STP progress dashboard - NHS England

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Overall baseline ratings derive from performance across nine domains ..... CCG/Trust combined surplus or deficit vs. tot
OFFICIAL

Paper: PB.21.07.2017/11

NHS ENGLAND – BOARD PAPER Title: STP progress dashboard – baseline view Lead Director: Matthew Swindells, National Director: Operations & Information Purpose of Paper: To inform the Board of the STP progress dashboard (baseline view). The Board invited to: Note the publication of the STP progress dashboard (baseline view). To note: Please be aware that until publication on 21st July all information contained within this paper is draft and subject to change.

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STP progress dashboard – baseline view Introduction 1. NHS England and NHS Improvement assess CCGs and providers through the CCG Improvement and Assessment Framework (IAF) and the Single Oversight Framework (SOF). 2. In Next Steps on the Five Year Forward View, we indicated the importance of Sustainability and Transformation Partnerships in delivering integrated care across England. Reflecting the increasingly central role of STPs, we committed in Next Steps to publishing an assessment of STPs’ performance, aligning with the CCG IAF and SOF. 3. To this end, we have published an indicative baseline STP progress assessment. STPs have been given an overall rating based on performance across nine domains. STPs are categorised as ‘outstanding’, ‘advanced’, ‘making progress or ‘needs most improvement. The methodology is similar to that used for the CCG IAF. 4. This is a baseline assessment, recognising the scale of the challenges faced in some areas of the country. 5. Where possible, longer term, ‘outcome’ measures have been used, as indicated in Next Steps. We should not expect performance on these measures to move immediately.

Methodology 6. Overall baseline ratings derive from performance across nine domains agreed with the Department of Health. These are listed below (i-iii, hospital performance; iv-vi, patient-focused change; vii-ix, transformation). i. ii. iii. iv. v. vi. vii. viii. ix.

Emergency Care Elective Care Patient Safety General Practice Mental Health Cancer Demand Management Leadership Finance

Next steps 7. We continue to work with STPs to support their delivery of national initiatives through local plans.

Recommendations 8. The Board is invited to note the publication of the STP progress dashboard (baseline view).

Author Date:

Matthew Swindells, National Director: Operations & Information July 2017

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APPENDIX A STP progress assessment – baseline view

Overall progress Category 2 - advanced Category 2 - advanced Category 4 - needs most improvement Category 2 - advanced Category 2 - advanced Category 3 - making progress Category 3 - making progress Category 2 - advanced Category 2 - advanced Category 3 - making progress Category 1 - outstanding Category 1 - outstanding Category 1 - outstanding Category 3 - making progress Category 2 - advanced Category 3 - making progress Category 2 - advanced Category 3 - making progress Category 4 - needs most improvement Category 3 - making progress Category 2 - advanced Category 2 - advanced Category 3 - making progress Category 2 - advanced Category 1 - outstanding Category 2 - advanced Category 3 - making progress Category 2 - advanced Category 2 - advanced Category 4 - needs most improvement Category 2 - advanced

Mar- 17

85.5% 85.8% 84.9% 92.8% 92.8% 90.2% 79.2% 85.5% 91.0% 91.2% 96.2% 96.1% 91.7% 84.9% 86.7% 89.9% 84.6% 82.9% 90.5% 86.7% 84.7% 84.3% 87.8% 90.3% 95.1% 90.4% 89.1% 88.4% 88.4% 84.1% 94.9%

Mar- 17

91.1% 92.5% 90.9% 91.5% 92.9% 91.8% 90.1% 89.4% 93.6% 88.5% 91.4% 93.6% 92.8% 90.4% 92.8% 92.0% 82.5% 92.6% 85.5% 85.2% 91.3% 91.9% 89.9% 87.8% 92.6% 86.9% 93.2% 92.2% 89.2% 84.9% 94.2%

May- 17

No No No No No No No No No No No No No No No Yes Yes Yes Yes No No No Yes No No No No Yes No Yes No

