7.2 balanced scorecard app 1-9.xls

NHS HIGHLAND BALANCED SCORECARD - 2006/2007

TOTAL NHS HIGHLAND

Reporting Periods

Indicator HEAT Measure DetailLatest Reported Period

Health Improvement

1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards 138 138 127 157 157 124 2005 Annual

1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop 24.1 25.4 26 26.3 25.9 22.5 2005 Annual1.03.K Immunisations - MMR MMR uptake rates (% at 24 months old) 82.8 83.0 82.2 77.9 85.5 87.1 89.5 Oct-Dec 06 Quarterly1.04.K Suicide Rates rate per 100,000 population 24.4 20.7 20.1 28.9 18.7 16.1 2005 AnnualEfficiency

2.01.K Forecast Revenue Expenditure 0 0 0 £0 £0 £0 £0 £6.9 Feb 07 Monthly2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 96.7% 98.9% 98.0% 98.4% 100% 99.9% 99.6% 100% Feb 2007 Monthly

2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 5.03% 5.17% 5.05% 4.73% 4.90% 5.26% 5.17% 5.52% 4.99% 6.14% 5.12% Feb 2007 Monthly

2.06.S Cancelled Admissions IP/DC cancelled admissions Dec 2006 MonthlyNon clinical cancellations IP/DC cancelled admissions for non-clinical reasons

2.10.S Day Case Rates Day cases/total electives 66% 68% 65% 66% 65% 66% 66% 65% 63% 69% 67% Feb 2007 Monthly2.12.S CHI Number Usage % of SMR01 records with a CHI number 94% 94% 94% 94% 94% 94% 96% 95% 96% 94% 96% Feb 2007 Monthly2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 99.9% 99.8% 97.6% 94.0% - 97.3% 99.4% 99.5% Oct-Dec Quarterly

Completed Complaints % of completed complaints resolved within 4 weeks 63% 62% Jan 2007 MonthlyTreatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 3 6 6 13 8 6 March 2007 Monthly

4.03.K Cervical Screening rate % of 20-60 yr olds screened 85.2% 84.8% 84.7% 83.2% 82.9% 82.5% 82.3% Oct 2006 Quarterly

4.04.K 7 7 7 7 7 March 2006 Annual

4.05.S DNAs Jan 2007 Monthly4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 6.7 6.6 6.7 6.7 6.0 7.6 6.3 5.9 6.9 6.4 7.2 Feb 2007 Monthly4.07.S Hospital Acquired Infection MRSA bacteraemia rate 0.22 0.06 0.12 0.06 0.18 0.10 Jul-Sept 06 Quarterly

Date of latest report

Reporting Frequency

Forecast Deficit / Surplus for EY against total revenue resource limit (000s)

854.2%

532.1%

793.2%

43 1.9%

76 3.2%

92 4.0%

64 2.7%

109 4.1%

38 1.7%

54% (26)

80% (25)

74% (27)

70% (30)

79% (19)

61% (28)

QIS Clinical Governance & Risk Management Standards Improving

Number of points achieved (out of a possible 12) for 3 standards within QIS Clinical Governance & Risk Management assessment

New Outpatient DNA numbers (this figure includes DNAs and CNWs, with or without ASCs ; all acute specialties)

305 7%

371 8%

326 7%

350 8%

366 8%

346 7%

361 8%

444 8%

359 8%

346 7%

May Board 2007

Comments

Target=95% uptake nationallyTarget=20% reduction by 2013.To be green, 2005 target was 17.3

Forecast end surplusAs at February 2007

Target is 4.3% by March 2007. Target is 4% by 2008. A& B included

New indicator to come on stream

National target is 96%No national target

Target=80% of complaints responded to within 4 weeks.Treatment Appropriate for Patient

Reduce the rate of MRSA infection per 1,000 acute occ bed days

Target=improve rate in most deprived by 15%. Rate based on few deaths - 5 or less per annum.

Data Source: Scottish Health Survey. Baseline 25.9% introduced in 2004. Target for 2005 was 25.2%.

New reporting format available from April 2006. No national target . A&B not included.

No national target. Targets will be agreed as part of the Planned Care programme. A&B not included.

To reduce all delays over 6 weeks by 20% between 2005 & 2008. Excludes Argyll & Bute

Doesn't include A&B CHP; uptake for last 5 y - not the LDP target of 5.5y

LDP target is a movement of 2 points from 7 to 9. Position reviewed March 2007

New reporting format available from April 2006. No national target. Excludes A&B.


