LQR- OCCG C7 ED -% of letters that are sent back to GPs within 10 working days 95% 63% Delay in GPs receiving essential information which could result in patient harm For Month 10 performance 14/16 letters were sent to GP within 10 days, the % is only based on 16 letters, the service has an action plan in place to address their underperformance. G of positive performance/improvement Service Ref Measure Target Actual Trend Impact Action and resolution timescale Health Visiting PAF % of mothers who received an antenatal contact with a Health Visitor (CQUIN) 62% 71.7% Early contact with mothers ensures a smooth transition between Midwifery and HV Service The Service has consistently achieved the CQUIN for Q1, Q2 & Q3 and are on target to achieve this for Q4 Health Visiting PAF % of mothers with a 6-8 Week Maternal Mental Health Completion 93% 96.9% Mothers are receiving a timely Post Mood assessment The Health Visiting Service are consistently achieving well the 93% KPI and are on target to achieve this for Q4 Health Visiting PAF Percentage of children who did receive a 1 year review 93% 94.4% Babies are receiving a timely 1 Year ASQ assessment and review The Health Visiting Service are consistently achieving well above the 93% KPI and are on target to achieve this for Q4 Health Visiting PAF Percentage of children who did receive a year review 93% 94.9% Babies are receiving a timely 2 -2.5 Year ASQ assessment and review The Health Visiting Service are consistently achieving well above the 93% KPI and are on target to achieve this for Q4
Activity in December was 30% higher (11,113 contacts) than the April-November average (8509 contacts), however, this is in line with the profiled activity plan and consistent with previous years’ trends. Comm Hospitals LQR C11 Delayed Transfers of Care (DTOC); snapshot number 15 51 Delays adversely impact the system pathway and patient flow. This will affect the acute trust’s ability to admit, ED and beyond The service has noticed increased complexity including increased waits for specialised placement; particularly EMI NH. There has also been an unprecedented and unrelenting increase in HART delays since Oct, together with reduced social capacity in parts of the county. A weekly performance dashboard has been created to monitor performance for DTOC, ALOS and overall bed activity, which is scrutinised weekly by SMT G Areas of positive performance/improvement Service Ref Measure Target Actual Trend Impact Action and Resolution Timescale Adult SaLT CS D10 % of patients who are classified as “urgent swallow” to be offered assessment within two working days of referral received. 95% 100% Responsive care to patients in urgent need. Despite capacity challenges faced by the service last year, the service has sustained performance against this indicator this year above target. MIU D11 % of patients attending MIU must be seen, treated, admitted, transferred or discharged in 95% 99% Responsive patient care The service performs well against the 4 hour target achieving 99% in January and 98% compliance YTD
under four hours. Single Point of Access D12 % of patients requiring immediate care are assessed and the required service is mobilised to attend to the patient <4 95% 100% Responsive patient care and support to whole system patient flow The service performs consistently well against the 4 hour target achieving 98% compliance YTD and 100% in January Emergency MDT Unit (EMU) D20a Patients referred are seen, or contacted as appropriate, within 2 hours 90% 100% Responsive patient care and support to whole system/admission avoidance Since implementation of the KPI in September, the service has consistently achieved 100% against a 90% target Adults of Working Age Directorate-COO Supporting Information-Month 10 R Red Indicators Contract Ref Measure Target Actual Trend Impact Action and Resolution Timescale Oxford Schedule 4 1 Patients referred to EDPS seen within timeframe 95% 85% JR 83% HGH Delays to patients receiving care. Potential for CCG to issue performance notice. Clarifying with EDPS staff about proper reporting of ‘breaches’ – may be reporting higher numbers than technical breaches (i.e. when a delay is due to patient illness). New action plan being developed. 3 months to improvement (end April 2017 data)
Oxford OBC Schedule 4 9 Urgent referrals consecutive days for assessment. 95% 85% There is a risk of delayed access to services for patients needing urgent attention. Potential contract performance notice. A number of breaches are over the Christmas period – patients cancelled and the team had no capacity to re-book within timescale (a number of patients cancelled, or DNA 2/3 appointments during this time). There were capacity issues within the teams - City increased its staffing in an attempt to complete assessments within timeframe. The North AMHT is due to move to the Full FACT model from Monday 20/2/17 which should improve capacity for completing assessments, as it has in the South Chiltern Schedule 4 Local 27 EIP 2 week treatment referral 50% 0% Concern around the financial implications Single Oversight Framework measure Refers to two new patients not assessed within 2 weeks. Query re one of the breaches was valid as one was admitted to an inpatient ward and therefore treated by a different team. Work required to raise profile of the targets with the team and the quality reasons. Service manager will be scrutinising referrals Chiltern Schedule 4 Urgent referrals 7 consecutive days for assessment. 95% 61% Risk of delayed access to services for patients needing urgent attention. Potential contract notice SMs and HoS working with clinical teams to understand the underlying issues. Some concern that urgent referrals are being made inappropriately from primary care, which make numbers look worse than they should. Improvement within 2 months due to complexity of issues 2017 data). G/A Areas of positive performance/improvement