Rotherham Clinical Commissioning Group: Governing Body ... Body Papers/July 2… · July 2016 NHS Constitution and Pledges Overall RAG Ratings Referral to Treatment Ambulance Calls

Rotherham Clinical Commissioning Group:

Governing Body Delivery Dashboard for 2016/17

Summary

Constitution and Pledges

Improvement and Assessment Framework

Health Outcomes

Better Care Fund

Quality Premium

Incomplete Pathways by Speciality

July 2016

Rotherham CCG Delivery Dashboard

Meeting Date:

This report presents a balance scorecard of key indicators used by NHS England to assure itself on CCG delivery.

In addition to this report, the Operational Executive will be monitoring a full set of metrics across the various NHS

related Outcome Frameworks.

Any issues of concern will be escalated to the governing body.

R A G R A G R A G

1 1 1

R A G R A G R A G

1

R A G R A G R A G

2 1 1 2 1 2

R A G R A G

4 1 2 1 1 1

R A G R A G

R A G R A G

1 4 2 1

Mixed Sex Accomodation

Breaches

Better Health

Health Outcomes Overall RAG Ratings

Better Care

Cancelled Operations

Cancer Waits - 31 Days

Local Measures

Cancer Waits - 2 Weeks Cancer Waits - 62 Days

Mental Health

Sustainability Leadership

Quality Premium Overall RAG Ratings

National Measures

July 2016

NHS Constitution and Pledges Overall RAG Ratings

Referral to Treatment Ambulance Calls Diagnostic Waits

Back

Background

Key performance issues have been identified for escalation to the Governing Body within the narrative below. To support the Governing Body in understanding the current

performance position, additional narrative and graphical representation has been included within the later section of the performance report.

1) A&E

The TRFT Year-to-date A&E position (Type 1 TRFT) as at 26th June 16 was 90.4%. Performance has decreased from April into May but has steadied through June, performing at

90.4%. Pressures continue to be seen within the system with May seeing the highest number of attendances (6978) at A&E for that month for the last two years (May 2015, 6470.

May 2014, 6545). The agreed A&E improvement action plan continues to be monitored closely by the CCG with assurance being provided by TRFT.

Governing Body members should note that if RCCG would have reported a cumulative position for TRFT A&E and Rotherham WIC our local health economy would have achieved

94.56% for April and May. Local comparison to other Trust's in South Yorkshire can be found in the A&E Exceptions report. The national position for England for April 16 is 90.0%

with the North of England position at 91.27%.

April published performance for local providers was as follows:

Sheffield Children's NHS Foundation Trust – 96.2%

Barnsley Hospital NHS Foundation Trust – 93.0%

Doncaster And Bassetlaw Hospitals NHS Foundation Trust – 95.1%

2) YAS

YAS continue to participate in an NHS England-led Ambulance Response Programme (ARP), which went live from the 21st April 2016. The pilot will run for 3 months initially with

evidence reviewed on a bi weekly basis. This review involves a change in how calls are recorded from the previous current Red/Green system to:

Red - Life-threatening: Time critical life-threatening event needing immediate intervention and/or resuscitation.

Amber - Emergency: Potentially serious conditions that may require rapid assessment, urgent on-scene intervention and/or urgent transport.

Green - Urgent: Urgent problem (not immediately life-threatening) that needs transport within a clinically appropriate timeframe or a further face-to-face or telephone assessment

and management.

Given the YAS participation in the pilot, the CCG is not in a position to report the Ambulance constitutional standards at this point in time.

The 15 minute turnaround performance at RFT is 86% on handovers on target in May (average handover time as 10:23 mins). Handovers at the Northern General Hospital have

improved from 52% in April to almost 59% in May.

3) Improving Access to Psychological Therapies (IAPT) - 6 and 18 week waiting time

The national target for patients accessing IAPT services is 75% within 6 weeks and 95% within 18 weeks. The 6 week wait year to date position for Rotherham CCG as at w/c 13th

June 2016 was 74%, however performance has dipped to 72% average in May.

IAPT remedial discussions are on-going. Steps are being taken to increase clinical and administration staff capacity to cover vacancy and lost capacity. A move to self-referral has

been proposed by RDASH to address the extremely high attrition and DNA rates. The 18 week wait position for the service w/c 20th June 2016 was 98.6%. Performance has

continued to meet the 95% standard over recent weeks, which is positive.