TOTAL NHS HIGHLAND May Board 2007

Reporting Periods

Indicator HEAT Measure Detail Latest Reported Period Comments

Access to Services

3.01.K Primary Care Team Access 11% 31% 31% Phase 2 Phases

3.02.K Dental Registrations % of children aged 0-17 years registered with an NHS dentist 59.1% 56.7% June 2006 Quarterly

3.03.K IP/DC waiting over 6 months excl. ASCs (all acute specialties) 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly

3.04.K IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 343 176 139 135 125 108 143 82 0 0 0 0 March 2007 Monthly

3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (all acute specialties) 1277 1320 1338 1378 1360 1279 1372 1373 1432 1384 1434 1266 March 2007 Monthly

3.06.K 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly

3.07.K 631 438 515 476 521 695 715 630 447 649 728 873 March 2007 Monthly

3.08.K A&E Waits less than 4 hours 88% 89% 88% 86% 89% 88% 93% 96% 95% 95% 94% 96% March 2007 Monthly Position for Raigmore Hospital. March target trajectory figure was 96%

3.09.K Cataract Waiting Times over 3 mths Inpatient/day case patients waiting over 3 months 64 72 47 56 37 30 23 11 1 1 1 7 March 2007 Monthly

3.10.K Hip Surgery Waiting Times over 48hrs 94% 97% 100% 96% 100% 92% 96% 95% 96% 95% 96% Feb 2007 Monthly March 2007 milestone = 96%

3.11.K Breast Cancer Waiting Times % of patients from diagnosis to treatment within 31 days 86.4% 69.2% 79.3% 59.1% 63% July-Sept 06 Quarterly

3.12.K Cancer Waiting Times % of patients urgently referred to treatment within 2 months 56.9% 62.5% 56.4% 55.7% 71.6% 69.1% July-Sept 06 Quarterly

3.13.K Angiography patients waiting >8 weeks excl. ASCs 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly Draft position for march 2007, based on waiting list as at 30th March

3.15.K Longest wait for radiology investigation: CT Scan 13 9 9 9 5 9 7 3 6 4 4 6 March 2007 Monthly March 2007 milestone is 9 weeks. A&B data not available for March 2007

3.16.K Longest wait for radiology investigation: MRI Scan 16 11 10 8 7 7 8 8 9 8 7 8 March 2007 Monthly March 2007 milestone is 9 weeks.

3.17.K Longest wait for endoscopy investigation: Upper GI endoscopy 23 23 25 21 22 23 24 18 15 17 16 13 March 2007 Monthly

3.18.K 22 23 24 20 22 20 25 23 16 17 15 15 March 2007 Monthly


Reporting Frequency

% coverage of HB population, using list sizes for GP practices taking part in Primary Care Collaborative

Based on North & Mid Highland. SECHP didn't bid. No data for ABCHP. This indicator is to be replaced.

Target 80% by 2009. Excludes those accessing thru Community Service.Awaiting Sept update from ISD.

Inpatient/Daycase Waiting Times over 6 months (31 December 2005)

Draft position for March 07, based on waiting list as at 27th March. Figure includes A&B.

Inpatient/Daycase Waiting Times over 18 weeks (31 December 2007)

Draft position for March 07, based on waiting list as at 27th March. Figure includes A&B.

Draft position for March 07, based on waiting list as at 27th March. March target milestone = 1219.(revised for Unified Board)

Outpatient Waiting Times over 6 months (31 December 2005)

New OP (GP/GDP ref) waiting over 26 weeks excl. ASCs (all acute specialties)

Draft position for March 07, based on waiting list as at 27th March. Figure include A&B.

Outpatient Waiting Times over 18 weeks (31 December 2007)


Draft position for March 2007. Includes A&B. Revised LDP milestone March 2007 = 682

% of patients waiting 4 hours or less from arrival to transfer or discharge

Draft position for March 07, based on waiting list as at 27th March. March 2007 milestone is 107.

% of Hip fracture operations performed within 48 hours of admission to orthopaedic speciality

All cancer sites included. All referrals included (not just GP). Target=98%

Angiography Waiting Times over 8 weeks

Maximum Radiology Waiting Times: CT Scan

Maximum Radiology Waiting Times: MRI Scan

Maximum Endoscopy Waiting Times: Upper GI endoscopy

March 2007 milestone is 9 weeks. A&B data is not available for March 2007

Maximum Endoscopy Waiting Times: Lower GI endoscopy (including colonoscopy)

Longest wait for endoscopy investigation: Lower GI endoscopy (including colonoscopy)

