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

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:

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

NEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 100 100H 100C 100H 101 110A 110H 218 3591 6498 2646 5469 9463 9463 GENERAL SURGERY (Excl. SAU) 820 903 677 884 523 620 770 702 913 740 699 687 710 HAEMATURIA 0 14 15 15 14 9 13 13 11 8 10 8 8 GENERAL SURGERY (INCL. HAEMATURIA) 820 917 692 899 537 629 783 715 924 748 709 695 718 Variance 97 128 79 283 191 37 105 104 72 111 125 102 Variance % 12% 16% 10% 35% 23% 5% 13% 13% 9% 14% 15% 12% BREAST SURGERY (SYMPTOMATIC) 350 260 287 252 176 288 334 308 294 198 206 179 219 Variance 90 63 98 174 62 16 42 56 152 144 171 131 Variance % 26% 18% 28% 50% 18% 5% 12% 16% 43% 41% 49% 38% BREAST FAMILY HISTORY 18 20 19 17 8 13 16 18 6 5 21 14 16 Variance 2 1 1 10 5 2 0 12 13 3 4 2 Variance % 10% 5% 6% 56% 28% 12% 1% 67% 72% 16% 23% 12% UROLOGY (INCLUDES ICATS) 299 360 266 369 309 335 306 334 422 373 547 463 339 Variance 61 33 70 10 36 7 35 123 74 248 164 40 Variance % 20% 11% 23% 3% 12% 2% 12% 41% 25% 83% 55% 13% UROLOGY OPPS (includes New & Review) 36 68 24 47 47 42 46 28 44 30 47 40 39 Variance 68 24 47 47 42 46 28 44 30 47 40 39 FRACTURE (TRAUMA) 542 776 826 885 587 844 784 702 710 573 576 519 671 Variance 235 285 344 46 303 243 161 169 32 35 23 130 Variance % 43% 53% 63% 8% 56% 45% 30% 31% 6% 6% 4% 24% ORTHOPAEDICS 221 243 201 144 116 180 200 248 178 154 201 197 180 Variance 23 20 77 105 41 21 28 43 67 20 24 41 Variance % 10% 9% 35% 47% 18% 9% 12% 19% 30% 9% 11% 18% ORTHOPAEDIC ICATS 456 642 570 554 392 342 499 456 586 376 484 400 416 Variance 186 114 98 64 114 43 0 130 80 28 56 40 Variance % 41% 25% 22% 14% 25% 9% 0% 29% 17% 6% 12% 9% EAR, NOSE & THROAT (INCLUDES ICATS) 789 812 727 747 441 758 902 836 811 681 818 807 850 Variance 23 62 42 348 31 113 47 22 108 29 18 61 Variance % 3% 8% 5% 44% 4% 14% 6% 3% 14% 4% 2% 8% EAR, NOSE & THROAT MDM ACTIVITY 0 8 11 1 8 5 13 12 8 3 9 7 9 Variance 8 11 1 8 5 13 12 8 3 9 7 9 ENT & ENT MDM COMBINED 789 820 738 748 449 763 915 848 819 684 827 814 859 Variance 31 51 41 340 26 126 59 30 105 38 25 70 Variance % 4% 6% 5% 43% 3% 16% 8% 4% 13% 5% 3% 9% ORTHODONTICS 45 23 28 17 11 22 11 23 24 13 30 23 18 Variance 22 17 28 34 23 34 22 21 32 15 22 27 Variance % 49% 38% 62% 76% 51% 76% 49% 47% 71% 34% 49% 60% PAIN MANAGEMENT 99 96 92 104 42 102 106 126 124 76 84 69 105 Variance 3 7 5 57 3 7 27 25 23 15 30 6 Variance % 3% 7% 5% 58% 3% 7% 27% 25% 23% 15% 30% 6% GENERAL MEDICINE 60 38 24 47 32 36 42 36 34 28 37 49 49 Variance 22 36 13 28 24 18 24 26 32 23 11 11 Variance % 37% 60% 22% 47% 40% 30% 40% 43% 53% 38% 18% 18% GASTROENTEROLOGY 148 176 131 120 81 176 190 169 177 154 138 165 183 Variance 28 17 28 67 28 42 21 29 6 10 17 35 Variance % 19% 11% 19% 45% 19% 29% 14% 20% 4% 7% 12% 24% ENDOCRINOLOGY 56 41 49 55 37 32 62 49 45 50 38 45 38 Variance 15 7 1 19 24 6 7 11 6 18 11 18 Variance % 27% 13% 2% 34% 43% 11% 13% 20% 11% 32% 20% 32% DIABETOLOGY 35 25 24 36 25 36 40 36 39 24 35 40 39 Variance 10 11 1 10 1 5 1 4 11 0 5 4 Variance % 28% 31% 3% 28% 3% 15% 3% 12% 31% 0% 15% 12% 101 OPPs 432 502 432 70 16% 110 120 120 MDM 0 94 0 94 120 