SERVICE AND BUDGET AGREEMENT 2016/17 MONTH-END ACTIVITY (APPENDIX 1) March 2017

Transcription

1 SERVICE AND BUDGET AGREEMENT 2016/17 MONTHEND ACTIVITY (APPENDIX 1) Includes additional activity funded by March 2017 Performance Team, Performance Improvement Division, Performance & Reform, SHSCT Date of Issue:

2 SOUTHERN HEALTH AND SOCIAL CARE TRUST KEY NOTES levels reflected in this document represent those formally signed off as part of the document by SLCG/HSCB; any new proposals submitted/used operationally will not be included in this document levels are annual based but split equally over a 12 month period for planning purposes reflected against levels reflects core funded capacity Additional activity externally funded to provide additional inhouse additional (IHA) or additional activity in the Independent Sector (IS) is not included in this report Where additional resources are provided to a specialist area, above the core funded level, which are internally funded/redirected from other internal sources, this will be included in the core (will be referred to as IRR Internally ReDirected Resources) levels have not been agreed for all activity types and specialist areas, however working is ongoing to develop this with HSCB and Regional Community Indicators working groups

3 NEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY H 100C 100H A 110H GENERAL SURGERY (Excl. SAU) HAEMATURIA GENERAL SURGERY (INCL. HAEMATURIA) Variance Variance % 12% 16% 10% 35% 23% 5% 13% 13% 9% 14% 15% 12% BREAST SURGERY (SYMPTOMATIC) Variance Variance % 26% 18% 28% 50% 18% 5% 12% 16% 43% 41% 49% 38% BREAST FAMILY HISTORY Variance Variance % 10% 5% 6% 56% 28% 12% 1% 67% 72% 16% 23% 12% UROLOGY (INCLUDES ICATS) Variance Variance % 20% 11% 23% 3% 12% 2% 12% 41% 25% 83% 55% 13% UROLOGY OPPS (includes New & Review) Variance FRACTURE (TRAUMA) Variance Variance % 43% 53% 63% 8% 56% 45% 30% 31% 6% 6% 4% 24% ORTHOPAEDICS Variance Variance % 10% 9% 35% 47% 18% 9% 12% 19% 30% 9% 11% 18% ORTHOPAEDIC ICATS Variance Variance % 41% 25% 22% 14% 25% 9% 0% 29% 17% 6% 12% 9% EAR, NOSE & THROAT (INCLUDES ICATS) Variance Variance % 3% 8% 5% 44% 4% 14% 6% 3% 14% 4% 2% 8% EAR, NOSE & THROAT MDM ACTIVITY Variance ENT & ENT MDM COMBINED Variance Variance % 4% 6% 5% 43% 3% 16% 8% 4% 13% 5% 3% 9% ORTHODONTICS Variance Variance % 49% 38% 62% 76% 51% 76% 49% 47% 71% 34% 49% 60% PAIN MANAGEMENT Variance Variance % 3% 7% 5% 58% 3% 7% 27% 25% 23% 15% 30% 6% GENERAL MEDICINE Variance Variance % 37% 60% 22% 47% 40% 30% 40% 43% 53% 38% 18% 18% GASTROENTEROLOGY Variance Variance % 19% 11% 19% 45% 19% 29% 14% 20% 4% 7% 12% 24% ENDOCRINOLOGY Variance Variance % 27% 13% 2% 34% 43% 11% 13% 20% 11% 32% 20% 32% DIABETOLOGY Variance Variance % 28% 31% 3% 28% 3% 15% 3% 12% 31% 0% 15% 12% 101 OPPs % MDM TOTAL A 302 & 302A TOTAL ENDOCRINOLOGY & DIABETOLOGY COMBINED Variance Variance % 27% 20% 0% 32% 25% 12% 6% 8% 19% 20% 6% 15% 408 HAEMATOLOGY (INCL. CANCER HAEMATOLOGY TREATMENT) Variance Variance % 3% 26% 24% 53% 6% 121% 71% 24% 38% 74% 38% 21% % % 29% 45 21% 23% 30% 5% 3% #DIV/0! 2% 55% 5% 37% 5% 19% 5% 14% 37% _ V1_0_LLappin

