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APPENDIX A

CKW Cluster Partnership - 2011/12 NHS Operating Framework: Key Outcomes/Measures (Quality, Resources & Reform) NHS Calderdale Area

Ref No HQU01

Healthcare Associated Infections HQU02 HQU03_01

Ambulance Response Times HQU03_02

Quality (Safety, Effectiveness & Patient Experience)

HQU08**

Data Availability

Outcome/Measure

Mixed Sex Accommodation (MSA)

Reporting Period Target/ Actual period 2011-12 Plan

Greater Huddersfield Commissioning Consortium

NHS Kirklees

YTD

FOT

Period Target/ Actual 2011-12 Plan

YTD

FOT

Period Target/ Actual 2011-12 Plan

YTD

FOT

North Kirklees Health Alliance Period Target/ Actual 2011-12 Plan

YTD

FOT

NHS Wakefield District Period Target/ Actual 2011-12 Plan

YTD

FOT

MRSA

Monthly

August

2/6

1

2

6

5 / 13

2

5

13

3/7

1

1

7

2/6

1

4

6

4/11

1

7

11

Clostridium Difficile

Monthly

August

28/54

6

13

54

44 / 104

11

51

104

24 / 57

0

20

57

20 / 47

11

31

47

55/138

11

51

138

Category A/R1 8 mins

M/Q/A

August

75%

81.1%

80.1%

80.1%

75%

74.8%

76.2%

76.2%

75%

71.6%

74.0%

74.0%

75%

75.5%

75.5%

75.5%

75%

78.8%

79.0%

79.0%

Category A/R2 19 mins

M/Q/A

August

95%

98.6%

98.4%

98.4%

95%

98.0%

98.5%

98.5%

95%

97.1%

98.0%

98.0%

95%

99.5%

99.1%

99.1%

95%

98.6%

98.3%

98.3%

Monthly & Annually

August

0

0

1

2

0

14

79

190

0

0

0

0

0

14

78

187

0

3

33

79

Number of unjustified breaches

HQU05a**

RTT Admitted - 18 weeks

Monthly

August

90%

90.0%

90.0%

90.0%

90%

85.0%

85.0%

85.0%

90%

91.1%

91.1%

91.1%

90%

72.1%

72.1%

72.1%

90%

82.31% 82.19%

82.19%

HQU06a**

RTT Non Admitted - 18 weeks

Monthly

August

95%

99.0%

99.0%

99.0%

95%

97.4%

97.4%

97.4%

95%

99.3%

99.3%

99.3%

95%

94.1%

94.1%

94.1%

95%

95.60% 95.91%

95.91%

HQU05b**

Referral To Treatment Waits - median RTT Admitted - 95th percentile wait measures - 95th Percentile

Monthly

August

23 weeks

21.6

21.6

21.6

23 weeks

25.30

25.30

25.30

23 weeks

20.76

20.76

20.76

23 weeks

30.09

30.09

30.09

23 weeks

29.6

29.6

29.6

HQU06b**

RTT Non Admitted - 95th percentile

Monthly

August

18.3 weeks

11.3

11.3

11.3

18.3 weeks

14.00

14.00

14.00

18.3 weeks

10.36

10.36

10.36

18.3 weeks

19.35

19.35

19.35

18.3 weeks

17.3

17.3

17.3

HQU07a**

RTT Incomplete - 95th percentile

Monthly

August

28 weeks

23.1

23.1

23.1

28 weeks

23.52

23.52

23.52

28 weeks

25.5

25.5

25.5

28 weeks

22.75

22.75

22.75

28 weeks

22.6

22.6

23

HQU09**

A & E 4 hour wait

Monthly

w/e 09/10/11

95%

96.2%

96.6%

96.6%

95%

96.54%

95%

Monthly

August

<4 hours

4.8%

4.6%

5%

<4 hours

06:23

06:23

06:23

<4 hours

06:44

06:44

06:44

<4 hours

06:20

06:20

06:20

<4 hours

07:10

07:45

07:45

Monthly

August

<4 hours

05:02

05:19

05:19

<4 hours

03:50

03:50

03:50

<4 hours

03:50

03:50

03:50

<4 hours

03:49

03:49

03:49

<4 hours

03:45

03:45

03:45

Monthly

August

15 mins

03:18

03:31

03:31

15 mins

00:23

00:23

00:23

15 mins

00:12

00:12

00:12

15 mins

00:34

00:34

00:34

15 mins

00:25

00:25

00:25

HQU09_10**

HQU09_12

A & E Quality Indicators (all other measures)