March 2007 milestone is 9 weeks. A&B data is not available for March 2007


NHS HIGHLAND CANCER May Board 2007

Reporting Periods


Comments

Access to Services

3.11.K Breast Cancer Waiting Times % of patients from diagnosis to treatment within 31 days 86.4% 69.2% 79.3% 59.1% 63% July-Sept 06 Quarterly

Leukaemia Cancer Waiting Times % of patients from diagnosis to treatment within 31 days 100% 100% 100% July-Sept 06 Quarterly

3.12.K Cancer Waiting Times % of patients urgently referred to treatment within 2 months 56.9% 62.5% 56.4% 55.7% 71.6% 69.1% July-Sept 06 Quarterly

Breast Cancer Waiting Times % of patients urgently referred to treatment within 2 months 75% 64.3% 47% July-Sept 06 Quarterly

Urology (All) Cancer Waiting Times % of patients urgently referred to treatment within 2 months 20% 62.5% 52% July-Sept 06 Quarterly

% of patients urgently referred to treatment within 2 months 0% 63.6% 30% July-Sept 06 Quarterly

% of patients urgently referred to treatment within 2 months 66.7% 100% 100% July-Sept 06 Quarterly

Lung Cancer Waiting Times % of patients urgently referred to treatment within 2 months 83.3% 76.2% 94% July-Sept 06 Quarterly

Colorectal Cancer Waiting Times % of patients urgently referred to treatment within 2 months 90% 93.3% 64% July-Sept 06 Quarterly

Head & Neck Cancer Waiting Times % of patients urgently referred to treatment within 2 months 71% 33.3% 71% July-Sept 06 Quarterly

Skin Cancer Waiting Times % of patients urgently referred to treatment within 2 months 100% 100% 50% July-Sept 06 Quarterly

Upper GI - OG Cancer Waiting Times % of patients urgently referred to treatment within 2 months 60% 66.7% 79% July-Sept 06 Quarterly

Upper GI - HPB Cancer Waiting Times % of patients urgently referred to treatment within 2 months 83.3% 50% 100% July-Sept 06 Quarterly

% of patients urgently referred to treatment within 2 months 100% 100% 87.5% July-Sept 06 Quarterly

% of patients urgently referred to treatment within 2 months 100% 71.4% 73% July-Sept 06 Quarterly


Reporting Frequency

All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B.

By October 2001, women who have Breast Cancer and are referred for urgent treatment will commence that treatment within one month. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes

A&B.

All cancer sites included. All referrals included (not just GP). Target=98% From July-Sept 2006 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 50% validated. All data

before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). All data before Sep 06

is for 'Old' Highland. July-Sept 06 data includes A&B.

Urology (Prostate) Cancer Waiting Times



Urology (Bladder) Cancer Waiting Times

By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 100% validated. All

data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B.











By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 100% validated. All


Gynae - Ovarian Cancer Waiting Times

By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target).87.5% validated. All


Haematology Lymphoma Cancer Waiting Times




SPECIALIST SERVICES UNIT May Board 2007

Reporting Period

Indicator HEAT Measure Detail Latest Reported Period Comments

Health Improvement1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level1.03.K Immunisations - MMR MMR uptake rates (% at 24 months old) Target not disaggregated below Board level1.04.K Suicide Rates rate per 100,000 population Target not disaggregated below Board levelEfficiency

2.01.K Forecast Revenue Expenditure £0 £0 £0 £0 £0 £0 £0 £0 £0 Feb 2007 Monthly Balance budget measure of achievement2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 98.0% 98.4% 100% 99% 97% 97% Feb 2007 Monthly As at February 2007

2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 3.90% 4.08% 4.28% 4.35% 4.20% 4.52% 4.22% 4.94% 4.61% 5.23 4.39% Feb 2007 Monthly Target is 4.3% by March 2007. Target is 4% by 2008.

2.06.S Cancelled Admissions IP/DC cancelled admissions Dec 2006 Monthly New reporting format available from April 2006. No national target Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons New indicator to come on stream

2.10.S Day Case Rates Day cases/total electives 63% 64% 63% 64% 63% 64% 63% 63% 60% 67% 65% Feb 2007 Monthly2.12.S CHI Number Usage % of SMR01 records with a CHI number Not currently available at CHP level2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 100% 100% 97.8% 89.0% - 97.3% 99.9% 99.4% Oct-Dec Quarterly No national target

Completed Complaints % of completed complaints resolved within 4 weeks 83% 75% Jan 2007 Monthly Target=80% of complaints responded to within 4 weeks.

