1. Integrated Performance Report June 2015 Version 1.0 Integrated Performance Report Month 01, 2015/16 June 20151

2. Integrated Performance Report June 2015 Version 1.0 TargetLatest PerformanceIndicator Meeting targetImprovement since last available measurement Meeting targetNo change since last available measurement Meeting targetDeterioration since last available measurement Not meeting targetImprovement since last available measurement Not meeting targetNo change since last available measurement Not meeting targetDeterioration since last available measurement No target setImprovement since last available measurement No target setNo change since last available measurement No target set Deterioration since last available measurement KEY GG GG GG RR RR RR June 20152

3. Integrated Performance Report June 2015 Version 1.0June 20153 Measure / DeliverableAnnual Plan Measure Tier 1Latest Performance PageLead Director 75% uptake of influenza vaccination among - Over 65s10Yes7Director of Public Health 75% uptake of influenza vaccination among - Under 65s in at risk groups10Yes7Director of Public Health 50% uptake of influenza vaccine among Health care workers10Yes7Director of Public Health 95% Vaccination of all children to age 4 with all scheduled vaccines 1Yes8Director of Public Health 5% of smokers make a quit attempt via smoking cessation services, with at least a 40% CO validated quit rate at 4 weeks. 5Yes9Director of Public Health Improving Health and Wellbeing Measure / DeliverableAnnual Plan Measure Tier 1Latest Performance PageLead Director RTT - 95% of patients will be waiting less than 26 weeks for treatment – Powys Provider 19Yes11 Director of Primary Care and Community RTT – a maximum wait of 36 weeks for treatment – Powys Provider19Yes11 Director of Primary Care and Community Diagnostic & Therapy Waiting Times19Yes 12 Director of Primary Care and Community 95% of patients spend less than 4 hours in all hospital emergency care facilities from arrival until admission, transfer or discharge 14Yes13 Director of Primary Care and Community Eradication of over 12 hour waits within all hospital emergency care facilities. 14Yes13 Director of Primary Care and Community Ensuring The Right Access

4. Integrated Performance Report June 2015 Version 1.0June 20154 Measure / DeliverableAnnual Plan Measure Tier 1Latest Performance PageLead Director Deliver the 65% Cat A response times (with an internal stretch target of 70% - Subject to recommendations in Strategic Review of Welsh Ambulance Service) 14Yes14 Director of Primary Care and Community 80% of assessments following receipt of referral & 90% of therapeutic interventions following an assessment started/undertaken within 56 days by LPMHSS 14Yes15Medical Director 90% of LHB residents (all ages) to have a valid CTP completed at the end of each month 14Yes16Medical Director Cancer Delivery of the 31 Day (98%) standard referral to treatment – Welsh Providers 21Yes17 Director of Primary Care and Community Cancer Delivery of the 31 Day (96%) standard referral to treatment – English Providers 21Yes18 Director of Primary Care and Community Cancer Delivery of the 62 Day (95%) standard referral to treatment – Welsh Providers 21Yes17 Director of Primary Care and Community Cancer Delivery of the 62 Day (95%) standard referral to treatment – English Providers 21Yes18 Director of Primary Care and Community GP Practices offering appointments after 5:00pm14Yes19 Director of Primary Care and Community Ensuring The Right Access