4 NEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY ANTICOAGULANT A 322 Variance % Variance % 19% 23% 22% 3% 11% 7% 11% 1% 18% 19% 18% 3% PALLIATIVE MEDICINE Variance % Variance % 4% 38% 49% 38% 15% 49% 15% 58% 4% 58% 4% 26% CARDIOLOGY (INCLUDES ICATS) Variance % Variance % 14% 7% 26% 6% 3% 17% 3% 2% 7% 5% 10% 8% 320 CARDIOLOGY RAPID ACCESS CHEST PAIN (NurseLed only since 01/06/2016) % Variance Variance % 24% 1% 9% 7% 24% 4% 45% 61% 21% 73% 52% 48% DERMATOLOGY (INCLUDES ICATS, BUT EXCLUDES VIRTUAL) Variance % Variance % 34% 21% 16% 48% 20% 5% 4% 4% 21% 17% 30% 22% DERMATOLOGY VIRTUAL ACTIVITY Variance #DIV/0! DERMATOLOGY CORE + VIRTUAL COMBINED Variance % Variance % 34% 21% 5% 29% 1% 19% 14% 17% 7% 3% 11% 4% THORACIC MEDICINE Variance % Variance % 4% 10% 11% 34% 9% 17% 13% 13% 38% 13% 25% 2% NEPHROLOGY Variance % Variance % 27% 3% 19% 12% 12% 4% 34% 57% 18% 49% 12% 42% NEUROLOGY Variance % Variance % 25% 52% 21% 63% 36% 30% 19% 21% 40% 37% 26% 28% NEUROLOGY VIRTUAL E 795 Variance % Variance % 102% 74% 131% 24% 92% 71% 157% 78% 10% 116% 42% 113% NEUROLOGY CORE + VIRTUAL COMBINED & 400E 2790 TOTAL Variance % Variance % 11% 16% 22% 38% 1% 1% 31% 7% 26% 7% 7% 12% RHEUMATOLOGY Variance % Variance % 4% 16% 10% 50% 11% 14% 9% 16% 19% 6% 4% 1% PAEDIATRIC MEDICINE (INCLUDES ALLERGY & ASTHMA) Variance % Variance % 39% 32% 62% 9% 22% 22% 16% 20% 4% 25% 17% 3% GERIATRIC MEDICINE Variance % Variance % 35% 45% 50% 11% 32% 42% 13% 40% 4% 4% 40% 61% GERIATRIC ASSESSMENT A 465 Variance % Variance % 2% 11% 24% 41% 17% 2% 32% 1% 7% 7% 1% 28% GERIATRIC ACUTE D 667 Variance % Variance % 55% 26% 55% 17% 15% 28% 55% 30% 12% 46% 3% 19% ORTHOPAEDIC GERIATRIC F 44 Variance % Variance % 9% 64% 36% 18% 100% 64% 9% 18% 18% 36% 9% 18% _ V1_0_LLappin

5 NEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY B C A GYNAECOLOGY Variance Variance % 2% 6% 6% 28% 6% 10% 28% 13% 3% 4% 0% 2% GYNAECOLOGY OPP (RE: LLETZ/Hysteroscopy/Cold Coag. only) Variance Variance % 376% 362% 291% 283% 276% 475% 383% 461% 262% 305% 319% 312% FERTILITY (GYNAE) Variance Variance % 21% 5% 21% 4% 21% 21% 49% 21% 12% 39% 4% 21% URODYNAMICS (GYNAE) Variance Variance % 76% 10% 46% 82% 40% 49% 37% 31% 37% 7% 35% 34% COLPOSCOPY Variance Variance % 19% 32% 29% 38% 25% 26% 32% 20% 34% 42% 51% 28% OBSTETRICS (CONSLED) Variance Variance % 33% 34% 33% 40% 35% 29% 31% 30% 37% 30% 36% 25% FAMILY PLANNING (GYNAE) Variance Variance % 100% 100% 100% 100% 100% 100% 110% 101% 9% 59% 68% 118% GENITOURINARY MEDICINE (GUM: CONSLED) Variance Variance % 33% 25% 40% 53% 10% 28% 24% 26% 46% 30% 37% 19% CHEMICAL PATHOLOGY Variance Variance % 33% 43% 33% 5% 14% 43% 43% 62% 24% 71% 33% 14% CUMULATIVE TOTAL Variance Variance % 4% 4% 5% 27% 5% 7% 6% 9% 13% 0% 5% 2% % % % % % % % % % % _ V1_0_LLappin

