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Hounslow CCG
Strategic Objectives Report 2019/20
Quarter 3, 14th January 2020
Strategic Objectives (i)
2
Strategic
Objective
Code
Strategic Objective Description Delivery
from:
Delivery
by:
Updated
(date)
Updated
(name)
RAG Progress Update RAG Tangible Outputs Engagement Undertaken
19-1 Implement an enhanced Social prescribing
model which helps patients access support
from the Community & Voluntary Sector,
and includes health and life coaching for
those needing to make lifestyle changes
Apr-19 Oct-19 28/11/2019 Camille
Pegus
G 5 link workers have been recruited and are now in post.
They are currently being inducted, which includes
training arranged by NWL in collaboration with Bromley
by Bow Centre. Primary Care Networks (PCN) are
looking at High Intensity Users as the first cohort of
patients for link workers to engage. Practices in PCNs
have been asked to identify suitable HIUs to refer to Link
Workers.
G Under the current social prescribing offer: 981
patients have been engaged with about
accessing social prescribing from July 2018 to
February 2019. PCNs in partnership with 2
Voluntary Sector Organizations (VSO) will take
over delivery of this service from October. The
handover from the previous provider to the
incumbant VSO is due to take place on
02.12.19.
One Link Worker met with a Patient Participation
Group on 18.11.19. A follow-up meeting is due to
take place in February 2020. A steering group with
key stakeholders to support mobilisation of the new
model will commence in January 2020
19-2 Invest in Neurodevelopmental Services to
reduce waiting time to diagnosis and
access to support
Mar-19 Mar-20 26/11/2019 Susie
O'Neill
A Investment, mobilisation plans and reporting
requirements agreed with providers (HRCH and WLT),
and baseline data collected during Q1;
Q2 Progress report provided to Clinical Board in Oct
2019; HRCH have successfully appointed a locum team
for 12 months to work through the under 5s waiting list
backlog, and all permanent posts have now been filled
except the Paediatrician post which is cover by a locum;
WLT have experienced more significant challenges with
recruitment for the over 5s backlog team and the
permanent posts, most posts have now been filled by
Oct 2019 although the medical posts remain vacant and
the delays in recruitment mean that the trajectories for
improvement for the over 5s will need to be pushed
back.
WLT have implemented a caseload review and a new
care pathway including electronic screening to improve
efficiency;
The ASD Support guide for families has been shared
with the Parent Carer Forum and is being finalised for
publication.
A Under 5s waiting list reduced from 300 patients
waiting to 138 patients waiting at the end of
September, with forecast to completely clear
the waiting list by Feb 2020. Long-term staff
team is now in place so the waiting time for new
under 5s referrals should stabilise at 6 weeks to
first appt and max. 8 months to diagnosis;
Over 5s waiting list has stabilised as 489
patients waiting at the end of September, but
has not yet reduced due to recruitment delays
and 21% increase in referrals during Q1-2
compared to 2018/19, with waiting time
remaining at 31 months; improvement is
expected by Q4 as many of the new posts are
now filled as of Oct 2019.
ASD Stakeholder Workshop 09/05/2019
Engagement with Parent Carer Forum 20/6/19
Engagement with Parent Carer Forum 17/10/19
19-3 Develop jointly commissioned paediatric
Occupational Therapy and Speech &
Language Therapy service across the CCG
and LBH to improve quality and
accessibility
Mar-19 Mar-20 26/01/2019 Susie
O'Neill
A New integrated service launched 1st October 2019,
provided by HRCH with new integrated service
specification, developed in consultation with parents and
other stakeholders, to include the CCG commissioned
therapy provision and Local Authority commissioned
provision; 60% of new posts filled at November 2019
although largely locum staff; meetings underway with all
of the specialist school settings by end of term to collate
up-to-date data on provision needed; joint Therapies
Workstream will be scrutinising performance data from
Jan 2020, including stakeholder feedback, and informing
the SEND Programme Board of impact on quality and
accessibility.
