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HSC BOARD PERFORMANCE REPORT – 2015/16 (Month 1 – April 2015)

Purpose

This paper provides Board members with a first assessment of performance against the

2015/16 standards and targets set out in the Minister’s Commissioning Plan Direction (Northern

Ireland) 2015. Details of all of the 2015/16 Commissioning Plan Direction standards and targets

are listed in Annex A. The position regionally and by Trust at the end of April 2015 for the

targets and standards that the Board is responsible for monitoring and where monitoring

information is currently available is set out in Annex B.

In addition, an end of year assessment of Trusts’ performance against the indicators set out in

the Minister’s Indicators of Performance Direction 2014/15 that the Board is responsible for

monitoring and where end of year monitoring information is currently available is attached at

Annex C. Due to the three month period allowed to facilitate coding within Trusts, the end of

year performance in relation to a number of indicators is not available. An update on end of

year performance in these areas will be provided at a future Board meeting.

Performance

The performance trends in 2014/15 have continued in most areas into April 2015. The key

performance challenges, including the reasons for the current performance and the actions

being taken to address these, largely remain as reported at previous Board meetings. An

update on performance in a number of these areas is provided below – full details are provided

in Annex B.

1. Elective Care (including Diagnostics)

The Minister’s Commissioning Plan Direction 2015 requires that, from April 2015:

at least 60% of patients wait no longer than nine weeks for their first outpatient

appointment and no patient waits longer than 18 weeks;

no patient waits longer than nine weeks for a diagnostic test; and

at least 65% of inpatients and daycases are treated within 13 weeks and no patient waits

longer than 26 weeks.

2

As anticipated, waiting times for elective access have continued to increase during April. In

relation to outpatients, at the end of April 2015: 40% of patients were waiting less than nine

weeks for a first outpatient appointment; 117,543 patients were waiting longer than nine

weeks; and, 76,018 were waiting longer than 18 weeks.

63%59% 61%

57%51% 52% 52% 49%

44%41% 42% 44%

40%

0%

20%

40%

60%

80%

100%

Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15

OPs - % waiting <9 weeks

49,528

58,76156,087

64,648

75,595 73,61178,864

85,588

95,437

103,156 104,363107,957

117,543

0

20,000

40,000

60,000

80,000

100,000

120,000

Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr 15

Outpatients - Number waiting > 9 weeks

17,28519,804 20,852

24,03527,027 28,643

36,891

42,271

48,590

55,949

62,098

69,730

76,018

0

20000

40000

60000

80000



3

31.3.15 30.4.15 31.3.15 30.4.15 31.3.15 30.4.15

Belfast 39% 36% 47,748 50,833 33,851 35,426

Northern 46% 43% 13,589 15,766 8,519 10,146

South Eastern 42% 39% 20,457 22,884 13,052 14,765

Southern 48% 45% 15,950 17,274 8,309 9,173

Western 54% 50% 10,213 10,786 5,999 6,508

TOTAL 44% 40% 107,957 117,543 69,730 76,018

% <9 weeksOutpatients

>9 weeks >18 weeks

In relation to waiting times for inpatient or daycase treatment, at the end of April 2015: 52%

of patients were waiting less than 13 weeks for treatment; 28,516 patients were waiting

longer than 13 weeks and 14,685 were waiting longer than 26 weeks.

63% 65% 64% 62% 61% 61% 61%57% 54% 52% 52% 52%

0%

20%

40%

60%

80%

100%

May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15

IPDC - % waiting <13 weeks

17,34118,781

17,62418,544

19,879 20,082 20,688 20,786

23,393

26,04927,475 27,780

28,516

0

5,000

10,000

15,000

20,000

25,000

30,000


IPDC - Number waiting > 13 weeks

4

5,244

6,0595,485

6,164

6,9576,519

7,3708,131

9,766

11,090

12,006

13,622

14,685

0

4,000

8,000

12,000

16,000



31.3.15 30.4.15 31.3.15 30.4.15 31.3.15 30.4.15

Belfast 40% 40% 16,448 16,528 8,631 9,192

Northern 76% 79% 1,419 1,348 329 344

South Eastern 57% 57% 2,966 3,285 1,380 1,528

Southern 69% 67% 2,541 2,783 1,162 1,216

Western 55% 54% 4,406 4,572 2,120 2,405

TOTAL 52% 52% 27,780 28,516 13,622 14,685

% <13 weeksIPDC

>13 weeks >26 weeks

There has also been an increase in the number of patients waiting longer than 52 weeks –

at the end of April 2015, 5,000 patients were waiting longer than 52 weeks for an outpatient

assessment and almost 2,500 were waiting longer than one year for surgery.

The HSC Board’s approach over the last number of years has been to fund Trusts non-

recurrently to undertake additional activity (both in-house and in the independent sector) to

maintain waiting times in elective specialties where there is an agreed recurrent gap

between funded capacity and patient demand for assessment and/or treatment. As

previously reported, given the current financial position, there is unlikely to be any

significant additional outpatient or inpatient/daycase activity in 2015/16 in specialties where

there is an agreed recurrent capacity gap and, regrettably, this will result in a continued

increase in the number of patients waiting longer than the Ministerial maximum waiting time

standards for elective care.

In order to minimise the increase in waiting times associated with the shortfall in funding,

the HSC Board will continue to work with Trusts to maximise the delivery of funded capacity

and ensure the application of good waiting list management practice, including assessing

and treating urgent cases first, and thereafter seeing and treating patients in chronological

order.

5

Furthermore, given the scale of the underdelivery of core capacity across a range of

specialties in all Trusts in 2014/15 and the associated increase in waiting times, the Board

has required Trusts to produce elective improvement plans for a number of specialties

detailing the forecast improvement in delivery of core and waiting times in the first half of

this year. Where Trusts’ plans indicate a satisfactory level of improvement by end of

September 2015, performance will be monitored at the regular performance meetings with

Trusts to ensure that progress is being made to deliver the agreed outcomes.

Regionally during April 2015, diagnostics waiting times have increased compared to the

previous month – at 30 April, 20,670 patients were waiting longer than nine weeks for a

diagnostic test.

10,201

11,55911,063

12,61813,636 13,170

14,086

15,887

20,284

22,299

20,132

17,807

20,670

0

4,000

8,000

12,000

16,000

20,000

24,000


Diagnostics waiting > 9 weeks(Imaging and Physiological Measurement)

31.3.15 30.4.15

Belfast 7,729 8,653

Northern 5,847 6,306

South Eastern 1,288 1,489

Southern 2,673 3,816

Western 270 406

TOTAL 17,807 20,670

Trust

Diagnostics

(Imaging and Physiological

Measurement)

(>9 weeks)

Given that diagnostics are essential in diagnosing patient conditions and enabling a

treatment plan to be put in place for patients, the Board has prioritised the allocation of the

limited funding currently available for elective care in 2015/16 for diagnostics. The Board

has confirmed non-recurrent funding to Trusts to continue to undertake additional

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diagnostics activity in Q1/Q2 of this year to deliver improved waiting times however, given

the time required to put arrangements in place for the additionality, the increase in waiting

times during April is not unexpected as in some areas there will have been a pause in

additional activity being undertaken in April.

2. Emergency Department (ED) (4-hour and 12-hour standards)

Regionally during April 2015, 457 patients waited longer than 12 hours in ED – this

represents a reduction compared with March 2015 (614) however, it is an increase on the

same month last year (251). Almost half of the breaches of the 12-hour standard during

April were in Belfast Trust (223) and this performance issue is the subject of ongoing

discussion between the Board and the Trust.

251

203 293

41

138256

138 12591

379

642614

457

0

100

200

300

400

500

600

700


A & E - Number waiting >12 hours

Belfast 1,756 312 223 89

Northern 663 194 78 122

South Eastern 713 100 149 39

Southern 14 1 1 1

Western 25 7 6 0

Region 3,171 614 457 251

Trust 2014/15

(FY)Mar-15 Apr-15 Apr-14

ED - No >12 hours

7

In relation to the 4-hour standard, performance during April 2015 remained unchanged from

the previous month at 74%.

77% 77% 79%82%

79% 79% 79% 80%77% 75%

71%74% 74%

0%

20%

40%

60%

80%

100%


A & E - % within 4 hours

Belfast 72% 69% 72% 73%

Northern 71% 64% 64% 72%

South Eastern 81% 80% 79% 81%

Southern 84% 80% 80% 78%

Western 83% 77% 78% 82%

Region 78% 74% 74% 77%

2014/15

(FY)Apr-15

ED - % <4 hours

TrustMar-15 Apr-14

During 2014/15, the Board undertook a series of re-audits of Trusts’ implementation of a

number of the 18 key actions to improve the unscheduled care pathway. These identified

that a range of opportunities remain to improve unscheduled care for patients through

implementation of previously agreed actions and the Board will work with Trusts to progress

these to ensure improvements are secured in 2015/16.

Improving performance against the 4 and 12 hours standard remains a priority for the Board

and it is continuing to work with Trusts to expand 7 day services to improve patient flow,

taking forward recommendations from the Unscheduled Care Task Group.

3. Cancer Services

Regionally during April 2015, performance against the 14-day breast cancer standard has

deteriorated compared to the previous month – 79% of urgent referrals were seen within 14

days compared to 82% in March 2015.

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61%56%

60%

46%

87%

99% 100%97% 96% 94%

90%

82%79%

0%

20%

40%

60%

80%

100%


Breast Cancer - % Seen within 2 weeks

Mar-15 14/15 Cum Apr-15

Belfast 27% 83% 16%

Northern 100% 71% 100%

South Eastern 98% 68% 95%

Southern 99% 83% 100%

Western 100% 99% 100%

Region 82% 81% 79%

Cancer Services (Breast) -

% within 14 daysTrust

This further decline in the regional position is primarily due to performance in the Belfast

Trust which has deteriorated in April to 16%. Where patients were not seen within 14 days

during April, the longest wait was 28 days. The Trust has put in place additional clinics to

reduce waiting times. The Board has approved the allocation of funding to Belfast Trust to

enable it to appoint additional staff with a view to developing increased flexibility in the

service to take account of peaks and troughs in demand. However, available capacity has

been further impacted by recent staff shortages due to sickness absence. The Trust has

put a number of measures in place to manage this situation however, it has advised that

this will continue to present a challenge in the short term.

Regionally during April 2015, 97% of patients diagnosed with cancer received their first

definitive treatment within 31 days of a decision to treat.

