1. Council of Governor’s Meeting
Presented by: Tim Bennett – Director of Finance and Information / Deputy Chief Executive
Steven Vaughan – Director of Performance & Operations
13th December 2010

2. Key Performance Indicators
Area of review
Key Highlights
In-month Rating
Year to date Rating
Year end projection
Financial Summary
The Trust recorded a surplus in October of £229k against a planned surplus of £604k, a worse performance than planned by £375k in month. The actual deficit at the end of October is £223k against a planned surplus of £670k a shortfall of £893k.
The main contributory factors are a reduction in activity levels and an increase spend on medical locums.
Activity
A&E & non-PbR patient  income ahead of  plan;
Elective, non-elective & PbR out-patient income behind plan;
The Trust is measured against a range of performance indicators Including use of resources and quality of services provided

3. Governance Risk Rating (shadow)
e.g. Green is less than 1.0; Amber scores between 1.0 – 2.9 or failure of the same target weighted 0.5 in 3 consecutive quarters; Red score more than 3.0 or failure of the same target weighted 1.0 where it is a national requirement) in 3 consecutive quarters
Governance Risk Rating (shadow ) Target
RAG rated
Clostridium Difficile
MRSA
18 weeks Admitted & Non Admitted – no longer measured by Monitor
Cancer 31 days (subsequent)
Cancer 62 days
Cancer 14 days
Cancer 31 days diagnosis to treatment for all cancers
A&E 4 hour
Thrombolysis (Call to Needle)
Health economy shared target. The year to October position is 64.52% against 68% target. 20 patients treated within 60 minutes, 31 were considered eligible.
Screening MRSA
Core standards

4. Exceptions
Thrombolysis – There are a small number of patients that are eligible to have this treatment and the requirement is that this is given within 60 minutes of the call for help. The treatment can be given by trained paramedic crews before they reach hospital ,if the diagnosis is clear and the patient is under 80 years of age. Otherwise the patient needs to be taken to the nearest hospital in order to be diagnosed and treated.
During patients were not thrombolysed within 60 minutes, the primary reason for this was distance to travel to hospital & patients did not meet the clinical criteria for Pre-hospital thrombolysis. This position is improving during and has reached 64.52% with 20 of 31 eligible patients being thrombolysed within 60 minutes.

5. More detailed information:
Can be found on the Trust’s web-site via the following link: