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APPENDICES FOR THE CORPORATE PERFORMANCE REPORT

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APPENDICES FOR THE CORPORATE PERFORMANCE REPORT APPENDICES FOR THE CORPORATE PERFORMANCE REPORT Document Transcript

  • APPENDICES FOR THE CORPORATE PERFORMANCE REPORT Final Report for September Board The following appendices are attached for information: Key Targets Appendix 1 Key Targets - Summary LDP Activity / Waiting Times Appendix 2 Analysis of Elective (Inpatient and Daycase) Waiting Lists Appendix 3 Analysis of Outpatient Waiting Lists and Outpatient Waiters Appendix 4 6+ Weeks Diagnostic Waits (15 Tests) Appendix 5 Cancer – 14, 31 and 62 Day Targets Appendix 6 % of A & E Attendances Southport & Ormskirk Trust within 4 hours % of A & E Attendances for Aintree Trust including Litherland Town Hall Health Centre (LTHHC) and 36% activity of Knowsley Walk in Centre (WIC) within 4 hours Appendix 7 Ambulance Data Cat A and Cat B Performance Appendix 8 Referral to Treatment (RTT) Admitted and Non Admitted Patient Care Appendix 9 MRSA and targets for Aintree Trust and Southport & Ormskirk Trust Author: Ally Dwyer/Jackie Cole Jones, Version 1 dated 20-8-07 path s/info/board reports 5nj/ DRAFT Appendices Sept 2007 Version 1.doc
  • Appendix 1 - Key Targets Target Access (see Appendices 2, 3 & 4) 2007/08 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Waiters 11+ Week InPatient Waiters LDP Trajectory Target (Plan) March 2008 1506 1508 1382 1275 1224 1085 11+ Week InPatient Waiters (actual) 606 540 445 359 Variance between Actual and Plan -900 -968 -937 -916 % variance between Actual and Plan -59.8% -64.2% -67.8% -71.8% 5+ Week OutPatient Waiters LDP Trajectory Target (Plan) March 2008 4911 4832 4187 3594 3162 2968 5+ Week OutPatient waiters (actual) 2024 1928 2030 1748 Variance between Actual and Plan -2887 -2904 -2157 -1846 % variance between Actual and Plan -58.8% -60.1% -51.5% -51.4% 6+ Weeks Diagnostic Waits (15 Tests) LDP Trajectory Target (Plan) March 2008 1875 1642 1433 1223 1016 811 6+ Weeks Diagnostic Waits (15 Tests) (actual) 849 487 440 396 Variance between Actual and Plan -1026 -1155 -993 -827 % variance between Actual and Plan -54.7% -70.3% -69.3% -67.6% Cancer (see Appendix 5) 2 Week Target (% of patients seen within 14 days urgently referred 100% 100% 100% 100% 100% by a GP/GDP for suspected Cancer) 31 Day Target (% of patients treated within 31 days from decision to 98% 100% 100% 99% 99% treat to first definitive treatment) 62 Day Target (% of patients treated within 62 days from urgent GP 95% 98% 94% 100% 100% referrals to first definitive treatment) A&E (see Appendix 6) A&E - 4 hours or less (Southport & Ormskirk NHS Trust) 98% 98.08% 99.21% 98.85% 99.32% A&E - 4 hours or less (Aintree Trust including LTHHC and 36% of 98% 98.90% 98.81% 98.81% 99.64% activity at Knowsley WIC) Ambulance Performance (see Appendix 7) Category A calls responded to within 8 minutes of details being 75% 76.5% 74.0% 74.9% 75.8% recorded - North West Ambulance Service Performance Category A calls responded to within 8 minutes of call being 75% 62.8% 61.0% 61.1% 66.6% connected - North West Ambulance Service Performance Category B calls responded to within 19 minutes - North West 95% 94.8% 91.8% 93.0% 93.4% Ambulance Service Performance Referral to Treatment (RTT) Targets (see Appendix 8) 85% by Oct Admitted Patient Care(Patients treated within 18 weeks from referral 07 333 599 832 1332 1998 2832 to treatment) LDP Trajectory Target (Plan) (Local Target) Admitted Patient Care(Patients treated within 18 weeks from referral 525 587 776 810 to treatment) actual % of Admitted Patient Care 56% 58% 48% 54% 2 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Variance between Actual and Plan 192 -12 -56 -522 % variance between Actual and Plan 57.7% -2.1% -6.8% -39.2% Non Admitted Patient Care(Patients treated within 18 weeks from 90% by Oct 07 referral to treatment not involving an admission ) LDP Trajectory (Local 914 1645 2284 3655 5940 8238 Target (Plan) Target) Non Admitted Patient