6 REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY H 100H GENERAL SURGERY (Excl. SAU) Haematuria GENERAL SURGERY (INCL. HAEMATURIA) Variance Variance % 29% 45% 31% 52% 48% 39% 37% 40% 49% 51% 52% 47% BREAST SURGERY (SYMPTOMATIC) Variance Variance % 5% 29% 6% 42% 3% 2% 2% 19% 15% 4% 1% 35% BREAST FAMILY HISTORY Variance Variance % 6% 9% 5% 56% 13% 38% 22% 64% 56% 2% 35% 35% UROLOGY (INCL. ICATS) Variance Variance % 27% 7% 6% 20% 1% 14% 12% 16% 23% 74% 15% 23% FRACTURE (TRAUMA) Variance Variance % 20% 22% 32% 1% 6% 16% 11% 16% 4% 23% 16% 26% ORTHOPAEDICS Variance Variance % 4% 5% 9% 38% 12% 18% 12% 21% 31% 12% 17% 20% 100C % A ORTHOPAEDIC OUTCOMES PRACTITIONER Variance % Variance % 50% 31% 46% 34% 57% 47% 39% 47% 62% 53% 62% 41% ORTHOPAEDIC ICATS H 7437 Variance % Variance % 21% 6% 27% 3% 17% 10% 5% 8% 18% 22% 6% 3% EAR, NOSE & THROAT (INCL. ICATS) Variance % Variance % 28% 32% 15% 18% 41% 29% 35% 42% 14% 23% 19% 39% ORTHODONTICS Variance % Variance % 19% 17% 30% 37% 35% 29% 26% 34% 40% 16% 25% 33% PAIN MANAGEMENT Variance % Variance % 31% 14% 51% 34% 36% 36% 31% 33% 9% 6% 6% 23% GENERAL MEDICINE Variance % Variance % 25% 48% 20% 30% 27% 1% 38% 20% 36% 32% 21% 18% GASTROENTEROLOGY Variance % Variance % 27% 21% 45% 70% 29% 1% 7% 46% 34% 36% 20% 17% ENDOCRINOLOGY Variance % Variance % 14% 10% 49% 3% 8% 38% 15% 17% 25% 4% 13% 9% DIABETOLOGY A 2983 Variance % Variance % 9% 2% 14% 18% 19% 11% 1% 5% 7% 2% 9% 20% 302 & 302A Total 4401 ENDOCRINOLOGY & DIABETOLOGY COMBINED Variance Variance % 10% 2% 25% 13% 10% 20% 4% 2% 4% 3% 2% 17% % HAEMATOLOGY (INCL. CANCER HAEMATOLOGY TREATMENT) % Variance Variance % 8% 7% 11% 9% 9% 24% 34% 37% 21% 26% 14% 28% ANTICOAGULANT A 6371 Variance % Variance % 3% 1% 9% 8% 9% 8% 17% 10% 7% 2% 14% 16% PALLIATIVE MEDICINE Variance % Variance % 5% 1% 27% 8% 48% 27% 35% 33% 3% 14% 10% 48% CARDIOLOGY (INCL. ICATS) Variance % Variance % 26% 20% 15% 36% 24% 13% 32% 14% 34% 17% 31% 26% 26% 13% 16% 12% 5% _ V1_0_LLappin

