hsc board performance report 2015/16 (month 3 june 2015… board... · 2015-08-05 · 1 hsc board...

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HSC BOARD PERFORMANCE REPORT – 2015/16 (Month 3 – June 2015)

Purpose

This paper provides Board members with an assessment of performance against the 2015/16

standards and targets set out in the Minister’s Commissioning Plan Direction (Northern Ireland)

2015. The position regionally and by Trust at the end of June 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 A.

An update on end of year performance for a range of 2014/15 target areas and indicators of

performance where information was previously not available due to the three month period

allowed to facilitate coding within Trusts is provided at Annexes B and C respectively.

Performance Management Reporting

The Department has asked the HSC Board to establish a short-life working group with

representation from all Trusts to bring forward proposals to improve the consistency, scope and

timeliness of the performance reports produced by the Department, HSC Board and Trusts.

This group has recently been established and will review the existing arrangements and bring

forward proposals for the Department’s consideration on the core elements and format for all

organisations’ published performance reports. It should be noted that there will be no change to

the Board’s existing performance reporting arrangements until the outcome of this process is

known, and Board members’ views on the revised format will be sought before the proposals

are finalised.

Performance

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 A.

1. Elective Care (including Diagnostics)

The number of patients waiting longer than the Ministerial maximum waiting time for a first

outpatient appointment has continued to increase during the first quarter of this year – at the

end of June 2015: 39% of patients were waiting less than nine weeks for a first outpatient

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appointment; 129,697 patients were waiting longer than nine weeks; and, 86,127 were

waiting longer than 18 weeks.

63%59% 61%

57%51% 52% 52% 49%

44%41% 42% 44%

40% 38% 39%

0%

20%

40%

60%

80%

100%

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

OPs - % waiting <9 weeks

2014/15 2015/16

31.3.15 30.4.15 31.5.16 30.6.15

Belfast 39% 36% 35% 35%

Northern 46% 43% 40% 41%

South Eastern 42% 39% 36% 36%

Southern 48% 45% 42% 44%

Western 54% 50% 47% 49%

TOTAL 44% 40% 38% 39%

Outpatients% <9 weeks

49,528

58,761 56,087

64,648

75,595 73,61178,864

85,588

95,437103,156 104,363

107,957

117,543

127,039 129,697

0

30,000

60,000

90,000

120,000

150,000


Outpatients - Number waiting > 9 weeks

2014/15 2015/16

31.3.15 30.4.15 31.5.15 30.6.15

Belfast 47,748 50,833 53,845 55,352

Northern 13,589 15,766 16,845 16,382

South Eastern 20,457 22,884 25,212 26,324

Southern 15,950 17,274 18,684 18,613

Western 10,213 10,786 12,453 13,026

TOTAL 107,957 117,543 127,039 129,697

Outpatients>9 weeks

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17,28519,804 20,852

24,03527,027 28,643

36,891

42,271

48,590

55,949

62,098

69,730

76,01880,403

86,127

0

20,000

40,000

60,000

80,000

100,000



2014/15 2015/16

31.3.15 30.4.15 31.5.15 30.6.15

Belfast 33,851 35,426 37,221 39,958

Northern 8,519 10,146 10,545 10,675

South Eastern 13,052 14,765 15,848 17,455

Southern 8,309 9,173 9,616 10,148

Western 5,999 6,508 7,173 7,891

TOTAL 69,730 76,018 80,403 86,127

>18 weeksOutpatients

Waiting times for inpatient or daycase treatment have also increased since the end of

March 2015 however, to a much lesser extent than for an outpatient assessment – at the

end of June 2015: 52% of patients were waiting less than 13 weeks for treatment; 29,028

patients were waiting longer than 13 weeks and 14,777 were waiting longer than 26 weeks.

66% 63% 65% 64% 62% 61% 61% 61%57% 54% 52% 52%

52% 51% 52%

0%

20%

40%

60%

80%

100%


IPDC - % waiting <13 weeks

2014/15 2015/16

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31.3.15 30.4.15 31.5.16 30.6.15

Belfast 40% 0% 39% 40%

Northern 76% 78% 77% 76%


Southern 69% 67% 63% 64%

Western 55% 54% 54% 54%

TOTAL 52% 52% 51% 52%

IPDC% <13 weeks

17,34118,781

17,62418,544

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

23,393

26,04927,475 27,78028,446

29,409 29,028

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000


IPDC - Number waiting > 13 weeks

2014/15 2015/16

31.3.15 30.4.15 31.5.15 30.6.15

Belfast 16,448 16,528 16,504 15,983

Northern 1,419 1,341 1,540 1,613

South Eastern 2,966 3,215 3,449 3,577

Southern 2,541 2,783 3,191 3,221

Western 4,406 4,579 4,725 4,634

TOTAL 27,780 28,446 29,409 29,028

IPDC>13 weeks

5,2446,059

5,4856,164

6,9576,519

7,3708,131

9,766

11,090

12,006

13,622

14,67715,203

14,777

0

4,000

8,000

12,000

16,000



2014/15 2015/16

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31.3.15 30.4.15 31.5.15 30.6.15

Belfast 8,631 9,192 9,255 8,738

Northern 329 342 353 284

South Eastern 1,380 1,520 1,732 1,901

Southern 1,162 1,216 1,316 1,266

Western 2,120 2,407 2,547 2,588

TOTAL 13,622 14,677 15,203 14,777

IPDC>26 weeks

There has also been a further increase in the number of patients waiting longer than 52

weeks – at the end of June 2015, 10,143 patients were waiting longer than 52 weeks for an

outpatient assessment and 3,406 were waiting longer than a year for surgery.

31.3.15 30.4.15 31.5.15 30.6.15

Belfast 2,808 3,746 4,895 6,763

Northern 125 253 386 510

South Eastern 477 687 862 1,162

Southern 4 91 408 745

Western 197 348 615 963

TOTAL 3,611 5,125 7,166 10,143

31.3.15 30.4.15 31.5.15 30.6.15

Belfast 1,633 1,866 2,098 2,335

Northern 4 13 15 17

South Eastern 151 191 256 333

Southern 122 148 190 223

Western 168 256 363 498

TOTAL 2,078 2,474 2,922 3,406

Outpatients

IPDC

>52 weeks

>52 weeks

The increase in waiting times is due to a number of factors including a year-on-year

increase in referrals of approximately 6%, agreed volumes of funded activity not being fully

delivered across a number of specialties by some providers, and the impact of the wider

financial position.

Regionally during quarter one of this year, there has been a 6% underdelivery of

commissioned volumes of core activity for new outpatient assessments compared with 7%

during 2014/15. In relation to inpatient/daycase treatment, the scale of underdelivery during

quarter one (6%) is unchanged from the position during 2014/15.

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Expected DeliveredVariance

(nn)

Variance

(%)

Belfast 35,353 32,305 -3,048 -9% -9%

Northern 13,580 13,779 199 1% -7%

South Eastern 17,577 16,586 -991 -6% -4%

Southern 17,225 16,712 -513 -3% -4%

Western 17,416 15,919 -1,497 -9% -7%

TOTAL 101,151 95,301 -5,850 -6% -7%

Expected DeliveredVariance

(nn)

Variance

(%)

Belfast 15,005 13,976 -1,029 -7% -6%

Northern 5,000 4,464 -536 -11% -12%

South Eastern 6,400 5,986 -414 -6% -9%

Southern 7,094 6,608 -486 -7% -5%

Western 6,650 6,755 105 2% -2%

TOTAL 40,149 37,789 -2,360 -6% -6%

Underdelivery

of Core 2014/15

(%)

Underdelivery

of Core 2014/15

(%)

OUTPATIENTS

Delivery of Core (1.4.15-30.6.15)

Trust

Trust

INPATIENT/DAYCASES

Delivery of Core (1.4.15-30.6.15)

The Board has provided significant recurrent investments to Trusts in recent years for

elective care and further investments are planned in 2015/16 - £24m was invested in

2014/15 and there are plans to invest a further £7m this year. However, notwithstanding

these investments, demand has continued to increase and significant capacity gaps remain

in a number of specialties. Subject to the availability of funding, the Board will continue to

make targeted recurrent investments to expand health service capacity in specialties where

the commissioned volumes of core activity are being delivered and where it is confident that

the additional activity associated with the investment can be delivered within agreed

timescales. It should be noted however, that there are a number of limiting factors, besides

the financial position, to expanding health service capacity including, in particular, medical

workforce issues and challenges securing other required resources (e.g. theatres).

