 4,640 189 7,610 4,456 1,975 1,179
East Lancashire Hospitals NHS Trust Yes (3,676) 3,487 7,163 419 17,152 12,109 3,105 1,938
Gateshead Health NHS Foundation Trust Yes 296 4,715 4,419 150 9,151 6,300 1,874 977
Greater Manchester West Mental Health NHS Foundation Trust No 2,955 3,186 231 0 0 0 0 0
Harrogate And District NHS Foundation Trust Yes 6,895 3,589 (3,306) 0 3,450 3,450 0 0
Hull and East Yorkshire Hospitals NHS Trust Yes 0 2,616 2,616 0 15,081 14,000 44 1,037
Humber NHS Foundation Trust Yes (330) 852 1,182 0 2,496 1,520 256 720
Lancashire Care NHS Foundation Trust Yes (1,390) 236 1,626 0 3,477 2,010 404 1,063
Lancashire Teaching Hospitals NHS Foundation Trust Yes (10,436) (14,664) (4,228) 0 10,671 9,075 412 1,184
Leeds And York Partnership NHS Foundation Trust Yes 3,053 4,840 1,787 0 2,307 900 513 894
Leeds Community Healthcare NHS Trust Yes 2,860 3,350 490 0 1,350 860 0 490
Leeds Teaching Hospitals NHS Trust Yes 1,200 (1,901) (3,101) 0 24,295 22,800 340 1,155
Liverpool Community Health NHS Trust Yes (1,610) (1,096) 514 0 1,894 1,390 10 494
Liverpool Heart And Chest Hospital NHS Foundation Trust Yes (915) (392) 523 0 2,728 2,200 19 509
Liverpool Womens NHS Foundation Trust Yes (6,992) (4,739) 2,253 0 4,462 2,800 679 983
Manchester Mental Health and Social Care Trust Yes (1,424) (1,312) 112 0 457 457 0 0
Mersey Care NHS Foundation Trust Yes 7,074 8,758 1,684 0 3,268 1,655 532 1,081
Mid Cheshire Hospitals NHS Foundation Trust Yes (691) 1,408 2,099 0 8,622 6,365 1,276 981
Mid Yorkshire Hospitals NHS Trust Yes 4,200 (7,873) (12,073) 0 11,864 11,864 0 0
Provider Name Control
Total (CT)
Accepted?
Distribution
of £1.8bn
of which
Core STF
of which
Incentive
STF
Control Total Basis Surplus Deficit
Including STF
Year to date
Sustainability & Transformation Fund (STF)STF Final
Adjustment
(memo
only)
of which
Bonus STF
3.3 Financial performance by providers – North (2/2)
25
YTD Plan YTD Actual Variance
North Cumbria University Hospitals NHS Trust Yes (49,500) (47,328) 2,172 0 10,193 8,428 689 1,076
North East Ambulance Service NHS Foundation Trust Yes (2,989) 1,741 4,730 180 3,832 710 1,952 1,170
North Tees And Hartlepool NHS Foundation Trust Yes 2,134 3,197 1,063 0 8,953 7,900 187 866
North West Ambulance Service NHS Trust Yes 1,860 7,384 5,524 419 6,501 1,860 3,118 1,523
Northern Lincolnshire And Goole NHS Foundation Trust Yes (11,986) (30,288) (18,302) 0 5,391 5,391 0 0
Northumberland, Tyne And Wear NHS Foundation Trust Yes 6,576 10,182 3,606 0 4,151 1,830 1,294 1,027
Northumbria Healthcare NHS Foundation Trust Yes 29,306 37,264 7,958 419 15,854 10,764 3,452 1,638
Pennine Acute Hospitals NHS Trust Yes (15,247) (1,993) 13,254 419 28,554 20,500 6,116 1,938
Pennine Care NHS Foundation Trust Yes 2,294 5,180 2,886 0 3,230 1,329 985 916
Rotherham Doncaster And South Humber NHS Foundation Trust Yes 1,651 3,317 1,667 0 2,195 950 555 690
Royal Liverpool and Broadgreen University Hospitals NHS Trust Yes 15,900 1,329 (14,571) (6,085) 4,850 4,850 0 0
Salford Royal NHS Foundation Trust Yes (4,099) 5,004 9,103 419 15,907 11,400 2,569 1,938
Sheffield Children's NHS Foundation Trust Yes 2,352 2,985 633 0 2,727 2,100 98 529
Sheffield Health And Social Care NHS Foundation Trust Yes 1,002 1,839 837 0 1,459 720 178 561
Sheffield Teaching Hospitals NHS Foundation Trust Yes 5,000 12,711 7,711 419 24,277 19,300 3,339 1,638
South Tees Hospitals NHS Foundation Trust Yes 8,536 (10,705) (19,241) 0 3,650 3,650 0 0
South Tyneside NHS Foundation Trust Yes (2,918) 1,318 4,236 118 7,718 4,900 1,794 1,024
South West Yorkshire Partnership NHS Foundation Trust Yes 1,850 3,272 1,422 0 2,523 1,350 408 765
Southport and Ormskirk Hospital NHS Trust Yes (6,600) (20,709) (14,109) 0 0 0 0 0
St Helens and Knowsley Hospital Services NHS Trust Yes 3,328 4,861 1,533 0 11,610 10,100 427 1,083
Stockport NHS Foundation Trust Yes (6,504) (2,197) 4,307 390 11,792 8,400 2,157 1,235
Tameside Hospital NHS Foundation Trust Yes (17,135) (13,321) 3,814 0 9,428 6,900 1,491 1,037
Tees, Esk And Wear Valleys NHS Foundation Trust Yes 10,057 22,840 12,783 419 9,650 1,980 5,860 1,810
The Christie NHS Foundation Trust Yes 9,113 12,472 3,359 0 3,914 1,600 1,116 1,198
The Clatterbridge Cancer Centre NHS Foundation Trust Yes 5,902 8,239 2,337 0 2,317 500 827 990
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Yes 7,501 14,240 6,739 0 6,623 4,850 554 1,219
The Rotherham NHS Foundation Trust Yes 6,653 (6,503) (13,156) 0 3,250 3,250 0 0
The Walton Centre NHS Foundation Trust Yes 1,021 1,611 590 0 1,879 1,300 64 515
University Hospital Of South Manchester NHS Foundation Trust Yes 427 3,121 2,694 0 10,629 8,250 1,141 1,238
University Hospitals Of Morecambe Bay NHS Foundation Trust Yes (17,059) (16,034) 1,025 0 10,921 9,265 576 1,080
Warrington And Halton Hospitals NHS Foundation Trust Yes (7,917) (5,026) 2,891 0 9,891 8,000 1,101 790
Wirral Community NHS Foundation Trust Yes 1,600 2,096 496 0 1,294 800 3 491
Wirral University Teaching Hospital NHS Foundation Trust Yes 328 (10,475) (10,803) 0 6,909 6,909 0 0
Wrightington, Wigan And Leigh NHS Foundation Trust Yes 3,724 14,073 10,349 419 13,912 7,900 4,607 1,405
York Teaching Hospital NHS Foundation Trust Yes 10,072 1,614 (8,457) 0 9,662 9,662 0 0
Yorkshire Ambulance Service NHS Trust Yes 5,120 2,719 (2,401) 0 1,140 1,140 0 0
North Total (39,394) 94,983 134,377 (189) 607,781 438,919 103,159 65,703
Provider Name Control
Total (CT)
Accepted?
Distribution
of £1.8bn
of which
Core STF
of which
Incentive
STF
Control Total Basis Surplus Deficit
Including STF
Year to date
Sustainability & Transformation Fund (STF)STF Final
Adjustment
(memo
only)
of which
Bonus STF
3.4 Financial performance by providers – South (1/2)
26
YTD Plan YTD Actual Variance
2Gether NHS Foundation Trust Yes 673 1,297 624 0 1,237 650 56 531
Ashford and St Peter's Hospitals NHS Foundation Trust Yes 12,966 7,331 (5,635) 0 6,265 6,265 0 0
Avon and Wiltshire Mental Health Partnership NHS Trust Yes 2,480 (8,918) (11,398) 0 315 315 0 0
Berkshire Healthcare NHS Foundation Trust Yes 537 1,485 947 0 2,752 1,840 136 776
Brighton and Sussex University Hospitals NHS Trust Yes (15,570) (68,501) (52,931) 0 3,600 3,600 0 0
Buckinghamshire Healthcare NHS Trust Yes 5,157 (1,759) (6,916) 0 6,972 6,972 0 0
Cornwall Partnership NHS Foundation Trust Yes (450) 4,892 5,342 355 4,499 1,050 2,389 1,060
Dartford and Gravesham NHS Trust Yes 6,121 (382) (6,503) 0 6,750 6,750 0 0
Devon Partnership NHS Trust Yes 2,460 4,664 2,204 0 2,534 860 684 990
Dorset County Hospital NHS Foundation Trust Yes (1,800) (1,107) 693 0 5,317 4,700 91 526
Dorset Healthcare University NHS Foundation Trust Yes 162 8,052 7,890 419 6,734 1,920 3,221 1,593
East Kent Hospitals University NHS Foundation Trust Yes 612 (24,059) (24,670) 0 4,025 4,025 0 0
East Sussex Healthcare NHS Trust Yes (31,300) (43,792) (12,492) 0 2,600 2,600 0 0
Frimley Health NHS Foundation Trust Yes 23,472 25,554 2,082 0 24,103 21,346 1,238 1,519
Gloucestershire Care Services NHS Trust Yes 1,793 2,309 516 0 1,596 1,080 13 503
Gloucestershire Hospitals NHS Foundation Trust Yes 18,215 (19,151) (37,366) 0 3,225 3,225 0 0
Great Western Hospitals NHS Foundation Trust Yes 764 4,313 3,549 0 11,379 8,900 1,311 1,168
Hampshire Hospitals NHS Foundation Trust Yes 6,776 9,046 2,270 0 12,445 10,300 739 1,406
Isle of Wight NHS Trust Yes (4,630) (10,960) (6,330) 0 1,750 1,750 0 0
Kent and Medway NHS and Social Care Partnership Trust Yes (4,090) (3,311) 779 0 1,870 1,110 193 567
Kent Community Health NHS Foundation Trust Yes 2,710 4,630 1,920 0 3,212 1,810 518 884
Maidstone and Tunbridge Wells NHS Trust Yes 4,675 (10,918) (15,593) 0 5,677 5,677 0 0
Medway NHS Foundation Trust Yes (43,686) (43,216) 470 0 10,826 8,295 1,311 1,220
North Bristol NHS Trust No (48,033) (42,922) 5,111 0 0 0 0 0
Northern Devon Healthcare NHS Trust Yes 1,400 2,232 832 0 4,415 3,669 117 629
Oxford Health NHS Foundation Trust Yes (502) 5,973 6,475 419 6,716 2,030 2,966 1,720
Oxford University Hospitals NHS Foundation Trust Yes 36,673 3,615 (33,058) 0 9,945 9,945 0 0
Plymouth Hospitals NHS Trust No (35,600) (39,900) (4,300) 0 0 0 0 0
Poole Hospital NHS Foundation Trust Yes (800) 945 1,745 0 9,318 7,900 483 935
Portsmouth Hospitals NHS Trust Yes 1,200 (17,645) (18,845) 0 6,996 6,996 0 0
Queen Victoria Hospital NHS Foundation Trust Yes 2,215 3,211 996 0 1,673 893 198 582
Royal Berkshire NHS Foundation Trust Yes 4,806 6,038 1,232 0 10,784 9,281 346 1,157
Royal Cornwall Hospitals NHS Trust Yes (3,677) (929) 2,748 0 11,352 9,100 913 1,339
Royal Devon And Exeter NHS Foundation Trust Yes (6,390) (2,334) 4,056 59 12,663 9,438 1,647 1,578
Royal Surrey County Hospital NHS Foundation Trust Yes (8,379) 21,280 29,659 419 22,904 6,786 14,296 1,822
Royal United Hospitals Bath NHS Foundation Trust Yes 10,136 11,787 1,651 0 10,153 8,433 699 1,021
Provider Name Control
Total (CT)
Accepted?