7 REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY DERMATOLOGY (INCL. ICATS) Variance % Variance % 18% 6% 13% 35% 1% 34% 35% 23% 14% 0% 5% 9% THORACIC MEDICINE Variance % Variance % 21% 17% 11% 18% 31% 10% 36% 45% 6% 38% 9% 25% NEPHROLOGY Variance % Variance % 98% 105% 149% 73% 113% 109% 133% 128% 83% 154% 91% 106% NEUROLOGY Variance % Variance % 35% 40% 29% 65% 37% 35% 34% 26% 46% 36% 36% 33% NEUROLOGY VIRTUAL E 452 Variance % Variance % 102% 10% 99% 22% 26% 110% 54% 62% 36% 83% 18% 54% 400 Total 3787 NEUROLOGY & NEUROLOGY VIRTUAL COMBINED Variance % Variance % 19% 36% 14% 55% 35% 18% 24% 15% 45% 21% 33% 22% RHEUMATOLOGY Variance % Variance % 38% 38% 40% 22% 50% 56% 20% 46% 24% 42% 30% 54% PAEDIATRIC MEDICINE (INCL. VIRTUAL, EPILEPSY & ASTHMA) Variance % Variance % 19% 14% 11% 28% 27% 8% 13% 19% 5% 18% 1% 12% 420C 308 PAEDIATRIC NEONATOLOGY (SPECIAL CARE BABIES) Variance % Variance % 17% 14% 25% 6% 88% 45% 29% 6% 18% 1% 22% 3% GERIATRIC MEDICINE Variance % Variance % 37% 25% 23% 30% 15% 29% 20% 2% 26% 14% 26% 22% GERIATRIC ASSESSMENT A 1111 Variance % Variance % 9% 12% 14% 22% 6% 7% 5% 11% 10% 1% 11% 21% GERIATRIC ACUTE D 446 Variance % Variance % 5% 32% 13% 8% 19% 70% 11% 5% 8% 13% 35% 3% ORTHOPAEDIC GERIATRICS F 61 Variance % Variance % 18% 77% 77% 21% 100% 97% 97% 2% 21% 97% 77% 21% GYNAECOLOGY Variance % Variance % 1% 2% 5% 9% 13% 24% 23% 33% 9% 12% 1% 1% COLPOSCOPY A 661 Variance % Variance % 5% 3% 3% 27% 27% 51% 31% 34% 11% 116% 29% 20% FERTILITY (GYNAE) B 2109 Variance % Variance % 38% 21% 38% 24% 31% 26% 1% 29% 0% 5% 17% 45% CERVICAL CYTOLOGY D 785 Variance % Variance % 56% 33% 45% 45% 46% 51% 46% 62% 43% 51% 46% 40% FAMILY PLANNING (GYNAE) Variance % Variance % 100% 100% 100% 100% 100% 100% 94% 94% 100% 88% 88% 94% 428 GENITOURINARY MEDICINE (GUM) CONSULTANT LED ONLY Variance % Variance % 58% 50% 50% 55% 33% 41% 38% 63% 52% 7% 85% 12% OBSTETRICS (CONSLED) Variance % Variance % 14% 13% 29% 8% 22% 23% 13% 19% 16% 13% 13% 34% _ V1_0_LLappin

8 REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 822 CHEMICAL PATHOLOGY Variance Variance % 10% 5% 10% 30% 40% 5% 5% 60% 35% 40% 0% 20% CUMULATIVE TOTAL Variance Variance % 5% 2% 7% 19% 3% 8% 5% 8% 9% 6% 3% 6% % 1% _ V1_0_LLappin