Care(Patients treated within 18 weeks from 2838 4032 4422 4935 referral to treatment not involving an admission ) actual % of Non Admitted Patient Care 63% 61% 59% 62% Variance between Actual and Plan 1924 2387 2138 1280 % variance between Actual and Plan 210.6% 145.1% 93.6% 35.0% Health care associated infections (see Appendix 9) MRSA* Bacteraemias Cumulative to Date - Aintree Trust 19 5 10 14 16 Trajectory to date 1 3 4 6 8 10 MRSA* Bacteraemias Cumulative to Date - Southport & Ormskirk 10 3 5 6 10 Trust Trajectory to date 1 2 3 3 4 5 10% Clostridium Difficile Actual - Aintree Trust reduction 46 12 8 13 To not Clostridium Difficile Actual - Southport & Ormskirk Trust exceed last 9 5 5 11 years levels Sexual Health 100% by Not on 97.6% 99.6% 98.92% Access to GUM services within 48 Hours - Sefton Residents 2008 Uniify yet Access to GUM services within 48 Hours (Southport & Ormskirk 100% by Not on 2008 95.6% 99.5% 98.60% Trust Open Access Service) Unify yet Mental Health expected 43 1 5 6 27/8/200 New cases of psychosis served by Early Intervention Teams 7 86 by Mar 08 expected Number of people with newly diagnosed cases of first episode 130 by Mar 48 53 54 27/8/200 psychosis receiving early intervention (EI) in psychosis services 09 8 Qrtly Number of patients on enhanced Care Programme Approach (CPA) 86/86 figure 100% who were followed up either by face to face contact or by phone (100%) expected discussion within 7 days of discharge October expected DOH Target Crisis Resolution Teams (CRT) 577 50 81 123 27/8/200 8 Choose And Book (CAB) PCT % forecast through Choose and Book (CAB) 90% - 100% 97% 97% 97% 97% 97% 97% Actual % through CAB (Actual CAB referrals/Total Actual Referrals 21% 20% 24% 27% (%)) expected GP Referral Rates (per 1000) 15.55 19.42 18 10/9/07 3 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Workforce 100% by Mar Full Knowledge and Skills Framework (KSF) Outlines 08 Finance and Resource Committee will report at the end of the year on the numbers of 100% by Mar Performance Review Discussions conducted between 1 April 07 and 31 March 08 Staff having had an Annual Performance Review Discussion 08 Black and Ethnic minority workers (working in Mental Health December 07 0 1wte 1wte 1wte Services) 3wte Mental Health • Mersey Care has agreed to deliver the Crisis Resolution Home Treatment target in full within the current financial year, ahead of the outcomes of the Community Specialist Review. It is anticipated that this will be met through service re-design and pump priming arrangements. The Trust will be expected to develop a case that demonstrates ongoing sustainability within existing resources for the future. The Community Specialist Review will support this. • Merseycare are committed to achieving the target for Early Intervention within the 2007/8 financial year. • Black and Ethnic Minority Workers- the PCT have appointed a Community Development Coordinator. Recruitment for two further posts will now commence in partnership with key stakeholders which will meet the December 2007 target. KSF and PRD’s • As part of the annual Training Plan document it was agreed at Finance and Performance Committee that we would report at the end of the year on the numbers of Performance Review discussions conducted between 1 April 07 and 31 March Choose and Book (CAB) • By the end of July 2007, Seftons CAB utilization had increased to 27% • Sefton PCT has put in place a dedicated Choose and Book Project Team for 6 months to identify and resolve issues at GP Practices • GPs are being encouraged to use Choose and Book (CAB) for all their referrals to secondary care in order to support the 18 weeks pathway work and practice-based commissioning • Main issues affecting utilisation are still technical problems with GP Integrated Clinical Systems • Choice and Booking DES being rolled forward for 2007-2008 to reward GPs who’s utilisation increases between Sept 2007 and Feb 2008 4 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 2 – Analysis of Elective (Inpatient and Daycase) Waiting Lists Analysis of Elective (Inpatient