Distribution
of £1.8bn
of which
Core STF
of which
Incentive
STF
Control Total Basis Surplus Deficit
Including STF
Year to date
Sustainability & Transformation Fund (STF)STF Final
Adjustment
(memo
only)
of which
Bonus STF
3.4 Financial performance by providers – South (2/2)
27
YTD Plan YTD Actual Variance
Salisbury NHS Foundation Trust Yes 1,772 3,818 2,046 0 7,826 6,300 759 767
Solent NHS Trust Yes (3,413) (2,084) 1,329 0 2,208 1,140 308 760
Somerset Partnership NHS Foundation Trust Yes 2,892 3,432 539 0 2,616 2,090 26 500
South Central Ambulance Service NHS Foundation Trust Yes (830) 550 1,380 0 2,413 1,070 643 700
South East Coast Ambulance Service NHS Foundation Trust No 859 (7,881) (8,740) 0 0 0 0 0
South Western Ambulance Service NHS Foundation Trust No 336 336 (0) 0 0 0 0 0
Southern Health NHS Foundation Trust Yes (380) 1,368 1,748 0 4,252 2,700 515 1,037
Surrey And Borders Partnership NHS Foundation Trust Yes 1,060 6,100 5,040 697 5,914 960 3,785 1,169
Surrey and Sussex Healthcare NHS Trust Yes 15,200 3,672 (11,528) 0 4,850 4,850 0 0
Sussex Community NHS Foundation Trust Yes 4,370 103 (4,267) 0 0 0 0 0
Sussex Partnership NHS Foundation Trust Yes 2,228 (1,887) (4,115) 0 0 0 0 0
Taunton And Somerset NHS Foundation Trust Yes (1,059) 687 1,746 0 8,838 7,406 485 947
The Royal Bournemouth And Christchurch Hospitals NHS Foundation Trust Yes (1,223) 1,924 3,148 0 10,010 7,600 1,167 1,243
Torbay and South Devon NHS Foundation Trust Yes 2,276 (10,991) (13,267) 0 3,210 3,210 0 0
University Hospital Southampton NHS Foundation Trust Yes 16,280 20,520 4,240 82 20,319 17,183 1,705 1,431
University Hospitals Bristol NHS Foundation Trust Yes 15,901 16,606 705 0 13,180 12,106 39 1,035
Western Sussex Hospitals NHS Foundation Trust Yes 16,434 8,049 (8,385) 0 9,901 9,901 0 0
Weston Area Health NHS Trust Yes (3,200) (7,185) (3,985) 0 1,755 1,755 0 0
Yeovil District Hospital NHS Foundation Trust Yes (15,308) (14,395) 913 0 5,252 4,369 281 602
South Total (4,706) (188,407) (183,702) 2,450 339,146 262,151 43,278 33,717
Provider Name Control
Total (CT)
Accepted?
Distribution
of £1.8bn
of which
Core STF
of which
Incentive
STF
Control Total Basis Surplus Deficit
Including STF
Year to date
Sustainability & Transformation Fund (STF)STF Final
Adjustment
(memo
only)
of which
Bonus STF
28
4.0 Operational Performance by Providers
4.1 Best and worst operational performance (1/3)
29
A&E 4-hour standard – ten best and worst performing trusts during Q4 2016/17 - acute trusts only
Best performing trusts Total
attendances
4-hour
breaches
Q4 2016/17
performance
Luton and Dunstable University
Hospital NHS Foundation Trust 35,780 554 98.45%
Dorset County Hospital NHS
Foundation Trust 20,978 460 97.81%
Sheffield Children's NHS
Foundation Trust 14,331 415 97.10%
Yeovil District Hospital NHS
Foundation Trust 11,149 357 96.80%
Alder Hey Children's NHS
Foundation Trust 14,714 484 96.71%
Birmingham Children's Hospital
NHS Foundation Trust 15,448 604 96.09%
Epsom And St Helier University
Hospitals NHS Trust 36,461 1,666 95.43%
Harrogate and District NHS
Foundation Trust 13,202 605 95.42%
South Warwickshire NHS
Foundation Trust 16,950 802 95.27%
Gateshead Health NHS Foundation
Trust 28,371 1,406 95.04%
Worst performing trusts Total
attendances
4-hour
breaches
Q4 2016/17
performance
The Princess Alexandra Hospital
NHS Trust 24,272 7,349 69.72%
Weston Area Health NHS Trust 12,106 3,568 70.53%
Medway NHS Foundation Trust 28,000 6,915 75.30%
Stockport NHS Foundation Trust 22,262 5,487 75.35%
East Kent Hospitals University NHS
Foundation Trust 50,249 12,225 75.67%
Portsmouth Hospitals NHS Trust 33,774 8,184 75.77%
Kettering General Hospital NHS
Foundation Trust 21,328 5,143 75.89%
Gloucestershire Hospitals NHS
Foundation Trust 31,888 7,500 76.48%
United Lincolnshire Hospitals NHS
Trust 36,545 8,473 76.81%
East Sussex Healthcare NHS Trust 26,164 6,060 76.84%
30 30
4.1 Best and worst operational performance (2/3)
Worst performing trusts Waiting list 0-18 week
waiters
Q4 2016/17
performance
Wye Valley NHS Trust 13,545 9,766 72.10%
Kettering General Hospital NHS
Foundation Trust 21,864 16,099 73.63%
King's College Hospital NHS
Foundation Trust 86,686 65,997 76.13%
Medway NHS Foundation Trust 23,509 17,924 76.24%
Northern Lincolnshire and Goole NHS
Foundation Trust 28,233 22,436 79.47%
Mid Yorkshire Hospitals NHS Trust 36,137 29,337 81.18%
Imperial College Healthcare NHS Trust 63,407 52,780 83.24%
Worcestershire Acute Hospitals NHS
Trust 37,655 31,451 83.52%
Basildon and Thurrock University
Hospitals NHS Foundation Trust 23,901 20,003 83.69%
Lancashire Teaching Hospitals NHS
Foundation Trust 33,521 28,078 83.76%
RTT 18-week – ten best and worst performing trusts at end of Q4 2016/17 - acute and specialist trusts only
Best performing trusts Waiting list 0-18 week
waiters
Q4 2016/17
performance
Lancashire Care NHS Foundation Trust 123 122 99.19%
The Christie NHS Foundation Trust 1,272 1,259 98.98%
Moorfields Eye Hospital NHS Foundation
Trust 26,259 25,658 97.71%
Homerton University Hospital NHS
Foundation Trust 16,717 16,257 97.25%
Mid Cheshire Hospitals NHS Foundation
Trust 11,009 10,678 96.99%
The Clatterbridge Cancer Centre NHS
Foundation Trust 571 553 96.85%
North Middlesex University Hospital NHS
Trust 7,319 7,086 96.82%
The Royal Marsden NHS Foundation
Trust 1,636 1,580 96.58%
The Walton Centre NHS Foundation
Trust 6,829 6,592 96.53%
Nottingham University Hospitals NHS
Trust 29,932 28,714 95.93%
31 31
* Trusts with l0 or fewer patients treated have not been included in this analysis
Worst performing trusts Number
treated
Within 62
days
Q4 2016/17
Performance
Royal Brompton and Harefield NHS
Foundation Trust 16 7 45.16%
The Clatterbridge Cancer Centre NHS
Foundation Trust 147 95 64.63%
University College London Hospitals NHS
Foundation Trust 241 157 65.07%
Basildon and Thurrock University
Hospitals NHS Foundation Trust 242 160 66.05%
Guy's and St Thomas' NHS Foundation
Trust 326 219 67.02%
East And North Hertfordshire NHS Trust 367 251 68.35%
Gloucestershire Hospitals NHS
Foundation Trust 477 330 69.08%
Colchester Hospital University NHS
Foundation Trust 351 244 69.52%
University Hospitals of North Midlands
NHS Trust 542 379 69.90%
Maidstone And Tunbridge Wells NHS
Trust 310 218 70.16%
Cancer 62-day standard – ten best and worst performing trusts in Q4 2016/17* - acute and specialist trusts only
Best performing trusts Number
treated
Within 62
days
Q4 2016/17
Performance
Bridgewater Community Healthcare NHS
Foundation Trust 28 28 100.00%
Bolton NHS Foundation Trust 153 147 96.39%
South Tyneside NHS Foundation Trust 43 41 95.35%
Wrightington, Wigan and Leigh NHS
Foundation Trust 152 144 94.74%
Kingston Hospital NHS Foundation Trust 158 148 93.97%
Mid Cheshire Hospitals NHS Foundation Trust 153 143 93.14%
The Princess Alexandra Hospital NHS Trust 162 150 92.57%
Yeovil District Hospital NHS Foundation Trust 163 150 91.72%
Tameside Hospital NHS Foundation Trust 129 118 91.09%
Stockport NHS Foundation Trust 162 148 91.05%
4.1 Best and worst operational performance (3/3)
4.2 Operational performance by providers - London
32
ORGANISATION A&E (95%)RTT Incomplete
(92%)
RTT 52
weeks
Diagnostics
(<1.00%)
Cancer 62
days - GP
referral (85%)
Cancer 2
weeks - GP
referral (93%)
Cancer 2
weeks -
breast
symptoms
Cancer 31
days - GP
referral (96%)
C.Diff cases
Barking, Havering And Redbridge University Hospitals NHS Trust 84.53% 88.20% 3 0.12% 76.49% 96.19% 94.08% 99.23% 3
Barts Health NHS Trust 83.24% 0.41% 85.69% 97.93% 99.19% 97.13% 24
Central and North West London NHS Foundation Trust 100.00% 0 1.67% 0
Central London Community Healthcare NHS Trust 98.89% 99.70% 0 0
Chelsea and Westminster Hospital NHS Foundation Trust 89.58% 90.62% 0 3.03% 87.31% 91.44% 95.28% 98.10% 2
Croydon Health Services NHS Trust 85.23% 92.14% 0 3.99% 90.40% 96.78% 99.02% 95.52% 4
Epsom And St Helier University Hospitals NHS Trust 95.43% 92.01% 1 0.13% 87.35% 96.61% 98.81% 8
Great Ormond Street Hospital for Children NHS Foundation Trust 91.85% 2 3.98% 100.00% 0
Guy's and St Thomas' NHS Foundation Trust 88.08% 89.20% 14 1.02% 67.02% 94.69% 89.75% 93.52% 7
Homerton University Hospital NHS Foundation Trust 93.64% 97.25% 0 0.08% 87.69% 98.38% 97.42% 100.00% 1
Hounslow and Richmond Community Healthcare NHS Trust 99.96% 100.00% 0 0.00% 0
Imperial College Healthcare NHS Trust 87.60% 83.24% 287 0.40% 78.07% 91.19% 93.49% 96.63% 13
King's College Hospital NHS Foundation Trust 80.76% 76.13% 199 2.14% 82.67% 92.83% 92.18% 96.95% 10
Kingston Hospital NHS Foundation Trust 86.86% 95.11% 1 0.21% 93.97% 98.67% 98.21% 99.59% 7
Lewisham and Greenwich NHS Trust 84.37% 90.66% 0 0.63% 78.49% 96.27% 98.39% 98.41% 5
London North West Healthcare NHS Trust 80.93% 92.03% 2 0.82% 76.07% 93.71% 96.41% 98.17% 19
Moorfields Eye Hospital NHS Foundation Trust 98.02% 97.71% 1 0.00% 100.00% 100.00% 93.22% 0
North East London NHS Foundation Trust 98.55% 100.00% 0 0.00% 0
North Middlesex University Hospital NHS Trust 81.30% 96.82% 0 0.68% 86.39% 94.69% 93.10% 99.63% 9
Royal Brompton and Harefield NHS Foundation Trust N/A 92.67% 0 0.00% 45.16% 100.00% 86.36% 3
Royal Free London NHS Foundation Trust 85.08% 92.43% 2 0.39% 82.81% 93.76% 95.98% 98.73% 17
Royal National Orthopaedic Hospital NHS Trust N/A 91.86% 1 0.80% 82.76% 97.57% 100.00% 0
South West London and ST George's Mental Health NHS Trust 98.15% 0 0