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97% 97% 97% 97% 96% 95% 97% 96% 95% 94% 96% 97% 97%

0%

20%

40%

60%

80%

100%


Cancer (31 days) - % within 31 days

Mar-15 14/15 Cum Apr-15

Belfast 94% 93% 94%

Northern 100% 99% 98%


Southern 98% 99% 100%

Western 100% 100% 100%

Region 97% 96% 97%

TrustCancer Services - % <31 days

Performance against the 62-day standard has improved compared with the previous month

– during April 2015, 77% of patients urgently referred with a suspected cancer began their

first definitive treatment within 62 days compared to 71% in March.

77%73%

77%73%

76%

66%70%

74% 75%72% 70% 71%

77%

0%

20%

40%

60%

80%

100%


Cancer - % treated within 62 days

Mar-15 14/15 Cum Apr-15

Belfast 63% 66% 70%

Northern 67% 68% 80%


Southern 96% 85% 91%

Western 87% 92% 92%

Region 71% 73% 77%


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During 2015/16, Trusts will continue to focus on reducing the number of patients who are

waiting in excess of 62 days and a reduction in the length of time patients are waiting. The

Board is working closely with Trusts to identify best practice in relation to patient pathways

and to agree processes to ensure that this can be adopted across all Trusts in order to

improve patient waiting times.

4. Ambulance Response Times

Regionally during April 2015, 54% of Category A calls were responded to within eight

minutes (target: 72.5% by March 2016).

67% 66%63%

59% 58% 59% 59% 57%51% 53%

50% 52% 54%

0%

20%

40%

60%

80%

100%


NIAS - % Cat A calls <8 minutes (regional)

Mar-15 14/15 Cum Apr-15

Belfast 60% 69% 65%

Northern 45% 52% 47%


Southern 48% 53% 49%

Western 55% 60% 58%

Region 52% 58% 54%

LCG% Cat A calls within 8 minutes

As previously advised, ambulance response times have been impacted by an increase in

the number of calls responded to and staffing issues. The Trust is taking forward a number

of actions to address these issues including, a significant recruitment and training

programme for operational staff, and a continued focus on the management of staff

absence. In addition, the Board will be working with NIAS to take forward a detailed

demand and capacity exercise during 2015/16.

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5. Psychological Therapies

At the end of April 2015, 921 patients were waiting longer than 13 weeks to access

psychological therapies – this is broadly unchanged from the position at the end of March

2015 (912).

438

495551

575610

678 688 700

830 831854

912 921

0

200

400

600

800

1000


Psychological Therapies - Numbers Waiting >13 Weeks

Mar-15 Apr-15

Belfast 164 142

Northern 112 96

South Eastern 487 509

Southern 54 66

Western 95 108

Region 912 921

Psychological Therapies -

No >13 wksTrust

More than half (509) of patients waiting longer than 13 weeks to access psychological

therapies at the end of April 2015 were in the South Eastern Trust. The issues impacting

on waiting time performance regionally and the actions being taken to address these remain

as set out in the detailed update provided at the March 2015 Board meeting.

Conclusion

More detail on the actions being taken in relation to these and other performance areas will be

provided by the relevant Directors at the Board meeting.

Michael Bloomfield Director of Performance and Corporate Services June 2015

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Annex A

2015/16 COMMISSIONING PLAN DIRECTION STANDARDS AND TARGETS

Priority Standard / target

To improve and protect population health and wellbeing, and reduce health inequalities.

Bowel cancer screening: 1. By March 2016, complete the rollout of the Bowel Cancer

Screening Programme to the 60-74 age group, by inviting 50% of all eligible men and women, with an uptake of at least 55% of those invited.

Tackling obesity: 2. From April 2015, all eligible pregnant women, aged 18 years or

over, with a BMI of 40kg/m2 or more at booking are offered the

Weigh to a Healthy Pregnancy programme with an uptake of at least 65% of those invited.

Substance misuse: 3. During 2015/16, the HSC should build on existing service

developments to work towards the provision of seven day integrated and coordinated substance misuse liaison services in appropriate acute hospital settings undertaking regionally agreed Structured Brief Advice or Intervention Programmes.

Family Nurse Partnership: 4. By March 2016, complete the rollout of the Family Nurse

Partnership Programme across Northern Ireland and ensure than all eligible mothers are offered a place on the programme.

To provide high quality, safe and effective care; to listen to and learn from patient and client experiences; and to ensure high levels of patient and client satisfaction.

Unplanned admissions: 5. By March 2016, reduce the number of unplanned admissions to

hospital by 5% for adults with specified long-term conditions, including those within the ICP priority areas.

6. During 2015/16, ensure that unplanned admissions to hospital for

acute conditions which should normally be managed in the primary or community setting, do not exceed 2013/14 levels.

Carers’ assessments: 7. By March 2016, secure a 10% increase in the number of carers’

assessments offered.

Direct payments: 8. By March 2016, secure a 10% increase in the number of direct

payments across all programmes of care.

Allied Health Professionals (AHP): 9. From April 2015, no patient waits longer than 13 weeks from

referral to commencement of AHP treatment.

Hip fractures: 10. From April 2015, 95% of patients, where clinically appropriate, wait

no longer than 48 hours for inpatient treatment for hip fractures.

13


Cancer care services: 11. From April 2015, all urgent breast cancer referrals should be seen

within 14 days; at least 98% of patients diagnosed with cancer should receive their first definitive treatment within 31 days of a decision to treat; and at least 95% of patients urgently referred with a suspected cancer should begin their first definitive treatment within 62 days.

Unscheduled care: 12. From April 2015, 95% of patients attending any Type1, 2 or 3

Emergency Department are either treated and discharged home, or admitted, within four hours of their arrival in the Department; and no patient attending any Emergency Department should wait longer than 12 hours.

13. By March 2016, 72.5% of Category A (life threatening) calls

responded to within eight minutes, 67.5% in each LCG area.

Emergency readmissions: 14. By March 2016, secure a 5% reduction in the number of

emergency readmissions within 30 days.

Elective care – outpatients / diagnostics / inpatients: 15. From April 2015, at least 60% of patients wait no longer than nine

weeks for their first outpatient appointment and no patient waits longer than 18 weeks.

16. From April 2015, no patient waits longer than nine weeks for a diagnostic test and all urgent diagnostic tests are reported on within two days of the test being undertaken.

17. From April 2015, at least 65% of inpatients and daycases are

treated within 13 weeks and no patient waits longer than 26 weeks.

Organ Transplants: 18. By March 2016, ensure delivery of a minimum of 80 kidney

transplants in total, to include live, DCD and DBD donors.

Stroke patients: 19. From April 2015, ensure that at least 13% of patients with

confirmed ischaemic stroke receive thrombolysis.

Healthcare acquired infections: 20. By March 2016, secure a reduction of x% in MRSA and

Clostridium difficile infections compared to 2014/15. [x to be available in April/May 2015 following analysis of 2014/15 performance and benchmarking process.]

Patient discharge: 21. From April 2015, ensure that 99% of all learning disability and

mental health discharges take place within seven days of the patient being assessed as medically fit for discharge, with no

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discharge taking more than 28 days; 90% of complex discharges from an acute hospital take place within 48 hours, with no complex discharge taking more than seven days; and all non-complex discharges from an acute hospital take place within six hours.

Mental health services: 22. From April 2015, no patient waits longer than nine weeks to

access child and adolescent mental health services; nine weeks to access adult mental health services; nine weeks to access dementia services; and 13 weeks to access psychological therapies (any age).

Children in care: 23. From April 2015, ensure that the number of children in care for 12

months or longer with no placement change is at least 85%.

24. By March 2016, ensure a three year time frame for 90% of children who are adopted from care.

Patient safety: 25. From April 2015, ensure that the death rate of unplanned weekend

admissions does not exceed the death rate of unplanned weekday admissions by more than 0.1 percentage points.

Normative nursing: 26. By March 2016, implement the normative nursing range for all

specialist and acute medicine and surgical inpatient units.

To ensure that services are resilient and provide value for money in terms of outcomes achieved and costs incurred.

Excess bed days: 27. By March 2016, reduce the number of excess bed days for the

acute programme of care by 10%.

Cancelled appointments: 28. By March 2016, reduce by 20% the number of hospital cancelled

consultant-led outpatient appointments in the acute programme of care which resulted in the patient waiting longer for their appointment.

Delivering transformation: 29. By March 2016, complete the safe transfer of £83m from hospital /

institutional based care into primary, community and social care services, dependent on the availability of appropriate transitional funding to implement the new service model.

Pharmaceutical Clinical Effectiveness Programme: 30. By March 2016, attain efficiencies totalling at least £20m through

the Regional Board’s Pharmacy Efficiency Programme separate from PPRS receipts.

15

Annex B SUMMARY OF PERFORMANCE AGAINST 2015/16 COMMISSIONING PLAN DIRECTION STANDARDS AND TARGETS

STANDARD / TARGET Trend Analysis Comments

To provide high quality, safe and effective care; to listen to and learn from patient and client experiences; and to ensure high levels of patient and client satisfaction. Unplanned admissions (target) – by March 2016, reduce the number of unplanned admissions to hospital by 5% for adults with specified long-term conditions, including those within the ICP priority areas.

Trusts are permitted three months to complete clinical coding therefore monitoring information for April 2015 will be reported at the Board meeting in August 2015.

Unplanned admissions (target) – during 2015/16, ensure that unplanned admissions to hospital for acute conditions which should normally be managed in the primary or community setting, do not exceed 2013/14 levels.


Carers’ assessments (target) – by March 2016, secure a 10% increase in the number of carers’ assessments offered.

In order to secure a 10% target increase, Trusts will be required to offer a total of 3,384 carers’ assessments during 2015/16. Performance against this target is reported quarterly therefore, a preliminary update on progress is expected to be available for the August Board meeting.

Direct payments (target) – by March 2016, secure a 10% increase in the number of direct payments across all programmes of care.

In order to achieve the 10% increase, Trusts will be required have a total of 3,258 direct payments in place across all programmes of care by March 2016. Performance against this target is reported quarterly therefore, a preliminary update on progress is expected to be available for the August Board meeting.

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Allied Health Professionals (AHP) (standard) – from April 2015, no patient waits longer than 13 weeks from referral to commencement of AHP treatment.

