DESCRIPTION Target Actual
Additional Care Quality Commission / Healthcare Commission targets
Infant health & inequalities: smoking during pregnancy <13% 11.8%
Infant health & inequalities: breast feeding initiation >= 74% 77.4%
Sexual health – 48 hour GUM access offered >= 98% 100%
Data quality on ethnic group > 80% 84%
Experience of patients FT view Y
Health promotion for staff FT view Y
Cancelled operations and those not readmitted within 28 days < 0.5% / 10 0.3% / 10
Sentinel stroke audit Y / N Y
Maternity hospital episode statistics (data quality) Y / N Y
Participation in heart disease audits (MINAP performance only) 90% 93%
Inpatient waiting over 26 weeks < 0.03% 0%
Outpatient waiting over 13 weeks < 0.03% 0.02%
Patients waiting over 13 weeks for revascularisation) 00
Waiting times for rapid access chest pain clinic 99% 99%
Engagement in clinical audit Y / N Y
Delayed transfer of care < 3.5% 4.3%
KEY
Achieving expected standard
Under-achieved performance as per predicted thresholds
Not achieved as per predicted thresholds
9
Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24