NHS HIGHLAND BALANCED SCORECARD 2007/08

TOTAL NHS HIGHLAND October 2007

Reporting Periods
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period
latest report Frequency
Health Improvement Outturn
Target=improve rate in most deprived by 15%. Rate based on few deaths - 5
1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards 157 124 2005 Annual or less per annum.
Data Source: Scottish Health Survey. Baseline 25.9% introduced in 2004.
1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop 25.9 22.5 24.61 2006 Annual Target for 2005 was 25.2%.
1.03.K Immunisations - MMR MMR uptake rates (% at 5 years old) 91.0 Jan-Mar 07 Quarterly Target=95% uptake nationally. Q1 figures not yet available.
1.04.K Suicide Rates Rate per 100,000 population 18.7 16.1 16.6 2006 Annual Target=20% reduction by 2013.To be green, 2005 target was 17.3
Alternative Target 60% by 2010. By 2006 59% P1 children from DEPCAT 1,2,3 and 52%
1.08.K Dental Caries in Primary 1 Children % of P1 Children with no obvious decay experience 56% 2006 years from DEPCAT 4,5,6 had no obvious decay experience
National problems with SMR02 have led to delays in updates (excl A&B).
1.09.K Teenage Pregnancy Pregnancy rate (per 1000 population) for 13-15 year olds 5.5 2003/4 Annual Figure predates trajectory.
Efficiency
Forecast Deficit / Surplus for EY against total revenue resource limit
2.01.K Forecast Revenue Expenditure (000s) £6.9m n/a £0 £0 £0 July 2007 Monthly Forecast year end 2007/08 - breakeven
2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 4.88% 4.57% 5.02% 4.83% June 2007 Monthly Target is 4% by 2008. Figures from SWISS
2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 100% n/a 100% 100% 99% July 2007 Monthly Planned full achievement of CRS targets with small exception in SSU
90 59 66 72 94
2.06.S Cancelled Admissions IP/DC cancelled admissions 3.3% 2.5% 2.4% 2.9% 3.7% July 2007 Monthly A&B not included. No national target .
35 46 53 64
Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons 1.5% 1.7% 2.1% 2.5% July 2007 Monthly A&B not included. No national target .
2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 99.5% 97.9% Apr-Jun 07 Quarterly No national target
New national target 82.5% by December 2010. This is the position for 'Old'
Day cases & outpatients/total elective for set procedures defined by Highland. A&B data was not available. The first milestone is for June at 64%.
2.16.K Same Day Surgery the British association of Day Surgery 61.1% 64.9% 62.2% June 2007 Monthly The data will be revised next time to reflect A&B
2.17.K CHI Number Usage % of all laboratory requests made using a CHI number 96% 95% 91% 91% July 2007 Monthly National target is 96%. A&B included as from June
59% 70% 69% 90% 83%
Completed Complaints % of completed complaints resolved within 4 weeks (39) (37) (29) (38) (35) July 2007 Monthly Target=80% of complaints responded to within 4 weeks.
Access to Services
The measure is a % of practices claiming to meet the requirements for
3.01.K Primary Care Team Access a DES (Directly Enhanced Services) payment 100% Apr-Jun 07 Quarterly Includes A&B Data
Inpatient/Daycase Waiting Times over 18
3.04.K weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 0 0 0 0 1 July 2007 Monthly Final position for July 07. Figure includes A&B
Final position for July 07. Figure includes A&B. July target milestone = 940
3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (acute specialties recorded on MMI) 1266 1257 1205 1264 1269 July 2007 Monthly (revised for Unified Bd)
Outpatient Waiting Times over 18 weeks New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (acute Final position for July 2007. Figure includes A&B. Revised LDP milestone
3.07.K (31 December 2007) specialties recorded on MMI) 749 750 725 676 550 July 2007 Monthly July 2007 = 404
% of patients waiting 4 hours or less from arrival to admission, April - July 07 figures are for Raigmore, Caithness, Belford and Lorn & Isles
3.08.K A&E Waits to be a maximum of 4 hours discharge or transfer to A&E treatment 97% 97% 98% 99% 99% July 2007 Monthly Hospitals.
3.09A.K Cataract Waiting Times (Outpatient) Outpatients waiting over 9 weeks 5 3 6 20 21 July 2007 Monthly July 07 target = 17. The overall target is to achieve 0 by December 2007
3.09B.K Cataract Waiting Times (Inpatient/D/C) Inpatient/day case patients waiting over 9 weeks 19 20 9 15 23 July 2007 Monthly July 07 target = 2. The overall target is to achieve 0 by December 2007
% of Hip fracture operations performed within 24 hours of admission
3.10.K Hip Surgery Waiting Times within 24hrs to orthopaedic speciality 91% 100% 100% 94% 95% July 2007 Monthly April 2007 milestone = 96%
Target 100% By 2001 all patients diagnosed with Breast Cancer will be
Breast Cancer Waiting Times within 31 treated within 31 days of diagnosis. All data before Sept 06 is for 'Old'
3.11.K days % of patients treated within 31 days of diagnosis 63% 68.9% Jan-Mar 07 Quarterly Highland. Performance figures from July-Sept 06 include A&B.

3.24.K All Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral 73.4% 74% Jan-Mar 07 Quarterly All cancer sites included. All referrals included (not just GP). Target=95%
Maximum Cardiac Intervention Waiting
3.19A.K Times (Angiography) Number of inpatients/daycases waiting more than 4 weeks 29 34 35 0 10 July 2007 Monthly July 07 Milestone = 40
Maximum Cardiac Intervention Waiting
3.19B.K Times (Angioplasty/CABG Surgery) Not relevant to NHS Highland Not relevant to NHS Highland
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 4 0 0 0 0 July 2007 Monthly June LDP target = 0
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 49 58 44 38 0 July 2007 Monthly June LDP target = 0
Treatment Appropriate for Patient
4.01.K Delayed Discharges Total number of delayed discharges over 6 weeks 6 15 19 27 26 July 2007 Monthly To have no clients waiting over 6 weeks by April 2008 (Includes A&B)
By 2008-09 to reduce the proportion of people aged 65+ who are admitted
Nos. of patients (65+) admitted 2 or more times in 1 calendar year, as as an emergency inpatient 2 or more times in a year by 20% compared with
4.02.K Emergency Readmissions 65+ an emergency to acute specialities. Rate per 100,000 pop 8349 March 2006 Annual 2004-05. Includes A&B. Figure pre-dates trajectory.
As at 31st Doesn't include A&B; Uptake as per smear history within last 5 yrs - not the
4.03.K Cervical Screening rate % of 20-60 yr olds screened 82.0% March 07 Quarterly LDP target of 5.5 yrs
QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards
4.04.K Management Standards Improving within QIS Clinical Governance & Risk Management assessment 7 8 March 2007 Annual
New Outpatient DNA numbers (this figure includes DNAs and CNWs, 307 360 340 402
4.05.S DNAs with or without ASCs ; all acute specialties) 7% 8% 7% 369 8% 9% July 2007 Monthly
4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 7.2 7.1 5.8 6.4 6.7 July 2007 Monthly No national target
Bed Days Occupied for Continuous Inpatient Stays. Includes A&B. Figure
4.08.K Reduction in Emergency Bed Days 65+ No. of emergency bed days in acute specialties for patients 65+ 183648 March 2006 Annual predates trajectory.