1004410618

0 0 0 0 0 0 0 0 0 0 00

2,000

4,000

6,000

8,000

10,000

12,000

Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16

AHP - Number waiting > 13 weeksBelfast Trust figures include: Physio WL rolled forward from Oct 14 and DT from Mar 15

Mar-15 Apr-15

Belfast 3,864 3,942




Western 1,923 2,016

Region 10,044 10,618

Number of patients waiting

>13wks

(all AHP services)Trust

Mar-15 Apr-15

Physio 4,928 5,154

OT 2,658 2,678

Dietetics 480 504

SLT 1,300 1,536

Podiatry 493 618

Orthoptics 7 2

MDT 178 126

Region 10,044 10,618

Number of patients waiting

>13wks

by professionAHP

The maximum waiting time from referral to commencement of AHP treatment has increased from 9 weeks in 2014/15 to 13 weeks from April 2015 – regionally at the end of April 2015, 10,618 patients were waiting longer than 13 weeks. Regionally, almost three quarters of the breaches of the 13-week maximum waiting time standard continue to be in two AHP professions (physiotherapy and occupational therapy) – at the end of April 2015, 5,154 and 2,678 patients were waiting longer than 13 weeks from referral to commencement of treatment for physiotherapy and occupational therapy respectively. Issues over the accuracy of AHP information remain and the Board and PHA are meeting with Trusts to discuss the findings from the demand and capacity exercise and to agree the steps to be taken to ensure more robust information is available to inform actions to reduce waiting times in 2015/16.

17


Hip fractures (standard) – from April 2015, 95% of patients, where clinically appropriate, wait no longer than 48 hours for inpatient treatment for hip fractures.

82%88% 88% 90%

86% 87% 88%83%

90%95% 92% 94%

88%

0%

20%

40%

60%

80%

100%


Fractures - % of NoF within 48 hours

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 99% 91% 96% 96%

Northern


Southern 88% 92% 93% 93%

Western 93% 89% 85% 85%

Region 94% 89% 88% 88%

TrustFracture NoF- % within 48 hours

Regionally during April 2015, 88% of patients, where clinically appropriate, received inpatient treatment for hip fractures within 48 hours.

Cancer care services 1 (standard) – from April 2015, all urgent breast cancer referrals should be seen within 14 days.

61%56%

60%

46%

87%

99% 100%97% 96% 94%

90%

82%79%

0%

20%

40%

60%

80%

100%


Breast Cancer - % Seen within 2 weeks

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 27% 83% 16% 16%

Northern 100% 71% 100% 100%


Southern 99% 83% 100% 100%

Western 100% 99% 100% 100%

Region 82% 81% 79% 79%

TrustCancer Services (Breast) - % within 14 days

Regionally during April 2015, performance against the 14-day breast cancer standard has deteriorated compared to the previous month – 79% of urgent referrals were seen within 14 days compared to 82% in March 2015. This further decline in the regional position is primarily due to performance in the Belfast Trust which has deteriorated in April to 16%. Where patients were not seen within 14 days during April, the longest wait was 28 days. The Trust has put in place additional clinics to reduce waiting times. The Board has approved the allocation of funding to Belfast Trust to enable it to appoint additional staff with a view to developing increased flexibility in the service to take account of peaks and troughs in demand. However, available capacity has been further impacted by recent staff shortages due to sickness absence. The Trust has put a number of measures in place to manage this situation however, it has advised that this will continue to present a challenge in the short term.

18


Cancer care services 2 (standard) – from April 2015, at least 98% of patients diagnosed with cancer should receive their first definitive treatment within 31 days of a decision to treat.

97% 97% 97% 97% 96% 95% 97% 96% 95% 94% 96% 97% 97%

0%

20%

40%

60%

80%

100%


Cancer (31 days) - % within 31 days

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 94% 93% 94% 94%

Northern 100% 99% 98% 98%


Southern 98% 99% 100% 100%

Western 100% 100% 100% 100%

Region 97% 96% 97% 97%


Regionally during April 2015, 97% of patients diagnosed with cancer received their first definitive treatment within 31 days of a decision to treat.

Cancer care services 3 (standard) – from April 2015, at least 95% of patients urgently referred with a suspected cancer should begin their first definitive treatment within 62 days.

77%73%

77%73%

76%

66%70%

74% 75%72% 70% 71%

77%

0%

20%

40%

60%

80%

100%


Cancer - % treated within 62 days

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 63% 66% 70% 70%

Northern 67% 68% 80% 80%


Southern 96% 85% 91% 91%

Western 87% 92% 92% 92%

Region 71% 73% 77% 77%


Performance against the 62-day standard has improved compared with the previous month – during April 2015, 77% of patients urgently referred with a suspected cancer began their first definitive treatment within 62 days compared to 71% in March. During 2015/16, Trusts will continue to focus on reducing the number of patients who are waiting in excess of 62 days and a reduction in the length of time patients are waiting. The Board is working closely with Trusts to identify best practice in relation to patient pathways and to agree processes to ensure that this can be adopted across all Trusts in order to improve patient waiting times.

19


Unscheduled care 1 (standard) – from April 2015, 95% of patients attending any Type1, 2 or 3 Emergency Department are either treated and discharged home, or admitted, within four hours of their arrival in the Department

77% 77% 79%82%

79% 79% 79% 80%77% 75%

71%74% 74%

0%

20%

40%

60%

80%

100%


A & E - % within 4 hours

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 69% 72% 72% 72%

Northern 64% 71% 64% 64%


Southern 80% 84% 80% 80%

Western 77% 83% 78% 78%

Region 75% 78% 74% 74%

A&E - % treated within 4 hoursTrust

Regionally during April 2015, 457 patients waited longer than 12 hours in ED – this represents a reduction compared with March 2015 (614) however, it is an increase on the same month last year (251). Almost half of the breaches of the 12-hour standard during April were in Belfast Trust (223) and this performance issue is the subject of ongoing discussion between the Board and the Trust. In relation to the 4-hour standard, performance during April 2015 remained unchanged from the previous month at 74%. Further details are provided at pages 6-7 above.

Unscheduled care 2 (standard) – from April 2015, no patient attending any Emergency Department should wait longer than 12 hours.

251

203 293

41

138256

138 12591

379

642614

457

0

100

200

300

400

500

600

700


A & E - Number waiting >12 hours

20


Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 312 1,756 223 223

Northern 194 663 78 78

South Eastern 100 713 149 149

Southern 1 14 1 1

Western 7 25 6 6

Region 614 3,171 457 457

No waiting >12 hours in EDTrust

Unscheduled care 3 (target) – by March 2016, 72.5% of Category A (life threatening) calls responded to within eight minutes, 67.5% in each LCG area.

67% 66%63%

59% 58% 59% 59% 57%51% 53%

50% 52% 54%

0%

20%

40%

60%

80%

100%


NIAS - % Cat A calls <8 minutes (regional)

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 60% 69% 65% 65%

Northern 45% 52% 47% 47%


Southern 48% 53% 49% 49%

Western 55% 60% 58% 58%

Region 52% 58% 54% 54%

LCG% Cat A calls within 8 minutes

Regionally during April 2015, 54% of Category A calls were responded to within eight minutes (target: 72.5% by March 2016). Further details are provided at page 10 above.

Emergency readmissions (target) – by March 2016, secure a 5% reduction in the number of emergency readmissions within 30 days.


21


Elective care 1 (Outpatients) (standard) – from April 2015, at least 60% of patients wait no longer than nine weeks for their first outpatient appointment and no patient waits longer than 18 weeks.

63%59% 61%

57%51% 52% 52% 49%

44%41% 42% 44%

40%

0%

20%

40%

60%

80%

100%


OPs - % waiting <9 weeks

Mar-15 Apr-15

Belfast 39% 36%

Northern 46% 43%

South Eastern 42% 39%

Southern 48% 45%

Western 54% 50%

Region 44% 40%

OP - % waiting <9 weeksTrust

49,528

58,76156,087

64,648

75,595 73,61178,864

85,588

95,437

103,156 104,363107,957

117,543

0

20,000

40,000

60,000

80,000

100,000

120,000



At the end of April 2015: 40% of patients were waiting less than nine weeks for a first outpatient appointment; 117,543 patients were waiting longer than nine weeks; and, 76,018 were waiting longer than 18 weeks. Further details are provided at pages 1-5 above.

22


Mar-15 Apr-15

Belfast 47,748 50,833

Northern 13,589 15,766


Southern 15,950 17,274

Western 10,213 10,786

Region 107,957 117,543

TrustOP No waiting >9 weeks

17,28519,804 20,852

24,03527,027 28,643

36,891

42,271

48,590

55,949

62,098

69,730

76,018

0

20000

40000

60000

80000



Mar-15 Apr-15

Belfast 33,851 35,426

Northern 8,519 10,146



Western 5,999 6,508

Region 69,730 76,018

TrustOP No waiting >18 weeks

23


Elective care 2 (Diagnostics) (standard) – from April 2015, no patient waits longer than nine weeks for a diagnostic test.

10,201

11,55911,063

12,61813,636 13,170

14,086

15,887

20,284

22,299

20,132

17,807

20,670

0

4,000

8,000

12,000

16,000

20,000

24,000


Diagnostics waiting > 9 weeks(Imaging and Physiological Measurement)

Mar-15 Apr-15

Belfast 7,729 8,653




Western 270 406

Region 17,807 20,670

Trust

Diagnostics -

No waiting >9 weeks

At 30 April, 20,670 patients were waiting longer than nine weeks for a diagnostic test. Further details are provided at page 5-6 above.

Elective care 3 (Diagnostic Reporting) (standard) – from April 2015, all urgent diagnostic tests are reported on within two days of the test being undertaken.

91% 92% 91% 91%88% 90% 92% 91% 91% 92%

88% 88% 88%

0%

20%

40%

60%

80%

100%


DRTT (urgent) (inc plain film) - % reported on within 2 days of test being undertaken

Regionally during April 2015, 88% of urgent diagnostic tests were reported on within two days of the test being undertaken.

24


Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 89% 89% 88% 88%

Northern 98% 98% 97% 97%


Southern 77% 84% 76% 76%

Western 85% 91% 92% 92%

Region 88% 91% 88% 88%

TrustDRTT (urgent) - % within 2 days (inc plain film)

Elective care 4 (Inpatient/Daycase) (standard) – from April 2015, at least 65% of inpatients and daycases are treated within 13 weeks and no patient waits longer than 26 weeks. 63% 65% 64% 62% 61% 61% 61%

57% 54% 52% 52% 52%

0%

20%

40%

60%

80%

100%

May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15

IPDC - % waiting <13 weeks

Mar-15 Apr-15

Belfast 40% 40%

Northern 76% 79%

South Eastern 57% 57%

Southern 69% 67%

Western 55% 54%

Region 52% 52%

Trust

IPDC - % waiting

<13 weeks

At the end of April 2015: 52% of patients were waiting less than 13 weeks for treatment; 28,516 patients were waiting longer than 13 weeks and 14,685 were waiting longer than 26 weeks. Further details are provided at pages 1-5 above.

