media/Confederation/Files/public... · Web viewNew this month. Monthly acute volume data by specialty (pp 44 – 49). This shows how acute volumes and proportion of NHS patients

Independent sector providers caring for NHS patientsComparative performance indicators

February 2015

Edition 13

New in this edition

New this month Monthly acute volume data by specialty (pp 44 – 49). This shows how acute volumes and proportion of NHS patients treated by independent providers by specialty

have changed since Apr 11, the point at which the Government began to publish publicly comparable data for independent providers.

Updated data this month Inpatient Friends and Family Test data PROMs data for 2013-14 has been updated using data published in Feb 2015 (replacing data from Aug 14). Because more data is now available, disproportionately

more independent providers are now visible as more sites exceed minimum thresholds for inclusion. In turn, a larger number of independent providers appear in the ‘top providers’ as measured by adjusted health gain.

VTE risk assessments RTT waiting times Diagnostic waiting time data

NB this version replaces an earlier version which contained a mistyped date relating to the PROMs period covered on pp. 19 to 27

For more information about the data underlying the visualisations in this presentation, please contact [email protected]

Page 2 of 49

mailto:[email protected]

ContentsIndependent sector providers caring for NHS patients......................................................................................................................................................................................... 1

Comparative performance indicators................................................................................................................................................................................................................ 1

January 2015..................................................................................................................................................................................................................................................... 1

Edition 12.......................................................................................................................................................................................................................................................... 1

New in this edition................................................................................................................................................................................................................................................. 2

Independent sector performance.......................................................................................................................................................................................................................... 6

Patient experience................................................................................................................................................................................................................................................. 7

Friends and family test performance..................................................................................................................................................................................................................... 8

Friends and family test – performance of all providers.........................................................................................................................................................................................9

Friends and family test – the top performers...................................................................................................................................................................................................... 10

Friends and family test response rates................................................................................................................................................................................................................ 11

Clinical quality..................................................................................................................................................................................................................................................... 12

CQC standards 2013–14...................................................................................................................................................................................................................................... 13

CQC compliance rates – hospital care standards................................................................................................................................................................................................. 14

CQC compliance rates – community healthcare standards.................................................................................................................................................................................15

CQC compliance rates – independent ambulances............................................................................................................................................................................................. 16

Patient outcomes and safety............................................................................................................................................................................................................................... 17

Patient outcomes and safety............................................................................................................................................................................................................................... 18

Page 3 of 49

Patient Reported Outcome Measures (PROMs).................................................................................................................................................................................................. 19

Rate of assessment for VTE (blood clots)............................................................................................................................................................................................................ 28

Infection control data.......................................................................................................................................................................................................................................... 29

Efficiency indicators............................................................................................................................................................................................................................................. 30

Referral to treatment times................................................................................................................................................................................................................................. 31

Percentage of patients treated within 18 weeks................................................................................................................................................................................................. 32

Typical waiting times........................................................................................................................................................................................................................................... 33

Average waiting times by specialty...................................................................................................................................................................................................................... 34

Waiting times for 95% of patients....................................................................................................................................................................................................................... 35

Diagnostic waiting times...................................................................................................................................................................................................................................... 36

Numbers of patients treated............................................................................................................................................................................................................................... 38

Numbers of patients treated by independent providers.....................................................................................................................................................................................39

Elective admissions and GP referrals (1).............................................................................................................................................................................................................. 41



Acute elective patients treated by independent sector and NHS organisations..................................................................................................................................................44

Monthly number of acute elective patients treated by the independent sector................................................................................................................................................45

Number of inpatients treated by the independent sector by specialty...............................................................................................................................................................46

Number of outpatients treated by the independent sector by specialty............................................................................................................................................................47

Share of inpatients treated by the independent sector by specialty...................................................................................................................................................................48

Page 4 of 49

Number of outpatients treated by the independent sector by specialty............................................................................................................................................................49

Diagnostic tests carried out by independent sector by modality........................................................................................................................................................................50

Page 5 of 49

Independent sector performance

The NHS Partners Network is the trade association representing the widest range of independent sector providers of NHS clinical services ranging through acute, diagnostic, primary and community care, as well as dental services. Our members are drawn from both the “for profit” and “not for profit” sectors and include large international hospital groups and small specialist providers. All are committed to working in partnership with the NHS and to the values set out in the NHS Constitution.

This document gives an overview of the performance of independent sector providers of care to NHS patients. It focuses on care sectors represented by NHSPN members and the indicators available cover five broad domains of quality:

Patient experience Clinical quality Patient outcomes and safety Efficiency indicators The contribution of the sector shown by numbers of patients treated

All the visualisations shown in this document are based on publicly available data published by organisations such as NHS England, Public Health England, the Health and Social Care Information Centre and the Care Quality Commission.

Not all data collected for traditional NHS organisations and independent sector providers can be compared easily. Historic differences in the way NHS and independent sector providers have been regulated have often required independent providers to collect different information from their NHS counterparts. As the range of information is increasingly harmonised, we hope to be able to produce more comparative information published by third parties such as the organisations listed above.

Page 6 of 49

Patient experience

Page 7 of 49

Friends and family test performanceThe Government’s preferred measure of patient satisfaction, the Friends and Family Test (FFT), applies equally to traditional NHS and the independent sector. Collected monthly since April 2013, around 99% of patients would be ‘extremely likely’ or ‘likely’ to recommend independent providers compared with just under 94% for NHS organisations. At present, acute inpatient care is the only area where the FFT is collected by both independent and NHS providers however NHS England is in the process of rolling out the FFT across all NHS care by April 2015.

Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Average0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Friends and Family Test scores (inpatients)

Percentage of inpatients who would recommend their provider during the past 12 months. Source: NHS England. Green bars: independent providers and blue bars: NHS orgs.

Page 8 of 49

Friends and family test – performance of all providersIndependent providers cluster at the ‘high end’ of performance. The graph below shows the performance of all providers that collect the FFT for inpatient acute care and which produce a minimum response rate of 20% amounting to at least 20 patients per month. Green bars represent independent organisations and blue bars show NHS hospitals.