St George's University Hospitals NHS Foundation Trust 88.52% 2.90% 85.50% 87.03% 89.25% 96.73% 10
The Hillingdon Hospitals NHS Foundation Trust 82.70% 92.21% 0 0.00% 90.67% 95.50% 96.70% 98.54% 4
The Royal Marsden NHS Foundation Trust 96.58% 2 77.97% 97.74% 95.91% 97.27% 12
The Whittington Hospital NHS Trust 85.96% 92.02% 0 0.84% 90.79% 95.40% 94.86% 100.00% 2
University College London Hospitals NHS Foundation Trust 88.41% 93.48% 4 0.63% 65.07% 94.80% 95.09% 96.60% 22
London 86.81% 89.04% 519 0.95% 80.72% 94.65% 95.02% 97.19% 182
4.2 Operational performance by providers – Midlands and
East (1/2)
33
ORGANISATION A&E (95%)RTT Incomplete
(92%)
RTT 52
weeks
Diagnostics
(<1.00%)
Cancer 62
days - GP
referral (85%)
Cancer 2
weeks - GP
referral (93%)
Cancer 2
weeks -
breast
symptoms
Cancer 31
days - GP
referral (96%)
C.Diff cases
Basildon and Thurrock University Hospitals NHS Foundation Trust 90.07% 83.69% 1 0.55% 66.05% 90.13% 91.26% 95.41% 5
Bedford Hospital NHS Trust 92.73% 92.48% 0 0.32% 83.06% 96.19% 95.92% 98.02% 0
Birmingham Children's Hospital NHS Foundation Trust 96.09% 92.67% 0 4.40% 100.00% 94.44% 100.00% 0
Birmingham Community Healthcare NHS Foundation Trust 94.99% 0 87.50% 0
Birmingham Women's NHS Foundation Trust N/A 84.62% 98.87% 85.71% 0
Black Country Partnership NHS Foundation Trust 94.87% 0 0
Burton Hospitals NHS Foundation Trust 92.92% 94.27% 0 0.25% 77.50% 94.38% 82.64% 99.57% 3
Cambridge University Hospitals NHS Foundation Trust 85.44% 91.07% 1 0.48% 81.60% 90.67% 95.07% 97.35% 10
Cambridgeshire and Peterborough NHS Foundation Trust 97.56% 0 0
Cambridgshire Community Services NHS Trust 97.52% 0 0.00% 0
Chesterfield Royal Hospital NHS Foundation Trust 85.92% 92.43% 1 0.26% 76.89% 90.92% 79.05% 95.91% 3
Colchester Hospital University NHS Foundation Trust 91.16% 86.93% 4 0.87% 69.52% 95.49% 93.22% 93.70% 6
Coventry and Warwickshire Partnership NHS Trust N/A 99.53% 0 0.00% 0
Derby Teaching Hospitals NHS Foundation Trust 87.66% 92.03% 3 0.19% 74.77% 96.68% 97.01% 95.18% 11
Derbyshire Community Health Services NHS Foundation Trust 99.99% 97.60% 0 0.00% 0
Derbyshire Healthcare NHS Foundation Trust 95.21% 0 0
Dudley and Walsall Mental Health Partnership NHS Trust 100.00% 0 0
East And North Hertfordshire NHS Trust 83.72% 91.96% 5 0.21% 68.35% 98.33% 95.22% 88.90% 7
George Eliot Hospital NHS Trust 82.87% 89.17% 27 0.00% 79.43% 97.00% 95.80% 100.00% 1
Heart of England NHS Foundation Trust 80.48% 92.38% 0 0.16% 87.51% 96.37% 94.85% 98.97% 20
Hertfordshire Community NHS Trust 99.33% 97.40% 0 0
Hinchingbrooke Health Care NHS Trust 80.79% 93.33% 0 0.65% 85.32% 92.07% 92.41% 97.92% 2
Ipswich Hospital NHS Trust 89.23% 93.15% 0 0.40% 83.56% 96.31% 87.84% 96.61% 6
James Paget University Hospitals NHS Foundation Trust 90.16% 87.70% 0 0.14% 86.01% 97.34% 90.96% 100.00% 2
Kettering General Hospital NHS Foundation Trust 75.89% 73.63% 320 0.80% 82.69% 96.81% 95.30% 97.89% 9
Leicestershire Partnership NHS Trust 100.00% 0 0.00% 0
Lincolnshire Community Health Services NHS Trust 99.11% 0
Lincolnshire Partnership NHS Foundation Trust 95.14% 0 0
Luton and Dunstable University Hospital NHS Foundation Trust 98.45% 92.88% 0 0.44% 89.78% 96.76% 96.65% 100.00% 0
Mid Essex Hospital Services NHS Trust 83.04% 92.04% 3 0.31% 75.26% 96.37% 96.63% 92.66% 12
Milton Keynes Hospital NHS Foundation Trust 89.27% 92.55% 5 0.36% 90.80% 97.24% 97.82% 99.32% 1
Norfolk and Norwich University Hospitals NHS Foundation Trust 80.86% 84.61% 12 0.43% 72.07% 93.55% 97.90% 96.95% 11
4.2 Operational performance by providers – Midlands and
East (2/2)
34
ORGANISATION A&E (95%)RTT Incomplete
(92%)
RTT 52
weeks
Diagnostics
(<1.00%)
Cancer 62
days - GP
referral (85%)
Cancer 2
weeks - GP
referral (93%)
Cancer 2
weeks -
breast
symptoms
Cancer 31
days - GP
referral (96%)
C.Diff cases
Norfolk Community Health and Care NHS Trust 91.62% 0 0
Northampton General Hospital NHS Trust 82.32% 92.36% 0 0.37% 78.95% 96.91% 95.87% 98.14% 6
Northamptonshire Healthcare NHS Foundation Trust 100.00% 0 0
Nottingham University Hospitals NHS Trust 79.54% 95.93% 3 0.20% 74.92% 94.97% 93.73% 96.50% 15
Papworth Hospital NHS Foundation Trust 92.54% 0 0.70% 85.00% 100.00% 0
Peterborough and Stamford Hospitals NHS Foundation Trust 82.05% 94.18% 0 0.83% 86.31% 97.77% 95.73% 100.00% 6
Sandwell And West Birmingham Hospitals NHS Trust 84.00% 93.09% 2 1.29% 86.20% 94.51% 95.28% 97.60% 4
Sherwood Forest Hospitals NHS Foundation Trust 94.00% 92.84% 6 0.57% 86.35% 96.60% 94.20% 97.33% 8
Shrewsbury And Telford Hospital NHS Trust 77.23% 85.82% 5 0.07% 83.44% 94.24% 95.71% 99.60% 4
Shropshire Community Health NHS Trust 100.00% 93.90% 4 0.00% 0
South Essex Partnership University NHS Foundation Trust 98.93% 0 0
South Warwickshire NHS Foundation Trust 95.27% 92.52% 0 0.71% 82.57% 94.31% 92.76% 98.39% 5
Southend University Hospital NHS Foundation Trust 86.44% 86.44% 0 7.01% 71.90% 95.83% 93.52% 94.05% 7
Staffordshire and Stoke on Trent Partnership NHS Trust 97.02% 0 0.00% 0
The Dudley Group NHS Foundation Trust 91.85% 92.81% 0 0.71% 82.19% 96.65% 97.25% 99.10% 5
The Princess Alexandra Hospital NHS Trust 69.72% 94.05% 0 0.63% 92.57% 98.58% 95.00% 99.04% 5
The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust 89.15% 92.38% 0 0.25% 81.25% 96.21% 97.32% 98.95% 7
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust N/A 91.37% 0 0.06% 100.00% 98.59% 100.00% 0
The Royal Orthopaedic Hospital NHS Foundation Trust 84.79% 41 0.00% 84.21% 98.41% 100.00% 0
The Royal Wolverhampton NHS Trust 89.22% 91.00% 10 1.33% 79.66% 93.86% 95.13% 97.00% 5
United Lincolnshire Hospitals NHS Trust 76.81% 88.68% 3 0.26% 71.74% 87.02% 49.91% 95.12% 19
University Hospitals Birmingham NHS Foundation Trust 79.66% 92.64% 0 0.42% 71.96% 95.64% 98.40% 97.45% 21
University Hospitals Coventry And Warwickshire NHS Trust 79.00% 86.51% 14 0.60% 82.17% 96.31% 94.62% 99.54% 2
University Hospitals Of Leicester NHS Trust 81.90% 91.81% 24 0.89% 79.53% 93.86% 93.33% 94.44% 17
University Hospitals of North Midlands NHS Trust 77.74% 85.58% 15 0.78% 69.90% 93.34% 87.76% 96.19% 15
Walsall Healthcare NHS Trust 79.02% 85.22% 0 0.99% 87.26% 94.36% 95.17% 100.00% 7
West Hertfordshire Hospitals NHS Trust 77.04% 90.85% 0 0.20% 84.45% 95.50% 87.95% 97.91% 5
West Suffolk NHS Foundation Trust 88.26% 89.88% 8 0.09% 84.89% 95.22% 92.98% 99.74% 1
Worcestershire Acute Hospitals NHS Trust 79.38% 83.52% 21 3.73% 70.41% 85.44% 72.94% 96.74% 9
Worcestershire Health And Care NHS Trust 100.00% 95.85% 0 0
Wye Valley NHS Trust 86.35% 72.10% 38 0.15% 80.41% 94.28% 80.19% 99.57% 3
Midlands and East 85.09% 89.81% 576 0.79% 78.50% 94.53% 91.68% 96.89% 285
4.2 Operational performance by providers – North (1/2)
35
ORGANISATION A&E (95%)RTT Incomplete
(92%)
RTT 52
weeks
Diagnostics
(<1.00%)
Cancer 62
days - GP
referral (85%)
Cancer 2
weeks - GP
referral (93%)
Cancer 2
weeks -
breast
symptoms
Cancer 31
days - GP
referral (96%)
C.Diff cases
5 Boroughs Partnership NHS Foundation Trust 100.00% 0
Aintree University Hospital NHS Foundation Trust 85.21% 92.52% 0 1.20% 79.63% 95.37% 94.74% 97.51% 10
Airedale NHS Foundation Trust 91.94% 92.87% 0 0.00% 90.32% 97.84% 97.97% 100.00% 2
Alder Hey Children's NHS Foundation Trust 96.71% 92.06% 0 0.45% 100.00% 0
Barnsley Hospital NHS Foundation Trust 88.35% 92.76% 0 0.25% 89.21% 95.24% 95.79% 97.50% 3
Blackpool Teaching Hospitals NHS Foundation Trust 85.05% 92.40% 0 0.40% 83.73% 96.80% 98.92% 99.80% 11
Bolton NHS Foundation Trust 82.87% 92.56% 1 0.44% 96.39% 98.64% 92.41% 99.65% 8
Bradford District Care NHS Foundation Trust 100.00% 0 0
Bradford Teaching Hospitals NHS Foundation Trust 89.76% 89.25% 0 3.06% 80.97% 96.65% 100.00% 97.62% 2
Bridgewater Community Healthcare NHS Foundation Trust 98.38% 99.81% 0 0.44% 100.00% 96.61% 97.56% 0
Calderdale and Huddersfield NHS Foundation Trust 94.42% 95.14% 0 5.27% 88.96% 97.48% 96.03% 100.00% 10
Central Manchester University Hospitals NHS Foundation Trust 90.25% 92.68% 0 2.11% 78.01% 93.85% 95.41% 18
City Hospitals Sunderland NHS Foundation Trust 89.93% 94.37% 0 3.99% 83.41% 96.97% 98.23% 4
Countess of Chester Hospital NHS Foundation Trust 85.42% 92.76% 0 3.02% 87.89% 97.88% 96.39% 97.88% 9
County Durham and Darlington NHS Foundation Trust 91.78% 93.10% 0 0.07% 86.33% 94.56% 94.55% 98.98% 2
Cumbria Partnership NHS Foundation Trust 97.70% 96.99% 0 0.00% 0
Doncaster and Bassetlaw Hospitals NHS Foundation Trust 88.87% 90.45% 1 2.57% 86.84% 88.96% 93.31% 99.30% 2
East Cheshire NHS Trust 77.87% 93.23% 1 0.72% 86.36% 98.94% 96.21% 100.00% 0
East Lancashire Hospitals NHS Trust 79.29% 92.33% 1 0.37% 87.11% 95.79% 97.88% 98.93% 5
Gateshead Health NHS Foundation Trust 95.04% 95.42% 0 0.37% 84.50% 95.40% 95.00% 100.00% 2
Harrogate and District NHS Foundation Trust 95.42% 94.03% 0 0.17% 89.87% 97.93% 96.60% 100.00% 3
Hull And East Yorkshire Hospitals NHS Trust 86.79% 84.62% 5 3.59% 75.30% 96.41% 93.44% 98.23% 12
Humber NHS Foundation Trust 99.93% 98.77% 0 0
Lancashire Care NHS Foundation Trust 99.19% 0 0
Lancashire Teaching Hospitals NHS Foundation Trust 83.32% 83.76% 2 0.49% 78.40% 97.61% 97.01% 96.50% 15
Leeds Community Healthcare NHS Trust 99.93% 0 0.00% 0
Leeds Teaching Hospitals NHS Trust 85.70% 88.52% 0 0.46% 75.16% 94.54% 95.92% 95.95% 34
Liverpool Community Health NHS Trust 100.00% 0.00% 0
Liverpool Heart and Chest Hospital NHS Foundation Trust N/A 92.40% 0 0.09% 85.54% 100.00% 100.00% 0
Liverpool Women's NHS Foundation Trust 98.02% 94.36% 0 1.10% 81.54% 98.77% 97.73% 0
