Respond Deliver & Enable Council of Governors Operations Quarterly Review Elaine Hobson Chief...

Respond Deliver & Enable

Council of Governors Operations Quarterly Review

Elaine HobsonChief Operating Officer

14 January 2009Item 6

Relates to Domain 1 (C4a) and Domain 5 (C8, C19)


Key Targets – 1Hospital Acquired Infections

Performance Indicators Risk Rating

Target 2008-09

Current Position Nov 2008

Year to DatePosition

Incidence of Clostridium difficileMON01, HCC20

High230

(141)9 107

Incidence of MRSAMON02, HCC18 High

18(10)

0 9


Key Targets – 2Cancer Waiting Times


Target 2008-09

Position Oct 2008


Cancer: Two weeks from urgent GP referral to first outpatient appointment for all urgent suspect cancer referrals MON11, HCC22

Low 98% 99.1% 99.7%

Cancer: 31 days from diagnosis to treatment for all cancers MON08, HCC23 Low 98% 98.0% 99.2%

Cancer: 62 days from urgent referral to treatment for all cancers MON09, HCC24 Med 95% 96.5% 95.5%

Cancer: 31 day decision to treat to start of treatment extended to cover all cancer treatments from end Dec 08 MON03 HCC23

High tbc - -

Cancer: 62 days from GP or screening service referrals or consultant upgrade to treatment for all cancers from end of Dec 08 MON04, HCC24

High tbc - -


Key Targets – 3Emergency Department

Performance IndicatorsRisk

RatingTarget 2008-09

Current Position Nov

2008


Maximum waiting time of 4 hours in A&E from arrival to admission, transfer or discharge (bracketed figure is RD&E activity only) MON07, HCC05

High 98%98.8%

(97.5%)98.9%

(97.6%)


Medicine – Dec 2008 to Jan 2009

0

10

20

30

40

50

60

70

Predicted Actual

Predicted Vs Actual Admissions


Surgery – Dec 2008 to Jan 2009


0

5

10

15

20

25

30

Predicted Actual


Trauma & Orthopaedics – Dec 2008 to Jan 2009


0

1

2

3

4

5

6

7

8

9

10

Predicted Actual


Gynaecology – Dec 2008 to Jan 2009


0

2

4

6

8

10

12

Predicted Actual


Paediatrics – Dec 2008 to Jan 2009


0

2

4

6

8

10

12

14

16

Predicted Actual


Key Targets – 4Referral to Treatment Waiting Times


Target 2008-09

Current Position Nov 2008

Year to Date

Position18-week maximum wait by 2008 Admitted patients incorporating data completeness measures.

MON05, HCC21.I, HCC21.IIILow 90% 90.2% n/a

18-week maximum wait by 2008 Non-admitted patients incorporating data completeness measures. MON06, HCC21.II, HCC21.IV

Low 95% 96.8% n/a

15-week maximum wait by 2009 Admitted patients incorporating data completeness measures. LOC01 High 85% 82.5% n/a

15-week maximum wait by 2009 Non-admitted patients incorporating data completeness measures. LOC02

High 90% 95.7% n/a

Cancelled operations HCC10.I Medium 0.8% 0.91% 0.94%


Council of Governors Finance Quarterly Review

Suzanne TraceyDirector of Finance and Business Development

14 January 2009Item 6

Relates to Domain 3 (C7d)


Finance Report – Month 8

• Year to Date £8.7m surplus £2.7m above plan

• Year end forecast £8.9m £2.5m above plan• Some slippage around capital expenditure

– Year to date expenditure £4.1m– Year end forecast £14m

• Financial Risk Rating – Year to date 5– Forecast year end 4


Finance – Other Issues

• Road testing tariff released 11 December, final tariff for 2009/10 expected 12 January 2009

• Changes to currency – Move to HRG version 4.0 from 3.5

• Changes to Market Forces Factor• Changes to allocations formula for PCTs• Tariff Uplift

– 1.7% 2009/10– 1.2% 2010/11– Low (potentially zero growth) 2010/11 onwards

Respond Deliver & Enable Council of Governors Operations Quarterly Review Elaine Hobson Chief...

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