4) Cancer

In April the 62 day GP referral to treatment target was under the national standard of 85% at 82.4%. Further information regarding breaches can be found in the exception report.

This remains under close monitoring and further details can be found within the Cancer Exception section of this report.

The 31 day standard from diagnosis to first definitive treatment underperformed very slightly at 95.7% against the 96.0% standard.

The 31 day subsequent treatment (surgery) measure underperformed in April with performance at 87.5% against a 94% standard - this is relatively small numbers with two

breaches at Sheffield Teaching hospitals due to elective capacity issues.

5) Referral to Treatment

RTT Incomplete Pathway continues to meet the 92% national standard in May, with performance at 95.1%. Further details of specialty level performance can be found in the “focus

on” section of the report. The CCG continues to see strong Referral to Treatment performance in most specialties.

6) Referral to Treatment - 52 week waits

In May there were 2, 52 week waiters reported for Rotherham from the provider Rotherham Foundation Trust. The CCG has engaged with TRFT to fully understand the position,

which relates to patients being placed on 'active monitoring' instead of closing their '18ww pathway'. Further information can be found in the CCG's Quality Report.

7) Eliminating Mixed Sex Accommodation Breaches (EMSA)

Year to date April and May no breaches relating to EMSA have occurred.

8) Diagnostic Waiting Times

The May position for the CCG met the national standard, 0.9% against the target of 1%. A total of 24 breaches occurred at TRFT (Audiology 7, Colonoscopy 9, Gastro 8).

A total of 6 breaches occurred at Sheffield Teaching Hospitals (Colonoscopy 1, Flexi Sig 1, Cystoscopy 1, Gastro 3). 1 breach occurred at Leeds Teaching Hospital in MRI.

10) Incidence of C.Difficile

YTD performance for the CCG overall as at May was 6 cases against a plan of 13. The year- end target is 63 cases. The 5 cases in May occurred at the following Trusts:

Barnsley Hospital Foundation Trust: 3

Sheffield Teaching Foundation Trust: 1

Rotherham Foundation Trust: 1

TRFT 2016-17 YTD performance is 1 cases against their annual target of 26.

Key Performance Issues - Narrative Section

NHS Constitution and Pledges

Target Apr-16 May-16 Jun-16 QP

92.0% 94.4% 95.1% Y

0 2 0

0 0 2


1.0% 2.6% 0.9%


95.0% 92.9% 90.1% 90.4% Y June figure to 26th June

95.0% 100.0% 99.8% Y

95.0% 95.6% 93.6% Y


93.0% 94.7%

93.0% 95.9%


98.0% 95.7%

94.0% 87.5%

98.0% 100.0%

94.0% 100.0%


85.0% 82.4% Y

90.0% 100.0%

85.0% 93.2%

Referral to Treatment

Diagnostic Waiting Times

Cancer - 31 Day Waits

Cancer - % patients seen within 31 days for

subsequent surgery treatment

Cancer - % patients referred within 2 weeks of

referred urgently by a GP

Total A&E: % 4 hour A&E waiting times - seen

within 4 hours (type 1 RFT & type 3 WIC) latest

monthly position

WIC A&E: % 4 hour A&E waiting times - seen

within 4 hours (Type 3 WIC) latest monthly

TRFT A&E: % 4 hour A&E waiting times - seen

within 4 hours (type 1 RFT) latest monthly position

% Patients waiting for diagnostic test waiting > 6

weeks from referral (Commissioner)

Cancer - % patients referred with breast

symptoms seen within 2 weeks of referral

Number of 52 week referral to treatment pathways

non admitted (Commissioner)

Number of 52 week referral to treatment pathways

incomplete (Commissioner)

% Patients on incomplete non-emergency

pathways waiting no more than 18 weeks

(Commissioner)

A&E Waits

Cancer - 2 Week Waits

Cancer - % patients seen within 31 days from

referral to treatment


subsequent drug treatment


subsequent radiotherapy treatment

Cancer - 62 Day Waits

Cancer - % patients seen within 62 days (referral

Consultant)

Cancer - % patients seen within 62 days of referral

from GP

Cancer - % patients seen from referral within 62

days (screening service - breast, bowel and

Cervical)

