Royal National Orthopaedic Hospital Trust
Trust Board Meeting - Executive Summary
Report/Paper:
Integrated Performance Report (January 2010)
Date:
25th February 2010
Purpose of Paper:
To provide the Trust Board with an update on the 18 performance targets the Trust
measures itself against.
Summary of Paper:
In addition to the Integrated Performance Report, appended to this Executive
Summary are the following additional pieces of information:

Appendix 1 – Director of Finance Report and supporting including:
Key financial performance indicators
Income & Expenditure Summary
Balance Sheet
Cash flow statement

Appendix 2 – pressure sores chart
Key points to draw from Integrated Performance Report:
1)
MRSA/wound infections – 0 for January, 1 cumulatively;
2)
Cdiff – 2 cases cumulatively;
3)
Pressure Ulcers – 31 cumulatively;
4)
18 week target (including breach sharing) – Non-Admitted 94%; Admitted 88
%;
5)
Breaches of current inpatient and outpatient access targets – 1 outpatient
breach year to date;
6)
Cancer targets – Provisional January performance 97% 2 week wait, 97% 31 day, 96% 31 day subsequent, 79% 62 day.
7)
NHS Activity levels – 1% negative variance cumulatively;
8)
Finance – £915k cumulative surplus;
9)
78% staff appraisals against target of 88%;
10) 3.70% rate of staff sickness against a target of 3.60%;
11) 100% compliant with the European Working Time Directive;
12) Percentage of cancelled operations – 1.4% against target of 1.5%;
13) No increase in cancellations after admission – 5.1% against target of 4.1%;
14) 15% reduction in new to follow up Outpatient ratio – 3.6 against target of 3.4 ;
15) 95% of theatre sessions used against an available target of 97%
Action Required by
the Board:
Recommendation
from Legal Advisors
(if applicable):
Author and position
of Report/Paper
Lead Director
For Information
Not applicable
All Executive Directors
All Executive Directors
Links to Assurance Framework, Local Performance Targets and Corporate Strategic risk register:
This paper/report links to the following principal objectives, local performance targets and the corporate
strategic risks: - (please tick as appropriate)
Principal Objectives
Principal Objective One - Maintaining clinical excellence
Tick as
appropriate
√
To be the pre-eminent, effective, efficient and safe provider of orthopaedic and musculoskeletal services,
providing the highest standards of care.
(Linked to performance target Q1,Q2,Q3, Q4, Q5, P1, P2, P3, P4 and corporate strategic risk: 463)
Principal Objective Two - Re-development and capital investment
To redevelop the RNOH Stanmore campus to provide a modern healthcare building and facilities.
To effectively use capital investment to improve the working environment and health and safety. To improve and
sustain business activity.
(Linked to corporate strategic risks: 463, 467, 470, 472))
Principal Objective Three - Finance
To achieve financial balance and maintain liquidity and increase turnover.
(Linked to performance target F1 and corporate strategic risk: 468)
Principal Objective Four - Leadership and workforce
To ensure that the workforce is fit for purpose and supports the Trusts service and financial plans.
(Linked to performance target M&L1, M&L2, M&L3 and corporate strategic risk: 465)
Principal Objective Five – Governance
To implement, embed and monitor effective arrangements that reflect current Trust business
(Linked to corporate strategic risks: 464, 466)
Principal Objective Six - Achievement of access/activity targets
To achieve access targets and to deliver the activity targets.
(Linked to performance target A1, A2, A3, A4, P1, P2, P 3, P 4 and corporate strategic risk: 463)
Principal Objective Seven - IM&T
Develop and implement a cohesive and integrated IM&T strategy.
(Linked to corporate strategic risk: 471)
Principal Objective Eight - Foundation Trust
To achieve Foundation Trust status.
(Linked to corporate strategic risks: 463, 467, 469, 472)
Key:
Q – Quality targets
A – Access targets
D – Financial targets
M&L - Management & Leadership targets
P – Productivity targets
√
√
√
√
√
√
√