25


17,34118,781

17,62418,544

19,879 20,082 20,688 20,786

23,393

26,04927,475 27,780

28,516

0

5,000

10,000

15,000

20,000

25,000

30,000



Mar-15 Apr-15

Belfast 16,448 16,528




Western 4,406 4,572

Region 27,780 28,516

Trust

IPDC - No waiting

>13 weeks

5,244

6,0595,485

6,164

6,9576,519

7,3708,131

9,766

11,090

12,006

13,622

14,685

0

4,000

8,000

12,000

16,000



26


Mar-15 Apr-15

Belfast 8,631 9,192

Northern 329 344



Western 2,120 2,405

Region 13,622 14,685

Trust

IPDC - No waiting

>26 weeks

Organ Transplants (target) – by March 2016, ensure delivery of a minimum of 80 kidney transplants in total, to include live, DCD and DBD donors.

98

77

1320

2733

4047

5360

6773

80

0

20

40

60

80

100

120

14/15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16

By March 2016, ensure delivery of a minimum of 80 kidney transplants in total, to include live, DCD and DBD donors.

Region Cumulative Monthly Profile

During April 2015, Belfast Trust delivered seven kidney transplants, including DCD and DBD donors.

Stroke patients (standard) – from April 2015, ensure that at least 13% of patients with confirmed ischaemic stroke receive thrombolysis.


Healthcare acquired infections (target) – by March 2016, secure a reduction of x% in MRSA and Clostridium difficile infections compared to 2014/15. [x to be available in June 2015 following analysis of 2014/15 performance and benchmarking process.]

9

4

0

4

8 8

4

3

7

6 6

8

4

0

2

4

6

8

10


MRSA - regional number of episodes

The 2015/16 target reductions for healthcare acquired infections (MRSA and C.Difficile) have not yet been confirmed by the Department. Regionally during April 2015, there have been four episodes of MRSA and 39 episodes of C. Difficile.

27


14/15 Cum Apr-15

Belfast 28 0

Northern 11 3

South Eastern 7 0

Southern 9 0

Western 12 1

Region 67 4

TrustMRSA

32

2219

34

41

30 29

38

45

3533

21

39

0

10

20

30

40

50


C. Difficile - regional number of episodes

14/15 Cum Apr-15

Belfast 140 13

Northern 62 12

South Eastern 67 8

Southern 39 1

Western 71 5

Region 379 39

TrustC.Diff

28


Patient discharge 1 (standard) – from April 2015, ensure that 99% of all learning disability discharges take place within seven days of the patient being assessed as medically fit for discharge, with no discharge taking more than 28 days.

87%

100%

77%71%

94%

84%

95%

75%

56%

100%

92%

74%69%

0%

20%

40%

60%

80%

100%


Learning Disability Discharge - % <7 days

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 40% 79% 100% 100%

Northern 100% 91% 75% 75%

South Eastern 100% 82% 100% 100%

Southern 67% 74% 100% 100%

Western 50% 84% 25% 25%

Region 74% 83% 69% 69%

Trust Learning Disability - % discharge within 7 days

14/15 Cum Apr-15 15/16 Cum

Belfast 12 0 0

Northern 3 1 1

South Eastern 6 0 0

Southern 4 0 0

Western 1 3 3

Region 26 4 4

Trust

Learning Disability - No of discharges

>28 days

Regionally during April 2015, 69% of learning disability discharges (9 out of a total of 13) took place within seven days and four discharges took longer than 28 days.

29


Patient discharge 2 (standard) – from April 2015, ensure that 99% of all mental health discharges take place within seven days of the patient being assessed as medically fit for discharge, with no discharge taking more than 28 days.

97% 97% 95% 97% 96% 95%98% 97% 97% 97%

94% 96% 97%

0%

20%

40%

60%

80%

100%


Mental Health Discharge - % <7 days

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 97% 98% 93% 93%

Northern 100% 100% 100% 100%


Southern 93% 95% 96% 96%

Western 96% 97% 97% 97%

Region 96% 96% 97% 97%

Trust Mental Health - % discharge within 7 days

14/15 Cum Apr-15 15/16 Cum

Belfast 8 3 3

Northern 0 0 0

South Eastern 33 1 1

Southern 24 4 4

Western 32 4 4

Region 97 12 12

Trust

Mental Health - No of discharges

>28 days

Regionally during April 2015, 97% of mental health discharges (449 out of a total of 461) took place within seven days and 12 took longer than 28 days.

30


Patient discharge 3 (standard) – from April 2015, ensure that 90% of complex discharges from an acute hospital take place within 48 hours, with no complex discharge taking more than seven days.

82% 83% 81% 80% 83%79% 77%

81% 79% 77% 79%76% 78%

0%

20%

40%

60%

80%

100%


Complex Discharge - % <48 hours

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 46% 55% 47% 47%

Northern 82% 85% 86% 86%


Southern 94% 96% 90% 90%

Western 83% 87% 86% 86%

Region 76% 79% 78% 78%

Trust Complex Discharges - % <48 hours

9884 87

109 103

133124

106

164 163

144

203

159

0

50

100

150

200

250


Complex Discharges - No >7 days

Regionally during April 2015, 78% of complex discharges from an acute hospital took place within 48 hours and 159 took more than seven days.

31


14/15 Cum Apr-15 15/16 Cum

Belfast 486 67 67

Northern 280 23 23

South Eastern 439 32 32

Southern 23 3 3

Western 290 34 34

Region 1518 159 159

Trust Complex Discharge - No >7 days

Patient discharge 4 (standard) – from April 2015, ensure that all non-complex discharges from an acute hospital take place within six hours.

96% 95% 96% 95% 95% 95% 96% 96% 96% 95% 95% 95% 95%

0%

20%

40%

60%

80%

100%


Non-complex discharges - % <6 hours

Mar-15 14/15 Cum Apr-15 15/16 Cum

Belfast 98% 99% 98% 98%

Northern 94% 95% 95% 95%


Southern 93% 93% 92% 92%

Western 95% 96% 96% 96%

Region 95% 95% 95% 95%

TrustNon-Complex Discharge - % within 6 hours

Regionally during April 2015, 95% of non-complex discharges from an acute hospital took place within six hours.

32


Mental health services 1 (standard) – from April 2015, no patient waits longer than nine weeks to access child and adolescent mental health services.

190

145

31

64 64

50

4151

93 92

71 73

94

0

50

100

150

200


CAMHS - Numbers Waiting >9 Weeks

Mar-15 Apr-15

Belfast 1 1

Northern 72 83

South Eastern 0 0

Southern 0 0

Western 0 10

Region 73 94

TrustCAMHS - No > 9 weeks

Regionally at the end of April 2015, 94 patients were waiting longer than nine weeks to access child and adolescent mental health services (CAMHS). The majority (83) of the patients waiting longer than nine weeks are in the Northern Trust. The Northern Trust has reported that this position is as a result of a shortfall in capacity due to staffing issues (vacancies and sickness absence). The Trust has a recovery plan in place however, it has advised that the nine-week maximum waiting time standard will not be achieved until July 2015.

Mental health services 2 (standard) – from April 2015, no patient waits longer than nine weeks to access adult mental health services. 196 195

120

202 202 202

116

131

174

134

160

137

236

0

50

100

150

200

250


Adult Mental Health (exc. Dementia) - Numbers Waiting >9 Weeks

Regionally at the end of April 2015, 236 patients were waiting longer than nine weeks to access adult mental health services. The Board has raised the increase in waiting times during April with the relevant Trusts and has sought details of the reasons and the timescale to reduce waiting times.

33


Mar-15 Apr-15

Belfast 35 66

Northern 0 0

South Eastern 0 0

Southern 65 115

Western 37 55

Region 137 236

TrustAdult MH - No > 9 weeks

Mental health services 3 (standard) – from April 2015, no patient waits longer than nine weeks to access dementia services. 122

112

88 86

99 99

86

67

85

41

51

43

52

0

50

100

150


Dementia - Numbers Waiting >9 Weeks

Mar-15 Apr-15

Belfast 0 0

Northern 0 0

South Eastern 0 0

Southern 41 50

Western 2 2

Region 43 52

Trust

Dementia Services -

No > 9 weeks

Regionally at the end of April 2015, 52 patients were waiting longer than nine weeks to access dementia services.

34


Mental health services 4 (standard) – from April 2015, no patient waits longer than 13 weeks to access psychological therapies (any age).

438

495551

575610

678 688 700

830 831854

912 921

0

200

400

600

800

1000


Psychological Therapies - Numbers Waiting >13 Weeks

Mar-15 Apr-15

Belfast 164 142

Northern 112 96


Southern 54 66

Western 95 108

Region 912 921

Psychological Therapies -

No >13 wksTrust

At the end of April 2015, 921 patients were waiting longer than 13 weeks to access psychological therapies – this is broadly unchanged from the position at the end of March 2015 (912). More than half (509) of patients waiting longer than 13 weeks to access psychological therapies at the end of April 2015 were in the South Eastern Trust. The issues impacting on waiting time performance regionally and the actions being taken to address these remain as previously reported.

Children in care 1 (standard) – from April 2015, ensure that the number of children in care for 12 months or longer with no placement change is at least 85%.

80%77% 79% 79% 78% 77% 79%

0%

20%

40%

60%

80%

100%

2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14

Care Leavers - % of Children in care for 12 months or longer with no placement change

Performance against this target is reported annually. Monitoring information for 2014/15 and 2015/16 will not be available until end 2015/16 and 2016/17 respectively.

35


Trust 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14

Belfast 81% 79% 83% 84% 84% 78% 84%

Northern 81% 78% 78% 78% 74% 76% 76%

South Eastern 80% 82% 78% 81% 79% 78% 77%

Southern 71% 59% 73% 66% 70% 75% 79%

Western 85% 83% 83% 82% 85% 79% 79%

Region 80% 77% 79% 79% 78% 77% 79%

Source: CIB (these figures are based on Dept returns) ('Year' is school year not financial year) Children in care 2 (target) – by March 2016, ensure a three year time frame for 90% of children who are adopted from care.

47%

40%

47%42%

61%

0%

20%

40%

60%

80%

100%

2007/08 2009/10 2011/12 2012/13 2013/14

Children in Care/Adoption- By March 2015, ensure a 3 year time-frame for 90% of children adopted from care.

Trust 2007/08 2009/10 2011/12 2012/13 2013/14

Belfast 75% 31% 59% 41% 78%

Northern 33% 38% 29% 44% 61%

South Eastern 20% 33% 57% 64% 52%

Southern 63% 42% 50% 50% 56%

Western 20% 100% 60% 19% 57%

Region 47% 40% 47% 42% 61% Source: CIB (these figures are based on Dept returns) ('Year' is school year not financial year)

Please note that figures for 2013/14 are currently provisional and subject to change

Performance against this target is reported annually. For the year 2013/14, there was a 3-year timeframe for 61% of children were adopted from care. 2014/15 performance information will not be available until end of 2015.

Patient safety – from April 2015, ensure that the death rate of unplanned weekend admissions does not exceed the death rate of unplanned weekday admissions by more than 0.1 percentage points.