Back

NHS Constitution and Pledges


0 31 38

0 75 34


0 0 0

Target Q1 Q2 Q3 QP

0

Target Q1 Q2 Q3 QP

95.0%

Mixed Sex Accommodation Breaches

Cancelled Operations

Mental Health

Proportion of people on Care Programme

Approach (CPA) who were followed upwithin 7

days of discharge

Crew clear delays of over 30 minutes

Cancelled operations re-booked within 28 days

Number of mixed sex accomodation breaches

(commissioner)

Ambulance handover delays of over 30 minutes

YAS - Ambulance Calls


Priority Clinical Areas Narrative

Mental Health

Dementia

Learning Disabilities

Cancer

Diabetes

Maternity

Target Latest Period Performance

Q3 2015/16 19.3%

2014/15 35.3%

2014/15 38.9%

2014/15 74.5%

80% Apr-16 63.7%

2014/15 Q4 - 2015/16 Q3 48.8%

July 2014 - March 2015 66.1%

1.161 Mar-16 1.192

11.3 Mar-16 8.5

2014/15 77.8%

60% 2014 36.5%

85% Apr-16 82.4%

2013 69.4%

2014 91.5%

50% 2014/2015 43.9%

50% May-16 72.9%

The six clinical priority areas will be reviewed by independent national panels for

each area, chaired by national experts. The CCG is expecting a baseline

assessment based on current national indicators around July 16. This will be

followed by a year-end assessment. The CCG will be working with the baseline

assessment and other sources of intelligence such as the right care packs to inform

the CCG work streams related to these clinical areas.

Better Health

Maternal Smoking at Delivery

% of children aged 10-11 classified as overweight or

obese

% of diabetes patients achieving all 3 NICE-

recommended treatment targets

Newly diagnosed diabetes patients referred to/on a

formal learning course

Quality of life of carers (GP Survey)

Injuries from falls (age 65+ years) Not currently in publication

Personal health budgets Not currently in publication

Utilise NHS e-referral service to enable choice at 1st

routine elective referral

% of deaths which take place in hospital

People with long-term condition (LTC) feeling

supported to manage it (GP Survey)

Inequality in avoidable emergency admissions Not currently in publication

Antibiotic prescribing rate

Use of broad spectrum antibiotics

Use of good or outstanding providers Not currently in publication

Cancer (all) diagnosed at stage 1/2 (with supporting

measure of % of cancers with staging data)

People with urgent GP referral having 1st definitive

treatment Maximum 62 days of referral

Cancer One year survival from all cancers

Cancer patient experience (National Cancer Patient

Exeperience Survey)

Psychological therapies (IAPT) recovery rate

People with first episode of psychosis treated within 2

weeks of referral

Back



2013 8

67% May-16 72.9%

95% Apr-16 92.9%

75% Mar-16 58.7%

Apr-16 251.4

2014/15 1074.1

Jan 15 to Sep 15 70.5%

Apr-16 94.4%

Transformation of Mental Health Services for children

and young peopleNot currently in publication

Better Care

Implementation of Mental Health crisis care and liaison

psychiatry servicesNot currently in publication

Out of area placements for acute mental health

inpatient careNot currently in publication

Reliance on specialist inpatient care for people with

learning disability/autismNot currently in publication

Emergency admissions for urgent care sensitive

conditionNot currently in publication

% of people with a learning disability on a GP register

having annual health checkNot currently in publication

Neonatal mortality and still births

(Rate per 1,000 )

Women's experience of maternity services (National

Maternity Services Survey)Not currently in publication

Women offered choice in maternity services (National

Maternity Services Survey)Not currently in publication

Estimated diagnosis rate for people with dementia

Care-planning/post diagnostic support for people with

dementiaNot currently in publication

Milestones achievement in the delivery of an integrated

urgent care serviceNot currently in publication

Percentage of patients who spend 4 hours or less in

A&E (TRFT)

Ambulance waits (Red1)

Delayed transfers of care (LA)

(Rate per 100,000 )

Population of use of hospital beds following emergency

admissionNot currently in publication

Emergency admissions for patients with chronic

conditions (rate per 100,000)