Mid Cheshire Hospitals NHS Foundation Trust 91.72% 96.99% 0 0.09% 93.14% 98.31% 96.71% 99.19% 3
Mid Yorkshire Hospitals NHS Trust 84.19% 81.18% 0 6.43% 83.90% 97.11% 97.55% 98.69% 13
4.2 Operational performance by providers – North (2/2)
36
ORGANISATION A&E (95%)RTT Incomplete
(92%)
RTT 52
weeks
Diagnostics
(<1.00%)
Cancer 62
days - GP
referral (85%)
Cancer 2
weeks - GP
referral (93%)
Cancer 2
weeks -
breast
symptoms
Cancer 31
days - GP
referral (96%)
C.Diff cases
North Cumbria University Hospitals NHS Trust 83.34% 92.14% 1 0.51% 82.04% 96.42% 76.02% 97.67% 5
North Tees and Hartlepool NHS Foundation Trust 93.68% 93.52% 0 0.02% 87.93% 94.89% 96.63% 99.49% 10
Northern Lincolnshire and Goole NHS Foundation Trust 80.45% 79.47% 36 0.68% 77.27% 96.56% 95.68% 99.55% 7
Northumberland, Tyne and Wear NHS Foundation Trust 98.66% 0 0
Northumbria Healthcare NHS Foundation Trust 92.30% 93.65% 0 0.10% 85.15% 95.57% 95.47% 99.11% 6
Pennine Acute Hospitals NHS Trust 78.77% 92.20% 0 0.63% 81.44% 92.63% 95.09% 99.11% 13
Pennine Care NHS Foundation Trust 100.00% 0.66% 0
Royal Liverpool And Broadgreen University Hospitals NHS Trust 87.67% 88.45% 0 6.10% 86.43% 96.19% 95.16% 96.96% 14
Salford Royal NHS Foundation Trust 79.78% 92.72% 1 0.98% 89.90% 94.19% 99.24% 6
Sheffield Children's NHS Foundation Trust 97.10% 94.58% 0 0.60% 100.00% 100.00% 2
Sheffield Teaching Hospitals NHS Foundation Trust 84.47% 95.41% 0 0.06% 79.06% 96.33% 93.37% 96.65% 30
South Tees Hospitals NHS Foundation Trust 94.06% 93.17% 0 0.51% 82.71% 94.38% 90.28% 96.32% 11
South Tyneside NHS Foundation Trust 93.16% 95.46% 0 0.00% 95.35% 98.30% 100.00% 2
South West Yorkshire Partnership NHS Foundation Trust N/A 98.39% 0 0.57% 0
Southport And Ormskirk Hospital NHS Trust 88.23% 94.09% 0 1.26% 81.31% 94.16% 98.82% 6
St Helens And Knowsley Hospitals NHS Trust 84.23% 93.51% 0 0.00% 88.91% 96.09% 96.08% 98.24% 6
Stockport NHS Foundation Trust 75.35% 92.58% 0 0.16% 91.05% 97.28% 96.41% 97.41% 11
Tameside Hospital NHS Foundation Trust 83.92% 92.46% 0 0.36% 91.09% 95.36% 96.88% 98.00% 7
The Christie NHS Foundation Trust N/A 98.98% 0 0.00% 70.51% 97.68% 6
The Clatterbridge Cancer Centre NHS Foundation Trust 96.85% 0 0.00% 64.63% 98.08% 0
The Newcastle Upon Tyne Hospitals NHS Foundation Trust 92.58% 93.72% 0 0.99% 85.96% 94.91% 95.51% 98.04% 10
The Rotherham NHS Foundation Trust 85.83% 94.79% 0 0.15% 84.88% 97.01% 95.04% 99.20% 6
The Walton Centre NHS Foundation Trust N/A 96.53% 0 0.12% 100.00% 100.00% 100.00% 2
University Hospital of South Manchester NHS Foundation Trust 87.74% 87.41% 3 0.91% 86.59% 96.24% 94.60% 99.08% 8
University Hospitals of Morecambe Bay NHS Foundation Trust 81.40% 89.78% 0 0.62% 84.60% 95.79% 97.57% 98.95% 8
Warrington and Halton Hospitals NHS Foundation Trust 87.16% 93.03% 0 0.00% 76.69% 92.52% 84.55% 96.24% 11
Wirral Community NHS Trust 98.83% 100.00% 0 0.29% 0
Wirral University Teaching Hospital NHS Foundation Trust 79.80% 84.00% 2 0.19% 85.92% 96.25% 95.19% 97.65% 10
Wrightington, Wigan and Leigh NHS Foundation Trust 83.00% 94.78% 0 0.61% 94.74% 97.83% 95.53% 99.70% 2
York Teaching Hospital NHS Foundation Trust 83.17% 89.51% 1 0.95% 81.58% 91.13% 94.62% 96.86% 20
North 87.29% 90.87% 55 1.25% 83.35% 95.57% 94.93% 98.03% 387
4.2 Operational performance by providers – South (1/2)
37
ORGANISATION A&E (95%)RTT Incomplete
(92%)
RTT 52
weeks
Diagnostics
(<1.00%)
Cancer 62
days - GP
referral (85%)
Cancer 2
weeks - GP
referral (93%)
Cancer 2
weeks -
breast
symptoms
Cancer 31
days - GP
referral (96%)
C.Diff cases
Ashford and St Peter's Hospitals NHS Foundation Trust 83.99% 92.13% 0 0.43% 83.21% 93.28% 98.45% 98.24% 7
Berkshire Healthcare NHS Foundation Trust 100.00% 100.00% 0 0.00% 0
Brighton And Sussex University Hospitals NHS Trust 80.74% 84.15% 96 0.35% 74.97% 92.57% 95.35% 97.84% 11
Buckinghamshire Healthcare NHS Trust 89.52% 90.12% 0 0.45% 86.84% 93.90% 95.83% 97.71% 16
Cornwall Partnership NHS Foundation Trust 99.74% 100.00% 0 2.78% 0
Dartford And Gravesham NHS Trust 85.01% 93.44% 0 0.61% 85.46% 94.25% 97.49% 100.00% 5
Dorset County Hospital NHS Foundation Trust 97.81% 89.18% 0 0.56% 86.47% 97.34% 95.24% 99.27% 0
Dorset Healthcare University NHS Foundation Trust N/A 98.46% 0 0.22% 0
East Kent Hospitals University NHS Foundation Trust 75.67% 85.40% 28 0.23% 70.27% 96.49% 95.18% 96.00% 19
East Sussex Healthcare NHS Trust 76.84% 90.77% 0 1.40% 75.10% 97.90% 97.76% 98.51% 11
Frimley Health NHS Foundation Trust 89.07% 92.48% 0 0.43% 89.28% 96.76% 97.10% 99.46% 8
Gloucestershire Care Services NHS Trust 99.54% 0.00% 0
Gloucestershire Hospitals NHS Foundation Trust 76.48% 3.55% 69.08% 91.91% 94.00% 93.78% 15
Great Western Hospitals NHS Foundation Trust 82.28% 91.36% 1 0.57% 86.24% 82.57% 54.71% 96.94% 5
Hampshire Hospitals NHS Foundation Trust 88.30% 93.82% 0 0.70% 86.80% 96.15% 95.45% 99.47% 2
Isle Of Wight NHS Trust 83.65% 88.35% 1 0.00% 85.40% 97.53% 93.94% 100.00% 3
Kent Community Health NHS Trust 99.88% 99.36% 0 0.00% 0
Maidstone And Tunbridge Wells NHS Trust 83.81% 88.27% 0 0.19% 70.16% 95.15% 87.98% 95.80% 4
Medway NHS Foundation Trust 75.30% 76.24% 31 3.97% 79.30% 83.78% 94.52% 94.39% 9
North Bristol NHS Trust 81.95% 87.64% 44 0.81% 88.92% 93.56% 93.98% 98.34% 8
Northern Devon Healthcare NHS Trust 92.43% 89.63% 0 0.98% 87.94% 94.27% 81.69% 99.20% 1
Oxford Health NHS Foundation Trust 97.73% 0
Oxford University Hospitals NHS Foundation Trust 84.84% 90.37% 9 0.93% 76.07% 93.06% 97.39% 96.23% 10
Oxleas NHS Foundation Trust 95.81% 0 2.91% 0
Plymouth Hospitals NHS Trust 83.32% 85.75% 89 3.71% 77.84% 90.60% 57.72% 97.39% 12
Poole Hospital NHS Foundation Trust 92.65% 92.58% 0 1.05% 87.32% 99.26% 99.44% 99.18% 3
Portsmouth Hospitals NHS Trust 75.77% 91.34% 0 0.94% 86.16% 97.01% 95.66% 99.06% 9
Queen Victoria Hospital NHS Foundation Trust 99.80% 91.49% 4 0.00% 84.56% 94.79% 92.90% 0
Royal Berkshire NHS Foundation Trust 91.39% 93.41% 0 0.46% 86.09% 96.65% 97.42% 97.41% 4
Royal Cornwall Hospitals NHS Trust 79.11% 92.12% 1 1.35% 88.20% 97.63% 97.56% 98.01% 4
Royal Devon and Exeter NHS Foundation Trust 92.05% 90.69% 2 0.50% 79.37% 83.99% 37.23% 96.77% 4
4.2 Operational performance by providers – South (2/2)
38
ORGANISATION A&E (95%)RTT Incomplete
(92%)
RTT 52
weeks
Diagnostics
(<1.00%)
Cancer 62
days - GP
referral (85%)
Cancer 2
weeks - GP
referral (93%)
Cancer 2
weeks -
breast
symptoms
Cancer 31
days - GP
referral (96%)
C.Diff cases
Royal Surrey County Hospital NHS Foundation Trust 92.20% 90.16% 1 7.42% 77.98% 98.60% 97.29% 97.39% 4
Royal United Hospitals Bath NHS Foundation Trust 77.94% 90.34% 0 1.11% 86.02% 94.81% 87.87% 99.20% 10
Salisbury NHS Foundation Trust 87.60% 90.02% 0 2.73% 83.92% 91.91% 79.03% 97.04% 2
Solent NHS Trust 98.56% 0 0
Somerset Partnership NHS Foundation Trust 99.65% 98.75% 0 0
Southern Health NHS Foundation Trust 99.46% 94.89% 0 0.00% 0
Surrey And Sussex Healthcare NHS Trust 91.11% 90.14% 19 0.19% 86.97% 94.78% 94.68% 98.43% 11
Sussex Community NHS Trust 97.23% 97.54% 0 0.15% 0.00% 0
Taunton and Somerset NHS Foundation Trust 92.86% 85.08% 18 4.33% 78.33% 94.71% 95.97% 98.68% 0
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust 93.01% 91.73% 0 0.02% 85.60% 97.63% 92.00% 98.89% 3
Torbay and South Devon NHS Foundation Trust 90.22% 87.54% 17 1.74% 87.60% 97.35% 93.23% 97.54% 3
University Hospital Southampton NHS Foundation Trust 85.58% 92.39% 0 0.69% 78.60% 94.61% 93.17% 96.47% 14
University Hospitals Bristol NHS Foundation Trust 81.53% 91.12% 2 1.35% 81.49% 95.93% 96.94% 4
Western Sussex Hospitals NHS Foundation Trust 93.59% 92.01% 0 0.84% 88.05% 97.16% 96.59% 99.27% 10
Weston Area Health NHS Trust 70.53% 94.44% 0 0.00% 76.61% 82.82% 87.37% 100.00% 4
Yeovil District Hospital NHS Foundation Trust 96.80% 93.11% 0 0.45% 91.72% 95.49% 97.86% 98.64% 3
South 86.89% 89.95% 363 1.23% 81.56% 94.07% 90.34% 97.59% 238
4.2 Operational performance by providers – Ambulance
39
Cat A Red 1 (75%) Cat A Red 2 (75%) Cat A 19 (95%)
East Midlands 69.82% 57.41% 84.20%
East of England 70.34% 62.51% 91.35%
Isle of Wight 65.45% 67.58% 90.45%
London 71.16% 67.67% 93.29%
North East 71.12% 56.24% 86.24%
North West 64.01% 61.00% 88.05%
South Central 75.42% 73.31% 94.86%
South East Coast 66.33% 48.67% 87.23%
4.3 Operational performance by delivery boards – A&E (1/9)
40
The performance shown below cover all providers, including independent service providers
Delivery Board Organisation Name Total A&E
Attendances
Attendances Over 4 hours
(Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
BANES A&E DELIVERY BOARD ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST 19,978 4,408 77.94% 77.94%
Total 19,978 4,408 77.94% 77.94%
BARNET & ENFIELD A&E DELIVERY BOARD
ROYAL FREE LONDON NHS FOUNDATION TRUST 63,289 9,443 85.08% 85.08%
EDMONTON GP WALK IN CENTRE 3,323 0 100.00% 100.00%
Total 66,612 9,443 85.08% 100.00% 85.82%
BARNSLEY A&E DELIVERY BOARD BARNSLEY HOSPITAL NHS FOUNDATION TRUST 20,374 2,374 88.35% 88.35%
Total 20,374 2,374 88.35% 88.35%
BEDFORDSHIRE A&E DELIVERY BOARD
BEDFORD HOSPITAL NHS TRUST 17,956 1,305 92.73% 92.73%
PUTNOE MEDICAL CENTRE WALK IN CENTRE 6,809 0 100.00% 100.00%
Total 24,765 1,305 92.73% 100.00% 94.73%
BERKSHIRE EAST A&E DELIVERY BOARD
BRACKNELL URGENT CARE CENTRE WIC 8,792 2 99.98% 99.98%
ASSURA READING LLP 9,916 95 99.04% 99.04%
BERKSHIRE HEALTHCARE NHS FOUNDATION TRUST 15,526 0 100.00% 100.00%
Total 34,234 97 99.63% 99.72%
