1. Integrated Performance Report 26 October 2017
Caroline Shaw Chief Operating Officer

2. Strong performance

3. Standards not consistently achieving

4. Areas requiring improvement

5. Cancer 62 day standard (1/4)
Aug % adjusted (1 breach above target)
- 79.8% unadjusted (7.5 breaches above target)

6. Cancer 62 day standard (2/4)
Backlog targets in place across all tumour sites
104 day breaches at an all time low

7. Cancer 62 day standard (3/4)
August 2017 adjusted: breaches out of treatments (84.3%)
Table shows breach tolerance at tumour site level
*to nearest 0.5 breach
Breaches
Treatments
Adjusted Performance
Breaches above 85%*
Lung 7 25
72%
3.5
Urology 6
28.5
78.9% 2
Head & Neck 4 12
66.7%
2.5
Lower Gastrointestinal
1.5
14.5
89.7%
Upper Gastrointestinal 1
13.5
92.6%
Gynaecology
8.5
88.2%
Breast
96%
Other 0%
Sarcoma 3
100%
Skin
Haematology 9
Total
22.5
143.5
84.3%

8. Cancer 62 day standard (4/4)
Key actions
Ambulatory pathway for Lung biopsies (Oct)
FIT (faecal immunochemical tests) roll-out in Lower GI (end of Oct)
One stop service in Head & Neck (Nov)
Additional all day theatre list in Urology (Nov)
Prostate slots returned from Treatment Centre (will reduce late tertiaries)
Monthly provider meetings focussing on timely tertiary referrals & weekly virtual PTLs (Oct)

9. Emergency access within 4 hours (1/2)
Sept 82.7%
Sept adjusted performance with Urgent Care Centre 86%

10. Emergency access within 4 hours (2/2)
Key actions
Combined performance with Urgent Care Centre (Nov)
Working practices in ED (Nov/Dec)
Full Capacity Protocol (Oct)
Discharge to Assess (Oct onwards)
Weekly A&E Delivery Boards (Oct)
Reconfigure assessment areas (Dec)

11. Winter readiness Actions Flu jab campaign (in place)
Divisional Christmas & New Year plans (Nov)
Additional respiratory beds (Dec)
Clinically-led escalation plans

12. Key messages
Strong performance in friends and family, diagnostic waits, referral to treatment and key patient safety and experience indicators
We continue to focus considerable effort on delivering and sustaining required performance for the cancer 62 day and the emergency access standards
Preparations for winter advancing well