Pending the implementation of recurrent solutions, the Board has previously funded Trusts

to undertake additional activity (in-house or, as appropriate, in the Independent Sector). 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.

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

the 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.

In addition, the Board is continuing to monitor Trusts’ performance against the elective

improvement plans that were produced for specialties where there was a material

underdelivery of core capacity in 2014/15 and an associated increase in waiting times, to

ensure that progress is on track to deliver the agreed outcomes. In any areas where this is

not the case, these are raised at the regular elective performance meetings with Trusts to

discuss what remedial actions the Trust plans to take.

Regionally during June 2015, diagnostics waiting times have remained broadly unchanged

compared with the previous month – at 30 June, 22,821 patients were waiting longer than

nine weeks for a diagnostic test.

10,20111,559 11,063

12,61813,636 13,170

14,086

15,887

20,284

22,299

20,132

17,435

20,818

22,890 22,821

0

5,000

10,000

15,000

20,000

25,000

30,000


Diagnostics waiting > 9 weeks(Imaging and Physiological Measurement)

2014/15 2015/16

31.3.15 30.4.15 31.5.15 30.6.15

Belfast 7,729 8,891 9,496 9,120

Northern 5,847 6,306 7,035 7,368

South Eastern 1,288 1,489 1,652 1,684

Southern 2,673 3,816 4,466 4,535

Western 270 316 241 114

TOTAL 17,807 20,818 22,890 22,821

Diagnostics> 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. Non-

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recurrent funding to enable Trusts to continue to undertake additional diagnostics activity in

Q1/Q2 has been confirmed to Trusts however, given the time required to put arrangements

in place for the additionality, the increase in waiting times during quarter one is not

unexpected as, in some areas, there will have been a pause in additional activity being

undertaken during this time.

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

Regionally during June 2015, 236 patients waited longer than 12 hours in ED – this

represents a reduction compared with May 2015 (389) and on the same month last year

(293). In particular, it should be noted that there were no patients waited longer than 12

hours during June in Southern and Western Trusts. Furthermore, there has been a notable

reduction in the number of patients who waited longer than 12 hours in Belfast and Northern

Trusts during June 2015 (95 and five respectively) compared with the previous month (212

and 75 respectively).

251

203

293

41

138

256

138 12591

379

642613

456

389

236

0

100

200

300

400

500

600

700


A & E - Number waiting >12 hours

2014/15 2015/16

2014/15

(FY)Apr-15 May-15 Jun-15 Jun-14

Belfast 1,756 223 212 95 223

Northern 663 78 75 5 63

South Eastern 713 149 100 136 6

Southern 14 1 0 0 1

Western 24 5 2 0 0

Region 3,170 456 389 236 293

Trust

ED - No >12 hours

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In relation to the 4-hour standard, performance improved during June 2015 (78%)

compared with the previous month (76%) and is broadly unchanged from the same month

last year (79%).

74% 76%78%

77% 77% 79%82%

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

71% 74%

0%

20%

40%

60%

80%

100%


A & E - % within 4 hours

2015/16 2014/15

Belfast 72% 72% 73% 78% 72%

Northern 71% 64% 64% 68% 75%

South Eastern 81% 79% 82% 81% 83%

Southern 84% 80% 83% 81% 82%

Western 83% 78% 77% 82% 88%

Region 78% 74% 76% 78% 79%

ED - % <4 hours

Trust 2014/15

(FY)Apr-15 Jun-14May-15 Jun-15

Improving performance against the 4 and 12 hour standards 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 June 2015, performance against the 14-day breast cancer standard has

remained largely unchanged from the previous month – 81% of urgent referrals were seen

within 14 days compared to 82% in May 2015. Where patients were not seen within 14

days during June, the longest wait was 28 days with the exception of one patient in Belfast

Trust who waited a maximum of 33 days.

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61%56%

60%

46%

87%99% 100%

97% 96%94%

90%82%

78%82% 81%

0%

20%

40%

60%

80%

100%


Urgent Breast Cancer Referrals - % seen <14 days (Regional)

2014/15 2015/16

14/15 Cum Apr-15 May-15 Jun-15 15/16 Cum

Belfast 83% 15% 20% 27% 21%

Northern 71% 100% 100% 100% 100%

South Eastern 68% 95% 81% 87% 87%

Southern 83% 100% 100% 100% 100%

Western 99% 100% 98% 100% 99%

Region 81% 78% 82% 81% 81%

Cancer Services (Breast) - % within 14 daysTrust

As previously reported, the decline in the regional position is primarily due to performance in

the Belfast Trust which has improved slightly in June to 27%. Given the seriousness of this

position and the need to improve access to the Breast Service for women with suspect

cancer as a matter of urgency, the Board has worked closely with Belfast Trust to agree a

number of actions to improve waiting times in both the short and medium terms. In the

short term, the Board has worked with the Trust to secure additional capacity from other

Trusts. This has involved the temporary re-direction of urgent referrals for patients who

reside outside the Belfast Trust locality to the Trust area where the patient lives. At this

stage, it is anticipated that these arrangements will remain in place until end of August.

Furthermore, Belfast Trust has put a number of additional clinics in place during August to

increase capacity and reduce waiting times.

With regard to the medium/longer term solution, the Board has approved the allocation of

recurrent funding to Belfast Trust to appoint an additional Breast Care Nurse and Staff

Grade to enable the Trust to better respond to fluctuations in demand. The recruitment

process for these additional staff is currently underway. Discussions are also underway

between the Board and Trust to agree the level of recurrent investment required to support

the introduction of a fourth one-stop clinic.

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While performance is not expected to improve significantly during July 2015 when there are

particular staffing challenges, the Trust does expect to deliver a material improvement from

August onwards. The Board has also required the Trust to ensure that no patient waits

longer than 28 days during July and that this maximum waiting time reduces considerably

from August onwards.

Regionally during June 2015, 97% of patients diagnosed with cancer received 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% 95% 97%

0%

20%

40%

60%

80%

100%


Cancer (31 days) - % within 31 days


Belfast 93% 94% 92% 94% 93%

Northern 99% 98% 99% 98% 98%

South Eastern 97% 96% 93% 96% 95%

Southern 99% 100% 99% 99% 99%

Western 100% 100% 100% 100% 100%

Region 96% 97% 95% 97% 96%

Cancer Services - % <31 daysTrust

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

during June 2015, 69% of patients urgently referred with a suspected cancer began their

first definitive treatment within 62 days compared to 73% in May.

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77%73%

77%73%

76%

66%70%

74% 75%72% 70% 71%

77%73%

69%

0%

20%

40%

60%

80%

100%


Cancer - % treated within 62 days


Belfast 66% 70% 65% 57% 64%

Northern 68% 80% 70% 70% 74%

South Eastern 64% 60% 60% 62% 61%

Southern 85% 91% 92% 84% 89%

Western 92% 92% 88% 90% 91%

Region 73% 77% 73% 69% 73%

TrustCancer Services - % <62 days

Trusts are continuing 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. Psychological Therapies

At the end of June 2015, 920 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).