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%Friends and Family score by site (inpatients) – December 2014

Blue columns are NHS organisations, green columns are independent providers. Only sites with a response rate of 20% or above, that produced 20 or more responses and with actual response data are shown. Source: NHS Eng

Page 9 of 49

Friends and family test – the top performersThe graph below shows those hospitals that scored a 100% recommendation rate (extremely likely and likely to recommend) as measured by patients in their response to the FFT for acute inpatient care. Within this group, organisations are ordered on the basis of those with the highest proportion of patients ‘extremely likely’ to recommend their providers (highest on left, lowest on right). NB some providers with an overall percentage recommendation rate below 100% may have achieved higher rates of patients ‘extremely likely’ to recommend them than those shown on this graph.

Benen

den H

ospita

l - N

WF0

1

BMI -

The

Hampsh

ire C

l inic

- N

T418

Nuffi

eld H

ealth

, Bre

ntwood H

ospita

l - N

T204

Fulw

ood Hal

l Hosp

ital -

NVC07

Renac

res

Hospita

l - N

VC16

Spire

Ale

xandra

Hosp

ital -

NT3

12

North

Dow

ns Hosp

ital -

NVC11

Woodla

nd Hosp

ital -

NVC23

Orth

opaedic

s an

d Sp in

e Sp

ecia

list H

ospita

l

Wes

tmorla

nd Gen

eral

Hosp

ital -

RTX

BW

Clatter

bridge

Hosp

ital -

RBL2

0

BMI -

Sar

um R

oad H

ospita

l - N

T433

BMI W

oodlands

Hospita

l - N

T457

BMI -

The

Clem

entine

Churchil l

Hosp

ital -

NT4

11

Spire

Bris

tol H

ospita

l - N

T302

North

Eas

t London N

HS Tr

eatm

ent C

entre

- N

TP15

Chapel

Alle

rton H

ospita

l - R

R819

Nuffi

eld H

ealth

, Lee

ds Hosp

ital -

NT2

25

BMI -

The

Ridge

way

Hosp

ital -

NT4

30

Nuffi

eld H

ealth

, Der

by Hosp

ital -

NT2

13

BMI T

he Ed

gbas

ton H

ospita

l - N

T445

BMI -

Gorin

g Hal

l Hosp

ital -

NT4

17

BMI T

he Cav

ell H

ospita

l - N

T451

The

York

shire

Clin

ic -

NVC20

Man

sfiel

d Com

munity

Hosp

ital -

RK5BL

Conglet

on War

Mem

orial H

ospita

l - R

JN63

Aspen

- Holly

House

Hosp

ital -

NYW

01

BMI -

The

Kings

Oak

Hosp

ital -

NT4

21

Amer

sham

Hosp

ital -

RXQ

510%

20%

40%

60%

80%

100%

Friends and Family score by site (inpatients) – December 2014_x000d_Organisations with overall 100% recommendation rate,

ranked by % extremely likely to recommend

Blue columns are NHS organisations, green columns are independent providers. Only sites with a response rate of 20% or above, that produced 20 or more responses and with actual response data are shown. Orgs are ranked by 'extremely likely' percentage and

Page 10 of 49

Friends and family test response ratesResponse rates to the FFT are used by the CQC to measure NHS Trusts’ report culture. On average NHS organisations and independent providers share a similar response rate.

Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Average0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Friends and Family Test response rates (inpatients)

Friends and Family Test inpatient response rates for the past 12 months. Green bars show independent providers and blue bars represent NHS organisations. Source: NHS England

The data that underpins all the FFT graphs above is available at: http://www.england.nhs.uk/statistics/statistical-work-areas/friends-and-family-test/friends-and-family-test-data/

Page 11 of 49

http://www.england.nhs.uk/statistics/statistical-work-areas/friends-and-family-test/friends-and-family-test-data/

http://www.england.nhs.uk/statistics/statistical-work-areas/friends-and-family-test/friends-and-family-test-data/

Clinical quality

Page 12 of 49

CQC standards 2013–14The CQC is currently introducing a new approach to regulating independent and NHS organisations. This will go live across all areas of care from April 2015. We hope that this will allow a fair and appropriate comparison between all providers of health and social care.

The existing regime is based on compliance with a set of standards defined by the CQC. The CQC has assessed all providers against these outcome measures for the past three years. In general the IS complies with more outcome measures than its NHS peers. The graphs that follow show the rate at which independent and NHS organisations comply with CQC standards. We have shown all relevant standards for the care areas covered by NHS Partners Network members, i.e.:

hospital care standards community healthcare standards independent ambulances (the CQC does not hold comparable State of Care category data for NHS ambulance services)

The graphs that follow are compiled from information provided by the CQC in response to a Freedom of Information request. It provides more detail compliance rates for comparable categories of independent and NHS organisations than was provided in figure 1.2 in the CQC’s latest annual State of Care report.

Source: http://www.cqc.org.uk/content/state-care-2013-14 and the CQC via a Freedom of Information request.

NB when interpreting the graphs below, higher compliance is better. Also, breaches are classed either as minor, moderate or major. It is therefore better if the proportion of breaches classed as minor is higher, as this means a lower proportion of all breaches were moderate and major breaches.

Page 13 of 49

http://www.cqc.org.uk/content/state-care-2013-14

CQC compliance rates – hospital care standards

Respect & involvem

ent

Care & welfare

Nutritional needs

Safeguarding

Cleanliness and infection contro

l

Medicines managem

ent

Safety a

nd suitability of prem

isesSta

ffing

Supporting worke

rs

Monitoring service quality Complain

ts

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Hospital compliance rates

Percentage of inspections that were compliant with CQC essential standards in 2013-14. Source: CQC. Blue bars show NHS organisations and green bars indicate independent providers.

Respect & involvem

ent

Care & welfar

e

Nutritional needs

Safeguarding

Cleanliness and infecti

on control

Medicines m

anagement

Safety a

nd suitability of prem

isesSta

ffing

Supporting worke

rs

Monitoring service quality Complain

ts

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Hospital care – proportion of breaches classed as minor


NB the total number of moderate and major breaches for independent providers relating to medicines management and safety and suitability of premises is significantly lower than that for NHS organisations. The reason the graphs show a higher apparent proportion for NHS organisations is related to the fact that there are a considerably greater proportion of overall breaches by NHS organisations for these standards compared with their independent sector counterparts.