TOTAL 143 191 300 301 302 302A 302 & 302A TOTAL 303 9839 4205 542 1190 720 1773 672 418 8966 9839 8453 6498 1955 2242 2646 5717 5469 ENDOCRINOLOGY & DIABETOLOGY COMBINED 91 66 73 91 62 68 102 85 84 74 73 85 77 1090 Variance 25 18 0 29 23 11 6 7 17 18 6 14 940 1090 150 Variance % 27% 20% 0% 32% 25% 12% 6% 8% 19% 20% 6% 15% 408 HAEMATOLOGY (INCL. CANCER HAEMATOLOGY TREATMENT) 34 35 43 42 52 32 75 58 42 47 59 47 27 Variance 1 9 8 18 2 41 24 8 13 25 13 7 559 408 151 Variance % 3% 26% 24% 53% 6% 121% 71% 24% 38% 74% 38% 21% 9190 9284 243 452 399 9463 9463 542 720 541 672 873 3001 4205 1204 173 218 4423 3591 832 404 15% 248 273 179 299 1126 1190 64 268 1860 1773 87 131 418 19 9% 29% 45 21% 23% 30% 5% 3% #DIV/0! 2% 55% 5% 37% 5% 19% 5% 14% 37% 20170612_20162017 V1_0_LLappin

NEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY ANTICOAGULANT 27 32 33 21 26 24 25 24 27 22 32 22 26 303A 322 Variance 5 6 6 1 3 2 3 0 5 5 5 1 314 322 8 2% Variance % 19% 23% 22% 3% 11% 7% 11% 1% 18% 19% 18% 3% PALLIATIVE MEDICINE 9 9 13 14 13 8 14 8 4 9 4 9 7 315 113 Variance 0 4 5 4 1 5 1 5 0 5 0 2 112 113 1 1% Variance % 4% 38% 49% 38% 15% 49% 15% 58% 4% 58% 4% 26% CARDIOLOGY (INCLUDES ICATS) 208 236 223 262 196 201 243 201 212 193 218 187 224 2493 Variance 28 15 54 12 7 35 7 4 15 10 21 16 2596 2493 103 4% Variance % 14% 7% 26% 6% 3% 17% 3% 2% 7% 5% 10% 8% 320 CARDIOLOGY RAPID ACCESS CHEST PAIN 120 149 119 131 112 149 125 174 193 145 208 182 177 (NurseLed only since 01/06/2016) 1440 1864 1440 424 29% Variance 29 1 11 8 29 5 54 73 25 88 62 57 Variance % 24% 1% 9% 7% 24% 4% 45% 61% 21% 73% 52% 48% 330 8830 DERMATOLOGY (INCLUDES ICATS, BUT 736 483 578 621 381 588 697 709 762 579 609 513 577 EXCLUDES VIRTUAL) Variance 253 158 115 355 148 39 27 26 157 127 223 159 7097 8830 1733 20% Variance % 34% 21% 16% 48% 20% 5% 4% 4% 21% 17% 30% 22% DERMATOLOGY VIRTUAL ACTIVITY 0 0 0 76 140 152 177 129 101 107 107 139 127 330 0 Variance 0 0 76 140 152 177 129 101 107 107 139 127 1255 0 1255 #DIV/0! DERMATOLOGY CORE + VIRTUAL COMBINED 736 483 578 697 521 740 874 838 863 686 716 652 704 330 8830 Variance 253 158 39 215 4 138 102 127 50 20 84 32 8352 8830 478 5% Variance % 34% 21% 5% 29% 1% 19% 14% 17% 7% 3% 11% 4% THORACIC MEDICINE 144 150 130 128 95 131 119 125 125 89 163 108 146 340 1724 Variance 6 14 16 49 13 25 19 19 55 19 36 2 1509 1724 215 12% Variance % 4% 10% 11% 34% 9% 17% 13% 13% 38% 13% 25% 2% NEPHROLOGY 13 17 13 16 15 15 14 18 21 11 20 15 19 361 161 Variance 4 0 3 2 2 1 5 8 2 7 2 6 194 161 33 20% Variance % 27% 3% 19% 12% 12% 4% 34% 57% 18% 49% 12% 42% NEUROLOGY 166 125 80 131 62 107 117 134 131 99 105 123 120 400 1995 Variance 41 86 35 104 59 49 32 35 67 61 43 46 1334 1995 661 33% Variance % 25% 52% 21% 63% 36% 30% 19% 21% 40% 37% 26% 28% NEUROLOGY VIRTUAL 66 134 115 153 82 127 113 170 118 73 143 94 141 400E 795 Variance 68 49 87 16 61 47 104 52 7 77 28 75 1463 795 668 84% Variance % 102% 74% 131% 24% 92% 71% 157% 78% 10% 116% 42% 113% NEUROLOGY CORE + VIRTUAL COMBINED 233 259 195 284 144 234 230 304 249 172 248 217 261 400 & 400E 2790 TOTAL Variance 27 38 52 89 2 3 72 17 61 16 16 29 2797 2790 7 0% Variance % 11% 16% 22% 38% 1% 1% 31% 7% 26% 7% 7% 12% RHEUMATOLOGY 141 136 164 155 70 157 161 