This is a new target in 2015/16. Definitions and guidance to facilitate consistent reporting against this target are currently being finalised and a preliminary update on progress will be reported at the Board meeting in August 2015.

To ensure that services are resilient and provide value for money in terms of outcomes achieved and costs incurred.

Excess bed days – by March 2016, reduce the number of excess bed days for the acute programme of care by 10%.


36


Cancelled appointments – by March 2016, reduce by 20% the number of hospital cancelled consultant-led outpatient appointments in the acute programme of care which resulted in the patient waiting longer for their appointment.

Definitions and guidance to facilitate consistent reporting against this target are currently being finalised and a preliminary update on progress will be reported at the Board meeting in August 2015.

37

Annex C

SUMMARY AGAINST THE HEALTH AND SOCIAL CARE (INDICATORS OF PERFORMANCE) DIRECTION (NORTHERN IRELAND) 2014

Indicator of Performance Trend Analysis

Priority: To improve and protect health and well-being and reduce inequalities through a focus on prevention, health promotion, anticipation and earlier intervention.

Maternity and young children

A25. Activity in maternity and Child Health Programme of Care (PoC). 13/14 Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum

Belfast 7,700 649 586 682 620 613 7,409

Northern 8,355 726 661 762 729 725 8,608

South Eastern 7,870 661 627 738 662 669 8,278

Southern 11,545 990 902 1,075 936 1,005 11,664

Western 8,450 637 733 794 729 716 8,731

Region 43,918 3,663 3,509 4,051 3,676 3,728 44,690

Maternity & Child health POC - Number of inpatientsTrust

13/14 Cum. Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum.

Belfast 351 9 39 71 68 105 766

Northern 0 0 0 0 0 0 0

South Eastern 0 0 0 0 0 0 0

Southern 0 0 0 0 0 0 0

Western 0 0 0 0 0 0 0

Region 351 9 39 71 68 105 766

TrustMaternity & Child health POC - Number of daycases

A26. Percentage of babies born by caesarean section and number of babies born in midwife-led units either freestanding or alongside.

Trust 13/14 Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum

Mater (FS) 127 14 21 22 16 12 197

Ulster 916 87 82 93 71 70 936

Downe (FS) 74 4 5 3 1 9 65

Lagan Valley (FS) 202 8 19 18 6 16 181

Craigavon 852 87 60 81 57 69 808

Daisy Hill 0 0 0 0 7 2 20

Altnagelvin 483 37 39 51 45 41 480

South-West Acute 56 10 6 9 15 11 153

Alongside 2,307 221 187 234 195 193 2,397

Free standing 403 26 45 43 23 37 443

Number of babies born in midwife led units, either freestanding (FS) or alongside

Percentage of babies born by caesarean section is reliant on clinical coding and will be reported on at a later Board meeting.

38


Cancer services

B1. The number of red flag cancer referrals. 13/14 Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum

Belfast 12,393 1,011 1,161 1,175 1,000 1,349 13,563

Northern 11,975 1,116 1,361 1,200 907 1,222 13,547

South Eastern 12,221 1,115 1,285 1,195 1,111 1,317 14,366

Southern 9,649 799 1,009 985 902 1,121 11,379

Western 8,441 743 753 801 774 1,014 9,824

Region 54,679 4,784 5,569 5,356 4,694 6,023 62,679

TrustNumber of red flag cancer referrals

12701

104919471

6892 66765696

4534

2850

1722

402 386 346 308 142 42 19 10

2000

4000

6000

8000

10000

12000

14000

Cancer - Number of red flag referrals Tumor Site

Attendances at Emergency Departments

B2. Percentage of patients triaged at levels 1, 2, 3, 4 and 5 of the Manchester Triage Scale at Type 1 or 2 emergency departments.

0%

20%

40%

60%

80%

100%

Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 14/15Cum

ED - % of patients triaged at levels 1, 2, 3, 4, or 5 of Manchester Triage Scale

1 2 3 4 5 Unknown

39


Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum

1 0.6% 0.5% 0.5% 0.6% 0.5% 0.6%

2 14.2% 13.9% 14.3% 15.9% 15.0% 14.8%

3 44.6% 44.6% 44.6% 48.1% 47.4% 45.9%

4 37.7% 38.4% 38.5% 33.6% 35.0% 36.4%

5 2.2% 2.2% 1.9% 1.6% 1.9% 1.9%

Unknown 0.7% 0.4% 0.2% 0.3% 0.2% 0.3%

Total 100% 100% 100% 100% 100% 100%

Attendance to ED-Percentage of patients at 1, 2, 3, 4, and 5 of

Manchester Traige Scale at Types 1 and 2Manchester Triage

Scale

B3. Percentage of new and unplanned review attendances at emergency care departments waiting: less than 30 minutes, 30 minutes to 1 hour, 1 to 2 hours, 2 to 3 hours, 3 to 4 hours, 4 to 6 hours, 6 to 8 hours, 8 to 10 hours, 10 to 12 hours and 12 hours or more, before being treated and discharged or admitted.


<30 Mins 9.7% 9.4% 9.7% 8.0% 7.5% 9.2%

30-60 Mins 12.1% 13.3% 13.6% 11.4% 11.2% 12.6%

1-2 Hrs 20.9% 21.5% 22.0% 20.6% 19.6% 21.1%

2-3 Hrs 17.9% 18.0% 18.7% 19.1% 18.5% 18.3%

3-4 Hrs 15.9% 16.4% 15.8% 17.1% 16.3% 16.0%

4-6 Hrs 13.5% 12.4% 11.5% 13.4% 14.3% 12.7%

6-8 Hrs 5.6% 5.0% 4.8% 5.7% 6.2% 5.4%

8-10 Hrs 2.3% 2.0% 2.3% 2.7% 3.0% 2.5%

10-12 Hrs 1.6% 1.4% 1.2% 1.9% 2.4% 1.7%

12-14 Hrs 0.1% 0.1% 0.1% 0.0% 0.3% 0.1%

14-16 Hrs 0.1% 0.1% 0.1% 0.0% 0.2% 0.1%

16-18 Hrs 0.1% 0.1% 0.0% 0.0% 0.2% 0.1%

>18 Hrs 0.2% 0.2% 0.1% 0.1% 0.4% 0.2%

Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Time

Waiting

Percentage of new and unplanned review attendances at emergency care

departments

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15

ED - Number of Patients Seen by Time Band

<30 Mins 30-60 Mins 1-2 Hrs 2-3 Hrs 3-4 Hrs 4-6 Hrs 6-8 Hrs 8-10 Hrs 10-12 Hrs 12-14 Hrs 14-16 Hrs 16-18 Hrs >18 Hrs

40


B4. Patient and ambulance turnaround times by length of time (less than 15 minutes; 15 - 30 minutes; 31 - 60 minutes; 61 - 120 minutes; and more than 120 minutes).


<15 5,838 6,164 5,853 6,256 5,135 70,718

15-30 Mins 4,563 5,087 5,008 5,261 5,215 59,909

31-60 Mins 1,211 1,236 1,353 1,285 1,640 15,508

61-120 Mins 233 195 180 178 253 2,290

>120 Mins 19 13 1 7 17 122

Missing 1,170 622 686 1,217 871 11,055

% <15 Mins 45% 46% 45% 44% 39% 44%

Total 13,034 13,317 13,081 14,204 13,131 159,602

Time Patient Turnaround Times (type 1 & 2 Emergency Department Sites)

70718

59909

15508

2290

122 11055

Patient turnaround times - By length of time to hand patient over to medical staff (Cumulative)

<15 15-30 Mins

31-60 Mins 61-120 Mins

>120 Mins Missing


<15 1,660 1,531 1,549 1,647 1,474 18,698

15-30 Mins 5,533 5,485 5,189 5,928 4,756 64,755

31-60 Mins 5,227 5,690 5,713 5,910 6,020 68,163

61-120 Mins 584 587 622 695 850 7,726

>120 Mins 30 24 8 24 31 260

% <30 Mins 55% 53% 52% 53% 47% 52%

Total 13,034 13,317 13,081 14,204 13,131 159,602

AmbulanceTurnaround Times (Type 1 & 2 Emergency Department Sites)Time

41


18698

64755

68163

7726

260

Ambulance turnaround times - By length of time taken to make ambulance ready for their next journey (Cumulative)

<15 15-30 Mins

31-60 Mins 61-120 Mins

>120 Mins

B8. Total time spent in emergency departments including the median, 95th percentile and single longest time spent by patients in the A&E department, for admitted and non-admitted patients (in minutes).

273 272252

236254 248 258

240262

304

330

304

330

0

50

100

150

200

250

300

350

Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 14/15

ED - Median Time for admitted patients

Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 cum

Belfast 291 335 335 306 364 373

Northern 307 280 255 307 393 419

South Eastern 259 240 271 289 304 341

Southern 271 240 222 216 236 277

Western 233 212 217 227 270 282

Region 273 252 248 262 304 330

Time spent in emergency departments (median) - Patient AdmittedTrust

42


671 661 672

578636 653

623 619648

697 717 712 717

0

100

200

300

400

500

600

700

800


ED - 95th Percentile for admitted patients


Belfast 691 759 730 686 852 865

Northern 715 695 589 638 851 851

South Eastern 623 564 641 674 702 1042

Southern 631 537 508 473 510 714

Western 480 453 506 503 581 614

Region 671 672 653 648 712 717

TrustTime spent in emergency departments (95th percentile) - Patient Admitted

17811592

1845

1178

1579 15591819

1655 1652

3674

21401955

3674

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000


ED - Longest wait for admitted patients

43


Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15

Belfast 1781 1836 1559 1484 1639 1836

Northern 1751 1845 1336 719 1955 1955

South Eastern 1696 1435 1491 1652 1580 3674

Southern 720 719 706 1149 773 1149

Western 714 703 697 718 815 1003

Region 1781 1845 1559 1652 1955 3674

Time spent in emergency departments (longest wait) - Patient AdmittedTrust

122 120 117110 111 114 113 112

126 124135 131 135

0

20

40

60

80

100

120

140

160


ED - Median time for non admitted patients


Belfast 149 151 153 161 171 172

Northern 124 125 113 142 147 148

South Eastern 107 102 100 97 102 107

Southern 115 101 100 97 113 115

Western 106 100 99 111 122 122

Region 122 117 114 126 131 135

Time spent in emergency departments (median) - Patient NOT AdmittedTrust

44


341 340 336314

338 337 325 320347 353

386367

386

0

50

100

150

200

250

300

350

400

450


ED - 95th Percentile for non admitted patients


Belfast 369 391 400 391 422 464

Northern 365 351 352 398 432 432

South Eastern 303 302 314 312 298 315

Southern 343 321 287 285 316 343

Western 306 279 279 298 331 334

Region 341 336 337 347 367 386

Time spent in emergency departments (95th percentile) - Patient NOT AdmittedTrust

1546 15881692

14311265

1413 1471

1656

1340

1613

2245

367

2245

0

500

1,000

1,500

2,000

2,500


ED - Longest wait for non admitted patients

45



Belfast 1546 1708 1605 1304 422 2245

Northern 1484 1118 1324 709 432 1484

South Eastern 1115 720 719 1340 298 1383

Southern 1009 798 702 710 316 1009

Western 678 688 691 701 331 952

Region 1546 1692 1413 1340 367 2245

Time spent in emergency departments (longest wait) - Patient NOT AdmittedTrust

B9. Percentage of people who leave the emergency department before their treatment is complete.


