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NHS HIGHLAND BALANCED SCORECARD - 2006/2007 TOTAL NHS HIGHLAND Reporting Periods Indicator HEAT Measure Detail Latest

Reported Period Health Improvement 1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Numbers smoking as a % of relevant (16+years) pop MMR uptake rates (% at 24 months old) rate per 100,000 population Forecast Deficit / Surplus for EY against total revenue resource limit (000s) Forecast savings for EY as a % of revenue allocation Hours lost due to sickness absence/Total hours available (%). IP/DC cancelled admissions IP/DC cancelled admissions for non-clinical reasons Day cases/total electives % of SMR01 records with a CHI number % of SMR01 returns received (3 month lag) % of completed complaints resolved within 4 weeks 138 24.1 82.8 24.4 138 25.4 83.0 20.7 127 26 82.2 20.1 157 26.3 77.9 28.9 157 25.9 85.5 18.7 124 22.5 87.1 16.1 2005 2005 Oct-Dec 06 2005 Annual Annual Quarterly Annual Target=improve rate in most deprived by 15%. Rate based on few deaths - 5 or less per annum. Data Source: Scottish Health Survey. Baseline 25.9% introduced in 2004. Target for 2005 was 25.2%. Target=95% uptake nationally Target=20% reduction by 2013.To be green, 2005 target was 17.3 Date of Reporting latest report Frequency Comments May Board 2007

1.02.K Numbers Smoking 1.03.K Immunisations - MMR 1.04.K Suicide Rates Efficiency 2.01.K 2.05.S 2.02.K 2.06.S Forecast Revenue Expenditure Efficiency Savings Absences Cancelled Admissions Non clinical cancellations Day Case Rates CHI Number Usage SMR Return Rate

89.5

0 0 0 0 96.7% 98.9% 98.0% 98.4%

0 0 0 100% 99.9% 99.6%

6.9 100%

Feb 07 Feb 2007 Feb 2007 Dec 2006

Monthly Monthly Monthly Monthly

Forecast end surplus As at February 2007 Target is 4.3% by March 2007. Target is 4% by 2008. A& B included New reporting format available from April 2006. No national target . A&B not included. New indicator to come on stream No national target. Targets will be agreed as part of the Planned Care programme. A&B not included. National target is 96% No national target Target=80% of complaints responded to within 4 weeks. To reduce all delays over 6 weeks by 20% between 2005 & 2008. Excludes Argyll & Bute

5.03% 5.17% 5.05% 4.73% 4.90% 5.26% 5.17% 5.52% 4.99% 6.14% 5.12% 85 53 79 43 76 92 64 109 38 4.2% 2.1% 3.2% 1.9% 3.2% 4.0% 2.7% 4.1% 1.7%

2.10.S 2.12.S 2.13.S

66% 94%

68% 94%

65% 94%

Completed Complaints Treatment Appropriate for Patient 4.01.K 4.03.K Delayed Discharge over 6 weeks Cervical Screening rate QIS Clinical Governance & Risk Management Standards Improving DNAs Average Length of Hospital Stay Hospital Acquired Infection

66% 65% 66% 66% 94% 94% 94% 96% 99.9% 99.8% 97.6% 94.0% 54% 80% 74% 63% 62% (26) (25) (27)

65% 63% 69% 67% 95% 96% 94% 96% 97.3% 99.4% 99.5% 70% 79% 61% (30) (19) (28)

Feb 2007 Feb 2007 Oct-Dec Jan 2007

Monthly Monthly Quarterly Monthly

Total number of delayed discharges over 6 weeks % of 20-60 yr olds screened Number of points achieved (out of a possible 12) for 3 standards within QIS Clinical Governance & Risk Management assessment New Outpatient DNA numbers (this figure includes DNAs and CNWs, with or without ASCs ; all acute specialties) Days of stay in hospital (all acute specialties) MRSA bacteraemia rate

13

March 2007 Oct 2006

Monthly

85.2% 84.8% 84.7% 83.2% 82.9% 82.5% 82.3%

Quarterly Doesn't include A&B CHP; uptake for last 5 y - not the LDP target of 5.5y LDP target is a movement of 2 points from 7 to 9. Position reviewed March 2007 New reporting format available from April 2006. No national target. Excludes A&B. Reduce the rate of MRSA infection per 1,000 acute occ bed days

4.04.K 4.05.S 4.06.S 4.07.S

305 7% 6.7

371 8% 6.6

7 7 7 7 326 7% 350 8% 366 8% 346 7% 361 8% 6.7 6.7 6.0 7.6 6.3 0.22 0.06 0.12

7 444 8% 359 8% 5.9 6.9 0.06 0.18

March 2006 346 7% 6.4 0.10 Jan 2007 Feb 2007 Jul-Sept 06

Annual Monthly Monthly Quarterly

7.2

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 TOTAL NHS HIGHLAND Reporting Periods Indicator HEAT Measure Access to Services 3.01.K 3.02.K 3.03.K 3.04.K 3.05.K 3.06.K Primary Care Team Access Dental Registrations Inpatient/Daycase Waiting Times over 6 months (31 December 2005) Inpatient/Daycase Waiting Times over 18 weeks (31 December 2007) Inpatient/Daycase ASCs Outpatient Waiting Times over 6 months (31 December 2005) Outpatient Waiting Times over 18 weeks (31 December 2007) A&E Waits less than 4 hours Cataract Waiting Times over 3 mths % coverage of HB population, using list sizes for GP practices taking part in Primary Care Collaborative % of children aged 0-17 years registered with an NHS dentist IP/DC waiting over 6 months excl. ASCs (all acute specialties) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) IN/DC waiting with an ASC (all acute specialties) New OP (GP/GDP ref) waiting over 26 weeks excl. ASCs (all acute specialties) New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (all acute specialties) % of patients waiting 4 hours or less from arrival to transfer or discharge Inpatient/day case patients waiting over 3 months 0 343 1277 0 0 176 1320 0 0 139 1338 0 0 135 1378 0 0 125 1360 0 0 108 1279 0 0 143 1372 0 0 82 1373 0 11% 31% 59.1% 0 0 1432 0 31% 56.7% 0 0 1384 0 0 0 1434 0 0 0 1266 0 Phase 2 June 2006 March 2007 March 2007 March 2007 March 2007 Phases Quarterly Monthly Monthly Monthly Monthly Based on North & Mid Highland. SECHP didn't bid. No data for ABCHP. This indicator is to be replaced. Target 80% by 2009. Excludes those accessing thru Community Service.Awaiting Sept update from ISD. Draft position for March 07, based on waiting list as at 27th March. Figure includes A&B. Draft position for March 07, based on waiting list as at 27th March. Figure includes A&B. Draft position for March 07, based on waiting list as at 27th March. March target milestone = 1219.(revised for Unified Board) Draft position for March 07, based on waiting list as at 27th March. Figure include A&B. Draft position for March 2007. Includes A&B. Revised LDP milestone March 2007 = 682 Position for Raigmore Hospital. March target trajectory figure was 96% Detail Latest Reported Period Date of Reporting latest report Frequency Comments May Board 2007

3.07.K 3.08.K 3.09.K 3.10.K 3.11.K 3.12.K 3.13.K 3.15.K 3.16.K 3.17.K 3.18.K

631 88% 64 94%

438 89% 72

515 88% 47

476 86% 56

521 89% 37

695 88% 30 92%

715 93% 23 96%

630 96% 11 95%

447 95% 1 96%

649 95% 1 95% 63% 69.1% 0 4 8 17 17

728 94% 1 96%

873 96% 7

March 2007 March 2007 March 2007 Feb 2007 July-Sept 06 July-Sept 06

Monthly Monthly

Draft position for March 07, based on waiting list as at 27th March. March Monthly 2007 milestone is 107. Monthly Quarterly Quarterly Monthly All cancer sites included. All referrals included (not just GP). Target=98% Draft position for march 2007, based on waiting list as at 30th March March 2007 milestone = 96%

% of Hip fracture operations performed within 48 hours of Hip Surgery Waiting Times over 48hrs admission to orthopaedic speciality Breast Cancer Waiting Times Cancer Waiting Times Angiography Waiting Times over 8 weeks Maximum Radiology Waiting Times: CT Scan Maximum Radiology Waiting Times: MRI Scan Maximum Endoscopy Waiting Times: Upper GI endoscopy Maximum Endoscopy Waiting Times: Lower GI endoscopy (including colonoscopy) % of patients from diagnosis to treatment within 31 days % of patients urgently referred to treatment within 2 months Angiography patients waiting >8 weeks excl. ASCs Longest wait for radiology investigation: CT Scan Longest wait for radiology investigation: MRI Scan Longest wait for endoscopy investigation: Upper GI endoscopy Longest wait for endoscopy investigation: Lower GI endoscopy (including colonoscopy)

97% 100%

96% 100%

86.4% 69.2% 79.3% 59.1% 56.9% 62.5% 56.4% 55.7% 71.6% 0 13 16 23 22 0 9 11 23 23 0 9 10 25 24 0 9 8 21 20 0 5 7 22 22 0 9 7 23 20 0 7 8 24 25 0 3 8 18 23 0 6 9 15 16

0 4 7 16 15

0 6 8 13 15

March 2007 March 2007 March 2007 March 2007 March 2007

Monthly March 2007 milestone is 9 weeks. A&B data not available for March 2007 Monthly Monthly Monthly March 2007 milestone is 9 weeks. March 2007 milestone is 9 weeks. A&B data is not available for March 2007 March 2007 milestone is 9 weeks. A&B data is not available for March 2007

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 NHS HIGHLAND CANCER Reporting Periods Indicator HEAT Measure Access to Services 3.11.K Breast Cancer Waiting Times % of patients from diagnosis to treatment within 31 days 86.4% 69.2% 79.3% 59.1% 63% July-Sept 06 All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. By October 2001, women who have Breast Cancer and are referred for urgent treatment will commence that treatment within one month. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes Quarterly A&B. All cancer sites included. All referrals included (not just GP). Quarterly Target=98% From July-Sept 2006 data includes A&B. Quarterly By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 50% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). All data before Sep 06 Quarterly is for 'Old' Highland. July-Sept 06 data includes A&B. Quarterly By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 55% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 100% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes Quarterly A&B. Quarterly By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 94% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 57% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 71% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 50% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. Detail Latest Reported Period Date of Reporting latest report Frequency Comments May Board 2007

Leukaemia Cancer Waiting Times 3.12.K Cancer Waiting Times

% of patients from diagnosis to treatment within 31 days % of patients urgently referred to treatment within 2 months

100% 100% 100% 56.9% 62.5% 56.4% 55.7% 71.6% 69.1%

July-Sept 06 July-Sept 06

Breast Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

75% 64.3%

47%

July-Sept 06

Urology (All) Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

20% 62.5%

52%

July-Sept 06

Urology (Prostate) Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

0% 63.6%

30%

July-Sept 06

Urology (Bladder) Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

66.7% 100% 100%

July-Sept 06

Lung Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

83.3% 76.2%

94%

July-Sept 06

Quarterly

Colorectal Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

90% 93.3%

64%

July-Sept 06

Quarterly

Head & Neck Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

71% 33.3%

71%

July-Sept 06

Quarterly

Skin Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

100% 100%

50%

July-Sept 06

Quarterly

Upper GI - OG Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

60% 66.7%

79%

July-Sept 06

Upper GI - HPB Cancer Waiting Times % of patients urgently referred to treatment within 2 months

83.3%

50% 100%

July-Sept 06

Gynae - Ovarian Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

100% 100% 87.5%

July-Sept 06

By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 92% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B. By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 100% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes Quarterly A&B. By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target).87.5% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes Quarterly A&B. Quarterly By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months. (62 day target). 73% validated. All data before Sep 06 is for 'Old' Highland. July-Sept 06 data includes A&B.

Haematology Lymphoma Cancer Waiting Times

% of patients urgently referred to treatment within 2 months

100% 71.4%

73%

July-Sept 06

Quarterly

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 SPECIALIST SERVICES UNIT Reporting Period Indicator HEAT Measure Health Improvement 1.01.K Health Inequalities - CHD 1.02.K Numbers Smoking 1.03.K Immunisations - MMR 1.04.K Suicide Rates Efficiency 2.01.K 2.05.S 2.02.K 2.06.S Forecast Revenue Expenditure Efficiency Savings Absences Cancelled Admissions Non clinical cancellations Day Case Rates CHI Number Usage SMR Return Rate Detail Latest Reported Period Date of Reporting latest report Frequency Comments May Board 2007

Crude CHD rate per 100,000 population (<75 yrs) for Boards Numbers smoking as a % of relevant (16+years) pop MMR uptake rates (% at 24 months old) rate per 100,000 population Forecast Deficit / Surplus for EY against total revenue resource limit (000s) 0 0 0 0 0 0 0 Forecast savings for EY as a % of revenue allocation 98.0% 98.4% 100% 99% Hours lost due to sickness absence/Total hours available (%). 3.90% 4.08% 4.28% 4.35% 4.20% 4.52% 4.22% 4.94% 4.61% 62 52 53 37 33 80 59 92 IP/DC cancelled admissions 4.0% 2.6% 2.7% 2.0% 1.7% 4.3% 3.1% 4.3% IP/DC cancelled admissions for non-clinical reasons Day cases/total electives % of SMR01 records with a CHI number % of SMR01 returns received (3 month lag) % of completed complaints resolved within 4 weeks % coverage of HB population, using list sizes for GP practices taking part in Primary Care Collaborative % of children aged 0-17 years registered with an NHS dentist 63% 64% 63% 64% 100% 83% 75% 63% 64% 63% 63% 60%

Target not disaggregated below Board level Target not disaggregated below Board level Target not disaggregated below Board level Target not disaggregated below Board level

0 0 97% 97% 5.23 4.39% 37 2.1%

Feb 2007 Feb 2007 Feb 2007 Dec 2006

Monthly Monthly Monthly Monthly

Balance budget measure of achievement As at February 2007 Target is 4.3% by March 2007. Target is 4% by 2008. New reporting format available from April 2006. No national target New indicator to come on stream No national target. Targets will be agreed as part of the Planned Care programme. Not currently available at CHP level No national target Target=80% of complaints responded to within 4 weeks.

2.10.S 2.12.S 2.13.S

67%

65%

Feb 2007 Oct-Dec Jan 2007

Monthly Quarterly Monthly

Completed Complaints Access to Services 3.01.K 3.02.K 3.03.K 3.04.K 3.05.K 3.06.K 3.07.K 3.08.K

100% 97.8% 89.0% 71% 73% 100% (7) (15) (6)

97.3% 99.9% 99.4% 71% 71% 47% (14) (7) (15)

Primary Care Team Access Dental Registrations Inpatient/Daycase Waiting Times over 6 months (31 December 2006) IP/DC waiting over 6 months excl. ASCs (all acute specialties) Inpatient/Daycase Waiting Times over 18 weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) Inpatient/Daycase ASCs Outpatient Waiting Times over 6 months (31 December 2005) Outpatient Waiting Times over 18 weeks (31 December 2007) IN/DC waiting with an ASC (all acute specialties) New OP (GP/GDP ref) waiting over 26 weeks excl. ASCs (all acute specialties) New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (all acute specialties) % of patients waiting 4 hours or less from arrival to transfer or discharge Inpatient/day case patients waiting over 3 months % of Hip fracture operations performed within 48 hours of admission to orthopaedic speciality % of patients from diagnosis to treatment within 31 days % of patients urgently referred to treatment within 2 months Angiography patients waiting >8 weeks excl. ASCs Longest wait for radiology investigation: CT Scan Longest wait for radiology investigation: MRI Scan Longest wait for endoscopy investigation: Upper GI endoscopy Longest wait for endoscopy investigation: Lower GI endoscopy (including colonoscopy) Total number of delayed discharges over 6 weeks % of 20-60 yr olds screened Number of points achieved (out of a possible 12) for 3 standards within QIS Clinical Governance & Risk Management assessment New Outpatient DNA numbers (this figure includes DNAs and CNWs, with or without ASCs ; all acute specialties) Days of stay in hospital (all acute specialties) MRSA bacteraemia rate

Target not relevant for this operational unit Target 80% by 2009. Excludes those accessing thru Community Service 0 303 1059 0 630 88% 64 94% 0 165 1065 0 438 89% 72 97% 0 129 1099 0 557 88% 47 100% 0 171 1081 0 476 86% 56 96% 0 102 1107 0 595 89% 37 100% 0 97 1020 0 686 88% 30 92% 0 121 1036 0 701 93% 23 96% 0 71 1037 0 624 96% 11 95% 0 0 1068 0 436 95% 1 96% 0 0 1031 0 642 95% 1 95% 0 0 0 0 March 2007 March 2007 March 2007 March 2007 March 2007 March 2007 March 2007 Feb 2007 Monthly Monthly Monthly Monthly Monthly Monthly Draft position for March 2007, based on waiting list as at 27th March Draft position for March 2007, based on waiting list as at 27th March Draft position for March 2007, based on waiting list as at 27th March. March 2007 milestone = 933. (trajectories revised from March 2007) Draft position for March 2007, based on waiting list as at 27th March

1043 932 0 0

708 864 94% 96% 1 96% 7

A&E Waits less than 4 hours Cataract Waiting Times over 3 3.09.K months Hip Surgery Waiting Times over 48 3.10.K hours Breast Cancer Waiting Times over 31 3.11.K days 3.12.K Cancer Waiting Times over 2 months Angiography Waiting Times over 8 3.13.K weeks Maximum Radiology Waiting Times: 3.15.K CT Scan Maximum Radiology Waiting Times: 3.16.K MRI Scan Maximum Endoscopy Waiting Times: 3.17.K Upper GI endoscopy Maximum Endoscopy Waiting Times: Lower GI endoscopy (including 3.18.K colonoscopy) Treatment Appropriate for Patient 4.01.K Delayed Discharge over 6 weeks 4.03.K Cervical Screening rate QIS Clinical Governance & Risk Management Standards Improving DNAs Average Length of Hospital Stay Hospital Acquired Infection

Draft position for March 2007. Revised milestone = 682 March 07 target is 96%. The overall target is to achieve 98% by December 2007 Draft position for March 2007, based on waiting list as at 27th March. March Monthly 2007 milestone is 107. Monthly March 2007 milestone = 96%

0 6 11 15

0 7 10 12

0 4 8 11

0 4 7 15

0 6 7 19

0 7 8 24

0 3 8 13

0 6 9 15

0 4 8 12

0 4 7 6

0 6 8 8

March 2007 Feb 2007 Feb 2007 Feb 2007

Monthly Monthly Monthly Monthly

Draft position for March 07, based ob waiting list as at 30th March March 2007 milestone is 9 weeks March 2007 milestone is 9 weeks March 2007 milestone is 9 weeks