Need to confirm the governance arrangements between
the CCG and LA for managing the contract.
A New integrated service launched 1st October
2019, first performance report due Jan 2020.
Therapies Stakeholder workshop with Parent Carer
Forum and wider stakeholders March 2019; service
specification consulted on during June 2019 with
CCG Clinical Board and SEND Programme Board;
feedback provided to the Parent Carer Forum on
17/10/19
Strategic Objectives (ii)
3
Strategic
Objective
Code
Strategic Objective Description Delivery
from:
Delivery
by:
Updated
(date)
Updated
(name)
RAG Progress Update RAG Tangible Outputs Engagement Undertaken
19-4 Manage the implementation of the school
based Mental Health trailblazer
Jan-19 May-21
(Pilot)
26/11/2019 Susie
O'Neill
G All Educational Wellbeing Practitioners from Wave 1 in
post and on-track with their training. Successful bid for a
third Mental Health Support Team in June 2019, with all
staff in post by September 2019 (12 EWPs now in post
in total, spread across East, Central and West teams);
Supervisor roles have finally been filled in November
2019, interim supervision arrangements remain in place
and effective pending start dates;
Strong partnerships in place with 20 schools who are
hosting EWPs during the training year and helping to
shape the service model and a further 14 schools have
joined the project this term;
Effective engagement in place with Hounslow Youth
Council and CAMHS YP Panel to inform the service
model;
Data-flow in place and project reporting to NHS England
has been completed within required timescales;
Regular engagement with the University, London
Trailblazer network and our local partners. Hounslow
seen as a model of good practice, with a Ministerial visit
on World Mental Health Day in Oct 2019;
Work is ongoing to refine the long-term service model to
ensure that the service is accessible to all schools in the
borough from Feb 2020.
G Project plan in place and on track;
34 schools signed up to the project to date with
plans to roll out to all 80 schools by Feb 2020;
Successful bid for additional funding to
establish a third Mental Health Support Team in
June 2019.
Schools workshop March 2019; Hounslow Youth
Council workshop April 2019; site visit from NHSE,
DfE and HLP April 2019; London-wide workshop
March 2019; Engagement with CAMHS YP Panel
in June 2019; visit from Minister for Mental Health
Oct 2019; engagement with young people during
Takeover Challenge Nov 2019.
19-5 Improve the availability of and access to
primary care appointments through online
consultation, opportunities from the new GP
contract and implementation of allied care
professionals, stemming the growth in use
of the UCC as an alternative source of
primary care
Apr-19 Mar-20 26/11/2019 Chris Jack A Provider event held to showcase the performance of
various online platforms. This event took place with a
selected number of GP practices, who will work with the
CCG to review and select a provider to implement the
technical solution.
NWL procurement for online consultation being
undertaken with Hounslow in the first wave of CCGs,
solution still aims to be in place by March 2020
Primary care team currently reviewing MJOG smart app
which will be used to support patients to book and
manage their online appointments. The app also
promotes and signposts patients to suitable self-care
management tools.
Hounslow CCG currently provides extended hours in
primary care which is commissioned through three
distinct schemes. This is will form part of the extended
hours offer to PCNS in April 2021, programme of work to
review transition in 20202 underway
Extended access hubs continues to be reviewed, NWL
consistent financial envelop has been developed and
agreed, requirements and KPIs to be in place for
January 2020 with service roll out in April
A It is planned that 75% of Hounslow's population
will be able to access online consultation by end
of March 2020.
Primary Care networks established with clinical
directors in post from 1st July 2019
Extended hours service offered to all patients
across all 5 networks.
6 clinical pharmacist employed to work across
the 5 primary care networks
2 VSO selected to provide 5 Links workers (1
each) to work with each of the PCNs
Joint engagement with consortium, CCG and LMC
with practices and networks, including council of
members, locality meetings and 1-1 practice level
engagement.
