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Trust Board Date 25th May 2017

Agenda item number 6.1

Title of paper Performance Report

Confidential

Suitable for public access

Papers which this paper relates to?

Strategic objective(s):

Best outcomes

To achieve the highest possible quality of care and treatment for our patients, in terms of outcome, safety and experience.

Excellent experience

Skilled & motivated teams

Top productivity

ASPH value(s):

Patients first Patient expectations in terms of access are reflected in NHS performance targets.

Personal responsibility

Passion for excellence

Pride in our team

Executive summary The Trust missed the 4 hour A&E NHSI standard in April with NHSI performance recorded at 91.24%. This was a 1.7% improvement on last month (89.56%) and 1.2% above the agreed recovery trajectory of 90% for Q1. Attendances & admissions were marginally higher than April 2016. However (a) deficient social and community care capacity (b) provider changes (c) surges in admissions & (d) reduced staff availability due to IR35 tax avoidance changes, created slow flow from the Emergency Department to the wards. Total attendances in April (at 7,911) were 5.3% lower than March’s attendances (8,355) although 0.2% higher than April 2016 (7,898). Admissions during April (at 1,908) were 4.3% lower than March’s admissions (1,994) although 0.3% higher than April 2016 (1,902). We have in place an Urgent Care Improvement Programme which includes changes to our governance and clinical engagement. The improvement plan has now been revised following publication of the Rapid Implementation Guidance and reflects key improvement actions. The Trust remained compliant for the 18 weeks Incomplete Pathway Performance at 92.3%. However, 5 specialties; General Surgery, Urology, Oral & MaxFacs, Plastic Surgery, & Dermatology were non-compliant at specialty level.

The Trust continues with a risk of aggregate RTT non-compliance if; (a) non-elective bed pressures require significant elective cancellations, & (b) if capacity or demand management schemes cannot address the significant increase being seen in Dermatology, Neurology & Endoscopy demand. The Trust is expected to report compliance for 6 of 7 Cancer standards for April; The failing standard was; (1) 31 Day Subsequent Surgery; 1 breach due to substantial & ongoing Dermatology demand outstripping capacity.

Recommendation: Review the paper and discuss the contents seeking additional assurance as necessary.

Specific issues checklist:

Quality and safety issues

Patient impact issues?

Employee issues?

Other stakeholder issues?

Equality & diversity issues?

Finance issues?

Legal issues?

Risk issues? Link to relevant BAF item number if so

Author name/role Julian Ruse, Associate Director of Performance

Presented by director name/role

Tom Smerdon, Director of Operations (Urgent Care) & James Thomas, Director of Operations (Planned Care)

Date 15th May 2017

Board action For Assurance

Dec‐16 Jan‐17 Feb‐17 Mar‐17 Apr‐17 SparklineTotal 8574 8219 7498 8355 7911Avg Att per day 277 265 268 270 264Total 2234 2100 1890 1994 1908Avg Adm per day 72 68 68 64 64

Breaches Total 1661 1668 1503 1383 1097% Breaches late Specialty Total 24.9% 25.5% 17.8% 13.4% 6.6%% Breaches late Dr/ENP Total 5.6% 6.6% 4.5% 3.2% 5.7%Number of Breaches by Minors Total 159 178 202 225 279Delay Transfers of Care Total 1451 1228 1778 1996 1574A&E 4hr Performance % (NHSI) Total 87.52% 87.17% 87.49% 89.56% 91.24%A&E 4hr Performance % (St Peters site) Total 83.14% 82.64% 83.08% 86.08% 87.94%

The Trust missed the 4 hour A&E NHSI standard in April with performance recorded at 91.24%. This was a 1.7% improvement on last month (89.56%) and 1.2% above the agreed recovery trajectory of 90% for Q1.

Attendances & admissions were marginally higher than April 2016. However (a) deficient social and community care capacity (b) provider changes (c) surges in admissions & (d) reduced staff availability due to IR35 tax avoidance changes, created slow flow from the Emergency Department to the wards.

The charts in Appendix B identify a number of daily snapshots of system indicators where activity has continued to exceed expectations identified by the CCG to support flow within ED & the Trust’s hospitals. In line with recent NHSI/NHSE communication, the CCG‐led Local A&E Delivery Board are undertaking a full review of system commissioning requirements to achieve the hospital flow required to deliver the A&E 4hr & DTOC targets.

Total attendances in April (at 7,911) were 5.3% lower than March’s attendances (8,355) although 0.2% higher than April 2016 (7,898). Admissions during April (at 1,908) were 4.3% lower than March’s admissions (1,994) although 0.3% higher than April 2016 (1,902).

A&E PERFORMANCE UPDATE

A&E A&E

INPUTSAttendances

Admissions

CONTROLS

OUTPUTS

Performance:

The 60‐74yr and 75+ age groups are the highest FY2017/18 increases at 5.8% and 1.9% respectively, with an overall 0.3% (6 patients) increase in admissions compared to last FY.

Comparing FY2017 A&E attendances (7,911) to FY2015 (7,630) & FY2016 (7,898) confirms an ongoing increase in demand attending the emergency department, with a corresponding increase also being seen in the number of admissions via A&E FY2017 (1,908) versus FY2015 (1,847) and FY2016 (1,902).

Ambulance Handover Delays

When the hospital experiences patient flow difficulties A&E can become congested which causes delays in handing patients over from the care of ambulance crews to that of the Accident and Emergency Department. During April 2017 the Trust recorded 104 incidents where the handover took between 30 and 60 minutes, and 3 waits in excess of 60 minutes. This was a 30% reduction compared to April 2016.

Performance:

0-15 16-59 60-74 75+ Grand Total 0-15 16-59 60-74 75+ Grand TotalApr 2.5% -0.3% -3.1% 0.6% 0.2% Apr 45 -9 -32 9 13May MayJune JuneGrand Total 2.5% -0.3% -3.1% 0.6% 0.2% Grand Total 45 -9 -32 9 13

Additional Attendances 2017 vs 2016 Additional Attendances 2017 vs 2016(Age Group) (Age Group)

0-15 16-59 60-74 75+ Grand Total 0-15 16-59 60-74 75+ Grand TotalApr -8.0% -2.4% 5.8% 1.9% 0.3% Apr -18 -12 20 16 6May MayJune JuneGrand Total -8.0% -2.4% 5.8% 1.9% 0.3% Grand Total -18 -12 20 16 6

Additional Admissions 2017 vs 2016(Age Group) (Age Group)

Additional Admissions 2017 vs 2016

Month FY2017 FY2016Daily Var 2016

FY2015Daily Var 2015

Month FY2017 FY2016Daily Var 2016

FY2015Daily Var 2015

Apr 7911 7898 0 7630 9 Apr 1908 1902 0 1847 2May 8776 8030 May 2175 ‐70 1946 ‐63Jun 8212 7795 Jun 2013 ‐67 1798 ‐60Jul 8631 8064 Jul 2029 ‐65 1855 ‐60Aug 7972 7601 Aug 1989 ‐64 1877 ‐61Sep 8163 7859 Sep 2040 ‐68 1905 ‐64Oct 8767 8312 Oct 2106 ‐68 1993 ‐64Nov 8509 8102 Nov 2029 ‐68 1913 ‐64Dec 8574 8134 Dec 2234 ‐72 2000 ‐65Jan 8219 8088 Jan 2100 ‐68 2085 ‐67Feb 7498 7863 Feb 1890 ‐65 1937 ‐69Mar 8355 8848 Mar 1994 ‐69 2021 ‐65

7,911 99,574 96,326 1,908 24,501 23,177

A&E Attendances A&E Admissions

Performance:

Elective Procedure Cancellations due to Non‐Elective Demand

The Trust had to postpone 5 elective procedures during April due to no beds being available.

In accordance with the NHSI requirement, all non‐urgent surgery at the St Peters Hospital site was suspended 19th December 2016 to 15th January 2017 to provide additional bed stock to cater for the non‐elective winter demand.

Overnight Waits in the Accident and Emergency Department

Although the Trust has seen a substantial improvement in the non‐elective length of stay from an average of 7.25 days during April 2015 down to 5.89 days for April, the level of admissions continues to cause patient flow difficulties through the hospital creating a backlog within A&E. This is evidenced by the number of patients waiting in A&E overnight with a decision to admit (DTA).

During April the Trust recorded DTA patients waiting in A&E overnight on 17 days. On 9 days in April, 5 or more patients were waiting to be transferred (average 10 on these days).

Cancellations (no bed) FY2017/18Specialty Sep 2016 Oct 2016 Nov 2016 Dec 2016 Jan 2017 Feb 2017 Mar 2017 Apr 2017

Breast Surgery 3

Colo-Rectal 5 4 2 5 2 1

Obstetrics and Gynaecology 13 12 6 15 4 2

Maxillofacial and Oral SurgeryOpthamology

Radiology 1 2 4 1 1 1

Trauma and Orthopaedics 26 21 7 2 21 2

Upper GI 20 5 11 1 15 2

Urology 10 8 1 11 4 1 3 2

Vascular Surgery 5 3 1 2 4 383 55 17 50 33 25 7 5

FY2016/17

Performance:

Delayed Discharges

Overall the combined DTOC & MFFD delays showed an increasing trend over Q4 although have reduced during Q1.

A number of initiatives have been underway which include;• Inreach support ‐ dedicated support in wards to assist with case managing patients throughout their hospital stay as well as facilitating discharge. • Board round improvements ‐ to improve the quality and content of board rounds on medical wards.• Supporting community hospitals ‐ to reduce their length of stay in rehab beds, creating additional capacity.• Discharge to assess (D2A) started on 1st September ‐ creating system support to enable a reduction in delayed discharges.• A CCG led system provider reboot week w/c 6th February 2017 to reduce delayed transfers of care to support discharges (& patient flow) at Community Hospitals & at the St Peters Hospital site.

Internal ED Metrics

Delayed Discharges Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb MarFY2015 2152 2172 1916 1568 1542 1372 1481 1330 1258 1445 1298 1354FY2016 1500 1713 1808 1813 1968 2084 1946 1554 1451 1228 1778 1966FY2017 1574

Performance:

A&E Performance (National Position)The Trust's A&E performance compared to other Trusts is included as Appendix A. ‐ When comparing the Trust including Ashford WiC (NHSI position), for March (the most recent data published), the Trust is positioned 68th of 139 Trusts. ‐ During March only 26 Trusts reported a compliant performance greater than 95%, with 118 Trusts reporting an improvement, 20 Trusts reporting a decline, and 1 remaining the same.

Urgent Care Improvement ProgrammeWe have in place an Urgent Care Improvement Programme which includes changes to our governance and clinical engagement. The improvement plan has now been revised following publication of the Rapid Implementation Guidance and reflects key improvement actions. The three key programmes of work are outlined below;

1. ED Streaming At The Front DoorThe objective is to create and run pathways that de‐compress the Emergency Department by streaming patients to other in‐patient services such as assessment areas or preventing attendance through telephone management.

2. Patient FlowThis objective is aimed at improving and ensuring the safe and effective flow of patients into the body of the hospital from ED at the point of referral to beyond discharge from the acute hospital.

3. Improving Discharge ProcessesThe key targets for this objective are to reduce in‐patient delays, overall Lengths of Stay (LoS) and the volumes of and bed days lost to Medically Fit For Discharge Patients.

Dec‐16 Jan‐17 Feb‐17 Mar‐17 Apr‐17 SparklineINPUTS Referrals Total 850 834 853 993 908

Breaches due to Patient Choice Total 33 33 22 30 26% Breaches ‐ Patient Choice Total 3.9% 4.0% 2.6% 3.0% 2.9%Breaches due to Hospital Capacity Total 5 44 20 30 31% Breaches ‐ Hospital Capacity Total 0.6% 5.3% 2.3% 3.0% 3.4%

OUTPUTS 2 Week Wait % Target = 93% 95.53% 90.77% 95.08% 93.96% 93.72%

Performance:

TWR performance position for April is recorded as compliant at 93.7% with 26 of the 57 breaches (45.6%) due to patient choice.

During April the Trust has again received a high number of cancer TWR referrals at 1064 (inc Breast Symptomatic), creating additional demand on cancer capacity & diagnostic services.

The Trust is working closely with NWS CCG to understand the reasons for the increase & ensure satisfactory capacity remains available to meet the increase being seen in patient demand.