19

13

14

20

20

19

17 0

18 0

16 1

17 2

12 0

13 0

March 2007 March 2007

Monthly Monthly

March 2007 milestone is 9 weeks To reduce all delays over 6 weeks by 20% between 2005 & 2008

4.04.K 4.05.S 4.06.S 4.07.S

Target not disaggregated below Board level 279 8% 6.8 246 6% 6.6 299 7% 6.3 325 8% 6.8 328 8% 6.0 317 8% 7.1 319 8% 6.3 389 8% 5.7 327 8% 6.7 307 7% 6.5 7.3 Jan 2007 Feb 2007 Monthly Monthly Target not disaggregated below Highland level New reporting format available from April 2006. No national target

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 FACILITIES Reporting Periods Indicator HEAT Measure Detail Latest Reported Period Health Improvement Date of Reporting latest report Frequency Comments May Board 2007

Efficiency National Cleaning Standards % compliance with National Cleaning Standards RAG System SSD Performance`` % items fit for purpose >98% 92.9% 92.5% 92.3% 93.9% 93.7% 93.6% 94.9% 95.2% 95.0% 94.1% 94.3% 99.92 99.91 99.90 99.87 99.90 99.97 99.99 99.93 99.97 99.99 99.92 Feb 2007 Feb 2007 Source: RAG - Red - 70% or below; Amber - 70% - 90%; Green 90% Monthly 100% Monthly No national target, NHS Highland SSD target - 98%

Estates Department -

Hotline Activity & Response time

D1 = 1 hr response D2 = 24 hr D3 = 3 days D4 = 7 days OVERALL

80.95 60.47 66.50 78.06 70.26

76.14 60.29 66.53 86.35 72.33

74.68 58.55 66.93 92.80 73.97

76.67 69.41 69.20 78.19 73.39

83.05 61.54 65.61 72.95 68.67

88.89 67.45 67.69 65.66 68.88

88.10 67.86 53.65 74.49 68.26

80.52 62.10 58.26 70.90 65.70

88.00 69.68 57.95 74.77 70.29

87.69 61.87 67.95 76.63 68.28

82.6% 62.1% 64.1% 68.6% 65.4%

Feb 2007 Feb 2007 Feb 2007 Feb 2007 Feb 2007

Monthly Monthly Monthly Monthly Monthly

Up to 60% red; 60 - 75% amber; over 75% green. Response time variable depending on location of fault and availability of staff. Data relates to North, Mid and SE CHPs.

Access to Services

Treatment Appropriate for Patient

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 NORTH HIGHLAND CHP Reporting Period Indicator HEAT Measure Health Improvement Health Inequalities - CHD 1.01.K 1.02.K Numbers Smoking Immunisations - MMR 1.03.K Suicide Rates 1.04.K Efficiency 2.01.K 2.05.S 2.02.K 2.06.S Forecast Revenue Expenditure Efficiency Savings Absences Cancelled Admissions Non clinical cancellations Day Case Rates CHI Number Usage SMR Return Rate Completed Complaints Access to Services 3.01.K 3.02.K 3.03.K 3.04.K 3.05.K 3.06.K 3.07.K 3.08.K 3.09.K Primary Care Team Access % coverage of HB population, using list sizes for GP practices taking part in Primary Care Collaborative N/A 0 24 103 0 0 N/A 0 9 104 0 0 N/A 0 10 103 0 0 N/A 0 21 109 0 0 N/A 0 17 125 0 10 N/A 0 5 116 0 8 N/A N/A 0 2 118 0 8 N/A N/A 0 1 101 0 5 N/A 78% N/A 0 0 109 0 2 N/A 78% 3.8% 0 0 109 0 2 N/A 0 0 111 0 6 N/A 0 0 104 0 2 N/A Phase 2 June 2006 March 2007 March 2007 March 2007 March 2007 March 2007 Phases Quarterly Monthly Monthly Monthly Monthly Monthly Target 80% by 2009. Excludes those accessing thru Community Services. Awaiting Sept update from ISD Draft position for March 07, based on waiting list as at 27th March Draft position for March 07, based on waiting list as at 27th March Draft position for March 07, based on waiting list as at 27th March. March 2007 milestone = 82. (trajectories revised from March 2007) Draft position for March 07, based on waiting list as at 27th March Draft position for March 2007, based on waiting list as at 27th March. March 2007 milestone = 0 Data not available Target not applicable to this operational unit Target not applicable to this operational unit Detail Latest Reported Period Date of latest Reporting report Frequency Comments May Board 2007

Crude CHD rate per 100,000 population (<75 yrs) for Boards Numbers smoking as a % of relevant (16+years) pop MMR uptake rates (% at 24 months old) rate per 100,000 population Forecast Deficit / Surplus for EY against total revenue resource limit (000s) Forecast savings for EY as a % of revenue allocation Hours lost due to sickness absence/Total hours available (%). IP/DC cancelled admissions IP/DC cancelled admissions for non-clinical reasons Day cases/total electives % of SMR01 records with a CHI number % of SMR01 returns received (3 month lag) % of completed complaints resolved within 4 weeks

N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

83.5 N/A

87.5 N/A

89.2

Oct-Dec 06

Quarterly

Target not disaggregated below Board level Target not disaggregated below Board level Target=95% uptake nationally Target not disaggregated below Board level

N/A N/A N/A N/A N/A 0 0 0 0 0 N/A N/A N/A N/A 100% 100% 100% 100% 100% N/A 4.99% 5.48% 5.46% 4.32% 4.80% 5.38% 4.87% 4.66% 4.61% 5.20% 3.77% 3 0 8 0 25 9 5 2 1.3% 0.0% 3.2% 0% 10.2% 3.6% 2.1% 0.8% 0 0%

Feb 2007 Feb 2007 Feb 2007 Dec 2006

Monthly Monthly Monthly Monthly

Balance budget measure of achievement As at February 2007 Target is 4.3% by March 2007. Target is 4% by 2008. New reporting format available from April 2006. No national target New indicator to come on stream No national target. Targets will be agreed as part of the Planned Care programme. Not currently available at CHP level No national target Target=80% of complaints responded to within 4 weeks.