Belfast 5.8% 6.3% 7.0% 6.5% 6.9% 6.1%

Northern 3.3% 3.8% 3.2% 3.1% 3.6% 3.6%

South Eastern 2.4% 2.6% 2.7% 2.6% 2.1% 2.5%

Southern 4.6% 3.7% 2.5% 2.8% 3.6% 3.0%

Western 4.9% 3.7% 3.9% 3.5% 4.8% 4.0%

Region 4.2% 4.1% 3.9% 3.8% 4.3% 3.9%

Percentage of people who leave the emergency department before their

treatment is completeTrust

B10. Time from (i) arrival to initial assessment and (ii) initial assessment to treatment in emergency departments.

9

8

9

8 8 8 8 8 8

9 9 9 9

0

1

2

3

4

5

6

7

8

9

10


ED -Time from arrival to initial assessment in emergency departments - (median)

46



Belfast 10 11 13 11 11 11

Northern 7 7 7 7 8 7

South Eastern 9 9 10 9 9 9

Southern 15 12 8 8 9 9

Western 8 7 7 8 9 8

Region 9 9 8 8 9 9

* Belfast and Regional Apr-Oct excludes MIH as data is unavailable

Trust

Time in minutes from arrival to initial assessment in emergency departments -

(median)

3735 35

33 3436

33 3335 36

4037

35

0

5

10

15

20

25

30

35

40

45


ED -Time from arrival to initial assessment in emergency departments - (95th percentile)


Belfast 35 39 47 42 45 42

Northern 26 23 24 22 24 24

South Eastern 33 29 34 33 30 33

Southern 62 57 28 37 34 44

Western 33 27 28 33 37 31

Region 37 35 36 35 37 35


Trust

Time from arrival to initial assessment in emergency departments - (95th

percentile)

47


246

173 167

143122

171

118

231

208

181

158

120

0

50

100

150

200

250

300


ED -Time from arrival to initial assessment in emergency departments - (longest wait)


Belfast 66 95 171 104 120 231

Northern 158 70 56 73 74 158

South Eastern 100 84 81 85 79 116

Southern 246 167 103 104 103 246

Western 102 115 162 208 102 208

Region 246 167 171 208 120 246


Time in minutes from arrival to initial assessment in emergency departments -

(longest wait)Trust

99

127 124117 118 118 119 122

136 135145 142

127

0

20

40

60

80

100

120

140

160


ED -Time from initial assessment to treatment in emergency departments - (median)

48



Belfast 161 173 163 174 179 167

Northern 149 148 137 175 180 158

South Eastern 102 97 93 93 98 95

Southern 103 95 94 97 109 95

Western 116 110 112 125 135 119

Region 99 124 118 136 142 127

TrustTime from initial assessment to treatment in emergency departments - (median)


324

451420

387426

406 406 418443

491

537510

443

0

100

200

300

400

500

600




Belfast 531 624 579 545 633 583

Northern 536 488 444 524 632 526

South Eastern 291 296 302 305 289 290

Southern 322 304 277 276 307 287

Western 373 329 362 383 442 385

Region 324 420 406 443 510 443


Trust

Time in minutes from initial assessment to treatment in emergency departments -

(95th percentile)

49


1771

1574

1832

1401

16131524

18131641

1841

2194

1706

2242

0

500

1,000

1,500

2,000

2,500




Belfast 1,771 1,582 1,524 1,457 2,242 2,242

Northern 1,770 1,832 1,323 1,841 1,950 1,950

South Eastern 1,092 681 711 1,328 1,740 1,740

Southern 970 786 672 680 678 970

Western 692 696 686 711 843 1,001

Region 1,771 1,832 1,524 1,841 2,242 2,242


Trust

Time in minutes from initial assessment to treatment in emergency departments -

(longest wait)

B11. Number of GP referrals to emergency departments.

8496 8709 8385 82107669

8697 8740 86529389

9809 947010222

0

2,000

4,000

6,000

8,000

10,000

12,000


ED - Number of GP Referrals to Emergency Department

50



Belfast 1,723 1,710 1,812 2,291 2,550 23,951

Northern 1,927 1,913 1,846 1,925 2,120 22,643

South Eastern 1,957 2,068 2,280 2,246 2,264 25,448

Southern 2,059 1,936 2,002 2,039 2,257 24,171

Western 830 758 757 888 1,031 10,235

Region 8,496 8,385 8,697 9,389 10,222 106,448

TrustNumber of GP Referrals to Emergency Department

Elective care

B12. Number of GP referrals to consultant-led outpatient services.

38,128 38,30540,071 41,311

38,391

33,953

40,941 42,155

36,38533,085

36,746 36,941

41,340

0

10,000

20,000

30,000

40,000

50,000

Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15

Elective Care - Number of GP referral to consultant led outpatient services

Mar-14 Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum

Belfast 11,539 11,499 12,549 12,321 9,865 12,299 137,383

Northern 6,725 6,389 6,911 6,891 5,417 7,015 77,211

South Eastern 7,055 7,399 7,846 7,780 6,133 7,483 85,675

Southern 6,892 6,845 7,380 7,286 6,073 7,587 83,523

Western 5,917 6,173 6,625 6,663 5,597 6,956 75,832

Region 38,128 38,305 41,311 40,941 33,085 41,340 459,624

Note: Acute POC specialties only. ICATS excluded

TrustNumber of GP Referrals to Consultant-led outpatient services

51


B13. Number of outpatient appointments with procedures within the specialities of pain management, ophthalmology, gynaecology, general surgery, plastic surgery and dermatology.

4978 4880

5551

5004

4215

57765340

47054440

48044481 4374

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000


Number of outpatient appointments with procedures (for selected specialties)


Belfast 2563 2832 2701 2306 2360 30328

Northern 49 34 95 71 59 669

South Eastern 962 1078 961 736 655 10153

Southern 1014 1141 1303 1208 1235 13458

Western 390 466 716 119 65 3940

Region 4978 5551 5776 4440 4374 58548

Selected specialties are: Dermatology, General Surgery, Ophthalmology, Pain Management, Gynaecology and Plastic Surgery

Trust Number of outpatient appointments with procedures (selected specialties)

B14. Number of barium enema, computerised tomography, magnetic resonance imaging, non-obstetric ultra sound, positron emission tomography and plain film x-ray tests undertaken.


Belfast 34,868 36,844 37,975 33,444 36,511 427,921

Northern 20,707 21,835 22,557 19,963 21,999 252,338

South Eastern 22,937 23,969 24,237 21,005 25,199 276,061

Southern 22,236 23,221 23,726 21,015 24,287 269,605

Western 20,270 20,663 20,913 18,883 21,003 241,163

Region 121,018 126,532 129,408 114,310 128,999 1,467,088

The number of radiology tests (for discrete list of tests)Trust

52


B15. Total number of patients admitted for inpatient treatment in the independent sector, by HSC Trust.

22422143

19841854 1914

2157

1579

868

379 355452 431

0

500

1,000

1,500

2,000

2,500


Total number of patients admitted for inpatient treatment in the Independent Sector


Belfast 1013 937 1129 229 199 8,126

Northern 307 115 340 58 33 2,253

South Eastern 550 355 262 33 11 2,526

Southern 77 193 141 39 176 1,389

Western 295 384 285 20 12 2,064

Region 2242 1984 2157 379 431 16,358

Total number of patients admitted for inpatient treatment in the

Independent Sector Trust

B16. Total number of attendances at consultant-led outpatient services in the independent sector, by HSC Trust.

5528

6362

80637692

6560

5386

3403

2761

2061 19691601 1533

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000


Total number of attendances at consultant-led outpatient services in the independent sector

53



Belfast 2,882 4,307 2,808 1,286 1,077 29,144

Northern 186 1,295 1,146 234 130 6,846

South Eastern 1,701 1,217 777 258 110 9,388

Southern 195 327 87 102 59 1,929

Western 564 917 568 181 157 5,612

Region 5,528 8,063 5,386 2,061 1,533 52,919

TrustTotal number of attendances at consultant-led outpatient service in the

independent sector

Patient /client experience

B21. Percentage of all adult inpatient wards in which the Fall Safe bundle has been implemented.

19%

33%

52%

71%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4

Percentage of all inpatient wards in which the fall Safe Bundle has been implemented

Q1 Q2 Q3 Q4

Belfast 7% 7% 17% 40%

Northern 31% 41% 48% 55%


Southern 35% 61% 100% 100%

Western 7% 56% 89% 100%

Region 19% 33% 52% 71%

Percentage of all inpatient wards in which the

fall Safe Bundle has been implementedTrust

54


B22. Number of hearing aids fitted within 13 weeks as a percentage of completed waits.

61%66%

63%

70% 72%75%

72%67%

62%

54%

47%

73%

63%

0%

10%

20%

30%

40%

50%

60%

70%

80%


Number of Hearing adis fitted within 13 weeks as a percentage of completed waits.


Belfast 100% 100% 100% 100% 100% 100%

Northern 47% 55% 68% 51% 17% 49%

South Eastern 13% 15% 46% 37% 33% 32%

Southern 100% 98% 100% 100% 100% 100%

Western 100% 85% 97% 92% 91% 92%

Region 61% 63% 75% 62% 73% 63%

TrustNumber of hearing aids fitted within 13 weeks as a % of completed waits

B23. Percentage of patients waiting over 13 weeks for any wheelchair (basic and specialised).

10% 8% 10% 11% 13%7% 10% 10%

14%17%

22%17% 19%

13%

0%

20%

40%

60%

80%

100%

13/14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 14/15Cum

Patient/client experience - Percentage of patients waiting over 13 weeks for any wheelchair (basic and specialised)

55


13/14 Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum

Belfast 13% 10% 6% 6% 5% 4% 8%

Northern 12% 7% 15% 17% 35% 38% 21%

South Eastern 10% 13% 5% 6% 2% 22% 8%

Southern 8% 7% 5% 16% 24% 5% 13%

Western 6% 6% 23% 5% 10% 19% 11%

Region 10% 8% 11% 10% 17% 19% 13%

TrustPercentage of Patients waiting > 13 weeks for wheelchair

B24. Percentage of patients who have lifts & ceiling track hoists installed within 16 weeks of the OT assessment and options appraisal.

