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How we are performing

As a Special Health Board, we are set national performance targets by the Scottish Government. These targets are called HEAT and are designed to measure our performance against core priorities.

HEAT stands for:

Health Improvement for the people of Scotland – improving healthy life expectancy;
Efficiency and Governance Improvements - continually improve the efficiency of the NHS;
Access to Services – recognising patients’ need for quicker and easier use of NHS services;
Treatment appropriate to individuals – ensure patients receive high quality services that meet their needs.

Heat Delivery Plan 2010/11

The table below shows our HEAT targets and performance against them. Performance against these targets is reviewed continuously and reported to the Board every month.

HEAT targets and performance

Performance indicator	2010/11 full year targets	Performance Month July 2010	Shift on previous month/ quarter	Performance year to date to end July 2010	Comments
H1 Save more lives Rate of survival of cardiac arrests on arrival at hospital	12% - 20%	12.8%		13.3%
H2 Category A cardiac arrest patients Per cent of cardiac arrest patients responded to with eight minutes.	80%	83.2%		79.8%
H3 Response to Category A incidents Per cent Category A responded to within eight minutes	75%	76.4%		74.9%
H4 Response to Category B incidents Per cent of Category B incidents responded to within 14, 19 or 21 minutes	95%	94.9%		94.3%
H5 Response to emergencies on Island Boards Per cent of emergency incidents responded to within eight minutes	53%	61.0%		56.0%
E1 Sickness absence Rate of sickness absence	5%	5.0%		5.0%
E2 Reduce emissions Reduce energy consumption	2.5%			2.67%	Reported quarterly
E3 Universal use of Community Health Index number Percent of of Patient Transport Service journeys where Community Health Index number is used	85%	87.6%		87.3%
E5 Meet financial targets Operate within revenue and capital limits; meet the cash requirement	Meet target	£18,000		-£399,000
E6 Meet cash efficiency target Cash releasing savings achieved	2% (£3,903,000)	£94,000		£2,516,000
E10 Implement knowledge and skills framework 80 per cent of Agenda for Change staff to have had Knowledge & Skills Framework Personal Development Plan reviewed by March 2011	80%	3.75%	n/a	3.75%	15.5% Personal Development Plan started (target for Q1 20%)
A1 Response to urgent incidents Per cent of one hour urgent calls responded to within one hour	91%	92.6%		92.5%
A2 Patient Transport Service: punctuality for appointment Per cent of Priority one patients at hospital 30 minutes prior to appointment	72%			78.0%	Reported quarterly
A3 Patient Transport Service: punctuality for pick up after appointment Per cent of Priority one patients picked up 30 minutes after appointment	90%			86.0%	Reported quarterly
A4 Patient Transport Service: Journeys cancelled by Scottish Ambulance Service Per cent of Patient Transport Service journeys cancelled by Scottish Ambulance Service	<1%	0.4%		0.5%
T1 Improve health outcomes for patients NHS Quality Improvement Scotland standards for patient safety and clinical governance	10 or above				Performance against this indicator will not be formally assessed in 2010/11
T2 Health acquired infection Compliance with national Healthcare Associated Infection monitoring	Meet target	Performance against this indicator will be reported monthly as commentary
T3 Reduce hospital admissions Per cent of of emergency calls treated at scene	12%	10.3%		10.7%
T4 Scottish Early Warning System Per cent of patients with Scottish Early Warning System score above four taken to hospital	95-98%	96.7%		96.4%
T5 Hyper acute stroke Percent of hyper acute stroke patients taken to hospital within 60 minutes	80%	80.8%		76.8%

Category A – Category A calls are those calls deemed to be immediately life threatening e.g. hanging, drowning, severe asthma attack, heart attack

Category B – Category B calls are those calls that are serious & urgent e.g. epileptic fit, asthma attack

Category C – Category C calls are non-urgent calls but require being seen e.g. a fall resulting in a broken wrist

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How we are performing

HEAT targets and performance

Performance indicator

2010/11 full year targets

Performance Month

July 2010

Shift on previous month/ quarter

Performance year to date to end

July 2010

On track year to date

Comments

H1 Save more lives

Rate of survival of cardiac arrests on arrival at hospital

H2 Category A cardiac arrest patients

Per cent of cardiac arrest patients responded to with eight minutes.

H3 Response to Category A incidents

Per cent Category A responded to within eight minutes

H4 Response to Category B incidents

Per cent of Category B incidents responded to within 14, 19 or 21 minutes

H5 Response to emergencies on Island Boards

Per cent of emergency incidents responded to within eight minutes

E1 Sickness absence

Rate of sickness absence

E2 Reduce emissions

Reduce energy consumption

E3 Universal use of Community Health Index number

Percent of of Patient Transport Service journeys where Community Health Index number is used

E5 Meet financial targets

Operate within revenue and capital limits; meet the cash requirement

E6 Meet cash efficiency target

Cash releasing savings achieved

E10 Implement knowledge and skills framework

80 per cent of Agenda for Change staff to have had Knowledge & Skills Framework Personal Development Plan reviewed by March 2011

A1 Response to urgent incidents

Per cent of one hour urgent calls responded to within one hour

A2 Patient Transport Service: punctuality for appointment

Per cent of Priority one patients at hospital 30 minutes prior to appointment

A3 Patient Transport Service: punctuality for pick up after appointment

Per cent of Priority one patients picked up 30 minutes after appointment

A4 Patient Transport Service: Journeys cancelled by Scottish Ambulance Service

Per cent of Patient Transport Service journeys cancelled by Scottish Ambulance Service

T1 Improve health outcomes for patients

NHS Quality Improvement Scotland standards for patient safety and clinical governance

T2 Health acquired infection

Compliance with national Healthcare Associated Infection monitoring

T3 Reduce hospital admissions

Per cent of of emergency calls treated at scene

T4 Scottish Early Warning System

Per cent of patients with Scottish Early Warning System score above four taken to hospital

T5 Hyper acute stroke

Percent of hyper acute stroke patients taken to hospital within 60 minutes

2010/11
full year targets

Shift on
previous month/
quarter