2.10.S 2.12.S 2.13.S

83% N/A

85% N/A

81% N/A

78% N/A 100% 100%

67%

81% 80% 89% 82% 83% 82% 82% N/A N/A N/A N/A N/A N/A N/A 100% 99.5% 93.0% 98.7% 96.9% 99.7% 66% 100% 100% 100% 100% (3) (1) (2) (2) None (1)

Feb 2007 N/A Oct-Dec Jan 2007

Monthly Quarterly Monthly

Dental Registrations % of children aged 0-17 years registered with an NHS dentist Inpatient/Daycase Waiting Times over 6 months (31 December 2005) IP/DC waiting over 6 months excl. ASCs (all acute specialties) Inpatient/Daycase Waiting Times over 18 weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) Inpatient/Daycase ASCs Outpatient Waiting Times over 6 months (31 December 2005) Outpatient Waiting Times over 18 weeks (31 December 2007) A&E Waits less than 4 hours IN/DC waiting with an ASC (all acute specialties) New OP (GP/GDP ref) waiting over 26 weeks excl. ASCs (all acute specialties) New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (all acute specialties) % of patients waiting 4 hours or less from arrival to transfer or discharge Inpatient/day case patients waiting over 3 months % of Hip fracture operations performed within 48 hours of admission to orthopaedic speciality % of patients from diagnosis to treatment within 31 days % of patients urgently referred to treatment within 2 months Angiography patients waiting >8 weeks excl. ASCs Longest wait for radiology investigation: CT Scan Longest wait for radiology investigation: MRI Scan Longest wait for endoscopy investigation: Upper GI endoscopy Longest wait for endoscopy investigation: Lower GI endoscopy (including colonoscopy) Total number of delayed discharges over 6 weeks % of 20-60 yr olds screened Number of points achieved (out of a possible 12) for 3 standards within QIS Clinical Governance & Risk Management assessment New Outpatient DNA numbers (this figure includes DNAs and CNWs, with or without ASCs ; all acute specialties) Days of stay in hospital (all acute specialties) MRSA bacteraemia rate

Cataract Waiting Times over 3 months Hip Surgery Waiting Times over 48 hours 3.10.K Breast Cancer Waiting Times over 31 days 3.11.K Cancer Waiting Times over 2 months 3.12.K Angiography Waiting Times over 8 weeks 3.13.K Maximum Radiology Waiting Times: CT Scan 3.15.K Maximum Radiology Waiting Times: MRI Scan 3.16.K Maximum Endoscopy Waiting Times: Upper GI endoscopy 3.17.K Maximum Endoscopy Waiting Times: Lower GI endoscopy (including colonoscopy) 3.18.K Treatment Appropriate for Patient 4.01.K 4.03.K 4.04.K Delayed Discharge over 6 weeks Cervical Screening rate QIS Clinical Governance & Risk Management Standards Improving DNAs Average Length of Hospital Stay Hospital Acquired Infection

Target not applicable to this operational unit Target not applicable to this operational unit Target not applicable to this operational unit 23 23 25 21 22 23 18 11 14 17 16 13 March 2007 Monthly March 2007 milestone is 9 weeks

22

23

24

19

22

20

25

23

14

14

15 2

15 1

March 2007 March 2007 Oct 2006

Monthly Monthly Quarterly

March 2007 milestone is 9 weeks To reduce all delays over 6 weeks by 20% between 2005 & 2008 Uptake for last 5 y - not the LDP target of 5.5y

2 2 4 3 86.2% 86.0% 85.5% 85.4%

4.05.S 4.06.S 4.07.S

15 6% 8.6

15 5% 8.7

20 7% 10.6

18 6% 8.3

26 8% 8.0

15 6% 13.5

33 9% 6.9

27 7% 16 6% 22 6% 8.9 8.8 6.9

Monthly 8.7 Jan 2007 Feb 2007 Monthly

Target not disaggregated below Board level New reporting format available from April 2006. No national target

Target not disaggregated below Board level

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 MID HIGHLAND CHP Reporting Period Indicator HEAT Measure Health Improvement Health Inequalities - CHD 1.01.K 1.02.K Numbers Smoking Immunisations - MMR 1.03.K Suicide Rates 1.04.K Efficiency 2.01.K 2.05.S 2.02.K 2.06.S Forecast Revenue Expenditure Efficiency Savings Absences Cancelled Admissions Non clinical cancellations Day Case Rates CHI Number Usage SMR Return Rate Detail Latest Reported Period Date of latest Reporting report Frequency Comments May Board 2007

Crude CHD rate per 100,000 population (<75 yrs) for Boards Numbers smoking as a % of relevant (16+years) pop MMR uptake rates (% at 24 months old) rate per 100,000 population Forecast Deficit / Surplus for EY against total revenue resource limit (000s) Forecast savings for EY as a % of revenue allocation Hours lost due to sickness absence / Total hours available (%). IP/DC cancelled admissions IP/DC cancelled admissions for non-clinical reasons Day cases/total electives % of SMR01 records with a CHI number % of SMR01 returns received (3 month lag) % of completed complaints resolved within 4 weeks % coverage of HB population, using list sizes for GP practices taking part in Primary Care Collaborative

N/A

N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A N/A N/A

89.0 N/A

86.9 N/A

92.0 N/A N/A

Oct-Dec 06

Quarterly

Target not disaggregated below Board level Target not disaggregated below Board level Target=95% uptake nationally Target not disaggregated below Board level

N/A N/A N/A N/A N/A 0 0 0 0 0 N/A N/A N/A N/A N/A 100% 100% 100% 100% 100% 4.98% 4.14% 4.32% 4.69% 5.40% 5.80% 5.33% 5.09% 5.47% 6.29% 5.65% 20 1 18 18 3 0 15 1 11.2% 0.4% 8.3% 6 3.6% 9.2% 1.6% 0% 5.8% 0.4%

Feb 2007 Feb 2007 Feb 2007 Dec 2006

Monthly Monthly Monthly Monthly

Balance budget measure of achievement As at February 2007 Target is 4.3% by March 2007. Target is 4% by 2008. New reporting format available from April 2006. No national target New indicator to come on stream No national targets. Targets will be agreed as part of the Planned Care Programme. Not currently available at CHP level No national target Target=80% of complaints responded to within 4 weeks.