93%89% 87% 85% 87%

90% 91%94% 92% 90%

86%

75%

88%

0%

20%

40%

60%

80%

100%


Percentage of patients waiting to have lifts and ceiling track hoists installed within 16 weeks of the OT assessment and options appraisal (active waits).


Belfast 96% 100% 100% 96% 97% 98% 97%

Northern 99% 100% 100% 100% 99% 65% 94%

South Eastern 79% 92% 86% 65% 70% 90% 79%

Southern 100% 100% 95% 100% 88% 100% 94%

Western 74% 83% 68% 83% 89% 70% 76%

Region 89% 93% 87% 90% 92% 75% 88%

Trust

Percentage of patients waiting to have lifts and ceiling track hoists

56


Organ transplants

B31. Percentage change in overall transplants.


2013/14 10 7 11 8 6 98

2014/15 10 8 10 5 6 98

% Change from 13/14 0% 14% -9% -38% 0% 0%

Percentage change in overall transplants

Region

B32. Total number of deceased organ donors by type.


Region 58 5 2 5 3 1 44

Total number of deceased organ donors by typeTrust

B33. Number of organs declined.


Region 68 11 2 10 6 2 57

Total number of organs declinedTrust

Fracture

B35. Percentage of patients, where clinically appropriate, waiting less than seven days for inpatient fracture treatment.

.

94% 95% 95% 96% 97% 95% 96%98%

96% 97% 99% 97% 96%

0%

20%

40%

60%

80%

100%


Inpatient fracture treatment - % waiting < 7 days


Belfast 90% 92% 90% 95% 97% 94%

Northern

South Eastern 96% 91% 97% 98% 99% 98%

Southern 100% 97% 99% 94% 95% 98%

Western 99% 99% 100% 100% 100% 100%

Region 94% 95% 95% 96% 97% 96%

Trust

Percentage of patients, where clinically appropriate, waiting less than 7 days for

inpatient fracture treatment

57


To improve the management of long-term conditions in the community, with a view to improving the quality of care provided and reducing the incidence of acute hospital admissions for patients with one or more long term conditions.

Specialist drug therapies

C1. Number of patients waiting longer than 13 weeks to commence NICE-recommended therapies for multiple sclerosis (MS), or therapies under the UK Risk Sharing Scheme for disease modifying treatments for MS.


Belfast 0 0 0 0 2 3



Southern 0 0 0 0 0 0

Western 0 0 0 0 0 0

Region 0 0 0 0 4 6

Trust

Number of patients waiting longer than 13 weeks to commence NICE-recommended

therapies for multiple sclerosis (MS) or therapies under UK Risk Sharing Scheme for

disease modifying treatment for MS

C2. Number of patients waiting longer than six weeks to commence specialist drug treatment for wet ADM for the first eye, and 6 weeks for the second eye


Belfast 55 19 4 2 10 217




Western 0 3 0 0 0 12

Region 55 22 4 2 10 229

Trust

Specialist drug therapies - Number of patients waiting longer than 6 weeks to

commence specialist drug treatment for Wet AMD for the first eye


Belfast 0 0 2 0 0 3




Western 0 0 0 0 0 0

Region 0 0 2 0 0 3

Trust

Specialist drug therapies - Number of patients waiting longer than 6 weeks to

commence specialist drug treatment for Wet AMD for the second eye

58


To promote social inclusion, choice, control, support and independence for people living in the community, especially older people and those individuals and their families living with disabilities.

Continuing care needs

D4. (i) Number of people with continuing care needs waiting longer than five weeks for an assessment of need to be completed and (ii) Number of people with continuing care needs waiting longer than eight weeks, from their assessment of need, for main components of their care needs to be met

98% 98% 100% 99% 100% 99% 99% 100% 99% 98% 98% 98% 96% 99%

0%

20%

40%

60%

80%

100%

120%


Community Care - % Waiting < 5 Weeks for Assessment

13/14 Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 cum

Belfast 95% 93% 93% 100% 90% 85% 95%

Northern 100% 100% 100% 100% 100% 99% 100%

South Eastern 100% 100% 100% 100% 98% 100% 100%

Southern 100% 100% 100% 100% 100% 100% 100%

Western 90% 93% 100% 89% 95% 94% 96%

Region 98% 98% 99% 99% 98% 96% 99%

Trust

Number of people with continuing care needs waiting longer than five weeks for assessment of

need to be completed.

59


100% 99% 98% 100% 100% 98% 99% 99% 97% 96% 98% 98% 99% 98%

0%

20%

40%

60%

80%

100%

120%


Community Care - % Waiting < 8 Weeks for Main Component of Care


Belfast 100% 100% 100% 100% 100% 100% 99%

Northern 99% 98% 99% 98% 96% 98% 96%

South Eastern 100% 100% 100% 100% 100% 100% 99%

Southern 100% 100% 100% 100% 100% 100% 100%

Western 100% 100% 100% 100% 91% 100% 99%

Region 100% 99% 100% 99% 96% 99% 98%

Trust

Number of people with continuing care needs waiting longer than eight weeks from their

assessment of need, for the main components of their care needs to be met.

60


To improve productivity by ensuring effective and efficient allocation and utilisation of all available resources in line with Ministerial priorities

Efficiency indicators

F5. Percentage of operations cancelled for non-clinical reasons

1.6% 1.8% 1.5% 1.6% 1.4% 1.7% 1.5%2.0% 1.8% 1.7%

4.1%3.5% 3.6%

2.2%

0%

2%

4%

6%

8%

10%


Cancelled Ops - % of operations cancelled(for non clinical reasons)


Belfast 1.6% 2.8% 2.1% 2.0% 2.2% 4.8% 3.0%

Northern 2.1% 1.6% 2.1% 1.7% 2.4% 4.3% 2.3%

South Eastern 1.6% 1.1% 1.4% 1.2% 0.9% 3.1% 1.6%

Southern 1.5% 1.1% 1.2% 1.3% 1.4% 2.3% 1.4%

Western 1.0% 0.3% 0.5% 0.4% 0.6% 1.6% 1.2%

Region 1.6% 1.8% 1.6% 1.5% 1.7% 3.6% 2.2%

TrustPercentage of operations cancelled for non-clinical reasons.

F7. Percentage of routine diagnostic tests reported on within 2 weeks of the test being undertaken


Belfast 92% 91% 95% 94% 96% 95% 95%

Northern 90% 88% 91% 92% 89% 92% 90%

South Eastern 100% 99% 100% 100% 100% 99% 100%

Southern 96% 95% 94% 95% 97% 89% 95%

Western 97% 97% 98% 96% 97% 98% 98%

Region 94% 93% 95% 95% 96% 95% 95%

TrustPercentage of routine diagnostic tests reported on within 2 weeks of test being undertaken

61



Belfast 90% 89% 90% 92% 93% 92% 92%

Northern 94% 93% 93% 96% 75% 89% 91%

South Eastern 98% 100% 96% 99% 100% 98% 99%

Southern 93% 61% 60% 65% 75% 64% 66%

Western 99% 97% 98% 95% 97% 98% 96%

Region 94% 89% 89% 90% 88% 89% 89%

Trust

Percentage of routine diagnostic tests reported on within 2 weeks of test being undertaken -

include plain film x-ray

F8. Percentage of routine diagnostic tests reported on within 4 weeks of the test being undertaken.

99% 99% 99% 99% 99% 98% 99% 99% 99% 99% 99% 100% 99% 99%

0%

20%

40%

60%

80%

100%


DRTT - % of routine diagnostic tests reported on within 4 weeks


Belfast 98% 98% 99% 99% 99% 99% 99%

Northern 98% 100% 99% 98% 97% 100% 98%

South Eastern 100% 100% 100% 100% 100% 100% 100%

Southern 99% 100% 99% 99% 100% 98% 99%

Western 99% 100% 100% 100% 100% 100% 100%

Region 99% 99% 99% 99% 99% 99% 99%

TrustPercentage of routine diagnostic tests reported within 4 weeks of test being undertaken

62


99% 99% 99% 99% 98% 96% 96% 98% 99% 99% 99% 99% 98% 98%

0%

20%

40%

60%

80%

100%


DRTT - % of routine diagnostic tests reported on within 4 weeks includes plain film x-ray


Belfast 97% 97% 96% 98% 97% 97% 97%

Northern 99% 100% 100% 99% 97% 100% 99%

South Eastern 100% 100% 100% 100% 100% 100% 100%

Southern 100% 100% 99% 79% 99% 90% 94%

Western 100% 100% 100% 100% 100% 100% 100%

Region 99% 99% 99% 96% 99% 98% 98%

Trust

Percentage of routine diagnostic tests reported within 4 weeks of test being undertaken - include

plain film x-ray.

F9. Ratio of new to review outpatient appointments attended, by HSC Trust

Apr-14 Jun-14 Sep-14 Dec-14 Mar-15

Belfast 1:2 1:2 1:2 1:3 1:2

Northern 1:2 1:2 1:2 1:2 1:2

South Eastern 1:2 1:1 1:1 1:1 1:2

Southern 1:2 1:1 1:1 1:2 1:2

Western 1:2 1:2 1:2 1:2 1:2

Region 1:2 1:2 1:2 1:2 1:2

TrustRatio of new to review outpatient appointments attended by HSC Trust

63


F10. Rate of new and review outpatient appointments where the patient did not attend, by HSC Trust

7.0% 7.2% 7.2% 7.5% 7.5% 7.5% 7.5% 7.4% 7.9% 8.0% 6.8% 7.5%

0%

20%

40%

60%

80%

100%


Rate of new outpatient appointments where the patient did not attend


Belfast 7.2% 7.3% 7.6% 8.7% 8.0%

Northern 6.7% 7.0% 6.9% 5.9% 6.1%

South Eastern 6.5% 6.9% 7.3% 6.8% 6.5%

Southern 6.5% 6.2% 6.4% 7.5% 6.9%

Western 8.1% 8.4% 9.5% 9.5% 9.6%

Region 7.0% 7.2% 7.5% 7.9% 7.5%

Trust

Rate of new outpatient appointments where the patient did not attend

by HSC Trust

9.8% 9.8% 9.6% 9.7% 9.8% 9.4% 9.5% 9.7% 10.3% 10.6% 9.2% 9.6%

0%

20%

40%

60%

80%

100%


Rate of review outpatient appointments where the patient did not attend

64



Belfast 10.1% 9.8% 9.6% 10.7% 10.1%

Northern 9.5% 9.6% 9.3% 10.2% 8.8%

South Eastern 11.0% 10.7% 10.9% 11.6% 10.6%

Southern 8.1% 7.9% 7.4% 7.9% 7.3%

Western 9.4% 9.3% 9.3% 10.2% 10.8%

Region 9.8% 9.6% 9.4% 10.3% 9.6%

Trust

Rate of review outpatient appointments where the patient did not

attend by HSC Trust

F11. Rate of new and review outpatient appointments cancelled by hospital, by HSC Trust

