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Review Date: December 2014
Date Version Contents Author
9th October 2009 1.0 Initial outline
3rd November 2009 2.0 Monitoring arrangements
Additional refinement of
monitoring arrangements and
10th November 2009 3.0 Team/Senior
Item Table of Contents 2
1 Context 3
1.1 Introduction 3
Page 1 of 17 Version 3.0
1.2 Our Aspirations 3
1.3 Why Performance Management Is Important 3
1.3.1 Motivating Individuals 4
1.3.2 Improving Services 4
1.3.3 Value for Money 4
1.3.4 National Profile 5
1.3.5 Working with Partners 5
1.4 Purpose of this Strategy 5
1.5 The Balanced Performance Framework 5
1.5.1 Performance Framework 6
1.6 Monitoring Arrangements 6
Diagram 1 Organisational Alignment 8
Diagram 2 Balanced Performance Framework at NHS Shetland 9
2 Delivering the Performance Strategy 10
2.1 Key Performance Management Principles 10
2.1.2 Outcome Driven 10
2.1.3 Evidence based 10
2.1.4 Continuous Improvement 10
2.1.5 Transparent 10
2.1.6 Comprehensive yet Focussed 10
2.1.7 Rigorous Follow Up 11
2.1.8 Owned 11
3 Achieving our Vision 11
3.1 Building a performance Culture Inspired by Strong Leadership 11
3.2 How Will the Organisation Develop? 11
3.3 Vision & Objectives 12
3.4 Roles & Responsibilities of Key Staff 12
3.4.1 Chief Executive 12
3.4.2 Director of Clinical Services 12
3.4.3 Director of Human Resources & Support Services 12
3.4.4 Executive Directors & Senior Managers 13
3.4.5 Informatics Department & Public Health Services 13
3.4.6 All Staff 13
3.5 Performance Data 13
3.6 Communicating Performance 13
3.6.1 Disseminating Information to Staff about this Strategy 14
3.6.2 Monitoring & Review of this Strategy 14
4 Achieving our Vision 14
4.1 Key Outcomes expected from the Delivery of the Performance Strategy & Vision 14
4.2 Key Steps 15
Appendix A Key Performance Indicators for 2009-11 16
Appendix B Example of Corporate Performance Report in 2009-10 17
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This strategy aims to set out NHS Shetland’s vision for managing performance
across the organisation and with partner agencies in order to achieve our goals.
There are huge challenges ahead, not just for the Health Board within Shetland, but
nationally across all public sector bodies as the drive for continual productivity and
efficiency continues. NHS Shetland has high aspirations for delivering sustainable,
quality services and this document sets out a context for performance management
that will measure those improvements.
The performance management framework described in this strategy has been
developed to support the delivery of local and national targets set out in the NHS
performance framework, which describes 30 HEAT targets and 33 HEAT key
performance measures for health. Our Local Delivery Plan sets out a delivery
agreement between the Scottish Government Health Department (SGHD) and the
Board, based on the key Ministerial targets.
The Local Delivery Plan reflects the HEAT Core Set - the key objectives, targets and
measures that reflect Ministers' priorities for the Health portfolio.
The key objectives are as follows:
Health Improvement for the people of Scotland - improving life expectancy and
healthy life expectancy;
Efficiency and Governance Improvements - continually improve the efficiency and
effectiveness of the NHS;
Access to Services - recognising patients' need for quicker and easier use of NHS
Treatment Appropriate to Individuals - ensure patients receive high quality services
that meet their needs.
Progress against HEAT targets is published throughout the year by the SGHD and
locally via performance reports to the Board.
The information contained in this strategy outlines the main roles, responsibilities and
objectives for performance management, together with the working principles by
which all performance management should be undertaken.
1.2 Our Aspirations
There are 14 territorial health boards in Scotland. NHS Shetland is proud of the
services it delivers, and of the staff who work within those services. Whilst
performance in most areas continues to be good, NHS Shetland aspires to providing
the best services and being one of the top performing health boards.