Stakeholder awareness undertaken with locality
providers, including the community and voluntary
sector.
Patient and public engagement through PPE
committee and Locality PPGs.
Special education event taking place in September
2019, to engage with PCN to raise the awareness
of the role of link workers and how they can
support patients and general practices. The event
will also be used to share learning from colleagues
working in Bromley-By-Bow.
Workshop held with CCG, Hounslow Consortium
and London Brought of Hounslow colleagues to
discuss and design model of delivery for link
workers programme.
Update on all programmes cascaded to members
through monthly GP newsletter
Strategic Objectives (iii)
4
Strategic
Objective
Code
Strategic Objective Description Delivery
from:
Delivery
by:
Updated
(date)
Updated
(name)
RAG Progress Update RAG Tangible Outputs Engagement Undertaken
19-8 Develop plans for Chiswick and Brentford
hubs
Mar-20 27/11/2019 Chanel
Herdman
A Chiswick: The Chiswick general practices have agreed
the size of the new build and the plan is to decant the
existing 3 practices to Stamford Brook whilst building
takes place. These plans are to be signed by the
planning application group.
The pre-application is now open and the recently held
engagement event feeds into the full application which is
anticipated to be submitted in December.
The Brentford hub remains at an early discussion stage
with potential service users. NHSPS are working with
service users to work out the service charge lease
documentation for their current occupied buildings.
G Chiswick: NHS Property Services have
completed the pre-application phase and are
holding further meetings with councillors which
have been positive. The practices are on
collaborative working including shared space,
staff and clinical systems to reduce cost and
workforce inefficiencies.
Brentford: Practices are in discussion about
collaborative working and have employed a
clinical pharmacist to this end.
Chiswick:
A patient engagement event took place on 23/10
run by NHS Property Services, Hounslow's CCG
engagement team and consultants Meeting Place
Communications. Engagement is being carried out
following the pre-application stage.
Brentford: Regular user group meetings are being
with general practices, community and mental
health providers.
19-9 Reduce avoidable non-elective admissions
and ensure urgent and emergency care is
delivered in as integrated and cost effective
fashion as possible (focusing on Feltham
where needed)
Apr-19 Mar-20 22/11/2019 Chris
Richards
A 1. A&E Transport: Transport proposal was presented to
the investment scrunity panel and was approved. WM to
implement as quickly as possible.
2. ICRS in ED: Resource previously used for extended
hours will be diverted to provide a presence in ED from
9th September 2019. The team are seeing
approximately 60 patients per month but the challenge
remains discharging the patient before they are
transferred to an assessment area.
3. Discharge to Assess: Following the workshop a
working group has been set up working towards a single
discharge to assess pathway. Discussions with social
care are ongoing and it has been agreed to complete a
PID to aid these discussions.
4. High intensity users: A workshop was held on the 29th
October with representation from across the system.
The group have idnetified some possible ways forward
for a system wide approach. These will be worked up
and plan to test in the new year.
A 1. Measurements:
With respect to measurements, this objective
will be measured through:
A. Delivery against planned QIPP reductions in
NEL admissions
B. NWL High Intensity User Dashboard
2. Other Outputs:
A. Data development for transport related
discharges at the front door
B. Audit/Review of other discharge options i.e.
discharge lounge versus obs bay
C. Integrated Discharge Function in place by
the 1st October 2019. KPIs to be agreed by the
working group and will then subsequently be
reported on.
1. Multi -agency working with WMUH, HRCH, LBH
and the CCG (and more specifically CHC team) to
develop a single discharge pathway for all
Hounslow patients with the full support of all
partners. Patient focus group was held in June to
understand issues relating to discharge from a
patient perspective.
2. Multi-agency group (HRCH, local authority,
voluntary sector) in place to provide support to very
high intensity users of the WestMid emergency
department. A separate workstream group is also
working to develop a long term view of tackling this
issue by developing a co-produced community
based solution. This has involved looking at how
each service defines a high intensity users and
what the data tells us about this cohort. 3. Several
meetings have been held with ED consultants at
WM and other members of the MDT to inform them
of the plan and to establish good working
relationships.