CANCER UPDATE

CANCERCancer: two week

wait from referral to date first seen

CONTROLS

July August Sept Oct Nov Dec Jan Feb Mar Apr

Referrals Seen 875 906 890 919 923 850 834 853 993 908Referrals Seen Within Standard 815 854 858 881 896 812 757 811 933 851

Performance Trajectory 94.7% 94.7% 94.7% 94.7% 94.7% 94.7% 94.7% 94.7% 94.7% 94.7%Performance Actual 93.1% 94.3% 96.4% 95.9% 97.1% 95.5% 90.8% 95.1% 94.0% 93.7%

2 Week Referral

Dec‐16 Jan‐17 Feb‐17 Mar‐17 Apr‐17 SparklineINPUTS Treatments Total 73 55.5 59 68 59

Breaches ‐ ASPH Total 4 3 5 12 3Breaches ‐ Shared Total 1.5 3.5 3.5 4 4.5Total Breaches Total 15 5.5 6.5 16 7.5

OUTPUTS 62 Day GP Referral to Treatment % Target = 85% 79.5% 90.1% 89.0% 76.5% 87.3%

CANCER UPDATE

Performance:

The Trust has recorded a compliant performance for April at 87.29%, with delays recorded due to complex pathways (9 patients), patient choice (2 patients), & patient fitness (1 patient). These breaches are undergoing clinical validation by the tumour group leads.

The Trust with tertiary partners are undertaking a shadow performance monitoring excercise aimed at assessing the impact of the proposed 38 day tertiary referral guidance and the ASPH Cancer Timed Pathway Analysis to review the effectiveness of the outcomes of the existing action plan and to enhance improvement activities to address current areas of concern.

The Trust continues to deliver its Cancer Improvement Action Plan in conjunction with NWS CCG which aims to address recent issues regarding cancer performance.

CANCER

All cancers: 62‐day wait for first treatment

(GP Referral)

CONTROLS

ModalityTreatments

in the Period

<62 days

>62 days

Breach %

Brain 0.5 0.5 0 0%Breast 10 9 1 10%Breast Symptomatic 1 1 0 0%Colorectal 4.5 4 0.5 11%Gynaecology 0.5 0.5 0 0%Haematology 2 1 1 50%Head and Neck 4 2.5 1.5 38%Lung 1 1 0 0%Other 0 0 0 0%Sarcoma 0 0 0 0%Skin 17.5 17.5 0 0%Upper GI 1.5 0 1.5 100%Urology 17.5 15.5 2 11%Total (exc. Breast Sympto) 59 51.5 7.5 12.7%

Dec‐16 Jan‐17 Feb‐17 Mar‐17 Apr‐17 SparklineINPUTS Total 40 46 34 47 47

Proportion of patients admitted to stroke ward <4hrs Target = 90% 43% 39% 56% 58% 53%Proportion of patients spending 90% on stroke ward Target = 80% 80% 77% 84% 81% 71%Proportion of patients scanned within 1hr Target = 50% 55% 61% 68% 85% 66%

Target = 100% 98% 98% 97% 100% 98%Target = 100% 100% 100% 100% 100% 100%Target = 100% 100% 100% 100% 100% 97%Target = 60% 100% 75% 100% 96% 77%

Performance:

Stroke performance 'Proportion of patients admitted to a stroke ward within 4hrs' standard for April is recorded at 53%. The Trust continues to experience difficulty meeting this KPI due to ; Disruption in stroke pathway = 5 patientsOther = 4 patientsNo acute bed being immediately available due to non‐elective bed pressures = 12 patientsMedical need = 1 patients

Multi‐disciplinary team review of all breaches has been scheduled to understand root causes and improve performance.

Urgent TIA (Low risk) cases to be seen assessed within 7 days of referral was recorded at 97%1 breach reported; 1 x No clinic on Easter long Weekend, no earlier clinic slot available

Urgent TIA (High risk) cases to be seen assessed within 24 hours of referral was recorded at 77%3 breaches reported; 2x No clinic (Easter long Weekend ) & 1x No clinic slot available, next day appt provided

OUTPUTS

Total stroke discharges

STROKE PERFORMANCE UPDATE

STROKE Proportion of patients scanned within 12hrsPatients eligible & receiving thrombolysisNon‐urgent TIA cases assessed within 7 daysHigh‐risk TIA cases treated within 24hrs

Diagnostic Tests

The Trust has been compliant with the DM01 diagnostic standard since September 2015, with April performance also compliant, recorded at 99.1% (most breaches were due to capacity reduction in endoscopy services over the easter period & increasing demand).

RTT Forward View

The Trust remained compliant for April recorded at 92.3%, although 5 specialties; General Surgery, Urology, Oral & MaxFacs, Plastic Surgery, & Dermatology were non‐compliant at specialty level.

Specific specialty issues have been;

General Surgery ‐ ongoing capacity issues in colorectal surgery due to the suspension of non‐urgent surgery over the festive period & financial constraints during Q4.Urology ‐ capacity issues due to (a) gaps in consultant staffing due to sickness and recruitment timelines (b) during the festive period due to the suspension of non‐urgent surgery, (c) bank holiday downtime, & (d) urgent and emergency care pressures.Oral & MaxFacs ‐ capacity issues due to a lack of surgeon cover, alternative arrangements to address the capacity loss are underway.Plastic Surgery ‐ the specialty had a PTL volume of 15 at the end of the month (with a limited breach tolerance of only 1 pathway). Additional capacity is being agreed to enable the specialty to recover to compliance.Dermatology ‐ significant capacity issues due to a substantial & significant increase in both TWR and routine demand.Neurology ‐ capacity issues due to an increase in routine demand being diverted by Guildford & Waverley CCG away from RSCH.Endoscopy ‐ capacity issues due to an ongoing increase in TWR demand. The new endoscopy suite is due to be operational from July 2017 providing additional capacity.

APPENDIX A NHSI A&E Performance [March 2017] - All Trusts with Type 1 Attendances

Code Region Name Type 1 Departments - Major A&E

Total attendances

Percentage in 4 hours or less (all)

Total Emergency Admissions via A&E

Other Emergency admissions (i.e not via A&E)

Total Emergency Admissions

Number of patients spending >4 hours from decision to admit to admission


1 RBD South Of England Commissioning Region Dorset County Hospital NHS Foundation Trust 3,607 7,626 99.1% 1,310 580 1,890 4 02 RC9 Midlands And East Of England Region Luton And Dunstable University Hospital NHS Foundation Trust 8,814 12,843 98.7% 2,650 1,274 3,924 0 03 RA4 South Of England Commissioning Region Yeovil District Hospital NHS Foundation Trust 3,963 3,963 98.4% 1,404 233 1,637 2 04 RE9 North Of England Commissioning Region South Tyneside NHS Foundation Trust 5,071 5,740 98.3% 1,228 18 1,246 15 05 RWY North Of England Commissioning Region Calderdale And Huddersfield NHS Foundation Trust 12,967 12,967 97.4% 2,628 1,285 3,913 46 06 RJF Midlands And East Of England Region Burton Hospitals NHS Foundation Trust 5,360 9,940 97.3% 1,875 762 2,637 157 07 RCD North Of England Commissioning Region Harrogate And District NHS Foundation Trust 3,975 4,870 97.2% 988 720 1,708 4 08 RBT North Of England Commissioning Region Mid Cheshire Hospitals NHS Foundation Trust 5,708 7,357 97.2% 1,840 1,118 2,958 1 09 RQ3 Midlands And East Of England Region Birmingham Women's And Children's NHS Foundation Trust 5,732 5,732 97.0% 920 397 1,317 0 0