Being held in high esteem as an organisation is motivating for staff, and highly
motivated staff deliver excellent services. Strong organisations are able to make a
difference within communities, and to work positively with other statutory and
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Strong organisations can focus on developing services rather than having to be
defensive and reacting to internal deficiencies. The Board seeks to develop an “open,
just and non punitive” culture where all staff feel able to report adverse incidents,
near misses and hazards in the knowledge that incidents/errors are not normally
investigated through the disciplinary procedure.
1.3 Why Performance Management is Important
Performance management is defined as taking action in response to actual
performance to make outcomes for users and the public better than they would
otherwise be. Performance management is integral to NHS Shetland’s overall
operation in that it helps us to plan, monitor and manage delivery of our health
improvement and health care services. Performance on the delivery of quality will be
built into the framework, and the measurement of quality will become more
sophisticated over time.
Getting performance management right is important to us for a number of reasons:-
1.3.1 Motivating Individuals
Individual members of staff need to know what is expected of them, and what part
they play in the overall success of NHS Shetland. Effective performance
management is about being positive and helping individuals to really excel at what
they do best. The knowledge and skills framework is being embedded in the
organisation, and this will assist the organisation to focus on the learning needs of
individuals so that they can deliver the very best services to patients.
1.3.2 Improving Services
We need to ensure that we are delivering services that meet patient needs, and
performance management gives the organisation a way of making decisions about
where to focus resources depending on needs at any one time. Over time,
performance management allows relative measurement to be made so that we can
see if improvements are being made, and if extra efforts need to be made in
particular areas to achieve those improvements. Implementing robust appraisal
systems is also linked to improved patient outcomes1.
1.3.3 Value for Money
NHS Shetland wants to ensure that services are sustainable. The services are
funded by tax payers. We need to ensure that every pound counts towards delivering
services, and that we continue to be as efficient and productive as possible so that
we remain sustainable and have as much resource as possible for front line services.
Making clear links between resources and outcomes helps to put our performance
into context so that we can demonstrate that we are delivering best value.
West, M. A., Borrill, C., Dawson, J., Scully, J., Carter, M., Anelay, S., Patterson, M., &Waring, J. (2002). The link between the
management of employees and patient mortality in acute hospitals. The International Journal of Human Resource Management,
Page 4 of 17 Version 3.0
1.3.4 National Profile
NHS Shetland’s performance is measured against that of other health boards. This
not only informs an elected government of how we are delivering services, but also
demonstrates our success relative to others. This is important, because where others
may be doing better than we are in particular areas, we can learn from them to
improve our performance.
1.3.5 Working with Partners
NHS Shetland works closely with the Shetland Islands Council and many other
statutory and voluntary agencies. As the amount of joined up working continues to
increase, ways of measuring success across organisational boundaries becomes
ever more important. Performance management of these arrangements creates clear
lines of accountability and probity. Managing performance in partnership has become
increasingly important. At Government and local level, partnerships are seen as a
way of achieving better and more joined-up services. The Single Outcome
Agreements are a major driver for agreeing joint objectives and outcomes with our
Local Authority partners and NHS Shetland is also developing partnership
arrangements with NHS Grampian to deliver a wide range of clinical and non-clinical
1.4 Purpose of this Strategy
Effective performance management requires not only good management processes
and systems, but also an organisational culture that supports these systems and
integrates them with the day- to- day work of front-line staff and managers to
encourage and support a culture of continuous service improvement. This document
sets out the framework and approach we have put in place to support us in achieving
our vision for performance management.
1.5 The Balanced Performance Framework
The Balanced Performance Framework was first developed and implemented across
the NHS Shetland in 2007. Since then there have been a number of reviews and
improvements made to meet the changing needs of the local service as well as
national requirements. The Framework adopts a balanced scorecard approach2.
A balanced scorecard translates the organisation’s strategy into SMART objectives
through the identification of strategic objectives, measures and targets across a
number of strategic themes/perspectives. The scorecard is then used to track
progress and ensure action is taken to address areas of under performance as
appropriate. The national Local Delivery Plan HEAT targets and measures are
aligned to NHS Shetland’s strategic objectives and incorporated into our balanced
scorecard. An example of the current scorecard (executive summary), which includes
national and locally derived performance indicators, is shown in Appendix A with
position from September 2009. The full report can be found at the following link:
The balanced scorecard is based on the citistat template, but has been adapted to include local balancing
measures. The data collection process is manual, but one of the key objectives in the strategy is to put in place an
electronic data abstraction process, which make the performance data more accessible and over time will lead to
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Performance management arrangements (both personal and organisational) are
aligned to our Vision and Values as shown in Diagram 1.
