durham dales 43.18% 47.75% 46.40% 44.33% 78.22% 76.39% ...€¦ · minutes across the trust area,...

Performance for the DDES CCG area – September 2017

Locality report for: NHS Durham Dales, Easington and Sedgefield CCG Red performances remain low in September 2017, although improvements have been made in some areas. There has been an improvement in Red 1 performance in Easington and Sedgefield, although there has been a deterioration in Red 2 and Red 19 performances for all areas. Conveyance rates overall and to A&E have improved in Durham Dales and Easington and deteriorated in Sedgefield and Trust wide.

Legend:

Monthly activity profile

Performance against national targets

The overall Trust performance in September was 73.33% for Red 1 (against 73.56% last period) and 53.65% for Red 2 (against 56.20% in August). Performance has improved in Easington and Sedgefield with Easington performing above the trust average for Red 1 and has deteriorated in all three areas for Red 2 and Red 19.

Red 1 response time - 95th Percentile

95% of Red 1 emergency incidents were reached in just 12:42 minutes across the Trust area, which has decreased by 23 seconds since August. All three areas have seen improvements in response to Red 1 incidents this month, and Easington and Sedgefield have a 95th percentile lower than the Trust average.

Improved from last month Unchanged Deteriorated from last month

May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17

2017/18

YTD

Durham Dales

Incidents 1,533 1,379 1,527 1,426 1,468 1,528 1,572 1,630 1,752 1,465 1,548 1,451 1,421 1,408 1,456 1,388 1,376 8,500

Calls 2,274 2,039 2,368 2,200 2,235 2,315 2,370 2,558 2,565 2,112 2,072 2,037 2,099 1,984 2,178 2,037 1,956 12,291

Easington

Incidents 991 1,001 1,041 999 1,141 1,187 1,153 1,249 1,279 1,080 1,188 1,200 1,229 1,172 1,209 1,093 1,176 7,079

Calls 1,510 1,552 1,684 1,531 1,777 1,855 1,690 1,891 1,878 1,556 1,656 1,765 1,929 1,769 1,919 1,655 1,839 10,876

Sedgefield

Incidents 753 758 736 702 734 748 745 815 909 740 794 763 771 731 792 753 746 4,556

Calls 1,091 1,145 1,149 1,106 1,102 1,132 1,074 1,289 1,287 1,080 1,082 1,109 1,133 1,093 1,228 1,069 1,103 6,735

Trustwide

Incidents 32,129 30,377 32,040 30,321 31,126 31,951 31,411 33,901 33,410 29,396 32,755 32,137 32,995 31,623 32,539 31,500 31,204 191,998

Calls 41,629 40,247 42,528 40,377 40,357 42,610 39,409 44,111 40,919 36,461 37,165 35,624 40,736 39,045 38,504 38,358 39,088 231,355

Red Performance Indicators

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Red 1 performance

Durham Dales Easington Sedgefield Target

Sep-17 YTD

Durham Dales 43.18% 47.75%

Easington 75.00% 61.31%

Sedgefield 66.67% 58.52%

Trustwide 73.33% 73.40%

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Red 2 performance


Sep-17 YTD


Easington 42.86% 45.88%


Trustwide 53.65% 56.31%

Sep-17 YTD


Easington 82.23% 84.50%


Trustwide 86.92% 87.52%

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Red 19 performance


Urgent response performance

Ambulance Quality Indicators

The Trust’s Hear and Treat rate has improved in Easington, although has reduced in Durham Dales and Sedgefield and the trust wide position has deteriorated since last month. Re-contact following telephone advice and re-contact following treatment at scene have deteriorated overall in September 2017.

All localities but Easington have performance against Hear and Treat below the Trust average in September 2017.

Re-contact following telephone advice has deteriorated in Easington and improved in Durham Dales and Sedgefield in September 2017. Re-contact rate following discharge on scene has also deteriorated in all areas but Sedgefield.

The Trust’s overall conveyance rate was 74.16% (against 73.87% last period) and specifically to EDs was 61.73% (against 61.47% last period). The conveyance rate overall and to ED has improved in Durham Dales and Easington, although has deteriorated in Sedgefield and Trust wide since last month.

Green and Urgent Performance Indicators

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Green performance

Durham Dales Easington Sedgefield

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Urgent performance

Durham Dales Easington Sedgefield

Sep-17 YTD


Easington 38.03% 35.51%


Trustwide 40.56% 40.91%

Sep-17 YTD


Easington 50.88% 41.45%


Trustwide 42.01% 41.34%

Hear and Treat Recontact (Telephone advice) Recontact (on scene discharge)

Sep-17 YTD


Easington 8.00% 6.63%


Trustwide 7.78% 7.58%

Sep-17 YTD


Easington 22.92% 16.44%


Trustwide 13.61% 12.23%

Sep-17 YTD


Easington 4.86% 4.90%


Trustwide 4.97% 4.61%

Conveyance Indicators

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Conveyance rate

Durham Dales Easington Sedgefield Trustwide

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Percentage of incidents conveyed to ED

Durham Dales Easington Sedgefield Trustwide

Sep-17 YTD


Easington 70.07% 70.22%


Trustwide 74.16% 73.87%

Sep-17 YTD


Easington 57.48% 57.49%


Trustwide 72.63% 63.38%61.73% 61.61%

Clinical performance

Routine monitoring of eight metrics provides an indication of clinical performance across the Trust. There were improvements seen in two of the indicators in May 2017, though the Trust performed below the national average in five.

Explanatory Notes

Hear & Treat – patients whose care is discharged following telephone advice

Re-contact – both re-contact indicators refer to patients that contact the ambulance service within 24 hours of their care being discharged either on scene or following telephone advice

Conveyance - incidents where a patient is treated at the scene and subsequently transported to a point of care.

ROSC – Return of Spontaneous Circulation following a cardiac arrest

77.59%

93.10%

27.81%

44.12%

7.93%

28.13%

45.93%

98.45%97.40%92.86%

24.50%

45.45%

8.61%

27.27%

53.19%

97.83%

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PPCI treatmentwithin 150

minutes

STEMi CareBundle

ROSC ROSC [Utstein] Survival todischarge

Survival todischarge[Utstein]

FAST positivewithin 60minutes

Stroke CareBundle

Clinical Ambulance Quality Indicators - May 2017

Current month NEAS Previous Month England Average Best Trust Worst Trust

durham dales 43.18% 47.75% 46.40% 44.33% 78.22% 76.39% ...€¦ · minutes across the trust area,...

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