A&E 4 Hour Wait Target

This indicator reports the percentage of A&E attendances where the patient spends four hours or less in A&E from arrival to transfer, admission or discharge. This is a measure against the national waiting time standard, for which the target is 95%.

Cancer

Cancer: 2 Week cancer wait (GP Referral to out-patient appointment)

This indicator reports the percentage of patients first seen within two weeks of an urgent GP / GDP referral for suspected cancer. The organisation's performance is measured against a national target of 93%. This indicator is reported 1 month in arrears.

Cancer: 31 day diagnosis to treatment cancer target

This indicator reports the percentage of patients receiving their first definitive treatment within one month of a cancer diagnosis. The organisation's performance is measured against a national target of 96%. This indicator is reported 1 month in arrears.

Cancer: 62 days urgent referral to treatment cancer target

This indicator reports the percentage of patients receiving their first definitive treatment for cancer within 62-days of an urgent GP referral for suspected cancer. The organisation's performance is measured against a national target of 85%. This indicator is reported 1 month in arrears.

Infection

Infection: Clostridium Difficile (Trust acquired)

This indicator reports the number of incidences of Clostridium difficile in a calendar month as a cumulative figure per annum. The reporting of Clostridium Difficile rates is set by the SHA (as set out in Section B Part 8.5). By achieving our target, the organisation can demonstrate its standard of practice in relation to Control of Infection, links to quality of patient care and to managing its reputation as a healthcare provider. This can also affect the organisation's registration with the Care Quality Commission.

Infection: MRSA Incidence

This indicator reports the total number of new MRSA Bacteraemia in a calendar month cumulatively per annum. The organisation has a target of 0 new incidences per annum. By achieving this target, the organisation can demonstrate the standard of practice in relation to Control of Infection, links to quality of patient care and to managing its reputation as a healthcare provider. Non-achievement can also affect registration with the Care Quality Commission.

Pressure Ulcers Grade 3 & 4

This indicator reports the number of incidences of grade 3 and 4 avoidable pressure ulcers acquired by in patients in the care of the organisation in the calendar month. Monitoring this will encourage best practice in prevention and management for all patients at risk of developing pressure ulcers.

Mortality

Mortality: HMSR (Basket of 56 diagnosis Groups)

HMSR stands for Hospital Standardised Mortality Ratio. This indicator reports the comparison of the number of expected deaths (denoted by 100) with the number of actual deaths. This indicator reports the comparison of the number of expected deaths with the number of actual deaths. The data are based on the diagnoses that lead to 80 per cent of all deaths and are adjusted for factors statistically associated with hospital death rates. The trust has a target of 100 or below. This indicator is reported three months in arrears.

Mortality: SHMI

SHMI stands for Summary Hospital-Level Mortality Indicator. The indicator reports how many deaths would be expected to occur if the organisation were like the national average at that point in time (denoted by 100). This indicator reports how many deaths would be expected to occur if the organisation were like the national average at that point in time. The SHMI model takes into account a number of factors such as differences in age, sex, diagnosis, type of admission and other diseases (co-morbidity). The organisation has a target of 100 or below. This indicator is reported quarterly, six months in arrears.

Waiting times

Waiting times: Percentage of incomplete patients seen within 18 weeks.

This indicator reports the percentage of patients on incomplete pathways within 18 weeks against the total number of patients on an incomplete pathway as at the end of a calendar month. The organisation's performance is measured against a target of 92%.