Patient experience of GP services

Primary care access Not currently in publication

Primary care workforce Not currently in publication

Patients waiting 18 weeks or less from referral to

hospital treatment

Achievement of clinical standards in the delivery of 7

day servicesNot currently in publication

People eligible for standard NHS continuing healthcare Not currently in publication




Sustainability

Financial plan Not currently in publication

In-year financial performance Not currently in publication

Outcomes in areas with identified scope for

improvementNot currently in publication

Sustainability and transformation plan Not currently in publication

Expenditure in areas with identified scope for

improvementNot currently in publication

Adoption of new models of care Not currently in publication

Local digital roadmap in place Not currently in publication

Digital interactions between primary and secondary

careNot currently in publication

Local strategic plan (SEP) in place Not currently in publication

Leadership

Effectiveness of working relationships in the local

systemNot currently in publication

Quality of CCG leadership Not currently in publication

Probity and corporate governance Not currently in publication

Staff engagement index Not currently in publication

Progress against workforce race equality standard Not currently in publication

Health Outcomes

Target 2013 2014 2015 2016

2378 2490.2 2499.7

63.7 70.8 86.5

27.6 39.1 31.2

15.8 14.90 18.90

121.4 141.60 143.50

Target 07/13 - 03/14 07/14 - 03/15 07/15 - 03/16 07/16 - 03/17

0.74 0.71 0.71

67.14 64.40 66.10

Target 2013/14 2014/15 2015/16 2016/17

1,074 937.3 1074.1

364 305.8 364.0

Target Apr-16 May-16 Jun-16 YTD

71.50% 73.30% 72.91%

Target 2013/14 2014/15 2015/16 2016/17

1,542 1496.6 1542.3

541.8 480.80 541.80

Target

437.3

86.2

74.6


0 0 0 0

0 0 0 0

6 1 5 6

2 0 0 0


75.00% 75.4% 71.8% 73.8%

95.00% 96.3% 98.6% 97.3%

Target Feb-16 Mar-16 Apr-16 YTD

3.75% 2.56% 1.76%

51.3%

(QP Target)45.45% 37.50%

Preventing Premature Mortality

Enhancing Quality of Life

Helping Recovery

Patient Experience

Protecting People From Avoidable Harm



Improved Access to Psychological Services-IAPT:

People who complete treatment, moving to recovery

Potential Years of Life Lost (PYLL) from causes

considered amendable to healthcare, per 100,000

Under 75 mortality rate from cardiovascular disease

(CCG)

Under 75 mortality rate from respiratory disease (CCG)

Under 75 mortality rate from liver disease (CCG)

Under 75 mortality rate from cancer (CCG)

Health-related quality of life for people with long-term

conditions

Emergency admissions for children with Lower

Respiratory Tract Infections (LRTI)

Satisfaction with the quality of consultation at the GP

practice

Proportion of people feeling supported to manage their

condition

Unplanned hospitalisation for chronic ambulatory care

sensitive conditions

Unplanned hospitalisation for asthma, diabetes and

epilepsy in under 19s

Diagnosis rate for people with dementia, expressed as

a percentage of the estimated prevalence

Emergency admissions for acute conditions that should

not usually require hospital admission

Proportion of people waiting 6 weeks or less from

referral to entering a course of IAPT treatment

Proportion of people waiting 18 weeks or less from

referral to entering a course of IAPT treatment

Improved Access to Psychological Services-IAPT:

People entering treatment against level of need

Satisfaction with the overall care received at the

surgery

Satisfaction with accessing primary care

Incidence of healthcare associated infection (HCAI) -

MRSA (Commissioner)


MRSA (Provider) - RFT


C.Diff (Commissioner)


C.Diff (Provider) - RFT

Mental Health: Monthly Indicators

Mental Health: Monthly Indicators

Latest Period Performance

Jan 2015 - Sep 2015

Jan 2015 - Sep 2015

Jan 2015 - Sep 2015

441.5

85.1

70.5

Back

Better Care Fund

The non-elective and emergency readmissions data have moved to new data sources from 2016/17.

The admissions data is derived using an NHS England methodology. To ensure accurate representation

of this methodology the intention is to use NHS England monitoring data for this report, which is not

yet available. The readmissions data will also be available shortly.

Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17

Actual

Target 2446 2446 2446 2366 2366 2366 2535 2535 2535 2458 2458 2458

Actual YTD

Target YTD 2446 4893 7339 9705 12072 14438 16973 19507 22042 24500 26959 29417

Actual 252.4

Target 256.5 256.5 256.47 235.9 235.9 235.9 187.93 187.93 187.9 225.8 225.8 225.8

Actual YTD 252.4

Target YTD 256.5 512.9 769.4 1005.3 1241.3 1477.2 1665.1 1853.1 2041.0 2266.8 2492.6 2718.4

Actual

Target 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%

Actual YTD

Target YTD 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%


Actual

Target 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8

Actual YTD

Target YTD 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8 767.8

Actual

Target 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91%

Actual YTD

Target YTD 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91%

Actual

Target

2016/17

Inpatient experience: the

proportion of people

reporting a poor patient

experience of inpatient care 122 115.9

2015/16

Non-Elective Activity plan

Delayed Transfers of Care

(delayed days) from hospital

per 100,000 population (aged

18+)

Emergency readmissions <

30 days of hospital

discharge (all ages)

Long-term support needs of

older people (aged 65 and

over) met by admission to

residential and nursing care

homes, per 100,000

population

Proportion of older people

(65 and over) who were still

at home 91 days after

discharge from hospital into

reablement/ rehabilitation

services

Back

Quality Premium

Preventing Premature Mortality Target

Proportion of cancers diagnosed at stages 1 and 2 60.0%

Increase in proportion of GP referrals by e-referral Target

Proportion of GP referrals made by e-referrals 80.0%

Overall Experience of Making a GP Appointment Target

% of respondents who said they had a good experience

of making an appointment85.0%

Antimicrobial Resistance (AMR) Improving Antibiotic

Prescribing in Primary Care Target

Reduction in the number of antibiotics prescribed in

primary care1.161

Reduction in the proportion of broad spectrum

antibiotics prescribed in primary care11.3

Stroke Hospital Admittances Target

People who have had a stroke who are admitted to

acute stroke unit in 4 hrs of arrival to hospital90.0%

The CCG has also identified two other local quality premiums - Delayed Transfers of Care and IAPT (Moving to Recovery).

Data on these can be found elsewhere in the report


Mar-16 1.192


2014 36.5%


Latest Period Peformance

Jan 15 to Sep 15 70.5%

Apr-16 63.7%


2014/15 50.0%

Mar-16 8.5

Back

Focus on Performance

Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16

Actual 93.7% 88.6% 93.9% 92.5% 93.7% 85.5% 88.5% 85.8% 77.4% 92.9% 90.1% 90.4%

Target 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00%

Actual 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 99.8%

Target 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00%

Actual 95.8% 92.5% 96.3% 95.6% 95.9% 90.9% 92.8% 91.2% 86.4% 95.6% 93.6%

Target 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00%


% Seen within 4 hours - RFT 93.7% 88.6% 93.9% 92.5% 93.7% 85.5% 88.5% 85.8% 77.4% 92.9% 90.1% 90.4%

% Seen within 4 hours - Barnsley FT 93.2% 95.4% 94.1% 90.9% 92.9% 92.8% 89.0% 87.2% 86.7% 93.0%

% Seen within 4 hours - Doncaster & Bassetlaw FT 96.7% 94.4% 94.4% 95.7% 94.5% 95.5% 92.1% 93.0% 93.0% 95.1%

% Seen within 4 hours - England 95.0% 94.3% 93.4% 92.3% 91.4% 91.0% 88.7% 87.8% 87.3% 90.0%

% Seen within 4 hours - North 95.7% 94.7% 94.0% 92.3% 91.0% 90.7% 88.2% 88.0% 87.5% 91.3%

% Seen within 4 hours - Target 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00% 95.00%

Focus on - A&E Waits

% 4 Hour A&E waiting times - seen

within 4 hours (Type 1 RFT & Type 3

WIC) latest monthly position


within 4 hours (Type 3 WIC) latest

monthly position


within 4 hours (Type 1 RFT) latest

monthly position

75.0%

80.0%

85.0%

90.0%

95.0%

100.0%


% 4 Hour A&E waiting times - seen within 4 hours (Type 1 RFT)latest monthly position

Target

% 4 Hour A&E waiting times - seen within 4 hours (Type 3 WIC)latest monthly position

