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Agenda Item 10 Enclosure KPCT/10/216 NHS KIRKLEES Report To:

The Trust Board


PCT Performance Reports as at 6th December 2010

FOI Exemption Category


Lead Director:

Peter Flynn Director of Performance & Information

Report Author:

Kath Woodford, Business Planning and Performance Reporting Manager

Key Points to Note:

Performance against key high level performance indicators that contribute to the PCT’s annual ‘benchmarking data set’, together with a Mid-Year Performance Report against other national and local priorities for the PCT during 2010/11.

Budget Implications:

Any proposed changes or actions required to improve performance will be assessed for any financial implications.

Risk Assessment:

Risk assessment of each area of the Key National & Local Priorities performance indicators is highlighted by the named lead manager in the Forecast Outturn column of Appendix A and in the Executive Summary section of the 2010/11 Mid-Year Performance Report.

Legal Implications:

None identified.

Health Benefits:

Meeting performance targets enables patients to access services appropriately.

Staffing Implications:

Staffing issues related to performance are noted in the detailed performance reports as appropriate.

Equality Impact:

None identified to date.

Environmental Impact:

None identified to date.

Sub Group/Committee:

Finance and Performance Committee


The Board is asked to NOTE the PCT performance against key high level national and local priority performance indicators for 2010/11 and APPROVE the action taken to address areas of over/under performance. Also, to NOTE the content of the MidYear Performance Report and the actions being taken.

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NHS Kirklees The Trust Board 15th December 2010

Performance Report against Key Performance Indicators for 2010/11 and Mid-Year Performance Report


Purpose To highlight performance against key performance indicators that contribute to the PCT’s annual benchmarking data set, together with a mid-year performance report against other national and local priorities for the PCT and where appropriate, the detailed action being taken to improve performance.


Appendix A Appendix A sets out a summary position of NHS Kirklees performance against the key performance indicators that contribute to the PCT’s annual benchmarking data set and details the actual activity against plan ( ) and the lead manager’s determination of Year End RAG status ( ).


Mid-Year Report Structure 3.1

Executive Summary

The executive summary shows at a glance the 2010/11 national and local priorities with a traffic light either applied to the underpinning key high level performance indicator(s), that is determined by actual activity against planned activity, or a traffic light applied to the overall programme area, that is determined by the accountable lead manager and based upon the level of under or over performance in the given areas. 3.2

Main Body

The NHS Kirklees Strategic Plan 2010-2015, the Operating Framework 2010/11, published December 2009 and the revised Operating Framework published June 2010, details the following national and local priorities for the PCT:     

Access to Services Improving Health of the Population Long-Term Conditions Patient/User Experience Clinical Priorities, ie. Cancer, Mental Health, Children, Older People, CHD Cross-cutting strategies, ie. Reducing Health Inequalities, Quality, Innovation, Productivity & Prevention (QIPP), Local Area Agreement, Practice Based Commissioning, IM&T, Prescribing, etc.

The mid-year report details what action is being taken during 2010/11, in relation to what was planned, to achieve delivery of the national and local priorities.


Reported Performance Issues The table below sets out performance measures which are either amber or red for actual performance or forecast performance. Additional indicators are included where they are considered significant issues, namely 18 weeks and MRSA:-

PI Ref NPI01b NPI01d NP103a EC04 OPI03 NPI18 NP113 (LAA) NP110 NPI17a NPI22 (LAA) VSC23 NP121b OPI06 OPI07 OPI01 NP105b NP107b NPI11

Description 18 Weeks RTT - Admitted 18 Weeks RTT - Supporting Measures Access to NHS Dental Services Ambulance - Category B calls meeting 19 minute standard Patient Choice - GP Referrals (PCT Booking) Childhood Immunisations


Page No. 17 17 22 23 25 29

4-Week Smoking Quitters


Chlamydia Screening Prevalence of Breastfeeding

37 39

Teenage Conception rates


NHS Health Check Stroke Care: % of TIA patients treated within 24 hours Number of Emergency Bed Days Ambulatory Care Sensitive Conditions MRSA Proportion of patients with breast symptoms referred to a specialist who are seen within 2 weeks of referral Cancer: consultant upgrade targets 62 days from receipt of referral to treatment Commissioning of CAMHS

60 61 64 66 67 77 82 93

*The RAG status relates to year end RAG status is based on national thresholds where known, if not known, then actual versus plan is used 4.

Recommendations The Board is asked to note NHS Kirklees performance against the key performance indicators and approve the actions being taken to address areas of under/over performance detailed in the Mid-Year Performance Report for 2010/11.

Report Owner: Peter Flynn, Director of Performance and Information Report Author: Kath Woodford, Business Planning & Performance Reporting Manager