5. Integrated Performance Report June 2015 Version 1.0June 20155 Measure / DeliverableAnnual Plan Measure Tier 1Latest Performance PageLead Director Number of complaints to Powys tHB responded to within 30 days31Yes21 Nurse Director Reduction in C.Difficile and Staphylococcus Aureus Bacteraemia (MRSA & MSSA) 29Yes22Nurse Director Pressure damage incidents originating in a Community Hospital in Powys29Yes23Nurse Director % compliance with Hand Hygiene (WHO 5 moments)31Yes24 Nurse Director Crude Mortality RatesTBCYes25Medical Director Ensure that the data completeness standards are adhered to within 3 months of episode end date. Required target 95% on a monthly basis and 98% over a 12 month rolling basis TBCYes26Director of Planning Reduction in the number of emergency hospital admissions (including re- admissions) for the basket of Chronic conditions (Powys Residents) TBCYes27 Director of Primary Care and Community Improvement in Delayed Transfers of Care (DTOC) delivery (Rate per 10,000 population. 14Yes28 Director of Primary Care and Community & Medical Director % of people over 65 who are discharged from hospital and referred to a nursing or residential home and not their usual place of residence 14Yes29 Director of Primary Care and Community Striving for Excellence Measure / DeliverableAnnual Plan Measure Tier 1Latest Performance PageLead Director % of Staff Appraisals completed within last 12 months. Target of 85% for staff excluding medical staff. 36Yes31 Director of Workforce and OD % of Staff Appraisals completed within last 12 months. Target of 85% for staff medical staff. 13Yes31 Director of Workforce and OD Level of Staff Sickness absence – 4.42% indicative target13Yes32 Director of Workforce and OD Always With Our Staff

6. Integrated Performance Report June 2015 Version 1.0June 20156 Improving Health and Wellbeing

7. Aim: Reduce illness, death and healthcare utilisation due to flu Data Source: PHW - National Weekly Summary of Flu Immunisation Lead Director: Director of Public Health Measure: 75% uptake of influenza vaccination among – Over 65s – Under 65s in at risk groups Notes/ Actions: For planning purposes flu season runs 1 st October to 1 st March. The above is preliminary end of season data. A review of the 2014/15 season has been undertaken, with key action points being fed to the Powys Vaccination Group to strengthen the planning for 2015/16. Full Year Data from April 2014 – March 2015 Next refresh: TBC Integrated Performance Report June 2015 Version 1.0 APTier 1 65+<65Staff 10Yes Contents June 20157

8. Aim: Improve the opportunities and life chances for children Data Source: Public Health Wales COVER 114 published May 2015. Childhood Immunisation uptake for resident children getting the 4 in 1 pre – school booster, the Hib/ MenC booster and second MMR dose by four years of age. Lead Director: Director of Public Health Measure: 95% uptake of scheduled immunisations for children under 4 years Notes/Actions: To have met the Tier 1 target in Q1 2015, an additional 18 children would have had to be up to date with all three scheduled vaccinations by the age of 4 years. The target may not be met even if the 95% target was met for each of the three individual component vaccinations that make up the overall target. The Powys Vaccination Plan has clear actions designed to increase uptake in pre-school children, including: improved intelligence on local uptake levels and increasing awareness within Pre-school settings, particularly for hard-to-reach groups; exploring vacc. training for Health Visitors; and ensuring best practice is being followed, through auditing against the Child Health Immunisation Process Standards. Latest Available: Qtr 1 2015Last Refresh: Jun 2015 Next refresh: Sep 2015Frequency: Quarterly Integrated Performance Report June 2015 Version 1.0 APTier 1 95% 1Yes Contents June 20158

9. Aim: Reduce illness, death and healthcare utilisation due to smoking Data Source: Stop Smoking Wales Quarterly Report National electronic claim and audit forms service for community pharmacies (NECAF) Reports. Lead Director: Director of Public Health Measure: 5% of smokers make a quit attempt via smoking cessation services, with at least a 40% CO validated quit rate at 4 weeks Notes/Actions: First phases of GP referral & secondary care pathways underway, with bespoke resources for former Making Every Contact Count training and support programme for health care workers starting June 2015 with midwives. Skills based training to improve healthy lifestyles including smoking cessation. Development work with optometrists and Health Visitors including distribution and use of CO monitors to increase referrals/sign-posting to cessation services. Communication Plan to raise awareness of smoking cessation services within Powys Ongoing partnering with Stop Smoking Wales including development of specific actions to increase footfall to services and focused on referral pathways for pregnant women and pre-op patients. Smoking Cessation Quarter 1 13/14 to Quarter 4 14/15 Integrated Performance Report June 2015 Version 1.0 APTier 1 TreatedCO quit rate 5Yes Contents June 20159

