Board Report - Performance September 2008 Produced by Business Intelligence (Performance)

1. Board Report - Performance September 2008 Produced by Business Intelligence (Performance)

2. Cleanliness and HCAI Whilst the total numbers of infections is of concern in our acute trusts, the number of preventable hospital acquired infections is within the trajectory. All cases are now being assiduously investigated by the clinicians concerned, and signed off by the PCT and trust directors of infection prevention and control.. The trusts are carefully monitoring adherence to behaviours which can increase the risks of infection (line, wound and catheter care, hand washing and general cleanliness – and in general standards are high. The focus on community acquired infections continues to grow with the ongoing recruitment of primary care infection control nurses.

3. Cleanliness and HCAI The Clostridium difficile infection rate per 10,000 population is currently at 11.5% for Q1 against a target of 8.5% target for 2011. The PCT remains just over trajectory but further seasonal improvement has been seen in July.

4. 18 Weeks Overall achievement for admitted and non-admitted patients remains on target, although both Brighton University Hospitals and Surrey and Sussex Healthcare have signalled that for admitted patients they may not meet the local stretch target of end of September. The impact of this on the overall PCT position is being evaluated. Direct Access Audiology (above) remains below plan although further significant improvements have been seen in July. All audiology providers have given assurance that the 95% threshold for achievement will be reached by October.

5. 18 Weeks There were 2 breaches for Patients waiting >26 weeks for IP appointment in July, these were both Orthopaedic patients at BSUH and the Royal National Orthopaedic Hospital, and were due to short term staffing and equipment constraints. The majority of breaches are against the 6 week diagnostic target (table above) and relate to audiology assessments at Action for Deafness. Clearance of the backlog is going according to plan.

6. Demand • Actual referrals for July YTD is 13.4% higher compared to last year and 10.6% up against plan. This is consistent with national increases. Movement by Trust: • Brighton and Sussex University Hospital NHS Trust 31% increase in referrals against Plan and 21% from July YTD. • Royal West Sussex NHS Trust 2% up from plan and 30% increase against 07/08 • Queen Victoria Hospital NHS Trust up by 36% against plan and last year. • Worthing and Southlands Hospitals NHS Trust 16% increase against Plan and 10% from 07/08. • Surrey and Sussex Healthcare NHS Trust figures are estimated, as general and acute data has not been submitted. This is being followed up through the contractual route. • An action plan to manage referral rates has been submitted to the Strategic Commissioning Board and progress will be monitored monthly

7. Demand Actual referrals for Q1 is 17% lower compared to last year and 19% lower than plan. The increase in GPO referrals continues to be partially offset by a reduction in other (including consultant-to consultant) referrals, suggesting that referral patterns are changing due to the implementation of 18 week pathways and increased contractual rigour Please note the totals in MAR 2008/09 include an estimate for SASH, as they have not submitted any data.

8. Sexual Health 99.9% of patients contacting G.U Medicine services are now being offered appointments within 48 hours, but the number seen within that time is below the target of 95%. Patient choice of appointment is a factor but there is considerable variation between providers as shown above. West Sussex Health remains the best performer at over 98%. Variation elsewhere is being taken up via contract discussions.

9. Sexual Health – Chlamydia Screening There are now 140 screening sites (Community Contraceptive Services, Young People’s Information Shops, GPs, Youth Provision, some Secondary schools, Further Education Colleges, the University, Foyers (housing schemes for vulnerable young people) and HMP Ford, within the target Chlamydia area). If all sites screened 6 young people per month then the target would be reached. The ‘Target Chlamydia’ programme is auditing the generic sites to find out if this could be achievable for them and what support they would need to be able to reach this goal.

10. Health Improvement – Smoking Cessation 75% of the plan for Quarter 1 was achieved. The PCT will be developing a strategic action plan for smoking cessation and reducing prevalence to support the achievement of this target as one if its key outcome measures for World Class Commissioning and progress on implementation will be reported to future board meetings