10 RJC Midlands And East Of England Region South Warwickshire NHS Foundation Trust 5,572 6,235 96.8% 1,806 340 2,146 2 111 RVW North Of England Commissioning Region North Tees And Hartlepool NHS Foundation Trust 5,840 7,584 96.6% 1,654 2,039 3,693 18 012 RA2 South Of England Commissioning Region Royal Surrey County Hospital NHS Foundation Trust 5,854 5,854 96.5% 2,017 571 2,588 37 013 RXP North Of England Commissioning Region County Durham And Darlington NHS Foundation Trust 10,733 21,230 96.5% 3,387 1,949 5,336 135 014 RTR North Of England Commissioning Region South Tees Hospitals NHS Foundation Trust 10,362 15,526 96.4% 1,935 2,331 4,266 244 015 RVR London Commissioning Region Epsom And St Helier University Hospitals NHS Trust 12,649 13,193 96.4% 3,367 243 3,610 43 116 RN5 South Of England Commissioning Region Hampshire Hospitals NHS Foundation Trust 9,087 10,293 96.0% 2,428 1,314 3,742 261 017 RR7 North Of England Commissioning Region Gateshead Health NHS Foundation Trust 7,781 10,229 96.0% 1,670 445 2,115 97 018 RBS North Of England Commissioning Region Alder Hey Children's NHS Foundation Trust 5,349 5,349 96.0% 1,130 318 1,448 0 019 RCU North Of England Commissioning Region Sheffield Children's NHS Foundation Trust 5,440 5,440 95.8% 726 423 1,149 0 020 RYR South Of England Commissioning Region Western Sussex Hospitals NHS Foundation Trust 11,417 12,382 95.8% 3,199 1,502 4,701 42 021 RTF North Of England Commissioning Region Northumbria Healthcare NHS Foundation Trust 8,260 16,566 95.6% 4,006 622 4,628 0 022 RNA Midlands And East Of England Region The Dudley Group NHS Foundation Trust 9,006 15,399 95.6% 2,425 1,052 3,477 9 023 RC1 Midlands And East Of England Region Bedford Hospital NHS Trust 6,402 6,402 95.2% 2,022 237 2,259 79 024 RK5 Midlands And East Of England Region Sherwood Forest Hospitals NHS Foundation Trust 8,842 13,011 95.2% 2,772 609 3,381 70 125 RTP South Of England Commissioning Region Surrey And Sussex Healthcare NHS Trust 8,344 8,344 95.1% 2,264 449 2,713 225 026 RGP Midlands And East Of England Region James Paget University Hospitals NHS Foundation Trust 6,301 6,356 95.0% 1,242 496 1,738 23 027 RD3 South Of England Commissioning Region Poole Hospital NHS Foundation Trust 5,584 6,947 94.8% 1,692 1,561 3,253 19 028 RDE Midlands And East Of England Region Colchester Hospital University NHS Foundation Trust 7,562 12,107 94.6% 2,597 1,078 3,675 105 029 RWA North Of England Commissioning Region Hull And East Yorkshire Hospitals NHS Trust 11,425 12,827 94.6% 3,329 1,411 4,740 127 030 RDZ South Of England Commissioning Region The Royal Bournemouth And Christchurch Hospitals NHS Foundat 6,326 7,843 94.5% 1,879 1,347 3,226 98 031 RHW South Of England Commissioning Region Royal Berkshire NHS Foundation Trust 9,380 10,875 94.5% 3,068 520 3,588 66 032 RA9 South Of England Commissioning Region Torbay And South Devon NHS Foundation Trust 5,933 8,737 94.2% 2,530 610 3,140 45 033 RBA South Of England Commissioning Region Taunton And Somerset NHS Foundation Trust 5,394 5,394 94.2% 1,773 1,326 3,099 35 034 RGT Midlands And East Of England Region Cambridge University Hospitals NHS Foundation Trust 9,567 13,006 94.1% 3,334 290 3,624 57 035 RLN North Of England Commissioning Region City Hospitals Sunderland NHS Foundation Trust 7,844 13,070 93.8% 2,674 959 3,633 47 036 RQX London Commissioning Region Homerton University Hospital NHS Foundation Trust 10,300 10,300 93.8% 1,684 215 1,899 46 037 RTD North Of England Commissioning Region The Newcastle Upon Tyne Hospitals NHS Foundation Trust 10,697 17,379 93.3% 2,135 2,588 4,723 87 038 RH8 South Of England Commissioning Region Royal Devon And Exeter NHS Foundation Trust 8,240 8,952 93.1% 1,849 1,599 3,448 67 239 RCF North Of England Commissioning Region Airedale NHS Foundation Trust 5,480 5,480 93.1% 1,078 903 1,981 40 040 RGR Midlands And East Of England Region West Suffolk NHS Foundation Trust 5,887 5,887 92.9% 2,063 492 2,555 5 041 RGQ Midlands And East Of England Region Ipswich Hospital NHS Trust 7,321 7,852 92.9% 2,197 828 3,025 22 042 RD8 Midlands And East Of England Region Milton Keynes University Hospital NHS Foundation Trust 7,692 12,389 92.8% 1,468 1,174 2,642 170 043 RNZ South Of England Commissioning Region Salisbury NHS Foundation Trust 3,807 4,132 92.7% 1,062 762 1,824 53 044 RXQ South Of England Commissioning Region Buckinghamshire Healthcare NHS Trust 7,101 12,030 92.6% 3,433 904 4,337 381 045 RP5 North Of England Commissioning Region Doncaster And Bassetlaw Teaching Hospitals NHS Foundation Tru 11,271 13,986 92.6% 3,703 1,143 4,846 188 046 RXF North Of England Commissioning Region Mid Yorkshire Hospitals NHS Trust 20,398 20,398 92.6% 5,047 1,366 6,413 467 047 RFF North Of England Commissioning Region Barnsley Hospital NHS Foundation Trust 7,146 7,146 92.5% 2,143 588 2,731 28 048 RAE North Of England Commissioning Region Bradford Teaching Hospitals NHS Foundation Trust 11,362 11,362 92.4% 3,045 1,218 4,263 88 049 RAJ Midlands And East Of England Region Southend University Hospital NHS Foundation Trust 8,595 8,595 92.1% 2,314 744 3,058 0 050 RW3 North Of England Commissioning Region Central Manchester University Hospitals NHS Foundation Trust 13,272 27,111 92.1% 4,199 559 4,758 596 051 RM2 North Of England Commissioning Region University Hospital Of South Manchester NHS Foundation Trust 8,420 8,420 91.9% 2,478 1,002 3,480 300 052 RQM London Commissioning Region Chelsea And Westminster Hospital NHS Foundation Trust 17,414 25,231 91.6% 3,597 744 4,341 346 053 RN7 South Of England Commissioning Region Dartford And Gravesham NHS Trust 8,866 10,689 91.5% 2,514 232 2,746 302 054 RDU South Of England Commissioning Region Frimley Health NHS Foundation Trust 20,403 20,403 91.4% 6,054 1,412 7,466 233 055 RL4 Midlands And East Of England Region The Royal Wolverhampton NHS Trust 11,505 20,156 91.3% 2,606 1,123 3,729 229 056 RBZ South Of England Commissioning Region Northern Devon Healthcare NHS Trust 3,521 7,432 91.1% 1,117 448 1,565 151 057 RDD Midlands And East Of England Region Basildon And Thurrock University Hospitals NHS Foundation Trust 11,981 11,981 91.0% 2,468 246 2,714 200 158 RR8 North Of England Commissioning Region Leeds Teaching Hospitals NHS Trust 18,152 20,252 90.9% 5,213 1,422 6,635 706 059 RFS Midlands And East Of England Region Chesterfield Royal Hospital NHS Foundation Trust 6,889 6,889 90.8% 1,996 1,044 3,040 139 060 RWW North Of England Commissioning Region Warrington And Halton Hospitals NHS Foundation Trust 6,890 10,717 90.7% 2,632 472 3,104 411 061 RCX Midlands And East Of England Region The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust 5,320 5,320 90.7% 2,049 767 2,816 161 262 RAX London Commissioning Region Kingston Hospital NHS Foundation Trust 9,430 10,402 90.7% 1,839 706 2,545 73 063 RFR North Of England Commissioning Region The Rotherham NHS Foundation Trust 6,515 10,661 90.1% 1,671 489 2,160 100 064 REM North Of England Commissioning Region Aintree University Hospital NHS Foundation Trust 7,186 14,383 89.9% 2,718 852 3,570 481 065 RHM South Of England Commissioning Region University Hospital Southampton NHS Foundation Trust 8,622 10,186 89.7% 3,467 2,068 5,535 111 066 RQ6 North Of England Commissioning Region Royal Liverpool And Broadgreen University Hospitals NHS Trust 7,715 19,976 89.6% 2,388 814 3,202 1 167 RRV London Commissioning Region University College London Hospitals NHS Foundation Trust 12,059 12,059 89.6% 2,182 502 2,684 212 068 RTK South Of England Commissioning Region Ashford And St Peter's Hospitals NHS Foundation Trust 8,355 13,304 89.6% 1,982 275 2,257 324 069 RWF South Of England Commissioning Region Maidstone And Tunbridge Wells NHS Trust 11,963 13,959 89.6% 3,677 303 3,980 473 070 RCB North Of England Commissioning Region York Teaching Hospital NHS Foundation Trust 9,036 15,695 89.3% 3,543 1,768 5,311 356 971 RQQ Midlands And East Of England Region Hinchingbrooke Health Care NHS Trust 3,766 3,766 89.2% 856 309 1,165 85 072 RTG Midlands And East Of England Region Derby Teaching Hospitals NHS Foundation Trust 11,780 16,246 89.1% 3,795 1,428 5,223 112 173 RYJ London Commissioning Region Imperial College Healthcare NHS Trust 10,020 25,450 88.6% 3,282 1,223 4,505 330 474 RJ7 London Commissioning Region St George's University Hospitals NHS Foundation Trust 13,430 14,625 88.6% 3,814 734 4,548 0 075 RGN Midlands And East Of England Region North West Anglia NHS Foundation Trust 7,832 8,660 88.5% 2,406 820 3,226 74 076 RKE London Commissioning Region The Whittington Hospital NHS Trust 8,528 8,528 88.4% 1,347 91 1,438 186 277 RF4 London Commissioning Region Barking, Havering And Redbridge University Hospitals NHS Trust 21,289 24,952 88.3% 5,060 82 5,142 35 078 RVJ South Of England Commissioning Region North Bristol NHS Trust 7,222 7,222 88.3% 2,324 1,585 3,909 414 179 RMP North Of England Commissioning Region Tameside And Glossop Integrated Care NHS Foundation Trust 7,390 7,390 88.2% 1,708 342 2,050 114 080 RVY North Of England Commissioning Region Southport And Ormskirk Hospital NHS Trust 6,542 11,703 88.1% 1,905 80 1,985 259 081 RLT Midlands And East Of England Region George Eliot Hospital NHS Trust 6,726 6,726 88.1% 1,119 55 1,174 200 282 RLQ Midlands And East Of England Region Wye Valley NHS Trust 4,618 7,678 88.1% 1,185 301 1,486 173 083 RRF North Of England Commissioning Region Wrightington, Wigan And Leigh NHS Foundation Trust 7,741 7,741 87.9% 1,972 332 2,304 10 084 RHQ North Of England Commissioning Region Sheffield Teaching Hospitals NHS Foundation Trust 9,335 17,605 87.9% 2,868 2,839 5,707 510 085 RM1 Midlands And East Of England Region Norfolk And Norwich University Hospitals NHS Foundation Trust 10,075 11,046 87.6% 2,612 2,024 4,636 512 086 RBN North Of England Commissioning Region St Helens And Knowsley Hospital Services NHS Trust 8,808 14,419 87.4% 3,497 1,132 4,629 232 087 RJ2 London Commissioning Region Lewisham And Greenwich NHS Trust 18,137 24,664 87.4% 4,967 893 5,860 662 088 RTH South Of England Commissioning Region Oxford University Hospitals NHS Foundation Trust 11,198 12,995 87.1% 3,161 3,224 6,385 383 089 RJ1 London Commissioning Region Guy's And St Thomas' NHS Foundation Trust 12,385 16,156 87.0% 3,181 899 4,080 87 090 RNS Midlands And East Of England Region Northampton General Hospital NHS Trust 9,027 10,131 86.8% 3,303 1,221 4,524 478 091 RXL North Of England Commissioning Region Blackpool Teaching Hospitals NHS Foundation Trust 7,064 16,584 86.6% 2,247 967 3,214 1,019 1092 RAS London Commissioning Region The Hillingdon Hospitals NHS Foundation Trust 5,838 14,286 86.4% 2,126 145 2,271 242 093 RJ6 London Commissioning Region Croydon Health Services NHS Trust 6,654 10,498 86.1% 2,202 380 2,582 150 094 RJR North Of England Commissioning Region Countess Of Chester Hospital NHS Foundation Trust 6,019 6,617 86.0% 1,541 705 2,246 382 095 R1H London Commissioning Region Barts Health NHS Trust 30,210 42,369 85.7% 6,943 1,610 8,553 1,634 096 RAP London Commissioning Region North Middlesex University Hospital NHS Trust 15,077 15,077 85.6% 2,564 186 2,750 243 097 RAL London Commissioning Region Royal Free London NHS Foundation Trust 19,072 22,360 85.4% 3,872 801 4,673 1,028 098 RXK Midlands And East Of England Region Sandwell And West Birmingham Hospitals NHS Trust 14,665 19,535 85.3% 3,081 660 3,741 186 099 RK9 South Of England Commissioning Region Plymouth Hospitals NHS Trust 8,345 8,595 85.1% 3,008 1,579 4,587 99 0

100 RM3 North Of England Commissioning Region Salford Royal NHS Foundation Trust 8,898 8,898 84.8% 2,637 310 2,947 293 0101 RJL North Of England Commissioning Region Northern Lincolnshire And Goole NHS Foundation Trust 11,630 13,127 84.7% 2,568 527 3,095 465 0102 RRK Midlands And East Of England Region University Hospitals Birmingham NHS Foundation Trust 10,032 10,032 84.6% 2,818 1,334 4,152 220 0103 RXH South Of England Commissioning Region Brighton And Sussex University Hospitals NHS Trust 12,686 13,863 84.4% 3,586 581 4,167 792 0104 RN3 South Of England Commissioning Region Great Western Hospitals NHS Foundation Trust 6,515 12,240 84.4% 2,065 1,369 3,434 858 5105 R1F South Of England Commissioning Region Isle Of Wight NHS Trust 3,477 5,000 84.2% 744 168 912 192 4106 RR1 Midlands And East Of England Region Heart Of England NHS Foundation Trust 19,628 23,156 84.0% 7,396 2,374 9,770 1,235 1107 RQ8 Midlands And East Of England Region Mid Essex Hospital Services NHS Trust 8,163 8,591 84.0% 2,291 665 2,956 220 0108 RWE Midlands And East Of England Region University Hospitals Of Leicester NHS Trust 12,697 20,620 83.9% 4,053 3,973 8,026 529 0109 RWH Midlands And East Of England Region East And North Hertfordshire NHS Trust 9,376 14,208 83.9% 3,222 677 3,899 0 0110 RNL North Of England Commissioning Region North Cumbria University Hospitals NHS Trust 7,289 7,289 83.7% 2,054 881 2,935 355 0111 RMC North Of England Commissioning Region Bolton NHS Foundation Trust 8,492 9,564 83.6% 2,249 991 3,240 416 13112 RXN North Of England Commissioning Region Lancashire Teaching Hospitals NHS Foundation Trust 5,770 12,194 83.6% 2,047 1,721 3,768 431 1113 RJN North Of England Commissioning Region East Cheshire NHS Trust 3,998 4,260 83.5% 958 331 1,289 99 0114 RTX North Of England Commissioning Region University Hospitals Of Morecambe Bay NHS Foundation Trust 7,121 8,944 83.4% 2,097 1,014 3,111 342 15115 RA7 South Of England Commissioning Region University Hospitals Bristol NHS Foundation Trust 9,307 11,254 83.3% 2,930 732 3,662 448 0116 R1K London Commissioning Region London North West Healthcare NHS Trust 12,137 28,875 82.7% 4,659 505 5,164 1,523 0117 RJZ London Commissioning Region King's College Hospital NHS Foundation Trust 17,810 24,959 82.6% 4,477 516 4,993 822 0118 RWP Midlands And East Of England Region Worcestershire Acute Hospitals NHS Trust 9,976 15,557 82.6% 3,201 935 4,136 1,037 14119 RXR North Of England Commissioning Region East Lancashire Hospitals NHS Trust 8,923 16,807 82.4% 3,124 1,497 4,621 647 5120 RXW Midlands And East Of England Region Shrewsbury And Telford Hospital NHS Trust 10,371 12,044 81.6% 2,441 2,162 4,603 798 0121 RX1 Midlands And East Of England Region Nottingham University Hospitals NHS Trust 15,446 17,230 81.4% 4,076 2,435 6,511 734 1122 RW6 North Of England Commissioning Region Pennine Acute Hospitals NHS Trust 22,930 27,231 81.3% 5,435 1,604 7,039 931 73123 RBL North Of England Commissioning Region Wirral University Teaching Hospital NHS Foundation Trust 8,068 10,697 81.3% 2,546 1,646 4,192 754 0124 RXC South Of England Commissioning Region East Sussex Healthcare NHS Trust 9,442 9,442 80.7% 2,801 510 3,311 413 0125 RD1 South Of England Commissioning Region Royal United Hospitals Bath NHS Foundation Trust 6,218 7,159 80.6% 2,231 1,237 3,468 596 0126 RBK Midlands And East Of England Region Walsall Healthcare NHS Trust 6,360 10,169 80.5% 1,936 803 2,739 404 0127 RVV South Of England Commissioning Region East Kent Hospitals University NHS Foundation Trust 12,737 17,953 80.2% 3,802 3,022 6,824 242 0128 RKB Midlands And East Of England Region University Hospitals Coventry And Warwickshire NHS Trust 11,986 16,254 79.9% 4,173 678 4,851 590 0129 RNQ Midlands And East Of England Region Kettering General Hospital NHS Foundation Trust 7,653 7,653 79.8% 2,555 580 3,135 770 0130 RWJ North Of England Commissioning Region Stockport NHS Foundation Trust 8,174 8,174 79.8% 2,699 1,080 3,779 470 0131 RJE Midlands And East Of England Region University Hospitals Of North Midlands NHS Trust 15,129 20,332 79.8% 4,511 2,515 7,026 866 1132 RWD Midlands And East Of England Region United Lincolnshire Hospitals NHS Trust 13,111 13,111 79.1% 3,502 1,214 4,716 81 0133 RHU South Of England Commissioning Region Portsmouth Hospitals NHS Trust 9,418 12,351 78.1% 2,921 1,835 4,756 1,228 95134 RWG Midlands And East Of England Region West Hertfordshire Hospitals NHS Trust 8,042 12,065 78.1% 2,701 667 3,368 795 0135 RQW Midlands And East Of England Region The Princess Alexandra Hospital NHS Trust 8,737 8,737 77.9% 1,835 555 2,390 278 0136 RTE South Of England Commissioning Region Gloucestershire Hospitals NHS Foundation Trust 11,503 11,503 77.8% 3,464 895 4,359 437 0137 REF South Of England Commissioning Region Royal Cornwall Hospitals NHS Trust 6,059 7,580 77.7% 2,515 898 3,413 675 1138 RA3 South Of England Commissioning Region Weston Area Health NHS Trust 4,350 4,350 77.7% 1,007 141 1,148 0 0139 RPA South Of England Commissioning Region Medway NHS Foundation Trust 10,452 10,452 77.5% 2,263 1,042 3,305 1,397 3