MRSA Bacteraemias are within National Parameters.The National HAI

Prevalence Survey (July 2007) - NHS Highland is pleased with its
performance in relation to the national survey. Statistical analysis reveals that
To reduce all staphylococcus aureus bacteraemia (including MRSA) no NHS Highland hospital or speciality had an HAI prevalence rate that
4.09.K Health Care Associated Infection by 30% by 2010 Jan-Mar 07 Quarterly breached the upper 95% Cl: i.e. all were within the accepted range.
The rate of increase of defined daily dose (DDD) per capita of anti- To reduce the annual rate of increase of DDD per capita of anti-depressants
4.10.K Prescribing of anti-depressants depressants 1.56% 1.35% Q1 2007/08 Quarterly to 0 by 2009/10. Trajectory to begin next quarter
4.11.K Reduction in Psychiatric Admissions Reduce the number of readmissions (within 1 year) for those that New indicator still to come onstream. Data provided to each CMHT for clients
have had a psychiatric hospital admission of over 7 days by 10% by with patterns of readmission. Discussions underway regarding individual
the end of December 2009 management of these clients.
NHS HIGHLAND BALANCED SCORECARD 2007/08

NHS HIGHLAND CANCER & DIAGNOSTICS October 2007

Reporting Periods
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period latest report Frequency

Access to Services Outturn

Target 100% By 2001 all patients diagnosed with Breast Cancer will be treated
Breast Cancer Waiting Times within 31 within 31 days of diagnosis. All data before Sept 06 is for 'Old' Highland.
3.11.K days % of patients treated within 31 days of diagnosis 63% 63% 68.9% Jan-Mar 07 Quarterly Performance figures from July-Sept 06 include A&B.
Leukaemia Cancer Waiting Times By 2001, the maxium wait from urgent referral to treatment for acute leukemia
within 31 days % of patients treated within 31 days of diagnosis 100% 100% Oct-Dec 06 Quarterly will be one month. Jan-Mar not yet available
All Cancer Waiting Times within 62
3.24.K days % of patients treated within 62 days of urgent referral 69.1% 73.4% 74% Jan-Mar 07 Quarterly All cancer sites combined. All referrals included (not just GP). Target=95%

By 31 December 2005 no patient urgently referred for cancer treatment should

Breast Cancer Waiting Times within 62 wait more than 2 months. (62 day target). 50% validated. All data before Sep
days % of patients treated within 62 days of urgent referral 47% 79.2% 91.3% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Urology (Prostate) Cancer Waiting wait more than 2 months. (62 day target). 50% validated. All data before Sep
Times within 62 days % of patients treated within 62 days of urgent referral 30% 44.4% 41.7% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Urology (Bladder) Cancer Waiting wait more than 2 months. (62 day target). 50% validated. All data before Sep
Times within 62 days % of patients treated within 62 days of urgent referral 100% 66.7% 100% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Lung Cancer Waiting Times within 62 wait more than 2 months. (62 day target). 50% validated. All data before Sep
days % of patients treated within 62 days of urgent referral 94% 75% 72.2% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Colorectal Cancer Waiting Times wait more than 2 months. (62 day target). 50% validated. All data before Sep
within 62 days % of patients treated within 62 days of urgent referral 64% 61.1% 90% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Head & Neck Cancer Waiting Times wait more than 2 months. (62 day target). 50% validated. All data before Sep
within 62 days % of patients treated within 62 days of urgent referral 71% 66.7% 33.3% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Skin Cancer Waiting Times within 62 wait more than 2 months. (62 day target). 50% validated. All data before Sep
days % of patients treated within 62 days of urgent referral 50% 75% 100% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Upper GI - OG Cancer Waiting Times wait more than 2 months. (62 day target). 50% validated. All data before Sep
within 62 days % of patients treated within 62 days of urgent referral 79% 55.6% 57.1% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Upper GI - HPB Cancer Waiting Times wait more than 2 months. (62 day target). 50% validated. All data before Sep
within 62 days % of patients treated within 62 days of urgent referral 100% 100% 60% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Gynae - Ovarian Cancer Waiting wait more than 2 months. (62 day target). 50% validated. All data before Sep
Times within 62 days % of patients treated within 62 days of urgent referral 87.5% 100% 100% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.

By 31 December 2005 no patient urgently referred for cancer treatment should

Haematology Lymphoma Cancer wait more than 2 months. (62 day target). 50% validated. All data before Sep
Waiting Times within 62 days % of patients treated within 62 days of urgent referral 73% 80% 100% Jan-Mar 07 Quarterly 06 is for 'Old' Highland. Figures from July-Sept 06 data includes A&B.
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 0 0 0 0 July 2007 Monthly
Maximum Radiology Waiting Times:
MRI Scan Longest wait for radiology investigation: MRI Scan 8 9 9 9 July 2007 Monthly June 2007 target is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: CT Scan 7 7 5 6 July 2007 Monthly June 2007 target is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Barium Studies 7 6 6 7 July 2007 Monthly June 2007 target is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Ultrasound non-obstetric 9 7 6 9 July 2007 Monthly June 2007 target is 9 weeks
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 58 44 38 0 July 2007 Monthly July 2007
Maximum Endoscopy Waiting Times:
Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 16 16 15 9 July 2007 Monthly July 2007 target is 9 weeks
Maximum Endoscopy Waiting Times:
Lower GI endoscopy (excluding Longest wait for endoscopy investigation: Lower GI endoscopy
colonoscopy) (excluding colonoscopy) 16 16 17 9 July 2007 Monthly July 2007 target is 9 weeks
Maximum Endoscopy Waiting Times:
Colonoscopy Longest wait for colonoscopy investigation 16 17 14 9 July 2007 Monthly July 2007 target is 9 weeks
Maximum Endoscopy Waiting Times:
Cystoscopy Longest wait for cystoscopy investigation 15 15 13 8 July 2007 Monthly July 2007 target is 9 weeks
NHS HIGHLAND BALANCED SCORECARD 2007/08

SPECIALIST SERVICES UNIT October 2007

Reporting Period
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period
latest report Frequency
Health Improvement Outturn
1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not relevant for this operational unit
1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not relevant for this operational unit
1.03.K Immunisations - MMR MMR uptake rates (% at 5 years old) Target not relevant for this operational unit
1.04.K Suicide Rates Rate per 100,000 population Target not relevant for this operational unit
1.08.K Dental Caries in Primary 1 Children % of P1 Children with no obvious decay experience Target not relevant for this operational unit
1.09.K Teenage Pregnancy Pregnancy rate (per 1000 population) for 13-15 year olds Target not relevant for this operational unit
Efficiency
Forecast Deficit / Surplus for EY against total revenue resource limit
2.01.K Forecast Revenue Expenditure (000s) £0 n/a £0 £101 £101 July 2007 Monthly £101 overspend against operational budget
2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 4.30% 4.04% 4.71 4.35% June 2007 Monthly Target is 4% by 2008. Figures from SSPS.

2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 97% n/a 100% 100% 95% July 2007 Monthly Planned full achievement of CRS targets
77 48 41 64 83
2.06.S Cancelled Admissions IP/DC cancelled admissions 3.4% 2.5% 1.9% 3.1% 4% July 2007 Monthly No national target
58 30 28 47 62
Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons 2.6% 1.6% 1.3% 2.3% 3% July 2007 Monthly No national target
2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 99.5% 98.3% Apr-Jun 07 Quarterly No national target
Day cases & outpatients/total elective for set procedures defined by New national target 82.5% for Highland by December 2010. First milestone is
2.16.K Same Day Surgery the British association of Day Surgery 61.2% 65.5% 62.4% June 2007 Monthly for June 07 at 64%
2.17.K CHI Number Usage % of all laboratory requests made using a CHI number Not currently available at CHP level
65% 72% 75% 88% 87%
Completed Complaints % of completed complaints resolved within 4 weeks (17) (18) (12) (24) (15) July 2007 Monthly Target=80% of complaints responded to within 4 weeks.
Access to Services
The measure is a % of practices claiming to meet the requirements for
3.01.K Primary Care Team Access a DES (Directly Enhanced Services) payment Target not relevant for this operational unit
Inpatient/Daycase Waiting Times over 18
3.04.K weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 0 0 0 0 0 July 2007 Monthly Final position for July 2007
3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (acute specialties recorded on MMI) 932 937 927 955 933 July 2007 Monthly Final position for July 2007. July 2007 milestone = 733
Outpatient Waiting Times over 18 weeks New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (acute
3.07.K (31 December 2007) specialties recorded on MMI) 743 745 716 672 542 July 2007 Monthly Final position for July 2007. Revised milestone=384
% of patients waiting 4 hours or less from arrival to admission,
3.08.K A&E Waits to be a maximum of 4 hours discharge or transfer to A&E treatment 96% 96% 96% 98% 98% July 2007 Monthly June 07 target is 97%. The overall target is to achieve 98% by Dec 07
3.09A.K Cataract Waiting Times (Outpatient) Outpatients waiting over 9 weeks 5 3 6 20 21 July 2007 Monthly July 07 target is 17. The overall target is to achieve 0 by Dec 2007
3.09B.K Cataract Waiting Times (Inpatient/D/C) Inpatient/day case patients waiting over 9 weeks 19 20 9 15 23 July 2007 Monthly July 07 target is 2. The overall target is to achieve 0 by Dec 2007
% of Hip fracture operations performed within 24 hours of admission
3.10.K Hip Surgery Waiting Times within 24hrs to orthopaedic speciality 91% 100% 100% 94% 95% July 2007 Monthly April 07 milestone=96%
Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Target not relevant for this operational unit
3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Target not relevant for this operational unit
Maximum Cardiac Intervention Waiting
3.19A.K Times (Angiography) Number of inpatients/daycases waiting more than 4 weeks 29 34 35 0 10 July 2007 Monthly July 2007 Milestone = 40
Maximum Cardiac Intervention Waiting
3.19B.K Times (Angioplasty/CABG Surgery) Not relevant to NHS Highland Not relevant to NHS Highland
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 0 0 0 0 0 July 2007 Monthly June LDP target =0
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 9 7 5 11 0 July 2007 Monthly June LDP target = 0
Treatment Appropriate for Patient
4.01.K Delayed Discharges Total number of delayed discharges over 6 weeks 0 0 0 1 1 July 2007 Monthly To have no clients waiting over 6 weeks by April 2008
Nos. of patients (65+) admitted 2 or more times in 1 calendar year, as
4.02.K Emergency Readmissions 65+ an emergency to acute specialities. Rate per 100,000 pop Annual Disaggregation in progress
4.03.K Cervical Screening rate % of 20-60 yr olds screened Target not relevant for this operational unit
QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards
4.04.K Management Standards Improving within QIS Clinical Governance & Risk Management assessment Target not disaggregated below Board level
New Outpatient DNA numbers (this figure includes DNAs and CNWs, 377 320 301
4.05.S DNAs with or without ASCs ; all acute specialties) 8% 8% 7% 341 8% 360 9% July 2007 Monthly No national target
4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 6.0 6.3 5.4 6.2 6.3 July 2007 Monthly
4.08.K Reduction in Emergency Bed Days 65+ No. of emergency bed days in acute specialties for patients 65+ Annual Disaggregation in progress
To reduce all staphylococcus aureus bacteraemia (including MRSA)
4.09.K Health Care Associated Infection by 30% by 2010 Target not disaggregated below Board level
The rate of increase of defined daily dose (DDD) per capita of anti-
4.10.K Prescribing of anti-depressants depressants Target not relevant for this operational unit
4.11.K Reduction in Psychiatric Admissions Reduce the number of readmissions (within 1 year) for those that
have had a psychiatric hospital admission of over 7 days by 10% by
the end of December 2009 Target not relevant for this operational unit
NHS HIGHLAND BALANCED SCORECARD 2007/08

SSU CANCER & DIAGNOSTICS October 2007

Reporting Periods
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period latest report Frequency

Access to Services Outturn

Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Quarterly Not applicable to this operational unit
Leukaemia Cancer Waiting Times over
31 days % of patients from diagnosis to treatment within 31 days Quarterly Not applicable to this operational unit

3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Breast Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Urology (All) Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Urology (Prostate) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Urology (Bladder) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Lung Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Colorectal Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Head & Neck Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Skin Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Upper GI - OG Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Upper GI - HPB Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Gynae - Ovarian Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Haematology Lymphoma Cancer
Waiting Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 0 0 0 0 July 2007 Monthly July 2007
Maximum Radiology Waiting Times:
MRI Scan Longest wait for radiology investigation: MRI Scan 8 9 9 9 July 2007 Monthly July target is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: CT Scan 7 7 5 6 July 2007 Monthly July target is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Barium Studies 2 5 5 6 July 2007 Monthly July target is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Ultrasound non-obstetric 7 7 6 7 July 2007 Monthly July target is 9 weeks
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 7 5 11 0 July 2007 Monthly July 2007
Maximum Endoscopy Waiting Times:
Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 7 0 4 6 July 2007 Monthly July target is 9 weeks
Maximum Endoscopy Waiting Times:
Lower GI endoscopy (excluding Longest wait for endoscopy investigation: Lower GI endoscopy
colonoscopy) (excluding colonoscopy) 10 4 12 9 July 2007 Monthly July target is 9 weeks
Maximum Endoscopy Waiting Times:
Colonoscopy Longest wait for colonoscopy investigation 10 11 11 9 July 2007 Monthly July target is 9 weeks
Maximum Endoscopy Waiting Times:
Cystoscopy Longest wait for cystoscopy investigation 13 0 10 6 July 2007 Monthly July target is 9 weeks
NHS HIGHLAND BALANCED SCORECARD 2007/08

NORTH HIGHLAND CHP October 2007

Reporting Period
Indicator HEAT Measure Detail Date of latest Reporting Comments
Latest Reported Period
report Frequency
Health Improvement Outturn
1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level
1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level
1.03.K Immunisations - MMR MMR uptake rates (% at 5 years old) 88.9 Jan-Mar 07 Quarterly Target=95% uptake nationally
1.04.K Suicide Rates Rate per 100,000 population Target not disaggregated below Board level
1.08.K Dental Caries in Primary 1 Children % of P1 Children with no obvious decay experience 61.5 2006 Annual
1.09.K Teenage Pregnancy Pregnancy rate (per 1000 population) for 13-15 year olds Target not disaggregated below Board level
Efficiency

2.01.K Forecast Revenue Expenditure Forecast Deficit / Surplus for EY against total revenue resource limit £6.7m n/a £0 £0 £0 July 2007 Monthly Balance budget measure of achievement
2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 6.37% 5.11% 5.59% 5.84% June 2007 Monthly Target is 4% by 2008. Figures from SSPS
2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 100% n/a 100% 100% 100% July 2007 Monthly Planned full achievement of CRS targets
12 4 5 8 2
2.06.S Cancelled Admissions IP/DC cancelled admissions 4.5% 1.7% 1.5% 3.1% 0.7% July 2007 Monthly No national target
0 4 3 6 2
Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons 0.0% 1.7% 0.9% 2.3% 0.7% July 2007 Monthly No national target
2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 99.9% 99.4% Apr-Jun 07 Quarterly No national target
Day cases & outpatients/total elective for set procedures defined by New national target 82.5% for Highland by December 2010. The first
2.16.K Same Day Surgery the British association of Day Surgery 77.8% 73.1% 64.7% June 2007 Monthly milestone is for June at 64%
2.17.K CHI Number Usage % of all laboratory requests made using a CHI number Not currently available at CHP level
0% 100% 67% 100%
Completed Complaints % of completed complaints resolved within 4 weeks (1) (10) (3) (1) 0 July 2007 Monthly Target=80% of complaints responded to within 4 weeks.
Access to Services
The measure is a % of practices claiming to meet the requirements for
3.01.K Primary Care Team Access a DES (Directly Enhanced Services) payment 100% Apr-Jun 07 Quarterly
Inpatient/Daycase Waiting Times over 18
3.04.K weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 0 0 0 0 0 July 2007 Monthly Final position for July 2007
3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (acute specialties recorded on MMI) 104 101 86 95 132 July 2007 Monthly Final position for July 2007. July 2007 milestone = 60
Outpatient Waiting Times over 18 weeks New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (acute
3.07.K (31 December 2007) specialties recorded on MMI) 2 1 4 3 8 July 2007 Monthly Final position for July 2007. Revised milestone = 0
% of patients waiting 4 hours or less from arrival to admission,
3.08.K A&E Waits to be a maximum of 4 hours discharge or transfer to A&E treatment 98% 99% 99% 99% 99% July 2007 Monthly Figures drawn from local analysis
3.09A.K Cataract Waiting Times (Outpatient) Outpatients waiting over 9 weeks Target not applicable to this operational unit
3.09B.K Cataract Waiting Times (Inpatient/D/C) Inpatient/day case patients waiting over 9 weeks Target not applicable to this operational unit
% of Hip fracture operations performed within 24 hours of admission Target not applicable to this operational unit
3.10.K Hip Surgery Waiting Times within 24hrs to orthopaedic speciality
Breast Cancer Waiting Times over 31 Target not applicable to this operational unit
3.11.K days % of patients treated within 31 days of diagnosis
3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Target not applicable to this operational unit
Maximum Cardiac Intervention Waiting Target not applicable to this operational unit
3.19A.K Times (Angiography) Number of inpatients/daycases waiting more than 4 weeks
Maximum Cardiac Intervention Waiting
3.19B.K Times (Angioplasty/CABG Surgery) Not relevant to NHS Highland Not relevant to NHS Highland
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 0 0 0 0 0 July 2007 Monthly June LDP target=0
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 25 35 22 15 0 July 2007 Monthly June LDP target = 0
Treatment Appropriate for Patient
4.01.K Delayed Discharges Total number of delayed discharges over 6 weeks 1 3 3 7 7 July 2007 Monthly To have no clients waiting over 6 weeks by April 2008
By 2008-09 to reduce the proportion of people aged 65+ who are admitted
Nos. of patients (65+) admitted 2 or more times in 1 calendar year, as as an emergency inpatient 2 or more times in a year by 20% compared with
4.02.K Emergency Readmissions 65+ an emergency to acute specialities. Rate per 100,000 pop 4724 March 2006 Annual 2004-05.
As at 31st
4.03.K Cervical Screening rate % of 20-60 yr olds screened 85% March 07 Quarterly Uptake as per smear history within last 5 yrs - not the LDP target of 5.5 yrs
4.04.K QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards
Management Standards Improving within QIS Clinical Governance & Risk Management assessment Target not disaggregated below Board level
4.05.S New Outpatient DNA numbers (this figure includes DNAs and CNWs, 27 23 19 13 7%
DNAs with or without ASCs ; all acute specialties) 9% 8% 5% 19 7% July 2007 Monthly No national target
4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 7.8 16.4 10.1 9.7 8.9 July 2007 Monthly No national target
4.08.K Reduction in Emergency Bed Days 65+ No. of emergency bed days in acute specialties for patients 65+ 26949 March 2006 Annual Bed days occupied for Continuous Inpatient Stays
4.09.K To reduce all staphylococcus aureus bacteraemia (including MRSA)
Health Care Associated Infection by 30% by 2010 Target not disaggregated below Board level
The rate of increase of defined daily dose (DDD) per capita of anti- To reduce the annual rate of increase of DDD per capita of anti-depressants
4.10.K Prescribing of anti-depressants depressants 2.14% 2.30% Q1 2007/08 Quarterly to 0 by 2009/10. Trajectory to begin next quarter
4.11.K Reduction in Psychiatric Admissions Reduce the number of readmissions (within 1 year) for those that New indicator still to come onstream. Data provided to each CMHT for clients
have had a psychiatric hospital admission of over 7 days by 10% by with patterns of readmission. Discussions underway regarding the individual
the end of December 2009 management of these clients.
NHS HIGHLAND BALANCED SCORECARD 2007/08
NORTH CHP CANCER & DIAGNOSTICS
Indicator HEAT Measure
Access to Services
Breast Cancer Waiting Times over 31
3.11.K days
Leukaemia Cancer Waiting Times over
31 days
3.12.K Cancer Waiting Times within 62 days
Breast Cancer Waiting Times within 62
days
Urology (All) Cancer Waiting Times
within 62 days
Urology (Prostate) Cancer Waiting
Times within 62 days
Urology (Bladder) Cancer Waiting
Times within 62 days
Lung Cancer Waiting Times within 62
days
Colorectal Cancer Waiting Times
within 62 days
Head & Neck Cancer Waiting Times
within 62 days
Skin Cancer Waiting Times within 62
days
Upper GI - OG Cancer Waiting Times
within 62 days
Upper GI - HPB Cancer Waiting Times
within 62 days
Gynae - Ovarian Cancer Waiting
Times within 62 days
Haematology Lymphoma Cancer
Waiting Times within 62 days
3.25.K Waiting Times For Diagnostic Scans
Maximum Radiology Waiting Times:
MRI Scan
Maximum Radiology Waiting Times:
CT Scan
Maximum Radiology Waiting Times:
CT Scan
Maximum Radiology Waiting Times:
CT Scan
3.26.K Waiting Times For Diagnostic Scopes
Maximum Endoscopy Waiting Times:
Upper GI endoscopy
Maximum Endoscopy Waiting Times:
Lower GI endoscopy (excluding
colonoscopy)
Maximum Endoscopy Waiting Times:
Colonoscopy
Maximum Endoscopy Waiting Times:
Cystoscopy
October 2007
Reporting Periods
Detail Date of Reporting Comments
Latest Reported Period latest report Frequency
Outturn
% of patients treated within 31 days of diagnosis Quarterly Not applicable to this operational unit
% of patients from diagnosis to treatment within 31 days Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
% of patients treated within 62 days of urgent referral Quarterly Not applicable to this operational unit
Number of patients waiting over 9 weeks for MRI/CT/Barium
studies/Ultrasound non-obstetric. 0 0 0 0 July 2007 Monthly
Target not applicable to this operational unit
Longest wait for radiology investigation: MRI Scan
Target not applicable to this operational unit
Longest wait for radiology investigation: CT Scan
Longest wait for radiology investigation: Barium Studies 5 6 5 7 July 2007 Monthly July 2007 target is 9 weeks
Longest wait for radiology investigation: Ultrasound non-obstetric 8 7 6 8 July 2007 Monthly July 2007 target is 9 weeks
Number of patient waiting over 9 weeks for
gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 35 22 15 0 July 2007 Monthly Jul-07
Longest wait for endoscopy investigation: Upper GI endoscopy 16 11 15 7 July 2007 Monthly July 2007 target is 9 weeks
Longest wait for endoscopy investigation: Lower GI endoscopy
(excluding colonoscopy) 14 10 11 4 July 2007 Monthly July 2007 target is 9 weeks
Longest wait for colonoscopy investigation 16 10 14 7 July 2007 Monthly July 2007 target is 9 weeks
Longest wait for cystoscopy investigation 0 0 0 0 July 2007 Monthly July 2007 target is 9 weeks
NHS HIGHLAND BALANCED SCORECARD 2007/08

MID HIGHLAND CHP October 2007

Reporting Period
Indicator HEAT Measure Detail Date of latest Reporting Comments
Latest Reported Period
report Frequency
Health Improvement Outturn
1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level
1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level
1.03.K Immunisations - MMR MMR uptake rates (% at 5 years old) 89.4 Jan-Mar 07 Quarterly Target=95% uptake nationally
1.04.K Suicide Rates Rate per 100,000 population Target not disaggregated below Board level
1.08.K Dental Caries in Primary 1 Children % of P1 Children with no obvious decay experience 62 2006 Annual
1.09.K Teenage Pregnancy Pregnancy rate (per 1000 population) for 13-15 year olds Target not disaggregated below Board level
Efficiency
Forecast Deficit / Surplus for EY against total revenue resource limit
2.01.K Forecast Revenue Expenditure (000s) £0 n/a £0 £0 £0 July 2007 Monthly Balance budget measure of achievement
2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 5.58% 4.66% 5.48% 5.07% June 2007 Monthly Target is 4% by 2008.Figures from SSPS
2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 100% n/a 100% 100% 100% July 2007 Monthly Planned full achievement of CRS target
1 7 20 9
2.06.S Cancelled Admissions IP/DC cancelled admissions 0.4% 3.2% 8.2% 0 0% 7.1% July 2007 Monthly No national target
1 1 15 0
Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons 0.4% 0.5% 6.1% 0 0% 0% July 2007 Monthly No national target
2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 99.2% 94.9% Apr-Jun 07 Quarterly No national target
Day cases & outpatients/total elective for set procedures defined by New national target 82.5% for Highland by December 2010. The first
2.16.K Same Day Surgery the British association of Day Surgery 46.4% 46.2% 57.9% June 2007 Monthly milestone is for June at 64%
2.17.K CHI Number Usage % of all laboratory requests made using a CHI number Not currently available at CHP level
50% 57% 75% 100% 60%
Completed Complaints % of completed complaints resolved within 4 weeks (4) (7) (4) (4) (5) July 2007 Monthly Target=80% of complaints responded to within 4 weeks.
Access to Services
The measure is a % of practices claiming to meet the requirements for 1 practice out of 34 are not currently compliant but are part of the Scottish
3.01.K Primary Care Team Access a DES (Directly Enhanced Services) payment 97% Apr-Jun 07 Quarterly Primary Care Collaborative & working on achieving compliance
Inpatient/Daycase Waiting Times over 18
3.04.K weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 0 0 0 0 1 July 2007 Monthly Final position for July 2007
3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (acute specialties recorded on MMI) 145 138 133 136 129 July 2007 Monthly Final position for July 2007. July 2007 milestone = 87
Outpatient Waiting Times over 18 weeks New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (acute
3.07.K (31 December 2007) specialties recorded on MMI) 0 0 0 1 0 July 2007 Monthly Final position for July 2007.Revised milestone= 0
% of patients waiting 4 hours or less from arrival to admission,
3.08.K A&E Waits to be a maximum of 4 hours discharge or transfer to A&E treatment 99% 99% 98% 98% 98% July 2007 Monthly Figures drawn from local analysis. Figures shown for Belford only.
3.09A.K Cataract Waiting Times (Outpatient) Outpatients waiting over 9 weeks Target not relevant for this Operational Unit
3.09B.K Cataract Waiting Times (Inpatient/D/C) Inpatient/day case patients waiting over 9 weeks Target not relevant for this Operational Unit
% of Hip fracture operations performed within 24 hours of admission
3.10.K Hip Surgery Waiting Times within 24hrs to orthopaedic speciality Target not relevant for this Operational Unit
Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Target not relevant for this Operational Unit
3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Target not relevant for this Operational Unit
Maximum Cardiac Intervention Waiting
3.19A.K Times (Angiography) Number of inpatients/daycases waiting more than 4 weeks Target not relevant for this Operational Unit
Maximum Cardiac Intervention Waiting
3.19B.K Times (Angioplasty/CABG Surgery) Not relevant to NHS Highland Not relevant to NHS Highland
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 0 0 0 0 0 July 2007 Monthly June LDP target = 0
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 15 13 17 12 0 July 2007 Monthly June LDP target = 0
Treatment Appropriate for Patient
4.01.K Delayed Discharges Total number of delayed discharges over 6 weeks 5 2 7 4 4 July 2007 Monthly To have no clients waiting over 6 weeks by April 2008
By 2008-09 to reduce the proportion of people aged 65+ who are admitted
Nos. of patients (65+) admitted 2 or more times in 1 calendar year, as as an emergency inpatient 2 or more times in a year by 20% compared with
4.02.K Emergency Readmissions 65+ an emergency to acute specialities. Rate per 100,000 pop 3833 March 2006 Annual 2004-05
As at 31st Uptake as per smear history within the last 5 yrs - not the LDP target of
4.03.K Cervical Screening rate % of 20-60 yr olds screened 81.9% March 07 Quarterly 5.5yrs
QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards
4.04.K Management Standards Improving within QIS Clinical Governance & Risk Management assessment Target not disaggregated below Board level
New Outpatient DNA numbers (this figure includes DNAs and CNWs, 15 17 20 23
4.05.S DNAs with or without ASCs ; all acute specialties) 9% 9% 10% 15 9% 11% July 2007 Monthly No national target
4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 5.1 4.9 4.4 4.7 7.2 July 2007 Monthly No national target
4.08.K Reduction in Emergency Bed Days 65+ No. of emergency bed days in acute specialties for patients 65+ 45912 March 2006 Annual Bed Days Occupied for Continuous Inpatient Stays
To reduce all staphylococcus aureus bacteraemia (including MRSA)
4.09.K Health Care Associated Infection by 30% by 2010 Target not disaggregated below Board level
The rate of increase of defined daily dose (DDD) per capita of anti- To reduce the annual rate of increase of DDD per capita of anti-depressants
4.10.K Prescribing of anti-depressants depressants 0.85% 0.58% Q1 2007/08 Quarterly to 0 by 2009/10. Trajectory to begin next quarter
4.11.K Reduction in Psychiatric Admissions Reduce the number of readmissions (within 1 year) for those that New indicator still to come onstream. Data provided to each CMHT for clients
have had a psychiatric hospital admission of over 7 days by 10% by with patterns of readmission. Discussions underway regarding the individual
the end of December 2009 management of these clients.
NHS HIGHLAND BALANCED SCORECARD 2007/08