9 REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY _ V1_0_LLappin

10 INPATIENT AND DAY CASE SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE INPATIENTS & DAYCASES 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY General Surgery (including Haematuria) IP InPatient Variance % Variance % 41% 31% 28% 42% 29% 18% 11% 22% 56% 53% 43% 17% General Surgery (including Haematuria) DC Variance Variance % 9% 23% 12% 27% 30% 3% 16% 19% 50% 38% 39% 13% % GENERAL SURGERY IPDC COMBINED TOTAL 5830 Variance % Variance % 17% 25% 16% 31% 30% 7% 15% 20% 52% 42% 40% 14% 100C Breast Surgery IP InPatient Variance Variance % 36% 36% 20% 68% 32% 20% 32% 24% 32% 36% 44% 0% 100C Breast Surgery DC Variance Variance % 31% 52% 31% 19% 114% 126% 90% 150% 54% 66% 90% 5% % 59% BSUR IPDC COMBINED C TOTAL 400 Variance % Variance % 19% 40% 23% 46% 5% 17% 1% 20% 10% 10% 10% 1% 101 Urology IP Variance InPatient Variance % 19% 2% 22% 23% 13% 20% 25% 35% 52% 45% 34% 15% Urology DC (Excludes OPP New & Review) Variance % 12% Variance % 12% 1% 17% 7% 11% 23% 10% 29% 0% 27% 14% 13% UROLOGY IPDC COMBINED TOTAL 4198 Variance % Variance % 4% 0% 7% 11% 5% 12% 1% 13% 13% 9% 2% 6% 110 Orthopaedics IP Variance InPatient Variance % 35% 2% 6% 59% 27% 23% 1% 8% 95% 18% 12% 5% % 110 Orthopaedics DC Variance Variance % 5% 27% 21% 20% 3% 3% 17% 14% 52% 11% 35% 10% % ORTHOPAEDICS IPDC COMBINED Total 1719 Variance % Variance % 18% 11% 12% 42% 13% 14% 7% 11% 76% 15% 22% 1% 120 EAR, NOSE & THROAT IP Variance InPatient Variance % 63% 50% 61% 53% 44% 33% 48% 51% 74% 69% 54% 47% EAR, NOSE & THROAT DC Variance Variance % 13% 42% 36% 6% 48% 54% 45% 14% 10% 10% 20% 47% % 28% EAR, NOSE & THROAT IPDC COMBINED Total 2850 Variance % Variance % 26% 5% 13% 30% 1% 9% 3% 19% 33% 31% 18% 1% Pain Management DC Variance Variance % 13% 35% 4% 45% 32% 45% 33% 18% 22% 59% 33% 3% % 300 General Medicine IP Variance InPatient Variance % 18% 69% 13% 28% 38% 18% 59% 8% 49% 18% 8% 13% % General Medicine DC Variance Variance % 53% 33% 37% 36% 28% 20% 20% 6% 3% 20% 37% 7% % GENERAL MEDICINE IPDC COMBINED Total 1855 Variance % Variance % 51% 35% 34% 35% 29% 18% 22% 6% 6% 20% 35% 6% _ V1_0_LLappin