and Daycase) Waiting List 2007/08 Inpatient Waiting List 11+ Week Waiters against LDP Targets 1600 1400 1200 1000 Patients Waiting 800 600 400 200 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 11+ Week Waiters 606 540 445 359 Target 11+ Week Waiters 1506 1508 1382 1275 1224 1085 908 681 560 409 247 0 Total Elective (Inpatient and Daycase) Waiting List 2007/08 5000 4500 4000 3500 Patients Waiting 3000 2500 2000 1500 1000 500 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 11+ Week Waiters 606 540 445 359 Less than 11 weeks 3678 3754 3821 3864 • Despite a reduction in over 11 week waiters the total waiting list remains fairly static • Of our two main providers, Aintree Hospital Foundation Trust’s waiting list is reducing against profile. Southport and Ormskirk Trust is showing a down ward trend but is above profile. We are working with the Trust to identify the impact of this against delivery of the 18 week target 5 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 3 - Analysis of Outpatient Waiting Lists and Outpatient Waiters Analysis of Outpatient Waiting List Waiting 5+ weeks against LDP Targets 2007/08 6000 5000 4000 Patients Waiting 3000 2000 1000 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Waiting 5+ weeks 2024 1928 2030 1748 0 0 0 0 0 0 0 0 5+ week LDP Target 4911 4832 4187 3594 3162 2968 2480 1870 1550 1081 675 0 Analysis of Outpatient Waiting List 2007/08 7000 6000 5000 Patients Waiting 4000 3000 2000 1000 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Waiting 5+ weeks 2024 1928 2030 1748 Waiting <5 weeks 4201 4500 4461 4622 • The total outpatient waiters for first appointment have fallen by 1380 from July 2006 to July 2007 • Between March 2007 and July 2007 the list size has increased by 109 waiters. The increase has occurred primarily at Aintree were GP referrals are 4.8% higher than the same period last year along with 2% more GP referrals seen • The number of patients waiting 5+ weeks for an outpatient appointment at July 2007 is 1748 which is 276 fewer than April 2007.This would suggest that Trusts are addressing this category in order to meet the waiting list milestone target • There are two outpatient waiters at the end of July reported as waiting 11-12 weeks for a first appointment at Aintree and The Royal Liverpool Teaching Hospital. Both patients have subsequently been treated / discharged 6 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 4 – 6+ Weeks Diagnostic Waits (15 Tests) 6+ Weeks Diagnostic Waits (15 Tests) against LDP Target 2007/08 2000 1800 1600 1400 Patients Waiting 1200 1000 800 600 400 200 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 6+ Weeks Diagnostic Waits 15 Tests MRI/CT 849 487 440 396 LDP Target 1875 1642 1433 1223 1016 811 604 504 404 303 195 0 6+ weeks diagnostic waits for the reportable 15 diagnostics (including MRI/CT) • The diagnostic waiting list continues to reduce. • Neurophysiology tests remain the only modality to report waits above 13 weeks. • We are continuing to work with our local providers to ensure that progress against target is sustained and the impact of additional inpatient and outpatient activity does not adversely affect progress 7 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 5 – Cancer All Cancers 2 Week Target (% of Patients seen within 14 Days urgently referred by a GP/GDP for suspected Cancer) (Source - Open Exeter) 100% 99% % Patients seen 98% 97% 96% Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 % Actual 100% 99% 100% 100% 100% 100% 100% % Target 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% All Cancers 31 Day Target (% of Patients treated within 31 days from decision to treat to first definitive treatment) (Source - Open Exeter) 100% 99% %Patients treated 98% 97% 96% Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 % Actual 99% 99% 100% 100% 100% 99% 99% % Target 98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 8 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • All Cancers 62 Day Target (% of patients treated within 62 days from urgent GP referrals to first definitive