INTEGRATED PERFORMANCE REPORT for period ending 31 st October 2010 Trust Board – 3 December 2010

1. INTEGRATED PERFORMANCE REPORTfor period ending 31st October 2010Trust Board – 3 December 2010 Enclosure 5

2. Integrated Performance Report:Delivery (CO2, CO3 & CO4) Foundations (CO5 & CO6)

3. Theatre Utilisation • Actions: • Report findings to Clinical Leads and Divisional General Managers. A fortnightly meeting has now commenced and following actions have been agreed: • - Start times for theatre sessions. • - The removal of fixed emergency trauma sessions from theatre utilisation. • - Continue with implementation of Theatre Briefing and roll out pilot in December as part of Productive Theatre. • - Paper for Management Executive in January regarding Productive Theatre.

4. Elective Length of Stay (LOS) • Actions: • Continued bi-weekly meetings of the Elective Length of Stay Project Group. • Increase usage of Surgical Admission Suite at RSH. Capital work to expand the area commences 15th November with a planned completion date - 17th Dec 2010. • Covert inpatients to daycase where possible using BADS (British Association Day Surgery) criteria. • Continued implementation of the Enhanced Recovery Programme.

5. Elective Surgical Pre Operative Bed Days per Month • Actions: • Increase the number of patients being admitted via the Surgical Admission Suite. • Provision of monthly Elective Surgical Pre-operative Length of Stay information for clinical and managerial staff. • Increase day of surgery admission for elective Orthopaedic inpatients at PRH.

6. Non Elective Length of Stay (LOS) • Actions: • Continue monthly ‘Joint Discharge Transformation Team’ meetings focussing upon significant areas of delay for patients with continuing healthcare needs. • New model of Consultant Working to commence December 2010 at RSH. • Live ‘visual’ SQL reporting for admissions, discharges and discharge lounge utilisation available via intranet to all SATH staff. • A number of QIPP schemes focussed upon improving patient flow are being introduced to ensure closer partnership working between primary & secondary care. These include 7 day • working within DAART, GPs within the emergency departments and a ‘virtual ward’. • Confirm clinical lead for unscheduled care to enable improved flow management within the local health economy. • Implement patient status at a glance technology Trust wide.

7. Daycases • Actions: • Convert inpatients to daycase where possible. • Create BADS (British Association of Day Surgery) report within MedeAnalytics for Consultants.

8. Outpatient Utilisation • Actions: • DNA rate for Ophthalmology will be monitored following the change to the appointment letter. • Investigation underway to add a further text reminder via SEMA.

9. Workforce Numbers • Actions: • Recruitment is being closely monitored by the Executive Team. • The use of bank and agency staff is continuously reviewed on a weekly basis by the Line-Managers and the Executive Team.

10. Sickness • Actions: • There is a proposed new draft Management Sickness Absence policy, which is currently subject to consultation with staff-side representatives.

11. Finance • Actions : • Pay run rate reduction schemes identified, control totals issued to Divisions. • All non pay spend for non-clinical items continues to be reviewed by senior finance officers prior to approval. • Financial Performance reviews at SDU level. 11

12. Foundation Trust Status Finance Governance Partnership Forum Governance, Membership and Constitution Steering Group Finance and Performance Steering Group • Actions: • Board assessment of trajectory for FT authorisation to be outlined in November 2010 for agreement with SHA. • Chairman asked to inform the Secretary of State of the proposed FT timetable by 30 November. • SHA assessment of organisational state of FT readiness during Q4.