Mid CHP CANCER & DIAGNOSTICS October 2007

Reporting Periods
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period latest report Frequency

Access to Services Outturn

Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Not applicable to this operational unit
Leukaemia Cancer Waiting Times over
31 days % of patients from diagnosis to treatment within 31 days Not applicable to this operational unit

3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Breast Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Urology (All) Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Urology (Prostate) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Urology (Bladder) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Lung Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Colorectal Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Head & Neck Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Skin Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Upper GI - OG Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Upper GI - HPB Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Gynae - Ovarian Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Haematology Lymphoma Cancer
Waiting Times within 62 days % of patients treated within 62 days of urgent referral Not applicable to this operational unit
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 0 0 0 0 July 2007 Monthly
Maximum Radiology Waiting Times:
MRI Scan Longest wait for radiology investigation: MRI Scan Not applicable to this operational unit
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: CT Scan 4 5 4 5 July 2007 Monthly June 2007 milestone is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Barium Studies 7 3 5 7 July 2007 Monthly June 2007 milestone is 9 weeks
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Ultrasound non-obstetric 4 4 4 7 July 2007 Monthly June 2007 milestone is 9 weeks
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 13 17 12 0 July 2007 Monthly July 2007
Maximum Endoscopy Waiting Times:
Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 12 16 12 6 July 2007 Monthly July 2007 - milestone is 9 weeks
Maximum Endoscopy Waiting Times:
Lower GI endoscopy (excluding Longest wait for endoscopy investigation: Lower GI endoscopy
colonoscopy) (excluding colonoscopy) 16 16 17 7 July 2007 Monthly July 2007 - milestone is 9 weeks
Maximum Endoscopy Waiting Times:
Colonoscopy Longest wait for colonoscopy investigation 9 13 6 7 July 2007 Monthly July 2007 - milestone is 9 weeks
Maximum Endoscopy Waiting Times:
Cystoscopy Longest wait for cystoscopy investigation 15 15 13 6 July 2007 Monthly July 2007 - milestone is 9 weeks
NHS HIGHLAND BALANCED SCORECARD 2007/08

SOUTH EAST HIGHLAND CHP October 2007

Reporting Period
Indicator HEAT Measure Detail Date of latest Reporting Comments
Latest Reported Period
report Frequency
Health Improvement Outturn
1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level
1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level
1.03.K Immunisations - MMR MMR uptake rates (% at 5 years old) 91.8 Jan-Mar 07 Quarterly Target=95% uptake nationally
1.04.K Suicide Rates Rate per 100,000 population Target not disaggregated below Board level
1.08.K Dental Caries in Primary 1 Children % of P1 Children with no obvious decay experience 48.5 2006 Annual
1.09.K Teenage Pregnancy Pregnancy rate (per 1000 population) for 13-15 year olds Target not disaggregated below Board level
Efficiency
Forecast Deficit / Surplus for EY against total revenue resource limit
2.01.K Forecast Revenue Expenditure (000s) £0 n/a £0 £0 £0 July 2007 Monthly Balance budget measure of achievement
2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 4.13% 4.16% 4.10% 3.74% June 2007 Monthly Target is 4% by 2008.Figures from SSPS
2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 100% n/a 100% 100% 100% July 2007 Monthly Planned full achievement of CRS targets
2.06.S Cancelled Admissions IP/DC cancelled admissions Not applicable for this Operational Unit
Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons Not applicable for this Operational Unit
2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 98.7% 94.3% Apr-Jun 07 Quarterly No national target
Day cases & outpatients/total elective for set procedures defined by
2.16.K Same Day Surgery the British association of Day Surgery New national target 82.5% by December 2010. Data not yet available
2.17.K CHI Number Usage % of all laboratory requests made using a CHI number Not available at CHP level
60% 86% 50% 75% 80%
Completed Complaints % of completed complaints resolved within 4 weeks (10) (7) (6) (4) (5) July 2007 Monthly Target=80% of complaints responded to within 4 weeks.
Access to Services
The measure is a % of practices claiming to meet the requirements for
3.01.K Primary Care Team Access a DES (Directly Enhanced Services) payment 100% Apr-Jun 07 Quarterly
Inpatient/Daycase Waiting Times over 18
3.04.K weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) Not applicable for this Operational Unit
3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (acute specialties recorded on MMI) Not applicable for this Operational Unit
Outpatient Waiting Times over 18 weeks New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (acute
3.07.K (31 December 2007) specialties recorded on MMI) Not applicable for this Operational Unit
% of patients waiting 4 hours or less from arrival to admission,
3.08.K A&E Waits to be a maximum of 4 hours discharge or transfer to A&E treatment Not applicable for this Operational Unit
3.09A.K Cataract Waiting Times (Outpatient) Outpatients waiting over 9 weeks Not applicable for this Operational Unit
3.09B.K Cataract Waiting Times (Inpatient/D/C) Inpatient/day case patients waiting over 9 weeks Not applicable for this Operational Unit
% of Hip fracture operations performed within 24 hours of admission
3.10.K Hip Surgery Waiting Times within 24hrs to orthopaedic speciality Not applicable for this Operational Unit
Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Not applicable for this Operational Unit
3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Not applicable for this Operational Unit
Maximum Cardiac Intervention Waiting
3.19A.K Times (Angiography) Number of inpatients/daycases waiting more than 4 weeks Not applicable for this Operational Unit
Maximum Cardiac Intervention Waiting
3.19B.K Times (Angioplasty/CABG Surgery) Not relevant to NHS Highland Not relevant to NHS Highland
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric.
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy
Treatment Appropriate for Patient
4.01.K Delayed Discharges Total number of delayed discharges over 6 weeks 0 3 4 5 3 July 2007 Monthly To have no clients waiting over 6 weeks by April 2008
By 2008-09 to reduce the proportion of people aged 65+ who are admitted
Nos. of patients (65+) admitted 2 or more times in 1 calendar year, as as an emergency inpatient 2 or more times in a year by 20% compared with
4.02.K Emergency Readmissions 65+ an emergency to acute specialities. Rate per 100,000 pop 4130 March 2006 Annual 2004-05.
As at 31st Uptake as per smear history within the last 5 yrs - not the LDP target of 5.5
4.03.K Cervical Screening rate % of 20-60 yr olds screened 81.0% March 07 Quarterly yrs
QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards
4.04.K Management Standards Improving within QIS Clinical Governance & Risk Management assessment Not applicable for this Operational Unit
4.05.S New Outpatient DNA numbers (this figure includes DNAs and CNWs,
DNAs with or without ASCs ; all acute specialties) Not applicable for this Operational Unit
4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) Not applicable for this Operational Unit
4.08.K Reduction in Emergency Bed Days 65+ No. of emergency bed days in acute specialties for patients 65+ 50986 March 2006 Annual Bed Days Occupied for Continuous Inpatient Stay
To reduce all staphylococcus aureus bacteraemia (including MRSA)
4.09.K Health Care Associated Infection by 30% by 2010 Not applicable for this Operational Unit
The rate of increase of defined daily dose (DDD) per capita of anti- To reduce the annual rate of increase of DDD per capita of anti-depressants
4.10.K Prescribing of anti-depressants depressants 1.88% 1.34% Q1 2007/08 Quarterly to 0 by 2009/10. Trajectory to begin next quarter
4.11.K Reduction in Psychiatric Admissions Reduce the number of readmissions (within 1 year) for those that New indicator still to come onstream. Data provided to each CMHT for clients
have had a psychiatric hospital admission of over 7 days by 10% by with patterns of readmission. Discussions underway regarding the individual
the end of December 2009 management of these clients.
NHS HIGHLAND BALANCED SCORECARD 2007/08