treatment) (Source: Open Exeter) 100% 99% 98% 97% % Patients treated 96% 95% 94% 93% 92% 91% 90% Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 % Actual 100% 98% 100% 98% 94% 100% 100% % Target 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% • Despite performing well the PCT recently discovered an issue where urgent gynaecology referrals were not received by the provider Trust within the accepted 24 hour period. This affected 7 patients, however all patients were seen within the 14 day target. Systems have been put in place to ensure that any changes to referral mechanisms are communicated to all GP practices and any referral received out side the accepted period will be routinely investigated by the PCT cancer team. 9 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 6 – A & E Attendances Southport and Ormskirk NHS Trust within 4 hours Percentage of Southport & Ormskirk Trust A & E attendances seen within 4 hours 2006/07 100 98 96 94 92 % Patients seen 90 88 86 84 82 80 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 % Within 4 Hours 99.54 99.35 98.46 97.74 97.63 96.23 95.55 96.69 98.08 99.21 98.85 99.64 Target 98% 98 98 98 98 98 98 98 98 98 98 98 98 A & E Attendances for Aintree Trust including Litherland Town Hall Health Centre (LTHHC) and 36% of activity of Knowsley Walk in Centre (WIC) within 4 hours Percentage of A&E attendances seen within 4 hours for Aintree Trust including LTHHC and 36% of activity of Knowsley WIC 2006/07 100 98 96 94 92 % Patients seen 90 88 86 84 82 80 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 % Within 4 Hours 99.31 98.83 99.08 98.73 98.63 95.76 95.43 98.79 98.9 99.24 98.81 99.32 Target 98% 98 98 98 98 98 98 98 98 98 98 98 98 • Aintree and Southport and Ormskirk NHS Hospital Trusts are both achieving the operating standards of 98% of AED attendances seen within 4 hours. 10 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 7 – Ambulance Data Cat A and Cat B Performance England 50,000 90% 85% 40,000 80% Cat A Performance 75% Cat A Volume 70% 30,000 65% 60% 20,000 55% 50% 10,000 45% 40% 0 35% 09/04/2006 04/06/2006 30/07/2006 24/09/2006 19/11/2006 14/01/2007 11/03/2007 06/05/2007 01/07/2007 26/08/2007 21/10/2007 16/12/2007 10/02/2008 06/04/2008 Cat A Volume Cat A Performance New Cat A Performance Planned performance Performance Target North West Ambulance Service NHS Trust 7,000 90% 85% 6,000 80% Cat A Performance 5,000 75% Cat A Volume 70% 4,000 65% 3,000 60% 55% 2,000 50% 45% 1,000 40% 0 35% 09/04/2006 04/06/2006 30/07/2006 24/09/2006 19/11/2006 14/01/2007 11/03/2007 06/05/2007 01/07/2007 26/08/2007 21/10/2007 16/12/2007 10/02/2008 06/04/2008 Cat A Volume England Cat A Performance New Cat A Performance Planned performance Performance Target 11 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • England 75,000 100% 67,500 95% 60,000 52,500 Cat B Performance 90% Cat B Volume 45,000 37,500 85% 30,000 80% 22,500 15,000 75% 7,500 0 70% 09/04/2006 04/06/2006 30/07/2006 24/09/2006 19/11/2006 14/01/2007 11/03/2007 06/05/2007 01/07/2007 26/08/2007 21/10/2007 16/12/2007 10/02/2008 Cat B Volume Cat B Performance Performance Target North West Ambulance Service NHS Trust 10,000 100% 9,000 95% 8,000 Cat B Performance 7,000 90% Cat B Volume 6,000 5,000 85% 4,000 80% 3,000 2,000 75% 1,000 0 70% 09/04/2006 04/06/2006 30/07/2006 24/09/2006 19/11/2006 14/01/2007 11/03/2007 06/05/2007 01/07/2007 26/08/2007 21/10/2007 16/12/2007 10/02/2008 Cat B Volume England Cat B Performance Performance Target • Category A calls responded to within 8 minutes of details being recorded: Currently the ambulance service is performing at the standard of 75%, when we drill down to the Sefton level the service has been achieving the response time for Cat A of 8 minutes. • Category A calls responded to within 8 minutes of call to connect: This is the response standard that is due to be delivered by the ambulance service from April 2008, currently the service needs to make significant gains in order to achieve the standard. 