% 4 Hour A&E waiting times - seen within 4 hours (Type 1 RFT &Type 3 WIC) latest monthly position

75.0%

80.0%

85.0%

90.0%

95.0%

100.0%


% Seen within 4 hours - RFT

% Seen within 4 hours - Barnsley FT

% Seen within 4 hours - Doncaster & Bassetlaw FT

% Seen within 4 hours - England

% Seen within 4 hours - North

% Seen within 4 hours - Target

Back

Supporting Narrative

Rotherham CCG data is used to monitor for the Quality Premium and is now published via NHS England on a monthly basis; howeve r it runs 1 month in arrears. To monitor A&E in a timely manner it has been agreed to use TRFT's daily data as a proxy for the CCG measure. Year -to-date A&E position (Type 1 TRFT) as at 23rd June 16 was 91.2%. Performance during this period last year was 95.98%. TRFT in April 16 performed better than England as a whole and the North region but performed worse than local Trusts, Barnsle y and Doncaster and Bassetlaw.

Focus on - Refer to Treatment: Incomplete Pathways

Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16

Actual 96.5% 95.5% 94.6% 95.3% 95.3% 95.0% 94.8% 95.5% 94.7% 94.2% 94.4% 95.1%

Target 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00% 92.00%

RTT Incomplete Pathways by Speciality - RCCG Patients

% Over 13 Weeks Target Apr-16 May-16 Jun-16 Jul-16

All specialities - total incomplete 15.5% 92.00% 94.4% 95.1%

Cardiology 28.1% 92.00% 91.8% 95.3%

Cardiothoraic Surgery 10.5% 92.00% - 94.9%

Dermatology 15.6% 92.00% 94.9% 96.2%

ENT 13.5% 92.00% 95.4% 95.2%

Gastroenterology 21.7% 92.00% 92.4% 96.2%

General Medicine 21.3% 92.00% 89.2% 96.7%

General Surgery 17.0% 92.00% 92.8% 93.7%

Geriatric Medicine 16.4% 92.00% 93.9% 98.6%

Gynaecology 13.0% 92.00% 97.0% 95.0%

Neurosurgery 13.1% 92.00% - 99.0%

Neurology 4.1% 92.00% - 94.6%

Ophthalmology 5.9% 92.00% 99.9% 97.5%

Oral Surgery 92.00% - 100.0%

Other 16.3% 92.00% 99.2% 93.8%

Plastic Surgery 18.2% 92.00% - 95.2%

Rheumatology 10.1% 92.00% 97.5% 97.4%

Thoraic Medicine 18.9% 92.00% 95.9% 96.5%

Trauma & Othopaedics 16.6% 92.00% 95.4% 94.0%

Urology 11.8% 92.00% 97.8% 95.5%

% Patients on incomplete non-

emergency pathways waiting no

more than 18 weeks

89.0%

90.0%

91.0%

92.0%

93.0%

94.0%

95.0%

96.0%

97.0%


Actual

Target

Supporting Narrative Latest provisonal data shows the specialty pathways not meeting the 92% standard are General Medicine, Gastroenterology and Cardiology. General Medicine had 35 breaches (321 out of 356 patients). 28 breaches were at Rotherham Foundation trust (RFT) (89.19%). 7 breaches at Sheffield Teaching Hospital (STH). Gastroenterology had 59 breaches (606 out of 665 patients) with 40 occurring at Rotherham Foundation Trust. 18 breaches were at STH (85.48%). One breach was at University Hospitals Of Morecambe Bay NHS Foundation Trust. Cardiology had 71 beaches (706 out of 777 patients) with 45 breaches occurring at RFT (91.46%). 24 breaches were at /STH. 1 b reach at Doncaster and Bassetlaw Hospital. 1 breach at Barnsley Hospital FT. Rotherham CCG benchmarks favourably against other CCG's in South Yorkshire for RTT Incomplete waits in April: Barnsley CCG - 94.28% / Bassetlaw CCG - 91.22% / Doncaster CCG - 93.59% / Sheffield CCG - 92.92%

Focus on - IAPT Waiting Times

Week 28/03/2016 04/04/2016 11/04/2016 18/04/2016 25/04/2016 02/05/2016 09/05/2016 16/05/2016 23/05/2016 30/05/2016 06/06/2016 13/06/2016