Strategic Objectives (iv)
5
Strategic
Objective
Code
Strategic Objective Description Delivery
from:
Delivery
by:
Updated
(date)
Updated
(name)
RAG Progress Update RAG Tangible Outputs Engagement Undertaken
19-10 Working with developing localities to
integrate services and reduce gaps
between primary care mental health teams
and the recovery teams, so reducing
numbers of patients who present in crisis
Apr-19 Mar-20 02/01/2020 Toni
Camp /
Claire
Allen
G Hounslow Locality Partnership Group meetings, focused
on integrating services across Hounslow's health and
care partners, are well-established and have ongoing
representation from West London Trust (WLT). A key
focus of their work programme is progressing the locality
mutli-disciplinary teams, be linked to the Primary Care
Networks.
Meanwhile community MH services across the NWL ICS
are being transformed in line with the vision in the NHS
Long Term Plan. This follows a successful bid, led by
the two MH Trusts, for NHSE Wave 1 Transformation
Funding. For the WLT patch (Hounslow, Ealing and
H&F) work on the detail of the new integrated service
model is well advanced and a phased implementation
programme is underway. For Hounslow additional staff
will be coming into post from Q4 and the completion
date is Autumn 2020. The new service has been named
MINT (Integrated Network Teams) and will remove the
current divide between primary and secondary mental
health care, bringing together staff from a range of
backgrounds including peer support workers. While this
new way of working will operate across the WLT patch,
there is allowance for some local variation and each
CCG has its own MINT implementation group. In
Hounslow the first meeting took place in December -
close linkage is being established with the Hounslow
Locality Partnership Group so ensure join-up with the
wider integrated offer being rolled out in the PCNs.
G Heart of Hounslow commenced a Locality MDT
pilot in summer 19, attended by teams from
HRCH and GP Leads. MH representation at
these Locality MDTs has been established via
WLT's Hounslow PCMH team; and will develop
further as the new MINT service takes shape.
Patients, carers and providers are key
stakeholders in the Locality Partnership Group.
WLT has so far held three major stakeholder
events on the transformation of community MH
services in 19/20 which have shaped the
development of MINT and a fourth workshop is
planned for late March/early April. The local MINT
Implementation groups also include appropriate
stakeholder representation.
Strategic Objectives (v)
6
Strategic
Objective
Code
Strategic Objective Description Delivery
from:
Delivery
by:
Updated
(date)
Updated
(name)
RAG Progress Update RAG Tangible Outputs Engagement Undertaken
19-11 Increase screening rates across all national
programmes: cervical, breast, bowel,
through improved action by primary care to
follow up those who do not take up their
invites
Apr-19 Mar-20 28/11/2019 Anindita
Debnath
Dr.
Richard
Baxter
G As part of primary care 2019/20 wrap around contract,
practices are remunerated to support improvement of
screening rate across all national programmes.
CCG effectively encouraged practice engagement with
RM partners offer to contact bowel screening defaulters.
PCPC continue to support practices in this for bowel,
cervical and breast.
Status alerts active in single clinical system to prompt
bowel, cervical, and breast defaulters. Half of practices
in Hounslow using comprehensive recall in month of
birthday process which includes Cervical, and Bowel
defaulters.
ALOHA study involving 12 practices offering more
acceptable cervical screening method to defaulters
active and recruiting well.
Network meeting recognition that bowel screening
default for patients of reduced capacity (e.g. those with
Learning Disabilities) has safeguarding implications.
Joint comms between CCG, safeguarding and LD team
to at least LD homes being drafted to this effect. A
cervical screening task and finish group has been set up
with CCG and LBH PH membership – the group will
gather behavioural insight information about Hounslow
residents who do not attend cervical screening and will
design/support implementation of more focused/targeted
scheme.