BERKSHIRE WEST A&E DELIVERY BOARD ROYAL BERKSHIRE NHS FOUNDATION TRUST 30,630 2,637 91.39% 91.39%
Total 30,630 2,637 91.39% 91.39%
BHR A&E DELIVERY BOARD
BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST 70,447 10,898 84.53% 84.53%
NORTH EAST LONDON NHS FOUNDATION TRUST 15,280 221 98.55% 98.55%
HAROLD WOOD WALK IN CENTRE 11,419 0 100.00% 100.00%
ORCHARD VILLAGE WALK-IN-CENTRE 2,451 0 100.00% 100.00%
Total 99,597 11,119 84.53% 99.24% 88.84%
BIRMINGHAM & SOLIHULL A&E DELIVERY BOARD
UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST 28,425 5,782 79.66% 79.66%
BADGER LTD 4,820 0 100.00% 100.00%
HEART OF ENGLAND NHS FOUNDATION TRUST 65,241 12,736 80.48% 80.48%
ASSURA VERTIS URGENT CARE CENTRES (BIRMINGHAM) 16,011 0 100.00% 100.00%
BIRMINGHAM WIC 9,445 0 100.00% 100.00%
GREET GENERAL PRACTICE & URGENT CARE CENTRE 6,140 0 100.00% 100.00%
SOUTH BIRMINGHAM GP WALK IN CENTRE 16,153 0 100.00% 100.00%
BIRMINGHAM WOMEN'S AND CHILDREN'S NHS FOUNDATION TRUST 15,448 604 96.09% 96.09%
Total 161,683 19,122 82.48% 100.00% 88.17%
BOLTON UEC DELIVERY BOARD BOLTON NHS FOUNDATION TRUST 27,266 4,672 82.87% 82.87%
Total 27,266 4,672 82.87% 82.87%
BRADFORD AND AIREDALE A&E DELIVERY BOARD
BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST 32,411 3,320 89.76% 89.76%
AIREDALE NHS FOUNDATION TRUST 15,053 1,213 91.94% 91.94%
Total 47,464 4,533 90.45% 90.45%
BRIGHTON A&E DELIVERY BOARD BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST 38,624 7,440 80.74% 80.74%
Total 38,624 7,440 80.74% 80.74%
4.3 Operational performance by delivery boards – A&E (2/9)
41
Delivery Board Organisation Name Total A&E
Attendances Attendances Over 4 hours (Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
BRISTOL, NORTH SOMERSET, SOUTH GLOUCESTERSHIRE (BNSSG) A&E DELIVERY BOARD
NORTH BRISTOL NHS TRUST 20,069 3,623 81.95% 81.95%
UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST 30,995 5,726 81.53% 81.53%
BRISTOL COMMUNITY HEALTH 13,593 3 99.98% 99.98%
YATE WEST GATE CENTRE 4,009 17 99.58% 99.58%
PAULTON MEMORIAL HOSPITAL 1,746 0 100.00% 100.00%
CLEVEDON HOSPITAL 3,240 0 100.00% 100.00%
Total 73,652 9,369 81.69% 99.91% 87.28%
BROMLEY A&E DELIVERY BOARD
BECKENHAM BEACON UCC 12,409 4 99.97% 99.97%
URGENT CARE CENTRE 28,534 0 100.00% 100.00%
Total 40,943 4 99.99% 99.99%
BUCKINGHAMSHIRE A&E DELIVERY BOARD BUCKINGHAMSHIRE HEALTHCARE NHS TRUST 33,853 3,548 89.52% 89.52%
Total 33,853 3,548 89.52% 89.52%
CALDERDALE AND HUDDERSFIELD A&E DELIVERY BOARD
CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST 36,604 2,041 94.42% 94.42%
LCD-LEEDS-OOH 6,773 0 100.00% 100.00%
LOCAL CARE DIRECT OOH 9,224 0 100.00% 100.00%
Total 52,601 2,041 94.42% 100.00% 96.12%
CAMBRIDGE & ELY A&E DELIVERY BOARD CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 35,870 5,223 85.44% 85.44%
Total 35,870 5,223 85.44% 85.44%
CAMDEN A&E DELIVERY BOARD UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST 33,773 3,913 88.41% 88.41%
Total 33,773 3,913 88.41% 88.41%
CENTRAL CHESHIRE A&E DELIVERY BOARD MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST 20,486 1,697 91.72% 91.72%
Total 20,486 1,697 91.72% 91.72%
CENTRAL LANCASHIRE A&E DELIVERY BOARD
LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST 33,401 5,571 83.32% 83.32%
ROSSENDALE MINOR INJURIES UNIT 1,042 0 100.00% 100.00%
Total 34,443 5,571 83.32% 100.00% 83.83%
CENTRAL NORFOLK A&E DELIVERY BOARD
NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 30,017 5,744 80.86% 80.86%
NORWICH PRACTICES LTD (CASTLE MALL) 15,908 0 100.00% 100.00%
Total 45,925 5,744 80.86% 100.00% 87.49%
CHELWEST A&E DELIVERY BOARD
CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST 70,662 7,363 89.58% 89.58%
CENTRAL LONDON COMMUNITY HEALTHCARE NHS TRUST 55,604 619 98.89% 98.89%
Total 126,266 7,982 89.58% 98.89% 93.68%
CITY & HACKNEY HEALTH AND SOCIAL CARE TRANSFORMATION BOARD
HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 29,129 1,852 93.64% 93.64%
ST ANDREWS WALK-IN CENTRE 5,811 0 100.00% 100.00%
THE BARKANTINE PRACTICE 7,430 0 100.00% 100.00%
Total 42,370 1,852 93.64% 100.00% 95.63%
COASTAL WEST SUSSEX A&E DELIVERY BOARD
WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST 34,643 2,219 93.59% 93.59%
QUEEN VICTORIA HOSPITAL NHS FOUNDATION TRUST 2,449 5 99.80% 99.80%
Total 37,092 2,224 93.59% 99.80% 94.00%
4.3 Operational performance by delivery boards – A&E (3/9)
42
Delivery Board Organisation Name Total A&E
Attendances
Attendances Over 4 hours
(Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
CORNWALL A&E DELIVERY BOARD
ROYAL CORNWALL HOSPITALS NHS TRUST 21,084 4,404 79.11% 79.11%
CORNWALL PARTNERSHIP NHS FOUNDATION TRUST 23,207 60 99.74% 99.74%
Total 44,291 4,464 79.11% 99.74% 89.92%
COVENTRY AND RUGBY DELIVERY BOARD
UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST 45,372 9,530 79.00% 79.00%
NHS COVENTRY HEALTHCARE & WIC 11,529 0 100.00% 100.00%
Total 56,901 9,530 79.00% 100.00% 83.25%
CROYDON A&E DELIVERY BOARD
CROYDON HEALTH SERVICES NHS TRUST 29,551 4,366 85.23% 85.23%
EDRIDGE ROAD COMMUNITY HEALTH CENTRE 6,610 0 100.00% 100.00%
PARKWAY MIU 1,583 0 100.00% 100.00%
PURLEY MIU 1,762 0 100.00% 100.00%
Total 39,506 4,366 85.23% 100.00% 88.95%
DEVON A&E DELIVERY BOARD
PLYMOUTH HOSPITALS NHS TRUST 24,005 4,003 83.32% 83.32%
ROYAL DEVON AND EXETER NHS FOUNDATION TRUST 25,254 2,008 92.05% 92.05%
TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST 24,547 2,400 90.22% 90.22%
NORTHERN DEVON HEALTHCARE NHS TRUST 20,942 1,586 92.43% 92.43%
LIVEWELL SOUTHWEST 10,053 4 99.96% 99.96%
OKEHAMPTON MEDICAL CENTRE 420 0 100.00% 100.00%
Total 105,221 10,001 89.45% 99.96% 90.50%
DEVON DELIVERY BOARD
EXMOUTH MINOR INJURY UNIT 2,347 0 100.00% 100.00%
SOUTH WESTERN AMBULANCE SERVICE NHS FOUNDATION TRUST 3,534 0 100.00% 100.00%
Total 5,881 0 100.00% 100.00%
DGS (ALSO CALLED NORTH KENT) A&E DELIVERY BOARD DARTFORD AND GRAVESHAM NHS TRUST 29,686 4,450 85.01% 85.01%
Total 29,686 4,450 85.01% 85.01%
DONCASTER & BASSETLAW A&E DELIVERY BOARD DONCASTER AND BASSETLAW TEACHING HOSPITALS NHS FOUNDATION TRUST 39,381 4,385 88.87% 88.87%
Total 39,381 4,385 88.87% 88.87%
DORSET A&E DELIVERY BOARD
DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST 20,978 460 97.81% 97.81%
POOLE HOSPITAL NHS FOUNDATION TRUST 19,436 1,428 92.65% 92.65%
THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST 22,012 1,539 93.01% 93.01%
Total 62,426 3,427 94.51% 94.51%
DUDLEY A&E DELIVERY BOARD THE DUDLEY GROUP NHS FOUNDATION TRUST 44,715 3,646 91.85% 91.85%
Total 44,715 3,646 91.85% 91.85%
DURHAM AND DARLINGTON A&E DELIVERY BOARD COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 62,646 5,152 91.78% 91.78%
Total 62,646 5,152 91.78% 91.78%
EAST & NORTH HERTFORDSHIRE A&E DELIVERY BOARD
EAST AND NORTH HERTFORDSHIRE NHS TRUST 39,140 6,373 83.72% 83.72%
HAVERSTOCK HEALTHCARE (CHESHUNT COMMUNITY HOSPITAL) 5,628 2 99.96% 99.96%
HERTFORDSHIRE COMMUNITY NHS TRUST 2,545 17 99.33% 99.33%
Total 47,313 6,392 83.72% 99.77% 86.49%
4.3 Operational performance by delivery boards – A&E (4/9)
43
Delivery Board Organisation Name Total A&E
Attendances Attendances Over 4 hours (Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
EAST KENT A&E DELIVERY BOARD
EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST 50,249 12,225 75.67% 75.67%
WHITSTABLE MEDICAL PRACTICE 6,184 0 100.00% 100.00%
Total 56,433 12,225 75.67% 100.00% 78.34%
EAST STAFFORDSHIRE A&E DELIVERY BOARD BURTON HOSPITALS NHS FOUNDATION TRUST 27,248 1,928 92.92% 92.92%
Total 27,248 1,928 92.92% 92.92%
EAST SUSSEX A&E DELIVERY BOARD
EAST SUSSEX HEALTHCARE NHS TRUST 26,164 6,060 76.84% 76.84%
SUSSEX COMMUNITY NHS FOUNDATION TRUST 24,109 669 97.23% 97.23%
Total 50,273 6,729 76.84% 97.23% 86.62%
EASTERN CHESHIRE A&E DELIVERY BOARD EAST CHESHIRE NHS TRUST 11,896 2,632 77.87% 77.87%
Total 11,896 2,632 77.87% 77.87%
EPSOM ST HELIER A&E DELIVERY BOARD EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST 36,461 1,666 95.43% 95.43%
Total 36,461 1,666 95.43% 95.43%
ESSEX SUCCESS REGIME
MID ESSEX HOSPITAL SERVICES NHS TRUST 23,653 4,012 83.04% 83.04%
SOUTHEND UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 23,912 3,243 86.44% 86.44%
BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 33,298 3,307 90.07% 90.07%
Total 80,863 10,562 86.94% 86.94%
FLYDE COAST A&E DELIVERY BOARD BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST 47,090 7,040 85.05% 85.05%
Total 47,090 7,040 85.05% 85.05%
FRIMLEY SOUTH A&E DELIVERY BOARD FRIMLEY HEALTH NHS FOUNDATION TRUST 57,218 6,252 89.07% 89.07%
Total 57,218 6,252 89.07% 89.07%
GATESHEAD & NEWCASTLE A&E DELIVERY BOARD
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 48,741 3,619 92.58% 92.58%
GATESHEAD HEALTH NHS FOUNDATION TRUST 28,371 1,406 95.04% 95.04%
Total 77,112 5,025 93.48% 93.48%
GLOUCESTERSHIRE A&E DELIVERY BOARD
GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 31,888 7,500 76.48% 76.48%
GLOUCESTERSHIRE CARE SERVICES NHS TRUST 15,610 72 99.54% 99.54%
TETBURY HOSPITAL TRUST LTD 488 0 100.00% 100.00%
Total 47,986 7,572 76.48% 99.55% 84.22%
GREAT YARMOUTH & WAVENEY A&E DELIVERY BOARD
JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 17,694 1,741 90.16% 90.16%
EAST COAST COMMUNITY HEALTHCARE C.I.C 318 0 100.00% 100.00%
Total 18,012 1,741 90.16% 100.00% 90.33%
GREATER NOTTINGHAM A&E DELIVERY BOARD
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST 47,621 9,742 79.54% 79.54%
NOTTINGHAM CITYCARE PARTNERSHIP 14,495 960 93.38% 93.38%