13

438495

551 575610

678 688 700

830 831 854912

921

1,000

920

0

200

400

600

800

1,000

1,200


Psychological Therapies - Numbers Waiting >13 Weeks

2014/15 2015/16

Mar-15 Apr-15 May-15 Jun-15

Belfast 164 142 195 169

Northern 112 96 114 122


Southern 54 66 81 107

Western 95 108 119 85

Region 912 921 1,000 920

Trust

Psychological Therapies -

No >13 wks

Jun-15

Service Belfast NorthernSouth

EasternSouthern Western

Region

Total

Adult Mental Health 13 103 299 101 49 565

Older People-Functional Services 0 0 13 0 0 13

Adult Learning Disability 9 9 11 2 17 48

Children's Learning Disability 25 0 1 4 0 30

Adult Health Psychology 110 10 100 0 0 220

Children's Psychology 12 0 0 0 2 14

Psychosexual Services 0 0 0 0 16 16

Dementia/Memory Services 0 0 13 0 1 14

Trust Total 169 122 437 107 85 920

Psychological Therapies Services - Breach Analysis June 2015

More than half (437) of patients waiting longer than 13 weeks to access psychological

therapies at the end of June 2015 were in the South Eastern Trust. Regionally, the

majority (85%) of patients waiting longer than 13 weeks are waiting to access adult mental

health (565) and adult health psychology services (220). A detailed update on the issues

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

these was provided at the April 2015 Board meeting.

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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 August 2015

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Annex A 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 September 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.

Baseline

(March 15)

Target

(by March 16)

Profile

(Apr-Jun 15)

Actual

(Apr-Jun 15)

Variance

(Actual vs

profile)

% Variance

(Actual vs

profile)

Belfast 649 714 665 652 -13 -2%

Northern 723 795 741 746 5 1%

South Eastern 585 644 600 590 -10 -2%

Southern 762 838 781 745 -36 -5%

Western 357 393 366 367 1 0%

Region 3,076 3,384 3,153 3,100 -53 -2%

Carers' assessments -

10% increase by March 2016

Trust

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 – regionally at end of June 2015, 3,100 carers’ assessments have been offered against a quarter one target profile of 3,153.

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

Baseline

(March 15)

Target

(by March 16)

Profile

(Apr-Jun 15)

Actual

(Apr-Jun 15)

Variance

(Actual vs

profile)

% Variance

(Actual vs

profile)

Belfast 537 591 550 537 -13 -2%

Northern 624 686 640 618 -22 -3%

South Eastern 618 680 633 667 34 5%

Southern 742 816 761 753 -8 -1%

Western 441 485 452 466 14 3%

Region 2,962 3,258 3,036 3,041 5 0%

Direct Payments - 10% increase by March 2016

Trust

In order to achieve the 10% increase, Trusts will be required to 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 – regionally at end of June 2015, 3,041 direct payments are in place against a quarter one target profile of 3,036.

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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

12037

8741

0 0 0 0 0 0 0 0 00

2,000

4,000

6,000

8,000

10,000

12,000

14,000

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

Due to technical difficulties Belfast Trust are unable to supply figures for AHP Waits June 15


Belfast 3,864 3,942 4,183 not available

Northern 2,665 2,832 3,384 4,057


Southern 1,436 1,636 2,032 2,173

Western 1,923 2,016 2,195 2,235

Region 10,044 10,618 12,037 8,741

Number of patients waiting >13wks

(all AHP services)Trust

Note 1: BHSCT physio figures rolled forward from Oct 14, OT from April 15 and DT from March 15

Note 2: BHSCT unable to provide performance information for June 15 due to technical difficulites


Physio 4,928 5,154 5,724 3,188

OT 2,658 2,678 2,875 2,541

Dietetics 480 504 528 439

SLT 1,300 1,536 1,845 1,641

Podiatry 493 618 877 918

Orthoptics 7 2 9 14

MDT 178 126 179 0

Region 10,044 10,618 12,037 8,741

Number of patients waiting >13wks

by professionAHP

Note 1: BHSCT physio figures rolled forward from Oct 14, OT from April 15 and DT from March 15

Note 2: BHSCT unable to provide performance information for June 15 due to technical difficulites

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. Due to technical issues following a recent system upgrade, Belfast Trust has been unable to provide details of the number of patients waiting longer than 13 weeks at end of June 2015. Across the remaining four Trusts, at the end of June 2015, 8,741 patients were waiting longer than 13 weeks compared with 7,854 at the end of May 2015. During 2014/15, significant work was undertaken by the PHA, Board and Trusts to standardise the definitions and guidance and to put in place arrangements to consistently report AHP performance in line with these definitions. The Board and PHA are using the enhanced activity and waiting time information to inform discussions with each Trust to agree the available capacity and any recurrent capacity gaps within each of the AHP services. This exercise has been completed for the Western Trust and the Board/PHA will now proceed to undertake a similar exercise with each of remaining Trusts.

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%

95%92%

0%

20%

40%

60%

80%

100%


Fractures - % of NoF within 48 hours

2014/15 2015/16


Belfast 91% 96% 99% 97% 97%

Northern

South Eastern 80% 71% 85% 81% 79%

Southern 92% 93% 88% 93% 91%

Western 89% 85% 100% 88% 92%

Region 89% 88% 95% 92% 92%

Fracture NoF- % within 48 hoursTrust

Regionally during June 2015, 92% of patients, where clinically appropriate, received inpatient treatment for hip fractures within 48 hours. This compares with 95% in May and 88% during June 2014.

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%

78%82% 81%

0%

20%

40%

60%

80%

100%


Urgent Breast Cancer Referrals - % seen <14 days (Regional)

2014/15 2015/16

Regionally during June 2015, 81% of urgent referrals were seen within 14 days compared to 82% in May 2015. Further details are provided at pages 9-11 above.

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Belfast 83% 15% 20% 27% 21%

Northern 71% 100% 100% 100% 100%

South Eastern 68% 95% 81% 87% 87%

Southern 83% 100% 100% 100% 100%

Western 99% 100% 98% 100% 99%

Region 81% 78% 82% 81% 81%

Cancer Services (Breast) - % within 14 daysTrust

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% 95% 97%

0%

20%

40%

60%

80%

100%


Cancer (31 days) - % within 31 days


Belfast 93% 94% 92% 94% 93%

Northern 99% 98% 99% 98% 98%

South Eastern 97% 96% 93% 96% 95%

Southern 99% 100% 99% 99% 99%

Western 100% 100% 100% 100% 100%

Region 96% 97% 95% 97% 96%

Cancer Services - % <31 daysTrust

Regionally during June 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%73%

69%

0%

20%

40%

60%

80%

100%


Cancer - % treated within 62 days

Performance against the 62-day standard has reduced compared with the previous month – during June 2015, 69% of patients urgently referred with a suspected cancer began their first definitive treatment within 62 days compared to 73% in May. Trusts are continuing 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



Belfast 66% 70% 65% 57% 64%

Northern 68% 80% 70% 70% 74%

South Eastern 64% 60% 60% 62% 61%

Southern 85% 91% 92% 84% 89%

Western 92% 92% 88% 90% 91%

Region 73% 77% 73% 69% 73%

TrustCancer Services - % <62 days

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

74% 76%78%

77% 77% 79%82%

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

71% 74%

0%

20%

40%

60%

80%

100%


A & E - % within 4 hours

2015/16 2014/15


Belfast 72% 72% 73% 78% 74%

Northern 71% 64% 64% 68% 65%

South Eastern 81% 79% 82% 81% 80%

Southern 84% 80% 83% 81% 81%

Western 83% 78% 77% 82% 79%

Region 78% 74% 76% 78% 76%

TrustA&E - % treated within 4 hours

Regionally during June 2015, 236 patients waited longer than 12 hours in ED – this represents a reduction compared with May 2015 (389) and on the same month last year (293). In particular, it should be noted that there were no patients waited longer than 12 hours during June in Southern and Western Trusts. Furthermore, there has been a notable reduction in the number of patients who waited longer than 12 hours in Belfast and Northern Trusts during June 2015 (95 and five respectively) compared with the previous month (212 and 75 respectively). In relation to the 4-hour standard, performance improved during June 2015 (78%) compared with the previous month (76%) and is broadly unchanged from the same month last year (79%). 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.

