The number of 2 year developmental checks completed by the children's centre for children within their reach area. General and acute bed occupancy was 87% in Week 49 of 2020. Percentage of 50 urgent referrals that recived a same day or next day response to the referrer. The framework provides an overview of how the NHS is performing. For urgent and emergency care, the field test sites have not been submitting four-hour performance data since May 2019. Total number and proportion of families in UP. A six-month Progress Report from the NHS Medical Director was also published in October 2019. Percentage of babies for whom screening process is complete within 4-5 weeks corrected age. The total number of people waiting to start consultant-led elective treatment increased to over 4.5 million in October 2020 (reported waiting list plus the estimate of missing data). Effective information sharing is an essential component of integrated service delivery. Improving the wider determinants of health, health improvement (NHSOF, PHOF). Performance indicators play a vital role in the management and transformation of a hospital or laboratory. Month 2 . Identify the current national ‘Must do’ KPI’s and how they map to both the HCP principles and national outcome frameworks. The percentage of patients who waited longer than two months to start their first treatment for cancer following a referral from a national screening service remained constant at 15% in October 2020, following the recent worsening to 87% in June 2020. Developed a HCP specific vision for integrated commissioning and delivery. Add filter for NHS Health Scotland (12) ... An explanation of the key performance indicators (KPIs) for NHS population screening in England. The number of families with children under the age of five within a centres reach area. These included more than 600 performance targets.1 The NHS Plan, published by the Department of Health (DH) in 2000, stated that the NHS must be ‘A health service designed around the patient’. Agreement on an annual HCP pathway audit programme, for example: Audit of a sample of children who have a 2 – 2 1/2yr assessment to review: Proportion of children receiving Universal, Universal Plus or Universal Partnership Plus and whether this is similar to expected levels; Levels of adherence to national good practice guidance such as that recommended by NICE. The following pages identify a range of potential areas and potential indicators identified by the contributors to this project. No KPIs relating to the provision of pre-conception care could be identified. In October 2020, 29% of patients had been waiting over six weeks for a diagnostic test. 1,066 people started a first treatment for cancer in October 2020 following a referral from a national screening service – 47% lower than in October 2019. The Royal College of Pathology Key Performance Indicators (KPIs) build on work the Royal College of Pathologists has been undertaking in recent years. In March 2019, the Clinically-Led Review of NHS Access Standards Interim Report was released, proposing some significant changes to many of the targets reported on here. The diagnostic waiting time target has not been met for over six and a half years. Percentage of babies from whom it is necessary to take a repeat sample due to an avoidable failure in the sampling process. 71,041 patients spent more than four hours waiting on a trolley from a decision to admit to admission in November 2020 – 20% lower than in November 2019. These indicators focus on areas such a length of stay, mortality rates, readmission rates, costs per episode of patient care and the number of staff employed. Percentage of babies who, as a result of possible abnormality detected at the NIPE, undergo assessment by ultrasound within 2 weeks of birth. In 1999, more than . In addition to the above a large scale project was previously undertaken by the Strategic Network for Child Health and Wellbeing in the East of England with users of children’s services, to identify a set of principles that should define both the commissioning and delivery of services. Percentage of staff who have recived mandatory child protection training (commensurate with their role) in the last 36 months (rolling). Our monthly round-up of the latest NHS performance data. Context . 2,141 people had a trolley wait of over 12 hours in November 2020, almost double that in October 2019. In November 2020, 16% of people attending A&E spent more than four hours from arrival to admission, transfer or discharge. Number of children and families that are known to be registered with a dentist. Today, NHS England and NHS Digital published the latest data on key activity and performance measures for October and November of this year. Emergency admissions via A&E have generally been increasing year-on-year, but fell dramatically in April 2020 to 257,928. … Whether you’re a public or private healthcare organization, you’ve likely been feeling the pressure of tightening budgets and keeping up with ever-evolving policies, processes, and regulations in … This follows a substantial drop to less than 80,000 first consultant appointments in April 2020. There was an average of 11,336 hospital beds occupied by long stay patients (>21 days) in Week 49 of 2020. Summary Report . Achieving effective implementation of the HCP is dependent on local commissioners and providers working together so that the families they collectively support receive seamless, integrated care. Wider determinants of health, health improvement (NHSOF, PHOF). Performance indicators, embedded in clinical guidelines and peer reviews, are among the most common approaches aimed at bridging the knowledge gap, but have limited effectiveness when used alone to change physician behaviour. 