Total 62,116 10,702 79.54% 93.38% 82.77%
GUILDFORD AND WAVERLEY A&E DELIVERY BOARD ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST 16,403 1,279 92.20% 92.20%
Total 16,403 1,279 92.20% 92.20%
HAMBLETON, RICHMOND & WHITBY AND SOUTH TEES A&E DELIVERY BOARD
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 44,561 2,648 94.06% 94.06%
Total 44,561 2,648 94.06% 94.06%
HARINGEY LOCAL A&E DELIVERY BOARD NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST 42,919 8,027 81.30% 81.30%
Total 42,919 8,027 81.30% 81.30%
4.3 Operational performance by delivery boards – A&E (5/9)
44
Delivery Board Organisation Name Total A&E
Attendances
Attendances Over 4 hours
(Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
HARROGATE AND RURAL DISTRICT A&E DELIVERY BOARD
HARROGATE AND DISTRICT NHS FOUNDATION TRUST 13,202 605 95.42% 95.42%
Total 13,202 605 95.42% 95.42%
HEREFORDSHIRE A&E DELIVERY BOARD WYE VALLEY NHS TRUST 21,539 2,940 86.35% 86.35%
Total 21,539 2,940 86.35% 86.35%
HERTS VALLEY A&E DELIVERY BOARD WEST HERTFORDSHIRE HOSPITALS NHS TRUST 33,443 7,677 77.04% 77.04%
Total 33,443 7,677 77.04% 77.04%
HILLINGDON A&E DELIVERY BOARD
THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST 40,457 7,001 82.70% 82.70%
THE RIDGEWAY SURGERY 10,246 0 100.00% 100.00%
Total 50,703 7,001 82.70% 100.00% 86.19%
HOUNSLOW AND RICHMOND COMMUNITY HEALTHCARE NHS TRUST 13,077 5 99.96% 99.96%
Total 13,077 5 99.96% 99.96%
HULL & EAST YORKSHIRE A&E DELIVERY BOARD
HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST 35,692 4,715 86.79% 86.79%
HUMBER NHS FOUNDATION TRUST 4,253 3 99.93% 99.93%
BRANSHOLME HEALTH CENTRE 4,299 2 99.95% 99.95%
FREEDOM CENTRE 250 0 100.00% 100.00%
Total 44,494 4,720 86.79% 99.94% 89.39%
ICHT A&E DELIVERY BOARD IMPERIAL COLLEGE HEALTHCARE NHS TRUST 71,438 8,858 87.60% 87.60%
Total 71,438 8,858 87.60% 87.60%
IPSWICH & EAST SUFFOLK A&E DELIVERY BOARD IPSWICH HOSPITAL NHS TRUST 21,884 2,356 89.23% 89.23%
Total 21,884 2,356 89.23% 89.23%
ISLE OF WIGHT A&E DELIVERY BOARD ISLE OF WIGHT NHS TRUST 13,499 2,207 83.65% 83.65%
Total 13,499 2,207 83.65% 83.65%
ISLINGTON A&E DELIVERY BOARD
THE WHITTINGTON HOSPITAL NHS TRUST 24,214 3,399 85.96% 85.96%
MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUST 24,311 482 98.02% 98.02%
Total 48,525 3,881 85.96% 98.02% 92.00%
KINGSTON & RICHMOND A&E DELIVERY BOARD KINGSTON HOSPITAL NHS FOUNDATION TRUST 28,501 3,745 86.86% 86.86%
Total 28,501 3,745 86.86% 86.86%
LAMBETH & SOUTHWARK A&E DELIVERY BOARD
KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST 69,611 13,392 80.76% 80.76%
GUY'S AND ST THOMAS' NHS FOUNDATION TRUST 45,454 5,419 88.08% 88.08%
THE JUNCTION HC - UNREGISTERED PATIENTS 9,046 0 100.00% 100.00%
Total 124,111 18,811 83.65% 100.00% 84.84%
LEEDS A&E DELIVERY BOARD
LEEDS TEACHING HOSPITALS NHS TRUST 57,206 8,182 85.70% 85.70%
SHAKESPEARE WALK-IN CENTRE 5,769 0 100.00% 100.00%
Total 62,975 8,182 85.70% 100.00% 87.01%
4.3 Operational performance by delivery boards – A&E (6/9)
45
Delivery Board Organisation Name Total A&E
Attendances Attendances Over 4 hours (Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
LEICESTER, LEICESTERSHIRE & RUTLAND A&E DELIVERY BOARD
UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST 57,517 10,410 81.90% 81.90%
LOUGHBOROUGH URGENT CARE CENTRE 10,735 214 98.01% 98.01%
OADBY & WIGSTON URGENT CARE CENTRE 8,703 60 99.31% 99.31%
MARKET HARBOROUGH URGENT CARE CENTRE 1,687 3 99.82% 99.82%
OAKHAM URGENT CARE CENTRE 796 2 99.75% 99.75%
LATHAM HOUSE MEDICAL PRACTICE 1,145 0 100.00% 100.00%
MARKET HARBOROUGH MED.CTR 956 0 100.00% 100.00%
MELTON MOWBRAY URGENT CARE CENTRE 1,709 6 99.65% 99.65%
OAKHAM MEDICAL PRACTICE 774 0 100.00% 100.00%
SSAFA CARE WALK-IN-CENTRE 3,887 0 100.00% 100.00%
Total 87,909 10,695 81.90% 99.06% 87.83%
LEWISHAM, GREENWICH AND BEXLEY A&E DELIVERY BOARD
LEWISHAM AND GREENWICH NHS TRUST 69,209 10,819 84.37% 84.37%
WALDRON - HURLEY UNREGISTERED PRACTICE 7,379 0 100.00% 100.00%
Total 76,588 10,819 84.37% 100.00% 85.87%
LINCOLNSHIRE A&E DELIVERY BOARD
UNITED LINCOLNSHIRE HOSPITALS NHS TRUST 36,545 8,473 76.81% 76.81%
LINCOLNSHIRE COMMUNITY HEALTH SERVICES NHS TRUST 39,355 349 99.11% 99.11%
Total 75,900 8,822 76.81% 99.11% 88.38%
LNWHT A&E DELIVERY BOARD
LONDON NORTH WEST HEALTHCARE NHS TRUST 82,983 15,821 80.93% 80.93%
Total 82,983 15,821 80.93% 80.93%
LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 35,780 554 98.45% 98.45%
Total 35,780 554 98.45% 98.45%
MANCHESTER CITY-WIDE URGENT CARE TRANSFORMATION AND DELIVERY BOARD
UNIVERSITY HOSPITAL OF SOUTH MANCHESTER NHS FOUNDATION TRUST 24,006 2,944 87.74% 87.74%
CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 76,011 7,413 90.25% 90.25%
Total 100,017 10,357 89.64% 89.64%
MEDWAY & SWALE A&E DELIVERY BOARD MEDWAY NHS FOUNDATION TRUST 28,000 6,915 75.30% 75.30%
Total 28,000 6,915 75.30% 75.30%
MID MERSEY, WARRINGTON &HALTON A&E DELIVERY BOARD
ST HELENS AND KNOWSLEY HOSPITAL SERVICES NHS TRUST 41,393 6,529 84.23% 84.23%
ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST 56,924 7,017 87.67% 87.67%
WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST 30,385 3,902 87.16% 87.16%
ALDER HEY CHILDREN'S NHS FOUNDATION TRUST 14,714 484 96.71% 96.71%
LIVERPOOL WOMEN'S NHS FOUNDATION TRUST 3,233 64 98.02% 98.02%
BRIDGEWATER COMMUNITY HEALTHCARE NHS FOUNDATION TRUST 22,599 367 98.38% 98.38%
LIVERPOOL COMMUNITY HEALTH NHS TRUST 6,873 0 100.00% 100.00%
NORTH WEST BOROUGHS HEALTHCARE NHS FOUNDATION TRUST 5,628 0 100.00% 100.00%
Total 181,749 18,363 87.50% 98.88% 89.90%
MID YORKSHIRE A&E DELIVERY BOARD MID YORKSHIRE HOSPITALS NHS TRUST 57,262 9,051 84.19% 84.19%
Total 57,262 9,051 84.19% 84.19%
4.3 Operational performance by delivery boards – A&E (7/9)
46
Delivery Board Organisation Name Total A&E
Attendances
Attendances Over 4 hours
(Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
MID-NOTTINGHAMSHIRE A&E DELIVERY BOARD SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST 36,353 2,181 94.00% 94.00%
Total 36,353 2,181 94.00% 94.00%
MILTON KEYNES A&E DELIVERY BOARD MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 34,684 3,723 89.27% 89.27%
Total 34,684 3,723 89.27% 89.27%
MORECAMBE BAY A&E DELIVERY BOARD UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST 24,767 4,606 81.40% 81.40%
Total 24,767 4,606 81.40% 81.40%
NORHT TEES A&E DELIVERY BOARD NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 21,201 1,339 93.68% 93.68%
Total 21,201 1,339 93.68% 93.68%
NORTH AND MID HAMPSHIRE A&E DELIVERY BOARD
HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST 29,108 3,406 88.30% 88.30%
ST MARY'S NHS TREATMENT CENTRE 13,376 55 99.59% 99.59%
Total 42,484 3,461 88.30% 99.59% 91.85%
NORTH EAST ESSEX A&E DELIVERY BOARD
COLCHESTER HOSPITAL UNIVERSITY NHS FOUNDATION TRUST 34,572 3,057 91.16% 91.16%
FRYATT HOSPITAL 1,621 1 99.94% 99.94%
CLACTON HOSPITAL 6,505 7 99.89% 99.89%
Total 42,698 3,065 91.16% 99.90% 92.82%
NORTH EAST SECTOR UEC DELIVERY BOARD
PENNINE ACUTE HOSPITALS NHS TRUST 77,513 16,457 78.77% 78.77%
PENNINE CARE NHS FOUNDATION TRUST 10,267 0 100.00% 100.00%
Total 87,780 16,457 78.77% 100.00% 81.25%
NORTH LINCOLNSHIRE AND NORTH EAST LINCOLNSHIRE A&E DELIVERY BOARD
NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST 36,197 7,077 80.45% 80.45%
Total 36,197 7,077 80.45% 80.45%
NORTH MERSEY & SOUTHPORT A&E DELIVERY BOARD
AINTREE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 40,858 6,042 85.21% 85.21%
SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST 32,885 3,869 88.23% 88.23%
Total 73,743 9,911 86.56% 86.56%
NORTH NORTHAMPTONSHIRE A&E DELIVERY BOARD
KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST 21,328 5,143 75.89% 75.89%
CORBY URGENT CARE CENTRE 17,878 241 98.65% 98.65%
Total 39,206 5,384 75.89% 98.65% 86.27%
NORTH STAFFS/UHNM A&E DELIVERY BOARD UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST 56,486 12,573 77.74% 77.74%
Total 56,486 12,573 77.74% 77.74%
NORTH TYNESIDE AND NORTHUMBERLAND A&E DELIVERY BOARD
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 46,011 3,541 92.30% 92.30%
Total 46,011 3,541 92.30% 92.30%
NORTHERN DERBYSHIRE A&E DELIVERY BOARD
CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST 19,373 2,727 85.92% 85.92%
DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST 13,951 1 99.99% 99.99%
Total 33,324 2,728 85.92% 99.99% 91.81%
NW SURREY A&E DELIVERY BOARD
ASHFORD AND ST PETER'S HOSPITALS NHS FOUNDATION TRUST 28,427 4,550 83.99% 83.99%
ASHFORD HEALTH CENTRE 9,908 23 99.77% 99.77%
Total 38,335 4,573 83.99% 99.77% 88.07%
4.3 Operational performance by delivery boards – A&E (8/9)
47
Delivery Board Organisation Name Total A&E
Attendances
Attendances Over 4 hours
(Breaches)
Performance of main A&E
department (Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
OXFORDSHIRE A&E DELIVERY BOARD
OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 36,382 5,514 84.84% 84.84%
OXFORD HEALTH NHS FOUNDATION TRUST 7,743 176 97.73% 97.73%
Total 44,125 5,690 84.84% 97.73% 87.10%
PENNIE LANCASHIRE A&E DELIVERY BOARD
EAST LANCASHIRE HOSPITALS NHS TRUST 45,214 9,366 79.29% 79.29%
LINDLEY HOUSE HEALTH CENTRE 12,198 0 100.00% 100.00%
Total 57,412 9,366 79.29% 100.00% 83.69%
Peterborough, Stamford & Hinchingbrooke
HINCHINGBROOKE HEALTH CARE NHS TRUST 10,690 2,054 80.79% 80.79%
NORTH WEST ANGLIA NHS FOUNDATION TRUST 24,370 4,375 82.05% 82.05%
Total 35,060 6,429 81.66% 81.66%