A The screening element in the primary care wrap
around contract was introduced in 2018/19.
Gradual improvements in uptake are shown in
breast, cervical, and bowel cancer screening
for Hounslow patients in 2019/20. Screening
rates against national benchmarks, however,
have not been achieved.
On-going engagement with Practices and
Hounslow Consortium as part of contract
implementation and management.
CCG communication and engagement team
developed a patient/public engagement plan for
2019/20 to support improving cancer screening
rate at Hounslow.
CCG facilitates a Local Cancer network group with
membership from stakeholders such as public
health, local trusts, patient reps., NHSE, Cancer
Research UK. The group's focus is to co-design/
develop a multi-pronged approach to improve
cancer outcomes for Hounslow residents, including
increasing screening rates.
CCG actively participate in the NWL Primary care
cancer Board to benefit from collaborative work
with CCGs and partners to support improve
screening rate. Series of workshops against
cancer strategic objective planned in January 2020
at Feltham locality. Promotional material (i.e.
cancer early detection /screening booklet) will be
developed after the Feltham event in Jan 2020.
LBH Public Health contributed £10,000 towards the
screening promotion or training in 19/20 and also to
produce promotional material.
19-12 Reduce proportion of patients diagnosed
following an A&E attendance
Apr-19 Mar-20 28/11/2019 Anindita
Debnath
Dr.
Richard
Baxter
G CCG has successfully secured 2019/20 funding for
Macmillan Cancer GP role, who will support primary
care education agenda to improve cancer diagnosis at
primary care. CCG promoting uptake by practices and
networks of the national cancer diagnosis audit. Two
Hounslow PCNs qualified for receiving funding for the
NCDA.
CCG has commissioned FIT test to diagnose bowel
cancer at primary cancer. June data shows out of total
42 FIT tests requested by Hounslow GPs, 12% referrals
were indicated – suggesting an opportunity for early
diagnosis of bowel cancer.
CCG also informed Hounslow GPs about Acute
Diagnostic Oncology Clinic at Chelwest. The clinic is for
investigating Vague Symptoms to rule out any cancer.
C the Signs is a multi-platform tool for all healthcare
professionals to support early identification of patients at
risk of cancer. Hounslow CCG is one of the 4 NWL
CCGs who is successful in a funding application
process to pilot CtheSigns at primary care. The funding
is available for one year, the project is due to go live in
Feb 2020.
A This objective will be measured as a reduction
in proportion of patients diagnosed with cancer
following A&E attendances. There is, a lag to
the data which is published on a national level.
Local data demonstrates that there has been a
reduction in the total number of admission
episodes with an emergency admission
method; however this data is caveated because
patients already on the National Cancer
Register cannot be excluded in the local
dataset. The highest number of episodes in the
local dataset appears to come from Brain &
CNS, GI Upper and Lower, and Haematological.
CCG is working closely with Chelsea and
Westminster Trust cancer team to identify ways to
reduce A&E presentation of cancer (CCG Clinical
Board presentation by Trust on 28th May)
CCG communication and engagement team
developed a patient/public engagement plan for
2019/20 to support improving cancer screening
rate at Hounslow. Cancer specific HEAT
presentation will be done on 4th Dec to support
primary care education about cancer diagnosis.
Strategic Objectives (vi)
7
Strategic
Objective
Code
Strategic Objective Description Delivery
from:
Delivery
by:
Updated
(date)
Updated
(name)
RAG Progress Update RAG Tangible Outputs Engagement Undertaken
19-13 Participate in NWL outpatients programme
including implementing eRS across
Hounslow referrers
Mar-20 01/12/2019 Max
Carter
A Testing of the telederm app is nearing completion and
the app is now being rolled out in Hounslow with a plan
for remaining CCGs. The full business case for telederm
is currently being updated and includes the purchase of
dermatoscopes.
Adoption of A&G remains challenging in some areas with
sustainability concerns being raised by providers.
Wave 3 workshops completed.