Page 14 of 49

CQC compliance rates – community healthcare standards

Respect & involvement

Care & welfa

re

Nutritional n

eeds

Safeguarding

Cleanliness and infection control

Medicines management

Safety a

nd suitability

of premises

Staffing

Supporting workers

Monitoring service q

uality Complaints

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Community healthcare compliance rates


Respect & involvem

entCare & welfare

Nutritional n

eeds

Safeguarding

Cleanliness a

nd infection control

Medicines m

anagement

Safety a

nd suitability

of premises

Staffing

Supporting workers

Monitoring service quality Complaints

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Community healthcare – proportion of breaches classed as minor


Page 15 of 49

CQC compliance rates – independent ambulancesNB, information for independent ambulances is shown below. The CQC does not hold comparable State of Care category data for NHS ambulance services. Because the actual number of breaches is very low, we have not produced a graph of the proportion of minor breaches as this would not be statistically meaningful.

Respect

& involvement

Care & welfa

re

Nutritional n

eeds

Safegu

arding

Cleanliness

and infec

tion contro

l

Medicines m

anagement

Safety

and suitab

ility o

f premises

Staffing

Supporting worke

rs

Monitorin

g servic

e qualit

yComplain

ts

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Independent ambulance compliance rates

Percentage of inspections that were compliant with CQC essential standards in 2013-14. Source: CQC. Green bars indicate independent providers. No data is available for NHS Ambulance Trusts.

Page 16 of 49

Patient outcomes and safety

Page 17 of 49

Patient outcomes and safety

Indicators that relate to outcomes and safety for which it is reasonable to make comparisons between independent sector organisations and their NHS counterparts include:

Patient Reported Outcome Measures (PROMs); and Rate of assessment for VTE (blood clots)

Infection control information is also an important indicator. Because Public Health England analyses information collected for the independent sector and the NHS organisations on a different basis, its view is that like-for-like comparison should not be made. For completeness, we have published rates for independent sector providers in the pages that follow. These show that independent providers have very low rates of healthcare-acquired infections.

Page 18 of 49

Patient Reported Outcome Measures (PROMs)Patient Reported Outcome Measures (PROMs) are collected by the Health and Social Care Information Centre for a range of elective procedures: hip and knee replacements, groin hernias and varicose vein treatment.

The Health and Social Care Information Centre (HSCIC) publishes casemix-adjusted health gain by provider each quarter. The graphs that follow are based on the most recently available 12-month period (April 2013 to March 2014, provisional data – released Feb 2015).

PROMs data is not published for all organisations that submit completed PROMs questionnaires. The HSCIC collects data from every organisation that offers these types of surgery as it is a national requirement that all organisations should offer PROMs questionnaires to patients eligible to participate. However, it is voluntary for patients to complete these forms and the HSCIC only publishes adjusted data for organisations that have a representative number of completed records.

The pages that follow use funnel plot data from http://www.hscic.gov.uk/catalogue/PUB16477 for two different types of PROMs scores for primary knee and hip replacements. These graphs show adjusted health gain. The original source files provided by the HSCIC should be used to identify positive and negative statistical outliers.

The Oxford Scores focus on joint function and pain and include questions about patients’ mobility and factors such as ability to navigate stairs and use transport specifically affected by the hip or knee. More information about these measures is available at http://www.isis-innovation.com/outcomes/orthopaedic/. The EQ-5DTM score, developed by the EuroQol Group, is a standardised instrument for use as a measure of health outcome and has a broader base than the Oxford scores. Its questions relate to mobility, self-care, usual life activities, pain/discomfort and anxiety/depression. More information about the EQ-5D is available at http://www.euroqol.org. The Health and Social Care Information Centre also provides an informative guide to PROMs methodology used by the Centre, available at http://www.hscic.gov.uk/article/3843/Background-information-about-PROMs.

Page 19 of 49

http://www.hscic.gov.uk/article/3843/Background-information-about-PROMs

http://www.euroqol.org/

http://www.isis-innovation.com/outcomes/orthopaedic/

http://www.hscic.gov.uk/catalogue/PUB16477

0

5

10

15

20

25

PROMs adjusted average health gain primary hip replace-ment_x000d_Oxford Hip Score Apr 2013 to Mar 2014

Graph shows average adjusted health gain on Patient Reported Outcome Measures (PROMs) reported by the Health and Social Care Information Centre.

Green lines relate to independent providers and blue bars treated by NHS organisationsPage 20 of 49

BMI - TH

REE SH

IRES HOSP

ITAL

BMI - TH

E PARK HOSP

ITAL

SPRIN

GFIELD

HOSPITA

L

NUFFIELD

HEA

LTH, C

AMBRIDGE HOSP

ITAL

SPIRE C

LARE P

ARK HOSP

ITAL

NUFFIELD

HEALTH

, PLYM

OUTH HOSP

ITAL

SHEP

TON M

ALLET N

HS TREA

TMEN

T CEN

TRE

ST HUGH'S

HOSPITA

L

SPIRE W

ELLES

LEY HOSP

ITAL

SPIRE C

AMBRIDGE LEA

HOSPITA

L

NUFFIELD

HEA

LTH, N

ORTH ST

AFFORDSH

IRE HOSP

ITAL

NORTHAMPTO

N GENER

AL HOSP

ITAL N

HS TRUST

EMER

SONS G

REEN N

HS TREA

TMEN

T CEN

TRE

SPIRE L

ITTLE

ASTON HOSP

ITAL

CIRCLE BATH

HOSPITA

L

SPIRE L

EICEST

ER HOSP

ITAL

CHELSEA

AND W

ESTMIN

STER HOSP

ITAL N

HS FOUNDATIO

N TRUST

YEOVIL

DISTRICT H

OSPITA

L NHS F

OUNDATION TR

UST

THE R

OYAL O

RTHOPAED

IC HOSPITA

L NHS F

OUNDATION TR

UST

SPIRE P

ORTSMOUTH

HOSPITA

L

NUFFIELD

HEA

LTH, T

HE GROSV

ENOR HOSP

ITAL,

CHESTER

THE H

ORDER CEN

TRE -

ST JO

HNS ROAD

RIVERS H

OSPITA

L

BMI - TH

E CHILT

ERN HOSP

ITAL

NUFFIELD

HEALTH

, YORK HOSP

ITAL

WOODLAND HOSP

ITAL

BMI - TH

E SANDRIN

GHAM HOSPITA

L

WEST M

IDLANDS H

OSPITA

L

SPIRE S

USSEX HOSP

ITAL

NEW HALL

HOSPITA

L

BMI - TH

E RIDGEW

AY HOSP

ITAL

BMI THE L

ANCASTER HOSP

ITAL

PENIN

SULA

NHS T

REATM

ENT C

ENTR

E

IPSWICH HOSP

ITAL N

HS TRUST

GUY'S AND ST

THOMAS'