Emergency AdmissionsA&E attendances

P a g e | 1

APPENDIX A

NHSI A&E Performance [March 2017] - Local Trusts with Type 1 Attendances

NHSI A&E Performance [March 2017] - Foundation Trusts with Type 1 Attendances


Total attendances







12 RA2 South Of England Commissioning Region Royal Surrey County Hospital NHS Foundation Trust 5,854 5,854 96.5% 2,017 571 2,588 37 020 RYR South Of England Commissioning Region Western Sussex Hospitals NHS Foundation Trust 11,417 12,382 95.8% 3,199 1,502 4,701 42 025 RTP South Of England Commissioning Region Surrey And Sussex Healthcare NHS Trust 8,344 8,344 95.1% 2,264 449 2,713 225 054 RDU South Of England Commissioning Region Frimley Health NHS Foundation Trust 20,403 20,403 91.4% 6,054 1,412 7,466 233 068 RTK South Of England Commissioning Region Ashford And St Peter's Hospitals NHS Foundation Trust 8,355 13,304 89.6% 1,982 275 2,257 324 0

103 RXH South Of England Commissioning Region Brighton And Sussex University Hospitals NHS Trust 12,686 13,863 84.4% 3,586 581 4,167 792 0124 RXC South Of England Commissioning Region East Sussex Healthcare NHS Trust 9,442 9,442 80.7% 2,801 510 3,311 413 0

A&E attendances Emergency Admissions


Total attendances







1 RBD South Of England Commissioning Region Dorset County Hospital NHS Foundation Trust 3,607 7,626 99.1% 1,310 580 1,890 4 02 RC9 Midlands And East Of England Region Luton And Dunstable University Hospital NHS Foundation Trust 8,814 12,843 98.7% 2,650 1,274 3,924 0 03 RA4 South Of England Commissioning Region Yeovil District Hospital NHS Foundation Trust 3,963 3,963 98.4% 1,404 233 1,637 2 04 RE9 North Of England Commissioning Region South Tyneside NHS Foundation Trust 5,071 5,740 98.3% 1,228 18 1,246 15 05 RWY North Of England Commissioning Region Calderdale And Huddersfield NHS Foundation Trust 12,967 12,967 97.4% 2,628 1,285 3,913 46 06 RJF Midlands And East Of England Region Burton Hospitals NHS Foundation Trust 5,360 9,940 97.3% 1,875 762 2,637 157 07 RCD North Of England Commissioning Region Harrogate And District NHS Foundation Trust 3,975 4,870 97.2% 988 720 1,708 4 08 RBT North Of England Commissioning Region Mid Cheshire Hospitals NHS Foundation Trust 5,708 7,357 97.2% 1,840 1,118 2,958 1 09 RQ3 Midlands And East Of England Region Birmingham Women's And Children's NHS Foundation Trust 5,732 5,732 97.0% 920 397 1,317 0 0

10 RJC Midlands And East Of England Region South Warwickshire NHS Foundation Trust 5,572 6,235 96.8% 1,806 340 2,146 2 111 RVW North Of England Commissioning Region North Tees And Hartlepool NHS Foundation Trust 5,840 7,584 96.6% 1,654 2,039 3,693 18 012 RA2 South Of England Commissioning Region Royal Surrey County Hospital NHS Foundation Trust 5,854 5,854 96.5% 2,017 571 2,588 37 013 RXP North Of England Commissioning Region County Durham And Darlington NHS Foundation Trust 10,733 21,230 96.5% 3,387 1,949 5,336 135 014 RTR North Of England Commissioning Region South Tees Hospitals NHS Foundation Trust 10,362 15,526 96.4% 1,935 2,331 4,266 244 015 RN5 South Of England Commissioning Region Hampshire Hospitals NHS Foundation Trust 9,087 10,293 96.0% 2,428 1,314 3,742 261 016 RR7 North Of England Commissioning Region Gateshead Health NHS Foundation Trust 7,781 10,229 96.0% 1,670 445 2,115 97 017 RBS North Of England Commissioning Region Alder Hey Children's NHS Foundation Trust 5,349 5,349 96.0% 1,130 318 1,448 0 018 RCU North Of England Commissioning Region Sheffield Children's NHS Foundation Trust 5,440 5,440 95.8% 726 423 1,149 0 019 RYR South Of England Commissioning Region Western Sussex Hospitals NHS Foundation Trust 11,417 12,382 95.8% 3,199 1,502 4,701 42 020 RTF North Of England Commissioning Region Northumbria Healthcare NHS Foundation Trust 8,260 16,566 95.6% 4,006 622 4,628 0 021 RNA Midlands And East Of England Region The Dudley Group NHS Foundation Trust 9,006 15,399 95.6% 2,425 1,052 3,477 9 022 RK5 Midlands And East Of England Region Sherwood Forest Hospitals NHS Foundation Trust 8,842 13,011 95.2% 2,772 609 3,381 70 123 RGP Midlands And East Of England Region James Paget University Hospitals NHS Foundation Trust 6,301 6,356 95.0% 1,242 496 1,738 23 024 RD3 South Of England Commissioning Region Poole Hospital NHS Foundation Trust 5,584 6,947 94.8% 1,692 1,561 3,253 19 025 RDE Midlands And East Of England Region Colchester Hospital University NHS Foundation Trust 7,562 12,107 94.6% 2,597 1,078 3,675 105 026 RDZ South Of England Commissioning Region The Royal Bournemouth And Christchurch Hospitals NHS Foundat 6,326 7,843 94.5% 1,879 1,347 3,226 98 027 RHW South Of England Commissioning Region Royal Berkshire NHS Foundation Trust 9,380 10,875 94.5% 3,068 520 3,588 66 028 RA9 South Of England Commissioning Region Torbay And South Devon NHS Foundation Trust 5,933 8,737 94.2% 2,530 610 3,140 45 029 RBA South Of England Commissioning Region Taunton And Somerset NHS Foundation Trust 5,394 5,394 94.2% 1,773 1,326 3,099 35 030 RGT Midlands And East Of England Region Cambridge University Hospitals NHS Foundation Trust 9,567 13,006 94.1% 3,334 290 3,624 57 031 RLN North Of England Commissioning Region City Hospitals Sunderland NHS Foundation Trust 7,844 13,070 93.8% 2,674 959 3,633 47 032 RQX London Commissioning Region Homerton University Hospital NHS Foundation Trust 10,300 10,300 93.8% 1,684 215 1,899 46 033 RTD North Of England Commissioning Region The Newcastle Upon Tyne Hospitals NHS Foundation Trust 10,697 17,379 93.3% 2,135 2,588 4,723 87 034 RH8 South Of England Commissioning Region Royal Devon And Exeter NHS Foundation Trust 8,240 8,952 93.1% 1,849 1,599 3,448 67 235 RCF North Of England Commissioning Region Airedale NHS Foundation Trust 5,480 5,480 93.1% 1,078 903 1,981 40 036 RGR Midlands And East Of England Region West Suffolk NHS Foundation Trust 5,887 5,887 92.9% 2,063 492 2,555 5 037 RD8 Midlands And East Of England Region Milton Keynes University Hospital NHS Foundation Trust 7,692 12,389 92.8% 1,468 1,174 2,642 170 038 RNZ South Of England Commissioning Region Salisbury NHS Foundation Trust 3,807 4,132 92.7% 1,062 762 1,824 53 039 RP5 North Of England Commissioning Region Doncaster And Bassetlaw Teaching Hospitals NHS Foundation Tru 11,271 13,986 92.6% 3,703 1,143 4,846 188 040 RFF North Of England Commissioning Region Barnsley Hospital NHS Foundation Trust 7,146 7,146 92.5% 2,143 588 2,731 28 041 RAE North Of England Commissioning Region Bradford Teaching Hospitals NHS Foundation Trust 11,362 11,362 92.4% 3,045 1,218 4,263 88 042 RAJ Midlands And East Of England Region Southend University Hospital NHS Foundation Trust 8,595 8,595 92.1% 2,314 744 3,058 0 043 RW3 North Of England Commissioning Region Central Manchester University Hospitals NHS Foundation Trust 13,272 27,111 92.1% 4,199 559 4,758 596 044 RM2 North Of England Commissioning Region University Hospital Of South Manchester NHS Foundation Trust 8,420 8,420 91.9% 2,478 1,002 3,480 300 045 RQM London Commissioning Region Chelsea And Westminster Hospital NHS Foundation Trust 17,414 25,231 91.6% 3,597 744 4,341 346 046 RDU South Of England Commissioning Region Frimley Health NHS Foundation Trust 20,403 20,403 91.4% 6,054 1,412 7,466 233 047 RDD Midlands And East Of England Region Basildon And Thurrock University Hospitals NHS Foundation Trust 11,981 11,981 91.0% 2,468 246 2,714 200 148 RFS Midlands And East Of England Region Chesterfield Royal Hospital NHS Foundation Trust 6,889 6,889 90.8% 1,996 1,044 3,040 139 049 RWW North Of England Commissioning Region Warrington And Halton Hospitals NHS Foundation Trust 6,890 10,717 90.7% 2,632 472 3,104 411 050 RCX Midlands And East Of England Region The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust 5,320 5,320 90.7% 2,049 767 2,816 161 251 RAX London Commissioning Region Kingston Hospital NHS Foundation Trust 9,430 10,402 90.7% 1,839 706 2,545 73 052 RFR North Of England Commissioning Region The Rotherham NHS Foundation Trust 6,515 10,661 90.1% 1,671 489 2,160 100 053 REM North Of England Commissioning Region Aintree University Hospital NHS Foundation Trust 7,186 14,383 89.9% 2,718 852 3,570 481 054 RHM South Of England Commissioning Region University Hospital Southampton NHS Foundation Trust 8,622 10,186 89.7% 3,467 2,068 5,535 111 055 RRV London Commissioning Region University College London Hospitals NHS Foundation Trust 12,059 12,059 89.6% 2,182 502 2,684 212 056 RTK South Of England Commissioning Region Ashford And St Peter's Hospitals NHS Foundation Trust 8,355 13,304 89.6% 1,982 275 2,257 324 057 RCB North Of England Commissioning Region York Teaching Hospital NHS Foundation Trust 9,036 15,695 89.3% 3,543 1,768 5,311 356 958 RTG Midlands And East Of England Region Derby Teaching Hospitals NHS Foundation Trust 11,780 16,246 89.1% 3,795 1,428 5,223 112 159 RJ7 London Commissioning Region St George's University Hospitals NHS Foundation Trust 13,430 14,625 88.6% 3,814 734 4,548 0 060 RGN Midlands And East Of England Region North West Anglia NHS Foundation Trust 7,832 8,660 88.5% 2,406 820 3,226 74 061 RMP North Of England Commissioning Region Tameside And Glossop Integrated Care NHS Foundation Trust 7,390 7,390 88.2% 1,708 342 2,050 114 062 RRF North Of England Commissioning Region Wrightington, Wigan And Leigh NHS Foundation Trust 7,741 7,741 87.9% 1,972 332 2,304 10 063 RHQ North Of England Commissioning Region Sheffield Teaching Hospitals NHS Foundation Trust 9,335 17,605 87.9% 2,868 2,839 5,707 510 064 RM1 Midlands And East Of England Region Norfolk And Norwich University Hospitals NHS Foundation Trust 10,075 11,046 87.6% 2,612 2,024 4,636 512 065 RTH South Of England Commissioning Region Oxford University Hospitals NHS Foundation Trust 11,198 12,995 87.1% 3,161 3,224 6,385 383 066 RJ1 London Commissioning Region Guy's And St Thomas' NHS Foundation Trust 12,385 16,156 87.0% 3,181 899 4,080 87 067 RXL North Of England Commissioning Region Blackpool Teaching Hospitals NHS Foundation Trust 7,064 16,584 86.6% 2,247 967 3,214 1,019 1068 RAS London Commissioning Region The Hillingdon Hospitals NHS Foundation Trust 5,838 14,286 86.4% 2,126 145 2,271 242 069 RJR North Of England Commissioning Region Countess Of Chester Hospital NHS Foundation Trust 6,019 6,617 86.0% 1,541 705 2,246 382 070 RAL London Commissioning Region Royal Free London NHS Foundation Trust 19,072 22,360 85.4% 3,872 801 4,673 1,028 071 RM3 North Of England Commissioning Region Salford Royal NHS Foundation Trust 8,898 8,898 84.8% 2,637 310 2,947 293 072 RJL North Of England Commissioning Region Northern Lincolnshire And Goole NHS Foundation Trust 11,630 13,127 84.7% 2,568 527 3,095 465 073 RRK Midlands And East Of England Region University Hospitals Birmingham NHS Foundation Trust 10,032 10,032 84.6% 2,818 1,334 4,152 220 074 RN3 South Of England Commissioning Region Great Western Hospitals NHS Foundation Trust 6,515 12,240 84.4% 2,065 1,369 3,434 858 575 RR1 Midlands And East Of England Region Heart Of England NHS Foundation Trust 19,628 23,156 84.0% 7,396 2,374 9,770 1,235 176 RMC North Of England Commissioning Region Bolton NHS Foundation Trust 8,492 9,564 83.6% 2,249 991 3,240 416 1377 RXN North Of England Commissioning Region Lancashire Teaching Hospitals NHS Foundation Trust 5,770 12,194 83.6% 2,047 1,721 3,768 431 178 RTX North Of England Commissioning Region University Hospitals Of Morecambe Bay NHS Foundation Trust 7,121 8,944 83.4% 2,097 1,014 3,111 342 1579 RA7 South Of England Commissioning Region University Hospitals Bristol NHS Foundation Trust 9,307 11,254 83.3% 2,930 732 3,662 448 080 RJZ London Commissioning Region King's College Hospital NHS Foundation Trust 17,810 24,959 82.6% 4,477 516 4,993 822 081 RBL North Of England Commissioning Region Wirral University Teaching Hospital NHS Foundation Trust 8,068 10,697 81.3% 2,546 1,646 4,192 754 082 RD1 South Of England Commissioning Region Royal United Hospitals Bath NHS Foundation Trust 6,218 7,159 80.6% 2,231 1,237 3,468 596 083 RVV South Of England Commissioning Region East Kent Hospitals University NHS Foundation Trust 12,737 17,953 80.2% 3,802 3,022 6,824 242 084 RNQ Midlands And East Of England Region Kettering General Hospital NHS Foundation Trust 7,653 7,653 79.8% 2,555 580 3,135 770 085 RWJ North Of England Commissioning Region Stockport NHS Foundation Trust 8,174 8,174 79.8% 2,699 1,080 3,779 470 086 RTE South Of England Commissioning Region Gloucestershire Hospitals NHS Foundation Trust 11,503 11,503 77.8% 3,464 895 4,359 437 087 RPA South Of England Commissioning Region Medway NHS Foundation Trust 10,452 10,452 77.5% 2,263 1,042 3,305 1,397 3