Access to Services

3.01.K Primary Care Team Access Target not relevant for this operational unit3.02.K Dental Registrations % of children aged 0-17 years registered with an NHS dentist Target 80% by 2009. Excludes those accessing thru Community Service

3.03.K IP/DC waiting over 6 months excl. ASCs (all acute specialties) 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly Draft position for March 2007, based on waiting list as at 27th March

3.04.K IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 303 165 129 171 102 97 121 71 0 0 0 0 March 2007 Monthly Draft position for March 2007, based on waiting list as at 27th March


3.06.K 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly Draft position for March 2007, based on waiting list as at 27th March

3.07.K 630 438 557 476 595 686 701 624 436 642 708 864 March 2007 Monthly Draft position for March 2007. Revised milestone = 682

3.08.K A&E Waits less than 4 hours 88% 89% 88% 86% 89% 88% 93% 96% 95% 95% 94% 96% March 2007 Monthly

3.09.K Cataract Waiting Times over 3 months Inpatient/day case patients waiting over 3 months 64 72 47 56 37 30 23 11 1 1 1 7 March 2007 Monthly

3.10.K 94% 97% 100% 96% 100% 92% 96% 95% 96% 95% 96% Feb 2007 Monthly March 2007 milestone = 96%

3.11.K % of patients from diagnosis to treatment within 31 days3.12.K Cancer Waiting Times over 2 months % of patients urgently referred to treatment within 2 months

3.13.K Angiography patients waiting >8 weeks excl. ASCs 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly Draft position for March 07, based ob waiting list as at 30th March

3.15.K Longest wait for radiology investigation: CT Scan 6 7 4 4 6 7 3 6 4 4 6 Feb 2007 Monthly March 2007 milestone is 9 weeks

3.16.K Longest wait for radiology investigation: MRI Scan 11 10 8 7 7 8 8 9 8 7 8 Feb 2007 Monthly March 2007 milestone is 9 weeks

3.17.K Longest wait for endoscopy investigation: Upper GI endoscopy 15 12 11 15 19 24 13 15 12 6 8 Feb 2007 Monthly March 2007 milestone is 9 weeks

3.18.K 19 13 14 20 20 19 17 18 16 17 12 13 March 2007 Monthly March 2007 milestone is 9 weeksTreatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 0 0 1 2 0 0 March 2007 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 20084.03.K Cervical Screening rate % of 20-60 yr olds screened

4.04.K Target not disaggregated below Board level

4.05.S DNAs 325 8% 328 8% Jan 2007 Monthly New reporting format available from April 2006. No national target

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 6.8 6.6 6.3 6.8 6.0 7.1 6.3 5.7 6.7 6.5 7.3 Feb 2007 Monthly4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Highland level


Reporting Frequency


624.0%

522.6%

532.7%

37 2.0%

33 1.7%

80 4.3%

59 3.1%

92 4.3%

37 2.1%

No national target. Targets will be agreed as part of the Planned Care programme.

71% (7)

73% (15)

100% (6)

71% (14)

71% (7)

47% (15)




Draft position for March 2007, based on waiting list as at 27th March. March 2007 milestone = 933. (trajectories revised from March 2007)






March 07 target is 96%. The overall target is to achieve 98% by December 2007

Draft position for March 2007, based on waiting list as at 27th March. March 2007 milestone is 107.

Hip Surgery Waiting Times over 48 hours


Breast Cancer Waiting Times over 31 days










2798%

2466%

2997%

317 8%

319 8%

389 8%

327 8%

307 7%


FACILITIES May Board 2007

Reporting Periods


Comments

Health Improvement

Efficiency

National Cleaning Standards % compliance with National Cleaning Standards

RAG System 92.9% 92.5% 92.3% 93.9% 93.7% 93.6% 94.9% 95.2% 95.0% 94.1% 94.3% Feb 2007 Monthly

SSD Performance`` % items fit for purpose 99.92 99.91 99.90 99.87 99.90 99.97 99.99 99.93 99.97 99.99 99.92 Feb 2007 Monthly No national target, NHS Highland SSD target - 98%>98%

Estates Department -

Hotline Activity & Response time D1 = 1 hr response 80.95 76.14 74.68 76.67 83.05 88.89 88.10 80.52 88.00 87.69 82.6% Feb 2007 MonthlyD2 = 24 hr 60.47 60.29 58.55 69.41 61.54 67.45 67.86 62.10 69.68 61.87 62.1% Feb 2007 MonthlyD3 = 3 days 66.50 66.53 66.93 69.20 65.61 67.69 53.65 58.26 57.95 67.95 64.1% Feb 2007 MonthlyD4 = 7 days 78.06 86.35 92.80 78.19 72.95 65.66 74.49 70.90 74.77 76.63 68.6% Feb 2007 MonthlyOVERALL 70.26 72.33 73.97 73.39 68.67 68.88 68.26 65.70 70.29 68.28 65.4% Feb 2007 Monthly

Access to Services

Treatment Appropriate for Patient


Reporting Frequency

Source: RAG - Red - 70% or below; Amber - 70% - 90%; Green 90% - 100%

Up to 60% red; 60 - 75% amber; over 75% green. Response time variable depending on location of fault and availability of staff. Data

relates to North, Mid and SE CHPs.


