West Middlesex Hospital Iain Beveridge, Associate Medical Director Vanessa Sloane, Director of Nursing

We Are Proud of Our Performance NHS TRUST A&E (Oct) RTT (Sept) 62 Day (Sept) Average Rank Overall Rank Chelsea and Westminster Hospital 1 2 1.33 Lewisham And Greenwich 4 8 4.67 London North West Healthcare 5 3 5.33 Barking, Havering And Redbridge University Hospitals 10 6 5.67 University College London Hospitals Imperial College Healthcare 9 6.33 Barts Health 6.67 7 Royal Free London Guy's And St Thomas' 11 7.00 St George's University Hospitals 8.00 King's College Hospital 8.33

National Key Performance Indicators West Middlesex Site compared to London average Nov-17 West Middlesex London Average Variance A&E waiting times 94.4% 87.3% 7.1% Cancer: 2 weeks from referral to first appointment 95.5% 95.9% -0.4% Cancer: 31 days diagnosis to first treatment 100.0% 97.1% 2.9% Cancer: 31 days subsequent cancer treatment (Drug) 99.6% 0.4% Cancer: 31 days subsequent cancer treatment (Surgery) 96.8% 3.2% Cancer: 62 days GP referral to first treatment 93.8% 83.4% 10.4% Referral to Treatment Time (RTT) (18 week treatment times) 88.3% 5.5% Diagnostic waits under 6 weeks 88.5% 98.6% -10.1% Friends & Family Test (FFT): A&E recommend 83.6% 85.1% -1.5% FFT: Inpatients recommend 91.5% 94.3% -2.8% FFT: Maternity recommend 86.9% -

We invited the NHS Improvement Emergency Care Team for a two day visit in late summer 2017 - and we have subsequently implemented their recommendations Integrated hospital discharge: agreed actions with our social services and community colleagues – this works to avoid ‘long stay’ patients getting stuck in hospital when they are medically fit to go home. Monitored through local Urgent Care Board. Improved frailty pathway: we have developed an improved frailty pathway that provides consultant led front door services for our elderly patients supported by acute frailty units at both hospitals Extra capacity: we have made some physical reconfigurations and pathway changes at our hospital Emergency Departments to improve our capacity. Invested approx £3m in upgrades to WMUH A&E Staffing: we have worked to ensure our staffing is matched to our peak periods of demand (ie: 5pm - 10pm) – so achieving the maximum benefit from our superb nurses, doctors and therapists Flu vaccination: we have implemented a comprehensive Flu immunisation programme to ensure as many staff as possible are protected from the effects of influenza

Investment in West Middlesex Hospital: We have invested over £9m in upgrading our site in the last 2 years Emergency Department Cardiac Catheter Lab Development Investment Paediatrics Assessment Unit £1.3m Marjory Warren Ward Upgrade £400k Cardiac Cath Lab £2.5m Emergency Department £3m HV Switchgear Replacement £150k Health, power and energy schemes £1.5m Asbestos removal TOTAL INVESTMENT £9.2m Paed Assessment Unit

Expanded A & E resuscitation area Next Steps Expanded A & E resuscitation area Fundraising by CW+ to improve facilities in the children’s wards Expanding ambulatory care Reviewing public and staff car parking Increased provision of staff accommodation