NHS Performance Statistics - January 2018

Combined Performance Summary

• Urgent and emergency care – Accident and Emergency, NHS111, Ambulances, Delayed Transfers of Care 
• Planned care – Referral to Treatment, Diagnostics, Mixed Sex Accommodation, NHS Continuing Healthcare and NHS-funded Nursing Care, Patient Reported Outcome Measures 
• Cancer - Cancer Waiting Times, Cancer Registrations, Cancer Emergency Presentations, Cancer Survival Estimates 
• Mental Health - Early Intervention in Psychosis, Out of Area Placements, Children and Young People with an Eating Disorder, Contacts and Referrals, Improving Access to Psychological Therapies

Demand and Capacity Trainer Programme

The Demand and Capacity Trainer Programme is a free, accredited, six-month programme designed to support organisations to develop internal capability and skills in demand and capacity modelling.

The approach will equip staff to train others in demand and capacity and thereby spread this knowledge more widely at a local level. As a result local areas are better equipped to develop credible activity plans that support the delivery of reduced waiting times for patients.

Exclusive: A&E doctors tell prime minister patients are dying in corridors

Clinical leads for emergency departments warn prime minister of premature deaths in corridors
A&E waiting time performance has dipped to between 45 per cent and 75 per cent at times
Doctors say winter preparations failed to deliver and call for significant funding boost

Senior doctors in charge of more than 60 hospital emergency departments have written to the prime minister warning of “very serious concerns” about patient safety amid the winter crisis, including a case of patients dying prematurely in corridors.

To obtain this article copy and paste the post into an email and send to libraryw@uhcw.nhs.uk

NHS efficiency map

This map promotes best practice in identifying, delivering and monitoring cost improvement programmes in the NHS. It contains links to a range of tools and guidance to help NHS bodies improve their efficiency.

The map is split into three sections: enablers for efficiency, provider efficiency and system efficiency. It highlights the successes some NHS providers have had in delivering specific efficiency schemes and provides sign-posts to existing tools and reference materials. It also includes updated definitions for different types of efficiency.

It has been updated with additional case studies.

Good work, wellbeing and changes in performance outcomes: illustrating the effects of good people management practices with an analysis of the National Health Service

This report from the What Works Centre for Wellbeing illustrates the effect of good people management with an analysis of the NHS. It found Trusts that made the most extensive use of good people management practices were over three times more likely to have the lowest levels of staff sickness absence and at least four times more likely to have the most satisfied patients. They were also more than twice as likely to have staff with the highest levels of job satisfaction compared to NHS Trusts that made least use of these practices, and over three times more likely to have staff with the highest levels of engagement.

Enabling BME nurse and midwife progression into senior leadership positions

This report from NHS England summarises the learning from engagement work, which identifed what the best performing trusts in the workforce race equality standard area were doing, and includes examples that outline best practice approaches and a number of suggested actions to support improvement.

NHS performance statistics - December 2017

Combined Performance Summary

• Urgent and emergency care – Accident and Emergency, NHS111, Ambulances, Delayed Transfers of Care 
• Planned care – Referral to Treatment, Diagnostics, Mixed Sex Accommodation, NHS Continuing Healthcare and NHS-funded Nursing Care, Patient Reported Outcome Measures 
• Cancer - Cancer Waiting Times, Cancer Registrations, Cancer Emergency Presentations, Cancer Survival Estimates 
• Mental Health - Early Intervention in Psychosis, Out of Area Placements, Children and Young People with an Eating Disorder, Contacts and Referrals, Improving Access to Psychological Therapies

Diversity and inclusion partners programme 2018/19

NHS Employers is inviting NHS organisations to apply for the prestigious 2018/19 annual diversity and inclusion partners programme. The programme supports participating trusts to progress and develop their equality performance over a period of 12 months, and is closely aligned to the Equality Delivery System (EDS2).

Applications opened on Monday 4 December 2017 and will close on Friday 9 February 2018

A two-way street: what can CCGs teach us about accountability in STPs?

This report from the Nuffield Trust explores the accountability and performance management arrangements for CCGs and looks at the implications of these for STPs and accountable care systems. It is based on 13 interviews with senior CCG leaders and NHS England policy makers which took place in September 2016.

Performance of the NHS provider sector for the month ended 30 September 2017

This report from NHS Improvement finds that despite the NHS treating more patients than even before, more people were seen within four hours in A&E and within 18 weeks for planned care. However, the combined end of year deficit for hospitals in England will be an estimated £127 million worse than planned.