P a g e | 2

APPENDIX A NHSI A&E Performance [March 2017] - All Trusts with Type 1 Attendances

[Sorted by %>4hrs DTA to Admit]


Total attendances







% >4hrs DTA to Admit

87 RPA South Of England Commissioning Region Medway NHS Foundation Trust 10,452 10,452 77.5% 2,263 1,042 3,305 1,397 3 42%67 RXL North Of England Commissioning Region Blackpool Teaching Hospitals NHS Foundation Trust 7,064 16,584 86.6% 2,247 967 3,214 1,019 10 32%74 RN3 South Of England Commissioning Region Great Western Hospitals NHS Foundation Trust 6,515 12,240 84.4% 2,065 1,369 3,434 858 5 25%84 RNQ Midlands And East Of England Region Kettering General Hospital NHS Foundation Trust 7,653 7,653 79.8% 2,555 580 3,135 770 0 25%70 RAL London Commissioning Region Royal Free London NHS Foundation Trust 19,072 22,360 85.4% 3,872 801 4,673 1,028 0 22%81 RBL North Of England Commissioning Region Wirral University Teaching Hospital NHS Foundation Trust 8,068 10,697 81.3% 2,546 1,646 4,192 754 0 18%82 RD1 South Of England Commissioning Region Royal United Hospitals Bath NHS Foundation Trust 6,218 7,159 80.6% 2,231 1,237 3,468 596 0 17%69 RJR North Of England Commissioning Region Countess Of Chester Hospital NHS Foundation Trust 6,019 6,617 86.0% 1,541 705 2,246 382 0 17%80 RJZ London Commissioning Region King's College Hospital NHS Foundation Trust 17,810 24,959 82.6% 4,477 516 4,993 822 0 16%72 RJL North Of England Commissioning Region Northern Lincolnshire And Goole NHS Foundation Trust 11,630 13,127 84.7% 2,568 527 3,095 465 0 15%56 RTK South Of England Commissioning Region Ashford And St Peter's Hospitals NHS Foundation Trust 8,355 13,304 89.6% 1,982 275 2,257 324 0 14%53 REM North Of England Commissioning Region Aintree University Hospital NHS Foundation Trust 7,186 14,383 89.9% 2,718 852 3,570 481 0 13%49 RWW North Of England Commissioning Region Warrington And Halton Hospitals NHS Foundation Trust 6,890 10,717 90.7% 2,632 472 3,104 411 0 13%76 RMC North Of England Commissioning Region Bolton NHS Foundation Trust 8,492 9,564 83.6% 2,249 991 3,240 416 13 13%75 RR1 Midlands And East Of England Region Heart Of England NHS Foundation Trust 19,628 23,156 84.0% 7,396 2,374 9,770 1,235 1 13%43 RW3 North Of England Commissioning Region Central Manchester University Hospitals NHS Foundation Trust 13,272 27,111 92.1% 4,199 559 4,758 596 0 13%85 RWJ North Of England Commissioning Region Stockport NHS Foundation Trust 8,174 8,174 79.8% 2,699 1,080 3,779 470 0 12%79 RA7 South Of England Commissioning Region University Hospitals Bristol NHS Foundation Trust 9,307 11,254 83.3% 2,930 732 3,662 448 0 12%77 RXN North Of England Commissioning Region Lancashire Teaching Hospitals NHS Foundation Trust 5,770 12,194 83.6% 2,047 1,721 3,768 431 1 11%64 RM1 Midlands And East Of England Region Norfolk And Norwich University Hospitals NHS Foundation Trust 10,075 11,046 87.6% 2,612 2,024 4,636 512 0 11%78 RTX North Of England Commissioning Region University Hospitals Of Morecambe Bay NHS Foundation Trust 7,121 8,944 83.4% 2,097 1,014 3,111 342 15 11%68 RAS London Commissioning Region The Hillingdon Hospitals NHS Foundation Trust 5,838 14,286 86.4% 2,126 145 2,271 242 0 11%86 RTE South Of England Commissioning Region Gloucestershire Hospitals NHS Foundation Trust 11,503 11,503 77.8% 3,464 895 4,359 437 0 10%71 RM3 North Of England Commissioning Region Salford Royal NHS Foundation Trust 8,898 8,898 84.8% 2,637 310 2,947 293 0 10%63 RHQ North Of England Commissioning Region Sheffield Teaching Hospitals NHS Foundation Trust 9,335 17,605 87.9% 2,868 2,839 5,707 510 0 9%44 RM2 North Of England Commissioning Region University Hospital Of South Manchester NHS Foundation Trust 8,420 8,420 91.9% 2,478 1,002 3,480 300 0 9%45 RQM London Commissioning Region Chelsea And Westminster Hospital NHS Foundation Trust 17,414 25,231 91.6% 3,597 744 4,341 346 0 8%55 RRV London Commissioning Region University College London Hospitals NHS Foundation Trust 12,059 12,059 89.6% 2,182 502 2,684 212 0 8%47 RDD Midlands And East Of England Region Basildon And Thurrock University Hospitals NHS Foundation Trust 11,981 11,981 91.0% 2,468 246 2,714 200 1 7%15 RN5 South Of England Commissioning Region Hampshire Hospitals NHS Foundation Trust 9,087 10,293 96.0% 2,428 1,314 3,742 261 0 7%57 RCB North Of England Commissioning Region York Teaching Hospital NHS Foundation Trust 9,036 15,695 89.3% 3,543 1,768 5,311 356 9 7%37 RD8 Midlands And East Of England Region Milton Keynes University Hospital NHS Foundation Trust 7,692 12,389 92.8% 1,468 1,174 2,642 170 0 6%65 RTH South Of England Commissioning Region Oxford University Hospitals NHS Foundation Trust 11,198 12,995 87.1% 3,161 3,224 6,385 383 0 6%6 RJF Midlands And East Of England Region Burton Hospitals NHS Foundation Trust 5,360 9,940 97.3% 1,875 762 2,637 157 0 6%