Actual72.1% 73.6% 79.5% 74.2% 77.7% 92.3% 69.9% 71.3% 72.4% 73.3% 65.3% 65.4%

Target75% 75% 75% 75% 75% 75% 75% 75% 75% 75% 75% 75%

Focus on - IAPT 6 Week Wait Waiting List

Week 28/03/2016 04/04/2016 11/04/2016 18/04/2016 25/04/2016 02/05/2016 09/05/2016 16/05/2016 23/05/2016 30/05/2016 06/06/2016 13/06/2016

IAP incomplete - total waitingActual 680 646 660 663 666 647 633 699 702 689 760 770

IAPT incomplete - total waiting 0-6

weeksActual 589 548 557 588 593 567 553 624 618 584 651 654

IAPT incomplete - total waiting

over 6 weeksActual 91 98 103 75 73 80 80 75 84 105 109 116

Proportion of people waiting six

weeks or less from referral to

entering a course of IAPT

treatment

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Actual

Target

0

100

200

300

400

500

600

700

800

900

IAP incomplete - total waiting

IAPT incomplete - total waiting 0-6 weeks

IAPT incomplete - total waiting over 6 weeks

Supporting Narrative Local comparison (using published data as at March 2016) shows the following benchmark position: Barnsley – 57.7% Bassetlaw – 92.9% Doncaster – 45.5% Sheffield – 70.6% National – 83.6%


Actual 86.54% 83.05% 86.54% 81.82% 84.62% 85.71% 97.37% 80.00% 81.25% 94.00% 82.35%

Target 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00% 85.00%

May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

45 49 45 36 44 48 37 40 26 47 42

52 59 52 44 52 56 38 50 32 50 51

Focus on - Yorkshire Ambulance Service


Actual 74.9% 73.7% 73.7% 70.8% 68.7% 70.1% 73.7% 73.8% 69.0% 69.0% 69.6% 68.5%

Target 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0%

Actual 66.4% 70.1% 67.1% 68.3% 67.3% 65.0% 69.0% 66.0% 66.8% 67.5% 63.2% 62.9%

Target 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0%

Actual 75.1% 77.4% 76.8% 75.0% 71.1% 70.6% 66.7% 65.6% 67.7% 61.7% 64.7% 64.1%

Target 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0%

Actual 73.2% 77.3% 79.8% 75.3% 72.4% 72.7% 63.8% 64.8% 61.8% 62.9% 62.5% 61.5%

Target 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0%

Actual 71.2% 81.5% 69.4% 79.3% 77.7% 78.5% 75.9% 73.4% 74.9% 69.4% 70.5% 67.3%

Target 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0% 75.0%

Red 1 Ambulance Call X Minute

Response Time (Rotherham)


Response Time (East Midlands)


Response Time (North East)

Cancer - % patients seen within

62 days of referral from GP


Response Time (North West)

Focus on - Cancer (62 Days)

Total cancer patients waiting to be seen within 62

days of referral from GP


Response Time (YAS)

Cancer patients seen within 62 days of referral from

GP

0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%

100.00%


Actual

Target

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16

Red 1 Ambulance Call X Minute Response Time (YAS)

Target

Red 1 Ambulance Call X Minute Response Time (Rotherham)

Red 1 Ambulance Call X Minute Response Time (EastMidlands)

Red 1 Ambulance Call X Minute Response Time (North East)

Red 1 Ambulance Call X Minute Response Time (North West)

Supporting Narrative In April the 62 day GP referral to treatment target was under the national standard of 85% at 82.4%. This is a decrease from March’s position of 84.21%. TRFT saw a drop in performance from March 96.2% to April 89.0% but were still within the national standard. National performance as at Q4 15/16 was 81.9%. There were 9 breaches in April for RCCG patients: 3 due to inadequate elective capacity, 2 of these at Sheffield Teaching FT, 1 at Rotherham FT. 5 due to pathway delays, 4 between Rotherham FT and Sheffield Teaching FT. 1 within Rotherham FT only.

Documents

Rotherham Clinical Commissioning Group: Governing Body ... Body Papers/July 2… · July 2016 NHS Constitution and Pledges Overall RAG Ratings Referral to Treatment Ambulance Calls