NHS FOUNDATIO

N TRUST

BMI THE H

UDDERSFI

ELD HOSP

ITAL

BMI - TH

E BEA

UMONT HOSP

ITAL

BARLBOROUGH N

HS TREA

TMEN

T CEN

TRE

DUCHY HOSP

ITAL

EUXTO

N HALL HOSP

ITAL

DARTFORD AND GRAVESH

AM NHS T

RUST

OXFORD UN IVER

SITY H

OSPITA

LS NHS T

RUST

OAKS HOSP

ITAL

KING'S

COLLEGE H

OSPITA

L NHS F

OUNDATION TR

UST

NUFFIELD

HEA

LTH, W

OLVER

HAMPTO

N HOSPITA

L

IMPER

IAL COLLE

GE HEA

LTHCARE N

HS TRUST

ROYAL D

EVON AND EX

ETER N

HS FOUNDATIO

N TRUST

ROYAL S

URREY COUNTY

HOSPITA

L NHS F

OUNDATION TR

UST

NUFFIELD

HEA

LTH, T

AUNTON HOSP

ITAL

SPIRE H

ARPENDEN

HOSPITA

L

05

10152025

PROMs adjusted average health gain primary hip replacement_x000d_Oxford Hip Score Apr 2013 to Mar 2014 (top 50

providers)



00.05

0.10.15

0.20.25

0.30.35

0.40.45

0.50.55

0.6

PROMs adjusted average health gain – primary hip re-placement_x000d_EQ-5D Score Apr 2013 to Mar 2014


Green lines relate to independent providers and blue bars treated by NHS organisations

Page 22 of 49

BMI - TH

E PARK HOSP

ITAL

NUFFIELD

HEALTH

, CAMBRIDGE H

OSPITA

L

BMI - TH

REE SH

IRES HOSP

ITAL

SPIRE C

LARE P

ARK HOSP

ITAL

SPRIN

GFIELD

HOSPITA

L

RIVERS H

OSPITA

L

NUFFIELD

HEALTH

, EXETE

R HOSPITA

L

BMI - TH

E CHILT

ERN HOSP

ITAL

SPIRE C

AMBRIDGE LEA

HOSPITA

L

BMI - TH

E SANDRIN

GHAM HOSPITA

L

KING'S

COLLEGE H

OSPITA

L NHS F

OUNDATION TR

UST

THE R

OYAL O

RTHOPAED

IC HOSPITA

L NHS F

OUNDATION TR

UST

ROWLEY H

ALL HOSP

ITAL

IMPER

IAL COLLE

GE HEA

LTHCARE N

HS TRUST

NORTHAMPTO

N GENER

AL HOSP

ITAL N

HS TRUST

SPIRE H

ULL AND EA

ST RIDIN

G HOSPITA

L

YEOVIL

DISTRIC

T HOSP

ITAL N

HS FOUNDATIO

N TRUST

THE H

ORDER CEN

TRE -

ST JO

HNS ROAD

OXFORD UN IVER

SITY H

OSPITA

LS NHS T

RUST

ROYAL S

URREY COUNTY

HOSPITA

L NHS F

OUNDATION TR

UST

GUY'S AND ST

THOMAS'

NHS FOUNDATIO

N TRUST

ST HUGH'S

HOSPITA

L

BMI THE L

ANCASTER HOSP

ITAL

NUFFIELD

HEALTH

, TAUNTO

N HOSPITA

L

NORTH W

EST LO

NDON HOSPITA

LS NHS T

RUST

00.15

0.30.45

0.6

PROMs adjusted average health gain – primary hip replace-ment_x000d_EQ-5D Score Apr 2013 to Mar 2014 top 50

providers



02468

101214161820

PROMs adjusted average health gain – primary knee re-placement_x000d_Oxford Knee Score Apr 2013 to Mar 2014



BMI - TH

E BEA

UMONT HOSP

ITAL

WINFIE

LD HOSP

ITAL

NUFFIELD

HEALTH

, CAMBRIDGE H

OSPITA

L

NUFFIELD

HEALTH

, DER

BY HOSP

ITAL

FULW

OOD HALL HOSP

ITAL

SPIRE C

HESHIRE H

OSPITA

L

BENEN

DEN HOSP

ITAL

PARK HILL HOSP

ITAL

NUFFIELD

HEA

LTH, W

OLVER

HAMPTON HOSP

ITAL

NUFFIELD

HEALTH

, PLYM

OUTH HOSP

ITAL

NUFFIELD

HEALTH

, TAUNTO

N HOSPITA

L

IPSWICH HOSP

ITAL N

HS TRUST

BMI WOODLA

NDS HOSP

ITAL

SPRIN

GFIELD

HOSPITA

L

DARTFORD AND GRAVESH

AM NHS T

RUST

EUXTO

N HALL

HOSPITA

L

NORTHER

N DEVON HEA

LTHCARE N

HS TRUST

SPIRE E

LLAND HOSP

ITAL

FITZW

ILLIAM HOSP

ITAL

NUFFIELD

HEALTH

, TEES

HOSPITA

L

SPIRE P

ORTSMOUTH

HOSPITA

L

BMI - TH

E PARK HOSP

ITAL

THE R

OTHER

HAM NHS F

OUNDATION TR

UST

ISLE O

F WIGHT N

HS TRUST

EMER

SONS G

REEN N

HS TREA

TMEN

T CEN

TRE

0

6

12

18

PROMs adjusted average – health gain primary knee replacement_x000d_Oxford Knee Score Apr 2013 to Mar 2014 (top 50

providers)



0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

0.4

0.45

PROMs adjusted average health gain – primary knee replacement_x000d_EQ-5D Score Apr 2013 to Mar 2014