PORTSMOUTH AND SE HANTS A&E DELIVERY BOARD PORTSMOUTH HOSPITALS NHS TRUST 33,774 8,184 75.77% 75.77%
Total 33,774 8,184 75.77% 75.77%
ROTHERHAM A&E DELIVERY BOARD THE ROTHERHAM NHS FOUNDATION TRUST 30,801 4,365 85.83% 85.83%
Total 30,801 4,365 85.83% 85.83%
SALFORD UEC DELIVERY BOARD SALFORD ROYAL NHS FOUNDATION TRUST 24,788 5,011 79.78% 79.78%
Total 24,788 5,011 79.78% 79.78%
SANDWELL & WEST BIRMINGHAM A&E DELIVERY BOARD
SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST 55,358 8,859 84.00% 84.00%
SUMMERFIELD GP SURG & URGENT CARE CENTRE 10,609 0 100.00% 100.00%
Total 65,967 8,859 84.00% 100.00% 86.57%
SHEFFIELD A&E DELIVERY BOARD
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST 50,403 7,827 84.47% 84.47%
SHEFFIELD CHILDREN'S NHS FOUNDATION TRUST 14,331 415 97.10% 97.10%
Total 64,734 8,242 87.27% 87.27%
SHROPSHIRE A&E DELIVERY BOARD
SHREWSBURY AND TELFORD HOSPITAL NHS TRUST 33,364 7,596 77.23% 77.23%
SHROPSHIRE COMMUNITY HEALTH NHS TRUST 6,073 0 100.00% 100.00%
Total 39,437 7,596 77.23% 100.00% 80.74%
SOMERSET A&E DELIVERY BOARD
TAUNTON AND SOMERSET NHS FOUNDATION TRUST 15,343 1,096 92.86% 92.86%
YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST 11,149 357 96.80% 96.80%
SOMERSET PARTNERSHIP NHS FOUNDATION TRUST 19,024 67 99.65% 99.65%
Total 45,516 1,520 94.52% 99.65% 96.66%
SOUTH NORTHAMPTONSHIRE A&E DELIVERY BOARD NORTHAMPTON GENERAL HOSPITAL NHS TRUST 28,065 4,961 82.32% 82.32%
Total 28,065 4,961 82.32% 82.32%
SOUTH TYNESIDE A&E DELIVERY BOARD SOUTH TYNESIDE NHS FOUNDATION TRUST 16,275 1,114 93.16% 93.16%
Total 16,275 1,114 93.16% 93.16%
SOUTH WARWICKSHIRE A&E DELIVERY BOARD SOUTH WARWICKSHIRE NHS FOUNDATION TRUST 16,950 802 95.27% 95.27%
Total 16,950 802 95.27% 95.27%
SOUTH WEST HAMPSHIRE A&E DELIVERY BOARD
UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST 28,491 4,107 85.58% 85.58%
SOUTHERN HEALTH NHS FOUNDATION TRUST 5,978 32 99.46% 99.46%
SOUTHAMPTON NHS TREATMENT CENTRE 12,614 10 99.92% 99.92%
Total 47,083 4,149 85.58% 99.77% 91.19%
SOUTHERN DERBYSHIRE A&E DELIVERY BOARD
DERBY TEACHING HOSPITALS NHS FOUNDATION TRUST 44,879 5,540 87.66% 87.66%
DERBYSHIRE HEALTH UNITED LTD 5,364 18 99.66% 99.66%
Total 50,243 5,558 87.66% 99.66% 88.94%
STOCKPORT A&E DELIVERY BOARD STOCKPORT NHS FOUNDATION TRUST 22,262 5,487 75.35% 75.35%
Total 22,262 5,487 75.35% 75.35%
SUNDERLAND A&E DELIVERY BOARD
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 37,453 3,772 89.93% 89.93%
NORTHERN DOCTORS URGENT CARE 19,632 689 96.49% 96.49%
Total 57,085 4,461 89.93% 96.49% 92.19%
4.3 Operational performance by delivery boards – A&E (9/9)
48
Delivery Board Organisation Name Total A&E
Attendances Attendances Over 4 hours (Breaches)
Performance of main A&E department
(Type1,Type2,Type3)
Aggregate performance of all other providers in
patch (Type2,Type3)
Performance for the deliver Board
(Type1,Type2,Type3)
SURREY AND SUSSEX HEALTHCARE A&E DELIVERY BOARD
SURREY AND SUSSEX HEALTHCARE NHS TRUST 23,197 2,063 91.11% 91.11%
WEYBRIDGE WALK IN CENTRE 7,702 48 99.38% 99.38%
HASLEMERE MINOR INJURIES UNIT 1,941 20 98.97% 98.97%
WOKING WALK IN CENTRE 8,961 33 99.63% 99.63%
Total 41,801 2,164 91.11% 99.46% 94.82%
SWINDON A&E DELIVERY BOARD
GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST 34,209 6,063 82.28% 82.28%
CARFAX HEALTH ENTERPRISE 6,540 82 98.75% 98.75%
Total 40,749 6,145 82.28% 98.75% 84.92%
TAMESIDE & GLOSSOP A&E DELIVERY BOARD TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST 20,779 3,342 83.92% 83.92%
Total 20,779 3,342 83.92% 83.92%
WALSALL A&E DELIVERY BOARD
WALSALL HEALTHCARE NHS TRUST 28,977 6,080 79.02% 79.02%
WALSALL URGENT CARE CENTRE (COMMUNITY SITE) 11,530 0 100.00% 100.00%
Total 40,507 6,080 79.02% 100.00% 84.99%
WANDSWORTH & MERTON EMERGENCY CARE DELIVERY BOARD
ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 41,152 4,724 88.52% 88.52%
Total 41,152 4,724 88.52% 88.52%
WARWICKSHIRE NORTH A&E DELIVERY BOARD GEORGE ELIOT HOSPITAL NHS TRUST 18,642 3,194 82.87% 82.87%
Total 18,642 3,194 82.87% 82.87%
WEL LOCAL A&E DELIVERY BOARD BARTS HEALTH NHS TRUST 119,574 20,035 83.24% 83.24%
Total 119,574 20,035 83.24% 83.24%
WEST CHESHIRE AND WIRRAL A&E DELIVERY BOARD
WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION TRUST 30,185 6,098 79.80% 79.80%
COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST 18,723 2,729 85.42% 85.42%
WIRRAL COMMUNITY NHS FOUNDATION TRUST 13,111 154 98.83% 98.83%
Total 62,019 8,981 81.95% 98.83% 85.52%
WEST KENT A&E DELIVERY BOARD
MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST 38,911 6,300 83.81% 83.81%
KENT COMMUNITY HEALTH NHS FOUNDATION TRUST 27,137 33 99.88% 99.88%
Total 66,048 6,333 83.81% 99.88% 90.41%
WEST NORFOLK THE QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NHS FOUNDATION TRUST 14,869 1,613 89.15% 89.15%
Total 14,869 1,613 89.15% 89.15%
WEST SUFFOLK A&E DELIVERY BOARD WEST SUFFOLK NHS FOUNDATION TRUST 16,290 1,912 88.26% 88.26%
Total 16,290 1,912 88.26% 88.26%
WEST, NORTH AND EAST CUMBRIA A&E DELIVERY BOARD
NORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUST 21,613 3,601 83.34% 83.34%
CUMBRIA PARTNERSHIP NHS FOUNDATION TRUST 4,745 109 97.70% 97.70%
WORKINGTON HEALTH LIMITED 1,238 0 100.00% 100.00%
Total 27,596 3,710 83.34% 98.18% 86.56%
WIGAN BOROUGH SYSTEM RESILIENCE GROUP WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST 21,198 3,603 83.00% 83.00%
Total 21,198 3,603 83.00% 83.00%
WILTSHIRE A&E DELIVERY BOARD
SALISBURY NHS FOUNDATION TRUST 11,512 1,427 87.60% 87.60%
SALISBURY WALK-IN HC 3,897 0 100.00% 100.00%
Total 15,409 1,427 87.60% 100.00% 90.74%
WOLVERHAMPTON A&E DELIVERY BOARD THE ROYAL WOLVERHAMPTON NHS TRUST 56,452 6,083 89.22% 89.22%
Total 56,452 6,083 89.22% 89.22%
WORCESTERSHIRE A&E DELIVERY BOARD
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST 42,900 8,845 79.38% 79.38%
WORCESTERSHIRE HEALTH AND CARE NHS TRUST 726 0 100.00% 100.00%
Total 43,626 8,845 79.38% 100.00% 79.73%
YORK AND SCARBOROUGH A&E DELIVERY BOARD YORK TEACHING HOSPITAL NHS FOUNDATION TRUST 43,779 7,367 83.17% 83.17%
Total 43,779 7,367 83.17% 83.17%
49
5.0 Agency Staff Costs
5.1 Performance against agency ceiling
Trust Name
Trusts with the lowest agency spending relative to their ceiling – YTD at Q4 Trusts with the highest agency spending relative to their ceiling – YTD at Q4
Rank
1 West Midlands Ambulance Service NHS Foundation Trust
2 North East Ambulance Service NHS Foundation Trust
3 The Newcastle Upon Tyne Hospitals NHS Foundation Trust
4 University College London Hospitals NHS Foundation Trust
5 Birmingham Women's NHS Foundation Trust
6 Birmingham Children's Hospital NHS Foundation Trust
7 Cheshire And Wirral Partnership NHS Foundation Trust
8 Cambridge University Hospitals NHS Foundation Trust
9 Liverpool Women’s NHS Foundation Trust
10 Staffordshire and Stoke on Trent Partnership NHS Trust
11 East Midlands Ambulance Service NHS Trust
12 Royal Surrey County Hospital NHS Foundation Trust
13 Bradford District Care NHS Foundation Trust
14 The Christie NHS Foundation Trust
15 Gloucestershire Care Services NHS Trust
16 Liverpool Heart And Chest Hospital NHS Foundation Trust
17 Countess Of Chester Hospital NHS Foundation Trust
18 Dorset Healthcare University NHS Foundation Trust
19 Harrogate And District NHS Foundation Trust
20 East Cheshire NHS Trust
Trust Name
237 North Middlesex University Hospital NHS Trust
236 Weston Area Health NHS Trust
235 The Dudley Group NHS Foundation Trust
234 Great Western Hospitals NHS Foundation Trust
233 West London Mental Health NHS Trust
232 Walsall Healthcare NHS Trust
231 Sandwell and West Birmingham Hospitals NHS Trust
230 Oxford Health NHS Foundation Trust
229 Manchester Mental Health and Social Care Trust
228 South West Yorkshire Partnership NHS Foundation Trust
227 Medway NHS Foundation Trust
226 North Staffordshire Combined Healthcare NHS Trust
225 Greater Manchester West Mental Health NHS Foundation Trust
224 Sussex Partnership NHS Foundation Trust
223 Dartford and Gravesham NHS Trust
222 Gloucestershire Hospitals NHS Foundation Trust
221 Mersey Care NHS Foundation Trust
220 St George's University Hospitals NHS Foundation Trust
219 Cornwall Partnership NHS Foundation Trust
218 Pennine Acute Hospitals NHS Trust
Rank
5.2 Agency spend as % of total pay
Trust Name
Trusts with the lowest agency spend as % of total pay – YTD at Q4 Trusts with the highest agency spend as % of total pay – YTD at Q4
Rank
1 North East Ambulance Service NHS Foundation Trust
2 West Midlands Ambulance Service NHS Foundation Trust
3 The Christie NHS Foundation Trust
4 The Newcastle Upon Tyne Hospitals NHS Foundation Trust
5 East Midlands Ambulance Service NHS Trust
6 Derbyshire Community Health Services NHS Foundation Trust
7 Cheshire And Wirral Partnership NHS Foundation Trust
8 Birmingham Children's Hospital NHS Foundation Trust
9 Cambridge University Hospitals NHS Foundation Trust
10 University College London Hospitals NHS Foundation Trust
11 East of England Ambulance Service NHS Trust
12 Liverpool Womens NHS Foundation Trust
13 North West Ambulance Service NHS Trust
14 Gloucestershire Care Services NHS Trust
15 Gateshead Health NHS Foundation Trust
16 South Tees Hospitals NHS Foundation Trust
17 Birmingham Women's NHS Foundation Trust
18 Countess Of Chester Hospital NHS Foundation Trust
19 Tavistock And Portman NHS Foundation Trust
20 Liverpool Heart And Chest Hospital NHS Foundation Trust
Trust Name
237 Medway NHS Foundation Trust
