Council of governors general meeting 25 January 2017 Performance and - PowerPoint PPT Presentation

Council of governors’ general meeting – 25 January 2017

Performance and financial report – Q3 David Evans, Chief Executive

Quality of care Key targets: 2016/17, Quarter 2 Key targets: 2016/17, Quarter 3 MRSA number: 3 (cumulative) MRSA number: 3 (cumulative) C. difficile: 13 vs target 30 (cumulative) C. difficile: 18 vs target 30 (cumulative) 18 weeks RTT incomplete operating at 92% 18 weeks RTT incomplete operating at 92% A&E in 4 hours: 95.8% A&E in 4 hours: 91.5 % Elective operations not cancelled: 99.7% Elective operations not cancelled: 99.6 % Cancer: 4 out of 7 targets met Cancer: 5 out of 8 targets met PROVIS (0 out of 2 targets) Sickness: 4.08% Sickness: 4.54% % Fully Registered with the CQC for safety and Fully Registered with the CQC for safety and quality outcomes quality outcomes Fully met the learning disability standards Fully met the learning disability standards Fully met the adult social care CQC Met adult social care CQC outcomes apart outcomes from one minor issue at one care home Information governance: Level 2 Information governance: Level 2 Overall: no colour (2.0) Overall: TBC

Our performance on our priorities 2016/17 Safer Care Performance  On or Better than Target,  Below Target,  As Expected Reduce hospital acquired infections (Cdiff, MRSA,SSI)  Improve management of sepsis in hospital and community settings  Falls and pressure ulcers (based on safety thermometer)  National safety standards for invasive procedures (Nat SSIPs)  Medicine optimisation  Electronic prescribing roll out  Antimicrobial stewardship 

Our performance on our priorities 2016/17 High Quality Care Performance  On or Better than Target,  Below Target,  As Expected Elderly trauma pathway  Discharge / flow  Electronic track and trigger tool (revised project plan)  Dementia care pathway  Mortality case note reviews  Learning disabilities – care bundle  COPD bundle  Maternity bundle of care 

Our performance on our priorities 2016/17 Patient Experience Performance  On or Better than Target,  Below Target,  As Expected Patient experience – including kindness and compassion measure  Alcohol management  NHS staff health and well being 

Regional position: A&E Trust Qtr 2 Oct-16 Nov-16 Northumbria Healthcare 95.8% 93.5% 93.4% City Hospitals Sunderland 94.3% 93.5% 91.8% Gateshead Health 97.1% 95.3% 93.1% North Cumbria 90.1% 88.2% 85.8% South Tyneside 92.4% 92.8% 91.1% Newcastle upon Tyne Hospitals 96.8% 95.5% 89.2% County Durham & Darlington 95.4% 94.3% 82.6% North Tees 95.6% 96.4% 94.3% South Tees 97.0% 95.1% 93.0% November 2016 England position = 87.2%

National performance metrics Accident & 18 weeks RTT Cancer Emergency 2 Week wait 31 Day 62 day TRUST Type 1 Admitted Non Diagnosis Subsequent Subsequent Subsequent Referral From All Incomplete From GP Breast admitted to 1st treatment - treatment - treatment - to screening referral symptoms treatment Drug Radiotherapy Surgery treatment service North Cumbria 87.1% 87.1% 74.4% 90.4% 90.9% 97.5% 91.1% 96.8% 86.8% 91.1% 91.7% 87.8% 91.7% South Tyneside 92.5% 91.5% 85.4% 93.1% 95.6% 98.1% - 100.0% 100.0% - 100.0% 92.9% 0.0% Newcastle 94.3% 91.4% 90.1% 95.1% 94.1% 94.6% 95.0% 97.5% 99.4% 98.4% 94.8% 88.9% 93.1% Morecambe Bay 85.9% 83.1% 76.3% 91.0% 88.5% Data not available from Northern Cancer Network Northumbria 93.7% 92.9% 83.2% 93.3% 93.5% 95.3% 95.7% 96.0% 100.0% - 100.0% 85.8% 100.0% Sunderland 94.1% 90.7% 82.6% 94.1% 93.4% 97.0% - 99.4% 100.0% - 100.0% 88.3% 100.0% Gateshead 95.0% 93.5% 78.9% 91.0% 92.3% 97.9% 98.5% 100.0% 100.0% - 100.0% 91.3% 91.8% South Tees 95.2% 92.8% 80.5% 93.0% 92.5% 93.3% 100.0% 95.3% 98.9% 99.3% 97.8% 74.1% 83.3% North Tees & 95.9% 94.8% 83.8% 97.1% 93.3% 95.4% 98.3% 100.0% 100.0% - 100.0% 90.9% 97.4% Hartlepool County Durham & 93.1% 85.3% 80.9% 96.7% 92.6% 95.3% 96.3% 99.4% 100.0% - 100.0% 80.8% 80.0% Darlington Royal Free London 85.2% 82.7% 83.2% 92.3% 92.0% Frimley 93.1% 93.1% 75.5% 87.8% 93.4% Data not available from Northern Cancer Network Salford Royal 84.0% 84.0% 69.6% 82.0% 92.6% Wrightington, Wigan 84.0% 84.0% 81.2% 97.4% 96.1% and Leigh Accident & Emergency: quarter to date as at November 2016 (Unify 2)Please note that the RTT - admitted figures shown are unadjusted, as adjusted figures are no longer submitted 18 weeks RTT: November 2016 (NHS England) Internally reported admitted RTT figures are adjusted Cancer: November 2016 (Northern Cancer Network) Admitted and non-admitted RTT are no longer targets