74% of adult critical care beds were occupied, compared to 83% in the same week last year. Clarity amongst commissioners and providers regarding the contribution individual services make to the delivery of the local HCP child health outcomes. Percentage of mothers that initiate breast feeding in the first 48 hours after delivery. The proportion of women having antenatal sickle cell and thalassaemia screening for whom a conclusive screening result is available by 10 weeks' gestation. Given the co-dependence of the services involved in the delivery of HCP, multi-agency oversight is essential to ensure services are working effectively together to collectively support local children and families. Number of pregnant women as a percentage of total deliveries who are reported as smoking at the time of delivery. This compares to 95% occupancy in Week 49 of 2019. Percentage of children within the centres reach area that are achieving a total of 78 points across the EYFS. potty training, sleep. Updated: Performance Team Page 4 of 23 This could include the development of, locally sensitive, integrated performance dashboards for each Children’s Centre. For more information, see our cancer waiting time targets indicator. • QualityWatch. Number of pregnant women as a percentage of total booking appointments who are reported as smoking at the time of booking. Secretary of State and the Department of Health through NHS England and CCGs to the performance of local health systems, based on indicators that reflect what really matters to patients and the public. Annual audit will provide service with a clear indication if pathwyas are being delivered consistently and to the quality required. This multi-agency group will need to link to existing inter-agency groups including the Local Safeguarding Children Board and Child Death Overview Panel. It is essential to have the right key performance indicator (KPI) information at your fingertips, whether you are providing insights to managers The NHS Outcomes Framework (NHS OF) is a set of indicators developed by the Department of Health and Social Care to monitor the health outcomes of adults and children in England. Key performance indicators (KPIs) are used by many organisations including Public Health England to see if they’re meeting their objectives. Is an agreed HCP specific information sharing protocol in place in each service. These are: Every child is nurtured and supported so they can achieve their full potential throughout their life course. Some of the most common and relevant key performance indicators for health and safety today include: Number of reported accidents and incidents. Annual Report on patient experience feedback from families and caregivers. The number of children on a CIN or CIP within an individual centres reach area that are known to the centre. There is a greater risk of mortality and morbity in pre term babies. The proportion of antenatal sickle cell and thalassaemia samples submitted to the laboratory which are supported by a completed Family Origin Questionnaire (FOQ). When evaluating health interventions, outcomes have generally been defined as a change in health status or in the factors that influence health status as a result of a programme or intervention (from Donabedian 1980). To monitor the level of appropriate support being provided to parents across the health and care system. The number of families with children under the age of five, within a centres reach area that are registered with the centre. Integrated Urgent Care Key Performance Indicators Background NHS England have been developing new KPIs for the IUC Service since 2016, with the final version published in June 2018. There were 347,211 emergency admissions via A&E in November 2020 – 17% lower than in November 2019. Of the closed beds, 26 were unoccupied. The time series presented here excludes the field testing sites and so is comparable across months and years. The proportion of laboratory request forms including complete data prior to screening analysis, submitted to the laboratory within the recommended timeframe of 10+0 to 20+0. Pre-conception: Percentage of women that have had pre-conceptual advice to be recorded at birth. These are: These national monitoring requirements, the ‘Must do’ KPIs and health outcomes, were mapped against the HCP pathways to provide an overview of how they relate to local service commissioning and delivery. NHS Indicators A really useful summary of statistical indicators (as of Feb 2015) for NHS England compiled by the House of Commons Library including Hospital Activity and Capacity, Staff Numbers, Waiting Times and other performance indicators. Effective and consistent information sharing is essential to the safe delivery of multi-agency care. Percentage of infants for whom a breastfeeding status has been recorded at the 6-8 week developmental check. Number of CAF's being completed or currently involving staff/services from the individual children's centre. It argued that there was ‘A lack of clear incentives and levers to improve performance’2 and that consequently, national standards were needed. Disqus. We have sustained low waiting times for all our patients and ensured that over 96% of our patients have been able to access treatment in less than 18 weeks from referral by their GP. Number of women as a percentage of total booking appointments, who are categorised as obese at booking. (minimum 65%). The number of joint 2-21⁄2 year reviews completed as a % of the total number of reviews. Key Performance Indicators . Monitoring and identification of need within the local population. Identify the areas of where outcomes are shared between services and where there are key gaps. Indicator Key issues that the multi-agency oversight group will wish to ensure are addressed are: Figure 7 below provides an overview of how an integrated monitoring framework might work in practice, However, broader definitions of outcomes have also been adopted to include, for example, measures of health status in a population to allow tracking over time or between areas (Jee, M. and Z. The 62-day cancer target has not been met for over four and a half years. • QualityWatch, Combined Performance Summary: November–December 2019, Nuffield Trust – Evidence for better healthcare, Health and social care finance and reform, Urgent and Emergency Care Daily Situation Reports, Clinically-Led Review of NHS Access Standards Interim Report, Progress Report from the NHS Medical Director. Integrated reviews provide a more effective and robust assesment of need and enhance communication and joint working. Performance indicators are commonly used across health and care systems to examine and compare performance. The need to develop local impact measures such as programme coverage, in addition to national key indicators, is also a view supported within the HCP. The identification of trends within the local health system is an impotant driver. Or, 1999), and the results of service activity. The Department of Health engaged SMS Management and Technology to review the data quality of the national Key Performance Indicators (nKPIs), a set of indicators that provides information on process of care and health outcomes, currently reported for Aboriginal and Torres Strait Islander patients of Commonwealth funded Aboriginal primary health care services. outcome. Percentage of births that receive a face to face NBV within 10-14 days by a Health Visitor. The 6 key principles were: A number of national quality assurance and monitoring mechanisms are already in place to monitor elements of the HCP. a number of key performance indicators (KPIs) for assessing the performance of healthcare accreditation programmes in order to contribute to the current knowledge in performance measurement and improvement in public sector and specifically health care. Today, NHS England and NHS Digital published the latest data on key activity and performance measures for October and November of this year. Percentage of face-to-face NBVs undertaken after 14 days, by a Health Visitor. NHS waiting time performance has dominated public and political debate since the late 1990s. Clinical Operations . Number of low birth weigh babies (less than 2500g) delivered per month as a percentage of total births. Percentage of mothers seen before 13 weeks. Percentage of babies who have a conclusive result recorded on the CHIS within 17 days of age. Effectiveness of information sharing and partnership working between services including: Health Visitor is a member on the Children’s Centre Board; Robust links with maternity and school nursing services; Implemented learning from Family Nurse Partnership Programme Sites. Number of Maternal Mental Health assessments completed at 10-14 days post natally as a percentage of total new birth visits completed. For each indicator, we look at how we are performing against national standards and/or our own targets. Monitoring the effectiveness of the local system in providing integrated care will also require an integrated monitoring framework. Number of pre term babies (less than 37 weeks) delivered per month as a % of total births. showing how individual service activities contribute to the shared child population health outcomes, underpinned Executive Summary Field testing of the proposed new standards began in 2019, however due to the coronavirus (Covid-19) outbreak, the publication of the review’s recommendations has been delayed until later this year. Service Specific Measures (HV, maternity, children centre, GP/primary care). Number of Maternal Mental Health assessments completed at 28 weeks antenatally as a % of total 28 week