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NHS Brent Performance Board Report Month 9 January 2012. Jonathan Wise Director of Finance and Performance. Contents. Slides 3 - 6 Performance Delivery – overall summary Slides 7 - 12 2011/12 Performance Delivery Slides 13 - 19 Performance Review – Actions/Next Steps Appendices
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NHS Brent Performance Board Report Month 9 January 2012 Jonathan Wise Director of Finance and Performance
Contents Slides 3 - 6 Performance Delivery – overall summary Slides 7 - 12 2011/12 Performance Delivery Slides 13 - 19 Performance Review – Actions/Next Steps Appendices Appendix 1: Performance dashboards Appendix 2: Performance dashboards – by Consortia
Performance Delivery – overall summary (1/4) Supporting Measures Headline Measures • The achievement is based on the current months performance (although this may relate to a previous month due to the availability of data) • Where a table indicates progress, the progress relates to the most recent published data where available or monthly or weekly leading measures for each indicator. Additional Public Health Measures • Public health measures- change in indicator- breast screening uptake for 50-70 yrs is now being measured instead of coverage. 2010-11 and 2011-12 performance has been amended to reflect this. CVD Mortality and Cancer Mortality- no longer using a 3 year rolling average as actual but instead using the annual rate. • Note: Cluster have re-issued RAG thresholds which may impact on how some of the targets are reflected in Cluster documentation. The new thresholds will be used in the Board reports for 12/13 reporting. 3
Performance Delivery – overall summary (2/4) Headline Measures * Performance level based on 2010-11 data Note: The performance levels indicated have been assessed using a mix of national submissions and leading indicators dependant on data availability.
Performance Delivery – overall summary (3/4) Supporting Measures Note: The performance levels indicated have been assessed using a mix of national submissions and leading indicators dependant on data availability. * Performance level based on 2010-11 data
Performance Delivery – overall summary (4/4) Public Health Measures Note: The performance levels indicated have been assessed using a mix of national submissions and leading indicators dependant on data availability. 6 *Performance level based on 2010-11 data. †Although we are not achieving the current trajectory the cancer mortality rate (110 per 100,000) in Brent is similar to the rate for London and England and Wales.
2011/12 Performance Delivery - Summary (1)Headline Measures (all) Patient experience 1= Access and waiting , 2= Safe, high quality, coordinated care, 3= Better information, more choice, 4= Building relationships, 5 = Clean, comfortable, friendly place to be. * To be confirmed as a patient may have wrongly been allocated to Brent – under investigation 7
2011/12 Performance Delivery - Summary (2)Supporting Measures (underachieve & failing)
2011/12 Performance Delivery - Summary (4)Public Health Measures (underachieve & failing) Cervical screening 1 = 25-49 years 2 = 50-64years
2011/12 Performance Delivery - Summary (5)Public Health Measures 10
2011/12 Performance Delivery - Summary (6)GP Consortia A summary of GP Consortia performance is noted below however please refer to appendix 2 for the more detailed performance dashboards by Consortia • Immunisations (Q1 and Q2): • Kingsbury met all 6 immunisation indicators. • Wembley and Harness have met the Age 2 Hib Menc indicator. • Willesden achieved the Age 1 DTaP indicator • Kilburn did not achieve any of the immunisation indicators • Smoking quits: • No localities have met their YTD Oct plan for smoking quitters • Breastfeeding 6-8 weeks (Q1 and Q2): • Harness, Kilburn and Wembley met the 95% coverage target. • Kilburn and Wembley met the prevalence target of 72.7%. • Breast screening coverage: • Kingsbury and Willesden achieved the 70% target for women aged 53-70 yrs screened for breast cancer in the last 3 years as at 31st March 2011. (based on provisional 2010-11 KC63 data) • Kingsbury and Wembley were above the PCT % of 28.5% of women aged 47-73 yrs invited for breast screening in the last 12 months as at May 2011 • Cervical Screening: • Coverage as at Q2 2011-12- all 5 clusters met their 2% above baseline incentive target for women aged 25-49 yrs. Only Kilburn and Willesden met their 4% above baseline incentive target. Wembley met the national target of 80% for women aged 50-64 yrs.
2011/12 Performance Delivery - Summary (7)Social Marketing/Health Promotion Breastfeeding • 8 Breast feeding Peer Supports in post and two awaiting HR clearance. • DVD produced for mothers on breastfeeding • 19th January 2012 - Breastfeeding event in Brent Town Hall promoting breastfeeding and other priority areas. NHS Health Checks • NHS Health Checks promoted in Brent magazine (Dec/Jan edition) • NHS Health Checks on Life Channel (Jan and Feb) through GP surgeries in Brent Cervical screening • January-February: A health promotion specialist in place to promote cervical screening in younger women Smoking, Immunisations, NHS Health Checks • Social marketing events covering all the above took place in December at Brent Health Partnership Day, Kilburn Square and at Freuchen Medical Centre Smoking Cessation • Stop Smoking team will be located at Asda Colindale, Sainsbury's Kenton, Law Medical Centre, Oxgate Gardens Surgery on dates throughout January
Performance Review – Actions/Next Steps for Underachieving and Failing indicators 13
Performance Review – Actions/Next Steps for Underachieving and Failing indicators 14
Performance Review – Actions/Next Steps for Underachieving and Failing indicators 15
Performance Review – Actions/Next Steps for Underachieving and Failing indicators 16
Performance Review – Actions/Next Steps for Underachieving and Failing indicators 17
Performance Review – Actions/Next Steps for Underachieving and Failing indicators 18
Performance Review – Actions/Next Steps for Underachieving and Failing indicators
APPENDIX 1 Performance Dashboards
Breastfeeding 6-8 weeks • In Q1, 98.1% of infants due for a 6-8 wk check had a feeding status recorded against them and 75.2% were being breastfed at 6-8 wks. • In Q2, 95.5% of infants due for a 6-8 wk check had a feeding status recorded against them and 75.2% were being breastfed at 6-8 wks.
Access to Dental Services • There were 169,498 people accessing dental services in the last 24 months as at Nov 11 against a plan of 173,550.
APPENDIX 2 Performance Dashboards by Consortia