This demonstrates that the personal objectives of staff are aligned to directorate level
objectives and in turn to our strategic objectives in the Corporate Action Plan, and the
vision and values of the organisation. This ensures staff understand how they
contribute towards delivery of the organisation’s goal and priorities.
The table shown below describes the key sources of performance review information,
the review function and frequency of the monitoring arrangements.
1.5.1 Performance Framework
Review Type Review Body Frequency
1:1s with Individual Managers
Individual performance quarterly
Clinical Services Management
Team business plans Monthly
Directorate Performance Scorecard Clinical Services Management Teams Monthly
Performance Management Action Plan Clinical Services Management Teams Monthly
Performance Management Action Plan Senior Management Team Quarterly
Performance Management Action Plan Board Annually
Corporate Performance Scorecard Senior Management Team/Board Monthly
Review Type Review Body Frequency
Operational business plan Senior Management Team Monthly
Corporate Action Plan Board Quarterly
Infection Control Report Board Monthly
HAI Performance Scorecard Control of Infection Committee Monthly
1.6 Monitoring Arrangements
In order to ensure that there is both horizontal and vertical communication across the
organisation the performance framework describes the relationship between
departments, teams, operational management arrangements and strategic functions.
Diagram 2 shows the relationship and connections between personal performance
arrangements, operational groups, tactical and strategic arrangements for assuring
the Board of current performance and action plans to move forward.
The information that each level would expect to see would be as follows:
Board- Corporate scorecard and Corporate Action Plan. HAI Performance Report.
Standing Committees- Corporate scorecard and Corporate Action Plan
Senior Management Team- Corporate scorecard and Corporate Action Plan
Directorates- Directorate scorecard and Directorate objectives
Teams- Directorate scorecard and Team objectives
The Board has taken a conscious decision to use the existing management
structures to monitor and drive forward performance across the organisation, rather
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than put in place a specific performance review committee. The reasons for doing
this include the fact that we are a small organisation and good functional
arrangements and management structures already exist. In addition to this, it is noted
that in order to embed the principles of excellence and performance into all aspects
of the organisation, this is best achieved by mainstreaming the monitoring of
performance into the existing structures. This means including the review of
performance and outcomes in all clinical and management fora.
This includes (but is not limited to the following management and governance
Board – where a wide range of organisational planning and performance discussion
Standing committees – Clinical Governance, Staff Governance, Service Redesign,
Audit Committee, CHP Committee and Controls Assurance Group. Where corporate
scorecards and directorate scorecards are discussed (in relation to the core business
of the committee) as well as organisational planning and performance discussions
Operational and tactical groups – Senior Management Team, Clinical Services
Management Team, Community Health and Care Partnership Management Team,
Operational Waiting Times Meetings, Senior Charge Nurse Meetings, Infection
Control Team, AHP Meetings, Health Care Scientist Meetings etc.
All of the communication and management structures described above will receive
reports on performance, appropriate to the type of meeting/structure in place. In
many cases this will be a standard report (such as the risk register, quarterly
summary of progress, corporate scorecard, or specific service improvement
programme such as 18 weeks RTT, Scottish Patient Safety Programme, Long Term
Conditions Collaborative, Mental Health Collaborative, Clinical Quality Indicators
In addition to this, work is being undertaken to further develop the balanced
scorecard approach so that matrices are put in place to reflect performance at team
or departmental level. For example, the development of a scorecard for infection
control monitoring at ward level. Further development of the performance monitoring
structures is one of the key objectives for 2009-10 and described in more detail in the
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Diagram 1 Organisational Alignment
Vision & Values
Organisation Corporate Plan F
Strategic Objectives N
Allocation & Alignment of Resource A
Directorate/Programme Objectives M
Supporting Development Plans
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Provides assurance to the
Diagram 2 NHS Board on overall
Balanced Performance SENIOR performance and
Framework at NHS MANAGEMENT performance systems.
