Managing Health Service Performance in
Northumberland, Tyne and Wear
NHS Plan
PartnershipsClinical
GovernancePublic
InvolvementCorporate
GovernanceNSFs
3 year planning guidance
Local Delivery Plans
PCT Annual Agreements
NHS Trust Annual Agreements
Trust / PCT Service Level Agreements
Measuring Performance
Weekly management information – waiting times & emergency care
Monthly detailed information – waiting times (hospital & GP), hospital activity, cancer waiting, finance etc
Quarterly – mental health, CHD, older people, etc
Yearly – NSF progress etc
Assessing Performance Weekly & monthly comparison to targets
Quarterly “traffic light” against targets in trust and PCO Annual Delivery Agreements – Board reports
Yearly - Star ratings
- qualitative assessment NSF progress etc
Ongoing – routine & ad hoc contact to discuss underlying issues, plans to improve performance, sharing good practice etc
Star Ratings
Based on key targets plus balanced scorecard of indicators
• Local NHS Trusts July 2002Newcastle Hospitals NNN Mental Health Trust
• Next ratings due July 2003 – include PCTs & Ambulance Trusts
SHA Annual Delivery Agreement2002/03 Performance
“traffic light” assessment
Green = target being achievedYellow = marginal under-achievementRed = problems to be resolved
Managing Performance Use of performance assessments to develop and
improve services
Meeting targets is vital but there is more to NHS performance
Links to SSI
Devolution of day to day performance management from SHA to PCOs
Style = facilitative, developmental & supportive, but recognises national targets are a “bottom line”
No
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So
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ide
Men
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Potential 15 mth breaches at end month 0 0 0 0 0 0 0 0 0
Potential 26 wk breaches at end month 235 0 0 207 4 12 12 0 0
IP 12 month waits (position against profile) 45 0 0 45 0 0 0 0 0
OP 21 week waits (position against profile) 541 -6 -67 551 -15 53 22 0 1
IP 9 month waits (position against profile) 923 23 168 726 1 6 0 -1 0
<4 hrs waiting in A&E 90.7% 86.4% 89.2% 91.6% 93.8% 90.5% na na na
>12 hrs trolley waits 0 0 0 0 0 0 na na na
Urgent operations cancelled 0 0 0 0 0 0 na na na
Delayed discharges (% of occupied beds) 2.5% 2.0% 1.1% 2.8% 4.7% 1.5% na na na
Weekly Access ReportWeek ending 7th February 2003
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enta
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lth
IP 15 month breaches at end month 0 0 0 0 0 0 0 0 0
OP 26 week breaches at end month 0 0 0 0 0 0 0 0 0
IP 12 month waits 0 0 0 0 0 0 0 0 0
OP 21 week waits 0 0 0 0 0 0 0 0 0
OP 13 week waits -277 0 0 -126 -156 0 14 1 -10
IP 9 month waits (position against target) 556 0 0 517 40 0 0 -1 0
Total Inpatient Waits (position against Target) 451 -279 374 306 -32 -125 18 13 0
<4 hrs waiting in A&E 94.5% 98.7% 92.6% 91.5% 96.2% 94.0% na na na
>12 hrs trolley waits 0 0 0 0 0 0 na na na
Urgent operations cancelled 0 0 0 0 0 0 na na na
Delayed discharges (% of occupied beds) 2.3% 1.9% 1.6% 2.5% 3.9% 1.1% na na na
Monthly Access ReportMarch 2003
CANCER WAITING TIMES MONITORING 2002/03Traffic Light Criteria
% Referrals received in 24 hours & seen in 2 weeks Breast Other
(Total referrals received in 24 hours shown below) Blue 100% 100%
Green >97% >95%
Yellow 95% to 97% 90% to 95%
Red <95% <90%B
reas
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Oth
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All
Site
s
SHA AVERAGE
100% 100% 100% 100% 99% 100% 100% 100% 100% 100% - 100% - 100%
348 74 210 165 112 105 29 67 3 2 0 1 2 1118
TRUST
- 100% 100% 100% 100% 100% 100% 100% 100% - - - 100% 100%
0 22 29 17 13 12 10 1 1 0 0 0 2 107
100% 100% 100% 100% 100% 100% - 100% - - - - - 100%
45 22 38 48 31 25 0 37 0 0 0 0 0 246
100% 100% 100% 100% 100% 100% - 100% - - - - - 100%
110 9 35 31 18 17 0 15 0 0 0 0 0 235
100% 100% 100% 100% 97% 100% 100% 100% - 100% - 100% - 100%
82 7 40 36 36 35 19 9 0 2 0 1 0 267
100% 100% 100% 100% 100% 100% - 100% 100% - - - - 100%
111 14 68 33 14 16 0 5 2 0 0 0 0 263
Newcastle upon Tyne
Northumbria
South Tyneside
City Hosp Sunderland
Gateshead Health
March 2003
Monthly Cancer ReportMarch 2003
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