2.10.S 2.12.S 2.13.S

78% N/A

79% N/A

73% N/A

Completed Complaints Access to Services 3.01.K 3.02.K 3.03.K 3.04.K 3.05.K 3.06.K 3.07.K 3.08.K 3.09.K Primary Care Team Access

79% 71% 75% 76% N/A N/A N/A N/A 99.8% 99.7% 96.4% 94.0% 66% 100% 100% (6) (4) 43% 0% (3)

73% 74% 75% 72% N/A N/A N/A N/A N/A 97.3% 99.0% 99.6% 67% 50% 50% (3) (2) (2)

Feb 2007 Oct-Dec Jan 2007

Monthly Quarterly Monthly

25% N/A 0 16 91 0 1 N/A 0 2 109 0 0 N/A 0 1 119 0 0 N/A 0 11 120 0 0 N/A 0 6 128 0 0 N/A N/A 0 6 143 0 1 N/A N/A 0 12 139 0 0 N/A N/A 0 5 146 0 1 N/A

40%

40%

Phase 2 June 2006 0 0 0 0 March 2007 March 2007 March 2007 March 2007 March 2007

Phases Quarterly Monthly Monthly Monthly Monthly Monthly Target 80% by 2009. Excludes those accessing thru Community Service. Awaiting Sept update from ISD. Draft position for March 2007, based on waiting list as at 27th March Draft position for March 2007, based on waiting list as at 27th March Draft position for March 2007, based on waiting list as at 27th March. March milestone = 131. (trajectories revised from March 2007 Draft position for March 07, based on waiting list as at 27th March Draft position for March 07, based on waiting list as at 27th March. March 2007 milestone = 0 Data not available Target not relevant for this Operational Unit Target not relevant for this Operational Unit

Dental Registrations % of children aged 0-17 years registered with an NHS dentist Inpatient/Daycase Waiting Times over 6 months (31 December 2005) IP/DC waiting over 6 months excl. ASCs (all acute specialties) Inpatient/Daycase Waiting Times over 18 weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) Inpatient/Daycase ASCs Outpatient Waiting Times over 6 months (31 December 2005) Outpatient Waiting Times over 18 weeks (31 December 2007) A&E Waits less than 4 hours IN/DC waiting with an ASC (all acute specialties) New OP (GP/GDP ref) waiting over 26 weeks excl. ASCs (all acute specialties) New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (all acute specialties) % of patients waiting 4 hours or less from arrival to transfer or discharge Inpatient/day case patients waiting over 3 months % of Hip fracture operations performed within 48 hours of admission to orthopaedic speciality % of patients from diagnosis to treatment within 31 days % of patients urgently referred to treatment within 2 months Angiography patients waiting >8 weeks excl. ASCs Longest wait for radiology investigation: CT Scan Longest wait for radiology investigation: MRI Scan Longest wait for endoscopy investigation: Upper GI endoscopy Longest wait for endoscopy investigation: Lower GI endoscopy (including colonoscopy) Total number of delayed discharges over 6 weeks % of 20-60 yr olds screened Number of points achieved (out of a possible 12) for 3 standards within QIS Clinical Governance & Risk Management assessment New Outpatient DNA numbers (this figure includes DNAs and CNWs, with or without ASCs ; all acute specialties) Days of stay in hospital (all acute specialties) MRSA bacteraemia rate

N/A 20.9% 0 0 171 0 0 N/A 0 0 161 0 0 N/A

174 145 0 0 0 0

N/A N/A

Cataract Waiting Times over 3 months Hip Surgery Waiting Times over 48 hours 3.10.K Breast Cancer Waiting Times over 31 days 3.11.K Cancer Waiting Times over 2 months 3.12.K Angiography Waiting Times over 8 weeks 3.13.K Maximum Radiology Waiting Times: CT Scan 3.15.K Maximum Radiology Waiting Times: MRI Scan 3.16.K Maximum Endoscopy Waiting Times: Upper GI endoscopy 3.17.K Maximum Endoscopy Waiting Times: Lower GI endoscopy (including colonoscopy) 3.18.K Treatment Appropriate for Patient 4.01.K 4.03.K Delayed Discharge over 6 weeks Cervical Screening rate QIS Clinical Governance & Risk Management Standards Improving DNAs Average Length of Hospital Stay Hospital Acquired Infection

Target not relevant for this Operational Unit 13 9 9 9 5 9 3 2 4 4 4 3 March 2007 Monthly March 2007 milestone is 9 weeks Target not relevant for this Operational Unit N/A N/A N/A N/A N/A N/A N/A N/A N/A 12 13 10 March 2007 Monthly March 2007 milestone is 9 weeks

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

14

11 4

15 5

March 2007 March Oct 2006

Monthly Monthly Quarterly

March 2007 milestone is 9 weeks To reduce all delays over 6 weeks by 20% between 2005 & 2008 Uptake for last 5 y - not the LDP target of 5.5y

0 2 0 6 82.9% 82.6% 82.3% 82.1%

4.04.K 4.05.S 4.06.S 4.07.S

Not disaggregated below Board level 11 7% 4.4 10 5% 3.9 7 5% 4.5 7 4% 4.6 12 6% 4.3 14 9% 9 5% 14 7% 4.7 6.1 4.0 8 7% 6.8 10 5% 4.6 Jan 2007 Feb 2007 Monthly Monthly New reporting format available from April 2006. No national target Target not disaggregated below Board level

5.1

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 SOUTH EAST HIGHLAND CHP Reporting Period Indicator HEAT Measure Health Improvement Health Inequalities - CHD 1.01.K 1.02.K Numbers Smoking Immunisations - MMR 1.03.K Suicide Rates 1.04.K Efficiency 2.01.K 2.05.S 2.02.K 2.06.S 2.10.S 2.12.S 2.13.S Forecast Revenue Expenditure Efficiency Savings Absences Cancelled Admissions Non clinical cancellations Day Case Rates CHI Number Usage SMR Return Rate Detail Crude CHD rate per 100,000 population (<75 yrs) for Boards Numbers smoking as a % of relevant (16+years) pop MMR uptake rates (% at 24 months old) rate per 100,000 population Forecast Deficit / Surplus for EY against total revenue resource limit (000s) Forecast savings for EY as a % of revenue allocation Hours lost due to sickness absence/Total hours available (%). IP/DC cancelled admissions IP/DC cancelled admissions for non-clinical reasons Day cases/total electives % of SMR01 records with a CHI number % of SMR01 returns received (3 month lag) % of completed complaints resolved within 4 weeks % coverage of HB population, using list sizes for GP practices taking part in Primary Care Collaborative % of children aged 0-17 years registered with an NHS dentist IP/DC waiting over 6 months excl. ASCs (all acute specialties) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) IN/DC waiting with an ASC (all acute specialties) New OP (GP/GDP ref) waiting over 26 weeks excl. ASCs (all acute specialties) New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (all acute specialties) % of patients waiting 4 hours or less from arrival to transfer or discharge Inpatient/day case patients waiting over 3 months % of Hip fracture operations performed within 48 hours of admission to orthopaedic speciality % of patients from diagnosis to treatment within 31 days % of patients urgently referred to treatment within 2 months Angiography patients waiting >8 weeks excl. ASCs Longest wait for radiology investigation: CT Scan Longest wait for radiology investigation: MRI Scan Longest wait for endoscopy investigation: Upper GI endoscopy Longest wait for endoscopy investigation: Lower GI endoscopy (including colonoscopy) Total number of delayed discharges over 6 weeks % of 20-60 yr olds screened Number of points achieved (out of a possible 12) for 3 standards within QIS Clinical Governance & Risk Management assessment New Outpatient DNA numbers (this figure includes DNAs and CNWs, with or without ASCs ; all acute specialties) Days of stay in hospital (all acute specialties) MRSA bacteraemia rate 1 2 1 2 82.3% 82.0% 81.6% 81.2% 2 0 March 2007 Oct 2006 Monthly Quarterly Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit To reduce all delays over 6 weeks by 20% between 2005 & 2008 Uptake for last 5 y - not the LDP target of 5.5y N/A N/A N/A Latest Reported Period Date of latest Reporting report Frequency Comments Target not disaggregated below Board level Target not disaggregated below Board level Target=95% uptake nationally Target not disaggregated below Board level May Board 2007