NORTH HIGHLAND CHP May Board 2007

Reporting PeriodIndicator HEAT Measure Detail Latest Reported Period Comments

Health Improvement1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level1.03.K Immunisations - MMR MMR uptake rates (% at 24 months old) N/A N/A N/A N/A N/A N/A 83.5 87.5 89.2 Oct-Dec 06 Quarterly Target=95% uptake nationally1.04.K Suicide Rates rate per 100,000 population N/A N/A N/A N/A N/A N/A N/A Target not disaggregated below Board levelEfficiency

2.01.K Forecast Revenue Expenditure N/A N/A N/A N/A N/A £0 £0 £0 £0 £0 Feb 2007 Monthly Balance budget measure of achievement2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation N/A N/A N/A N/A N/A 100% 100% 100% 100% 100% Feb 2007 Monthly As at February 2007

2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 4.99% 5.48% 5.46% 4.32% 4.80% 5.38% 4.87% 4.66% 4.61% 5.20% 3.77% Feb 2007 Monthly Target is 4.3% by March 2007. Target is 4% by 2008.

2.06.S Cancelled Admissions IP/DC cancelled admissions 0 0% Dec 2006 Monthly New reporting format available from April 2006. No national target Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons New indicator to come on stream

2.10.S Day Case Rates Day cases/total electives 83% 85% 81% 78% 81% 80% 89% 82% 83% 82% 82% Feb 2007 Monthly2.12.S CHI Number Usage % of SMR01 records with a CHI number N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Not currently available at CHP level2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 100% 100% 99.5% 93.0% - 98.7% 96.9% 99.7% Oct-Dec Quarterly No national target

Completed Complaints % of completed complaints resolved within 4 weeks 67% 100% None Jan 2007 Monthly Target=80% of complaints responded to within 4 weeks.

Access to Services

3.01.K Primary Care Team Access 78% 78% Phase 2 Phases

3.02.K Dental Registrations % of children aged 0-17 years registered with an NHS dentist N/A N/A N/A N/A 3.8% June 2006 Quarterly





3.07.K 0 0 0 0 10 8 8 5 2 2 6 2 March 2007 Monthly

3.08.K A&E Waits less than 4 hours N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Data not available

3.09.K Cataract Waiting Times over 3 months Inpatient/day case patients waiting over 3 months Target not applicable to this operational unit

3.10.K Target not applicable to this operational unit


3.13.K Angiography patients waiting >8 weeks excl. ASCs Target not applicable to this operational unit

3.15.K Longest wait for radiology investigation: CT Scan Target not applicable to this operational unit

3.16.K Longest wait for radiology investigation: MRI Scan Target not applicable to this operational unit

3.17.K Longest wait for endoscopy investigation: Upper GI endoscopy 23 23 25 21 22 23 18 11 14 17 16 13 March 2007 Monthly March 2007 milestone is 9 weeks

3.18.K 22 23 24 19 22 20 25 23 14 14 15 15 March 2007 Monthly March 2007 milestone is 9 weeksTreatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 2 2 4 3 2 1 March 2007 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 20084.03.K Cervical Screening rate % of 20-60 yr olds screened 86.2% 86.0% 85.5% 85.4% Oct 2006 Quarterly Uptake for last 5 y - not the LDP target of 5.5y

4.04.K

Target not disaggregated below Board level

4.05.S DNAs16 6% 22 6% Jan 2007

Monthly New reporting format available from April 2006. No national target

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 8.6 8.7 10.6 8.3 8.0 13.5 6.9 8.9 8.8 6.9 8.7 Feb 2007 Monthly4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Board level


Reporting Frequency


31.3%

00.0%

83.2%

0 0%

25 10.2%

9 3.6%

5 2.1%

2 0.8%

No national target. Targets will be agreed as part of the Planned Care programme.

