Greenwich CCG Governing Body 9 January 2019 1 Safety and quality - - PowerPoint PPT Presentation

Greenwich CCG Governing Body – 9 January 2019

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Safety and quality

We are making progress:

• Clear priorities for the future
• Major CQC inspection in September 2018, reports published 9

January 2019

• Overall requires improvement for the Trust
• NHSI notified us in December that we are no longer on the

challenged provider list

• Improving Together programme and strategic Road Map

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January 2019 CQC final report ratings for whole Trust

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January 2019 CQC final report ratings per site compared to March 2017 ratings March 2017 CQC final report ratings for community health services

January 2019 CQC final report ratings – QEH

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Constitutional standards – A&E

• Current performance (cumulative year to date) at QEH of 85.8% against a

trajectory of 88.8%

• New capacity in place before Christmas with more to come (44 beds in

total) and effective implementation of the new clinical model

• Good joint working – Transfers of Care Group
• Non-elective activity broadly in line with plan
• 96.8% of ambulance handovers at QEH within 30 minutes

April May June July Aug Sep Oct Nov Dec Plan 85.4 85.9 86.2 86.7 87.0 87.5 88.0 88.3 88.8 Actual 85.5 86.6 87.0 87.2 87.0 86.4 86.4 86.0 85.8

New facility

Nursing team

New ward area

Constitutional standards – planned care

• Referral to treatment incomplete pathway – performance of 85.9% vs

trajectory of 89.1% (target 92%)

• Cancer performance strong on two week wait for urgent referrals – 96.8%

against a target of 93%

• 62 day referral to treatment performance for patients with cancer has

been more challenging – on trajectory for most of the summer but dipping in recent months (76%)

• New ways of working across South East London on cancer pathways –

important as many QEH patients will travel elsewhere for treatment such as complex surgery or radiotherapy.

Workforce

• Still the Trust’s greatest challenge as it is across the NHS
• Review of bullying and harassment published in December – crucial

moment for the Trust

• Recommendations from leadership capacity review being implemented
• Vacancy rate improved from 17.4% in April 2018 to 13.9% in December

2018 - 689 new staff since August with a “net joiner” position of 357

• Early feedback from staff survey shows significant improvement vs 2017
• Potential for closer working with RB Greenwich and across public sector?

Money

• On track to deliver our planned deficit of £53m
• Challenging discussions anticipated re 2019/20

plan – will be important to the tone that is set for partnership working in the future

• Drivers of our deficit

Partnership working

• Greater LGT focus on working with Greenwich out of

hospital system – key relationship with primary care

• Long Term Plan reinforced the priority on moving

away from transactional behaviours and developing local partnerships

• Integrated Care Systems to be in place across the

whole country by 2021

• Committed to further developing clinical networks

across SEL eg cancer, orthopaedics