Agreed process for:
* Return of referrals without referral letters (routine
and 2ww - reflecting NHSD advice)
* Returned referral disagreement process
* Long term management of pathways (6 monthly
review)
A Triage for 4 of 5 wave one specialities is
ongoing - self reported data and ERS sourced
data is showing increasing return rates. 100%
triage is being achieved across Wave 1 with
exceptions in Rheumatology at CW.
Ongoing teleconferences and meetings with
Providers and Commissioners are being held to
share learning and understand risks to progress
Clinical Leadership has been identified for Wave 3
workstreams and dates for workshops confirmed
A clinical engagement event for Dermatology was
convened- with 15 attendees.
Strategic Objective Measures
8
19-5: Urgent Care Centre attendance
19-6: Primary Care Extended Hours Utilization
19-9: NEL QIPP performance
19-11: Cancer screening uptake
19-12: Cancer emergency presentations
19-5: Urgent Care Centre Attendance
9
The graph and table to the right
show the number of UCC
attendances at the West Middlesex
Hospital UCC as of September
(Month 6). This demonstrates that
there has been a year on year
increase in activity with the highest
activity being recorded in 2019/20.
By making primary care
appointments available through
online consultation and promoting
the use of extended hours GP
appointments, the expectation was
that UCC activity would remain static
from the 2018/19 baseline.
Hounslow CCG
Month 2014-15 2015-16 2016-17 2017-18 2018-19 2019-20
April 4,924 4,556 4,785 4,896 5,496 5,988
May 5,072 4,764 5,390 5,342 5,901 6,275
June 4,846 4,839 4,712 4,997 5,422 5,539
July 4,702 4,745 4,778 5,619 5,424 6,151
August 3,876 4,314 4,174 4,697 4,703 5,198
September 4,322 4,361 4,615 4,914 5,031 4,438
October 4,444 4,550 4,989 5,241 5,202
November 4,232 4,703 4,958 5,383 5,382
December 5,320 4,739 5,079 5,831 5,985
January 4,371 5,045 4,860 6,050 6,045
February 4,189 5,129 4,410 5,254 5,999
March 4,967 5,756 5,211 6,135 6,259
Total 55,265 57,501 57,961 64,359 66,849 33,589
Year on Year increase 4% 1% 11% 4% 0%
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
Ap
ril
Ma
y
Jun
e
July
Au
gu
st
Se
pte
mb
er
Octo
be
r
Nove
mbe
r
Dece
mbe
r
Jan
uary
Fe
bru
ary
Ma
rch
UCC Attendances 2014-15 2015-16 2016-17 2017-18
2018-19 2019-20 average
19-6: Primary Care Extended Hours Utilization
10
The graphs to the right demonstrate that proportion of Extended Hours appointments used has increased by more than 30% since April 2018 (M1 2018/19). The utilisation of appointments improved in July 2019 (M4 2019/20) and has remained relatively stable since. The proportion of Did Not Attend (DNA) appointments ranges from 7-11% in the last 12 months. There have been on average 4,300 Extended Hours appointments made available per month. The number of available but unused appointments has improved in the last quarter.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
M1
M2
M3
M4
M5
M6
M7
M8
M9
M1
0
M1
1
M1
2
M1
M2
M3
M4
M5
M6
M7
2018/19 2019/20
% o
f to
tal
avail
ab
le a
pp
oin
tmen
ts
Extended Hours Appointments - % Utilization
Used Did Not Attend Available But Unused
0
1000
2000
3000
4000
5000
6000
M1
M2
M3
M4
M5
M6
M7
M8
M9
M1
0
M1
1
M1
2
M1
M2
M3
M4
M5
M6
M7
2018/19 2019/20Nu
mb
er
of
Ap
po
intm
en
ts
Extended Hours Appointments - Actual Utilization
Used Did Not Attend Available But Unused
19-9: NEL QIPP performance
11
The graphs below show the planned and actual activity and cost reductions for all QIPP
projects affecting Hounslow. The figures were reported in the Month 8 reporting period.
