1. Trust Performance Update

2. A&E Performance
The Trust has experienced significantly higher attendance in May 2016 than the same period last year, which resulted in lower performance, yet is maintaining performance against the STP targets.

3. Cancer Performance
The small number of eligible patients can cause disproportionate problems with performance, e.g. a 1 patient difference could cause a 10% movement in performance.

4. Referral to Treatment (RTT) Performance
Trust performance for RTT incomplete pathway (patients yet to commence treatment) is lower than the same period last year, but remains higher than the national target of 92%.
Work has commenced on a review of the process of recording and validating RTT data collection, which should see the performance improve as data quality errors are corrected in patients who appear to be waiting longer than anticipated.

5. Diagnostic 6 Week Performance
During 2015/16 only 1 breach of the Diagnostic 6 Week standard was breached. The forecast for 2016/17 is that there will be zero breaches.
The overall number of patients waiting at the end of May 2016 (provisional) is higher than the same period of 2015/16, across all test groups.

6. Ambulance Handover Delays
The assurance statements within the STP include ambulance handover delays to not exceed 15 mins, and where this is not achieved, to improve on the previous year.

7. Mortality Update
The Trust monitor mortality by Reviewing nationally available statistics and presenting it as a statistical measure in 3 ways
SHMI
RAMI
HSMR
Consider this an early detection system
2 out of 3 show mortality within statistical range
1 out of 3 shows mortality above statistical range

8. Mortality Update The Trust robustly reviews its deaths for
Level of any harm
Whether death was avoidable
The trajectory for the proportion of deaths reviewed is on an improving upward trajectory
Of the deaths reviewed in 2015 avoidable death rate was 0.23% and avoidable harm rate was 0.45%
These figures are better than the published studies
A process for reviewing all deaths in patients with a learning disability utilising national guidance will be implemented from 21st June 2016 with the review team consisting of the Medical Director, Deputy Director of Nursing and Learning Disability Nurse Specialist.

9. Financial update – 2015/16
2015/16 year end position £8.3m deficit before exceptional items (significant improvement from mid year forecast)
Cash balance at end of March 2016 £15.5m
Monitor Financial sustainability rating 2
CIP delivered £10.65m
Exceptional year end items:
Transfer of St Benedict’s £9.8m
Equal pay £402k
Redundancy provision £3.5m
Impairments £767k

10. Financial plan – 2016/17 2016/17 Planned deficit £3m
Cost Improvement Programme £11.7m to deliver this
Includes £4.9m non-recurring sustainability and transformation funding available subject to:
Credible STP plan
Achieving the £3m deficit (including implementing Carter recommendations and Agency controls guidance)
Achieving agreed improvement trajectories for access standards
Planned cash balance at end of March 2017 £4.3m
Monitor Financial sustainability rating 2

11. South Tyneside and Sunderland Healthcare Group update
Memorandum of Understanding signed by both Foundation Trust Boards
Clinical Review programme agreed
Vision and values for the Group based on the commons values from both Trusts
Copies available for Governors