SOUTH EAST CHP CANCER & DIAGNOSTICS October 2007

Reporting Periods
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period latest report Frequency

Access to Services Outturn

Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Not applicable for this operational unit
Leukaemia Cancer Waiting Times over
31 days % of patients from diagnosis to treatment within 31 days Not applicable for this operational unit

3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Breast Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Urology (All) Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Urology (Prostate) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Urology (Bladder) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Lung Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Colorectal Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Head & Neck Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Skin Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Upper GI - OG Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Upper GI - HPB Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Gynae - Ovarian Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Haematology Lymphoma Cancer
Waiting Times within 62 days % of patients treated within 62 days of urgent referral Not applicable for this operational unit
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. Not applicable for this operational unit
Maximum Radiology Waiting Times:
MRI Scan Longest wait for radiology investigation: MRI Scan Not applicable for this operational unit
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: CT Scan Not applicable for this operational unit
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Barium Studies Not applicable for this operational unit
Maximum Radiology Waiting Times:
CT Scan Longest wait for radiology investigation: Ultrasound non-obstetric Not applicable for this operational unit
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy Not applicable for this operational unit
Maximum Endoscopy Waiting Times:
Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy Not applicable for this operational unit
Maximum Endoscopy Waiting Times:
Lower GI endoscopy (excluding Longest wait for endoscopy investigation: Lower GI endoscopy
colonoscopy) (excluding colonoscopy) Not applicable for this operational unit
Maximum Endoscopy Waiting Times:
Colonoscopy Longest wait for colonoscopy investigation Not applicable for this operational unit
Maximum Endoscopy Waiting Times:
Cystoscopy Longest wait for cystoscopy investigation Not applicable for this operational unit
NHS HIGHLAND BALANCED SCORECARD 2007/08

ARGYLL & BUTE CHP October 2007

Reporting Period
Indicator HEAT Measure Detail Date of latest Reporting Comments
Latest Reported Period
report Frequency
Health Improvement Outturn
1.01.K Health Inequalities - CHD Crude CHD rate per 100,000 population (<75 yrs) for Boards Target not disaggregated below Board level
1.02.K Numbers Smoking Numbers smoking as a % of relevant (16+years) pop Target not disaggregated below Board level
1.03.K Immunisations - MMR MMR uptake rates (% at 5 years old) 94.1% Jan-Mar 07 Quarterly Target=95% uptake nationally
1.04.K Suicide Rates Rate per 100,000 population 9.9 2005 Annual Figure available owing to Council status
1.08.K Dental Caries in Primary 1 Children % of P1 Children with no obvious decay experience 63% April 2007 Monthly A&B achieved 62% in 2006
1.09.K Teenage Pregnancy Pregnancy rate (per 1000 population) for 13-15 year olds Target not disaggregated below Board level
Efficiency
Forecast Deficit / Surplus for EY against total revenue resource limit
2.01.K Forecast Revenue Expenditure (000s) £2.0m 0.0m £0.0m £0.0m £0.0m July 2007 Monthly Balance budget measure of achievement
2.02.K Absences Hours lost due to sickness absence/Total hours available (%). 5.42% 5.00% 5.91% 5.95% June 2007 Monthly Target is 4% by March 2008.Figures from SSPS.
2.05.S Efficiency Savings Forecast savings for EY as a % of revenue allocation 100% 100% 100% 100% 100% July 2007 Monthly
2.06.S Cancelled Admissions IP/DC cancelled admissions 12 5 5 5 3 July 2007 Monthly No national target
Non clinical cancellations IP/DC cancelled admissions for non-clinical reasons 8 0 0 0 0 July 2007 Monthly
2.13.S SMR Return Rate % of SMR01 returns received (3 month lag) 84% 85% 85% 84% 82% July 2007 Monthly No national target
Day cases & outpatients/total elective for set procedures defined by BADs procedures fom Planned Care project in Inverness. Indicator being
2.16.K Same Day Surgery the British association of Day Surgery 69% Monthly revised.
2.17.K CHI Number Usage % of all laboratory requests made using a CHI number 96% 94% 83% 87% June 2007 Monthly National target is 97% by March 2008. July figures not yet available
100% 75% 100% 88%
Completed Complaints % of completed complaints resolved within 4 weeks (6) 33% (3) (4) (5) (8) July 2007 Monthly Target=80% of complaints responded to within 4 weeks.
Access to Services
The measure is a % of practices claiming to meet the requirements for
3.01.K Primary Care Team Access a DES (Directly Enhanced Services) payment 100% July 07 Quarterly
Inpatient/Daycase Waiting Times over 18
3.04.K weeks (31 December 2007) IP/DC waiting over 18 weeks excl. ASCs (all acute specialties) 0 0 0 0 0 July 2007 Monthly Final July position
3.05.K Inpatient/Daycase ASCs IN/DC waiting with an ASC (acute specialties recorded on MMI) 85 81 59 78 75 July 2007 Monthly Final position for July 2007. July 2007 milestoe = 60
Outpatient Waiting Times over 18 weeks New OP (GP/GDP ref) waiting over 18 weeks excl. ASCs (acute
3.07.K (31 December 2007) specialties recorded on MMI) 4 4 5 0 0 July 2007 Monthly Final July position
% of patients waiting 4 hours or less from arrival to admission,
3.08.K A&E Waits to be a maximum of 4 hours discharge or transfer to A&E treatment 100% 99% 99% 99% 99% July 2007 Monthly Figures are drawn from local analysis
3.09A.K Cataract Waiting Times (Outpatient) Outpatients waiting over 9 weeks Procedure not carried out in A&B
3.09B.K Cataract Waiting Times (Inpatient/D/C) Inpatient/day case patients waiting over 9 weeks Procedure not carried out in A&B
% of Hip fracture operations performed within 24 hours of admission
3.10.K Hip Surgery Waiting Times within 24hrs to orthopaedic speciality Procedure not carried out in A&B
Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Patients referred to GGC
3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral 83.3% 88.9% June 2007 Quarterly 1 patient
Maximum Cardiac Intervention Waiting
3.19A.K Times (Angiography) Number of inpatients/daycases waiting more than 4 weeks Procedure not carried out in A&B
Maximum Cardiac Intervention Waiting
3.19B.K Times (Angioplasty/CABG Surgery) Not relevant to NHS Highland Not relevant to NHS Highland
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 4 0 0 0 0 July 2007 Monthly May LDP target = 0
Number of patient waiting over 9 weeks for
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 22 3 0 0 0 July 2007 May LDP target = 4
Treatment Appropriate for Patient
4.01.K Delayed Discharges Total number of delayed discharges over 6 weeks 17 8 6 10 11 July 2007 Monthly To have no clients waiting over 6 weeks by April 2007 (included A&B)
Nos. of patients (65+) admitted 2 or more times in 1 calendar year, as
an emergency to acute specialities. Rate per 100,000 pop. To reduce Emergency readmission rate is calculated from emergency readmissions
4.02.K Emergency Readmissions 65+ the proportion by 20% between 2004/05 and 2008/09 51 65 48 35 July 2007 Monthly occurring within 28 days of discharge
% uptake of elegible women aged 20-60 years old (excluding only those
As at 31st without a cervix) with an adequate smear within the last 5 yrs as at the
4.03.K Cervical Screening rate % of 20-60 yr olds screened 88.3% 80.3% March 07 Monthly quarter end
QIS Clinical Governance & Risk Number of points achieved (out of a possible 12) for 3 standards
4.04.K Management Standards Improving within QIS Clinical Governance & Risk Management assessment No data available
New Outpatient DNA numbers (this figure includes DNAs and CNWs, 50 58 71 59 62
4.05.S DNAs with or without ASCs ; all acute specialties) 6.5% 8.6% 9.2% 8.2% 9.4% July 2007 Monthly

