Public Trust Board Meeting 26 July PURPOSE (X) Information Strategic Aim Business Plan Objective Approval X Decision

Transcription

1 Public Trust Board Meeting 26 July 2011 Title Integrated Performance Report (IPR) Paper Ref 34.8 PURPOSE () Information Strategic Aim Business Plan Objective Approval Decision Assurance Discussion All All Purpose of the paper Recommendation The purpose of the paper is: a) To provide key performance information for June b) To highlight the key issues and actions required as a consequence of the report. It is recommended that the Board: Author a) Notes the performance against the key performance indicators and business plan objectives for June 2011 and the key issues and actions identified. b) Note and approve the changes to the report. Joanne Halliwell Associate Director for Business Development Accountable Director: Caroline Wood Acting Finance RISK ASSESSMENT Yes No Changes to the Corporate Risk Register and/or Board Assurance Framework Resource Implications Legal implications CQC Registration Outcome(s) 1, 4, 7, 8, 9, 11, 12, 13, 14, 16, 17, 21 ASSURANCE/COMPLIANCE Auditors Local Evaluation NHSLA Risk Management Standards for Ambulance Trusts 2.1, 2.2, 3.1, 4.1, 4.2, 5.1, 5.2, 5.3, 1, 2, 3, 4,

2 1. PURPOSE 1.1 The purpose of this paper is to describe the Trust s performance against its business plan for June It also identifies key actions that are being put in place to ensure that the Trusts business plan objectives are secured for the year. 2. CHANGES TO THE INTEGRATED PERFORMANCE REPORT 2.1 In line with the development plan agreed at the Strategic Board Meeting held on 26 April 2011, the report for June includes quarter end summaries where appropriate and year end forecast positions based on the first quarter s performance, again, where appropriate. 2.2 POINTS OF CLARITY The December 2010 and January 2011 national Clinical Performance Indicator information has been received and is presently being internally reviewed and assured through the Clinical Excellence Group. This information will be reported in the July IPR. Please note that the activity counts on Page 2.7 and Page 5.7 are different. Page 2.7 uses incidents as a measure of activity; this is in line with previous reporting periods and is defined as A job where a vehicle has been allocated. This is the default operational management activity measure within the Computer Aided Dispatch (CAD) system. This is the basis for the activity count, associated management and monitoring against the Operational Improvement Plan. Page 5.7 within the Finance section uses the KA34 definition of activity as Vehicle arrived at scene in addition to calls triaged. This is in line with commissioner s request, is consistent with other Ambulance Trusts and forms the basis of the contracted activity and therefore activity and financial reconciliation through the monthly reporting system. 2.3 The lead director for each business plan objective on P1.1 has been amended to reflect the changes to the Executive team structure. 3. BUSINESS PLAN PERFORMANCE 3.1 Key issues and actions required, based on June s performance, are identified in the table below 2

3 Commentary Action Director Timeframe IPR Page Reference Operational Performance A&E Red 1&2 8 Minute Performance at 75.8% for June is above national target levels but below the plan of 77.6% A number of actions in the A&E operational improvement plan are on Red or Amber Quality Clinical Quality Indicators Quarter two performance has been reforecast and a revised trajectory agreed. To achieve the internal performance milestone of 76.9% at the end of September Quarter 2 performance needs to be at 76.65%. A robust delivery mechanism has been implemented at both organisational and CBU level. Detailed actions as described within the IPR that a clinical hub/triage service will be reviewed and additional actions will be put in place. The Clinical Quality Indicators are in the third month of development and following publication in April the national Ambulance Services have reviewed the definitions which required some changes to information previously submitted. Following the resubmission of data the Business Intelligence team will review the Trust in line with other services to understand our performance in more detail. The clinical CQIs are planned for publication in August for April and then on a rolling month by month basis. An interactive dashboard will be available in August which will be available for members of the Medical Director Quarter two 2.2 Quarter two 2.5,

4 CQUINs schemes are now fully signed off against the A&E contracts Contracting and Finance South Yorkshire Renal Contract has been lost income issue of up to 1.6m PTS contracts not signed public to access on the Department of Health and Trust Websites. Programme for the overview and performance management of the CQUINS schemes has been commenced led managerially by the Associate Quality Decommissioning plan underway and managed through the PTS management team with support from Projects and Programmes. The Hull and East Riding contract has been signed, the West & North Yorkshire consortia is due to be signed by the end of July. The financial value of the renal contract loss in South Yorkshire is outstanding. Standards and Compliance Finance Complete 3.18 Quarter two 5.1 Quarter two N/A 4

5 4 RECOMMENDATIONS 4.1 It is recommended that the Board Notes the performance against the key performance indicators and business plan objectives for June 2011 and the key issues and actions identified. Note and approve the changes to the report. 5. APPENDICES Appendix 1 June 2011 Integrated Performance Report. 5