Upload
vilmos
View
32
Download
0
Embed Size (px)
DESCRIPTION
Trust Board Meeting Chief Executive’s Briefing. Tom Taylor 27 th November 2008. The Care Quality Commission Ensuring better care for people Touching 50 million lives. What is CQC ?. Registration for the NHS. A new concept for the NHS - PowerPoint PPT Presentation
Citation preview
Trust Board MeetingChief Executive’s Briefing
Tom Taylor 27th November 2008
The Care Quality Commission
Ensuring better care for
people
Touching 50 million lives
What is CQC ?
Registration for the NHS
• A new concept for the NHS
• Registration already happens in independent healthcare and social care
• A “licence to operate”
• 2009/10: transitional year
• 2010/11: integrated system for ALL sectors
Steps to improvement
• Trusts:• Review and plan improvements• Apply to register
• CQC:• Decides registration status• Publishes information
• Both:• Continue to monitor HCAI • Expect improvements
Key dates
You apply to register12 Jan –
6 Feb 2009We cross-check applications
and discuss with you our likely decision
February – March
The regulations come into force March
Registration decisions confirmed By 14 March
New enforcement powers can be used
From 1 April
Registration classifications
We both agree things are OK: Registered
We agree there are some things you are putting right quickly:
Registered
+ action plan
There are some urgent, serious things to improve:
Registered
with conditions
WE CANNOT REGISTER YOU!
Registration decisions – the weight of evidence
Registration Categories
Registered - no conditions
Registered - no conditions
Registered - with conditions
Not Registered
No concerns Minor weaknesses: small risk of non-compliance
Significant weaknesses: significant risk of non-compliance
Evidence of non-compliance: serious failure to protect
Beyond reasonable doubt
Balance of probabilities
Application form
The regulation requirement:
(See guidance document page 18)
Application form (continued…)
One of the criteria:
(See guidance document page 19)
Application form (continued…)
Sign-off:
(See guidance document page 20)
Clinical Services
including
• Meeting Core StandardsFully Met
• Existing National TargetsFully Met
• New National TargetsGood
• 6 out of 9 “achieved”
• 3 “under achieved”: MRSA bacteraemia targetReduce health inequalities (with PCTs)Improve long term conditions and reduceemergency bed days through improved
primaryand community care (with PCTs)
• 0 “failed”
… Quality of Services
GOOD GOOD GOOD
2005/06 2006/07 2007/08
Annual Health Check 2007/08
Annual Health Check 2007/08… Use of Resources
Use of Resources
“FAIR” was the highest score possible given our deficit in 2006/07
Auditors Local Evaluation• Financial Reporting 1 2 3
• Financial Management 2 3 3
• Financial Standing 1 2 2
• Internal Control 2 2 3
• Value for Money 1 1 3
• Overall Score 1 1 2
WEAK
2005/06 2006/07 2007/08
WEAK FAIR
(7/20) (10/20) (14/20)
Health Care Commission Ratings
• SaTH have asked for a joint Health Economy monthly report on projected ratings
• Draft presented at Shropshire and Telford Executive Group (STEG) 26/11/08
• Internal SaTH report to be included in Finance and Performance / Trust Board Committee reports
Hospital Activity
• Unprecedented levels of activity in November – Level 4 Escalation
• Emergency inpatients/ bed capacity not a simple function of A&E attenders
• All SaTH capacity fully utilised:-– private patients cancelled– day surgery cancelled– additional ward rounds– staff response has been fantastic
Hospital Activity• Over 70 “medically fit” people in community and acute
beds• Ambulance turnaround times extended• A&E target not maintained in month• SHA reviewing all Health Economy plans• Most of West Midlands under pressure• Shropshire Local Health Economy Summit 28/11/08• SHA expressing serious concern re A&E and category
A&B ambulance response times• SHA confident re waiting times, MRSA, C Diff and
financial targets
Hospital Activity
All activity – elective inpatients, day cases, emergency inpatients, maternity, outpatients(new and follow up), A&E
2003/4457,2172004/5 464,8252005/6470,5872006/7469,1552007/8475,789
Increase 18,572 or 4.1%
Hospital Activity
2008/9 straight line projection based on activity to 31 October:
= 494,525= 37,308 growth since 2003/4= 8.2%
Last 3 years:- At 4 years?Day cases 62% 80% 82%Day cases 33%+ 40%+Elective IP 17%- 17%-Emergency IP 0% 3%+Maternity 5%+ 6%+Outpatients 0% 4%+A&E attendances 4%+ 6%+
Hospital Activity
• 2009/10 Operating Framework delayed because of Pre Budget Report (PBR) was
due 31/10/08 now expected 8/12/08• New PCT allocations 8/12/08• New Payment by Results (PBR) tariff
12/01/09–Unbundling/ A&E/ Market Forces Factor???
• Challenge to agree 2009/10 Local Delivery Plan whilst FT HDD being undertaken
Other Issues
• Mike Hallworth presented with the 2008 Healthcare Scientist of the Year Award by the NHS Medical Director, Professor Sir Bruce Keogh. Primarily for work done to make information about pathology tests accessible to patients through a web site developed by him and a small team
• Mike Hallworth and Heidi Smith have attended a special Royal Reception at Buckingham Palace for NHS staff
Other Issues
• Melvyn Birch has received his MBE from Prince Charles
• Nigel Capps invited to join the CLRN Executive Group
• 100th birth at Oswestry Maternity Unit