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Managing Health Service Performance in Northumberland, Tyne and Wear. Trust / PCT Service Level Agreements. Measuring Performance. Weekly management information – waiting times & emergency care
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Managing Health Service Performance in Northumberland, Tyne and Wear
Trust / PCT Service Level Agreements
Measuring Performance • Weeklymanagement information – waiting times & emergency care • Monthly detailed information – waiting times (hospital & GP), hospital activity, cancer waiting, finance etc • Quarterly – mental health, CHD, older people, etc • Yearly – NSF progress etc
Assessing Performance • Weekly & monthlycomparison to targets • Quarterly “traffic light” against targets in trust and PCO Annual Delivery Agreements – Board reports • Yearly - Star ratings - qualitative assessment NSF progress etc • Ongoing – routine & ad hoc contact to discuss underlying issues, plans to improve performance, sharing good practice etc
Star Ratings Based on key targets plus balanced scorecard of indicators • Local NHS Trusts July 2002 • Newcastle Hospitals • NNN Mental Health Trust • Next ratings due July 2003 – include PCTs & Ambulance Trusts
SHA Annual Delivery Agreement2002/03 Performance “traffic light” assessment • Green = target being achieved • Yellow = marginal under-achievement • Red = problems to be resolved
Managing Performance • Use of performance assessments to develop and improve services • Meeting targets is vital but there is more to NHS performance • Links to SSI • Devolution of day to day performance management from SHA to PCOs • Style = facilitative, developmental & supportive, but recognises national targets are a “bottom line”