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

456

389

236251

203

293

41

138

256

138 12591

379

642613

0

100

200

300

400

500

600

700


A & E - Number waiting >12 hours

2015/16 2014/15

20



Belfast 1,756 223 212 95 530

Northern 663 78 75 5 158

South Eastern 713 149 100 136 385

Southern 14 1 0 0 1

Western 24 5 2 0 7

Region 3,170 456 389 236 1,081

TrustNo waiting >12 hours in ED

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%50% 53%

0%

20%

40%

60%

80%

100%


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

2014/15 2015/16


Belfast 69% 65% 59% 64% 62%

Northern 52% 47% 42% 48% 45%

South Eastern 53% 46% 44% 43% 44%

Southern 53% 49% 51% 47% 49%

Western 60% 58% 54% 61% 57%

Region 58% 54% 50% 53% 52%

LCG% Cat A calls within 8 minutes

Regionally during June 2015, 53% of Category A calls were responded to within eight minutes (target: 72.5% by March 2016). As previously reported, 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.

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% 38% 39%

0%

20%

40%

60%

80%

100%


OPs - % waiting <9 weeks

2014/15 2015/16


Belfast 39% 36% 35% 35%

Northern 46% 43% 40% 41%


Southern 48% 45% 42% 44%

Western 54% 50% 47% 49%

Region 44% 40% 38% 39%

TrustOP - % waiting <9 weeks

49,528

58,761 56,087

64,648

75,595 73,61178,864

85,588

95,437103,156 104,363

107,957

117,543

127,039 129,697

0

30,000

60,000

90,000

120,000

150,000



2014/15 2015/16


Belfast 47,748 50,833 53,845 55,352

Northern 13,589 15,766 16,845 16,382

South Eastern 20,457 22,884 25,212 26,324

Southern 15,950 17,274 18,684 18,613

Western 10,213 10,786 12,453 13,026

Region 107,957 117,543 127,039 129,697

TrustOP No waiting >9 weeks

The number of patients waiting longer than the Ministerial maximum waiting time for a first outpatient appointment has continued to increase during the first quarter of this year – at the end of June 2015: 39% of patients were waiting less than nine weeks for a first outpatient appointment; 129,697 patients were waiting longer than nine weeks; and, 86,127 were waiting longer than 18 weeks. Further details are provided at pages 1-7 above.

22


17,28519,804 20,852

24,03527,027 28,643

36,891

42,271

48,590

55,949

62,098

69,730

76,01880,403

86,127

0

20,000

40,000

60,000

80,000

100,000



2014/15 2015/16


Belfast 33,851 35,426 37,221 39,958

Northern 8,519 10,146 10,545 10,675

South Eastern 13,052 14,765 15,848 17,455

Southern 8,309 9,173 9,616 10,148

Western 5,999 6,508 7,173 7,891

Region 69,730 76,018 80,403 86,127

TrustOP No waiting >18 weeks

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

17,435

20,818

22,890 22,821

0

4,000

8,000

12,000

16,000

20,000

24,000

28,000


Diagnostics waiting > 9 weeks(Imaging and Physiological Measurement)

2014/15 2015/16

At 30 June 2015, 22,821 patients were waiting longer than nine weeks for a diagnostic test. Further details are provided at pages 7-8 above.

23



Belfast 7,729 8,891 9,496 9,120

Northern 5,847 6,306 7,035 7,368

South Eastern 1,288 1,489 1,652 1,684

Southern 2,673 3,816 4,466 4,535

Western 270 316 241 114

Region 17,807 20,818 22,890 22,821

Trust

Diagnostics -

No waiting >9 weeks

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% 89% 90%

0%

20%

40%

60%

80%

100%


DRTT (urgent) - % reported on within 2 days (inc plain film)

2014/15 2015/16


Belfast 89% 88% 90% 90% 89%

Northern 98% 97% 95% 94% 95%

South Eastern 96% 97% 97% 97% 97%

Southern 84% 76% 76% 81% 78%

Western 91% 92% 94% 93% 93%

Region 91% 88% 89% 90% 89%

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

Regionally during June 2015, 90% of urgent diagnostic tests were reported on within two days of the test being undertaken.

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.

66% 63% 65% 64% 62% 61% 61% 61%57% 54% 52% 52%

52% 51% 52%

0%

20%

40%

60%

80%

100%


IPDC - % waiting <13 weeks

2014/15 2015/16

Waiting times for inpatient or daycase treatment have also increased since the end of March 2015 however, to a much lesser extent than for an outpatient assessment – at the end of June 2015: 52% of patients were waiting less than 13 weeks for treatment; 29,028 patients were waiting longer than 13 weeks and 14,777 were waiting longer than 26 weeks. Further details are provided at pages 1-7 above.

24



Belfast 40% 40% 39% 40%

Northern 76% 79% 77% 75%


Southern 69% 67% 63% 64%

Western 55% 54% 54% 55%

Region 52% 52% 51% 52%

Trust

IPDC - % waiting

<13 weeks

17,34118,781

17,62418,544

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

23,393

26,04927,475 27,78028,446

29,409 29,028

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000



2014/15 2015/16


Belfast 16,448 16,528 16,504 15,983

Northern 1,419 1,341 1,540 1,613

South Eastern 2,966 3,215 3,449 3,577

Southern 2,541 2,783 3,191 3,221

Western 4,406 4,579 4,725 4,634

Region 27,780 28,446 29,409 29,028

Trust

IPDC - No waiting

>13 weeks

25


5,244

6,0595,485

6,164

6,9576,519

7,3708,131

9,766

11,090

12,006

13,622

14,67715,203

14,777

0

4,000

8,000

12,000

16,000



2014/15 2015/16


Belfast 8,631 9,192 9,255 8,738

Northern 329 342 353 284

South Eastern 1,380 1,520 1,732 1,901

Southern 1,162 1,216 1,316 1,266

Western 2,120 2,407 2,547 2,588

Region 13,622 14,677 15,203 14,777

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

7

21

31

713

2027

3340

4753

6067

7380

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

Cumulatively in the year to end of June 2015, Belfast Trust has delivered 31 kidney transplants, including DCD and DBD donors, against a target profile to deliver 21 during the first three months of this year.

26


Apr-15 May-15 Jun-15 15/16 Cum

Live Donors 4 4 5 13

DCD Donors 2 4 4 10

DBD Donors 1 6 1 8

Total Delivered 7 14 10 31

Profile Target 7 7 7 21

Number of kidney transplants

(minimum of 80 by March 2016)

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 20% in MRSA and Clostridium difficile infections compared to 2014/15.

5

12

20

0 0 0 0 0 0 0 0 048

1216

2025

2933

3741

4549

0

10

20

30

40

50

60

70

80

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

HCAI (MRSA) - No more than 49 during 2015/16

2014/15

Cumulative

2015/16

Target

Maximum

2015/16

Profile

(Apr 15 -

Jun-15)

2015/16

Actual

(Apr 15 -

Jun-15)

Variance

(actual vs

15/16 target

profile)

Belfast 28 18 5 9 5

Northern 11 10 3 6 4

South Eastern 7 7 1 1 0

Southern 9 5 2 1 -1

Western 12 9 2 3 1

Region 67 49 12 20 8

Trust

MRSA - No more than 49 during 2015/16

Regionally at the end of June 2015, a total of 20 MRSA bloodstream infections have been reported among all hospital in-patients against a trajectory of 12 cases for the 3-month period (April to June). Regionally at the end of June 2015, there have been 101 cases of C. difficile reported among hospital inpatients aged 2 years and over, 24 more than the 3-month target trajectory of 77 cases.

