1. Integrated Performance Report
22 February 2018
Caroline Shaw Chief Operating Officer and Deputy Chief Executive

2. Strong performance

3. Standards not consistently achieving

4. Areas requiring improvement

5. Cancer 62 day standard
Dec performance 81.6% adjusted (82.1% unadjusted) - negative adjustment in Dec due to surgery waits in Head & Neck and Urology
Focus remains to reduce time to diagnosis in Lung and surgical wait times in Urology
£98k non-recurrent funds from Cancer Alliance to increase capacity in Lung pathway
Extra equipment and staff have enabled parallel Lung Endobronchial Ultrasound lists in January that has reduced wait times

6. Emergency access within 4 hours (1/6)

7. Emergency access within 4 hours (2/6)
80.1% Jan performance (with UCC)
Extreme pressure on our services with significantly higher emergency admissions than planned
Black escalation declared three times since last Trust Board meeting
Delayed treatment to elective patients to cope with emergency demand (in line with national guidance). This has and will continue to impact on elective care standards
The number of patients in hospital that required a supported discharge and were medically safe for more than 24 hours increased by 35% from Nov to Jan
Zero 12 hour trolley waits in 2017/18 to date
Friends and family recommends for A&E remain strong and we continue to receive positive comments about our Emergency Department on the Care Opinion website

8. Emergency access within 4 hours (3/6)

9. Emergency access within 4 hours (4/6)
Emergency admissions increased by 10% in Jan-18 compared with previous year (up 12% in Feb-18)
Emergency discharges increased by 11% in Jan-18 & Feb-18 compared with 2017
Jan-18 discharges were in balance with admissions. In Feb-18 they are running on average two discharges a day short
Respiratory admissions have been >30% higher in Dec-17 & Jan-18 than previous year

10. Emergency access within 4 hours (5/6)
The number of patients in hospital that required a supported discharge and were medically safe for more than 24 hours peaked in Jan-18
Backlog of supported patients waited longer post medically safe to leave hospital

11. Emergency access within 4 hours (6/6)

12. Key messages
Exceptional pressure this winter has adversely impacted on patient experience, our financial position and our staff
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 sustainable delivery of the Cancer 62 day standard and recovery of the emergency access standard