Use procurement data to help realise £300m of savings

NHS improvement's recent procurement league table presents an assessment of the relative performance of procurement departments using data on acute trusts’ procurement process efficiency and price performance.

To help identify your opportunities to save, you can use

• the Model Hospital to interrogate your own procurement data to help you identify areas to improve
• the Purchase Price Index and Benchmarking (PPIB) tool and the nationally contracted products programme to negotiate lower prices

Single Oversight Framework (SOF): 2017/18 version

NHS improvement has updated the Single Oversight Framework  to reflect changes in national policy priorities and its approach to provider oversight.

Addressing ambulance handover delays: actions for local A&E delivery boards

Ambulance handover will be a key indicator for both winter monitoring and on an ongoing basis through publication of performance data.

This letter from NHS Improvement outlines its expectations and guidelines for management.

At least £360m extra funding may be needed for NHS to meet four hour A&E target this winter

This winter, the extra capacity needed to help the NHS to meet its four hour A&E target could cost at least £360m, according to new analysis by the Health Foundation.

Recent measures taken to reduce pressures include an increase in people having the flu vaccine, more 111 calls being handled by clinicians and £100m of capital investment. This may reduce the number of people coming to A&E.

However, the impact of these measures is not yet known. New Health Foundation analysis shows that unless the trend of recent years is significantly improved, this winter could potentially see the worst performance against this target since records began in 2004/5.

Health at a glance 2017

This report from the OECD outlines the latest comparable data and trends on different aspects of the performance of health systems in OECD countries. The analysis of the UK health system finds that the overall health of Britons is similar to the OECD average and that access to care is generally strong but that the indicators for quality of care are below the OECD average.

Quarter of hospital patients denied rapid review – even on weekdays

More than one in four patients do not see a medical consultant within 14 hours of being admitted to hospital – even on weekdays, new data from NHS England reveals.

The information shows that on weekdays across all trusts, 73 per cent of patients see a consultant within the period, which is a key requirement under national “seven day service” standards.

The figure is even lower – 70.3 per cent – at weekends.

To obtain this article copy and paste the post into an email and send to: libraryw@uhcw.nhs.uk

Daily Insight: The price of avoiding a 5 million waiting list

Last week, Simon Stevens warned the NHS Providers conference: “On the current funding outlook, the NHS waiting list will rise to 5 million people by 2021… the government would have to publicly, legally abolish patients’ national waiting times guarantees.”

Waiting times expert Rob Findlay has calculated how much it would cost the government to get 18 week waits back on track. He says: “In short, the government has a choice: constrain the money and abandon the right to treatment within 18 weeks, or cough up and honour it.”

The abridged version is: “With some guesses about the costs per case, I calculate recovering 18 weeks sustainably might cost £2.1bn next year and £350m the year after, if other pressures and enough mainstream capacity are funded. Or £4.2bn next year and £1bn the year after, if austerity continues.”

To obtain this article copy and paste the post into an email and send to: libraryw@uhcw.nhs.uk

New Getting It Right First Time leads announced

Clinical leads for three areas of the Getting It Right First Time programme have been announced.

The £60m clinical efficiency and safety programme is run by NHS Improvement and sees clinician led teams look at service lines in every trust in England to determine whether they are operating at sufficient scale, among other factors.

Some trusts change their practices or stop providing some services as a result of the subject area GIRFT reports published so far on orthopaedics and general surgery.

The programme announced clinical leads for endocrinology, rheumatology and stroke medicine last week.

To obtain this article copy and past it into an email and send to: librasryw@uhcw.nhs.uk

Revealed: The cost of restoring 18 week waits

With some guesses about the costs per case, I calculate recovering 18 weeks sustainably might cost £2.1bn next year and £350m the year after, if other pressures and enough mainstream capacity are funded. Or £4.2bn next year and £1bn the year after, if austerity continues.

“Our duty of candour requires us to explain the consequences of [the current funding settlement] to help inform the difficult choices which will be made in the years ahead. On the current funding outlook, the NHS waiting list will rise to 5 million people by 2021… the government would have to publicly, legally abolish patients’ national waiting times guarantees.”

To obtain this article copy and paste the post into an email and send it to: libraryw@uhcw.nhs.uk

Understanding benchmarking

RCN guidance for nursing staff working with children and young people.  This publication is an updated version of the original guidance published in 2007 and updated in 2014. The model identified in the original version is as relevant today as it was then.

The aim of this guidance is to increase understanding of benchmarking and to encourage each of us to get involved. The process of benchmarking relies on you to share evidence of best practice with your peers.