2016/17

0.4 1.1 1.3 1.4 0.6 0.7 0.5 0.2 0.7 0.3 0.0 1.6 0.4 1.2 1.3 0.3 1.1 0.7 1.2 1.7 0.6 0.2 0.8 1.2 0.6 0.0 1.4 1.7 1.5 0.0 1.4

2016/17

14.0 17.0 10.7 13.1 11.5 14.5 11.5 7.0 11.0 10.1 11.2 12.1 7.3 12.6 16.7 9.5 16.8 13.7 12.4 12.8 13.4 11.6 15.1 13.4 5.5 13.2 20.9 9.6 10.8 8.9 12.0

Mar- 17

7.5% 14.9% 4.3% 21.7% 20.0% 17.3% 6.3% 25.0% 5.1% 3.4% 0.0% 31.5% 34.2% 76.8% 55.1% 20.3% 33.7% 17.3% 0.6% 5.0% 9.7% 18.7% 0.0% 18.6% 13.0% 1.8% 55.5% 52.1% 41.2% 0.0% 14.5%

Jul- 17

77.7% 74.1% 76.7% 75.6% 75.9% 78.0% 79.7% 77.1% 79.0% 78.6% 80.1% 79.1% 75.3% 78.3% 77.6% 75.7% 77.7% 74.8% 77.5% 73.4% 79.2% 73.6% 76.0% 72.2% 74.5% 77.8% 73.9% 72.9% 74.0% 74.8% 78.2%

53.7% 54.6% 50.3% 56.0% 50.5% 45.9% 39.8% 51.3% 54.3% 51.5% 57.3% 50.2% 54.3% 46.7% 50.8% 51.3% 37.2% 54.5% 49.1% 51.2% 51.8% 46.1% 52.8% 47.9% 50.5% 44.6% 48.0% 48.6% 52.7% 39.9% 51.8%

2016/17

80.5% 71.4% 74.9% 74.8% 76.3% 76.3% 76.6% 59.9% 72.5% 64.6% 86.0% 71.4% 81.1% 70.6% 77.3% 83.0% 73.1% 71.1% 75.1% 75.6% 77.0% 78.7% 89.1% 78.3% 78.4% 55.2% 72.2% 85.1% 66.3% 96.1% 78.8%

Q4 2016/17

83.5% 84.4% 86.2% 81.7% 84.9% 84.3% 84.6% 80.8% 76.4% 81.0% 85.9% 82.9% 87.4% 69.5% 85.6% 84.0% 71.6% 81.0% 77.5% 72.3% 82.5% 80.5% 74.2% 70.0% 83.2% 76.7% 80.9% 79.1% 80.9% 79.2% 86.4%

8.7 8.7 8.6 8.6 8.8 8.8 8.8 8.7 8.7 8.8 8.8 8.8 8.7 8.7 8.7 8.6 8.7 8.5 8.8 8.6 8.8 8.6 8.6 8.7 8.7 8.8 8.6 8.5 8.6 8.5 8.8

2016/17

90 121 93 87 86 122 87 97 100 94 103 121 102 82 116 89 80 87 98 95 108 95 87 84 104 89 85 93 89 112 113

2016/17

2016/17

Jun- 17

439 5,441 3 - Developing 564 6,691 2 - Established 513 5,513 3 - Developing 418 6,727 3 - Developing 448 6,580 1 - Advanced 601 4,738 3 - Developing 368 11,095 3 - Developing 532 7,157 2 - Established 507 3,365 2 - Established 403 7,959 3 - Developing 421 6,920 1 - Advanced 537 3,127 1 - Advanced 497 5,219 1 - Advanced 415 4,915 2 - Established 611 5,849 1 - Advanced 504 7,798 3 - Developing 387 6,342 1 - Advanced 456 6,003 2 - Established 500 3,921 3 - Developing 449 5,038 2 - Established 571 6,395 1 - Advanced 487 3,930 1 - Advanced 439 5,987 2 - Established 438 4,467 2 - Established 534 3,636 1 - Advanced 408 4,388 3 - Developing 500 3,029 3 - Developing 578 2,236 1 - Advanced 540 3,291 1 - Advanced 589 12,063 4 - Early 595 2,128 1 - Advanced

35

17

Finance

financial control total

16 15

rate

Delayed Transfers of Care

14

2015

Leadership

33

CCG/Trust performance vs.