128 163 114 150 135 140 410 1692 Variance 5 23 14 71 16 20 13 22 27 9 6 1 1673 1692 19 1% Variance % 4% 16% 10% 50% 11% 14% 9% 16% 19% 6% 4% 1% 420 2600 PAEDIATRIC MEDICINE (INCLUDES ALLERGY & ASTHMA) 217 302 285 352 198 170 264 251 261 209 271 254 211 Variance 85 68 135 19 47 47 34 44 8 54 37 6 3028 2600 428 16% Variance % 39% 32% 62% 9% 22% 22% 16% 20% 4% 25% 17% 3% GERIATRIC MEDICINE 61 83 89 92 68 81 87 69 86 59 64 86 99 430 736 Variance 22 28 31 7 20 26 8 25 2 3 25 38 963 736 227 31% Variance % 35% 45% 50% 11% 32% 42% 13% 40% 4% 4% 40% 61% GERIATRIC ASSESSMENT 39 38 43 48 23 32 38 51 39 36 36 39 28 430A 465 Variance 1 4 9 16 7 1 12 0 3 3 0 11 451 465 14 3% Variance % 2% 11% 24% 41% 17% 2% 32% 1% 7% 7% 1% 28% GERIATRIC ACUTE 56 86 70 86 65 64 71 86 72 62 81 57 66 430D 667 Variance 30 14 30 9 8 15 30 16 6 25 1 10 866 667 199 30% Variance % 55% 26% 55% 17% 15% 28% 55% 30% 12% 46% 3% 19% ORTHOPAEDIC GERIATRIC 4 4 6 5 3 0 6 4 3 3 5 4 3 430F 44 Variance 0 2 1 1 4 2 0 1 1 1 0 1 46 44 2 5% Variance % 9% 64% 36% 18% 100% 64% 9% 18% 18% 36% 9% 18% 20170612_20162017 V1_0_LLappin

NEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 6853 502 169 502B 137 502C 400 502A 1354 510 5900 502 143 1726 822 126 88969 GYNAECOLOGY 571 560 538 539 414 538 630 733 647 554 551 569 581 Variance 11 33 32 157 33 59 162 76 17 20 2 10 Variance % 2% 6% 6% 28% 6% 10% 28% 13% 3% 4% 0% 2% GYNAECOLOGY OPP (RE: LLETZ/Hysteroscopy/Cold Coag. only) 14 67 65 55 54 53 81 68 79 51 57 59 58 Variance 53 51 41 40 39 67 54 65 37 43 45 44 Variance % 376% 362% 291% 283% 276% 475% 383% 461% 262% 305% 319% 312% FERTILITY (GYNAE) 11 9 12 9 11 9 9 17 9 10 7 11 9 Variance 2 1 2 0 2 2 6 2 1 4 0 2 Variance % 21% 5% 21% 4% 21% 21% 49% 21% 12% 39% 4% 21% URODYNAMICS (GYNAE) 33 8 30 18 6 20 17 21 23 21 31 45 22 Variance 25 3 15 27 13 16 12 10 12 2 12 11 Variance % 76% 10% 46% 82% 40% 49% 37% 31% 37% 7% 35% 34% COLPOSCOPY 113 91 77 80 70 85 83 77 90 74 65 55 81 Variance 22 36 33 43 28 30 36 23 39 48 58 32 Variance % 19% 32% 29% 38% 25% 26% 32% 20% 34% 42% 51% 28% OBSTETRICS (CONSLED) 492 329 326 327 294 320 348 337 344 309 343 316 367 Variance 163 166 165 198 172 144 155 148 183 149 176 125 Variance % 33% 34% 33% 40% 35% 29% 31% 30% 37% 30% 36% 25% FAMILY PLANNING (GYNAE) 12 0 0 0 0 0 0 25 24 13 19 20 26 Variance 12 12 12 12 12 12 13 12 1 7 8 14 Variance % 100% 100% 100% 100% 100% 100% 110% 101% 9% 59% 68% 118% GENITOURINARY MEDICINE (GUM: CONSLED) 144 97 108 87 68 130 103 110 106 78 100 197 116 Variance 47 36 57 76 14 41 34 38 66 44 53 28 Variance % 33% 25% 40% 53% 10% 28% 24% 26% 46% 30% 37% 19% CHEMICAL PATHOLOGY 11 14 15 14 10 9 15 15 4 8 18 14 9 Variance 4 5 4 1 2 5 5 7 3 8 4 2 Variance % 33% 43% 33% 5% 14% 43% 43% 62% 24% 71% 33% 14% CUMULATIVE TOTAL 7414 7699 7146 7756 5377 7042 7966 7838 8112 6461 7446 7012 7296 Variance 285 268 342 2037 372 552 424 698 953 32 402 118 Variance % 4% 4% 5% 27% 5% 7% 6% 9% 13% 0% 5% 2% 6854 6853 1 0% 747 169 578 342% 122 137 15 11% 262 400 138 35% 928 1354 426 31% 3960 5900 1940 33% 127 143 16 11% 1300 1726 426 25% 145 126 19 15% 87151 88969 1818 2% 20170612_20162017 V1_0_LLappin

REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 100 100H 100H 12774 796 GENERAL SURGERY (Excl. SAU) 1065 751 589 730 510 549 645 674 637 538 519 512 565 Haematuria 0 0 0 0 0 0 0 0 0 0 0 0 0 GENERAL SURGERY (INCL. HAEMATURIA) 1065 751 589 730 510 549 645 674 637 538 519 512 565 Variance 314 476 335 555 516 420 391 428 527 546 553 500 Variance % 29% 45% 31% 52% 48% 39% 37% 40% 49% 51% 52% 47% BREAST SURGERY (SYMPTOMATIC) 147 139 105 138 85 152 150 144 175 125 141 146 199 Variance 8 42 9 62 5 3 3 28 22 6 1 52 Variance % 5% 29% 6% 42% 3% 2% 2% 19% 15% 4% 1% 35% BREAST FAMILY HISTORY 66 70 72 63 29 58 41 52 24 29 65 43 43 Variance 4 6 3 37 8 25 14 42 37 1 23 23 Variance % 6% 9% 5% 56% 13% 38% 22% 64% 56% 2% 35% 35% UROLOGY (INCL. ICATS) 374 474 399 350 300 371 425 329 433 461 652 431 460 Variance 100 25 24 74 3 51 45 59 87 278 57 86 Variance % 27% 7% 6% 20% 1% 14% 12% 16% 23% 74% 15% 23% FRACTURE (TRAUMA) 957 1151 1168 1265 950 1013 1111 1063 1112 990 1175 1114 1205 Variance 195 212 309 7 57 155 107 156 34 219 158 249 Variance % 20% 22% 32% 1% 6% 16% 11% 16% 4% 23% 16% 26% ORTHOPAEDICS 333 320 348 363 207 293 272 374 264 231 293 275 266 Variance 13 16 31 126 40 61 42 69 102 40 58 67 Variance % 4% 5% 9% 38% 12% 18% 12% 21% 31% 12% 17% 20% 100C 1763 1699 1763 64 4% 101 4489 5085 4489 596 110A 11478 13317 11478 1839 110 3990 3506 3990 484 ORTHOPAEDIC OUTCOMES PRACTITIONER 274 136 188 148 182 119 146 168 146 103 130 105 162 110 3292 Variance 138 86 126 92 155 128 106 128 171 144 169 112 1733 3292 1559 47% Variance % 50% 31% 46% 34% 57% 47% 39% 47% 62% 53% 62% 41% ORTHOPAEDIC ICATS 620 751 654 787 641 516 682 653 669 508 757 660 639 110H 7437 Variance 131 34 167 21 104 62 33 49 112 137 40 19 7917 7437 480 6% Variance % 21% 6% 27% 3% 17% 10% 5% 8% 18% 22% 6% 3% EAR, NOSE & THROAT (INCL. ICATS) 789 1010 1042 903 649 1114 1020 1063 1116 897 972 941 1100 120 9463 Variance 221 253 114 140 325 231 274 327 108 183 152 311 11827 9463 2364 25% Variance % 28% 32% 15% 18% 41% 29% 35% 42% 14% 23% 19% 39% ORTHODONTICS 328 264 273 230 206 213 234 241 216 196 275 245 221 143 3932 Variance 64 55 98 122 115 94 87 112 132 53 83 107 2814 3932 1118 28% Variance % 19% 17% 30% 37% 35% 29% 26% 34% 40% 16% 25% 33% PAIN MANAGEMENT 64 84 73 97 42 87 87 84 85 70 68 60 79 191 769 Variance 20 9 33 22 23 23 20 21 6 4 4 15 916 769 147 19% Variance % 31% 14% 51% 34% 36% 36% 31% 33% 9% 6% 6% 23% GENERAL MEDICINE 109 82 57 87 76 79 110 67 87 70 74 86 89 300 1304 Variance 27 52 22 33 30 1 42 22 39 35 23 20 964 1304 340 26% Variance % 25% 48% 20% 30% 27% 1% 38% 20% 36% 32% 21% 18% GASTROENTEROLOGY 298 217 234 163 90 211 302 276 160 197 190 237 247 301 3571 Variance 81 64 135 208 87 4 22 138 101 108 61 51 2524 3571 1047 29% Variance % 27% 21% 45% 70% 29% 1% 7% 46% 34% 36% 20% 17% ENDOCRINOLOGY 118 102 130 176 115 109 163 136 138 148 123 134 129 302 1418 Variance 16 12 58 3 9 45 18 20 30 5 16 11 1603 1418 185 13% Variance % 14% 10% 49% 3% 8% 38% 15% 17% 25% 4% 13% 9% DIABETOLOGY 249 227 243 284 204 295 277 246 235 232 253 225 299 302A 2983 Variance 22 6 35 45 46 28 3 14 17 4 24 50 3020 2983 37 1% Variance % 9% 2% 14% 18% 19% 11% 1% 5% 7% 2% 9% 20% 302 & 302A Total 4401 ENDOCRINOLOGY & DIABETOLOGY COMBINED 367 329 373 460 319 404 440 382 373 380 376 359 428 Variance 38 6 93 48 37 73 15 6 13 