10. Integrated Performance Report June 2015 Version 1.0June 201510 Ensuring The Right Access

11. Aim: Ensuring the right access – Maintain Waiting Times Targets Data Source: NWIS *To allow correct aggregate comparisons RTT data for English and Welsh providers must be taken from the same month. This data contains Allied Health Professionals. Lead Director: Director of Primary Care and Community Measure: 95% of patients waiting less then 26 weeks for treatment with a maximum wait of 36 weeks (all Powys residents) Notes/Actions: Fortnightly Waiting List meetings have been re-established to monitor and address RTT and follow up issues. The group covers all localities, therapy and health sciences and Women & Children’s Services. As well as looking at provider services, the reported position of commissioned services is also considered and appropriate action is being taken to reduce the waits, either through discussion with the provider or through securing alternative providers. The 1 patient waiting in the 52Wks and Over group for SATH was actually treated at 52 Wks which confirms our stance with Welsh Government that there would be no 52+ week waiters in English providers. Due to issues with data quality at Wye Valley NHS Trust their figures have not been included Integrated Performance Report June 2015 Version 1.0 APTier 1 Powys Provider 26 Wks Powys Provider 36 Wks 19Yes Contents June 201511 Latest Available: Apr 2015Last Refresh: May 2015 Next refresh: Jun 2015Frequency: Monthly

12. Aim: Ensuring the right access – Maintain Waiting Times Target Data Source: Myrddin Audit Base Lead Director: Director of Primary Care and Community Measure: Diagnostic & Therapy Services Waiting Times Notes/Actions: An option appraisal has been completed and a business case submitted to Health Board Directors consideration in order to develop the service across Powys. Agreement was given by Directors to develop a business case for a ‘Powys Provider’ audiology service, funded through reinvestment of the budget currently used for commissioning audiology services. While this is a longer term solution, it should help to address the waiting list in a sustainable way. In the short term, the teams are working to reduce the waiting lists and these continue to be monitored via the fortnightly waiting list meetings. For non-obstetric ultrasound – this has been monitored closely through the waiting list meetings, with an action plan agreed with the Head of Service. Additional sessions have been agreed across Powys and it has been reported that the waits should hopefully return to below 8 weeks by the end of March. Integrated Performance Report June 2015 Version 1.0 APTier 1 8 Week Target 14 Week Target 19Yes Contents Diagnostic and Therapy Waits June 201512 Latest Available: Apr 2015Last Refresh: May 2015 Next Refresh: Jun 2015Frequency: Monthly

13. Aim: Ensuring the right access – Maintain Waiting Time Targets Data Source: Accident & Emergency: NWIS Lead Director: Director of Primary Care and Community Measure: 95% of patients spend less than 4 hours in A&E from arrival until admission, transfer or discharge plus Eradication of over 12 hour waits. Notes/Actions: Powys does not host A&E services but has Minor injuries units (MIU) within its community hospitals During the 2014/15 financial year Powys tHBs MIU’s have met the 4hr target of 95% every month with a total of 30 patients breaching. Powys MIU’s breached the 12 hr target once within the 14/15 financial year. Integrated Performance Report June 2015 Version 1.0 APTier 1 Powys 4 hr Powys 12 hr 14Yes Contents June 201513 Latest Available: Apr 2015Last Refresh: May 2015 Next refresh: Jun 2015Frequency: Monthly