BMI THE L

ANCASTER HOSP

ITAL

NUFFIELD

HEALTH

, CAMBRIDGE H

OSPITA

L

NORTHAMPTO

N GENER

AL HOSP

ITAL N

HS TRUST

SPIRE S

USSEX HOSP

ITAL

BENEN

DEN HOSP

ITAL

WINFIE

LD HOSP

ITAL

WIRRAL UNIVER

SITY T

EACHIN

G HOSPITA

L NHS F

OUNDATION TR

UST

FULW

OOD HALL HOSP

ITAL

SPIRE C

AMBRIDGE LEA

HOSPITA

L

DUCHY HOSP

ITAL

NORTHER

N DEVON HEA

LTHCARE N

HS TRUST

NUFFIELD

HEALTH

, DER

BY HOSP

ITAL

SPIRE C

HESHIRE H

OSPITA

L

WOODLAND HOSP

ITAL

NEW HALL

HOSPITA

L

COUNTESS O

F CHEST

ER HOSP

ITAL N

HS FOUNDATIO

N TRUST

FITZW

ILLIAM HOSP

ITAL

BMI - TH

E RIDGEW

AY HOSP

ITAL

EUXTO

N HALL HOSP

ITAL

SHEP

TON M

ALLET N

HS TREA

TMEN

T CEN

TRE

NUFFIELD

HEALTH

, WOLV

ERHAMPTO

N HOSPITA

L

BMI - TH

REE SH

IRES HOSP

ITAL

SPIRE L

EICEST

ER HOSP

ITAL

NORTH TE

ES AND HARTLE

POOL NHS F

OUNDATION TR

UST

NOTTINGHAM W

OODTHORPE H

OSPITA

L

NUFFIELD

HEALTH

, PLYM

OUTH HOSP

ITAL

BMI ST E

DMUNDS HOSP

ITAL

ISLE O

F WIGHT N

HS TRUST

ROYAL S

URREY COUNTY

HOSPITA

L NHS F

OUNDATION TR

UST

SPIRE P

ORTSMOUTH

HOSPITAL

NUFFIELD

HEALTH

, LEIC

ESTER

HOSPITA

L

BMI WOODLA

NDS HOSP

ITAL

SPIRE A

LEXANDRA HOSP

ITAL

SPRIN

GFIELD

HOSPITA

L

STOCKPORT N

HS FOUNDATIO

N TRUST

BMI - TH

E PARK HOSP

ITAL

AIREDALE

NHS FOUNDATIO

N TRUST

EMER

SONS G

REEN N

HS TREA

TMEN

T CEN

TRE

OAKLANDS H

OSPITA

L

SPIRE H

ULL AND EA

ST RIDIN

G HOSPITA

L

EAST

CHESHIRE N

HS TRUST

EAST

LANCASH

IRE HOSP

ITALS

NHS TRUST

ST HUGH'S

HOSPITA

L

THE R

OTHER

HAM NHS F

OUNDATION TR

UST

IPSWICH HOSP

ITAL NHS T

RUST

SPIRE H

ARPENDEN HOSP

ITAL

BMI - TH

E ALEX

ANDRA HOSPITA

L

BMI GISB

URNE PARK HOSP

ITAL

THE H

ORDER CEN

TRE -

ST JO

HNS ROAD

PINEH

ILL HOSP

ITAL

00.10.20.30.4

PROMs adjusted average – health gain primary knee replace-ment_x000d_EQ-5D Score Apr 2013 to Mar 2014 (top 50

providers)



Rate of assessment for VTE (blood clots)All providers of acute adult inpatient care are required to provide information on the percentage of admitted patients who are risk-assessed for venous thromboembolism (blood clots). The graph below shows data for the past year. The average rate for independent providers is 98.4% compared with 95.9% of NHS organisations.

Dec-2013

Jan-2014

Feb-2014

Mar-2014

Apr-2014

May-2014

Jun-2014

Jul-2014

Aug-2014

Sep-2014

Oct-2014

Nov-2014

Averag

e90.0%91.0%92.0%93.0%94.0%95.0%96.0%97.0%98.0%99.0%

100.0%

Percentage of admitted patients risk-assessed for VTE_x000d_ Dec 13 to Nov 14

Percentage of admitted patients risk-assessed for Venous Thromboembolism (VTE) by NHS (blue bars) and independent sector providers (green bars). Source: NHS England

Source: http://www.england.nhs.uk/statistics/statistical-work-areas/vte

Page 28 of 49

http://www.england.nhs.uk/statistics/statistical-work-areas/vte

Infection control dataInfection control information that allows direct comparisons between the NHS and independent sector is not available. In 2009, the Health Protection Agency, now part of Public Health England, which has responsibility for collecting infection-control data, published its rationale for this approach here. This is summarised on page 1 of the commentary linked below.

Despite this lack of comparative information, Public Health England data makes it clear that there are very low healthcare acquired infection rates in the independent sector.

During the twelve months between Apr 2013 and March 2014, the total number of reported infections across the entire independent estate (NHS-funded and privately funded care) was just:

No of cases

Rate per 100,000

MRSA bacteraemia 11 0.48C difficile infection 71 3.12MSSA bacteraemia 32 1.40E. coli bacteraemia 147 6.45

The number of modified bed-days published by Public Health England for this twelve-month period was 2,277,796.

Source: Public Health England (https://www.gov.uk/government/statistics/mrsa-mssa-and-e-coli-bacteraemia-and-clostridium-difficile-infection-annual-data-for-independent-sector-healthcare-organisations)

Page 29 of 49

https://www.gov.uk/government/statistics/mrsa-mssa-and-e-coli-bacteraemia-and-clostridium-difficile-infection-annual-data-for-independent-sector-healthcare-organisations

https://www.gov.uk/government/statistics/mrsa-mssa-and-e-coli-bacteraemia-and-clostridium-difficile-infection-annual-data-for-independent-sector-healthcare-organisations

http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1246607814650

Efficiency indicators

Page 30 of 49

Referral to treatment times

Referral to treatment times show that patients are treated earlier by independent sector providers compared with those treated by NHS organisations. Waiting times are an important indicator of organisational efficiency and for patients deciding where to choose treatment.

Mean* and median waiting times are generally shorter across most specialties for both inpatients and outpatients treated by independent providers compared with their NHS peers.

