TB2012.33 Trust Board Meeting: Thursday 3 May 2012 TB2012.33 Title Operational Performance Report Month 12 Status A paper for noting by the Board outlining current performance and the issues impacting the on the integrity and quality of the data. History This is a regular report to the Board. Board Lead(s) Mr Paul Brennan, Director of Clinical Services Key purpose Strategy Assurance TB2012.33_OUH Operational Performance Report Month 12 Policy Performance 1 Oxford University Hospitals TB2012.32 Summary The Board is asked to note the following key points on the attached data sheet: 1 The Board Report continues to be provided on a restricted basis as the Teams work to ‘clean up’ the data following the EPR transfer. It should be noted that all performance figures contained in the performance report are validated and reflect actual performance with the exception of the 4 hour standard. The 4 hour monthly figure is derived from the year to date position achieved prior to the EPR implementation. 2 C‐Diff and MRSA performance standards have been achieved for 2011/2012. 3 Cancer and 18 week RTT performance remains on track with all performance standards achieved in month 12 with the exception of the surgical subsequent treatment standard. This is however a provisional figure which is subject to further validation. 4 Delayed transfers of care remain a major concern for the Trust and the 9.65% figure for month 12 is well in excess of the 3.5% standard, though represents a slight reduction from month 11. To contextualise this the table below shows the OUH and system wide reported delays for month 12. Week Ending 4th March 11th March 18th March 25th March 1st April Reported Delays OUH Oxford System 117 95 101 99 92 198 184 201 182 180 The position for the week ending 22nd April 2012 was 184 system wide delays. TB2012.33_OUH Operational Performance Report Month 12 2 Service Performance Reporting template 2011-12 ORH 2011-12 2.07% 2.30% 56 60 68 79 88 87 12.20% 0.00% 15 minutes 60 60 minutes 88 4.84% June July April 2.37% March 3.42% 1.94% 2.49% February 3.52% 3.64% 97.6% January November 93.9% Q3 95.13% 3.31% 5% 95.3% December October 95.7% 5% 94.6% Q1 95.47% 95.6% 95.6% 95.6% 95.6% NA NA Q4 (To date) 95.6% NA NA NA NA NA NA 68 NA NA NA NA 87 NA NA NA NA NA NA NA 1.12% 8.33% 6.33% 0 Assessed from Quarter 2 2011-12 onwards Cancelled ops - breaches of 28 days readmission guarantee as % of cancelled ops MRSA 5% C Diff 137 RTT - admitted - 95th percentile <=23 RTT - non-admitted - 95th percentile September Unplanned reattendance rate Unplanned re-attendance at A&E within 7 days of original attendance Time to initial Assessment 95th Percentile Time to treatment-Median 96.5% 95% discharge ** Four-hour maximum wait in A&E from arrival to admission, transfer or discharge- Quarterly ** Left without being seen rate 94.9% 96.9% Q2 96.33% 2.90% May Four-hour maximum wait in A&E from arrival to admission, transfer or August Performing Thresholds Performance Framework for Acute Trusts 2011-12 4.17% 6 0.00% 0.00% 0 1 0 0 0 1 2 0 0 0 0 5 5 8 7 14 9 14 8 8 7 13 5 23.9 24.9 22.2 22.4 22.1 22.3 22.0 21.9* 21.4* 19.2* 22.0* 21.6* <=18.3 RTT - incomplete - 95th percentile <=28 RTT - admitted - 90% in 18 weeks 90% RTT - non-admitted - 95% in 18 weeks 95% 2 week GP referral to 1st outpatient 93% 2 week GP referral to 1st outpatient breast symptoms 31 day second or subsequent treatment - surgery ~ 31 day second or subsequent treatment - drug ~ 31 day diagnosis to treatment for all cancers ~ Proportion of patients waiting no more than 31 days for second or subsequent cancer treatment (radiotherapy treatments) 93% 62 day referral to treatment from screening 90% 62 day referral to treatment from hospital specialist 62 days urgent GP referral to treatment of all cancers 85% Patients that have spent more than 90% of their stay in hospital on a stroke unit Delayed transfers of care 80% 15.7 15.6 16.3 16.3 16.4 16.0 16.2 16.0* 16.2* 17.5* 16.9* 17.2* 21.6 16.6 16.1 16.2 16.0 17.0 16.4 17.5* 17.3* 17.3* 17.8* 17.2* 87% 89% 90% 90% 91% 91% 90% 91%* 91%* 92%* 90%* 90%* 97% 97% 96% 97% 97% 97% 97% 97%* 97%* 96%* 96%* 96%* 91.6% 92.6% 96.5% 96.9% 99.1% 98.2% 98.6% 98.5% 98.1% 95.3% 98.1% 96.1% 74.5% 95.3% 98.9% 100.0% 99.4% 100.0% 99.0% 95.9% 98.7% 100.0% 100.0% 100.0% 94% 98.2% 93.5% 98.5% 96.4% 100.0% 97.5% 100.0% 95.2% 98.1% 96.8% 98.6% 90.9% 100.0% 97.8% 100.0% 98.6% 100.0% 100.0% 100.0% 97.6% 100.0% 100.0% 97.7% 100.0% 97.0% 95.9% 96.4% 97.1% 99.1% 97.8% 97.7% 98.4% 98.3% 96.9% 98.7% 98.1% 93.1% 93.9% 97.7% 96.2% 97.6% 96.6% 87.2% 97.4% 99.0% 97.1% 97.4% 98.6% 98% 96% 94% 78.3% NA 87.5% NA 87.0% 100.0% 85.7% 92.3% 84.6% 95.7% 94.1% 85.7% 100.0% 94.1% 100.0% NA NA NA NA NA NA NA NA NA 85% 81.4% 84.9% 88.0% 86.0% 86.5% 90.8% 88.1% 89.6% 86.0% 90.2% 86.0% 87.6% 72.1% 72.9% 86.7% 86.4% 82.0% 81.1% 90.5% 80.8% 86.9% 86.7% 85.9% 87.1% 7.00% 7.68% 5.12% 9.41% 10.64% 8.70% 11.49% 11.10% 10.84% 9.10% 10.68% 9.65% 11 11 11 11 3.50% * These figures relate to post merger OUH perfromance ** December 2011 to March 2012 (incl) - Due to data quality issues the Trust submitted average year to date figures for ED performance. The DoH are currently querying the validity of this. 12 12 12 12 1 12 11 11