Integrated Performance Report

Initial performance is at 80% and we are working towards the 90% target, with an expectation that we will achieve this quite quickly.

The Trust Board receives a monthly Integrated Performance Report which brings together a number of indicators which present a single ‘picture’ of how the Trust is performing.

Latest Reports

Integrated Performance Report 2015-16 Month 7

Integrated Performance Report 2015-16 Month 6

Integrated Performance Report 2015-16 Month 5

Integrated Performance Report 2015-16 Month 3

Integrated Performance Report 2015-16 Month 2

What we are doing to improve

Cancer Waiting Times (including Royal College Guidelines for Radiotherapy Patients)

Our patients come to us usually at the end of a long pathway and being able to see and treat our patients quickly can sometimes be challenging. We will be increasing the focus on working with partner organisations to improve the pathway across the whole network to try to ensure that our patients are referred to us and treated by us as quickly as is appropriately possible.

We have also introduced an internal target to ensure that as many patients as possible who require Radiotherapy are seen and treated within 28 days. Again this is quite a challenging target for us for some of our patients whose pathway is currently quite complex. However, we will be focusing on how we can streamline this pathway to make improvements for all our patients.

Percentage of patients receiving appropriate prophylaxis for VTE based on their risk assessment

This is one of the National targets, which due to the small numbers of patients affected can often affect the performance for the Trust. However, we are committed to ensuring that all patients receive the appropriate treatment and due to some recent work, performance is continuing to improve month on month.

Percentage of patients admitted aged 75 or above, who have scored positively on the case finding question, or who have a clinical diagnosis of delirium and who do not fall into exemption categories, reported as having had a dementia diagnostic assessment including investigations.

This is a fairly recent target which the Trust is currently working towards improving by embedding systems required to ensure that this pathway is achieved for all appropriate patients. Initial performance is at 80% and we are working towards the 90% target, with an expectation that we will achieve this quite quickly.

Assessment by a consultant within 12hrs of admission

This is a new target this year and the current performance reflects the baseline. Traditional working practices can sometimes mean that it is not possible for a patient being admitted late in the day to be seen by a Consultant, although all patients are reviewed by an appropriately trained member of the Medical Team. This work is being undertaken as part of the review into seven day working.

Customer Complaints

We receive very few customer complaints, although we have received three in this quarter. We review every complaint and utilise this information to help support improvement into our services.

Attendance (Sickness level)

The Trust has made some improvements over the last few years and performance has reached below the National 'norms'. However this quarter has seen a slight increase. The Trust has appropriate procedures for supporting sickness level and helping staff back into work after periods of sickness and this area of performance will be continually monitored.

Training and Development

Clinical Mandatory Training and Performance Development Reviews have not reached expected performance levels. The Trust is currently working with staff to ensure attendance at additional training sessions takes place and a new Performance Development system (PADR) is currently being rolled out with training to ensure the process is better understood and more effective.

Percentage Patients waiting 30 minutes or less for Outpatient and Radiotherapy appointments

The nature of our healthcare is Cancer. This means that patients who are referred to us need to be seen quickly. This often means that we get patients who are booked into our clinics at very late notice and this in turn means that we can have some clinics which are very busy. Much work has taken place over the last few years to understand what happens in these clinics and we are currently focusing on improving those clinics where patients wait the longest.