Historic data has been updated this month to reflect the revised data published by NHS England in February covering December 2014. During that month: Outpatients treated by independent providers had on average (mean) waited for 5.3 weeks, i.e. 9.5 fewer days than patients treated by NHS organisations Inpatients treated by independent providers waited an average (mean) of 9.2 weeks: 4.1 fewer days than those treated by NHS organisations 95% of outpatients treated by independent sector organisations were treated within 11.8 weeks, with NHS organisations taking 16.5 weeks to treat the same

proportion of outpatients 95% of inpatients treated by independent sector organisations were treated within 15.8 weeks, with NHS organisations taking 23 weeks to treat the same

proportion of outpatients – almost five weeks above the 18-week commitment.

http://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

* NB Means have been inferred from data published by NHS England. This data shows numbers of patients waiting between 1 and 2 weeks, 2 and 3 weeks, etc. up to 52+ weeks for RTT times and 13+ weeks for diagnostic waiting times. Mean values have been calculated on the assumption that patients who have been waiting between 1 and 2 weeks have waited an average of 1.5 weeks etc. Also, for those patients waiting longer than 52 weeks (RTT) or 13 weeks (diagnostics), we have taken a value of 13.5 weeks which is likely to be an underestimate. As we are looking at national trends rather than specific provider-level performance we have counted all patients when calculating means rather than excluding organisations with low volumes.

Page 31 of 49

http://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

Percentage of patients treated within 18 weeks

The graphs below show the proportion of patients seen within the 18-week referral to treatment commitment enshrined within the NHS constitution.

Jan 14 Feb 14 Mar 14 Apr 14 May 14 Jun 14 Jul 14 Aug 14 Sep 14 Oct 14 Nov 14 Dec 14 Average0.0%

10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Inpatients seen within 18 weeksRTT for completed admitted patient pathways: percentage of patients

treated within 18 weeks

Source: NHS England, Monthly Referral to Treatment (RTT) waiting times for completed admitted pathways (on an ad-justed basis). Blue bars represent patients treated by NHS organiations and green bars show figures for independent

providers.

Jan 14 Feb 14 Mar 14 Apr 14 May 14 Jun 14 Jul 14 Aug 14 Sep 14 Oct 14 Nov 14 Dec 14 Average0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Outpatients seen within 18 weeksRTT for completed non-admitted patient pathways: percentage of

patients treated within 18 weeks

Source: NHS England, Monthly Referral to Treatment (RTT) waiting times for completed non-admitted pathways. This includes patients treated in an outpatient setting and patients whose waiting times were stopped without treatment.

Page 32 of 49

Typical waiting times

Median waiting times illustrate the typical experience of most patients when waiting for care.

Jan 14 Feb 14 Mar 14 Apr 14 May 14 Jun 14 Jul 14 Aug 14 Sep 14 Oct 14 Nov 14 Dec 14 Average0.001.002.003.004.005.006.007.008.009.00

10.00

Typical inpatient waiting timesMonthly RTT for completed admitted patient pathways – average

median waiting time in weeks


providers.

Jan 14 Feb 14 Mar 14 Apr 14 May 14 Jun 14 Jul 14 Aug 14 Sep 14 Oct 14 Nov 14 Dec 14 Average0.00

1.00

2.00

3.00

4.00

5.00

6.00

Typical outpatient waiting timesMonthly outpatient RTT waiting times – average median waiting time

in weeks


Page 33 of 49

Average waiting times by specialty

The graphs below show a weighted average of inpatient and outpatient waiting times by specialty.

General Surgery Urology

Trauma & OrthopaedicsENT

OphthalmologyOral Surgery

Neurosurgery

Plastic Surgery

GastroenterologyDermatology

RheumatologyGynaecology Other

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00Inpatient waiting times December 2014

Weighted average of admitted patient waiting times. Green bars show patients treated by independent sector organisa-tions. Blue bars show those treated by NHS providers. All specialities shown where volumes >= 100 patients. Data source:

NHS England.




Neurosurgery

Plastic Surgery


Thoracic MedicineNeurology

RheumatologyGynaecology Other

0.001.002.003.004.005.006.007.008.009.00

10.00

Outpatient waiting times December 2014

Weighted average of non-admitted patient waiting times (weeks). Green bars show patients treated by independent sector organisations. Blue bars show those treated by NHS providers. All specialities shown where volumes >= 100

patients. Data source: NHS Eng

Page 34 of 49

Waiting times for 95% of patients

It is likely that there will be a small number of patients for whom treatment takes a significantly longer than expected amount of time. The graphs below show the maximum waiting time for 95% of patients, i.e. the longest period that most patients can reasonably expect to have to wait.

Jan 14 Feb 14 Mar 14 Apr 14 May 14 Jun 14 Jul 14 Aug 14 Sep 14 Oct 14 Nov 14 Dec 14 Average0.0

5.0

10.0

15.0

20.0

25.0

Waiting times for 95% of inpatientsMonthly RTT for completed admitted patient pathways – 95th

percentile waiting time (in weeks)


providers.

Jan 14 Feb 14 Mar 14 Apr 14 May 14 Jun 14 Jul 14 Aug 14 Sep 14 Oct 14 Nov 14 Dec 14 Average0.02.04.06.08.0

10.012.014.016.018.020.0

Waiting times for 95% of outpatientsMonthly outpatient RTT waiting times – 95th percentile waiting time

(in weeks)


Page 35 of 49

Diagnostic waiting times

The graph below shows mean waiting times for diagnostic tests by modality. MRI scans and non-obstetric-ultrasound are the most frequently provided diagnostic tests by independent organisations.

AUDIOLOGY_ASSESSMENTS

COLONOSCOPY CT

CYSTOSCOPY

DEXA_SCAN

ECHOCARDIOGRAPHY

ELECTROPHYSIOLOGY

FLEXI_SIGMOIDOSCOPY

GASTROSCOPYMRI

NON_OBSTETRIC_ULTRASOUND

PERIPHERAL_NEUROPHYS0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Average waiting time for diagnostic tests by type and sector in December 2014

Chart shows mean time (weeks) spent waiting by patients for diagnostic tests for each type where vol of proceduces >= 100. Blue bars showwaiting times for NHS organisations. Green bars represent waiting times

for independent providers. Source: NHS England

Source: http://www.england.nhs.uk/statistics/statistical-work-areas/diagnostics-waiting-times-and-activity NB see note in section on referral to treatment times about the calculation of mean waiting time values

Page 36 of 49

http://www.england.nhs.uk/statistics/statistical-work-areas/diagnostics-waiting-times-and-activity

Cancelled elective operationsOperations that are cancelled on the day of surgery for non-clinical reasons are disruptive and distressing for patients. Cancellations are also a good indicator of an organisation’s system-wide efficiency.