31 Transformation

Prevention

Emergency bed days rate

11

62-day waits

10

stage 1 or 2

2015

55.1% 56.8% 54.8% 53.0% 56.5% 51.1% 53.9% 49.9% 50.3% 56.8% 54.6% 53.2% 52.3% 52.7% 52.0% 53.9% 54.3% 55.8% 51.9% 52.5% 48.6% 51.5% 51.3% 54.0% 55.2% 56.3% 52.3% 48.6% 46.5% 56.8% 52.0%

29

System-wide leadership

27

Cancer

% of cancers diagnosed at

Psychosis 2-week waits

9

Q4 2016/17

Early Intervention in

8

recovery rate

Improving Access to Psychological Therapies

7

opening times

Patient satisfaction with

Extended access

6

5

infections - c. difficile

Healthcare associated

4

infections - MRSA

Healthcare associated

3

measures

Providers in special

waiting time performance

Referral to Treatment

1

performance

A&E waiting time STP Bath, Swindon and Wiltshire Birmingham and Solihull Bristol, North Somerset, South Gloucestershire Buckinghamshire, Oxfordshire and Berkshire West Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and the Isles of Scilly Coventry and Warwickshire Derbyshire Devon Dorset DDT, Hambleton, Richmondshire and Whitby Frimley Health Gloucestershire Greater Manchester Hampshire and the Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber, Coast and Vale Kent & Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Milton Keynes, Bedfordshire and Luton Norfolk and Waveney North Central London North East London North West London Northamptonshire Northumberland, Tyne and Wear

25

13

Mental health

23

rate

General practice

Safety

17 19 21 Patient Focused Change

Emergency admissions

15

12

13

2

Emergency Elective

11

score

3 5 7 9 Hospital Performance

Cancer patient experience

STP progress dashboard - baseline view

2016/17

0.5% 1.1% -2.4% -0.2% -1.2% -1.3% -1.7% 1.1% 0.9% -2.0% 1.3% 0.7% 0.9% -2.4% 1.9% -0.4% -0.4% -0.7% -1.6% -1.5% 0.3% 0.5% 0.0% 0.2% 0.6% -0.2% -0.7% -0.3% 1.5% -0.3% -0.2%