11 INPATIENT AND DAY CASE SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE INPATIENTS & DAYCASES 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 301 Gastroenterology (NonScopes) IP InPatient Variance Variance % 41% 29% 112% 100% 100% 29% 29% 100% 29% 112% 112% 29% Gastroenterology (NonScopes) DC Variance Variance % 494% 506% 436% 417% 538% 321% 653% 481% 398% 321% 340% 443% 1026 GASTROENTEROLOGY (NONSCOPES) IPDC COMBINED 301 Total Variance Variance % 456% 462% 409% 374% 485% 292% 597% 433% 362% 304% 321% 403% Haematology (incl. Cancer Haem.) IP InPatient Variance Variance % 52% 52% 52% 32% 8% 64% 16% 40% 88% 76% 76% 40% Haematology (incl. Cancer Haem.) DC Variance Variance % 36% 47% 67% 41% 83% 71% 66% 68% 58% 70% 29% 60% 303 Total 1150 HAEMATOLOGY (INCL. CANCER HAEM.) IPDC COMBINED Variance Variance % 28% 39% 57% 40% 76% 60% 59% 59% 45% 58% 20% 51% 330 Dermatology IP Variance InPatient Variance % 100% 100% 100% 100% 100% 90% 100% 100% 100% 100% 100% 100% 330 Dermatology DC Variance Variance % 71% 41% 79% 6% 43% 64% 72% 75% 25% 39% 36% 55% DERMATOLOGY IPDC COMBINED Total 1096 Variance Variance % 53% 26% 60% 16% 28% 48% 54% 57% 12% 25% 22% 39% 340 Thoracic Medicine IP Variance InPatient Variance % 140% 260% 140% 100% 260% 20% 380% 20% 100% 140% 100% 140% Thoracic Medicine DC Variance Variance % 2% 7% 8% 8% 15% 0% 3% 2% 27% 4% 9% 2% THORACIC MEDICINE IPDC COMBINED Total 500 Variance Variance % 1% 2% 10% 6% 20% 1% 10% 2% 28% 2% 11% 1% Nephrology IP Variance InPatient Variance % 65% 65% 65% 100% 41% 6% 29% 65% 65% 100% 65% 100% 361 Nephrology DC Variance Variance % 140% 37% 14% 89% 89% 226% 294% 140% 106% 277% 380% 191% NEPHROLOGY IPDC COMBINED Total 104 Variance Variance % 73% 4% 31% 27% 73% 154% 188% 73% 50% 154% 235% 96% NEUROLOGY DC Variance Variance % 42% 5% 29% 2% 29% 17% 26% 42% 5% 63% 26% 112% 410 RHEUMATOLOGY IP Variance InPatient Variance % 100% 20% 100% 100% 100% 20% 140% 100% 100% 100% 100% 100% RHEUMATOLOGY DC Variance Variance % 28% 1% 14% 10% 14% 35% 20% 20% 4% 15% 7% 26% RHEUMATOLOGY IPDC COMBINED Total 2909 Variance Variance % 28% 1% 13% 10% 13% 34% 20% 20% 5% 14% 6% 26% % 446% 408% 43% 58% 49% 99% 50% 34% 100% 2% 0% 56% 163% 91% 32% 60% 14% 14% _ V1_0_LLappin

12 INPATIENT AND DAY CASE SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE INPATIENTS & DAYCASES 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY Paediatric Medicine IP Variance InPatient Variance % 70% 20% 50% 5% 5% 10% 5% 5% 5% 20% 5% 50% 420 Paediatric Medicine DC Variance Variance % 100% 100% 100% 100% 100% 100% 100% 70% 100% 40% 10% 40% 86 8 PAEDIATRIC MEDICINE IPDC COMBINED Total 120 Variance Variance % 80% 20% 0% 30% 30% 40% 30% 20% 30% 0% 0% 20% 502 Gynaecology IP Variance InPatient Variance % 34% 24% 19% 32% 26% 4% 27% 31% 35% 45% 36% 33% Gynaecology DC Variance Variance % 26% 0% 10% 1% 13% 8% 6% 13% 14% 11% 2% 10% GYNAECOLOGY IPDC COMBINED Total 2692 Variance Variance % 3% 11% 14% 16% 5% 3% 10% 8% 24% 27% 18% 11% COMMUNITY DENTISTRY DC Variance Variance % 11% 16% 11% 20% 15% 19% 19% 13% 29% 11% 16% 13% 1466 INPATIENT TOTAL IP 7073 Variance Variance % 41% 27% 25% 43% 29% 21% 25% 31% 60% 47% 39% 24% DAYCASE TOTAL DC Variance Variance % 12% 5% 12% 9% 10% 21% 16% 16% 7% 7% 0% 18% INPATIENT & DAYCASE TOTAL Total Variance Variance % 1% 3% 3% 17% 0% 11% 6% 5% 21% 6% 10% 7% % % % % % % % % % % _ V1_0_LLappin

