Greenwich CCG Governing Body – 9 January 2019 1
Safety and quality We are making progress: • Clear priorities for the future • Major CQC inspection in September 2018, reports published 9 January 2019 • Overall requires improvement for the Trust • NHSI notified us in December that we are no longer on the challenged provider list • Improving Together programme and strategic Road Map
January 2019 CQC final report ratings for whole Trust 4
March 2017 CQC final report ratings for community health services January 2019 CQC final report ratings per site compared to March 2017 ratings 5
January 2019 CQC final report ratings – QEH 6
Constitutional standards – A&E • Current performance (cumulative year to date) at QEH of 85.8% against a trajectory of 88.8% April May June July Aug Sep Oct Nov Dec Plan 85.4 85.9 86.2 86.7 87.0 87.5 88.0 88.3 88.8 Actual 85.5 86.6 87.0 87.2 87.0 86.4 86.4 86.0 85.8 • New capacity in place before Christmas with more to come (44 beds in total) and effective implementation of the new clinical model • Good joint working – Transfers of Care Group • Non-elective activity broadly in line with plan • 96.8% of ambulance handovers at QEH within 30 minutes
New facility
Nursing team
New ward area
Constitutional standards – planned care • Referral to treatment incomplete pathway – performance of 85.9% vs trajectory of 89.1% (target 92%) • Cancer performance strong on two week wait for urgent referrals – 96.8% against a target of 93% • 62 day referral to treatment performance for patients with cancer has been more challenging – on trajectory for most of the summer but dipping in recent months (76%) • New ways of working across South East London on cancer pathways – important as many QEH patients will travel elsewhere for treatment such as complex surgery or radiotherapy.
Workforce • Still the Trust’s greatest challenge as it is across the NHS • Review of bullying and harassment published in December – crucial moment for the Trust • Recommendations from leadership capacity review being implemented • Vacancy rate improved from 17.4% in April 2018 to 13.9% in December 2018 - 689 new staff since August with a “net joiner” position of 357 • Early feedback from staff survey shows significant improvement vs 2017 • Potential for closer working with RB Greenwich and across public sector?
Money • On track to deliver our planned deficit of £53m • Challenging discussions anticipated re 2019/20 plan – will be important to the tone that is set for partnership working in the future • Drivers of our deficit
Partnership working • Greater LGT focus on working with Greenwich out of hospital system – key relationship with primary care • Long Term Plan reinforced the priority on moving away from transactional behaviours and developing local partnerships • Integrated Care Systems to be in place across the whole country by 2021 • Committed to further developing clinical networks across SEL eg cancer, orthopaedics
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