14 RTR North Of England Commissioning Region South Tees Hospitals NHS Foundation Trust 10,362 15,526 96.4% 1,935 2,331 4,266 244 0 6%50 RCX Midlands And East Of England Region The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust 5,320 5,320 90.7% 2,049 767 2,816 161 2 6%61 RMP North Of England Commissioning Region Tameside And Glossop Integrated Care NHS Foundation Trust 7,390 7,390 88.2% 1,708 342 2,050 114 0 6%73 RRK Midlands And East Of England Region University Hospitals Birmingham NHS Foundation Trust 10,032 10,032 84.6% 2,818 1,334 4,152 220 0 5%52 RFR North Of England Commissioning Region The Rotherham NHS Foundation Trust 6,515 10,661 90.1% 1,671 489 2,160 100 0 5%16 RR7 North Of England Commissioning Region Gateshead Health NHS Foundation Trust 7,781 10,229 96.0% 1,670 445 2,115 97 0 5%48 RFS Midlands And East Of England Region Chesterfield Royal Hospital NHS Foundation Trust 6,889 6,889 90.8% 1,996 1,044 3,040 139 0 5%39 RP5 North Of England Commissioning Region Doncaster And Bassetlaw Teaching Hospitals NHS Foundation Tru 11,271 13,986 92.6% 3,703 1,143 4,846 188 0 4%83 RVV South Of England Commissioning Region East Kent Hospitals University NHS Foundation Trust 12,737 17,953 80.2% 3,802 3,022 6,824 242 0 4%46 RDU South Of England Commissioning Region Frimley Health NHS Foundation Trust 20,403 20,403 91.4% 6,054 1,412 7,466 233 0 3%26 RDZ South Of England Commissioning Region The Royal Bournemouth And Christchurch Hospitals NHS Foundat 6,326 7,843 94.5% 1,879 1,347 3,226 98 0 3%38 RNZ South Of England Commissioning Region Salisbury NHS Foundation Trust 3,807 4,132 92.7% 1,062 762 1,824 53 0 3%51 RAX London Commissioning Region Kingston Hospital NHS Foundation Trust 9,430 10,402 90.7% 1,839 706 2,545 73 0 3%25 RDE Midlands And East Of England Region Colchester Hospital University NHS Foundation Trust 7,562 12,107 94.6% 2,597 1,078 3,675 105 0 3%13 RXP North Of England Commissioning Region County Durham And Darlington NHS Foundation Trust 10,733 21,230 96.5% 3,387 1,949 5,336 135 0 3%32 RQX London Commissioning Region Homerton University Hospital NHS Foundation Trust 10,300 10,300 93.8% 1,684 215 1,899 46 0 2%60 RGN Midlands And East Of England Region North West Anglia NHS Foundation Trust 7,832 8,660 88.5% 2,406 820 3,226 74 0 2%58 RTG Midlands And East Of England Region Derby Teaching Hospitals NHS Foundation Trust 11,780 16,246 89.1% 3,795 1,428 5,223 112 1 2%66 RJ1 London Commissioning Region Guy's And St Thomas' NHS Foundation Trust 12,385 16,156 87.0% 3,181 899 4,080 87 0 2%22 RK5 Midlands And East Of England Region Sherwood Forest Hospitals NHS Foundation Trust 8,842 13,011 95.2% 2,772 609 3,381 70 1 2%41 RAE North Of England Commissioning Region Bradford Teaching Hospitals NHS Foundation Trust 11,362 11,362 92.4% 3,045 1,218 4,263 88 0 2%35 RCF North Of England Commissioning Region Airedale NHS Foundation Trust 5,480 5,480 93.1% 1,078 903 1,981 40 0 2%54 RHM South Of England Commissioning Region University Hospital Southampton NHS Foundation Trust 8,622 10,186 89.7% 3,467 2,068 5,535 111 0 2%34 RH8 South Of England Commissioning Region Royal Devon And Exeter NHS Foundation Trust 8,240 8,952 93.1% 1,849 1,599 3,448 67 2 2%33 RTD North Of England Commissioning Region The Newcastle Upon Tyne Hospitals NHS Foundation Trust 10,697 17,379 93.3% 2,135 2,588 4,723 87 0 2%27 RHW South Of England Commissioning Region Royal Berkshire NHS Foundation Trust 9,380 10,875 94.5% 3,068 520 3,588 66 0 2%30 RGT Midlands And East Of England Region Cambridge University Hospitals NHS Foundation Trust 9,567 13,006 94.1% 3,334 290 3,624 57 0 2%28 RA9 South Of England Commissioning Region Torbay And South Devon NHS Foundation Trust 5,933 8,737 94.2% 2,530 610 3,140 45 0 1%12 RA2 South Of England Commissioning Region Royal Surrey County Hospital NHS Foundation Trust 5,854 5,854 96.5% 2,017 571 2,588 37 0 1%23 RGP Midlands And East Of England Region James Paget University Hospitals NHS Foundation Trust 6,301 6,356 95.0% 1,242 496 1,738 23 0 1%31 RLN North Of England Commissioning Region City Hospitals Sunderland NHS Foundation Trust 7,844 13,070 93.8% 2,674 959 3,633 47 0 1%4 RE9 North Of England Commissioning Region South Tyneside NHS Foundation Trust 5,071 5,740 98.3% 1,228 18 1,246 15 0 1%5 RWY North Of England Commissioning Region Calderdale And Huddersfield NHS Foundation Trust 12,967 12,967 97.4% 2,628 1,285 3,913 46 0 1%

29 RBA South Of England Commissioning Region Taunton And Somerset NHS Foundation Trust 5,394 5,394 94.2% 1,773 1,326 3,099 35 0 1%40 RFF North Of England Commissioning Region Barnsley Hospital NHS Foundation Trust 7,146 7,146 92.5% 2,143 588 2,731 28 0 1%19 RYR South Of England Commissioning Region Western Sussex Hospitals NHS Foundation Trust 11,417 12,382 95.8% 3,199 1,502 4,701 42 0 1%24 RD3 South Of England Commissioning Region Poole Hospital NHS Foundation Trust 5,584 6,947 94.8% 1,692 1,561 3,253 19 0 1%11 RVW North Of England Commissioning Region North Tees And Hartlepool NHS Foundation Trust 5,840 7,584 96.6% 1,654 2,039 3,693 18 0 0%62 RRF North Of England Commissioning Region Wrightington, Wigan And Leigh NHS Foundation Trust 7,741 7,741 87.9% 1,972 332 2,304 10 0 0%21 RNA Midlands And East Of England Region The Dudley Group NHS Foundation Trust 9,006 15,399 95.6% 2,425 1,052 3,477 9 0 0%7 RCD North Of England Commissioning Region Harrogate And District NHS Foundation Trust 3,975 4,870 97.2% 988 720 1,708 4 0 0%1 RBD South Of England Commissioning Region Dorset County Hospital NHS Foundation Trust 3,607 7,626 99.1% 1,310 580 1,890 4 0 0%

36 RGR Midlands And East Of England Region West Suffolk NHS Foundation Trust 5,887 5,887 92.9% 2,063 492 2,555 5 0 0%3 RA4 South Of England Commissioning Region Yeovil District Hospital NHS Foundation Trust 3,963 3,963 98.4% 1,404 233 1,637 2 0 0%

10 RJC Midlands And East Of England Region South Warwickshire NHS Foundation Trust 5,572 6,235 96.8% 1,806 340 2,146 2 1 0%8 RBT North Of England Commissioning Region Mid Cheshire Hospitals NHS Foundation Trust 5,708 7,357 97.2% 1,840 1,118 2,958 1 0 0%2 RC9 Midlands And East Of England Region Luton And Dunstable University Hospital NHS Foundation Trust 8,814 12,843 98.7% 2,650 1,274 3,924 0 0 0%9 RQ3 Midlands And East Of England Region Birmingham Women's And Children's NHS Foundation Trust 5,732 5,732 97.0% 920 397 1,317 0 0 0%

17 RBS North Of England Commissioning Region Alder Hey Children's NHS Foundation Trust 5,349 5,349 96.0% 1,130 318 1,448 0 0 0%18 RCU North Of England Commissioning Region Sheffield Children's NHS Foundation Trust 5,440 5,440 95.8% 726 423 1,149 0 0 0%20 RTF North Of England Commissioning Region Northumbria Healthcare NHS Foundation Trust 8,260 16,566 95.6% 4,006 622 4,628 0 0 0%42 RAJ Midlands And East Of England Region Southend University Hospital NHS Foundation Trust 8,595 8,595 92.1% 2,314 744 3,058 0 0 0%59 RJ7 London Commissioning Region St George's University Hospitals NHS Foundation Trust 13,430 14,625 88.6% 3,814 734 4,548 0 0 0%


P a g e | 3

APPENDIX A NHSI A&E Performance Trends [July 16 to March 17] - All Trusts with Type 1 Attendances

Region Name

JulyPercentage in 4 hours or

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AugustPercentage in 4 hours or

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SeptPercentage in 4 hours or

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OctPercentage in 4 hours or

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NovPercentage in 4 hours or

less (all)

DecPercentage in 4 hours or

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JanPercentage in 4 hours or

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FebPercentage in 4 hours or

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MarPercentage in 4 hours or

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SparklineMar

vs Feb Var

1 Midlands and East Of England Cambridge University Hospitals NHS Foundation Trust 82.8% 87.3% 79.2% 82.0% 79.3% 81.3% 80.0% 81.1% 94.1% 13.0%2 North of England Commissioning Region Hull And East Yorkshire Hospitals NHS Trust 82.5% 86.6% 86.8% 79.4% 80.7% 87.3% 82.8% 82.0% 94.6% 12.6%3 Midlands and East Of England Hinchingbrooke Health Care NHS Trust 81.0% 82.5% 79.6% 81.0% 80.1% 71.8% 75.2% 77.2% 89.2% 12.1%4 North of England Commissioning Region Mid Yorkshire Hospitals NHS Trust 85.9% 83.8% 84.3% 80.5% 77.7% 77.0% 77.1% 82.3% 92.6% 10.3%5 Midlands and East Of England The Princess Alexandra Hospital NHS Trust 72.8% 76.3% 73.1% 77.3% 70.6% 69.4% 62.6% 67.9% 77.9% 10.0%6 Midlands and East Of England Norfolk And Norwich University Hospitals NHS Foundation Trust 90.7% 88.6% 91.2% 86.6% 86.1% 79.3% 76.3% 77.7% 87.6% 9.9%7 Midlands and East Of England West Suffolk NHS Foundation Trust 85.6% 88.6% 88.2% 86.1% 84.5% 86.5% 87.3% 83.9% 92.9% 9.0%8 North of England Commissioning Region Northern Lincolnshire And Goole NHS Foundation Trust 91.5% 90.4% 92.3% 88.7% 83.8% 82.4% 80.1% 75.8% 84.7% 8.9%9 Midlands and East Of England Northampton General Hospital NHS Trust 91.1% 92.5% 89.2% 84.8% 83.4% 83.3% 81.4% 78.1% 86.8% 8.6%