14. Aim: Ensuring the right access – Maintain Waiting Time Targets Data Source: WAST performance: StatsWales Lead Director: Director of Primary Care and Community Measure: Ambulance response times Cat A Notes/Actions: The tHB has an Unscheduled Care Plan and Winter Plan that include immediate and strategic actions to manage and modernise the unscheduled care pathway to assist in Ambulance Performance. The tHB participates in the new Emergency Ambulance Service Commissioner arrangements. Integrated Performance Report June 2015 Version 1.0 APTier 1 WAST 14Yes Contents June 201514 Latest Available: Apr 2015Last Refresh: May 2015 Next refresh: Jun 2015Frequency: Monthly

15. Aim: Ensuring the right access Data Source: Delivery Division, WG (Powys tHB) Lead Director: Medical Director Measure: 80% of assessments within 28 days following receipt of referral & 90% of therapeutic interventions following an assessment started/undertaken within 56 days by LPMHSS Notes/Actions: - Recovery Plan: i) €500,000 on-line CBT initiative which commenced 27/3/15; ii) improve information/awareness /appropriate sign-posting to third sector services; iii) address issues in LTA meetings; iv) further roll-out access to psychological therapies when further funding available; v) monitor and feedback on level of referral and appropriateness. CAMHS : Continued Implementation of Action Plan. i) Smooth recruitment to vacancies; ii) continue group work; iii) implement psychological therapies training and delivery; iv) signpost patients appropriately; v) recruitment to Intensive Team completed vi) telephone follow up vii) specialist clinics viii) all staff able to perform assessments do so. Integrated Performance Report June 2015 Version 1.0 APTier 1 28 Days 56 Days 14Yes Contents June 201515 Latest Available: Apr 2015Last Refresh: May 2015 Next refresh: Jun 2015Frequency: Monthly

16. Aim: Ensuring the right access Data Source: Delivery Division, WG (Powys tHB) Lead Director: Medical Director Measure: 90% of LHB residents (all ages) to have a valid CTP completed at the end of each month. Notes/Actions: Powys tHB are compliant for Part 2 of the Measure. Powys County Council to ensure monthly provision of care coordination information. Integrated Performance Report June 2015 Version 1.0 APTier 1 Trend of CTPs completed 14Yes Contents June 201516 Latest Available: Apr 2015Last Refresh: May 2015 Next refresh: Jun 2015Frequency: Monthly

17. Aim: Ensuring the right access – Maintain Waiting Times Target Data Source: South Wales Cancer Network Data shows financial year 2014 - 2015 Lead Director: Director of Primary Care and Community Measure: Cancer - Delivery of the 31 day (98%) and Delivery of the 62 day (95%) standard referral to treatment targets (Welsh Providers) Notes/Actions: Performance of Welsh providers should be viewed with caution as low numbers adversely affect statistics. Powys monitors the cancer pathways and raises any concerns in relation to delays in treatment with Welsh Providers directly case by case at the time the information is made available. Service or Capacity shortfalls that are identified through bullet point 1 are managed through the performance meetings. Integrated Performance Report June 2015 Version 1.0 APTier 1 31 Day 62 Day 21Yes Contents June 201517 Latest Available: Apr 2015Last Refresh: May 2015 Next refresh: Jun 2015Frequency: Monthly

18. Aim: Ensuring the right access – Maintain Waiting Times Target Data Source: Open Exeter System Data shows financial year 2014 - 2015 Lead Director: Director of Primary Care and Community Measure: Cancer - Delivery of the 31 day (96%) and Delivery of the 62 day (95%) standard referral to treatment targets (English Providers) Notes/Actions: Welsh Government has agreed that monitoring of English targets for Welsh Patients treated in England is an appropriate proxy for performance against Welsh Government set targets, as it is not possible to directly convert data to Welsh Performance target as the inclusion criteria differ. Cancer performance is monitored through monthly contract meetings with providers and reasons for delays are being investigated. Powys monitors the cancer pathways and raises any concerns in relation to delays in treatment with English Providers directly case by case at the time the information is made available. Service or Capacity shortfalls that are identified through bullet point 1 are managed through the performance meetings. Integrated Performance Report June 2015 Version 1.0 APTier 1 31 Day 62 Day 21Yes Contents June 201518 Latest Available: Mar 2015Last Refresh: May 2015 Next refresh: Jun 2015Frequency: Monthly