12 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 8 – Referral to Treatment (RTT) Referral to treatment (RTT) Admitted Patient Care (The number of patients treated within 18 weeks from referral to treatment) against LDP Trajectory Target 3000 2500 Number patients admitted 2000 1500 1000 500 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Admitted Patient Care 525 587 776 810 Trajectory Target 333 599 832 1332 1998 2832 2266 2266 1699 1982 1699 1416 Referral to treatment (RTT) Non Admitted Patient Care (The number of patients treated within 18 weeks from referral to treatment not involving an admission) against LDP Trajectory Target 9000 8000 7000 6000 Patients treated 5000 4000 3000 2000 1000 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Non Admitted Patient Care 2838 4032 4422 4935 Trajectory Target 914 1645 2284 3655 5940 8238 6590 6590 4943 5766 4943 4119 13 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Referral To Treatment (RTT) % of Admitted Patient Care (% of patients treated within 18 weeks from referral to treatment) against % of LDP Trajectory Target 90 80 70 60 % Patients admitted 50 40 30 20 10 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 % of Admitted Patient Care 16 18 23 24 % LDP Trajectory Target 10 18 25 40 60 85 85 85 85 85 85 85 DoH Trajectory Target 10 15 20 25 30 40 50 55 60 65 75 85 Referral To Treatment (RTT) % of Non Admitted Patient Care (% of patients treated within 18 weeks from referral to treatment not involving admission) against % LDP Trajectory Target 100 90 80 70 % Patients Treated 60 50 40 30 20 10 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 % Non Admitted Patient Care 31 45 49 54 % LDP Trajectory Target 10 18 25 40 65 90 90 90 90 90 90 90 DoH Trajectory Target 10 15 25 35 40 45 50 60 65 70 80 90 • Progress is being made against target. Work is focusing on pathways in particular ENT, Ophthalmology and Orthopaedics whilst providers continue to work on improving the data quality of Referral to Treatment information 14 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc
  • Appendix 9 – MRSA – Aintree and Southport & Ormskirk NHS Trusts Monthly MRSA Bacteraemias Aintree from April 2007 with Target of 19 and Trajectory until March 2008 20 18 16 14 Cumluative to Date 12 10 8 6 4 2 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Cumulative to Date 5 10 14 16 Target 19 19 19 19 19 19 19 19 19 19 19 19 Trajectory 1 3 4 6 8 10 12 14 16 17 18 19 Monthly MRSA Bacteraemias Southport & Ormskirk from April 2007 and Target of 10 and Trajectory until end of March 2008 12 10 8 Cumulative to date 6 4 2 0 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Cumulative to Date 3 5 6 10 Target 10 10 10 10 10 10 10 10 10 10 10 10 Trajectory 1 2 3 3 4 5 6 7 8 9 9 10 • Aintree has experienced 2 cases of MRSA Bacteraemia during July. The trust has reinforced its measures to improve aseptic procedures. The Trust has accepted an offer of assistance from the Department of Health’s MRSA Task Force and has submitted proposals to the SHA to access additional funding to enable it to improve screening and isolation measures. These proposals have been developed in conjunction with the PCT. The PCT continues to work closely with the Foundation Trust, SHA and the Department of Health Task Force to improve • Southport recorded 4 MRSA bacteraemia during July, its highest figure for a single month. However one of these cases should be reassigned to Clatterbridge Hospital as the Southport DGH had no direct involvement in this patient care. Senior staff at the trust are reviewing the current action plan in conjunction with Sefton PCT. Proposals have been submitted to the SHA to access additional funding to enable the trust to improve its screening and intervention measures. These proposals have been support by Sefton PCT and Central Lancashire PCT • Merseyside PCTs and Hospital Trusts within the area are meeting on the 6 th of September to agree a common approach to screening and decolonisation measures 15 Authors: Ally Dwyer/Jackie Cole-Jones – Date25-7-07– Version No: 1 – File Path s:info/PCT Board Reports 5NJ/FINAL Appendices Sept Version 1.doc