Respond Deliver & Enable Council of Governors Operations Quarterly Review Elaine Hobson Chief Operating Officer 14 January 2009 Item 6 Relates to Domain 1 (C4a) and Domain 5 (C8, C19)

Respond Deliver & Enable Key Targets – 1 Hospital Acquired Infections Performance Indicators Risk Rating Target Current Position Nov 2008 Year to Date Position Incidence of Clostridium difficile MON01, HCC20 High 230 (141) 9107 Incidence of MRSA MON02, HCC18 High 18 (10) 09

Respond Deliver & Enable Key Targets – 2 Cancer Waiting Times Performance Indicators Risk Rating Target Position Oct 2008 Year to Date Position Cancer: Two weeks from urgent GP referral to first outpatient appointment for all urgent suspect cancer referrals MON11, HCC22 Low98%99.1%99.7% Cancer: 31 days from diagnosis to treatment for all cancers MON08, HCC23 Low98%98.0%99.2% Cancer: 62 days from urgent referral to treatment for all cancers MON09, HCC24 Med95%96.5%95.5% Cancer: 31 day decision to treat to start of treatment extended to cover all cancer treatments from end Dec 08 MON03 HCC23 Hightbc-- Cancer: 62 days from GP or screening service referrals or consultant upgrade to treatment for all cancers from end of Dec 08 MON04, HCC24 Hightbc--

Respond Deliver & Enable Key Targets – 3 Emergency Department Performance Indicators Risk Rating Target Current Position Nov 2008 Year to Date Position Maximum waiting time of 4 hours in A&E from arrival to admission, transfer or discharge (bracketed figure is RD&E activity only) MON07, HCC05 High98% 98.8% (97.5%) 98.9% (97.6%)

Respond Deliver & Enable Medicine – Dec 2008 to Jan 2009 Predicted Vs Actual Admissions

Respond Deliver & Enable Surgery – Dec 2008 to Jan 2009 Predicted Vs Actual Admissions

Respond Deliver & Enable Trauma & Orthopaedics – Dec 2008 to Jan 2009 Predicted Vs Actual Admissions

Respond Deliver & Enable Gynaecology – Dec 2008 to Jan 2009 Predicted Vs Actual Admissions

Respond Deliver & Enable Paediatrics – Dec 2008 to Jan 2009 Predicted Vs Actual Admissions

Respond Deliver & Enable Key Targets – 4 Referral to Treatment Waiting Times Performance Indicators Risk Rating Target Current Position Nov 2008 Year to Date Position 18-week maximum wait by 2008 Admitted patients incorporating data completeness measures. MON05, HCC21.I, HCC21.III Low90%90.2%n/a 18-week maximum wait by 2008 Non-admitted patients incorporating data completeness measures. MON06, HCC21.II, HCC21.IV Low95%96.8%n/a 15-week maximum wait by 2009 Admitted patients incorporating data completeness measures. LOC01 High85%82.5%n/a 15-week maximum wait by 2009 Non-admitted patients incorporating data completeness measures. LOC02 High90%95.7%n/a Cancelled operations HCC10.I Medium0.8%0.91%0.94%

Respond Deliver & Enable Council of Governors Finance Quarterly Review Suzanne Tracey Director of Finance and Business Development 14 January 2009 Item 6 Relates to Domain 3 (C7d)

Respond Deliver & Enable Finance Report – Month 8 Year to Date £8.7m surplus £2.7m above plan Year end forecast £8.9m £2.5m above plan Some slippage around capital expenditure –Year to date expenditure £4.1m –Year end forecast £14m Financial Risk Rating –Year to date 5 –Forecast year end 4

Respond Deliver & Enable Finance – Other Issues Road testing tariff released 11 December, final tariff for 2009/10 expected 12 January 2009 Changes to currency –Move to HRG version 4.0 from 3.5 Changes to Market Forces Factor Changes to allocations formula for PCTs Tariff Uplift –1.7% 2009/10 –1.2% 2010/11 –Low (potentially zero growth) 2010/11 onwards