236 Weston Area Health NHS Trust
235 Sherwood Forest Hospitals NHS Foundation Trust
234 Hounslow and Richmond Community Healthcare NHS Trust
233 Manchester Mental Health and Social Care Trust
232 South West London and St George's Mental Health NHS Trust
231 Wye Valley NHS Trust
230 Kettering General Hospital NHS Foundation Trust
229 West Hertfordshire Hospitals NHS Trust
228 West London Mental Health NHS Trust
227 Milton Keynes University Hospital NHS Foundation Trust
226 Colchester Hospital University NHS Foundation Trust
225 Croydon Health Services NHS Trust
224 Surrey and Sussex Healthcare NHS Trust
223 Central London Community Healthcare NHS Trust
222 Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust
221 North East London NHS Foundation Trust
220 Oxleas NHS Foundation Trust
219 The Princess Alexandra Hospital NHS Trust
218 George Eliot Hospital NHS Trust
Rank
52
End notes and glossary
End notes
53
1
All financial information in this report is based on final audited accounts with supplementary information drawn from unaudited monitoring returns from
238 licensed NHS trusts and NHS foundation trusts operating during 2016/17. Those licensed providers include 156 NHS foundation trusts (FTs) and
82 NHS Trusts (non-FTs). For foundation trusts authorised during the year, we include their financial data since 1 April 2016 in the foundation trusts’
performance.
2
Surplus/(deficit) comparable to control totals are calculated as surplus/(deficit) before impairments, transfers, donated asset income, and donated
asset depreciation for all trusts. For non-FTs, IFRIC 12 adjustments are also deducted. For most FTs gains/(losses) on asset disposals are excluded
(unless previously agreed)
3
For FTs, the sector reported surplus/(deficit) includes donated asset income, donated asset depreciation and gains/(losses) on asset disposals
(unless previously agreed), as these items have been excluded from the control total an adjustment is needed to add the figures back to provide the
reported sector surplus/(deficit). This also includes the NHS trust IFRIC12 adjustment for those trusts gaining FT status in year (NHS trust period)
4 As at 31 March 2017, a total of 228 providers have signed up to their control totals.
5 159 trusts reported performance against the A&E target in Q4 2016/17
6 190 trusts reported against RTT incomplete pathway targets in Q4 2016/17.
7
130 trusts reported performance against the breast cancer: 2-week wait target for Q4 2016/17.
154 trusts reported performance against the GP referral: 62-day wait target for Q4 2016/17.
151 trusts reported performance against the all cancers: 2-week wait target for Q4 2016/17.
8 “The aggregate STF improvement trajectories” highlighted for A&E, RTT, Diagnostics and Cancer 62-day waiting time targets are for provider sector
only, they differ to the STF improvement trajectories for NHS England.
Glossary (1/2)
54
A&E Accident and emergency departments offer a 24-hour, 7-day a week service to assess and treat patients with serious injuries or illnesses.
A&E standard The objective that any patient attending an A&E department is seen and transferred, admitted or discharged within 4 hours of arrival. The objective
performance against this target is 95% of patients. If a trust falls below this performance level, it is deemed to have breached the target.
Ambulance standard
Red 1 calls - these are the most time-critical and cover cardiac arrest patients who are not breathing and do not have a pulse, and other severe
conditions such as airway obstruction.
Red 2 calls - these are serious but less immediately time-critical, and cover conditions such as stroke and fits.
Cat A calls - the number of Category A calls (Red 1 and Red 2) resulting in an ambulance arriving at the scene of the incident within 19 minutes.
Admitted patient A patient who is formally admitted to a hospital for treatment. This includes admission that is not overnight, ie day cases.
Cancer waiting-time
targets
A series of objective waiting times for patients referred for cancer diagnosis and treatment. Each target has a different objective performance. The waiting
times for cancer patients are much stricter than the RTT targets, but the RTT targets include cancer patients.
CCG Clinical commissioning group
CIP Cost improvement programme - usually a 5-year planned cost reduction programme to improve the productivity and streamline operational structures to
provide efficient, effective services.
Cost weighted activity
growth rate
The cost weighted activity is calculated by applying individual cost weights based on average reference costs to elective inpatient, non-elective inpatient,
A&E attendance and outpatient attendance activities. This method allows combined cost weighted activity to be derived for different periods, so activity
growth based on cost weighted activity could be calculated.
CQC Care Quality Commission - the independent regulator of health and adult social care services in England that ensures care provided by hospitals,
dentists, ambulances, care homes and home care agencies meets government standards of quality and safety.
Day case A patient who is admitted and treated without staying overnight, eg for day surgery.
DH Department of Health, the government department responsible for the NHS.
DToC A delayed transfer of care occurs when a patient is considered ready to leave their current care (acute or non-acute) for home or another form of care but
still occupies a bed.
EBITDA
Earnings before interest, tax, depreciation and amortisation. This is an approximate measure of available cash flow. It does not take into account the
impact of depreciation, amortisation, financing costs or taxation. This means it can be used to compare performance between organisations that may
have very different levels of capital investment and debt financing.
Elective patient Elective surgery or procedure is scheduled in advance because it does not involve a medical emergency.
High cost drugs Expensive drugs typically used for specialist treatments, eg cancer, that are excluded from the Payment by Results (PbR) tariff as they would not be fairly
reimbursed. Commissioners and providers agree appropriate local prices.
HMT Her Majesty’s Treasury, the government department that fulfils the function of a ministry of finance.
Glossary (2/2)
55
Keogh
Following the Francis Inquiry, the medical director of NHS England, Sir Bruch Keogh, led a review into the quality of care and treatment provided by 14
hospital trusts in England. His report identified common challenges facing the wider NHS and set ambitions for improvement, which seek to tackle some of
the underlying causes of poor care. The report signalled the importance of monitoring mortality statistics to highlight underlying issues around patient care
and safety. Using the data to identify trusts that are performing positively will also be helpful in establishing and sharing effective practice across the NHS.
The report is available here: http://www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/outcomes/keogh-review-final-report.pdf
Non-
admitted
patient
A patient on a pathway that includes treatment without admission to a hospital; also known as an outpatient.
Non-elective
patient A patient who is admitted for treatment on an unplanned or emergency basis. Such patients are not relevant to referral-to-treatment (waiting-time targets).
Pathway A patient’s journey through an outpatient appointment, diagnostic tests, further outpatient appointments to a potential inpatient appointment (eg for
surgery).
PDC
dividends
Public dividend capital represents the Department of Health’s equity interest in defined public assets across the NHS, including NHS foundation trusts. DH
is required to make a return on its net assets, which takes the form of a public dividend capital dividend.
PFI
The private finance initiative is a procurement method that uses private sector capacity and public resources to deliver public sector infrastructure and/or
services according to a specification defined by the public sector. In the NHS a typical PFI contract involves a private consortium building a hospital and
maintaining it to a defined specification for 20+ years for an NHS trust in return for annual payments from the trust that are indexed to inflation.
PPE Property, plant and equipment, the term used for fixed assets under International Financial Reporting Standards (IFRS).
SAFER
pathway
bundle
The ‘SAFER’ patient flow bundle refers to senior review; all patients will have an expected discharge date and clinical criterial for discharge; flow of
patients; early discharge; and review by multidisciplinary team.
Surplus or
deficits
Refers to the net financial position. See End notes (Slide 2.1), as the calculation of this measure differs between the NHS foundation trusts and NHS
trusts.
Teaching
hospitals
‘Teaching’ acute trusts are those acute trusts that are members of AUKUH (the Association of UK University Hospitals); a list is available at
www.aukuh.org.uk
Waiting
times The time a patient has to wait before treatment; this is termed RTT (referral to treatment) in the NHS.
WTE Whole-time equivalent is the ratio of the total number of paid hours during a period (part-time, full-time, contracted) by the number of working hours in the
period. one WTE is equivalent to one employee working full-time.