27


23

68

101

0 0 0 0 0 0 0 0 026

52

77

103

129

155

180

206

232

258

283

309

0

100

200

300

400


HCAI (C Diff) - No more than 309 during 2015/16

2014/15

Cumulative

2015/16

Target

Maximum

2015/16

Profile

(Apr 15 -

Jun-15)

2015/16

Actual

(Apr 15 -

Jun-15)

Variance

(actual vs

15/16 target

profile)

Belfast 140 115 29 37 8

Northern 62 59 15 22 7


Southern 39 32 8 12 4

Western 71 48 12 10 -2

Region 379 309 77 101 24

Trust

C.Diff - No more than 309 during 2015/16

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%

89%

89%

0%

20%

40%

60%

80%

100%


Learning Disability Discharge - % <7 days

2014/15 2015/16


Belfast 79% 100% 60% 100% 80%

Northern 91% 75% 100% 75% 87%

South Eastern 82% 100% 100% 50% 86%

Southern 74% 100% 100% 100% 100%

Western 84% 25% 100% 100% 70%

Region 83% 69% 89% 89% 84%

Learning Disability - % discharge within 7 daysTrust

Regionally during June 2015, 89% of learning disability discharges (17 out of a total of 19) took place within seven days and one discharge took longer than 28 days.

28



Belfast 12 0 2 0 2

Northern 3 1 0 1 2


Southern 4 0 0 0 0

Western 1 3 0 0 3

Region 26 4 2 1 7

Trust

Learning Disability - No of discharges

>28 days

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% 96%

96%

50%

60%

70%

80%

90%

100%


Mental Health Discharge - % <7 days

2014/15 2015/16


Belfast 98% 93% 90% 98% 95%

Northern 100% 100% 97% 100% 99%

South Eastern 94% 99% 96% 98% 98%

Southern 95% 96% 96% 94% 95%

Western 97% 97% 97% 95% 96%

Region 96% 97% 96% 96% 97%

Trust Mental Health - % discharge within 7 days


Belfast 8 2 3 1 6

Northern 0 0 1 0 1


Southern 24 0 2 3 5

Western 32 2 2 6 10

Region 97 4 8 11 23

Trust

Mental Health - No of discharges

>28 days

Regionally during June 2015, 96% of mental health discharges (444 out of a total of 461) took place within seven days and eleven took longer than 28 days.

29


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%

79%82%

80%

50%

60%

70%

80%

90%

100%


Complex Discharge - % <48 hours

2014/15 2015/16


Belfast 55% 46% 58% 59% 54%

Northern 85% 87% 89% 85% 87%

South Eastern 75% 75% 77% 78% 77%

Southern 96% 92% 94% 88% 92%

Western 87% 86% 87% 83% 86%

Region 79% 79% 82% 80% 80%

Complex Discharges - % <48 hoursTrust

9884 87

109 103

133124

106

164 163144

203159145

127

0

50

100

150

200

250


Complex Discharges - No >7 days

2014/15 2015/16


Belfast 486 68 46 36 150

Northern 280 23 31 24 78


Southern 23 3 3 3 9

Western 290 34 32 26 92

Region 1518 159 145 127 431

Trust Complex Discharge - No >7 days

Regionally during June 2015, 80% of complex discharges from an acute hospital took place within 48 hours and 127 took more than seven days.

30


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% 95% 95%

0%

20%

40%

60%

80%

100%


Non-complex discharges - % <6 hours

2014/15 2015/16


Belfast 99% 98% 98% 98% 98%

Northern 95% 98% 98% 95% 95%

South Eastern 92% 92% 91% 91% 91%

Southern 93% 93% 92% 93% 93%

Western 96% 96% 96% 96% 96%

Region 95% 95% 95% 95% 95%

Non-Complex Discharge - % within 6 hoursTrust

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

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 7394

134

117

0

50

100

150

200


CAMHS - Numbers Waiting >9 Weeks

2014/15 2015/16


Belfast 1 1 8 7

Northern 72 83 95 89


Southern 0 0 0 0

Western 0 10 35 21

Region 73 94 138 117

TrustCAMHS - No > 9 weeks

Regionally at the end of June 2015, 117 patients were waiting longer than nine weeks to access child and adolescent mental health services (CAMHS). The majority (89) 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 other staff absences). The Trust has a recovery plan in place and had initially forecast that it would achieve the nine-week maximum waiting time standard by end of July however, there have been further staffing issues and the Trust has advised that it will not now achieve nine weeks until December 2015.

31


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

221

121

0

50

100

150

200

250


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

2014/15 2015/16


Belfast 35 66 69 66

Northern 0 0 0 2


Southern 65 115 85 16

Western 37 55 67 37

Region 137 236 221 121

TrustAdult MH - No > 9 weeks

Regionally, there has been a significant reduction in the number of patients waiting longer than nine weeks to access adult mental health services – at the end of June 2015, 121 patients were waiting longer than nine weeks compared with 221 at the end of May 2015.

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

4352

79

65

0

50

100

150


Dementia - Numbers Waiting >9 Weeks

Regionally at the end of June 2015, 65 patients were waiting longer than nine weeks to access dementia services.

32



Belfast 0 0 0 0

Northern 0 0 0 0


Southern 41 50 67 63

Western 2 2 12 2

Region 43 52 79 65

Dementia Services -

No > 9 weeksTrust

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

438495

551 575610

678 688 700

830 831 854912

921

1,000920

0

200

400

600

800

1,000

1,200


Psychological Therapies - Numbers Waiting >13 Weeks

2014/15 2015/16


Belfast 164 142 195 169

Northern 112 96 114 122


Southern 54 66 81 107

Western 95 108 119 85

Region 912 921 1,000 920

Trust

Psychological Therapies -

No >13 wks

At the end of June 2015, 920 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 (437) of patients waiting longer than 13 weeks to access psychological therapies at the end of June 2015 were in the South Eastern Trust. Regionally, the majority (85%) of patients waiting longer than 13 weeks are waiting to access adult mental health (565) and adult health psychology services (220). A detailed update on the issues impacting on waiting time performance regionally and the actions being taken to address these was provided at the April 2015 Board meeting.

33


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

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 for 12 months or longer with no placement change Trust

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.

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.

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%

3-year timeframe for all children to be adopted

from care

Source: CIB (these figures are based on Dept returns) ('Year' is school year not financial

year)

Trust

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.

34


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.

0.9%

0.5%

0.2%

0.5%

0.0%

0.1%

0.2%

0.3%

0.4%

0.5%

0.6%

0.7%

0.8%

0.9%

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

Variation in death rate for emergency admissions (all diagnoses) comparing patients admitted at the weekend and patients admitted during the week

Apr-15 May-15 Jun-15

Belfast 0.1% 1.6% 0.0%

Northern 0.8% 0.1% 1.1%

South Eastern 0.6% 0.1% 0.3%

Southern 0.6% 0.7% 0.5%

Western 2.3% 0.0% 0.0%

Region 0.9% 0.5% 0.2%

Patient Safety - death rates for

unplanned weekend admissions vs death

rates of unplanned weekend admissionsTrust

This is a new target in 2015/16.

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%.


35


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.

