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NHS Brent Performance Board Report Month 11 March 2012

NHS Brent Performance Board Report Month 11 March 2012. Jonathan Wise Director of Finance and Performance. Contents. Slides 3 - 6 Performance Delivery – overall summary Slides 7 - 12 2011/12 Performance Delivery Slides 13 - 19 Performance Review – Actions/Next Steps Appendices

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NHS Brent Performance Board Report Month 11 March 2012

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  1. NHS Brent Performance Board Report Month 11 March 2012 Jonathan Wise Director of Finance and Performance

  2. Contents Slides 3 - 6 Performance Delivery – overall summary Slides 7 - 12 2011/12 Performance Delivery Slides 13 - 19 Performance Review – Actions/Next Steps Appendices Appendix 1: Performance dashboards Appendix 2: Performance dashboards – by Locality Appendix 3: Data Quality Dashboards

  3. Performance Delivery – overall summary (1/4) Supporting Measures Headline Measures • The achievement is based on the current months performance (although this may relate to a previous month due to the availability of data) • Where a table indicates progress, the progress relates to the most recent published data where available or monthly or weekly leading measures for each indicator. Additional Public Health Measures • Public health measures- change in indicator- breast screening uptake for 50-70 yrs is now being measured instead of coverage. 2010-11 and 2011-12 performance has been amended to reflect this. CVD Mortality and Cancer Mortality- no longer using a 3 year rolling average as actual but instead using the annual rate. • Note: Cluster have re-issued RAG thresholds which may impact on how some of the targets are reflected in Cluster documentation. The new thresholds will be used in the Board reports for 12/13 reporting. 3

  4. Performance Delivery – overall summary (2/4) Headline Measures Note: The performance levels indicated have been assessed using a mix of national submissions and leading indicators dependant on data availability.

  5. Performance Delivery – overall summary (3/4) Supporting Measures Note: The performance levels indicated have been assessed using a mix of national submissions and leading indicators dependant on data availability. * Performance level based on 2010-11 data

  6. Performance Delivery – overall summary (4/4) Public Health Measures Note: The performance levels indicated have been assessed using a mix of national submissions and leading indicators dependant on data availability. 6 *Performance level based on 2010-11 data. †Although we are not achieving the current trajectory the cancer mortality rate (110 per 100,000) in Brent is similar to the rate for London and England and Wales.

  7. 2011/12 Performance Delivery - Summary (1)Headline Measures (all) Patient experience 1= Accessing GP services , 2= Making an appointment 3= Waiting time at GP surgery, 4= Last GP appointment, 5 = Last Nurse appointment, 6 = Opening Hours, 7 = Out of hours, 8 = Overall experience (Performance movement RAG rated against Q2 England average) * Excludes Imperial NHS Trust data for months of Dec and January 7

  8. 2011/12 Performance Delivery - Summary (2)Supporting Measures (underachieve & failing)

  9. 2011/12 Performance Delivery - Summary (4)Public Health Measures (underachieve & failing) Cervical screening 1 = 25-49 years 2 = 50-64years

  10. 2011/12 Performance Delivery - Summary (5)Public Health Measures 10

  11. 2011/12 Performance Delivery - Summary (6)GP Consortia A summary of GP Consortia performance is noted below however please refer to appendix 2 for the more detailed performance dashboards by Consortia • Immunisations (Q3): • Kingsbury met all 6 immunisation indicators. • Harness met 4 out of 6 indicators • Willesden met 2 out of 6 indicators • Kilburn and Wembley did not achieve any of the indicators • Smoking quits: • No localities have met their YTD Dec plan for smoking quitters • Health Checks • Achieved annual target for Health checks programme which was set at 16632 invites & 8316 completed checks • Currently we are at 24770 invites and 8773 completed Health Checks ( As at end of Jan 2012) • Breastfeeding 6-8 weeks (Q3): • Harness, Kilburn and Kingsbury met the 95% coverage target. • Harness, Kilburn, Kingsbury and Wembley met the prevalence target of 72.7%. • Breast screening coverage: • Kingsbury and Willesden achieved the 70% target for women aged 53-70 yrs screened for breast cancer in the last 3 years as at 30th June 2011. (based on provisional Q1 2011-12 KC63 data) • Kingsbury and Wembley were above the PCT % of 32% of women aged 47-73 yrs invited for breast screening in the last 12 months as at August 2011 • Cervical Screening: • Coverage as at Q3 2011-12- all 5 clusters met their 2% and 4% above baseline incentive target for women aged 25-49 yrs. Wembley met the national target of 80% for women aged 50-64 yrs.