Time spent in A & E - 95th Percentile Admitted Time spent in A & E - 95th Percentile Non Admitted Time to initial assessment - 95th Percentile

95.00% 95.00% 95.00%

95%

95.00% 96.54%

96.99% 94.85% 94.85%

95%

96.97% 94.66%

94.66%

HQU09_13

Time to treatment in department - median

Monthly

August

60 mins

3.3%

3.0%

3.0%

60 mins

02:40

02:40

02:40

60 mins

02:45

02:45

02:45

60 mins

02:32

02:32

02:32

60 mins

00:43

00:48

00:48

HQU09_09**

Unplanned re-attendance rate at A & E within 7 days of original attendance

Monthly

August

<5%

00:13

00:13

00:13

<5%

6.48%

6.48%

6.48%

<5%

4.58%

4.58%

4.58%

<5%

8.48%

8.48%

8.48%

<5%

2.9%

2.5%

2.5%

HQU09_11**

Left department without being seen rate

Monthly

August

<5%

00:31

00:33

00:33

<5%

3.80%

3.80%

3.80%

<5%

4.50%

4.50%

4.50%

<5%

3.32%

3.32%

3.32%

<5%

3.0%

3.1%

3.1%

Monthly & Quarterly

August

93%

98.5%

97.2%

97.2%

93%

97.42% 97.57% 97.57%

93%

97.36% 97.75%

97.75%

93%

97.48% 97.63% 97.63%

93%

100%

99.9%

99.88%

Monthly & Quarterly

August

93%

98.2%

96.4%

96.4%

93%

96.99% 96.64% 96.64%

93%

97.80% 96.61%

96.61%

93%

96.0%

96.67% 96.67%

93%

100%

98.44%

98.44%

Monthly & Quarterly

August

85%

88.9%

92.1%

92.1%

85%

84.75% 86.35% 86.35%

85%

84.37% 86.21%

86.21%

85%

85.18% 86.52% 86.52%

85%

82.54% 83.81%

83.81%

Monthly & Quarterly

August

90%

100.0%

95.0% 100.0%

90%

100%

97.67% 97.67%

90%

100%

95.83%

95.83%

90%

100%

100%

100%

90%

100%

95.38%

95.38%

Monthly & Quarterly

August

90%

100.0% 100.0% 100.0%

90%

50%

95.45% 95.45%

90%

100%

100%

100%

90%

50%

91.7%

91.7%

90%

80%

89.47%

89.47%

Monthly

August

<25%

13.5%

14.90%

12.71%/ <25%

12.60% 12.63% 12.63%

<25%

7.3%

7.9%

7.9%

% of patients seen within 2 weeks of an urgent GP referral for suspected cancer % of patients seen within 2 weeks of an urgent referral for breast symptoms where cancer is not initially suspected

HQU14_01

HQU14_02

HQU15_01

Cancer Waiting Time Standards: 2 week wait, 31 day wait, 62 day wait HQU15_02

HQU15_03

*HQU16**

*Emergency Re-admissions

% of patients receiving first definitive treatment for cancer within 62 days of an urgent GP referral for suspected cancer % of patients receiving first definitive treatment for cancer within 62 days of referral from and NHS Cancer Screening Programme % of patients receiving first definitive treatment for cancer within 62 days of a consultant decision to upgrade their priority status Emergency Re-admissions within 30 days

Produced by CKW Cluster Performance Team

13.9%

13.9%

14.26%/ <25%

14.44% 13.50% 13.50%

Performance Reporting Period as at 19th October 2011

16.33%/ <25%

16.28% 14.90%

Page 1 of 2


APPENDIX A

NHS Calderdale Area

Ref No

HRS01

Experience) (Finance, Capacity & Activity) Quality (Safety, Effectiveness & PatientResources

HRS03

HRS04

Data Availability

Outcome/Measure Financial forecast outturn performance against plan at organisational and Healthcare Associated Infections Financial forecast Outturn & regional level. In addition, no PCT Performance against Plan forecast deficits are expected and no provider should plan for a forecast deficit Actual running costs to be compared to target running coasts at regional level. Delivery of running cost targets Definition of running costs to form part of planning guidance QIPP delivery savings and re-investment Progress on delivery of QIPP savings in 2011/12 and QIPP for 2012/13 to 2014/15 Non-Elective FFCEs