NHS England does not publish the total number of elective operations alongside its cancellations data so it is not possible to make a precise calculation of comparative cancellation rates, however, the data published at www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations reveals that NHS patients treated by independent sector providers experience far fewer cancellations on the day than those treated by traditional NHS organisations.

Cancelled Operations (elective only)The number of last minute cancelled elective operations by quarter for non-clinical reasons, NHS provider organisations in England

Period NHS provider non-clinical cancellations

(percentage of all cancellations)

Independent provider non-clinical

cancellations (percentage of all

cancellations)

Percentage of patients not treated within 28

days of last minute elective cancellation (NHS organisations)

Percentage of patients not treated within 28

days of last minute elective cancellation

(independent providers)

Quarter 2, 2013-14 (July - September 2013) 99.38% 0.62% 99.82% 0.18%Quarter 3, 2013-14 (October - December 2013) 99.38% 0.62% 99.85% 0.15%Quarter 4, 2013-14 (January - March 2014) 99.52% 0.48% 99.76% 0.24%Quarter 1, 2014-15 (April to June 2014) 99.20% 0.80% 99.88% 0.12%Quarter 2, 2014-15 (July to September 2014) 99.66% 0.34% 99.85% 0.15%Quarter 3, 2014-15 (October to December 2014) 99.76% 0.24% 100.00% 0.00%Average 99.48% 0.52% 99.86% 0.14%

Page 37 of 49

http://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations

Numbers of patients treated

Page 38 of 49

Numbers of patients treated by independent providersElective care is critically dependent on independent sector provision.

Around 20% of all elective gastroenterology procedures and hip and knee replacements are now carried out by the independent sector. In some areas of the country this figure is far higher.

Health outcomes and safety are closely linked to experience treating significant volumes of patients. As well as NHS patients many independent sector providers also treat large numbers of privately-funded patients as well.

The graphs in the section that follows show a steady increase in the number and proportion of procedures carried out by independent providers since 2011 when easily comparable statistics were first published. However, the overall number of NHS patients treated by independent organisations remains a small fraction of total NHS volumes.

Page 39 of 49

Elective admissions and GP referrals (1)

Analysis of quarterly hospital activity data (http://www.england.nhs.uk/statistics/statistical-work-areas/hospital-activity/quarterly-hospital-activity/) shows that the number of patients treated by the independent sector is steadily growing.

Apr to Jun 11

Jul to Sep

11

Oct to Dec 1

1

Jan to Mar 1

2

Apr to Jun 12

Jul to Sep

12

Oct to Dec 1

2

Jan to Mar 1

3

Apr to Jun 13

Jul to Sep

13

Oct to Dec 1

3

Jan to Mar 1

4

Apr to Jun 14

Jul to Sep

14

0,000

20,000

40,000

60,000

80,000

100,000

120,000

Independent sector quarterly elective admissions

Quarterly admissions to independent sector providers: NHS elective activity. Source: NHS EnglandApr to

Jun 11

Jul to Sep

11

Oct to Dec 11

Jan to Mar 1

2

Apr to Jun 12

Jul to Sep

12

Oct to Dec 12

Jan to Mar 13

Apr to Jun 13

Jul to Sep

13

Oct to Dec 13

Jan to Mar 14

Apr to Jun 14

Jul to Sep

14

0,000

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

GP referrals for independent sector outpatients appointments

Quarterly GP referrals for independent sector outpatients appointments. Source: NHS England

Page 40 of 49

http://www.england.nhs.uk/statistics/statistical-work-areas/hospital-activity/quarterly-hospital-activity/


Despite the growth in independent sector provision, it is clear that traditional NHS providers still dominate overall provision for NHS patients.

Apr to Jun 11

Jul to Sep

11

Oct to Dec 1

1

Jan to Mar 1

2

Apr to Jun 12

Jul to Sep

12

Oct to Dec 1

2

Jan to Mar 1

3

Apr to Jun 13

Jul to Sep

13

Oct to Dec 1

3

Jan to Mar 1

4

Apr to Jun 14

Jul to Sep

14

0,000

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

Quarterly independent sector and NHS admissions

Quarterly elective admissions to independent sector providers (green bars) and NHS organisations (blue bars). Source: NHS England

Apr to Jun 11

Jul to Sep

11

Oct to Dec 1

1

Jan to Mar 1

2

Apr to Jun 12

Jul to Sep 12

Oct to Dec 1

2

Jan to Mar 1

3

Apr to Jun 13

Jul to Sep

13

Oct to Dec 1

3

Jan to Mar 1

4

Apr to Jun 14

Jul to Sep 14

0,000

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

Total GP referrals for outpatients appointments

Quarterly GP referrals for outpatients appointments. Independent sector providers (green bars) and NHS organisations (blue bars). Source: NHS England

Page 41 of 49


The overall percentage of patients treated by the independent sector has grown in accordance with the increasing number of patients choosing independent providers.

Apr to Jun 11

Jul to Sep

11

Oct to Dec 1

1

Jan to Mar 1

2

Apr to Jun 12

Jul to Sep

12

Oct to Dec 1

2

Jan to Mar 1

3

Apr to Jun 13

Jul to Sep

13

Oct to Dec 1

3

Jan to Mar 1

4

Apr to Jun 14

Jul to Sep

14

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

7.00%

8.00%

Elective admissions to independent sector providers as a proportion of all NHS patients

Quarterly admissions to independent sector providers as a proportion of all NHS elective activity. Source: NHS England

Apr to Jun 11

Jul to Sep 11

Oct to Dec 1

1

Jan to Mar 1

2

Apr to Jun 12

Jul to Sep 12

Oct to Dec 1

2

Jan to Mar 13

Apr to Jun 13

Jul to Sep 13

Oct to Dec 1

3

Jan to Mar 14

Apr to Jun 14

Jul to Sep 14

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

Percentage GP referrals for independent sector outpatients ap-pointments

Quarterly GP referrals independent sector outpatients appointments as a proportion of all NHS elective activity. Source: NHS England

Page 42 of 49

Acute elective patients treated by independent sector and NHS organisations

For most specialties, independent sector provision represents a small proportion of overall care. However, in some specialties, notably trauma & orthopaedics and ophthalmology, the proportion of care provided by independent organisations has reach significant levels.