Receives assurance from
governance committees on
delivery of strategic
objectives through the
Corporate Action Plan.
CORPORATE SCORECARD Reviews corporate
scorecard delivery and
WTG monitors corporate
WAITING TIMES scorecard delivery (access,
GROUP & efficiency and treatment
GOVERNANCE indicators) bi weekly.
COMMITTEES Governance committees
performance and outcomes
at each committee
CORPORATE SCORECARD meeting.
Directorates contribute to
delivery of Strategic
MANAGEMENT Monitor the delivery of
TEAMS (e.g. CSMT) team business plans on a
reviews undertaken by
OPERATIONAL Heads of Department
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2. Delivering the Performance Strategy
2.1 Key Performance Management Principles
NHS Shetland uses the Balanced Scorecard approach to identify, improve, assure
and review all aspects of the Board’s performance.
The general principles that govern all performance management arrangements are
2.1.2 Outcome driven
Any process consists of three elements – inputs, outputs and outcomes. It is
essential to measure all three, however it is the outcome that is all important to end-
users. Our framework is based on a balanced set of measures at all levels –
including the Health Plan, team plans, change programmes or development plans.
Performance management arrangements at NHS Shetland are aligned with national
outcomes and targets as described in the National Performance Framework. The
monitoring arrangements that have been put in place also show the relationship
between actions set out in the Corporate Action Plan, the Local Delivery Plan and
Single Outcome Agreements with partners.
2.1.3 Evidence Based
For performance management to be effective, decision makers must have
confidence in the information they use to make decisions. This means information
produced is based on good quality data and interpretation provided by the
Informatics Department and from national sources such as Information Statistics
2.1.4 Continuous Improvement
The performance arrangements support and promote a culture of continuous
performance improvement. This includes learning from good practice elsewhere and
pro-active use of benchmarking information to identify ‘best in class’ and the setting
of challenging but deliverable improvement plans.
Performance information must be objective and readily accessible to users and the
public. The HEAT system and our continued development of reporting tools plays a
key role in making data available to senior managers and clinicians. All performance
reports are widely available to staff on the NHS Shetland intranet.
2.1.6 Comprehensive yet Focused
Performance management systems must cover the whole organisation to reflect the
entire agenda fairly. However performance management should be based on sound
prioritisation in line with risk. NHS Shetland has identified a focused set of priorities
meaning that we can maintain both focus, through a smaller number of key actions
and targets and enjoy a sustainable performance management framework.
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Performance measures are continually subject to review to ensure relevancy and
appropriateness- to reduce monitoring for monitoring sake.
2.1.7 Rigorous follow- up
The process of performance management should be rigorous with strong scrutiny
and accountability by Non Executives and Executives. Follow up of actions arising
from performance reviews is a key component of the review process to ensure
Everyone must accept a role in managing performance and take action to ensure
3. Achieving our Vision
3.1 Building a Performance Culture Inspired by Strong Leadership
Good performance management motivates people. This requires strong and
inspirational leadership to create the right environment to allow innovation and team
and individual excellence, where success is celebrated and challenges are tackled
proactively and positively.
The performance framework puts front line delivery at the pinnacle of a strong
underpinning system of support and leadership. Every member of staff needs to be
able to see how their contribution is reflected in what the Board and public see for
organisational performance. There will be a greater amount of transparency both
within and outwith the organisation on how well we are delivering services.
3.2 How will the Organisation Develop?
A step change in the way the organisation sets out how it will focus on performance
management will result in a shift in culture. That culture needs to be fostered and
developed in the right way by managers to ensure that the underpinning principles
outlined in this strategy form the bedrock of that culture.
Positive, forward thinking and developmental approaches will be needed to ensure
that the whole team shifts up a gear together, as success depends on the whole
organisation delivering excellence on everything it does.
People need to hold each other to account, both up and down the line management
chain, so that performance management creates an expectation within the
organisation of how we will all behave. Striving for improvement and to be the best
will be the de facto stance that we want to see from each and every individual.
The purpose of this strategy is to promote the organisational vision and objectives in
relation to performance management and the delivery of high quality services. The
vision is summarised as five objectives to be achieved through the implementation of
the performance framework. The measurement of achievement will be through
review of key performance indicators, which will be refreshed on an annual basis. In
the following section, the key outcomes in respect of the delivery of the strategy are
described, along with the key steps for implementation.
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An action plan will be developed to take forward the high level actions set out in
section 4, which shows the key steps for strategy implementation. This action plan
will be regularly monitored and the schedule of monitoring is shown in section 1.5
under performance framework.
3.3 Vision and Objectives
1. Actively Managing Performance
2. Promoting a High Performance Culture
3. Ensuring Robust Performance Data and Intelligence Systems are in Place
4. Ensuring Integrated Planning and Performance Processes
5. Promoting Evaluation and Learning
3.4 Roles and Responsibilities of Key Staff
Whilst it is everyone’s job to manage performance, the Board must drive a culture of
performance with the primary leadership role lying with the Chief Executive, Directors
and Heads of Service.
Effective performance management requires defined roles and responsibilities and
clear ownership of outcome measures. A summary of these roles and responsibilities
is as follows:
3.4.1 Chief Executive
• Overall statutory responsibility for patient safety, governance and performance
• Accountable to the Board and the Scottish Government Health Directorate
The Board has delegated responsibility for Performance Management to the Director
of Clinical Services. In order to discharge this responsibility, the Director of Clinical
Services works with the Senior Management Team to ensure effective performance
management arrangements are in place across NHS Shetland.
3.4.2 Director of Clinical Services
Leads the development and implementation of the performance management
arrangements through the Information, Clinical Governance and Performance
functions/teams, which sit within the Clinical Services Directorate. This includes
functional links with organisational development and service redesign.
3.4.3 Director of Human Resources & Support Services
Leads the development and implementation of the organisational development that
creates individual staff ownership and departmental responsibility by line managers
for the delivery of services that meets the expectations of the organisation. This
includes functional links with national service improvement teams, and local
performance and clinical governance teams.
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3.4.4 Executive Directors and Senior Managers
Responsible for driving forward the development and embedding performance
management arrangements in their area of service/function and to ensure
consistency of approach as defined by in the Performance Strategy and in
accordance with the Balanced Performance Framework.
3.4.5 Informatics Department & Public Health Services
The Informatics Department provides the accurate and timeous analysis and
interpretation of performance data for performance review and follow up purposes.
Public Health services provide epidemiological data to support service development
and planning – which is also used as part of local performance reviews.
3.4.6 All Staff
All staff contribute towards performance improvement and management by being
encouraged and supported to identify improvement opportunities and to take the
required action. It is important that staff own the data on their activity, and understand
how that translates to the corporate performance of the organisation.
3.5 Performance Data
It is important that when using performance data that each staff member has faith in
what is being presented, and what is reported outside of the organisation to both
government and our residents can stand up to rigorous scrutiny.
If the organisational reputation is to be built on performance, then it is critical that the
data is absolutely correct and is representative of what is being delivered by services.
The organisation has invested in developing a robust informatics function, and will
continue to ensure that data integrity is maintained.
Data validation is undertaken via internal and external audit arrangements and a
programme of data validation exercises is in place. The detail of this programme can
be found in the Information Governance Policy.
3.6 Communicating Performance
Communication of this policy will follow the principles and process outlined in the
Shetland NHS Board Communication Strategy.
The Information Technology (IT) Department maintains both Internet and intranet
sites providing a portal for all staff, patients and service users to access related
Reports, minutes of meetings and all appropriate documentation relating to
performance management arrangements and outcomes will be published on the
intranet and Internet. This includes changes to this strategy and associated policy
documents, procedures and guidance. This also includes performance data shown in
reports and scorecards. A summary will also be published in Team Brief enabling all
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staff to have access to updates. Some data will also be displayed in clinical areas
and departments to ensure that our performance as an organisation is visible to staff,
patients and visitors.
3.6.1 Disseminating Information to Staff about this Strategy
The Board recognises the importance of ensuring staff are fully appraised of current
performance arrangements and outcomes.