10 South of England Commissioning Region Weston Area Health NHS Trust 84.6% 82.6% 79.3% 71.3% 75.9% 66.6% 63.9% 69.5% 77.7% 8.2%11 South of England Commissioning Region Salisbury NHS Foundation Trust 90.1% 93.6% 92.8% 92.5% 89.5% 88.9% 84.8% 84.7% 92.7% 8.0%12 North of England Commissioning Region York Teaching Hospital NHS Foundation Trust 92.6% 90.5% 90.9% 85.5% 81.8% 81.1% 78.2% 81.4% 89.3% 7.9%13 Midlands and East Of England James Paget University Hospitals NHS Foundation Trust 90.8% 89.4% 88.2% 85.8% 90.1% 89.9% 87.6% 87.3% 95.0% 7.7%14 South of England Commissioning Region University Hospital Southampton NHS Foundation Trust 92.5% 94.7% 94.1% 88.8% 85.9% 86.9% 84.4% 82.1% 89.7% 7.7%15 South of England Commissioning Region Hampshire Hospitals NHS Foundation Trust 87.1% 87.3% 90.1% 91.8% 89.7% 86.1% 80.3% 88.4% 96.0% 7.6%16 North of England Commissioning Region Barnsley Hospital NHS Foundation Trust 91.4% 95.3% 94.7% 93.2% 87.7% 83.5% 87.1% 85.0% 92.5% 7.5%17 North of England Commissioning Region Salford Royal NHS Foundation Trust 81.8% 90.1% 92.0% 87.6% 80.2% 83.7% 76.7% 77.3% 84.8% 7.4%18 North of England Commissioning Region Leeds Teaching Hospitals NHS Trust 86.8% 91.5% 89.9% 85.6% 81.1% 78.1% 81.8% 84.0% 90.9% 6.9%19 Midlands and East Of England Southend University Hospital NHS Foundation Trust 85.7% 86.4% 80.4% 76.7% 77.0% 73.1% 81.4% 85.3% 92.1% 6.8%20 South of England Commissioning Region North Bristol NHS Trust 79.4% 78.8% 83.7% 76.6% 80.7% 78.0% 75.3% 81.7% 88.3% 6.6%21 North of England Commissioning Region Sheffield Teaching Hospitals NHS Foundation Trust 86.5% 94.3% 92.4% 85.6% 87.0% 80.6% 83.8% 81.4% 87.9% 6.5%22 North of England Commissioning Region Warrington And Halton Hospitals NHS Foundation Trust 92.7% 92.0% 94.8% 92.1% 91.6% 85.1% 85.9% 84.5% 90.7% 6.2%23 Midlands and East Of England George Eliot Hospital NHS Trust 89.1% 95.4% 90.8% 85.9% 85.5% 82.5% 77.9% 82.1% 88.1% 6.1%24 Midlands and East Of England Shrewsbury And Telford Hospital NHS Trust 86.9% 82.2% 81.5% 78.2% 79.1% 78.0% 73.8% 75.8% 81.6% 5.8%25 South of England Commissioning Region Dartford And Gravesham NHS Trust 85.1% 88.8% 92.4% 86.3% 90.3% 79.0% 77.1% 85.8% 91.5% 5.8%26 South of England Commissioning Region Torbay And South Devon NHS Foundation Trust 92.3% 92.7% 92.6% 95.5% 91.6% 86.6% 86.9% 89.2% 94.2% 5.0%27 North of England Commissioning Region The Rotherham NHS Foundation Trust 89.1% 95.0% 92.8% 85.2% not available 79.2% 82.2% 85.1% 90.1% 5.0%28 North of England Commissioning Region East Cheshire NHS Trust 79.4% 83.1% 84.8% 82.2% 82.1% 79.8% 71.4% 78.5% 83.5% 4.9%29 South of England Commissioning Region Oxford University Hospitals NHS Foundation Trust 87.6% 86.6% 82.8% 73.9% 94.2% 91.1% 84.8% 82.2% 87.1% 4.9%30 North of England Commissioning Region County Durham And Darlington NHS Foundation Trust 95.2% 95.7% 95.4% 94.3% 91.8% 89.5% 87.5% 91.6% 96.5% 4.8%31 North of England Commissioning Region University Hospital Of South Manchester NHS Foundation Trust 86.8% 91.0% 94.8% 89.7% 86.9% 83.7% 84.1% 87.0% 91.9% 4.8%32 North of England Commissioning Region City Hospitals Sunderland NHS Foundation Trust 95.0% 94.0% 93.9% 93.5% 94.8% 91.3% 86.7% 89.1% 93.8% 4.7%33 North of England Commissioning Region Northumbria Healthcare NHS Foundation Trust 96.7% 95.1% 95.6% 93.5% 94.1% 87.0% 90.0% 90.9% 95.6% 4.7%34 Midlands and East Of England Worcestershire Acute Hospitals NHS Trust 85.7% 83.6% 82.8% 80.9% 78.9% 75.3% 77.3% 77.9% 82.6% 4.7%35 South of England Commissioning Region East Sussex Healthcare NHS Trust 82.6% 79.5% 80.5% 78.0% 82.4% 77.5% 73.4% 76.1% 80.7% 4.6%36 North of England Commissioning Region Stockport NHS Foundation Trust 81.5% 77.1% 71.2% 77.6% 78.9% 69.4% 70.5% 75.2% 79.8% 4.6%37 South of England Commissioning Region Great Western Hospitals NHS Foundation Trust 87.4% 90.1% 89.5% 85.3% 83.2% 82.0% 82.3% 79.8% 84.4% 4.6%38 South of England Commissioning Region Maidstone And Tunbridge Wells NHS Trust 87.7% 87.4% 89.4% 89.0% 86.5% 79.9% 76.4% 85.1% 89.6% 4.5%39 London Commissioning Region The Hillingdon Hospitals NHS Foundation Trust 86.2% 83.7% 84.9% 82.7% 82.4% 79.8% 79.4% 82.1% 86.4% 4.3%40 South of England Commissioning Region East Kent Hospitals University NHS Foundation Trust 82.8% 82.3% 84.2% 79.3% 75.7% 74.2% 70.6% 75.9% 80.2% 4.2%41 Midlands and East Of England Milton Keynes University Hospital NHS Foundation Trust 95.8% 91.2% 94.2% 91.3% 91.7% 87.9% 86.2% 88.6% 92.8% 4.2%42 South of England Commissioning Region Surrey And Sussex Healthcare NHS Trust 95.3% 96.0% 96.4% 95.4% 95.1% 89.8% 87.0% 90.9% 95.1% 4.1%43 South of England Commissioning Region Brighton And Sussex University Hospitals NHS Trust 84.1% 81.2% 83.7% 82.6% 82.1% 80.4% 77.1% 80.3% 84.4% 4.1%44 North of England Commissioning Region North Tees And Hartlepool NHS Foundation Trust 95.3% 96.7% 95.1% 96.4% 95.4% 90.7% 91.5% 92.6% 96.6% 4.0%45 North of England Commissioning Region Wrightington, Wigan And Leigh NHS Foundation Trust 89.7% 92.0% 92.0% 84.5% 83.5% 82.6% 76.6% 83.9% 87.9% 4.0%46 North of England Commissioning Region South Tyneside NHS Foundation Trust 92.8% 91.6% 92.8% 92.8% 92.1% 91.9% 86.8% 94.3% 98.3% 4.0%47 North of England Commissioning Region Calderdale And Huddersfield NHS Foundation Trust 94.4% 94.6% 94.4% 94.9% 94.0% 92.5% 92.2% 93.5% 97.4% 4.0%48 North of England Commissioning Region Doncaster And Bassetlaw Teaching Hospitals NHS Foundation Tru 92.8% 91.9% 94.1% 92.8% 90.7% 86.6% 85.1% 88.7% 92.6% 3.9%49 Midlands and East Of England Heart Of England NHS Foundation Trust 89.4% 92.1% 86.8% 86.1% 85.4% 81.5% 77.1% 80.1% 84.0% 3.9%50 North of England Commissioning Region Mid Cheshire Hospitals NHS Foundation Trust 88.8% 93.1% 92.2% 89.2% 93.3% 89.3% 84.5% 93.3% 97.2% 3.9%51 South of England Commissioning Region Buckinghamshire Healthcare NHS Trust 91.8% 92.6% 91.9% 90.1% 87.9% 87.6% 86.9% 88.8% 92.6% 3.8%52 Midlands and East Of England United Lincolnshire Hospitals NHS Trust 78.6% 77.8% 78.4% 81.4% 82.6% 77.5% 75.7% 75.4% 79.1% 3.8%53 London Commissioning Region Kingston Hospital NHS Foundation Trust 93.8% 91.3% 92.3% 89.6% 88.0% 85.9% 82.6% 87.0% 90.7% 3.7%54 North of England Commissioning Region Wirral University Teaching Hospital NHS Foundation Trust 88.5% 89.4% 88.9% 88.5% 88.0% 82.1% 80.3% 77.6% 81.3% 3.6%55 North of England Commissioning Region St Helens And Knowsley Hospital Services NHS Trust 85.6% 85.4% 87.5% 84.0% 83.8% 83.9% 81.2% 83.9% 87.4% 3.5%56 North of England Commissioning Region Aintree University Hospital NHS Foundation Trust 86.0% 84.1% 84.5% 84.8% 81.1% 79.0% 79.3% 86.4% 89.9% 3.5%57 Midlands and East Of England University Hospitals Birmingham NHS Foundation Trust 86.5% 81.5% 81.7% 80.0% 81.3% 76.9% 73.2% 81.1% 84.6% 3.5%58 Midlands and East Of England Ipswich Hospital NHS Trust 92.0% 91.7% 90.2% 93.7% 86.2% 90.9% 85.1% 89.4% 92.9% 3.4%59 Midlands and East Of England Burton Hospitals NHS Foundation Trust 91.9% 87.6% 91.9% 91.3% 91.5% 87.2% 87.3% 93.9% 97.3% 3.4%60 London Commissioning Region North Middlesex University Hospital NHS Trust 89.1% 92.5% 87.7% 87.7% 83.5% 79.4% 76.0% 82.3% 85.6% 3.3%61 Midlands and East Of England The Dudley Group NHS Foundation Trust 96.2% 95.8% 95.3% 95.5% 92.0% 90.8% 87.7% 92.3% 95.6% 3.3%62 Midlands and East Of England Bedford Hospital NHS Trust 89.6% 91.3% 90.6% 87.4% 92.8% 90.0% 90.8% 92.0% 95.2% 3.2%63 South of England Commissioning Region Royal Berkshire NHS Foundation Trust 91.0% 94.3% 90.2% 93.1% 93.3% 91.8% 88.3% 91.3% 94.5% 3.2%64 North of England Commissioning Region South Tees Hospitals NHS Foundation Trust 97.2% 97.3% 96.4% 95.1% 95.3% 93.8% 92.5% 93.2% 96.4% 3.2%65 Midlands and East Of England North West Anglia NHS Foundation Trust 74.9% 89.1% 86.1% 81.7% 74.3% 72.1% 72.2% 85.3% 88.5% 3.2%66 North of England Commissioning Region Pennine Acute Hospitals NHS Trust 81.6% 87.1% 84.7% 81.6% 79.6% 77.8% 76.7% 78.1% 81.3% 3.2%67 London Commissioning Region Barts Health NHS Trust 88.9% 89.3% 90.0% 87.3% 86.6% 82.0% 81.3% 82.6% 85.7% 3.1%68 Midlands and East Of England Sandwell And West Birmingham Hospitals NHS Trust 88.7% 89.7% 89.1% 86.1% 82.8% 81.9% 84.2% 82.3% 85.3% 3.0%69 North of England Commissioning Region Blackpool Teaching Hospitals NHS Foundation Trust 86.4% 91.9% 89.3% 88.8% 89.1% 83.3% 84.7% 83.6% 86.6% 3.0%70 Midlands and East Of England Chesterfield Royal Hospital NHS Foundation Trust 87.9% 86.6% 91.4% 91.8% 90.5% 81.4% 79.0% 88.0% 90.8% 2.9%71 North of England Commissioning Region Royal Liverpool And Broadgreen University Hospitals NHS Trust 92.0% 91.0% 89.3% 89.0% 87.7% 85.8% 86.4% 86.9% 89.6% 2.8%72 South of England Commissioning Region Portsmouth Hospitals NHS Trust 80.3% 81.8% 80.3% 75.9% 75.3% 73.0% 73.7% 75.3% 78.1% 2.8%73 Midlands and East Of England Wye Valley NHS Trust 89.0% 84.1% 85.3% 86.9% 86.4% 82.6% 85.4% 85.4% 88.1% 2.7%74 South of England Commissioning Region Royal Surrey County Hospital NHS Foundation Trust 87.7% 91.3% 82.5% 86.3% 88.1% 82.4% 86.2% 93.8% 96.5% 2.7%75 Midlands and East Of England Kettering General Hospital NHS Foundation Trust 86.1% 87.1% 90.8% 87.9% 78.6% 79.3% 70.4% 77.2% 79.8% 2.6%76 South of England Commissioning Region University Hospitals Bristol NHS Foundation Trust 89.3% 90.0% 87.3% 82.9% 78.5% 79.6% 80.4% 80.7% 83.3% 2.5%77 North of England Commissioning Region East Lancashire Hospitals NHS Trust 84.3% 77.9% 82.7% 83.0% 79.8% 77.3% 63.3% 79.9% 82.4% 2.5%78 North of England Commissioning Region Central Manchester University Hospitals NHS Foundation Trust 92.5% 93.9% 92.6% 92.1% 90.6% 90.5% 88.9% 89.6% 92.1% 2.4%79 North of England Commissioning Region Harrogate And District NHS Foundation Trust 95.8% 94.9% 96.3% 95.1% 93.8% 92.5% 93.9% 94.8% 97.2% 2.4%80 South of England Commissioning Region Yeovil District Hospital NHS Foundation Trust 90.6% 94.1% 93.7% 95.3% 95.3% 94.0% 95.8% 96.1% 98.4% 2.4%81 North of England Commissioning Region Bradford Teaching Hospitals NHS Foundation Trust 89.8% 90.1% 88.2% 85.0% 85.1% 82.1% 86.8% 90.1% 92.4% 2.3%82 North of England Commissioning Region University Hospitals Of Morecambe Bay NHS Foundation Trust 86.2% 83.0% 81.9% 87.3% 84.2% 81.0% 79.5% 81.2% 83.4% 2.2%83 South of England Commissioning Region Dorset County Hospital NHS Foundation Trust 91.0% 87.9% 92.9% 93.3% 95.8% 98.9% 97.2% 96.9% 99.1% 2.1%84 South of England Commissioning Region Ashford And St Peter's Hospitals NHS Foundation Trust 93.8% 92.5% 92.6% 92.8% 91.9% 87.5% 87.2% 87.5% 89.6% 2.1%85 London Commissioning Region Lewisham And Greenwich NHS Trust 85.1% 85.9% 86.4% 82.8% 83.1% 81.2% 80.3% 85.3% 87.4% 2.1%86 Midlands and East Of England Nottingham University Hospitals NHS Trust 72.2% 69.7% 81.2% 79.3% 78.7% 75.4% 77.6% 79.3% 81.4% 2.1%87 South of England Commissioning Region Western Sussex Hospitals NHS Foundation Trust 93.4% 93.8% 95.6% 93.0% 93.9% 90.4% 91.1% 93.8% 95.8% 2.1%88 Midlands and East Of England Colchester Hospital University NHS Foundation Trust 87.9% 81.6% 94.4% 85.7% 87.2% 70.6% 86.2% 92.7% 94.6% 1.9%89 South of England Commissioning Region Poole Hospital NHS Foundation Trust 91.3% 94.0% 91.0% 88.5% 91.4% 91.3% 90.1% 93.0% 94.8% 1.8%90 Midlands and East Of England University Hospitals Of North Midlands NHS Trust 79.5% 83.6% 79.4% 76.5% 76.0% 73.4% 75.3% 78.0% 79.8% 1.8%91 London Commissioning Region The Whittington Hospital NHS Trust 87.9% 92.7% 93.4% 88.1% 85.1% 85.8% 82.9% 86.6% 88.4% 1.8%92 London Commissioning Region Croydon Health Services NHS Trust 94.2% 93.5% 88.2% 84.8% 87.3% 84.9% 85.0% 84.4% 86.1% 1.6%93 Midlands and East Of England The Royal Wolverhampton NHS Trust 88.6% 88.2% 93.9% 92.3% 92.2% 91.5% 86.5% 89.7% 91.3% 1.6%94 London Commissioning Region London North West Healthcare NHS Trust 90.9% 91.7% 88.3% 86.9% 85.0% 81.0% 78.9% 81.3% 82.7% 1.4%95 North of England Commissioning Region Tameside And Glossop Integrated Care NHS Foundation Trust 85.0% 90.5% 82.8% 84.1% 86.6% 76.2% 76.7% 86.9% 88.2% 1.4%96 South of England Commissioning Region Medway NHS Foundation Trust 79.6% 81.5% 81.1% 79.8% 77.0% 73.6% 72.0% 76.2% 77.5% 1.3%97 South of England Commissioning Region Taunton And Somerset NHS Foundation Trust 93.2% 89.2% 88.0% 90.2% 93.5% 91.5% 91.3% 93.0% 94.2% 1.2%98 London Commissioning Region Chelsea And Westminster Hospital NHS Foundation Trust 95.0% 94.8% 93.8% 91.1% 91.3% 88.6% 86.8% 90.4% 91.6% 1.2%99 South of England Commissioning Region Royal Devon And Exeter NHS Foundation Trust 92.2% 89.0% 88.6% 91.5% 93.6% 92.2% 91.0% 91.9% 93.1% 1.2%