N/A

N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

83.5 N/A

84.6 N/A

88.7 N/A N/A

Oct-Dec 06

Quarterly

5.62%

N/A N/A 4.51%

N/A N/A 4.80%

N/A N/A 5.46%

N/A N/A 0 0 0 0 0 N/A N/A 100% 100% 100% 100% 100% 5.13% 5.06% 4.50% 5.57% 4.38% 5.24% 5.08%

Feb 2007 Feb 2007 Feb 2007

Monthly Monthly Monthly

N/A

N/A

N/A

N/A 98.2%

Completed Complaints Access to Services 3.01.K 3.02.K 3.03.K 3.04.K 3.05.K 3.06.K 3.07.K 3.08.K 3.09.K Primary Care Team Access Dental Registrations Inpatient/Daycase Waiting Times over 6 months (31 December 2005) Inpatient/Daycase Waiting Times over 18 weeks (31 December 2007) Inpatient/Daycase ASCs Outpatient Waiting Times over 6 months (31 December 2005) Outpatient Waiting Times over 18 weeks (31 December 2007) A&E Waits less than 4 hours

26%

N/A N/A N/A N/A N/A N/A N/A N/A 93.0% 87.7% 89.0% 91.2% 98.1% 99.0% 100% 75% 100% 83% 60% (3) (8) (4) (6) (5) 33% 20% (5)

Oct-Dec Jan 2007

Quarterly Monthly

Balance budget measure of achievement As at February 2007 Target is 4.3% by March 2007. Target is 4% by 2008. Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not available at CHP level No national target Target=80% of complaints responded to within 4 weeks.

0% N/A

0%

0%

Phase 2 June 2006

Phases Quarterly

N/A 32.2%

SECHP not participating in Collaborative at Phase 2. Target 80% by 2009. Excludes those accessing thru Community Service. Awaiting Sept update from ISD. Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit Not applicable for this operational unit

Cataract Waiting Times over 3 months Hip Surgery Waiting Times over 48 hours 3.10.K Breast Cancer Waiting Times over 31 days 3.11.K Cancer Waiting Times over 2 months 3.12.K Angiography Waiting Times over 8 weeks 3.13.K Maximum Radiology Waiting Times: CT Scan 3.15.K Maximum Radiology Waiting Times: MRI Scan 3.16.K Maximum Endoscopy Waiting Times: Maximum Endoscopy Waiting Times: Upper GI endoscopy 3.17.K Lower GI endoscopy (including colonoscopy) 3.18.K Treatment Appropriate for Patient 4.01.K 4.03.K Delayed Discharge over 6 weeks Cervical Screening rate QIS Clinical Governance & Risk Management Standards Improving DNAs Average Length of Hospital Stay Hospital Acquired Infection

4.04.K 4.05.S 4.06.S 4.07.S

Target not relevant for this Operational Unit Target not relevant for this Operational Unit Target not disaggregated below Board level

NHS HIGHLAND BALANCED SCORECARD - 2006/2007 ARGYLL & BUTE CHP Reporting Period Indicator HEAT Measure Health Improvement Health Inequalities - CHD 1.01.K 1.02.K Numbers Smoking Immunisations - MMR 1.03.K Suicide Rates 1.04.K Efficiency 2.01.K 2.05.S 2.02.K 2.06.S 2.10.S 2.12.S 2.13.S Forecast Revenue Expenditure Efficiency Savings Absences Cancelled Admissions Non clinical cancellations Day Case Rates CHI Number Usage SMR Return Rate Detail Crude CHD rate per 100,000 population (<75 yrs) for Boards Numbers smoking as a % of relevant (16+years) pop MMR uptake rates (% at 24 months old) rate per 100,000 population Forecast Deficit / Surplus for EY against total revenue resource limit (000s) Forecast savings for EY as a % of revenue allocation Hours lost due to sickness absence / Total hours available (%). IP/DC cancelled admissions IP/DC cancelled admissions for non-clinical reasons Day cases/total electives % of SMR01 records with a CHI number % of SMR01 returns received (3 month lag) % of completed complaints resolved within 4 weeks % coverage of HB population, using list sizes for GP practices taking part in Primary Care Collaborative % of children aged 0-17 years registered with an NHS dentist Latest Reported Period Date of latest Reporting report Frequency Comments Target not disaggregated below Board level Target not disaggregated below Board level (Expectation Dec qtr figure will be available March 2007) Target 95% nationally Target=20% reduction by 2013. May Board 2007

90.0% 91.3% 87.7% 90.5% 90.5% 91.5% 90.4% 11.3 16.4 13.2 17.5 18.6 9.9

Oct - Dec 06 2005

Quarterly Annual

0 5.38% 5.70% 5.90% 5.88% 5.70% 0 0 0 0 0 0 0 0 78% 79% 74% 69% 73% 94% 93% 92% 91% 91% 96% 97% 99% 98% 96% 25% (4) 60% 67% 60%