Neurosurgery

Plastic Surgery


RheumatologyGynaecology

0

10,000

20,000

30,000

40,000

50,000

60,000

Inpatients treated by independent providers and NHS organisations during December 2014

Total number of admitted pathways. Blue columns represent patients treated by NHS organisations and green columns show those treated by independent providers. Source: NHS England




Neurosurgery

Plastic Surgery


Thoracic MedicineNeurology

RheumatologyGynaecology

010,00020,00030,00040,00050,00060,00070,00080,00090,000

100,000

Outpatients treated by independent providers and NHS organisations during December 2014

Total number of non-admitted pathways. Blue columns represent patients treated by NHS organisations and green columns show those treated by independent providers. Source: NHS England

Page 43 of 49

Monthly number of acute elective patients treated by the independent sector

Apr-11Jun-11

Aug-11Oct-1

1Dec-1

1Feb

-12Apr-12

Jun-12Aug-12

Oct-12Dec-1

2Feb

-13Apr-13

Jun-13Aug-13

Oct-13Dec-1

3Feb

-14Apr-14

Jun-14Aug-14

Oct-14Dec-1

4

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Total inpatient acute elective patients (all specialties) treated by independent providers since April 2011

Number of admitted adjusted patients pathways completed each month. Source: NHS England (www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times

Apr-11Jun-11

Aug-11Oct-1

1Dec-1

1Feb

-12Apr-12

Jun-12Aug-12

Oct-12Dec-1

2Feb

-13Apr-13

Jun-13Aug-13

Oct-13Dec-1

3Feb

-14Apr-14

Jun-14Aug-14

Oct-14Dec-1

4

05,000

10,00015,00020,00025,00030,00035,00040,00045,000

Total outpatient acute elective patients (all specialties) treated by independent providers since April 2011

Non-admitted patients pathways completed each month. Source: NHS England (www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times

Page 44 of 49

Number of inpatients treated by the independent sector by specialty

40634

40756

40878

41000

41122

41244

41365

41487

41609

41730

41852

419740

5000

10000

15000

20000

25000

30000

35000

Number of NHS inpatients treated by independent providers by specialty Apr 11 to Dec 14

Other GynaecologyGeriatric Medicine RheumatologyNeurology Thoracic MedicineDermatology CardiologyGastroenterology General MedicineCardiothoracic Surgery Plastic SurgeryNeurosurgery Oral SurgeryOphthalmology ENTTrauma & Orthopaedics UrologyGeneral Surgery

Admitted adjusted patients pathways completed each month. Source: NHS England (www.eng-land.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times

Page 45 of 49

Number of outpatients treated by the independent sector by specialty

Apr-11

Aug-11

Dec-1

1

Apr-12

Aug-12

Dec-1

2

Apr-13

Aug-13

Dec-1

3

Apr-14

Aug-14

Dec-1

40

5,00010,00015,00020,00025,00030,00035,00040,00045,000

Number of NHS outpatients treated by independent providers by specialty Apr 11 to Dec 14

Other GynaecologyGeriatric Medicine RheumatologyNeurology Thoracic MedicineDermatology CardiologyGastroenterology General MedicineCardiothoracic Surgery Plastic SurgeryNeurosurgery Oral SurgeryOphthalmology ENTTrauma & Orthopaedics UrologyGeneral Surgery

Non-admitted patients pathways completed each month. Source: NHS England (www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times

Page 46 of 49

Share of inpatients treated by the independent sector by specialty

Apr-11

Jun-1

1

Aug-11

Oct-11

Dec-1

1

Feb-1

2

Apr-12

Jun-1

2

Aug-12

Oct-12

Dec-1

2

Feb-1

3

Apr-13

Jun-1

3

Aug-13

Oct-13

Dec-1

3

Feb-1

4

Apr-14

Jun-1

4

Aug-14

Oct-14

Dec-1

40.00%

5.00%

10.00%

15.00%

20.00%

25.00%Share of all NHS inpatients treated by independent providers by

specialty Apr 11 to Dec 14

Total General SurgeryUrology Trauma & OrthopaedicsENT OphthalmologyOral Surgery NeurosurgeryPlastic Surgery Cardiothoracic SurgeryGeneral Medicine GastroenterologyCardiology DermatologyThoracic Medicine NeurologyRheumatology Geriatric MedicineGynaecology Other

Share of all NHS admitted adjusted patients pathways completed each month treated by independent providers.

Source: NHS England (www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times)

Page 47 of 49

Proportion of NHS outpatients treated by the independent sector by specialty

Apr-11

Jun-1

1

Aug-11

Oct-11

Dec-1

1

Feb-1

2

Apr-12

Jun-1

2

Aug-12

Oct-12

Dec-1

2

Feb-1

3

Apr-13

Jun-1

3

Aug-13

Oct-13

Dec-1

3

Feb-1

4

Apr-14

Jun-1

4

Aug-14

Oct-14

Dec-1

40.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

16.00%Share of all NHS outpatients treated by independent providers by

specialty Apr 11 to Dec 14

Total General SurgeryUrology Trauma & OrthopaedicsENT OphthalmologyOral Surgery NeurosurgeryPlastic Surgery Cardiothoracic SurgeryGeneral Medicine GastroenterologyCardiology DermatologyThoracic Medicine NeurologyRheumatology Geriatric MedicineGynaecology Other

Share of all NHS non-admitted patients pathways completed each month treated by independent providers.

Source: NHS England (www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times)

Page 48 of 49

Diagnostic tests carried out by independent sector by modality

The pie chart below shows the range of diagnostic tests provided by independent sector organisations.

Independent sector workload (all tests carried out by independent providers for which waiting times are collected) during December

2014

AUDIOLOGY_ASSESSMENTS COLONOSCOPYCT CYSTOSCOPYDEXA_SCAN ECHOCARDIOGRAPHYELECTROPHYSIOLOGY FLEXI_SIGMOIDOSCOPYGASTROSCOPY MRINON_OBSTETRIC_ULTRASOUND PERIPHERAL_NEUROPHYS

Page 49 of 49

Documents

media/Confederation/Files/public... · Web viewNew this month. Monthly acute volume data by specialty (pp 44 – 49). This shows how acute volumes and proportion of NHS patients