9 8 61 Variance % 10% 2% 25% 13% 10% 20% 4% 2% 4% 3% 2% 17% 7219 12774 5555 43% 589 796 207 4623 4401 222 HAEMATOLOGY (INCL. CANCER 329 304 354 366 358 301 408 440 450 400 416 377 421 HAEMATOLOGY TREATMENT) 303 3952 4595 3952 643 16% Variance 25 25 37 29 28 79 111 121 71 87 48 92 Variance % 8% 7% 11% 9% 9% 24% 34% 37% 21% 26% 14% 28% ANTICOAGULANT 531 516 523 483 487 483 487 442 477 492 519 458 447 303A 6371 Variance 15 8 48 44 48 44 89 54 39 12 73 84 5814 6371 557 9% Variance % 3% 1% 9% 8% 9% 8% 17% 10% 7% 2% 14% 16% PALLIATIVE MEDICINE 27 28 27 34 29 14 34 36 18 26 23 24 14 315 321 Variance 1 0 7 2 13 7 9 9 1 4 3 13 307 321 14 4% Variance % 5% 1% 27% 8% 48% 27% 35% 33% 3% 14% 10% 48% CARDIOLOGY (INCL. ICATS) 219 162 176 187 140 167 190 148 189 144 181 151 163 320 2631 Variance 57 43 32 79 52 29 71 30 75 38 68 56 1998 2631 633 24% Variance % 26% 20% 15% 36% 24% 13% 32% 14% 34% 17% 31% 26% 26% 13% 16% 12% 5% 20170612_20162017 V1_0_LLappin

REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY DERMATOLOGY (INCL. ICATS) 738 867 779 834 483 745 991 996 905 634 739 771 803 330 8850 Variance 130 42 97 255 8 254 259 168 104 2 34 66 9547 8850 697 8% Variance % 18% 6% 13% 35% 1% 34% 35% 23% 14% 0% 5% 9% THORACIC MEDICINE 298 361 349 331 244 390 329 404 431 280 411 325 373 340 3576 Variance 63 51 33 54 92 31 106 133 18 113 27 75 4228 3576 652 18% Variance % 21% 17% 11% 18% 31% 10% 36% 45% 6% 38% 9% 25% NEPHROLOGY 116 230 238 289 201 247 242 270 264 212 295 221 239 361 1391 Variance 114 122 173 85 131 126 154 148 96 179 105 123 2948 1391 1557 112% Variance % 98% 105% 149% 73% 113% 109% 133% 128% 83% 154% 91% 106% NEUROLOGY 278 180 167 196 96 176 180 183 206 151 179 179 187 400 3335 Variance 98 111 82 182 102 98 95 72 127 99 99 91 2080 3335 1255 38% Variance % 35% 40% 29% 65% 37% 35% 34% 26% 46% 36% 36% 33% NEUROLOGY VIRTUAL 38 76 34 75 46 28 79 58 61 24 69 31 58 400E 452 Variance 38 4 37 8 10 41 20 23 14 31 7 20 639 452 187 41% Variance % 102% 10% 99% 22% 26% 110% 54% 62% 36% 83% 18% 54% 400 Total 3787 NEUROLOGY & NEUROLOGY VIRTUAL 316 256 201 271 142 204 259 241 267 175 248 210 245 COMBINED Variance 60 115 45 174 112 57 75 49 141 68 106 71 2719 3787 1068 28% Variance % 19% 36% 14% 55% 35% 18% 24% 15% 45% 21% 33% 22% RHEUMATOLOGY 361 498 500 506 280 540 562 434 526 447 513 468 556 410 4333 Variance 137 139 145 81 179 201 73 165 86 152 107 195 5830 4333 1497 35% Variance % 38% 38% 40% 22% 50% 56% 20% 46% 24% 42% 30% 54% 420 7869 PAEDIATRIC MEDICINE (INCL. VIRTUAL, EPILEPSY & ASTHMA) 656 782 749 728 475 476 709 738 783 686 775 662 732 Variance 126 93 72 181 180 53 82 127 30 119 6 76 8295 7869 426 5% Variance % 19% 14% 11% 28% 27% 8% 13% 19% 5% 18% 1% 12% 420C 308 PAEDIATRIC NEONATOLOGY (SPECIAL CARE BABIES) 26 30 22 32 24 3 14 33 24 21 26 20 25 Variance 4 4 6 2 23 12 7 2 5 0 6 1 274 308 34 11% Variance % 17% 14% 25% 6% 88% 45% 29% 6% 18% 1% 22% 3% GERIATRIC MEDICINE 97 61 73 75 68 83 69 78 95 72 84 72 76 430 1168 Variance 36 24 22 29 14 28 19 2 25 13 25 21 906 1168 262 22% Variance % 37% 25% 23% 30% 15% 29% 20% 2% 26% 14% 26% 22% GERIATRIC ASSESSMENT 93 101 104 106 72 98 99 88 103 83 92 103 73 430A 1111 Variance 8 11 13 21 5 6 5 10 10 1 10 20 1122 1111 11 1% Variance % 9% 12% 14% 22% 6% 7% 5% 11% 10% 1% 11% 21% GERIATRIC ACUTE 37 39 49 42 40 30 63 33 39 40 42 50 36 430D 446 Variance 2 12 5 3 7 26 4 2 3 5 13 1 503 446 57 13% Variance % 5% 32% 13% 8% 19% 70% 11% 5% 8% 13% 35% 3% ORTHOPAEDIC GERIATRICS 5 6 9 9 4 0 10 10 5 4 10 9 4 430F 61 Variance 1 4 4 1 5 5 5 0 1 5 4 1 80 61 19 31% Variance % 18% 77% 77% 21% 100% 97% 97% 2% 21% 97% 77% 21% GYNAECOLOGY 571 565 559 545 517 645 707 701 760 517 637 568 579 502 6853 Variance 6 12 26 54 74 136 130 189 54 66 3 8 7300 6853 447 7% Variance % 1% 2% 5% 9% 13% 24% 23% 33% 9% 12% 1% 1% COLPOSCOPY 55 58 57 57 40 40 83 72 74 49 119 71 44 502A 661 Variance 3 2 2 15 15 28 17 19 6 64 16 11 764 661 103 16% Variance % 5% 3% 3% 27% 27% 51% 31% 34% 11% 116% 29% 20% FERTILITY (GYNAE) 176 243 212 242 218 230 221 178 226 175 184 205 254 502B 2109 Variance 67 36 66 42 54 45 2 50 1 8 29 78 2588 2109 479 23% Variance % 38% 21% 38% 24% 31% 26% 1% 29% 0% 5% 17% 45% CERVICAL CYTOLOGY 65 29 44 36 36 35 32 35 25 37 32 35 39 502D 785 Variance 36 21 29 29 30 33 30 40 28 33 30 26 415 785 370 47% Variance % 56% 33% 45% 45% 46% 51% 46% 62% 43% 51% 46% 40% FAMILY PLANNING (GYNAE) 17 0 0 0 0 0 0 1 1 0 2 2 1 502 199 Variance 17 17 17 17 17 17 16 16 17 15 15 16 7 199 192 96% Variance % 100% 100% 100% 100% 100% 100% 94% 94% 100% 88% 88% 94% 428 GENITOURINARY MEDICINE (GUM) 36 15 18 18 16 24 21 22 58 17 33 66 40 CONSULTANT LED ONLY Variance 21 18 18 20 12 15 14 22 19 3 30 4 348 428 80 19% Variance % 58% 50% 50% 55% 33% 41% 38% 63% 52% 7% 85% 12% OBSTETRICS (CONSLED) 1264 1438 1428 1630 1364 1546 1553 1431 1508 1462 1430 1427 1700 510 15170 Variance 174 164 366 100 282 289 167 244 198 166 163 436 17917 15170 2747 18% Variance % 14% 13% 29% 8% 22% 23% 13% 19% 16% 13% 13% 34% 20170612_20162017 V1_0_LLappin

REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 822 CHEMICAL PATHOLOGY 20 22 21 22 14 12 21 21 8 13 28 20 16 240 Variance 2 1 2 6 8 1 1 12 7 8 0 4 218 240 Variance % 10% 5% 10% 30% 40% 5% 5% 60% 35% 40% 0% 20% CUMULATIVE TOTAL 11840 12389 12067 12627 9538 11492 12769 12422 12733 10781 12526 11529 12583 142079 Variance 549 227 787 2302 348 929 582 893 1059 686 311 743 143456 142079 Variance % 5% 2% 7% 19% 3% 8% 5% 8% 9% 6% 3% 6% 22 1377 9% 1% 20170612_20162017 V1_0_LLappin

REVIEW OUTPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE REVIEW OUTPATIENTS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 20170612_20162017 V1_0_LLappin

INPATIENT AND DAY CASE SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE INPATIENTS & DAYCASES 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY General Surgery (including Haematuria) IP 127 75 88 92 74 91 104 113 100 56 60 73 106 100 1529 InPatient Variance 52 39 35 53 36 23 14 27 71 67 54 21 1032 1529 497 33% Variance % 41% 31% 28% 42% 29% 18% 11% 22% 56% 53% 43% 17% General Surgery (including Haematuria) DC 358 326 277 316 262 251 348 301 289 178 223 217 312 100 4301 Variance 32 81 42 96 107 10 57 69 180 135 141 46 Variance % 9% 23% 12% 27% 30% 3% 16% 19% 50% 38% 39% 13% 3300 4301 1001 23% GENERAL SURGERY IPDC COMBINED 486 401 365 408 336 342 452 414 389 234 283 290 418 100 TOTAL 5830 Variance 85 121 78 150 144 34 72 97 252 203 196 68 4332 5830 1498 26% Variance % 17% 25% 16% 31% 30% 7% 15% 20% 52% 42% 40% 14% 100C Breast Surgery IP 25 16 16 30 8 17 20 17 19 17 16 14 25 299 InPatient Variance 9 9 5 17 8 5 8 6 8 9 11 0 Variance % 36% 36% 20% 68% 32% 20% 32% 24% 32% 36% 44% 0% 100C Breast Surgery DC 8 11 4 11 10 18 19 16 21 13 14 16 8 101 Variance 3 4 3 2 10 11 8 13 5 6 8 0 Variance % 31% 52% 31% 19% 114% 126% 90% 150% 54% 66% 90% 5% 215 161 299 101 84 60 28% 59% BSUR IPDC COMBINED 33 27 20 41 18 35 39 33 40 30 30 30 33 100C TOTAL 400 Variance 6 13 8 15 2 6 0 7 3 3 3 0 376 400 24 6% Variance % 19% 40% 23% 46% 5% 17% 1% 20% 10% 10% 10% 1% 101 Urology IP 88 71 86 69 68 77 70 66 57 42 48 58 75 1056 Variance 17 2 19 20 11 18 22 31 46 40 30 13 InPatient Variance % 19% 2% 22% 23% 13% 20% 25% 35% 52% 45% 34% 15% Urology DC (Excludes OPP New & Review) 262 294 264 306 243 290 323 288 338 262 333 298 295 101 3142 Variance 32 2 44 19 28 61 26 76 0 71 36 33 787 3534 1056 3142 269 392 25% 12% Variance % 12% 1% 17% 7% 11% 23% 10% 29% 0% 27% 14% 13% UROLOGY IPDC COMBINED 350 365 350 375 311 367 393 354 395 304 381 356 370 101 TOTAL 4198 Variance 15 0 25 39 17 43 4 45 46 31 6 20 4321 4198 123 3% Variance % 4% 0% 7% 11% 5% 12% 1% 13% 13% 9% 2% 6% 110 Orthopaedics IP 80 52 79 85 33 59 62 81 74 4 66 71 76 965 Variance 28 1 5 47 21 18 1 6 76 14 9 4 InPatient Variance % 35% 2% 6% 59% 27% 23% 1% 8% 95% 18% 12% 5% 742 965 223 23% 110 Orthopaedics DC 63 66 80 76 50 65 61 52 54 30 56 41 69 754 Variance 3 17 13 13 2 2 11 9 33 7 22 6 Variance % 5% 27% 21% 20% 3% 3% 17% 14% 52% 11% 35% 10% 700 754 54 7% ORTHOPAEDICS IPDC COMBINED 143 118 159 161 83 124 123 133 128 34 122 112 145 110 Total 1719 Variance 25 16 18 60 19 20 10 15 109 21 31 2 1442 1719 277 16% Variance % 18% 11% 12% 42% 13% 14% 7% 11% 76% 15% 22% 1% 120 EAR, NOSE & THROAT IP 122 45 61 48 57 68 82 63 60 32 38 56 64 1460 Variance 77 61 74 65 54 40 59 62 90 84 66 58 InPatient Variance % 63% 50% 61% 53% 44% 33% 48% 51% 74% 69% 54% 47% EAR, NOSE & THROAT DC 116 131 165 158 109 172 178 168 132 127 127 139 170 120 1390 Variance 15 49 42 7 56 62 52 16 11 11 23 54 Variance % 13% 42% 36% 6% 48% 54% 45% 14% 10% 10% 20% 47% 674 1776 1460 1390 786 386 54% 28% EAR, NOSE & THROAT IPDC COMBINED 238 176 226 206 166 240 260 231 192 159 165 195 234 120 Total 2850 Variance 62 12 32 72 3 23 7 46 79 73 43 4 2450 2850 400 14% Variance % 26% 5% 13% 30% 1% 9% 3% 19% 33% 31% 18% 1% Pain Management DC 46 40 62 44 25 31 25 61 54 56 73 61 47 191 550 Variance 6 16 2 21 15 21 15 8 10 27 15 1 Variance % 13% 35% 4% 45% 32% 45% 33% 18% 22% 59% 33% 3% 579 550 29 5% 300 General Medicine IP 10 8 3 11 7 6 8 4 9 5 8 9 11 117 Variance 2 7 1 3 4 2 6 1 5 2 1 1 InPatient Variance % 18% 69% 13% 28% 38% 18% 59% 8% 49% 18% 8% 13% 89 117 28 24% General Medicine DC 145 68 97 91 93 104 174 116 136 140 116 91 134 300 1738 Variance 77 48 54 52 41 29 29 9 5 29 54 11 Variance % 53% 33% 37% 36% 28% 20% 20% 6% 3% 20% 37% 7% 1360 1738 378 22% GENERAL MEDICINE IPDC COMBINED 155 76 100 102 100 110 182 120 145 145 124 100 145 300 Total 1855 Variance 79 55 53 55 45 27 35 10 10 31 55 10 1449 1855 406 22% Variance % 51% 35% 34% 35% 29% 18% 22% 6% 6% 20% 35% 6% 20170612_20162017 V1_0_LLappin

