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Integrated Quality and Performance Report M3– June 2011

Trust Board – 21 July 2011 Agenda item: 4.1. Integrated Quality and Performance Report M3– June 2011. Presented by: Bernie Bluhm (Chief Operating Officer) and Jo Thomas ( Chief Nurse) Author: Char Fletcher (Senior Performance Manager). Performance Report M3 - June. Summary:

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Integrated Quality and Performance Report M3– June 2011

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  1. Trust Board – 21 July 2011 Agenda item: 4.1 Integrated Quality and Performance ReportM3– June 2011 Presented by: Bernie Bluhm (Chief Operating Officer) and Jo Thomas ( Chief Nurse) Author: Char Fletcher (Senior Performance Manager)

  2. Performance Report M3 - June Summary: • The report updates the Board on the key national, contractual KPIs across the Trust for the Month 3 of 2011-12 (June). • The Q1 forecast for the trust remains ‘underperforming’ • There remain some Issues with validating the 18 week position. The data was not available at the time of this report. • No exception report has been provided for Appraisal and Statutory and Mandatory compliance as data the data is currently being mapped to each division • New workforce exception reports are under development. They will utilize SPC charts to identify when a KPI is outside of control limits. • Data quality indicators are under development Trust Board Agenda Item:4.1 Action: The Trust Board is asked to Note and accept this report 2

  3. Contents 1. Integrated Quality and Performance Dashboard Page 4 Operating framework metrics Page 5 Outcomes framework metrics Page 6 internal metrics 2. Exception Reports 3. Glossary of Terms 3

  4. Indicators used for external assessment

  5. Indicators used for external assessment

  6. Indicators used for Internal assessment

  7. Contents 1. Integrated Quality and Performance Dashboard 2. Exception Reports 3. Glossary of Terms 7

  8. 2. Charts for Performance Exception Areas

  9. FnoF – Exception graphs 14 14

  10. Contents 1. Integrated Quality and Performance Dashboard 2. Exception Reports 3. Glossary of Terms 21

  11. 3. Glossary Of terms • MRSA - Methicillin-resistant Staphylococcus aureus • Cdiff - Clostridium difficile • HSMR – Hospital Standardised Mortality Rates • TIA - Transient Ischaemic Attack • RIDDOR – Reporting of Injuries Dieses And Dangerous Occurrences • ITU – Intensive Treatment Unit • WTE – Whole Time Equivalent • FFCE – First Finished Consultant episode • AMI – Acute Myocardial Infraction • RACP – Rapid Access Chest Pain • CDS – Commissioning Data Set • LOLER - Lifting Operations and Lifting Equipment Regulations 1998 • SUI – Serious Untoward Incident • ITU – Intensive Treatment Unit • H&S – Health and Safety

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