19. Aim: Ensuring the right access – General Practice Data Source: Each GP Practice was contacted by the Primary Care department to confirm opening hours. Lead Director: Director of Primary Care and Community Measure: GP Practices offering appointments after 5:00pm Notes/Actions: All GP surgeries in Powys are currently meeting the Tier 1 measure. Integrated Performance Report June 2015 Version 1.0 APTier 1 GP 14Yes Contents June 201519 Latest Available: Apr 2015Last Refresh: Apr 2015 Next refresh: Apr 2016Frequency: Annually

20. Integrated Performance Report June 2015 Version 1.0June 201520 Striving For Excellence

21. Aim: Striving for Excellence – Improve Safety, Quality & Experience Data Source: Powys Teaching Health board Quality and Safety Team Lead Director: Nurse Director Measure: Number of Concerns to Powys tHB responded to within 30 days Notes/Actions: The Patient Experience/ Concerns team continue to work closely with the Localities to improve the quality and timeliness of investigations so that the Health Board can improve on its response times. Latest Available: Qtr 4 2014/15 Last Refresh: Apr 2015 Next refresh: Jun 2015Frequency: Quarterly Integrated Performance Report June 2015 Version 1.0 APTier 1 31Yes Contents June 201521

22. Aim: Striving for Excellence – Improve Safety, Quality & Experience Data Source: Public Health Wales Nursing Dashboard Due to submissions and validation figures may change retrospectively. Future reports will always show the latest standpoint at the date the report was run. Lead Director: Nurse Director Measure: Reduction in C.Difficile and Staphylococcus Aureus Bacteraemia (MRSA & MSSA) Notes/Actions: The figures reported are of patients that have acquired the infections reported whilst under the care of Powys tHB Healthcare Services. This data does not show infection cases which initially occur outside Powys healthcare. Due to submissions and validation figures may change retrospectively. Future reports will always show the latest standpoint at the date the report was run. The RCA process is being developed to be carried out on each community/hospital case that attributes to PtHB. From that, any lapses in care can be highlighted and lessons learned shared and fed back to the organisation. Our aim in PtHB is to have zero cases of C diff which are due to any lapses in care. This RCA process is essential in the ascertainment of this information and is being seen as a priority. Integrated Performance Report June 2015 Version 1.0 APTier 1 29Yes Contents MRSA & MSSA Infections Powys Teaching Health Board has only had one reported case of MRSA in April 2013 and no cases of MSSA since the 2012-2013 financial year. June 201522 Latest Available: May 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly

23. Aim: Striving for Excellence – Improve Safety, Quality & Experience Data Source: Datix Risk Management System Lead Director: Nurse Director Measure: Reduction in the number of healthcare acquired pressure ulcers Notes/Actions: The data demonstrates pressure damage only that has either developed under our service provision or the service provision we commission through external Trusts and Health Boards. It does not currently include pressure damage reported in Residential Home / Nursing Homes. The data also does not include incidents of pressure damage we are asked to manage in the community that arose beyond the sphere of our care. It is notable that the level of pressure damage within our community hospitals ranges between 2 and 9 reports per month and within this data the number of patients reporting pressure damage grade 3 and above has proportionally reduced. Our community teams who are reporting pressure damage under their care ranges from 3 to 11 reports per month. There has been a reduction in pressure damage reported as originating within the DGH compared to 2013/14 however the proportion of grade 3 and above pressure damage within these has not seen a reduction. Integrated Performance Report June 2015 Version 1.0 APTier 1 29Yes Contents June 201523 Latest Available: May 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly

24. Aim: Striving for Excellence – Improve Safety, Quality & Experience Lead Director: Nurse Director Measure: % compliance with Hand Hygiene (WHO 5 moments) Integrated Performance Report June 2015 Version 1.0 APTier 1 31Yes Contents Notes/Actions: Completeness and Gaps in Data This is for 2 reasons: (i) Training needs- in that staff were undertaking the audits but unable to upload results to Fundamentals of Care. These results have now been backfilled retrospectively. (ii) Key people that undertake the audits were on annual/sick leave. These issues have been and will continue to be addressed until we get this process right. Validity From the information in the table above it would seem that PTHB has a very high mean compliance rate. However, when the IPCN has carried out standard precaution audits and hand hygiene checks on the wards, the picture is quite different. The IPCN audits compliance rates were found to be significantly lower. There are several reasons as to why this could be the case. Firstly, staff carrying out audit are not familiar with the “5 Moments” and are not conducting audits accurately. Secondly, as staff carry out audits on their own wards the question of bias may be an issue. In order to address both of these areas a PtHB wide Study was organised, which included training around the “5 moments” together with how to audit, how to report and why this is so important This is being taken very seriously. It is anticipated that compliance figures will initially fall as staff put their training into practice and true compliance will be reflected in the results. This will provide us with an honest baseline and a clear picture to enable targeted training to areas with sub optimal compliance. June 201524 Latest Available: Apr 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly

25. Aim: Striving for Excellence – Improve Safety, Quality & Experience Data Source: IFOR Lead Director: Medical Director Measure: Crude Mortality Rates Notes/Actions: As clearly can be seen from the graph the most significant factor in our crude mortality rate is the falling number of admissions to Powys wards. Staff shortages and refurbishment programs has meant that the tHB is caring for 10% fewer patients than 12 months previously. During this time however priority has been given to the admission of patients who require end of life palliative care. As can be seen by the lower yellow line total monthly deaths have remained essentially constant but the lower denominator has resulted in an increased mortality rate. Future trend: Crude mortality will continue to rise as the lower bed numbers work through the system. Integrated Performance Report June 2015 Version 1.0 APTier 1 Yes Contents June 201525 Latest Available: May 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly

26. Aim: Standards - Data Quality Data Source: NWIS Lead Director: Director of Planning Measure: Ensure that the data completeness standards are adhered to within 3 months of episode end date. Required target 95% on a monthly basis and 98% over a 12 month rolling basis Notes/Actions: We are fully compliant in meeting the 98% and 95% targets as set by Welsh Government and the graph therefore may be slightly misleading. It shows our position against this target for all data that has been submitted including the last 12 week position which is outside of the target area. We continually monitor our position and have amended our submission routines to NWIS so that our data is continually updated. Integrated Performance Report June 2015 Version 1.0 APTier 1 Performance Trend 31Yes Contents June 201526 Latest Available: Apr 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly

27. Aim: Standards - Data Quality Data Source: NWIS (Welsh Data) HCCS (English Data) Lead Director: Director of Primary Care and Community Measure: Reduction in the number of emergency hospital admissions (including re-admissions) for the basket of Chronic conditions (Powys Residents) Notes/Actions: With the Chronic condition readmissions there is always a delay of at least 3 months for Welsh Providers as the data is reliant on coded episodes. Due to the time delay on English Providers coded episodes we are now waiting between 5-6 months for a complete view of the information and related performance. Latest Available: Dec 2014Last Refresh: Apr 2015 Next refresh: May 2015Frequency: Monthly Integrated Performance Report June 2015 Version 1.0 Tier 1 Yes Contents Powys Residents Emergency Readmissions for Basket of 8 Chronic Conditions (Latest 12 month period minus 3 months to allow for coding delays) June 201527