NHS providers operational performance over time - A&E

Winter • Pressure from September 2016 • Volumes, acuity • December changes at The Northumbria • Christmas and New Year planning - A&E Board • Additional capacity – North Tyneside General Hospital orthopaedics and escalation beds • Primary care availability • Pressure on all staff groups

Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon 2016/17 22/12/2016 23/12/2016 24/12/2016 25/12/2016 26/12/2016 27/12/2016 28/12/2016 29/12/2016 30/12/2016 31/12/2016 01/01/2017 02/01/2017 Number of A&E attendances 259 276 279 239 286 323 309 256 303 271 307 315 Number of 4 hour breaches 41 28 11 20 79 125 87 72 104 78 142 120 4 hour performance 84.2% 89.9% 96.1% 91.6% 72.4% 61.3% 71.8% 71.9% 65.7% 71.2% 53.7% 61.9% Number of emergency admissions via A&E 122 144 97 106 139 139 128 140 130 134 114 122 Number of emergency admissions via other 29 16 7 5 1 4 10 10 26 3 6 5 Emergency admissions via A&E as a percentage of A&E attendances 47.1% 52.2% 34.8% 44.4% 48.6% 43.0% 41.4% 54.7% 42.9% 49.4% 37.1% 38.7% All emergency admissions as a percentage of A&E attendances 58.3% 58.0% 37.3% 46.4% 49.0% 44.3% 44.7% 58.6% 51.5% 50.6% 39.1% 40.3% Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat 2015/16 22/12/2015 23/12/2015 24/12/2015 25/12/2015 26/12/2015 27/12/2015 28/12/2015 29/12/2015 30/12/2015 31/12/2015 01/01/2016 02/01/2016 Number of A&E attendances 262 232 216 194 269 302 288 264 241 215 274 294 Number of 4 hour breaches 33 6 8 3 30 53 33 23 1 2 13 29 4 hour performance 87.4% 97.4% 96.3% 98.5% 88.8% 82.5% 88.5% 91.3% 99.6% 99.1% 95.3% 90.1% Number of emergency admissions via A&E 115 111 79 85 122 126 127 116 124 109 117 124 Number of emergency admissions via other 17 24 20 0 4 7 4 16 8 16 1 2 Emergency admissions via A&E as a percentage of A&E attendances 43.9% 47.8% 36.6% 43.8% 45.4% 41.7% 44.1% 43.9% 51.5% 50.7% 42.7% 42.2% All emergency admissions as a percentage of A&E attendances 50.4% 58.2% 45.8% 43.8% 46.8% 44.0% 45.5% 50.0% 54.8% 58.1% 43.1% 42.9%

Number of attendances/emergency admissions via A&E NSECH 2015/16: Number of A&E attendances 2016/17: Number of A&E attendances 2015/16: Number of emergency admissions via A&E 350 300 250 200 150 100 50 0 22 Dec 23 Dec 24 Dec 25 Dec 26 Dec 27 Dec 28 Dec 29 Dec 30 Dec 31 Dec 01 Jan 02 Jan

4 hour performance/emergency admissions via A&E as a percentage of A&E atts NSECH 2015/16: 4 hour performance 2016/17: 4 hour performance 2015/16: Emergency admissions via A&E as a percentage of A&E attendances 2016/17: Emergency admissions via A&E as a percentage of A&E attendances 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 22 Dec 23 Dec 24 Dec 25 Dec 26 Dec 27 Dec 28 Dec 29 Dec 30 Dec 31 Dec 01 Jan 02 Jan

Mortality

Finance update • Financial performance is ahead of plan at the end of December but the profile of the plan means the challenge continues to be greater in the final quarter of the year • The trust is awaiting confirmation from Northumberland CCG regarding any contractual challenges in 2016/17. Agreement has been reached with North Tyneside CCG regarding payments in 2016/17

Finance update • Agreement has been reached with commissioners regarding contractual arrangements in respect of 2017/18 and 2018/19 • Discussions remain ongoing with Northumberland in light of the development of the accountable care organisation

Patient experience update A very strong position in quarter 3

Patient perspective Q3 results: feedback from 2509 patients • Good performance – 95% of inpatients, 93% of emergency care patients, 99% of outpatients and 98% of patients receiving day case care rating their experience as good, very good or excellent • The trust performs well - inpatients 86%, outpatients 90% and emergency care 82% all sit within the top 20% threshold when comparing with national data • There is a site variance in the emergency department experience which can be expected due to the difference between minor injuries for example and a serious, life threatening emergency The Hexham North Tyneside Wansbeck Northumbria NHS top 20% 85% 83% 79% 78% 78% ED Overall score over time 100.0% 82.8% 82.3% 81.8% 81.9% 82.1% 82.1% 82.0% 81.1% 79.9% 80.1% 80.1% 80.0% 60.0% 40.0% 20.0% 0.0% Q1 2014 Q2 2014 Q3 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3 2016