All staff therefore:
• Are encouraged to raise issues relating to performance management
arrangements and performance with their line manager and/or through
existing management structures
• Will be able to view minutes and reports on the Intranet (e.g. board
performance scorecard, annual reports and action plans from service
improvement programmes etc)
• Receive information at formal updates such as team meetings, via Team Brief
and mandatory refresher days in respect of changes/revisions to the
performance management arrangements
3.6.2 Monitoring and Review of this Strategy
• The Strategy and associated action plan will be reviewed annually by the
Board to ensure that the KPIs are reviewed and performance is noted.
• The senior management team will review the performance action plan
• Operational matters (e.g. delivery of individual actions) will be monitored via
the Clinical Services Management Team (CSMT) and other management
teams on a monthly basis.
4. Achieving our Vision
4.1 Key Outcomes Expected from the Delivery of the Performance Strategy and
• All staff employed by NHS Shetland will have a clear understanding of the
performance framework and believe that achieving good performance is
• The Board plays a key role in monitoring and managing performance
• All employees have a demonstrable appreciation as to how their work
contributes towards the Local Delivery Plan priorities
• There are Integrated balanced scorecards at corporate and departmental level
• There is integrated and timely reporting with high quality commentary for
• Data quality is take seriously with good arrangements in place at all levels
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• Local staff feel informed about the systems performance and progress in
• There is more structured learning around performance management with all
4.2 Key Steps
Short terms goals 2009-10 (within 1 year of strategy approval)
• Greater challenge of areas of underperformance through rigorous review of
performance at sector as well as corporate level
• Enhanced access to performance data through automation of the Balanced
Scorecard and development of local dashboard reporting with links to
• Continue to promote and develop a culture of continuous performance
improvement through integrated approach to Improvement activities using
Medium terms goals 2010 – 2011 (1-2 years)
• Undertake review of the effectiveness of our performance management
• Review suite of performance measures in light of changes from both national
HEAT targets and local indicators emerging from the LDP and corporate
action plan updates
Long term goals 2012 and beyond (3 years +)
• Evaluate the effectiveness of changes to individual performance management
arrangements on organisational performance
• Evidence improvement in key areas with continuous improvement against the
• A culture of continuous performance improvement is embedded throughout
The European Framework for Quality Management (EFQM) is used in some external assessments facilitated by
NHS Quality Improvement Scotland. Elements of Total Quality Management (TQM) approaches are also used by
NHS Scotland through the national improvement programmes. Where appropriate these continuous improvement
techniques are also used by NHS Shetland to drive up performance standards. The techniques commonly used
(although not formally through an EFQM) include value stream analysis, study cycles such as PDSAs, review of
capacity and demand management and other tools such as rapid improvement events (where the methodology is
borrowed from business process re-engineering).
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Key Performance Indicators for 2009 -2011
Objective Indicator/Measure Target
An action plan will be
Action plan reflects the key
developed to ensure that Action plan in place by the
steps set out in the
the key stages of the end of 2009
strategy are developed
Systems in place to collect
Informatics systems are
Information corporate scorecard
developed to facilitate
system/process in place indicators, nursing and
score card compilation
AHPs by April 2010
All clinical services teams
Individual scorecards are
and departments will have Individual scorecards are
in place for AHP, nursing
individualised scorecards in place
and dental by mid 2010
All Directors will ensure All standing committees
Evidence that performance
that performance review is will have a scorecard
review is on standing
a standing item at standing process and discussions in
committees place by the end of 2010
All teams and departments
All operational groups will
will ensure that Evidence that performance
have a scorecard process
performance review is a review is on operational
and discussions in place
standing item at group agendas
by the end of 2010
Performance data shown
Performance measure Performance data will be
in appropriate charts for
outcomes will be displayed available in clinical areas,
interpretation will be
in prominent areas (e.g. other departments and on
available in clinical
hand hygiene compliance the internet and easily