66% (3)

100% (1)

100% (1)

100% (2)

100% (2)


Target 80% by 2009. Excludes those accessing thru Community Services. Awaiting Sept update from ISD



Draft position for March 07, based on waiting list as at 27th March. March 2007 milestone = 82. (trajectories revised from March 2007)





Draft position for March 2007, based on waiting list as at 27th March. March 2007 milestone = 0














156%

155%

207%

18 6%

26 8%

15 6%

33 9%

27 7%


MID HIGHLAND CHP May Board 2007

Reporting PeriodIndicator HEAT Measure Detail Latest Reported Period Comments

Health Improvement1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level1.03.K Immunisations - MMR MMR uptake rates (% at 24 months old) N/A N/A N/A N/A N/A N/A 89.0 86.9 92.0 Oct-Dec 06 Quarterly Target=95% uptake nationally1.04.K Suicide Rates rate per 100,000 population N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Target not disaggregated below Board levelEfficiency


2.02.K Absences Hours lost due to sickness absence / Total hours available (%). 4.98% 4.14% 4.32% 4.69% 5.40% 5.80% 5.33% 5.09% 5.47% 6.29% 5.65% Feb 2007 Monthly Target is 4.3% by March 2007. Target is 4% by 2008.

2.06.S Cancelled Admissions IP/DC cancelled admissions 6 3.6% Dec 2006 Monthly New reporting format available from April 2006. No national target Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons New indicator to come on stream

2.10.S Day Case Rates Day cases/total electives 78% 79% 73% 79% 71% 75% 76% 73% 74% 75% 72% Feb 2007 Monthly2.12.S CHI Number Usage % of SMR01 records with a CHI number N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Not currently available at CHP level2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 99.8% 99.7% 96.4% 94.0% - 97.3% 99.0% 99.6% Oct-Dec Quarterly No national target

Completed Complaints % of completed complaints resolved within 4 weeks 43% 0% Jan 2007 Monthly Target=80% of complaints responded to within 4 weeks.Access to Services

3.01.K Primary Care Team Access 25% 40% 40% Phase 2 Phases

3.02.K Dental Registrations % of children aged 0-17 years registered with an NHS dentist N/A N/A N/A N/A N/A 20.9% June 2006 Quarterly





3.07.K 1 0 0 0 0 1 0 1 0 0 0 0 March 2007 Monthly

3.08.K A&E Waits less than 4 hours N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Data not available

3.09.K Cataract Waiting Times over 3 months Inpatient/day case patients waiting over 3 months Target not relevant for this Operational Unit

3.10.K Target not relevant for this Operational Unit


3.13.K Angiography patients waiting >8 weeks excl. ASCs Target not relevant for this Operational Unit

3.15.K Longest wait for radiology investigation: CT Scan 13 9 9 9 5 9 3 2 4 4 4 3 March 2007 Monthly March 2007 milestone is 9 weeks

3.16.K Longest wait for radiology investigation: MRI Scan Target not relevant for this Operational Unit

3.17.K Longest wait for endoscopy investigation: Upper GI endoscopy N/A N/A N/A N/A N/A N/A N/A N/A N/A 12 13 10 March 2007 Monthly March 2007 milestone is 9 weeks

3.18.K N/A N/A N/A N/A N/A N/A N/A N/A N/A 14 11 15 March 2007 Monthly March 2007 milestone is 9 weeksTreatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 0 2 0 6 4 5 March Monthly To reduce all delays over 6 weeks by 20% between 2005 & 20084.03.K Cervical Screening rate % of 20-60 yr olds screened 82.9% 82.6% 82.3% 82.1% Oct 2006 Quarterly Uptake for last 5 y - not the LDP target of 5.5y

4.04.K Not disaggregated below Board level

4.05.S DNAs 9 5% 14 7% 10 5% Jan 2007 Monthly New reporting format available from April 2006. No national target 4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 4.4 3.9 4.5 4.6 4.3 4.7 6.1 4.0 6.8 4.6 5.1 Feb 2007 Monthly4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Board level


Reporting Frequency


2011.2%

10.4%

188.3%

18 9.2%

3 1.6%

0 0%

15 5.8%

1 0.4%

No national targets. Targets will be agreed as part of the Planned Care Programme.

66% (6)

100% (4)

100% (3)

67% (3)

50% (2)

50% (2)


Target 80% by 2009. Excludes those accessing thru Community Service. Awaiting Sept update from ISD.