antenatal contacts. Waiting times have worsened for the past six consecutive months. Audit of effectiveness of communication of findings from school entry assessments communicated to the School Nursing Team. Health improvement, improving the wider determinants of health (NHSOF, PHOF). Percentage of new born bs results which are screened negative for all five conditions available for communication to parents within 6 weeks. % of families on each UP and UPP pathway. May 2012 . Supports early engagement with maternity and specilaist services if required. Section 6: Outcomes & Key Performance Indicators, Partnership Working Between Midwifery & Health Visiting Services, Delivery of Consistent Messages by Health & Social Care Staff. This work resulted in the identification of 6 key principles and underpinning indicators/evidence that would reflect achievement of the principles (see appendix 2). These KPIs reflect existing guidance, ... Read Summary. 203,704 patients had a first consultant appointment for suspected cancer in October 2020 following an urgent GP referral– 8% lower than in October 2019. Identify a range of potential shared KPI’s that would address any gaps in the current HCP monitoring across the range of providers. Number of families/babies receiving vitamins via the children's centre. It is also worth noting that NHS England have suspended data collection for 2020/21 for some of their performance statistics, including delayed transfers of care. For fifteen common diagnostic tests, including non-obstetric ultrasound, magnetic resonance imaging (MRI), and computed tomography (CT), there were 1,239,114 tests carried out in October 2020. This is a third lower than in Week 49 of 2019. Around 1 million attendances in November were to major (type 1) A&E departments. The number of elective admissions increased to 609,298 – 22% lower than in October 2019. Is a multi-agency oversight in place? Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Monitor the availability and provision of specialist programmes to vulnerable groups. Key performance indicators (KPIs) are defined by the NHS Institute as indicators that help you define and measure progress towards organisational goals (NHS Institute, 2008) . Availability and uptake of preperation for parenting programmes as: Pregnancy Birth & Beyond - availability and uptake of jointly delivered programmes as: Ensure robust processes exist to provide effective communication between professionals. In October 2020, one in four patients (25%) waited longer than two months to start their first treatment following an urgent GP referral for suspected cancer. The most recent data published today reflects changes in access and service use as a result of the coronavirus (Covid-19) pandemic. Audit of effectiveness of user involvement in service commissioning and delivery. A Percentage of mothers notified as being pregnant that receive an antenatal visit at 28 weeks. Percentage of 50 transfers where health records are transferred to the HV service within the new area within 2 weeks. Is an annual audit pathway programme in place? Average Hospital Stay. (minimum 65%). Number of families categorised as being vulnerable within an individual centres reach area that are registered and accessing services at the centre (minimum 65%). In light of these shifts in activity, we have added new charts and changed the presentation of some of our usual charts, to aid interpretation. Transparent availability and joint review of performance data between the various commissioners and providers involved in the local delivery of the HCP. The HCP integrated commissioning framework defines KPIs as: This section covers the work undertaken by the project workstreams to: The integrated monitoring framework should enable service providers and commissioners to monitor and understand: It is clear from the work undertaken by the various workstreams that there are different understandings of what is meant by a KPI and a health outcome, it is therefore important to ensure a common understanding through the provision of broad definitions for both. Human Resource Key performance Indicators – KPI examplesEmployee Development Key performance Indicators – KPI examplesFinance and Business Key performance Indicators – KPI examplesHealth and Safety Key performance Indicators – KPI examplesEnvironmental Key performance Indicators – KPI examplesKey performance Indicator – KPI overviewGo to our main Key Performance Indicator (KPI) page Number of child & family meetings attended by HV staff, per WTE as a percentage of caseload, within a month. For more information, see our A&E waiting times indicator. This is 16% higher than in October 2019, and follows a previous fall to 838,569 in March 2020. Total number and proportion of families in UPP. A healthcare KPI, or metric, is a type of performance measurement that helps you understand how your healthcare organization or department is performing. by a common service-wide understanding of local child health needs. Here we show some of these statistics and how they compare with previous trends. 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