13 ENDOSCOPY SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE ENDOSCOPY (4SCOPES) 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY Endoscopy Symptomatic IP InPatient 71 Variance Variance % 137% 137% 18% 86% 154% 120% 120% 137% 18% 83% 49% 66% Endoscopy Symptomatic DC Variance Variance % 19% 17% 14% 32% 16% 18% 8% 7% 24% 13% 43% 30% ENDOSCOPY SYMPTOMATIC IPDC COMBINED Total 8778 Variance Variance % 18% 16% 14% 32% 15% 17% 7% 6% 24% 13% 44% 30% Endoscopy Bowel Cancer Screening IP InPatient 0 Variance Endoscopy Bowel Cancer Screening DC Variance % Variance % 16% 13% 8% 49% 31% 22% 6% 4% 3% 18% 26% 16% ENDOSCOPY BOWEL CANCER SCREENING IPDC COMBINED Total % Variance Variance % 16% 13% 8% 46% 31% 25% 6% 4% 3% 18% 26% 16% INPATIENT TOTAL IP 71 Variance % Variance % 137% 137% 18% 103% 154% 137% 120% 137% 18% 83% 49% 66% DAYCASE TOTAL DC 9178 Variance % Variance % 19% 17% 14% 33% 17% 16% 8% 6% 23% 13% 43% 29% INPATIENT & DAYCASE TOTAL Total 9249 Variance % Variance % 18% 16% 14% 32% 16% 14% 7% 5% 23% 14% 43% 29% % 20% 19% #DIV/0! _ V1_0_LLappin

14 NONELECTIVE INPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NONELECTIVE INPATIENTS (FCEs) 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY GENERAL SURGERY Variance % Variance % 8% 17% 14% 21% 6% 13% 3% 10% 0% 7% 1% 15% UROLOGY Variance % Variance % 26% 51% 37% 70% 60% 39% 66% 53% 53% 28% 3% 56% TRAUMA A 1687 Variance % Variance % 36% 38% 28% 27% 32% 33% 53% 31% 42% 58% 47% 28% EAR, NOSE & THROAT Variance % Variance % 26% 14% 48% 5% 6% 15% 10% 42% 30% 6% 6% 12% ACCIDENT & EMERGENCY Variance % Variance % 46% 52% 44% 42% 31% 39% 46% 43% 54% 73% 67% 71% GENERAL MEDICINE Variance % Variance % 147% 183% 155% 137% 168% 158% 195% 184% 194% 202% 167% 171% GASTROENTEROLOGY Variance % Variance % 14% 157% 414% 414% 757% 1700% 586% 757% 2129% 2043% 671% 2043% HAEMATOLOGY Variance % Variance % 27% 13% 58% 7% 27% 30% 35% 13% 21% 35% 7% 30% DERMATOLOGY Variance % Variance % 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% THORACIC MEDICINE Variance % Variance % 11900% 13100% 16700% 14300% 35900% 16700% 29900% 37100% 43100% 77900% 21500% 62300% NEPHROLOGY Variance % Variance % 129% 207% 500% 371% 164% 579% 214% 86% 471% 264% 543% 686% RHEUMATOLOGY Variance % Variance % 1820% 620% 100% 860% 140% 380% 100% 380% 140% 2540% 1820% 100% PAEDIATRIC MEDICINE Variance % Variance % 15% 10% 17% 28% 20% 6% 11% 27% 15% 18% 15% 6% GYNAECOLOGY Variance % Variance % 27% 32% 29% 35% 29% 33% 39% 24% 26% 19% 24% 12% Total Variance % Variance % 58% 76% 66% 58% 68% 68% 81% 74% 81% 83% 65% 75% _ V1_0_LLappin

15 NONELECTIVE INPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NONELECTIVE INPATIENTS (FCEs) 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY _ V1_0_LLappin