Draft position for March 2007, based on waiting list as at 27th March. March milestone = 131. (trajectories revised from March 2007





Draft position for March 07, based on waiting list as at 27th March. March 2007 milestone = 0














117%

105%

75%

7 4%

12 6%

14 9%

8 7%


SOUTH EAST HIGHLAND CHP May Board 2007

Reporting Period

Indicator HEAT Measure Detail Latest Reported Period CommentsHealth Improvement1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level1.03.K Immunisations - MMR MMR uptake rates (% at 24 months old) N/A N/A N/A N/A N/A N/A 83.5 84.6 88.7 Oct-Dec 06 Quarterly Target=95% uptake nationally1.04.K Suicide Rates rate per 100,000 population N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Target not disaggregated below Board levelEfficiency


2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 5.62% 4.51% 4.80% 5.46% 5.13% 5.06% 4.50% 5.57% 4.38% 5.24% 5.08% Feb 2007 Monthly Target is 4.3% by March 2007. Target is 4% by 2008. 2.06.S Cancelled Admissions IP/DC cancelled admissions Not applicable for this operational unit

Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons Not applicable for this operational unit2.10.S Day Case Rates Day cases/total electives Not applicable for this operational unit2.12.S CHI Number Usage % of SMR01 records with a CHI number N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Not available at CHP level2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 98.2% 93.0% 87.7% 89.0% - 91.2% 98.1% 99.0% Oct-Dec Quarterly No national target

Completed Complaints % of completed complaints resolved within 4 weeks 26% 33% 20% (5) Jan 2007 Monthly Target=80% of complaints responded to within 4 weeks.Access to Services

3.01.K Primary Care Team Access 0% 0% 0% Phase 2 Phases SECHP not participating in Collaborative at Phase 2.

3.02.K Dental Registrations % of children aged 0-17 years registered with an NHS dentist N/A N/A N/A N/A N/A 32.2% June 2006 Quarterly

3.03.K IP/DC waiting over 6 months excl. ASCs (all acute specialties) Not applicable for this operational unit

3.04.K IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) Not applicable for this operational unit3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (all acute specialties) Not applicable for this operational unit

3.06.K Not applicable for this operational unit


3.08.K A&E Waits less than 4 hours Not applicable for this operational unit

3.09.K Cataract Waiting Times over 3 months Inpatient/day case patients waiting over 3 months Not applicable for this operational unit



3.13.K Angiography patients waiting >8 weeks excl. ASCs Not applicable for this operational unit

3.15.K Longest wait for radiology investigation: CT Scan Not applicable for this operational unit

3.16.K Longest wait for radiology investigation: MRI Scan Not applicable for this operational unit

3.17.K Longest wait for endoscopy investigation: Upper GI endoscopy Not applicable for this operational unit

3.18.K Not applicable for this operational unitTreatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 1 2 1 2 2 0 March 2007 Monthly To reduce all delays over 6 weeks by 20% between 2005 & 20084.03.K Cervical Screening rate % of 20-60 yr olds screened 82.3% 82.0% 81.6% 81.2% Oct 2006 Quarterly Uptake for last 5 y - not the LDP target of 5.5y

4.04.K

4.05.S DNAs Target not relevant for this Operational Unit

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) Target not relevant for this Operational Unit4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Board level


Reporting Frequency


100% (3)

75% (8)

100% (4)

83% (6)

60% (5)


Target 80% by 2009. Excludes those accessing thru Community Service. Awaiting Sept update from ISD.














Maximum Endoscopy Waiting Times: Upper GI endoscopyMaximum Endoscopy Waiting Times: Lower GI endoscopy (including colonoscopy)






ARGYLL & BUTE CHP May Board 2007

Reporting Period


CommentsHealth Improvement1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level1.03.K Immunisations - MMR MMR uptake rates (% at 24 months old) 90.0% 91.3% 87.7% 90.5% 90.5% 91.5% 90.4% Oct - Dec 06 Quarterly (Expectation Dec qtr figure will be available March 2007) Target 95% nationally1.04.K Suicide Rates rate per 100,000 population 11.3 16.4 13.2 17.5 18.6 9.9 2005 Annual Target=20% reduction by 2013.Efficiency

2.01.K Forecast Revenue Expenditure £0 £0 £0.50 £0.50 £0.50 £0.50 £1.7m Feb 2007 Monthly Balance budget measure of achievement - forecast 0.£5m budget under spend2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 100% 100% 100% 100% 100% 100% Feb 2007 Monthly As at Feb 20072.02.K Absences Hours lost due to sickness absence / Total hours available (%). 5.38% 5.70% 5.90% 5.88% 5.70% 5.87% 6.12% 5.60% 5.66% 7.15% 5.49% Feb 2007 Monthly Target is 4.3% by March 2007. Target is 4% by 2008. 2.06.S Cancelled Admissions IP/DC cancelled admissions 0 0 0 0 0 0 0 0 0 0 Feb 2007 Monthly No national target.

Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons 0 0 0 0 0 0 0 0 0 7 Feb 2007 Monthly Dunoon - cancellations due to equipment failure2.10.S Day Case Rates Day cases/total electives 78% 79% 74% 69% 73% 66% 74% 66% 73% 74% 69% Feb 2007 Monthly No national target2.12.S CHI Number Usage % of SMR01 records with a CHI number 94% 93% 92% 91% 91% 93% 94% 95% 93% 97% 97% Feb 2007 Monthly National target is 96%2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 96% 97% 99% 98% 96% 94% 97% 93% 67% 45% 34% Feb 2007 Monthly Current position by month. No national target

Completed Complaints % of completed complaints resolved within 4 weeks 60% 67% 60% Jan 2007 Monthly Target of 80% of complaints responded to within 4 weeksAccess to Services

3.01.K Primary Care Team Access N/A N/A N/A N/A N/A 63% Phase 2 Phases3.02.K Dental Registrations % of children aged 0-17 years registered with an NHS dentist N/A N/A N/A 63% 65% 65% 2006 Annual Target 80% by 2009.

3.03.K IP/DC waiting over 6 months excl. ASCs (all acute specialties) 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly Info from NHS Highland Explosion Report as at 27th March 2007

3.04.K IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 10 8 24 18 7 9 8 5 0 0 14 Feb 2007 Monthly Increase oin


3.06.K 0 0 0 0 0 0 0 0 0 0 0 0 March 2007 Monthly Info from NHS Highland Explosion Report as at 27th March 2007

3.07.K 0 1 1 3 4 13 6 1 10 10 20 Feb 2007 Monthly

3.08.K A&E Waits less than 4 hours 98% 99% 99% 98% 100% 98% 99% 100% 99% 99% 99% Feb 2007 Monthly

3.09.K Cataract Waiting Times over 3 months Inpatient/day case patients waiting over 3 months Procedure not carried out in Argyll & Bute

3.10.K Procedure not carried out in Argyll & Bute

3.11.K % of patients from diagnosis to treatment within 31 days Patients referred to GGC

3.12.K Cancer Waiting Times over 2 months % of patients urgently referred to treatment within 2 months

3.13.K Angiography patients waiting >8 weeks excl. ASCs Procedure not carried out in Argyll & Bute

3.15.K Longest wait for radiology investigation: CT Scan 4 5 5 4 4 4 4 4 4 4 4 Feb 2007 Monthly

3.16.K Longest wait for radiology investigation: MRI Scan Procedure not carried out in Argyll & Bute

3.17.K Longest wait for endoscopy investigation: Upper GI endoscopy 14 17 20 22 20 20 20 18 14 10 12 Feb 2007 Monthly

3.18.K 18 21 24 25 20 21 22 20 14 12 14 Feb 2007 MonthlyTreatment Appropriate for Patient

4.01.K Delayed Discharge over 6 weeks Total number of delayed discharges over 6 weeks 58 55 54 67 49 50 52 40 36 38 31 17 March 2007 Monthly

4.03.K Cervical Screening rate % of 20-60 yr olds screened 87.8% 88.0% 88.2% 88.5% 88.3% Aug 2006 Monthly

4.04.K No data available

4.05.S DNAs Feb 2007 Monthly


Reporting Frequency


25% (4)

50% (2)

50% (6)

43% (7)

100% (2)

100% (6)




Draft position for March 2007 based on position on 27th March. March 2007 milestone = 73 (trajectories introduced from March 2007)






Figures are drawn from local analysis. Only covers Lorn & Isles District General Hospital




All cancer sites included. All referrals included (not just GP).Target=98% - No data available within A&B at present - see status report.



Local trajectory milestone to be confirmed as part of diagnostic collaborative programme.







The Scottish Executive Delayed Discharges target for A&B Partnership for Feb 2007 (over 6 weeks) Target is 13. Actual is 17 and (Short Stay) Target is 4 and

Actual is 3

1.Percentage uptake is for 5.5 years ending in each respective month, 20-60 years old excluding medically exempt women; 2. August data not complete.




19 4.95%

31 7.18%

36 8%

33 8.35%

50 8.09%

50 9.04%

54 9.1%

61 7.9%

51 8.6%

50 7.8%

41 6.3%

April to July figures are for LIDGH and MAH only. August & Sept covers LIDGH, MAH, Dunoon, Rothesay and Campbeltown. Rest of A&B end of Jan 07 once SCI

outpatient roll out completed.

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 5.8 5.4 4.3 7.1 7.2 5.0 5.6 5.2 4.5 8.5 5.3 Feb 2007 Does not include geriatric medicine & excludes GP Acute4.07.S Hospital Acquired Infection MRSA bacteraemia rate Target not disaggregated below Board level - Last A &C report 0.11

7.2 balanced scorecard app 1-9.xls

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