1. 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)

2. Respond Deliver & Enable Key Targets – 1 Hospital Acquired Infections Performance Indicators Risk Rating Target 2008-09 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

3. Respond Deliver & Enable Key Targets – 2 Cancer Waiting Times Performance Indicators Risk Rating Target 2008-09 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--

4. Respond Deliver & Enable Key Targets – 3 Emergency Department Performance Indicators Risk Rating Target 2008-09 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%)

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

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

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

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

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

10. Respond Deliver & Enable Key Targets – 4 Referral to Treatment Waiting Times Performance Indicators Risk Rating Target 2008-09 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%

11. 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)

12. 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

13. 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