LQRs (17) 4 0 3 9 1 59% Community Services (20) 2 0 3 15 0 75% OP Mental Health (10) 2 (1nr) 0 1 7 0 70% Sub-total (58) 12 0 7 38 1 67% Buckinghamshire % met Aylesbury (16) 0 0 0 16 0 100% Chiltern (16) 1 0 0 15 0 94% *nr = not reported Directorate Tariff FY IAP YE Outturn YE variance Older People Block 428,283 430,206 0% C&V 127,870 116,743 -9% R Red Indicators Service Ref Measure Target Actual Trend Impact Action and Resolution Timescale Out of Hours NQR 10 B8 OOH urgent triage (walk in) - time to triage; <20 mins of arrival 95% 66% Extended waiting time possibly resulting in delayed care The Trust Executive Board has commissioned an independent review of the OOH service which is due to start soon and will take 2 – 3 months. Alongside this; NQR10 B8 and B9: The service is in the process of recruiting additional staff to support early triage of these patients as required. NQR 12 B10. The service is working with the 111 service to improve availability of appointments. This will increase the opportunity for patients to be seen within the agreed time. NQR 7 B6: There is continued positive recruitment of GPs and Advanced Nurse Practitioners that will enable us to work towards achieving the target. Out of Hours NQR 10 B9 OOH non-urgent triage (walk in) - time to triage ≥ 95% within 60 minutes 95% 81% Out of Hours NQR 7 B6 OOH percentage of unfilled shifts; ability to match capacity with demand 2% 9%
Out of Hours NQR 12 B10 OOH urgent F/F base visit appt within 2 hours of triage 95% 83% Extended waiting time possibly resulting in delayed care All For info only LQR C2c % Prevent training compliance; a sub KPI of C2; Compliance with PPST 90% Prevent training 11% Shortfall in staff skill, knowledge and competency Prevent is one of 3 courses that forms KPI C2 which has an overall target of 90%. OPD is targeting non-compliant individuals and supporting staff with time to complete training. Older People’s Mental Health (OPMH) LQR C8 % of interim inpatient discharge letters that are sent back to GPs within 24 hours of discharge 95% 80% Delayed communication to primary care OPMH year to date (YTD) performance against this indicator is good at 96%. In March, however, 2 interim discharge summaries were not sent within 24 hours which were attributable to clinical and administrative capacity. All LQR C9 % of cancellations by provider services </=4% 7% Poor patient experience, delayed care and poor Trust reputation The number of provider cancelled appointments increased at the point that Carenotes was implemented indicating a reporting and/or recording issue. This is being investigated by the Business Intelligence (BI) team and directorates and initial findings have indicated issues with the pick lists, the ability to record conflicting data and front end recording practices. This is included in the 17/18 OCCG contract Data Quality Improvement Plan (DQIP) Comm Hospitals LQR C11 Delayed Transfers of Care (DTOC); 15 59 Delays adversely impact the whole system There has been an unprecedented and unrelenting increase in HART delays since Oct, together with reduced social capacity in parts
LQR OCCG C2b Mental Capacity 90% 74% Possible failure of staff awareness of the Mental Capacity Act. Mental Capacity is one of 4 courses that form KPI C2 which has an overall target of 90%. 67/91 staff are compliant. CYP is targeting non-compliant individuals and supporting staff with time to complete training. Children's Services E1a LAC Waits 100% 72% Extended waiting time possibly resulting in delayed care During Month 12 performance reduced with only 18/25 referrals being assessed within 20 days. All assessments were completed within 29 days. CAMHS - OCCG Sch 4 ED Waits 90% 75% Extended waiting time possibly resulting in delayed care Baseline Data was collected during Months 7-9 which was an average of 80% compliance, Month 10-12 is based on this baseline + 10% During Month 12 performance reduced with only 9/12 referrals being seen within 4 weeks. All patients were assessed within 32 days. Action Plan in place with team to address the underperformance.
CAMHS Wilts CC PAF T2 Waiting 4 Weeks 90% 53% Extended waiting time possibly resulting in delayed care Wilts T2 CAMHS are achieving 100% for patients assessed within 12 weeks; this 4 week data includes patient cancellations and breaches due to patient choice. LOCAL: Adult of Working Age Directorate - M12 FY17 Introduction The contracts with Oxfordshire and Buckinghamshire CCGs and NHS England stipulate a requirement (within Schedule 4) for the Adult Directorate to perform against a set of quality and performance indicators. The Adult’s Directorate reports to commissioners as follows: Oxfordshire CCG OBC Incentivised Measures: 5 indicators with targets, reported monthly (7 are baselining) OBC Schedule 4: 7 indicators with targets, all reported monthly (9 are baselining) CCG Schedule 6 indicators, all reported monthly Oxon IAPT: 10 indicators, reported monthly Wellbeing: 13 indicators, reported monthly Buckinghamshire Aylesbury & Chiltern CCGs: 30 indicators, 22 reported monthly Bucks IAPT services: 8 indicators, all reported monthly. NHS England: Forensic Service MSU & LSU Schedule 4: 16 indicators each with targets, 14 of these reported monthly and 2 reported quarterly. Performance Scorecard The Adult Directorate was required to report against 110 indicators in March 2017 (M12)
Targets/thresholds are applicable to most indicators. Where there is no target/threshold, the indicator is considered compliant if it is reported. Key: Well Below Target >10% Below Target 5-10% Near Target <5% under At Target Exceeded Target % met All Measures (106) 18 9 7 62 14 69% Oxfordshire % met OBC Incentivised Measures 0 0 0 3 2 100% OBC Schedule 4 1 0 1 4 1 71.4% Oxon CCG Schedule 4 Quality Requirements 2 2 1 1 0 16.7% IAPT 1 1 0 7 1 66.7% Wellbeing Service 2 2 0 7 3 71.4% Buckinghamshire % met Aylesbury 4 0 3 5 2 50% Chiltern 4 2 2 5 1 42.8% IAPT 0 0 0 4 4 100% Forensic Service % met LSU Schedule 4 2 1 0 13 0 81.3% MSU Schedule 4 2 1 0 13 0 81.3% R Red Indicators Contract Ref Measure Target Actual Trend Impact Action and Resolution Timescale Oxon OBC Schedule 4 10 Oxon Adult CMHTs - Percentage of referrals categorised as non-urgent that are assessed within 28 calendar days 95% 84% Delayed delivery of care. Patient cancellations or non-attendance : 21 Availability of appointments with clinicians: 9 Reasons unclear: 6 Oxon Schedule 4 C2b Staff up-to-date with Mental Capacity Act safeguarding training 90% 79% Risk to patient care through insufficiently trained staff Heads of Service are exploring potential to combine Mental Health Act Training with MCA training because they cover the same areas. Estimated timescale to improvement - June 2017 Oxon C2c Staff up-to-date 90% 71% Risk to patient Train the trainer sessions have taken place
Schedule 4 with Prevent safeguarding training care through insufficiently trained staff. during March and Prevent training has increased from 66% in February to 71% in March. Oxon IAPT Wellbeing 11 Proportion of patients reporting agree or strongly agree with the statement “The service has helped me understand my problems” 90% 77% Risk that patients may not be receiving the care that they need. The service is working with subcontracted organisation to improve recording and reporting against this measure. Oxon IAPT Wellbeing 11 Proportion of patients reporting agree or strongly agree with the statement “I got the help that mattered to me” 90% 77% Risk that patients may not be receiving the care that they need. The service is working with subcontracted organisation to improve recording and reporting against this measure. Oxon IAPT Oxon IAPT: length of wait (weeks) Step 3 for CBT 4 weeks 13 weeks Risk that patients may be waiting too long to receive care. A hidden wait occurs when someone has entered treatment but is waiting for further treatment, such as access to a CBT group. Hidden waits continue to be addressed and we have seen a further reduction in the CBT waiting list. All patients currently being assessed (where clinically appropriate) are offered a Step 3 CBT group. Aylesbury Schedule 4 20 95% people will have their care reviewed within 95% 57% Risk that patient care is not being reviewed Clinical teams are being sent fortnightly spreadsheets showing both people with cluster reviews coming up and people who