5,299

9,437

14,193

0 0 0 0 0 0 0 0 03,614

7,228

10,842

14,456

18,070

21,683

25,297

28,911

32,525

36,139

39,753

43,367

0

10,000

20,000

30,000

40,000

50,000


Hospital Cancelled consultant-led outpatient appointments

Baseline

(2014/15)

Target

Maximum

(2015/16)

Maximum

Target

Number

(April-Jun

2015)

Actual

(April 2015)

Actual

(May 2015)

Actual

(June 2015)

Cumulative

(2015/16)

Variance

(Actual vs

profile)

% Variance

(Actual vs

profile)

Belfast 25,703 20,562 5,141 2,487 1,929 2,380 6,796 1,655 32%

Northern 7,982 6,386 1,596 837 707 753 2,297 701 44%

South Eastern 7,274 5,819 1,455 694 590 573 1,857 402 28%

Southern 5,419 4,335 1,084 418 347 466 1,231 147 14%

Western 7,830 6,264 1,566 863 565 584 2,012 446 28%

Region 54,208 43,366 10,842 5,299 4,138 4,756 14,193 3,351 31%

Cancelled Consultant led OP Clinics (new and review)

(reduce by 20% the number that resulted in longer w/time)

Trust

Cumulatively in the year to end of June 2015, 14,193 hospital cancelled consultant-led outpatient appointments in the acute programme of care resulted in the patient waiting longer for their appointment – this is against a 3-month target profile to have had no more than 10,842.

36

Annex B

SUMMARY OF PERFORMANCE AGAINST OUTSTANDING 2014/15 COMMISSIONING PLAN DIRECTION STANDARDS AND TARGETS


Hospital readmissions – By March 2015, secure a 5% reduction in the number of emergency readmissions within 30 days.

2226

4483

6689

8926

11170

13371

15846

18148

20670

23136

25506

27909

1845

3689

5534

7378

9223

11068

12912

14757

16601

18446

20290

22135

0

5,000

10,000

15,000

20,000

25,000

30,000


Emergency readmissions - Number re-admitted within 30 days.(NB - Figures Subject to change as clinical coding is updated)

Profile

Reduction

(2014/15)

Actual

(2014/15)

Variance

(Actual vs

profile)

% Variance

(Actual vs

profile)

Belfast 5,400 8,187 2,787 52%

Northern 3,944 4,777 833 21%

South Eastern 4,522 5,240 718 16%

Southern 4,002 4,632 630 16%

Western 4,266 5,073 807 19%

Region 22,135 27,909 5,774 26%

Trust

Emergency Readmissions (5% reduction within 30

days)

Cumulatively during 2014/15, there were 27,909 emergency

readmissions within 30 days against a target to have no more

than 22,135.

37


Stroke patients – From April 2014, ensure that at least 12% of patients with confirmed ischaemic stroke receive thrombolysis. Apr-14 Jun-14 Sep-14 Dec-14 Mar-15 14/15 Cum

Belfast 35% 17% 17% 14% 18% 20%

Northern 18% 6% 15% 16% 16% 15%

South Eastern 16% 7% 10% 12% 10% 13%

Southern 26% 19% 23% 16% 4% 15%

Western 13% 14% 9% 18% 21% 16%

Region 23% 13% 15% 15% 14% 16%

Administration of Thrombolysis - From April 2014, ensure that at least 12%

of patients with confirmed Ischarmic Stroke receive thrombolysis - %Trust

Regionally during 2014/15, the standard to ensure that at least

12% of patients with confirmed ischaemic stroke receive

thrombolysis has been maintained.

Pressure ulcers – By March 2015, secure a 10% reduction in pressure ulcers in all adult inpatient wards.

192

392

637

860

168

336

504

672

0

100

200

300

400

500

600

700

800

900

1,000

Q1 Q2 Q3 Q4

Pressure Ulcers- No more than 672during 2014/15

Region Maximum Target

Profile

TargetActual

Variance

(Actual vs

profile)

% Variance

(Actual vs

profile)

Belfast 242 324 82 34%

Northern 103 162 59 57%

South Eastern 106 111 5 5%

Southern 57 106 49 86%

Western 164 157 -7 -4%

Region 672 860 188 28%

Trust

Pressure Ulcers - 10% reduction by March 2015

Regionally during 2014/15, there were 860 incidences of

pressure ulcers in adult inpatient wards against a target to have

no more than 672. With regard to performance in individual

Trusts, Western Trust achieved a 4% reduction in pressure

ulcers however, the remaining four Trusts did not achieve a

reduction.

38


Unplanned admissions – By March 2015, reduce the number of unplanned admissions to hospital by 5% for adults with specified long term conditions.

1048

21003118

41065065

6073

71728177

9433

10762

1187912846

9871,975

2,9623,950

4,9375,925

6,9127,899

8,8879,874

10,86211,849

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000


Unplanned Hospital Admissions - Number for specific long term conditions

Cumulative Adms Max Cumulative Adms

Profile

Reduction

(2014/15)

Actual

(2014/15)

Variance

(Actual vs

profile)

% Variance

(Actual vs

profile)

Belfast 2,893 3,695 802 28%

Northern 2,685 2,444 -241 -9%

South Eastern 2,306 2,520 214 9%

Southern 1,913 2,282 369 19%

Western 2,053 1,905 -148 -7%

Region 11,849 12,846 997 8%

Trust

Unplanned Hospital Admissions for specificed

longterm conditions - 5% reduction

Cumulatively during 2014/15, there were 12,846 unplanned

admissions to hospital by adults with specified long term

conditions against a maximum reduction profile of 11,849.

Unnecessary hospital stays – By March 2015, reduce the number of excess bed days for acute programme of care by 10%.

921217616

2641837862

4767059592

73468

87815

103268

121615

142936

178095

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

200,000


Excess Beddays - Number reduced by 10% for the acute programme

Cumulatively during 2014/15, there were 178,095 excess bed

days for the acute programme of care against a maximum

reduction profile of 148,160.

39


Profile

Reduction

(2014/15)

Actual

(2014/15)

Variance

(Actual vs

profile)

% Variance

(Actual vs

profile)

Belfast 67,445 67,222 -223 0%

Northern 27,216 12,711 -14,505 -53%

South Eastern 23,070 48,046 24,976 108%

Southern 12,415 8,074 -4,341 -35%

Western 18,014 42,042 24,028 133%

Region 148,160 178,095 29,935 20%

Trust

Unnecessary Hospital Stay - 10% reduction by

March 2015

Children in care – From April 2014, increase the number of children in care for 12 months or longer with no placement to change to 85%.

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 for 12 months or longer with no placement change Trust

Performance against this target is reported annually.

Monitoring information for 2014/15 will not be available until end

2015/16.

Children in care – By March 2015, ensure a three year time frame for 90 % of children who are to be adopted from care.

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%

3-year timeframe for all children to be adopted

from care

Source: CIB (these figures are based on Dept returns) ('Year' is school year not financial

year)

Trust

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.

40


Children in care – From April 2014, ensure that all school-age children who have been in care for 12 months or longer have a Personal Education Plan (PEP).

2012/13 2013/14

Belfast 83% 85%

Northern 59% 71%

South Eastern 79% 91%

Southern 83% 95%

Western 87% 84%

Region 77% 84%

Trust

Looked After Children

with a PEP

Source: CIB (these figures are based on Dept returns)

('Year' is school year not financial year)

Performance against this target is reported annually.

Monitoring information for 2014/15 will not be available until end

2015/16.

41

Annex C SUMMARY AGAINST THE OUTSTANDING HEALTH AND SOCIAL CARE (INDICATORS OF PERFORMANCE) DIRECTION (NORTHERN IRELAND) 2014/15

Indicator of Performance Trend Analysis

Stroke

B17. Number of patients admitted with stroke

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

Belfast 557 45 48 43 40 61 561

Northern 577 37 38 40 53 51 574

South Eastern 441 31 33 33 33 34 402

Southern 482 39 36 31 53 35 468

Western 397 28 27 28 33 19 334

Region 2454 180 182 175 212 200 2339

Trust

Stroke-Number of patients admitted with stroke

(based on primary diag and admission episode only to Lysing hospitals)

13/14 Apr-14 Jun-14 Sep-14 Dec-14

Belfast 670 53 52 58 50

Northern 578 37 38 40 53


Southern 492 39 36 31 53

Western 411 28 27 28 33

Region 2701 194 195 196 225

Mar-15

Trust

Stroke-Number of patients admitted with stroke

(based on primary diag and admission episode only to sll sites)

51 574

37 477

14/15 Cum

65 647

207 2503

471

19 334

35

Patient safety

B18. Variation in death rate for emergency admissions (all diagnoses) comparing patients admitted at the weekend and patients admitted during the week.

