Our performance

The Trust aims to be open and honest about how it performs. Below is a selection of Key Performance Indicators with the latest available data:

A&E 4 Hour Wait Target

Section Title

Web Indicator Name

Month of Achievement

Achievement

Target

Met Or Failed

A&E 4 Hour Wait Target

Emergency Care 4 Hour Wait

February 2022

71.50%

95%

Failed

March 2022

70.00%

95%

Failed

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.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

Section Title

Web Indicator Name

Month of Achievement

Achievement

Target

Met Or Failed

Cancer

Cancer 2 Week Wait GP Referral to OP Appointment  (1 month in arrears)

January 2022

82.80%

93%

Failed

February 2022

75.46%

93%

Failed

Cancer 31 Day Diagnosis to Treatment (1 month in arrears)

January 2022

93.54%

96%

Failed

February 2022

98.00%

96%

Achieved

Cancer 62 Day Standard plus 31 Day Rare Cancers (1 month in arrears)

January 2022

45.38%

85%

Failed

February 2022

54.93%

85%

Failed

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

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

Section Title

Web Indicator Name

Month of Achievement

Achievement

Target

Met Or Failed

Infection

Healthcare associated incidents of Clostridioides difficile - Cumulative

February 2022

66

64

Failed

March 2022

69

70

Achieved

MRSA Bacteremia - Trust Acquired - Cumulative

February 2022

2

0

Failed

March 2022

2

0

Failed

Pressure Ulcers Category 3 - Trust Associated (1 month in arrears)

January 2022

0

1

Achieved

February 2022

0

1

Achieved

Pressure Ulcers Category 4 - Trust Associated (1 month in arrears)

January 2022

0

0

Achieved

February 2022

1

0

Failed

Pressure Ulcers Unstageable Category - Trust Associated (1 month in arrears)

January 2022

0

2

Achieved

February 2022

0

2

Achieved


Infection: MRSA IncidenceThis 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: Clostridium Difficile (Trust acquired)

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

Section Title

Web Indicator Name

Month of Achievement

Achievement

Target

Met Or Failed

Mortality

HSMR - Basket of 56 Diagnosis Groups (3 months in arrears)

November 2021

103.43

Relative Risk

Within Expected

December 2021

105.42

Relative Risk

Within Expected

SHMI - Quarterly (6 months in arrears)

August 2021

106.60

Relative Risk

Within Expected

September 2021

107.70

Relative Risk

Within Expected

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

Section Title

Web Indicator Name

Month of Achievement

Achievement

Target

Met Or Failed

Waiting Times

Waiting Times: Percentage of Patients Currently Waiting Less than 18 Weeks to Start Treatment (1 month in arrears)

January 2022

56.6%

92%

Failed

February 2022

55.8%

92%

Failed


Staffing levels

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

Staffing levels January 2022

Staffing levels February 2022

Staffing levels March 2022

Staffing levels April 2021

Staffing levels May 2021

Staffing levels June 2021

Staffing levels July 2021

Staffing levels August 2021

Staffing levels September 2021

Staffing levels October 2021

Staffing levels November 2021

Staffing levels December 2021