8.1% 5.9% 6.0% 7.4% 6.3% 6.3% 7.6% 7.4% 7.1% 6.8% 6.6% 8.0%

0%

20%

40%

60%

80%

100%


Rate of new outpatient appointments cancelled by the hospital


Belfast 8.1% 6.7% 6.8% 8.0% 9.9%

Northern 12.4% 7.0% 6.5% 8.8% 9.0%

South Eastern 6.0% 5.0% 7.3% 5.4% 5.5%

Southern 6.4% 3.9% 3.4% 5.4% 3.9%

Western 8.3% 6.8% 7.0% 7.2% 9.3%

Region 8.1% 6.0% 6.3% 7.1% 8.0%

Trust

Rate of new outpatient appointments cancelled by the hospital, by HSC

Trust

65


12.8% 10.9% 11.1% 12.6% 12.4% 11.4% 11.9% 10.9% 12.3% 11.6% 12.2% 13.1%

0%

20%

40%

60%

80%

100%


Rate of review outpatient appointments cancelled by the hospital


Belfast 13.9% 12.3% 13.0% 12.8% 14.6%

Northern 13.6% 12.6% 11.1% 13.2% 15.3%

South Eastern 12.5% 11.0% 11.4% 13.1% 12.4%

Southern 8.9% 6.3% 6.6% 10.1% 7.1%

Western 12.5% 10.5% 11.1% 11.2% 13.7%

Region 12.8% 11.1% 11.4% 12.3% 13.1%

Trust

Rate of review outpatient appointments cancelled by the hospital, by

HSC Trust

F12. Ratio of new and review outpatient appointments cancelled by hospital, by HSC Trust


Belfast 1:4 1:4 1:5 1:4 1:4

Northern 1:2 1:3 1:3 1:3 1:3

South Eastern 1:3 1:3 1:2 1:4 1:4

Southern 1:3 1:2 1:3 1:3 1:4

Western 1:3 1:3 1:3 1:3 1:3

Region 1:3 1:4 1:4 1:4 1:3

Trust

Ratio of new to review outpatient appointments cancelled by the

hospital

66


Out of hours GP attendance

F16. Out of hours attendance by timeband (i) 12am to 8.30am; (ii) 8.30am to 6pm; and (iii) 6pm to 12am

6,4316,152

5,727 5,6455,369 5,157

5,408

6,036

7,381

6,4696,197

6,693

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000


Out of Hours GP attendance by Timeband - 12am to 8.30am


Belfast 1,095 1,031 932 1,424 1,301 13,505

Northern 1,680 1,417 1,303 1,865 1,624 18,215

South Eastern 1,326 1,190 1,091 1,485 1,355 14,889

Southern 1,249 1,116 951 1,381 1,270 13,361

Western 1,081 973 880 1,226 1,143 12,695

Region 6,431 5,727 5,157 7,381 6,693 72,66582,155

TrustOut of Hours GP attendance by Timeband - 12am to 8.30am*

25700 26244

18777 19270

21988

1651617720

22813

2721325599

20972

23451

0

5000

10000

15000

20000

25000

30000


Out of Hours GP attendance by Timeband - 8.30am to 6pm

67



Belfast 4,518 3,498 2,996 5,224 4,657 50,632

Northern 6,658 5,105 4,347 7,220 6,318 69,832

South Eastern 4,933 3,658 3,183 5,095 4,389 51,117

Southern 4,763 3,134 2,928 4,770 3,870 46,688

Western 4,828 3,382 3,062 4,904 4,217 47,994

Region 25,700 18,777 16,516 27,213 23,451 266,263294,475

TrustOut of Hours GP attendance by Timeband - 8.30am to 6pm*

22623 2196421148 20556

18789 1814019209 19853

2275321554 20960

21846

0

5000

10000

15000

20000

25000


Out of Hours GP attendance by Timeband - 6pm to 12am


Belfast 4,439 4,062 3,553 4,692 4,786 50,262

Northern 5,663 5,359 4,459 5,465 5,407 62,151

South Eastern 4,088 3,950 3,397 4,248 3,909 45,801

Southern 4,115 3,842 3,172 3,890 3,585 43,190

Western 4,318 3,935 3,559 4,458 4,159 47,991

Region 22,623 21,148 18,140 22,753 21,846 249,395219,644

TrustOut of Hours GP attendance by Timeband - 6pm to 12am*

68


To ensure the most vulnerable in our society, including children and adults at risk of harm, are looked after effectively across all our services.

Children

G1. Percentage of all foster care placements that are kinship care placements.

43% 43% 43% 44% 43% 44% 42%37% 37% 37% 39% 37% 37% 38%

0%

20%

40%

60%

80%

100%


Percentage of all foster care placements that are kinship care placements.


Belfast 40% 32% 33% 34% 33% 33% 33%

Northern 49% 51% 50% 34% 34% 33% 34%

South Eastern 37% 37% 37% 38% 37% 38% 37%

Southern 47% 49% 50% 57% 38% 38% 41%

Western 41% 42% 44% 47% 46% 46% 46%

Region 43% 43% 44% 42% 37% 37% 38%

TrustChildren - Percentage of all foster care placements that are kinship care placements

69


G2. Number of care leavers in education, training and employment by placement type.

36

3335

3229 28 28

31 32

3639

37

0

5

10

15

20

25

30

35

40

45


Children - Number of residential care leavers in education, training and employment.


Belfast 299 23 21 14 18 18 219

Northern 116 9 12 12 12 13 146

South Eastern 0 0 0 0 0 0 0

Southern 27 3 1 1 0 0 9

Western 60 1 1 1 2 6 22

Region 502 36 35 28 32 37 396

TrustChildren - Number of residential care leavers in education, training and employment.

70


G3. Percentage of care leavers at age 18, 19 and 20 years in education, training and employment

76%80% 79% 79% 81% 78% 79% 77% 78% 78% 80% 79% 79% 79%

0%

20%

40%

60%

80%

100%


Percentage of care leavers at age 18, 19 and 20 years in education, training or employment.


Belfast 71% 77% 79% 81% 77% 80% 78%

Northern 79% 75% 71% 64% 74% 78% 73%

South Eastern 77% 79% 76% 82% 79% 77% 78%

Southern 86% 94% 90% 87% 82% 83% 87%

Western 74% 80% 80% 83% 81% 80% 81%

Region 76% 80% 79% 79% 78% 79% 79%

Trust

Children - Percentage of care leavers at age 18, 19 and 20 years in education, training or

employment.

71


G4. The percentage of children with and adoption best-interests decision that are notified to the Adoption Regional Information System (ARIS) within 4 weeks of the HSC Trust approving the adoption panel's recommendation that adoption is in the best interest of the child

93%

83%

95%100% 100%

95%

0%

20%

40%

60%

80%

100%

% % % % %

13/14 Qtr1 14/15 Qtr2 14/15 Qtr3 14/15 Qtr4 14/15 14/15 Cum

Children -% of children with an adoption best-interests decision notified to the Regional Adoption Information System.

13/14 Qtr1 14/15 Qtr2 14/15 Qtr3 14/15 Qtr4 14/15 14/15 Cum

Belfast 100% 71% 75% 100% 100% 87%

Northern 79% 100% 100% 100% 100% 100%

South Eastern 95% 50% 100% 100% 100% 90%

Southern 94% 100% 0% 100% 100% 100%

Western 100% 100% 0% 100% 100% 100%

Region 93% 83% 95% 100% 100% 95%

Trust

Children - The percentage of children with an adoption best-interests decision that

are notified to the Adoption Regional Information System (ARIS) within 4 weeks of the

HSC Trust approving the adoption panel's recommendation that adoption is in the

best interest of the child

G5. The number of school-age children in care for 12 months or longer who have missed 25 or more school days by placement type

Type of Placement 2005/06 2006/07* 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13

Residential Care 47 42 36 35 45 44 41 42

Non-Kinship Foster Care 30 29 27 27 32 22 25 28

Kinship Foster Care 24 21 18 18 30 34 25 23

Placed with Family 32 28 24 41 38 35 23 20

Other 9 8 6 4 10 7 7 11

Total 142 127 111 125 155 142 121 124

Children - The number of school-age children in care for 12 months or longer who have missed 25 or more school days by

placement type.

72


G6. Length of time for best interest decision to be reached in the adoption process

0

5

10

15

20

25

2002/03 2003/04 2004/05 2005/06 2007/08 2009/10 2011/12 2012/13 2013/14

Children - Length of time in months for best interest Decision to be reached in the adoption process

Autistic spectrum disorders

G9. Number of referrals for ASD (under 18)

0

50

100

150

200

250

300


Number of Referrals Accepted After Triage for ASD (under 18)


Belfast 538 70 71 52 52 37 649

Northern 774 75 81 68 66 77 813

South Eastern 411 37 38 30 21 37 383

Southern 281 23 22 16 17 27 249

Western 290 36 43 26 34 25 395

Region 2294 241 255 192 190 203 2489

TrustNumber of referrals (accepted after Triage) for ASD (Under 18)

73


G10. Number diagnosed with ASD (under 18)

0

20

40

60

80

100

120

140


Number Diagnosed with Autism / ASD (under 18)


Belfast 174 13 35 24 27 23 267

Northern 439 34 34 34 18 27 356

South Eastern 179 17 28 26 21 17 268

Southern 72 4 5 11 4 6 80

Western 90 5 27 13 19 17 165

Region 954 73 129 108 89 90 1136

TrustNumber diagnosed with Autism / ASD (Under 18)

74


Safeguarding vulnerable adults

G11. Number of Adult Protection Referrals received by HSC Trusts

620

753

813837

780

707

792816

702 717743

781

0

100

200

300

400

500

600

700

800

900


Number of Adult Protection Referrals received by HSC Trusts


Belfast 2,818 203 256 285 261 259 2,778

Northern 1,766 164 173 159 173 189 2,347

South Eastern 1,144 92 105 97 114 133 1,412

Southern 1,396 113 236 122 90 118 1,856

Western 658 48 43 44 64 82 663

Region 7,782 620 813 707 702 781 9,056

TrustNumber of Adult Protection Referrals received by HSC Trusts

hsc board performance report 2015/16 (month 1 ... board...1 hsc board performance report – 2015/16...

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