0.9

0.5

0.1

0.30.2

0.0

0.1

0.0 0.0

0.4

0.6

0.30.2

0.0

0.2

0.4

0.6

0.8

1.0


Variation in Death Rate for Emergency Admissions comparing patients admitted at the weekend and patients admitted during the week

42


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

Belfast 1.1 0.2 0 0 0 0.2

Northern 0.3 0 0.4 0.3 0.8 0.3

South Eastern 1.1 1.5 0 0 2 0.9

Southern 0.5 0 0 0.1 0 0

Western 2 0 0 0.1 0 0.2

Region 0.9 0.1 0 0 0.3 0.2

Trust

Variation in death rate for emergency admissions (all diagnoses) comparing

patients admitted at the weekend and patients admitted during the week

B19. Variation in death rate for emergency admissions comparing patients admitted at the weekend and patients admitted during the week for (i) heart attacks; (ii) heart failure; (iii) stroke; and (iv) aortic aneurysm.


Belfast 1.1 5.1 5.3 -10.1 -9.1 2.4

Northern -1.8 -5.5 0 -11.3 -5.3 -2.4

South Eastern 16 17.8 -4.2 12.1 22.7 6

Southern -1 13.3 -2.6 -7.7 0.7 -1.2

Western -6.5 -17.9 0 12.1 -17.8 1.6

Region 3.3 0.4 0.8 -2.8 -2.1 0.7

Trust

Variation in death rate for emergency admissions (HEART ATTACKS) comparing



Belfast 39.7 16.5 -11.5 9.6 -4.0 3.1

Northern 2.1 -12.5 -9.1 -13.6 8.9 -3.8

South Eastern -11.1 12.6 7.2 -11.2 -13.6 1.7

Southern -0.6 -24.6 39.0 0.0 3.2 -0.3

Western 12.8 -2.4 -9.1 6.9 -10.2 -3.0

Region 6.5 1.0 -5.6 0.6 -0.3 -0.3

Trust

Variation in death rate for emergency admissions (HEART FAILURE) comparing


43



Belfast 17.1 18.7 7.2 -5.9 -10.5 2.0

Northern -0.1 -12.2 3.2 -4.2 -15.3 -3.2

South Eastern -13.8 -11.1 -11.2 -13.7 -9.9 -13.0

Southern 0.1 -0.6 -17.5 -14.5 -6.5 -7.1

Western 2.6 1.5 -6.1 -30.1 2.7 -0.8

Region 8.0 1.1 1.6 -6.7 -0.3 -0.7

Trust

Variation in death rate for emergency admissions (STROKE) comparing patients

admitted at the weekend and patients admitted during the week


Belfast -28.6 -38.1 -37.5 -100.0 0.0 11.3

Northern -57.1 0.0 0.0 0.0 0.0 8.2

South Eastern -28.6 0.0 0.0 0.0 0.0 -45.2

Southern 0.0 0.0 62.5 -33.3 0.0 -28.2

Western 0.0 -57.1 0.0 0.0 0.0 -45.2

Region -42.9 -42.9 62.5 -66.7 0.0 -14.7

Trust

Variation in death rate for emergency admissions (AORTIC ANEURYSM) comparing


Hospital re-admissions

B36. The number of emergency admissions for acute conditions that should not usually require hospital admission.

0

200

400

600

800

1,000

1,200

1,400

1,600


Emergency Admissions for Acute Conditions which should not usually require hospital admision

44



Belfast 382 382 387 403 355 4641

Northern 286 272 313 320 345 3676

South Eastern 295 302 300 248 191 3243

Southern 266 241 263 264 286 3186

Western 209 275 211 223 161 2603

Region 1438 1472 1474 1458 1338 17349

Emergency admissions for acute conditions which should not usually require

hospital admissionTrust

B37. The number and proportion of emergency admissions and readmissions for people aged 0-64 and 65 years and over: (i) with and (ii) without a recorded long term condition, in which medicines were considered to have been the primary or contributing factor, by HSC Trust.


Belfast 9 8 9 6 3 94

Northern 4 4 4 1 5 70

South Eastern 8 6 9 7 5 80

Southern 4 7 9 13 7 100

Western 8 9 13 4 6 121

Region 33 34 44 31 26 465

Number and proportion of emergency admissions for people aged 0-64 WITH a

recorded long term condition, in which medicines were considered to have been the