Activity and cost increases must be recovered by projects in-year to demonstrate any net
savings. Some recovery is anticipated by year-end, but forecast for this financial year is that
the planned reductions will broadly be missed.
The top 3 projects forecast to deliver reductions in avoidable NEL admissions are: ICRS in
ED; High Intensity Users; NWL Diabetes.
0102030405060708090
100
M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12
Month 8 Report: Year to date Month 8 Report:Forecast
NE
L C
ost
Red
ucti
on
s (
£000's
)
Reduction in Avoidable Non-Elective Admissions
Planned Cost Reductions Actual Cost Reductions
0
50
100
150
200
250
M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12
Month 8 Report: Year to date Month 8 Report:Forecast
NE
L A
cti
vit
y R
ed
ucti
on
s
Reduction in Avoidable Non-Elective Admissions
Series1 Actual Activity Reductions
19-11: Breast Cancer Screening Uptake
12
The graph below shows the proportion of eligible patients which have been screened for Bowel Cancer in the previous 42 months. QOF eligibility criteria changed in Month 1 of 2019/20 which reduced the proportion of patients who were recorded as having been screened. Since then there has been a positive increase in the rate of screening, just short of the national benchmark of 70%.
40%
45%
50%
55%
60%
65%
70%
75%
80%
M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12 M1 M2 M3 M4 M5 M6 M7
2018/19 2019/20
% o
f El
igib
el P
atie
nts
SC
ree
ne
d in
Pre
vio
us
42
Mo
nth
s
Breast Cancer Screening Uptake
Hounslow Patients National Benchmark
19-11: Cervical Cancer Screening Uptake
13
The graph below shows the proportion of eligible patients which have had
Cervical Cancer screening in the previous 5 years. QOF eligibility criteria changed
in Month 1 of 2019/20 and this change was implemented by Month 2. As a result
of the new criteria, performance has worsened compared to 2019/20 but has
improved only slightly each reporting month. The national benchmark of 80% has
not yet been achieved.
40%
45%
50%
55%
60%
65%
70%
75%
80%
M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12 M1 M2 M3 M4 M5 M6 M7
2018/19 2019/20
% o
f El
igib
ale
Pat
ien
ts S
cre
en
ed
in P
revi
ou
s 5
Ye
ars
Cervical Cancer Screening Uptake
Hounslow Patients National Benchmark
19-11: Bowel Cancer Screening Uptake
14
The graph below shows the proportion of eligible patients which have been screened for Bowel Cancer in the previous 2 years. In Month 1 2019/20, QOF eligibility criteria changed which marginally reduced the proportion of patients who recorded as having been screened. A gradual, steady increase in performance has been reported since the start of 2019/20. The national benchmark of 60% has not yet been achieved.
40%
45%
50%
55%
60%
65%
70%
75%
80%
M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12 M1 M2 M3 M4 M5 M6 M7
2018/19 2019/20% o
f El
igib
le P
atie
nts
Scr
ee
ne
d in
Pre
ivo
us
2 Y
ear
s
Bowel Cancer Screening Uptake
Hounslow Patients National Benchmark
19-12: Cancer emergency presentations – National Data
15
The graph below shows the proportion of malignant cancers which present as an
emergency. The data shows that a sharp increase of emergency presentations in Q1
2018/19 has steadily improved in Q3 and Q4. This performance indicator is
published quarterly by the National Cancer Intelligence Network and data is
available 9 months behind actual activity due to cross-referencing HCIN data with
the National Cancer Register.
0%
5%
10%
15%
20%
25%
30%
35%
Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
2013/14 2014/15 2015/16 2016/17 2017/18 2018/19% o
f A
dm
issio
ns a
s E
merg
en
cy P
resen
tati
on
s
Cancer: Emergency Presentations
Hounslow Quarterly Hounslow 1 Year Average England 1 Year Average