100 London Commissioning Region King's College Hospital NHS Foundation Trust 83.5% 88.2% 82.0% 81.3% 79.9% 75.5% 78.2% 81.4% 82.6% 1.2%101 London Commissioning Region Epsom And St Helier University Hospitals NHS Trust 94.0% 96.2% 97.2% 97.4% 95.6% 94.1% 94.6% 95.2% 96.4% 1.2%102 London Commissioning Region Barking, Havering And Redbridge University Hospitals NHS Trust 85.0% 92.1% 90.5% 88.2% 88.9% 84.3% 78.3% 87.2% 88.3% 1.2%103 Midlands and East Of England South Warwickshire NHS Foundation Trust 95.3% 96.7% 95.3% 95.9% 96.5% 93.2% 93.1% 95.7% 96.8% 1.2%104 South of England Commissioning Region Royal United Hospitals Bath NHS Foundation Trust 82.3% 79.6% 88.1% 91.4% 81.3% 85.9% 73.7% 79.6% 80.6% 1.0%105 South of England Commissioning Region The Royal Bournemouth And Christchurch Hospitals NHS Foundat 95.8% 97.2% 94.6% 95.5% 95.9% 94.1% 90.9% 93.5% 94.5% 1.0%106 Midlands and East Of England Birmingham Women's And Children's NHS Foundation Trust 94.7% 99.6% 95.8% #N/A 89.7% 93.1% 95.2% 96.0% 97.0% 1.0%107 London Commissioning Region Imperial College Healthcare NHS Trust 91.7% 90.7% 88.3% 87.0% 86.3% 84.5% 86.3% 87.8% 88.6% 0.8%108 South of England Commissioning Region Gloucestershire Hospitals NHS Foundation Trust 86.0% 90.7% 88.9% 86.0% 86.6% 74.1% 74.6% 77.0% 77.8% 0.8%109 Midlands and East Of England Sherwood Forest Hospitals NHS Foundation Trust 94.8% 95.8% 94.9% 96.0% 95.3% 94.1% 92.3% 94.4% 95.2% 0.8%110 Midlands and East Of England Luton And Dunstable University Hospital NHS Foundation Trust 99.1% 99.1% 99.1% 98.9% 99.0% 98.7% 98.5% 98.2% 98.7% 0.5%111 North of England Commissioning Region Gateshead Health NHS Foundation Trust 97.3% 97.2% 96.6% 95.3% 94.7% 94.8% 93.6% 95.5% 96.0% 0.4%112 London Commissioning Region University College London Hospitals NHS Foundation Trust 89.9% 90.6% 86.9% 86.6% 85.5% 86.0% 86.4% 89.2% 89.6% 0.4%113 Midlands and East Of England West Hertfordshire Hospitals NHS Trust 83.2% 85.0% 85.2% 82.4% 84.0% 78.6% 75.4% 77.6% 78.1% 0.4%114 Midlands and East Of England University Hospitals Coventry And Warwickshire NHS Trust 82.6% 89.5% 90.1% 85.3% 81.3% 79.5% 77.4% 79.6% 79.9% 0.3%115 South of England Commissioning Region Frimley Health NHS Foundation Trust 90.0% 88.5% 95.9% 94.9% 91.3% 88.7% 84.7% 91.2% 91.4% 0.2%116 Midlands and East Of England The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust 91.7% 95.1% 96.4% 89.4% 90.5% 93.0% 86.3% 90.5% 90.7% 0.2%117 Midlands and East Of England University Hospitals Of Leicester NHS Trust 76.9% 80.1% 79.9% 78.3% 77.6% 75.5% 78.1% 83.8% 83.9% 0.2%118 North of England Commissioning Region Southport And Ormskirk Hospital NHS Trust 88.0% 93.8% 91.5% 92.1% 93.7% 90.9% 88.6% 88.0% 88.1% 0.1%119 Midlands and East Of England East And North Hertfordshire NHS Trust 84.2% 82.5% 82.8% 88.0% 89.4% 85.4% 83.4% 83.8% 83.9% 0.0%120 North of England Commissioning Region The Newcastle Upon Tyne Hospitals NHS Foundation Trust 97.4% 96.6% 96.5% 95.5% 92.9% 91.4% 91.0% 93.4% 93.3% -0.1%121 North of England Commissioning Region Lancashire Teaching Hospitals NHS Foundation Trust 88.7% 83.9% 89.5% 81.4% 81.5% 78.0% 82.6% 83.8% 83.6% -0.2%122 South of England Commissioning Region Plymouth Hospitals NHS Trust 82.4% 87.4% 84.4% 87.7% 83.7% 84.1% 79.5% 85.4% 85.1% -0.4%123 London Commissioning Region Homerton University Hospital NHS Foundation Trust 95.4% 96.5% 94.6% 93.3% 93.3% 93.8% 92.9% 94.2% 93.8% -0.4%124 Midlands and East Of England Basildon And Thurrock University Hospitals NHS Foundation Trust 84.4% 88.1% 90.3% 88.5% 93.0% 89.0% 87.6% 91.7% 91.0% -0.6%125 Midlands and East Of England Walsall Healthcare NHS Trust 85.8% 86.7% 86.5% 80.9% 81.2% 79.0% 75.7% 81.2% 80.5% -0.7%126 Midlands and East Of England Derby Teaching Hospitals NHS Foundation Trust 86.0% 91.3% 87.0% 89.6% 87.8% 84.1% 84.2% 89.8% 89.1% -0.8%127 South of England Commissioning Region Northern Devon Healthcare NHS Trust 94.6% 95.7% 95.7% 94.1% 94.5% 94.6% 94.2% 92.0% 91.1% -0.9%128 North of England Commissioning Region Alder Hey Children's NHS Foundation Trust 95.7% 98.4% 96.3% 95.1% 92.0% 92.3% 97.3% 97.0% 96.0% -1.0%129 South of England Commissioning Region Isle Of Wight NHS Trust 87.3% 87.5% 85.8% 82.9% 83.6% 86.1% 81.4% 85.3% 84.2% -1.1%130 North of England Commissioning Region Airedale NHS Foundation Trust 90.3% 88.8% 91.3% 90.2% 90.8% 87.0% 88.4% 94.5% 93.1% -1.4%131 North of England Commissioning Region Sheffield Children's NHS Foundation Trust 96.9% 98.3% 98.4% 97.2% 96.1% 96.5% 98.3% 97.4% 95.8% -1.6%132 London Commissioning Region Royal Free London NHS Foundation Trust 91.3% 90.0% 87.9% 85.5% 85.0% 83.6% 83.0% 87.1% 85.4% -1.7%133 North of England Commissioning Region Countess Of Chester Hospital NHS Foundation Trust 90.9% 90.8% 88.8% 80.6% 88.9% 82.4% 82.7% 87.7% 86.0% -1.7%134 South of England Commissioning Region Royal Cornwall Hospitals NHS Trust 85.3% 88.0% 81.1% 76.9% 81.2% 81.6% 80.1% 79.7% 77.7% -2.0%135 London Commissioning Region St George's University Hospitals NHS Foundation Trust 94.4% 92.7% 92.2% 93.2% 93.5% 89.1% 86.6% 90.6% 88.6% -2.0%136 North of England Commissioning Region Bolton NHS Foundation Trust 81.9% 86.1% 87.1% 81.5% 79.5% 79.2% 79.2% 85.8% 83.6% -2.1%137 North of England Commissioning Region North Cumbria University Hospitals NHS Trust 91.4% 90.1% 88.6% 88.2% 85.8% 85.8% 80.4% 86.1% 83.7% -2.4%138 London Commissioning Region Guy's And St Thomas' NHS Foundation Trust 90.8% 89.0% 89.2% 86.7% 84.2% 88.9% 87.9% 89.5% 87.0% -2.4%139 Midlands and East Of England Mid Essex Hospital Services NHS Trust 77.2% 80.7% 84.5% 80.7% 83.7% 81.2% 77.2% 88.2% 84.0% -4.3%

A&E Attendances

P a g e | 4

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ASPH NHSI Performance

April 2017

Tom Smerdon - Director of Operations (Urgent Care)

James Thomas - Director of Operations (Planned Care)

ASPH NHSI Performance - April 2017

A&E

Cancer 31 Day

Subsequent

Surgery

DomainCompliance

threshold

Q1

16/17

Q2

16/17

Q3

16/17

Q4

16/17

Monthly

SparklineMar Apr

94% Radiotherapy n/a n/a n/a n/a n/a n/a n/a

NHSI - 2017 APRIL PERFORMANCE UPDATE

100%

88.9%

93.9%

96.0%

82.8%

86.3%

87.3%

90%

NHS Cancer

Screening Service

referral

82.1%

82.5%

85.8%

100%

100%

CANCER

85%

All cancers: 62-day

wait for first

treatment

Urgent GP referral

for suspected

cancer

100%

100%

100%

100%

100%

100%

82.1%

84.6%

88.9%

98% Drug Treatment

100%

100%

96.6%

CANCER

94%All cancers: 31-day

wait for second or

subsequent

treatment

Surgery

99.3%

96.1%

CANCER 96%All cancers: 31-day wait from diagnosis

to first treatment

95.4%

95.4%

97.8%

98.7%

100%

98.6%

98.2%

97.1%

97.7%

98.3%

95.1%

94.6%

96.0%

92.1%

92.3%

CANCER

93%Cancer: two week

wait from referral to

date first seen

All urgent

referrals

94.1%

93.3%

93.1%

92.3%

93.3%

94.0%

93.7%

93%Symptomatic

breast patients

RTT 92%

Maximum time of 18 weeks from point

of referral to treatment in aggregate

(INCOMPLETE PATHWAYS)

Standard

A&E 95%

Maximum waiting time of four hours

from arrival to

admission/transfer/discharge

89.6%

91.2%

90.6%

92.9%

90.7%

88.1%

ASPH NHSI Performance - A&E

A&E

A&E NHSI Performance was recorded at 91.2% for April. This was a 1.7% improvement

on March and 1.2% above the agreed recovery trajectory of 90% for Q1.

Attendances & admissions were marginally higher than April 2016, although; (a)

deficient social and community care capacity (b) provider changes (c) surges in

admissions & (d) reduced staff availability due to IR35 tax avoidance changes, created

slow flow from the Emergency Department to the wards.

We have in place an Urgent Care Improvement Programme which includes changes

following publication of the Rapid Implementation Guidance.

The Trust was placed 68th of 139 Trusts for A&E performance (Mar 2017 - latest data).

Trust performance for Mar = 89.6% [National performance = 90.0%].

DomainCompliance

threshold

Q1

16/17

Q2

16/17

Q3

16/17

Q4

16/17

Monthly

SparklineMar Apr


Standard

A&E 95%

Maximum waiting time of four hours

from arrival to

admission/transfer/discharge

89.6%

91.2%

90.6%

92.9%

90.7%

88.1%

A&E - ASPH NHSI Performance vs National

ASPH NHSI Performance - 31 Day Subsequent Surgery

Cancer 31 Day Subsequent Surgery is recorded as non-compliant for April at 88.9%.

This was due to 1 patient breaching due to substantial & ongoing Dermatology

demand outstripping capacity.

Cancer 31 Day

Subsequent

Surgery

DomainCompliance

threshold

Q1

16/17

Q2

16/17

Q3

16/17

Q4

16/17

Monthly

SparklineMar AprStandard


CANCER 94%

All cancers: 31-day

wait for second or

subsequent

treatment

Surgery82.1%

84.6%

88.9%

100%

100%

96.6%

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