primary or contributing factor Trust


Belfast 5 11 22 20 7 150

Northern 8 18 15 14 12 158

South Eastern 25 20 11 17 9 202

Southern 9 8 8 14 10 135

Western 8 19 16 9 14 161

Region 55 76 72 74 52 806

Number of emergency admissions for people aged 65+, WITH a recorded long term

condition, in which medicines were considered to have been the primary or

contributing factor

Trust

45



Belfast 3 3 1 3 2 32

Northern 2 2 16


Southern 1 2 1 15

Western 1 3 2 1 17

Region 8 7 6 6 9 102

Trust

Number of emergency readmissions for people aged 0-64 , WITH a recorded long

term condition, in which medicines were considered to have been the primary or

contributing factor


Belfast 4 5 6 3 50

Northern 1 2 3 5 5 35


Southern 2 3 2 2 3 40

Western 1 5 5 3 35

Region 8 17 18 19 18 205

Trust

Number and proportion of emergency readmissions for people aged 65+, WITH a


primary or contributing factor


Belfast 29 41 47 35 29 442

Northern 14 12 12 13 12 180

South Eastern 27 19 18 17 11 238

Southern 32 29 21 8 22 289

Western 43 37 38 28 17 352

Region 145 138 136 101 91 1501

Trust

Number and proportion of emergency admissions for people aged 0-64 , WITHOUT

a recorded long term condition, in which medicines were considered to have been

the primary or contributing factor

46



Belfast 9 11 10 12 12 143

Northern 26 11 11 10 15 185

South Eastern 32 17 23 17 9 225

Southern 18 14 19 16 7 194

Western 13 16 16 19 7 154

Region 98 69 79 74 50 901

Trust

Number and proportion of emergency admissions for people aged 65+, WITHOUT a


primary or contributing factor


Belfast 5 10 3 4 3 73

Northern 3 1 1 2 25


Southern 3 2 4 2 5 37

Western 3 3 7 3 2 36

Region 17 20 15 11 13 195

Trust

Number of emergency readmissions for people aged 0-64 , WITHOUT a recorded

long term condition, in which medicines were considered to have been the primary

or contributing factor


Belfast 2 3 3 1 31

Northern 3 1 1 3 18


Southern 2 4 5 3 3 39

Western 1 1 4 2 21

Region 13 10 14 9 9 139

Trust

Number of emergency readmissions for people aged 65+, WITHOUT a recorded long

term condition, in which medicines were considered to have been the primary or

contributing factor

47


Efficiency indicators

F1. Elective average pre-operative stay

0.60.6 0.6

0.6 0.6 0.6 0.60.6

0.50.6

0.5

0.6

0.8

0.6

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

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-1514/15 Cum

Elective average pre-operative stay


Belfast 0.8 0.7 0.7 0.7 0.7 1.3 0.7

Northern 0.5 0.6 0.6 0.6 0.5 0.6 0.5

South Eastern 0.8 0.7 0.7 0.7 0.8 1..0 0.8

Southern 0.2 0.1 0.2 0.1 0.1 0.2 0.1

Western 0.5 0.6 0.4 0.4 0.4 0.4 0.5

Region 0.6 0.6 0.6 0.6 0.6 0.8 0.6

Elective average pre-operative stayTrust

F2. Elective average length of stay in acute programme of care

3.8 3.9 4.0 3.8 3.8 3.8 3.5

4.2

3.54.0

3.64.1 4.3

3.9

0

2

4

6

8

10

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-1514/15 Cum

Elective Average Length of stay in acute POC

48



Belfast 4.6 5.0 4.5 4.2 4.9 5.5 4.8

Northern 2.9 3.1 3.4 3.1 2.7 3.1 3.3

South Eastern 3.7 3.2 3.3 3.4 4.2 4.4 3.5

Southern 2.7 2.4 2.5 2.9 2.5 2.7 2.6

Western 2.8 2.6 3.0 2.4 2.7 2.3 2.6

Region 3.8 3.9 3.8 3.5 4.0 4.3 3.9

Elective Average length of stay in acute programme of careTrust

F3. Average length of stay for stroke patients


Belfast 14.7 11.4 18.8 16.1 13.7 12.6 15.6

Northern 14.3 16.9 17.9 15.3 11.8 13.1 13.9

South Eastern 12.5 17.5 12.3 11.6 12.8 14.5 12.8

Southern 15.6 15.3 11.8 14.0 13.7 14.1 14.4

Western 17.6 16.2 21.8 12.1 18.2 16.6 19.9

Region 14.8 15.2 16.1 14.2 13.7 13.8 15.0

Average length of stay for stroke patientsTrust

F4. Day surgery rate for each of a basket of 24 elective procedures

73% 74% 74% 76%71% 73%

78%74% 76% 77%

80% 81% 80%

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

Day Surgery Rate


Belfast 80% 80% 85% 84% 81% 84% 83%

Northern 66% 68% 70% 69% 72% 76% 67%

South Eastern 77% 75% 69% 78% 84% 85% 77%

Sourthern 65% 69% 64% 72% 65% 72% 68%

Western 71% 68% 75% 76% 78% 84% 74%

Region 73% 74% 76% 78% 77% 80% 76%

Day surgery rate for each of a basket of 24 elective procedures Trust

49


F6. Percentage of patients admitted electively who have their surgery on the same day as admission

63% 63% 64% 64% 66% 66% 66% 67% 66% 64% 67% 64%68% 65%

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

Percentage of patients admitted electively who have their surgery on the same day as admission

Note: Trusts have 3 months to update coding


Belfast 57% 57% 58% 62% 58% 54% 59%

Northern 80% 80% 80% 80% 76% 73% 78%

South Eastern 28% 36% 32% 36% 32% 38% 32%

Southern 93% 91% 94% 92% 90% 92% 93%

Western 59% 55% 62% 63% 63% 67% 64%

Region 63% 63% 64% 66% 64% 68% 65%

Percentage of patients admitted electively who have their surgery on the same day as

admissionTrust

F13. Number of 30 day emergency readmissions by days after discharge, by HSC Trust

0

100

200

300

400

500

600

700

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Days after Discharge

Number of 30 day Emergency Readmissions by days after discharge

Belfast Health and Social Care Trust Northern Health and Social Care Trust South Eastern Health and Social Care Trust

Southern Health and Social Care Trust Western Health and Social Care Trust

50


Days after

Discharge

Belfast Health and

Social Care Trust

Northern Health

and Social Care

Trust

South Eastern

Health and Social

Care Trust

Southern Health

and Social Care

Trust

Western Health

and Social Care

Trust Grand Total

0 262 170 136 122 162 852

1 592 361 405 370 432 2160

2 505 329 310 346 324 1814

3 455 252 295 275 275 1552

4 443 253 273 254 264 1487

5 423 246 263 208 224 1364

6 368 204 246 244 239 1301

7 350 209 241 207 251 1258

8 319 186 200 181 171 1057

9 273 159 176 170 179 957

10 302 186 185 136 158 967

11 256 137 194 150 163 900

12 265 150 170 146 150 881

13 256 134 144 129 128 791

14 250 148 156 145 166 865

15 232 129 144 135 138 778

16 226 107 154 109 119 715

17 187 122 123 115 123 670

18 193 123 122 93 120 651

19 203 139 112 95 138 687

20 195 109 140 121 115 680

21 208 103 135 109 126 681

22 179 101 92 100 120 592

23 167 95 122 80 103 567

24 154 93 110 86 82 525

25 163 98 97 96 102 556

26 156 86 115 97 104 558

27 173 103 109 73 113 571

28 156 95 91 75 112 529

29 143 73 94 92 90 492

30 133 77 86 73 82 451

Grand Total 8187 4777 5240 4632 5073 27909

51


F14. Percentage of emergency admissions returning within seven days and within 8-30 days, by HSC Trust

39%

44% 44% 43% 41% 42% 44%41% 43% 43% 42% 41% 42%

0%

20%

40%

60%

80%

100%


Percentage of emergency admissions returning within 7 days of initial discharge


Belfast 34% 46% 45% 40% 42% 42%

Northern 39% 37% 41% 44% 40% 42%

South Eastern 39% 41% 41% 45% 42% 41%

Southern 43% 46% 44% 46% 36% 44%

Western 42% 48% 40% 41% 43% 43%

Region 39% 44% 42% 43% 41% 42%

Percentage of emergency admissions returning within 7 days from initial dischargeTrust

52


61%

56% 56% 57%59% 58% 56%

59% 57% 57% 58% 59% 58%

0%

20%

40%

60%

80%


Percentage of emergency admissions returning within 8-30 days of initial discharge


Belfast 66% 54% 55% 60% 58% 58%

Northern 61% 63% 59% 56% 60% 58%

South Eastern 61% 59% 59% 55% 58% 59%

Southern 57% 54% 56% 54% 64% 56%

Western 58% 52% 60% 59% 57% 57%

Region 61% 56% 58% 57% 59% 58%

Percentage of emergency admissions returning within 8-30 days from

initial dischargeTrust

53


F15. Clinical causes of emergency readmissions (as a percentage of all readmissions) by Trust for (i) infections (primarily: pneumonia, bronchitis, urinary tract infection, skin infection); (ii) long-term conditions (COPD, asthma, diabetes, dementia, epilepsy, CHF)

10%10% 10%

10%11%

10%

11%

9% 9%

13%

11%

9%

10%

0%

2%

4%

6%

8%

10%

12%

14%


Percentage of emergency readmissions with a primary diagnosis of infection


Belfast 10% 7% 9% 9% 7% 9%

Northern 12% 11% 12% 11% 15% 13%

South Eastern 10% 13% 11% 7% 7% 11%

Southern 9% 9% 8% 11% 10% 10%

Western 10% 9% 9% 10% 8% 9%

Region 10% 10% 10% 9% 9% 10%

Percentage of readmissions with a primary diagnosis of infections (primarily:

pneumonia, bronchitis, urinary tract infection, skin infection).Trust

54


10%10% 10% 10% 9% 9% 10% 10%

11%

12%

8%

7%

10%

0%

2%

4%

6%

8%

10%

12%

14%


Percentage of emergency readmissions with a primary diagnosis of a LTC


Belfast 9% 11% 12% 13% 7% 11%

Northern 10% 8% 9% 9% 8% 9%

South Eastern 14% 12% 12% 11% 7% 11%

Southern 9% 7% 9% 10% 9% 9%

Western 8% 9% 6% 9% 5% 8%

Region 10% 10% 9% 11% 7% 10%

Percentage of readmissions with a primary diagnosis of long-term

conditions (COPD, asthma, diabetes, dementia, epilepsy, CHF).Trust

hsc board performance report 2015/16 (month 3 june 2015… board... · 2015-08-05 · 1 hsc board...

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