  12. 2011/12 Performance Delivery - Summary (7)Social Marketing/Health Promotion Breastfeeding • 19th January 2012 - Breastfeeding event in Brent Town Hall promoting breastfeeding and other priority areas – over 120 mothers and health professionals attended and an evaluation report is available • In addition to 13 children centres, Brent Breastfeeding Peer Support Workers have started working in Northwick Park Hospital in partnership with the Harrow Breastfeeding Peer Support team • The Breastfeeding team aim to develop breastfeeding cafes in Brent. NHS Health Checks • NHS Health Checks promoted in Brent magazine (Jan edition) • NHS Health Checks on Life Channel (Jan and Feb) through GP surgeries in Brent • Leaflets and posters will be distributed to GP surgeries in Feb Cervical screening • 31 March 2012 – Elder Care Event (Venue to be confirmed) • January-February: A health promotion specialist in place to promote cervical screening in younger women Immunisations • 13 nurseries and playgroups have taken advantage of the early years small grant to promote immunisations e.g. Kensal Green under Fives held a parents evening on 29 Feb, Happy Child Ltd will organise mini campaigns and twilight sessions at Kilburn and Harlesden nurseries in March and April Smoking, Immunisations, NHS Health Checks • Social marketing events covering all the above took place in December at Brent Health Partnership Day, Kilburn Square and at Freuchen Medical Centre • Planned PH Partnership events: Harlesden 15th February 2012, Kingsbury 2nd March Smoking Cessation • Red Fun February British Heart Foundation Partnership Event – Wembley Central Square (159 referrals) • Stop Smoking Day on 14th March - Stop Smoking campaigns will be held at Brent locations including Brent Town Hall, Wembley Station, Kilburn Station, Queen’s Park Police Station and Wembley Police Station • 9 GP practice recruitment campaigns for Q4 - Completed • 8 Pharmacy mini campaigns completed

  13. Performance Review – Actions/Next Steps for Underachieving and Failing indicators 13

  14. Performance Review – Actions/Next Steps for Underachieving and Failing indicators 14

  15. Performance Review – Actions/Next Steps for Underachieving and Failing indicators 15

  16. Performance Review – Actions/Next Steps for Underachieving and Failing indicators 16

  17. Performance Review – Actions/Next Steps for Underachieving and Failing indicators 17

  18. Performance Review – Actions/Next Steps for Underachieving and Failing indicators 18

  19. Performance Review – Actions/Next Steps for Underachieving and Failing indicators

  20. APPENDIX 1 Performance Dashboards

  21. 4 week smoking quitters

  22. Breastfeeding 6-8 weeks • In Q1, 98.1% of infants due for a 6-8 wk check had a feeding status recorded against them and 75.2% were being breastfed at 6-8 wks. • In Q2, 95.5% of infants due for a 6-8 wk check had a feeding status recorded against them and 75.2% were being breastfed at 6-8 wks. • In Q3, 95.1% of infants due for a 6-8 wk check had a feeding status recorded against them and 75.1% were being breastfed at 6-8 wks

  23. Childhood Immunisations

  24. Access to Dental Services

  25. NHS Health Checks

  26. Performance dashboard

  27. Performance dashboard

  28. APPENDIX 2 Performance Dashboards – by locality

  29. April 2011 to Jan 2012- Health checks offered and done by locality 7000 6000 5000 4000 3000 2000 1000 0 Harness Kilburn Kingsbury Wembley Willesden Invites actual Checks done actual Invites target Checks done target NHS Health Checks

  30. 4 week smoking quitters for April to Dec 2011 by Locality 250 200 150 100 50 0 Harness Kilburn Kingsbury Wembley Willesden April to Dec 2011 Plan 4 week smoking quits

  31. Breastfeeding 6-8 wks

  32. Cervical screening- Coverage

  33. Breast screening- Coverage

  34. Childhood Immunisations- Harness

  35. Childhood Immunisations- Kilburn

  36. Childhood Immunisations- Kingsbury

  37. Childhood Immunisations- Wembley

  38. Childhood Immunisations- Willesden

  39. APPENDIX 3 Data Quality Dashboards

  40. Data Quality Dashboard- Acute Services

  41. Data Quality Dashboard- Primary Care

  42. Data Quality Dashboard- Mental Health

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