Completed Complaints Access to Services 3.01.K 3.02.K 3.03.K 3.04.K

0 0.50 0.50 0.50 0.50 1.7m 100% 100% 100% 100% 100% 100% 5.87% 6.12% 5.60% 5.66% 7.15% 5.49% 0 0 0 0 0 0 0 0 0 0 0 7 66% 74% 66% 73% 74% 69% 93% 94% 95% 93% 97% 97% 94% 97% 93% 67% 45% 34% 50% 50% 43% 100% 100% (2) (6) (7) (2) (6)

Feb 2007 Feb 2007 Feb 2007 Feb 2007 Feb 2007 Feb 2007 Feb 2007 Feb 2007 Jan 2007

Monthly Monthly Monthly Monthly Monthly Monthly Monthly Monthly Monthly

Balance budget measure of achievement - forecast 0.5m budget under spend As at Feb 2007 Target is 4.3% by March 2007. Target is 4% by 2008. No national target. Dunoon - cancellations due to equipment failure No national target National target is 96% Current position by month. No national target Target of 80% of complaints responded to within 4 weeks

Primary Care Team Access Dental Registrations Inpatient/Daycase Waiting Times over 6 months (31 December 2005) IP/DC waiting over 6 months excl. ASCs (all acute specialties) Inpatient/Daycase Waiting Times over 18 weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties)

N/A N/A 0 10 0 8 0 24 0 18 0 7

N/A N/A 0 9

N/A N/A 0 8

N/A 63% 0 5

N/A 65% 0 0

63% 65% 0 0 0 14 0

Phase 2 2006 March 2007 Feb 2007

Phases Annual Monthly Monthly

Target 80% by 2009. Info from NHS Highland Explosion Report as at 27th March 2007 Increase oin Draft position for March 2007 based on position on 27th March. March 2007 milestone = 73 (trajectories introduced from March 2007)

3.05.K 3.06.K 3.07.K 3.08.K 3.09.K 3.10.K 3.11.K 3.12.K

Inpatient/Daycase ASCs Outpatient Waiting Times over 6 months (31 December 2005) Outpatient Waiting Times over 18 weeks (31 December 2007) A&E Waits less than 4 hours Cataract Waiting Times over 3 months Hip Surgery Waiting Times over 48 hours Breast Cancer Waiting Times over 31 days

IN/DC waiting with an ASC (all acute specialties) New OP (GP/GDP ref) waiting over 26 weeks excl. ASCs (all acute specialties) New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (all acute specialties) % of patients waiting 4 hours or less from arrival to transfer or discharge Inpatient/day case patients waiting over 3 months % of Hip fracture operations performed within 48 hours of admission to orthopaedic speciality % of patients from diagnosis to treatment within 31 days % of patients urgently referred to treatment within 2 months Angiography patients waiting >8 weeks excl. ASCs Longest wait for radiology investigation: CT Scan Longest wait for radiology investigation: MRI Scan Longest wait for endoscopy investigation: Upper GI endoscopy Longest wait for endoscopy investigation: Lower GI endoscopy (including colonoscopy)

53 0 0 98%

61 0 1 99%

71 0 1 99%

81 0 3

76 0 4

72 0 13 98%

79 0 6 99%

89 0 1 100%

84 0 10 99%

92 0 10 99%

106 0 20 99%

85 0

March 2007 March 2007 Feb 2007 Feb 2007

Monthly Monthly Monthly Monthly Figures are drawn from local analysis. Only covers Lorn & Isles District General Hospital Procedure not carried out in Argyll & Bute Procedure not carried out in Argyll & Bute Patients referred to GGC All cancer sites included. All referrals included (not just GP).Target=98% - No data available within A&B at present - see status report. Procedure not carried out in Argyll & Bute Local trajectory milestone to be confirmed as part of diagnostic collaborative programme. Procedure not carried out in Argyll & Bute Local trajectory milestone to be confirmed as part of diagnostic collaborative programme. Local trajectory milestone to be confirmed as part of diagnostic collaborative programme. Info from NHS Highland Explosion Report as at 27th March 2007

98% 100%

Cancer Waiting Times over 2 months Angiography Waiting Times over 8 weeks 3.13.K Maximum Radiology Waiting Times: CT Scan 3.15.K Maximum Radiology Waiting Times: MRI Scan 3.16.K Maximum Endoscopy Waiting Times: Upper GI endoscopy 3.17.K Maximum Endoscopy Waiting Times: Lower GI endoscopy (including colonoscopy) 3.18.K Treatment Appropriate for Patient

Feb 2007

Monthly

14

17

20

22

20

20

20

18

14

10

12

Feb 2007

Monthly

18

21

24

25

20

21

22

20

14

12

14

Feb 2007

Monthly

4.01.K 4.03.K

Delayed Discharge over 6 weeks Cervical Screening rate QIS Clinical Governance & Risk Management Standards Improving

Total number of delayed discharges over 6 weeks % of 20-60 yr olds screened Number of points achieved (out of a possible 12) for 3 standards within QIS Clinical Governance & Risk Management assessment New Outpatient DNA numbers (this figure includes DNAs and CNWs, with or without ASCs ; all acute specialties) Days of stay in hospital (all acute specialties) MRSA bacteraemia rate

58

55

54

67

49

50

52

40

36

38

31

17

March 2007 Aug 2006

87.8% 88.0% 88.2% 88.5% 88.3%

The Scottish Executive Delayed Discharges target for A&B Partnership for Feb 2007 (over 6 weeks) Target is 13. Actual is 17 and (Short Stay) Target is 4 and Actual is 3 1.Percentage uptake is for 5.5 years ending in each respective month, 20-60 years old excluding medically exempt women; 2. August data not complete. Monthly Monthly

4.04.K

4.05.S 4.06.S 4.07.S

DNAs Average Length of Hospital Stay Hospital Acquired Infection

19 31 4.95% 7.18% 5.8 5.4

36 33 50 50 8% 8.35% 8.09% 9.04% 4.3 7.1 7.2 5.0

54 9.1% 5.6

61 7.9% 5.2

51 8.6% 4.5

50 7.8% 8.5

41 6.3% 5.3

Feb 2007 Feb 2007

No data available April to July figures are for LIDGH and MAH only. August & Sept covers LIDGH, MAH, Dunoon, Rothesay and Campbeltown. Rest of A&B end of Jan 07 once SCI outpatient roll out completed. Monthly Does not include geriatric medicine & excludes GP Acute Target not disaggregated below Board level - Last A &C report 0.11

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