Reporting Period Target/ Actual period 2011-12 Plan

Greater Huddersfield Commissioning Consortium

NHS Kirklees

YTD

FOT

Period Target/ Actual 2011-12 Plan

YTD

FOT

Period Target/ Actual 2011-12 Plan

YTD

FOT

North Kirklees Health Alliance Period Target/ Actual 2011-12 Plan

YTD

FOT

NHS Wakefield District Period Target/ Actual 2011-12 Plan

YTD

FOT

Quarterly

August

1,800k/ 3,600k

300

1,800

3,600

4150k/ 8,300k

4,150

4,150

8,300

performance against plan

N.A

N.A

N.A

performance against plan

N.A

N.A

N.A

1350k/ 3,100k

1350

1350

3,100

Quarterly

August

1,600k/ 1,900k

300

1,600

1,900

600k/ 1,200k

600

600

1,200

performance against plan

N.A

N.A

N.A

performance against plan

N.A

N.A

N.A

872k/ 1,745k

872

872

1,745

M/Q/A

August

3,020k/ 6,040k

500

4,100

6,040

6,314k/ 13,300k

6,232

6,232

13,300

performance against plan

N.A

N.A

N.A

performance against plan

N.A

N.A

N.A

7059k/ 10,431k

7,059

7,059

9,870

M/Q/A

August

1,938/ 25,247

2,035

10,151

24,362

3,178/ 40,986

3,571

17,866

42,878

1,899/ 22,616

1,970

9,858

29,575

1,543/ 18,370

1,601

8,008

24,023

3,577/ 42,924

3,220

16,478

39,547

HRS06**

Non Elective FFCEs

HRS07**

Total number waiting at the end of the Referral To Treatment Waits - median month on an incomplete Referral to wait measures - 95th Percentile Treatment pathway

M/Q/A

August

9,312

9,117

9,117

9,117

20,442/ 19,891

21,644

21,644

21,644

11,268/ 10,976

11,930

11,930

11,930

9,174/ 8,915

9,714

9,714

9,714

18,822

19,625

19,625

19,625

SRS11**

GP Written Referrals to hospital

Number of GP written referrals

Monthly

August

3,192/ 40,993

3,750

17,867

42,881

5,951/ 77,791

7,146

34,967

83,921

3,823/ 42,925

3,943

19,295

46,307

3,105/ 34,866

3,203

15,672

37,613

7,197/ 86,364

6,412

32,668

78,403

SRS12**

Other Referrals for a First Outpatient Appointment

Number of other referrals for a first outpatient appointment

Monthly

August

1,002/ 14,233

1,066

5,233

14,047

2,404/ 31,048

3,064

13,185

31,644

1,583/ 17,132

1,691

7,275

17,461

1,286/ 13,916

1,373

5,910

14,183

2,939/ 35,275

3,745

17,412

41,789

SRS13**

First Outpatient Attendance following Number of first outpatient appointments GP Referral following GP referral

Monthly

August

2,590/ 32,621

2,806

14,160

33,984

5,205/ 66,233

5,582

28,958

69,499

3,283/ 36,547

3,080

15,979

38,350

2,666/ 29,686

2,502

12,979

31,150

5,595/ 67,145

5,003

26,152

62,765

SRS14**

All First Outpatient Attendances

Number of all first outpatient attendances

Monthly

August

5,190

25,762

61,829

9,228

47,492 113,981

5,092

26,206

62,895

4,136

21,286

51,086

7,843

40,295

96,708

SRS15**

Elective FCEs

Number of FCEs (ordinary admissions and separately daycases)

Monthly

August

2,339

11,882

28,517

4,602

22,478

53,947

2,539

12,403

29,768

2,063

10,075

24,179

4,335

21,433

51,439

HRS08

Health Visitor Numbers

Health Visitor Numbers

Monthly

August

0

0

1

0

0

7

N/A

N/A

N/A

N/A

N/A

N/A

1

1

8

3494/ 49,620 2,350/ 39,134 0/1

8,141/ 103,613 3,825/ 49,201 0/7

5,151/ 57,175 2,409/ 27,149 local envelope

4,184/ 46,438 1,957/ 22,052 local envelope

8,109/ 97,311 4,876/ 58,524 1/8

* Emergency Readmissions within 30 days: 2011/12 PbR guidance and Operating Framework guidance states that "Commissioners & Providers will agree a local threshold rate. This threshold will be set to deliver at least a 25% reduction in the readmisisons rate over the previous year (e.g. if the readmisison rate for the last complete 12 months is 10% then the readmission rate in 2011/12 will be 7.5% or lower). ** Provider level data has been used as a proxy in the absence of Clinical Commissioning Group (CCG) level data.

Produced by CKW Cluster Performance Team

Performance Reporting Period as at 19th October 2011

Page 2 of 2

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