Public Board of Directors papers 29.09.22

areas but not laid out in this paper. The AHPs here are therapy AHPs. BD noted that the other AHPs do align with directorate structures, but this will be further developed. RS noted that further discussion will be had on this tomorrow at the service planning day.

c Integrated performance, quality & finance report BD outlined the key points from the report for month 2.

Safe – there were no serious incidents (SI’s) and no never events, no major incident and 8 moderate incidents all of which are going through process. There are 5 risks over 15, 2 at 20 and 2 at 15. No MRSA and 7 C Diff with no lapses of care. There were 7 cases of e-coli post 48 hours and 1 covid nosocomial infections. Responsive – 16 new complaints in month and 48 PALs contacts. Average length of stay was 6.72 days and there were 2 cancelled operations on the day relating to covid. Access – 18 weeks was 98.6%, slightly down on the previous month. 62 days achieved 69.9% and this is being closely monitored, many referrals are coming in late and problem areas have been targeted, 24 days was 79.9% and there were 19 ‘104 day’ waiters, these were tracked and treated with 24 days. Referrals have returned to normal. Activity at month 2 is roughly in line with plan. Surgical operations are above and elective care are slightly behind plan. New patients & follow up’s are slightly below plan. Treatments are on or above plan for SACT and slightly under for radiotherapy. HR – PDR and essential training are improving, overall absence is back to a low level (including covid) in May. Vacancies – there’s been an increase in our establishment. Turnover rate is at around 17%, this is high. Finance  Deficit £446k compared to £439k deficit plan,  EBITDA surplus £3.7m,  I&E deficit £3.3m  Cash balance £152m  Debtor days of 14  Capital expenditure at 39% below NHSI plan  CIP - £2.4m has been identified against a plan of £11.8m Further detail was given around CIP delivery and it was noted that we are making progress on recurrent CIP. Report noted. RA asked about the activity level. BD noted that we are 4% above what we need to do and this would allow us to access additional funding. RA asked about the 62 day target. BD noted that this is being looked at but we aim to get back to 85% as this is about treating patients quickly. RA asked if there is any comeback on the system for not hitting the target. RS noted the system are required to hit a trajectory target by March 2023, we are within 10% of pre-pandemic. They are also looking at the total number of patients.

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