16 EMERGENCY CARE SERVICE BUDGET AGREEMENT EMERGENCY DEPARTMENT NEW ATTENDANCES 2016/2017 MONTHLY PERFORMANCE EMERGENCY CARE 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY EMERGENCY DEPT CAH Variance #DIV/0! EMERGENCY DEPT DHH Variance #DIV/0! EMERGENCY DEPT CAH +DHH COMBINED Variance % Variance % 41% 54% 47% 39% 46% 42% 50% 40% 45% 39% 27% 51% MINOR INJURIES UNIT (MIU) STH Variance % Variance % 186% 210% 217% 172% 202% 207% 187% 146% 139% 142% 160% 207% Total Variance % Variance % 55% 70% 64% 52% 61% 58% 63% 50% 54% 49% 40% 66% EMERGENCY DEPARTMENT REVIEW ATTENDANCES 2016/2017 MONTHLY PERFORMANCE EMERGENCY CARE 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY EMERGENCY DEPT CAH Variance #DIV/0! EMERGENCY DEPT DHH Variance EMERGENCY DEPT CAH +DHH COMBINED Variance Variance % 16% 15% 15% 15% 15% 15% 20% 20% 20% 20% 20% 20% MINOR INJURIES UNIT (MIU) STH Variance Variance % 78% 69% 70% 71% 82% 81% 100% 100% 100% 100% 100% 100% Total Variance Variance % 69% 64% 63% 64% 69% 69% 70% 74% 70% 69% 64% 57% #DIV/0! % 28% 67% _ V1_0_LLappin

17 DIAGNOSTIC SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE DIAGNOSTICS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY AUDIOLOGY Variance Variance % 2% 7% 4% 12% 12% 8% 18% 16% 8% 3% 10% 9% CT SCANS (INCLUDING CT ANGIO) Variance Variance % 19% 10% 18% 10% 13% 19% 16% 17% 16% 20% 11% 23% DEXA SCANS Variance Variance % 3% 6% 1% 6% 24% 4% 1% 14% 30% 8% 0% 5% MRI SCANS Variance Variance % 4% 4% 3% 2% 4% 3% 2% 9% 11% 1% 2% 8% NEUROPHYSIOLOGY Variance Variance % 23% 38% 38% 42% 36% 25% 42% 25% 49% 39% 29% 14% NONOBSTETRICS ULTRASOUND SCANS Variance Variance % 1% 2% 3% 20% 10% 3% 3% 3% 19% 1% 8% 1% PLAIN FILM XRAY Variance % Variance % 23% 27% 25% 8% 22% 20% 21% 13% 5% 20% 12% 26% TTE ECHO (Transthoracic Echocardiogram) Variance Variance % 16% 17% 8% 15% 15% 17% 14% 12% 18% 2% 7% 5% Total Variance Variance % 14% 16% 16% 1% 13% 13% 14% 10% 1% 13% 7% 18% % % 33% % % 2% 5% 11% _ V1_0_LLappin

18 BIRTH SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE BIRTHS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY OBSTETRICS CONSULTANT LED Variance #DIV/0! OBSTETRICS MIDWIFE LED Variance OBSTETRICS TOTAL Variance Variance % 6% 2% 0% 1% 3% 11% 0% 4% 4% 4% 16% 5% Total Variance Variance % 6% 2% 0% 1% 3% 11% 0% 4% 4% 4% 16% 5% 862 #DIV/0! 1% 1% _ V1_0_LLappin

19 ALLIED HEALTH PROFESSIONAL SERVICE BUDGET AGREEMENT Note: Cells highlighted denote additional activity inmonth (figure in brackets) funded by AHP NEW 2016/2017 MONTHLY PERFORMANCE ALLIED HEALTH PROFESSIONALS (NEW) 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY DIETETICS Variance % Variance % 2% 10% 35% 5% 26% 17% 24% 14% 5% 14% 12% 28% OCCUPATIONAL THERAPY Variance % Variance % 7% 15% 20% 6% 5% 7% 2% 10% 0% 11% 5% 4% ORTHOPTICS Variance % Variance % 1% 3% 40% 4% 15% 5% 3% 35% 3% 30% 31% 68% PHYSIOTHERAPY Variance % Variance % 4% 13% 5% 15% 3% 1% 7% 12% 34% 4% 9% 1% PODIATRY Variance % Variance % 19% 29% 10% 2% 15% 16% 31% 42% 5% 32% 17% 10% SPEECH & LANGUAGE THERAPY Variance % Variance % 66% 85% 133% 115% 127% 38% 32% 34% 8% 22% 7% 30% Total Variance % Variance % 4% 2% 12% 5% 8% 6% 3% 3% 19% 6% 1% 8% _ V1_0_LLappin