28. Aim: Ensuring the right access – Increase the % of people on an appropriate pathway Data Source: DTOC – Stats Wales Lead Director: Director of Primary Care and Community(Non Mental Health) & Medical Director for Mental Health DTOCs Measure: Improvement in Delayed Transfers of Care (DTOC) delivery rate per 10,000 population. Notes/Actions. Non Mental Health - The transfer to the new contracting arrangements which caused the significant rise in DToC over the last 2 years seems to have not made the recovery we had expected and there has only been slow progress with small pockets of success. To resolve this issue PtHB has been holding 3 conference calls per week with our LA colleagues to ensure that patients are being prioritised and even with this level of scrutiny the ability of the Home care providers in having the capacity to meet the needs of our patients has been severely tested. PtHB are now moving to using patient tracker systems and strengthening the DTOC validation process. PCC are now spot purchasing larger numbers of clients into Residential Care Settings. Mental Health - DtOC from all providers are now being reported. Discussion in LTA meetings and weekly telephone conference where necessary. Issue of the policy being applied to Powys residents by external providers Integrated Performance Report June 2015 Version 1.0 APTier 1 14Yes Contents Delayed Transfer of Care (DTOC) rolling 12 month performance per 10,000 Population June 201528 Latest Available: Apr 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly

29. Aim: Ensuring the right access – ICPOP Lead Director: Director of Primary Care and Community Integrated Performance Report June 2015 Version 1.0 Measure : % of people over 65 who are discharged from hospital and referred to a nursing or residential home and not their usual place of residence Notes/Actions: Care should be taken when interpreting this data. Due to the way in which data is recorded there is variation between providers on what constitutes 'usual place of residence'. For example a patient that has been a resident of a nursing home for some years may or may not be classified as being admitted from their usual place of residence but on discharge would go back to the nursing home. Work is currently underway with the National Definitions group to address this inconsistency in recording of data nationally. Data Source: NWIS Latest Available: Dec 2014Last Refresh: Mar 2015 Next refresh: Jun 2015Frequency: Quarterly APTier 1 14Yes Contents June 201529

30. Integrated Performance Report June 2015 Version 1.0June 201530 Always With Our Staff

31. Aim: Striving for Excellence - Workforce Data Source: Electronic Staff Record (ESR) Lead Director: Director of Workforce & Organisational Development Measure: % of Staff Appraisals completed within last 12 months (Target of 85%) Notes/Actions : The attainment of the Medical Staff Appraisals target reaching 90% is due to improved recording of the appraisals in ESR in addition to recording in the medical system. During this year, our performance on meeting the Tier 1 target has fallen well short of what was expected and only reached 70.06%. This is particularly disappointing in that it doesn’t fully recognise the achievements of 91 out of 202 Supervisors who achieved over 90%. Our performance as an organisation has been discussed in depth at Board Level. The Executive Team and each Director has been asked to account for their performance and to develop an Improvement Plan for their area of responsibility to ensure that we are developing a culture where appraisals are and embedded part of the “way we do things in Powys”, are meaningful and valued by all staff. Integrated Performance Report June 2015 Version 1.0 APTier 1 Non Medical Medical staff 36Yes Contents June 201531 Latest Available: Apr 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly

32. Aim: Striving for Excellence - Workforce Data Source: Electronic Staff Record (ESR) Lead Director: Director of Workforce & Organisational Development Measure: Level of Staff Sickness Absence – 4.42% Indicative target – Rolling 12 months Notes/Actions: Revised Approach to Attendance Management has been embedded in the organisation and actual monthly sickness absence rates continue to fall. Executive led Sickness Focus Group meets monthly for case management, consistency and learning purposes. Monthly attendance reports issued to the senior management teams and WOD Business Partners work with managers to ensure policy is applied. Absence Call Back scheme pilot has been extended to additional ‘hot spot’ areas. Integrated Performance Report June 2015 Version 1.0 APTier 1 13Yes Contents June 201532 Latest Available: Apr 2015Last Refresh: Jun 2015 Next refresh: Jul 2015Frequency: Monthly