areas/other depts and on
in ward areas) accessible
the internet by mid 2010
will be become a key topic PM is discussed at
Programme in place from
at induction and induction and mandatory
mandatory refresher refresher
sessions for all staff
Three reviews are
performance reviews will Cross boundary review
undertaken between now
be put in place in at least process developed
and March 2011
The action plan will be
Actions are set and All actions set are
reviewed as per the
monitored as per the delivered within the agreed
schedule set out in the
KPIs will be reviewed
KPI plan is approved and
annually and the action
measured via SMT
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Appendix B Example of Corporate Status against plan Performance against previous period
Performance Report in 2009-10 Not meeting and not within trajectory limit Red Improvement
Not meeting but within trajectory limit Amber Same
NHS Shetland Performance Report Meeting or Better Green Worse F
Summary for October 2009 Better than planned trajectory Blue
Health Improvement Efficiency Access Treatment
H2 H3 H4 H5A H5B H6 E4A E4B E4C E4D E5A A8A A8B A9A A9B A10A T2 T3 T4 T6A
Blue Green Green Green Green Green Green Amber Blue Blue Green Green Amber Green Green Blue Green Amber Green Green
H7 H8 HS1 E5B E5C E6 E7 E8 A10B A10C A10D A10E A10F T6D T6E T7 T8
Green Amber Green Green Green Green Blue Amber Blue Blue Blue Green Green Green Green NEW Blue
E9 E10 HS1 HS2 A11 A12 T11A T11B T12 HS1
Green Amber Green Red NEW NEW Red Green Green Blue
BSC1 BSC2A BSC2B BSC2C BSC3A BSC3B BSC4A BSC4B BSC4C BSC5 BSC6 BSC7
Green Green Green Amber Green Green NEW Green Amber Amber NEW Green
HI1 HI2 HI3 HI4A HI4B EF1 EF2 A1 A2 A3 A4 A5
Green NEW Green Green Green Green Green Green Green Green Green Green
HI5 HI6 HI7 HI8 HI9 A6 A7
Green Amber NEW Green NEW Green Green
Version 0.2 Draft
1. Rapid Impact Checklist
Which groups of the population do you think will be affected by this proposal? Other groups: • minority ethnic people (incl. gypsy/travellers, refugees & asylum seekers) • women and men • people in
religious/faith groups • disabled people • older people, children and young people • lesbian, gay, bisexual and transgender people • people of low income • people with mental health problems • homeless
people • people involved in criminal justice system • staff 1. Job Applicants 2. Contract Workers 3. Volunteers
N.B. The word proposal is used below as shorthand for any policy, procedure, strategy or What positive and negative impacts do you think there may be?
proposal that might be assessed. Which groups will be affected by these impacts?
What impact will the proposal have on lifestyles? For example, will the changes affect: The positive impacts will be that NHS Shetland strives to achieve excellence in all service areas,
ensuring that all HEAT targets are met, and all waiting times standards are achieved. The strategy is a
driver for residents to receive the best possible services from the organisation.
• Diet and nutrition? This will affect all residents who come into contact with health services.
• Exercise and physical activity?
• Substance use: tobacco, alcohol or drugs?
• Risk taking behaviour?
• Education and learning, or skills?
Will the proposal have any impact on the social environment? Things that might be The focus is across all services, including those that deal with people in crises. By achieving waiting
times standards those whose lifestyle and income may be affected, the shortest possible waits will
reduce those periods of incapacity.
• Social status
• Employment (paid or unpaid)
• Social/family support
Will the proposal have any impact on • Discrimination? • Equality of opportunity? • The strategy will ensure that everyone benefits from the focus on getting it right each and every time.
Relations between groups?
Will the proposal have an impact on the physical environment? For example, will there be There will be a positive impact for patients and staff in ensuring that there is a focus on excellence and
impacts on:• Living conditions? • Working conditions? • Pollution or climate change? • delivery.
Accidental injuries or public safety? • Transmission of infectious disease?
Will the proposal affect access to and experience of services? For example, The strategy aims to improve the experience of healthcare.
• Health care
• Social services
• Housing services
Rapid Impact Checklist: Summary Sheet
Positive Impacts (Note the groups affected) Equality Negative Impacts (Note the groups affected) No
issues are placed at the forefront of planning and evidence of any potential negative impacts on any
decision-making processes within the Board. The group.
strategy aims to drive improvements across all
services, speeding up access for all and raising the
quality of the healthcare experience.
Additional Information and Evidence Required
From the outcome of the RIC, have negative impacts been identified for race or other equality groups? Has a full EQIA
process been recommended? If not, why not?
Simon Bokor Ingram, Director of Clinical Services