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Mar- 17

87.5% 84.2% 95.6% 86.1% 90.4% 90.9% 85.4% 94.3% 91.6% 90.0% 89.0% 93.3% 85.3%

Mar- 17

94.7% 88.1% 88.5% 83.7% 92.4% 93.4% 89.2% 90.1% 92.3% 89.6% 91.9% 89.6% 91.0%

May- 17

No No No No Yes No No Yes No Yes Yes No No

2016/17

0.7 0.3 0.4 1.1 1.2 0.6 0.7 0.8 0.9 0.9 0.1 1.5 0.0

2016/17

16.9 7.2 6.5 11.6 15.2 15.1 20.0 16.5 11.8 15.4 13.0 16.8 14.0

Mar- 17

3.6% 10.0% 1.4% 46.0% 21.7% 42.8% 8.3% 36.5% 14.7% 13.0% 1.6% 10.7% 2.4%

Jul- 17

77.2% 76.3% 78.8% 74.9% 77.0% 75.2% 76.8% 76.9% 72.2% 76.4% 75.7% 76.9% 78.6%

57.3% 53.8% 49.0% 50.8% 46.7% 53.2% 61.2% 43.7% 51.2% 50.7% 53.8% 51.7% 54.2%

2016/17

52.0% 56.9% 76.2% 63.9% 70.5% 72.7% 78.9% 70.5% 76.3% 80.3% 69.1% 71.6% 91.2%

Q4 2016/17

78.9% 81.5% 84.0% 78.2% 86.1% 83.8% 73.5% 78.1% 85.9% 79.6% 81.3% 82.7% 78.9%

8.7 8.7 8.9 8.6 8.7 8.8 8.7 8.7 8.7 8.7 8.5 8.7 8.5

2016/17

88 93 101 91 92 109 111 94 83 87 118 108 97

2016/17

2016/17

Jun- 17

478 4,182 1 - Advanced 431 4,624 2 - Established 452 8,637 3 - Developing 577 2,565 1 - Advanced 483 2,868 2 - Established 574 5,767 1 - Advanced 514 7,303 3 - Developing 414 6,165 2 - Established 412 3,451 2 - Established 461 6,431 4 - Early 552 4,789 2 - Established 537 3,387 2 - Established 459 15,106 1 - Advanced

35

17

Finance

financial control total

16 15

rate

Delayed Transfers of Care

14

2015

Leadership

33

CCG/Trust performance vs.

31 Transformation

Prevention

Emergency bed days rate

11

62-day waits

10

stage 1 or 2

2015

50.6% 50.3% 53.5% 51.0% 53.3% 49.7% 49.7% 56.0% 48.5% 50.6% 50.9% 51.9% 51.0%

29

System-wide leadership

27

Cancer

% of cancers diagnosed at

Psychosis 2-week waits

9

Q4 2016/17

Early Intervention in

8

recovery rate

Improving Access to Psychological Therapies

7

opening times

Patient satisfaction with

Extended access

6

5

infections - c. difficile

Healthcare associated

4

infections - MRSA

Healthcare associated

3

measures

Providers in special

waiting time performance

Referral to Treatment

1

performance

A&E waiting time STP Overall progress Nottinghamshire Category 2 - advanced Shropshire and Telford and Wrekin Category 3 - making progress Somerset Category 3 - making progress South East London Category 2 - advanced South West London Category 3 - making progress South Yorkshire and Bassetlaw Category 1 - outstanding Staffordshire Category 4 - needs most improvement Suffolk and North East Essex Category 2 - advanced Surrey Heartlands Category 2 - advanced Sussex and East Surrey Category 4 - needs most improvement The Black Country Category 3 - making progress West Yorkshire Category 3 - making progress West, North and East Cumbria Category 2 - advanced * indicates shadow Accountable Care System (ACS), or contains an ACS, or is a devolved system

25

13

Mental health

23

rate

General practice

Safety

17 19 21 Patient Focused Change

Emergency admissions

15

12

13

2

Emergency Elective

11

score

3 5 7 9 Hospital Performance

Cancer patient experience

STP progress dashboard - baseline view

2016/17

0.8% -1.2% -1.2% 0.3% -1.5% 1.0% -4.1% 1.4% 0.8% -4.5% -0.1% -0.2% -0.2%

Notes 1. Percentage of patients admitted, transferred or discharged from A&E within 4 hours 2. Patients waiting 18 weeks or less from referral to hospital treatment 3. NHS providers in special measures within the STP boundaries 4. Cases of MRSA per 100,000 acute trust bed days 5. Cases of c-difficile per 100,000 acute trust bed days 6. Percentage of general practices meeting minimum access requirements 7. Number of respondents satisfied with their GP practice opening times 8. Percentage of IAPT patients recovering following at least two treatment contacts 9. People with first episode of psychosis starting treatment with a NICE-recommended package of care treated within 2 weeks of referral 10. Percentage of cancers diagnosed at early stage 11. People with urgent GP referral having first definitive treatment for cancer within 62 days of referral 12. Average cancer patient experience, case-mix adjusted 13. Total emergency spells per 1,000 population, age-sex standardised 14. Emergency bed days per 1,000 population, age-sex standardised 15. Delayed transfers of care (delayed days) for all reasons per 100,000 population 16. System leadership status 17. CCG/Trust combined surplus or deficit vs. total resource available (control total)

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