NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST BOARD OF DIRECTORS MEETING

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1 NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST Meeting Date: 26 November 2014 BOARD OF DIRECTORS MEETING Title and Author of Paper: Performance Report (Month 7). Lisa Quinn, Executive Director of Performance & Assurance Paper for Debate, Decision or Information: Information Key Points to Note: Monitor Risk Assessment Framework - Governance risk rating Green (lowest risk) and Continuity of Services Risk Rating of 3 which remains in line with the financial plan (pages 3 & 4) Agenda Item 9 i) NHS Outcomes Framework the dashboard is intended to bring together local and national data to allow NTW to benchmark and improve the quality of services we provide (page 5) Quality Dashboard at M7 the trust continues to have full compliance with all of the CQC essential outcomes of quality and safety (page 6). All CQUIN have been rated Green for M7 with the exception of Physical Health and CYPS Waiting Times due to the amount of effort required in both areas to achieve end of year targets. Serious Incidents there were 13 Serious Incidents reported in Month 7 which is one more than the previous month (page 6) Complaints there were 26 complaints received in Month 7 which is a decrease of 4 from the previous month (page 6) Workforce Dashboard JDR/PDP rates have decreased to 82.2% and remain below the expected minimum of 90%. Sickness absence has increased to 6.72% in the month (page 7) Finance Dashboard - At Month 7, the Trust had a risk rating of 3 and a surplus before exceptional items of 5.2m which was 2.2m ahead of plan. It is also forecasting a year-end surplus before exceptional items of 3.7m which is 2.6m ahead of plan. However, the Trust is still facing some key financial pressures including forecast in-patient staffing overspends in Urgent Care ( 2.7m) and overspends on medical staffing ( 0.7m) as well as a forecast inyear shortfall on savings required from the Financial Delivery Programme ( 1.5m). These pressures are currently being offset by non-recurring underspends (page 8) Contract performance dashboard summaries are provided for each contract highlighting any indicators which have not been achieved in Month 7 (pages 9-12) Outcome required: for information only

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3 Contents Sections Page Number 1. Monitor Risk Assessment Framework Requirements Monitor Indicator Trends.4 3. NHS Outcomes Framework Quality Dashboard.6 5. Workforce Dashboard Finance Dashboard 8 7. Contract Summary Dashboards...9 2

4 1. Monitor Risk Assessment Framework Requirements 3

5 2. Monitor Indicator Trends 4

6 3. NHS Outcomes Framework 5

7 4. Quality Dashboard 6

8 5. Workforce Dashboard 7

9 6. Finance Dashboard 8

10 7. Contract Summary Dashboards NTW Quality and Performance Group: Alliance Period: 2014/15 October Target Achievement in this period GATESHEAD (100.0%) NEWCASTLE NORTH AND EAST (100.0%) NEWCASTLE WEST (90.0%) CUMBRIA (88.9%) Comments: The Alliance contract overall has passed all targets for M7. The Cumbria areas of underperformance relate to service users who are care co-ordinated by non-ntw staff. Areas for improvement Metric ID Ref Metric Name GATESHEAD NEWCASTLE NORTH AND EAST NEWCASTLE WEST CUMBRIA CPA Service users with a risk assessment undertaken/reviewed in the last 12 months 98.4% 97.1% 97.0% 90.0% 97.4% Current Service Users, aged 18 or over, on CPA Reviewed in the Last 12 Months 98.4% 95.2% 92.8% 100.0% 95.2% Overall Report Date: 07/11/ :30:12 9

11 NTW Quality and Performance Group: North Period: 2014/15 October Target Achievement in this period NORTHUMBERLAND (75.0%) NORTH TYNESIDE (90.0%) Comments: The IAPT metrics for Northumberland continue to be the only areas of under performance at a Contract level. The under performance on 7 day Follow up in North Tyneside relates to one patient and details will be provided separately on this. Areas for improvement Metric ID Ref Metric Name NORTHUMBERLAND CPA Service users with identified risks who have at least a 12 monthly crisis and contingency plan NORTH TYNESIDE Overall 94.6% 97.3% 95.5% Number of Inpatient discharges from adult mental illness specialties followed up within 7 days 97.1% 92.3% 95.8% 7947 Percentage of IAPT service users with at least two outcome scores recorded 86.9% 86.9% The number of people who have completed treatment during the reporting period and who are moving to recovery - Northumberland 33.8% 33.8% Report Date: 07/11/ :40:12 10

12 NTW Quality and Performance Group: South Period: 2014/15 October Target Achievement in this period SOUTH TYNESIDE (90.0%) SUNDERLAND (84.6%) Comments: Areas of underperformance for M7 relate to the specific IAPT metrics for the Sunderland service and seven day follow ups for South Tyneside.. For South Tyneside the 7dfu relates to 1 patient and this will be reviewed to ensure there are no ongoing issues resulting in the lack of follow up. Areas for improvement Metric ID Ref Metric Name SOUTH TYNESIDE SUNDERLAND Number of Inpatient discharges from adult mental illness specialties followed up within 7 days 94.1% 97.4% 96.4% 7947 Percentage of IAPT service users with at least two outcome scores recorded 86.6% 86.6% Overall The number of people who have completed treatment during the reporting period and who are moving to recovery - Sunderland 46.1% 45.9% Report Date: 07/11/ :40:17 11

13 NTW Quality and Performance Group: Durham and Tees Period: 2014/15 October Target Achievement in this period DARLINGTON (88.9%) DURHAM DALES, EASINGTON AND SEDGEFIELD (77.8%) NORTH DURHAM (77.8%) HARTLEPOOL AND STOCKTON-ON- TEES (100.0%) SOUTH TEES (66.7%) Comments: The majority of patients have their care co-ordination function carried out by none NTW staff and this therefore accounts for the majority of the areas of underperformance. As per previous months the delayed discharge relates to one patient where Social Services are still looking for suitable alternative accommodation. Areas for improvement Metric Ref Metric Name DARLINGTON DURHAM NORTH HARTLEPOOL SOUTH Overall ID DALES, DURHAM AND TEES EASINGTON STOCKTON Current Service Users with valid Ethnicity completed MHMDS only 85.0% AND 91.1% 96.3% ON-TEES 100.0% 100.0% 94.1% SEDGEFIELD CPA Service users with a risk assessment undertaken/reviewed in the last 12 months 100.0% 88.9% 90.0% 100.0% 88.9% 91.5% CPA Service users with identified risks who have at least a 12 monthly crisis and contingency plan 100.0% 100.0% 100.0% 100.0% 85.7% 97.5% Current Delayed Transfers of Care days (Incl Social Care) 0.0% 23.8% 0.0% 0.0% 7.4% Current Service Users, aged 18 or over, on CPA Reviewed in the Last 12 Months 100.0% 100.0% 91.7% 100.0% 80.0% 94.6% Report Date: 07/11/ :40:17 12

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