4.06.S Average Length of Hospital Stay Days of stay in hospital (all acute specialties) 5.3 5.6 4.1 4.9 9.7 July 2007 Monthly Does not include geriatric medicine & excludes GP Acute. No national target
Specialties: General Medicine (approx 16%), General Surgery (approx.
4.08.K Reduction in Emergency Bed Days 65+ No. of emergency bed days in acute specialties for patients 65+ 48914 March 2007 Monthly 10%), & Geriatric Medicine (approx. 75%), Emergency includes transfer.
To reduce all staphylococcus aureus bacteraemia (including MRSA)
4.09.K Health Care Associated Infection by 30% by 2010 Target not disaggregated below Board level
The rate of increase of defined daily dose (DDD) per capita of anti- 1st Qtr. To reduce the annual rate of increase of DDD per capita of anti-
4.10.K Prescribing of anti-depressants depressants 1.72% 1.49% Q1 2007/08 Quarterly depressants to 0 by 2009/10. June data not available yet
4.11.K Reduction in Psychiatric Admissions Reduce the number of readmissions (within 1 year) for those that 1 0 2 0 July 2007
have had a psychiatric hospital admission of over 7 days by 10% by For statistical purposes, the time period conventionally adopted for the
the end of December 2009 calculation of readmission rates is 28 days. Data includes General Psychiatry
& Geriatric Psychiatry. There were 25 (7.06%) readmissions in 06/07.
NHS HIGHLAND BALANCED SCORECARD 2007/08

A&B CHP CANCER & DIAGNOSTICS October 2007

Reporting Periods
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period latest report Frequency

Access to Services Outturn

Breast Cancer Waiting Times over 31
3.11.K days % of patients treated within 31 days of diagnosis Quarterly Not applicable for this operational unit
Leukaemia Cancer Waiting Times over
31 days % of patients from diagnosis to treatment within 31 days Quarterly Not applicable for this operational unit

3.12.K Cancer Waiting Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Breast Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Urology (All) Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Urology (Prostate) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Urology (Bladder) Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Lung Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Colorectal Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Head & Neck Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Skin Cancer Waiting Times within 62
days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Upper GI - OG Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Upper GI - HPB Cancer Waiting Times
within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Gynae - Ovarian Cancer Waiting
Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Haematology Lymphoma Cancer
Waiting Times within 62 days % of patients treated within 62 days of urgent referral Quarterly Not applicable for this operational unit
Number of patients waiting over 9 weeks for MRI/CT/Barium
3.25.K Waiting Times For Diagnostic Scans studies/Ultrasound non-obstetric. 0 0 0 0 July 2007 Monthly
Maximum Radiology Waiting Times:
MRI Scan Longest wait for radiology investigation: MRI Scan Procedure not carried out in Argyll & Bute
Maximum Radiology Waiting Times: Local trajectory milestone to be confirmed as part of diagnostic collaborative
CT Scan Longest wait for radiology investigation: CT Scan 4 3 3 3 July 2007 Monthly programme.
Maximum Radiology Waiting Times: Local trajectory milestone to be confirmed as part of diagnostic collaborative
CT Scan Longest wait for radiology investigation: Barium Studies 7 7 7 3 July 2007 Monthly programme.
Maximum Radiology Waiting Times: Local trajectory milestone to be confirmed as part of diagnostic collaborative
CT Scan Longest wait for radiology investigation: Ultrasound non-obstetric 9 9 9 9 July 2007 Monthly programme.
Number of patient waiting over 9 weeks for Local trajectory milestone to be confirmed as part of diagnostic collaborative
3.26.K Waiting Times For Diagnostic Scopes gastroscopy/sigmoidoscopy/colonoscopy/cystoscopy 3 0 0 0 July 2007 Monthly programme.
Maximum Endoscopy Waiting Times: Local trajectory milestone to be confirmed as part of diagnostic collaborative
Upper GI endoscopy Longest wait for endoscopy investigation: Upper GI endoscopy 12 12 9 9 July 2007 Monthly programme.
Maximum Endoscopy Waiting Times:
Lower GI endoscopy (excluding Longest wait for endoscopy investigation: Lower GI endoscopy Local trajectory milestone to be confirmed as part of diagnostic collaborative
colonoscopy) (excluding colonoscopy) 13 12 8 8 July 2007 Monthly programme.
Maximum Endoscopy Waiting Times: Local trajectory milestone to be confirmed as part of diagnostic collaborative
Colonoscopy Longest wait for colonoscopy investigation 10 11 9 8 July 2007 Monthly programme.
Maximum Endoscopy Waiting Times: Local trajectory milestone to be confirmed as part of diagnostic collaborative
Cystoscopy Longest wait for cystoscopy investigation 7 7 8 8 July 2007 Monthly programme.
NHS HIGHLAND BALANCED SCORECARD - 2007/2008

FACILITIES October 2007

Reporting Periods
Indicator HEAT Measure Detail Date of Reporting Comments
Latest Reported Period latest report Frequency

Health Improvement Outturn

Efficiency
National Cleaning Standards % compliance with National Cleaning Standards
Source: RAG - Red - 70% or below; Amber - 70% - 90%; Green 90% -
RAG System 94.1% 94.6% 94.3% 94.4% 95.1% July 2007 Monthly 100%

SSD Performance`` % items fit for purpose 99.94 99.91 99.93 99.93 99.87 July 2007 Monthly No national target, NHS Highland SSD target - 98%
>98%

Estates Department -
Hotline Activity & Response time D1 = 1 hr response 76.0% 86.54% 85.5% 82.5% 83.3% July 2007 Monthly
D2 = 24 hr 60.9% 60.99% 62.2% 61.7% 64.4% July 2007 Monthly Up to 60% red; 60 - 75% amber; over 75% green. Response time
D3 = 3 days 66.0% 69.61% 61.6% 68.2% 66% July 2007 Monthly variable depending on location of fault and availability of staff. Data
D4 = 7 days 68.6% 75.64% 65.8% 70.1% 75% July 2007 Monthly relates to North, Mid and SE CHPs.
OVERALL 65.4% 70.68% 64.9% 67.3% 69.9% July 2007 Monthly

Access to Services

Treatment Appropriate for Patient