INPATIENT AND DAY CASE SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE INPATIENTS & DAYCASES 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 301 Gastroenterology (NonScopes) IP 1 2 1 3 0 0 1 1 0 1 3 3 1 17 InPatient Variance 1 0 2 1 1 0 0 1 0 2 2 0 16 Variance % 41% 29% 112% 100% 100% 29% 29% 100% 29% 112% 112% 29% Gastroenterology (NonScopes) DC 16 93 95 84 81 100 66 118 91 78 66 69 85 301 188 Variance 77 79 68 65 84 50 102 75 62 50 53 69 Variance % 494% 506% 436% 417% 538% 321% 653% 481% 398% 321% 340% 443% 1026 GASTROENTEROLOGY (NONSCOPES) IPDC 17 95 96 87 81 100 67 119 91 79 69 72 86 COMBINED 301 Total 205 1042 Variance 78 79 70 64 83 50 102 74 62 52 55 69 Variance % 456% 462% 409% 374% 485% 292% 597% 433% 362% 304% 321% 403% Haematology (incl. Cancer Haem.) IP 8 4 4 4 11 9 3 7 5 1 2 2 5 303 100 InPatient Variance 4 4 4 3 1 5 1 3 7 6 6 3 Variance % 52% 52% 52% 32% 8% 64% 16% 40% 88% 76% 76% 40% 57 303 Haematology (incl. Cancer Haem.) DC 88 119 129 146 123 160 150 145 147 138 149 113 140 1050 Variance 32 42 59 36 73 63 58 60 51 62 26 53 1659 Variance % 36% 47% 67% 41% 83% 71% 66% 68% 58% 70% 29% 60% 303 Total 1150 HAEMATOLOGY (INCL. CANCER HAEM.) IPDC COMBINED 96 123 133 150 134 169 153 152 152 139 151 115 145 Variance 27 37 54 38 73 57 56 56 43 55 19 49 1716 Variance % 28% 39% 57% 40% 76% 60% 59% 59% 45% 58% 20% 51% 330 Dermatology IP 10 0 0 0 0 0 1 0 0 0 0 0 0 115 Variance 10 10 10 10 10 9 10 10 10 10 10 10 InPatient Variance % 100% 100% 100% 100% 100% 90% 100% 100% 100% 100% 100% 100% 330 Dermatology DC 82 140 115 146 77 117 134 141 143 102 114 111 127 981 Variance 58 33 64 5 35 52 59 61 20 32 29 45 Variance % 71% 41% 79% 6% 43% 64% 72% 75% 25% 39% 36% 55% 1 1467 DERMATOLOGY IPDC COMBINED 91 140 115 146 77 117 135 141 143 102 114 111 127 330 Total 1096 Variance 49 24 55 14 26 44 50 52 11 23 20 36 1468 Variance % 53% 26% 60% 16% 28% 48% 54% 57% 12% 25% 22% 39% 340 Thoracic Medicine IP 1 2 3 2 0 3 1 4 1 0 2 0 2 10 Variance 1 2 1 1 2 0 3 0 1 1 1 1 InPatient Variance % 140% 260% 140% 100% 260% 20% 380% 20% 100% 140% 100% 140% Thoracic Medicine DC 41 40 38 44 44 47 41 42 40 30 39 37 40 340 490 Variance 1 3 3 3 6 0 1 1 11 2 4 1 Variance % 2% 7% 8% 8% 15% 0% 3% 2% 27% 4% 9% 2% 20 482 THORACIC MEDICINE IPDC COMBINED 42 42 41 46 44 50 42 46 41 30 41 37 42 340 Total 500 Variance 0 1 4 2 8 0 4 1 12 1 5 0 502 Variance % 1% 2% 10% 6% 20% 1% 10% 2% 28% 2% 11% 1% Nephrology IP 3 1 1 1 0 4 3 2 1 1 0 1 0 361 34 Variance 2 2 2 3 1 0 1 2 2 3 2 3 InPatient Variance % 65% 65% 65% 100% 41% 6% 29% 65% 65% 100% 65% 100% 361 Nephrology DC 6 14 8 5 11 11 19 23 14 12 22 28 17 70 Variance 8 2 1 5 5 13 17 8 6 16 22 11 Variance % 140% 37% 14% 89% 89% 226% 294% 140% 106% 277% 380% 191% 15 184 NEPHROLOGY IPDC COMBINED 9 15 9 6 11 15 22 25 15 13 22 29 17 361 Total 104 Variance 6 0 3 2 6 13 16 6 4 13 20 8 199 Variance % 73% 4% 31% 27% 73% 154% 188% 73% 50% 154% 235% 96% NEUROLOGY DC 33 46 31 42 32 42 38 41 46 34 53 41 69 400 390 Variance 14 2 10 1 10 6 9 14 2 21 9 37 Variance % 42% 5% 29% 2% 29% 17% 26% 42% 5% 63% 26% 112% 410 RHEUMATOLOGY IP 1 0 1 0 0 0 1 2 0 0 0 0 0 10 Variance 1 0 1 1 1 0 1 1 1 1 1 1 InPatient Variance % 100% 20% 100% 100% 100% 20% 140% 100% 100% 100% 100% 100% RHEUMATOLOGY DC 242 310 245 275 218 275 325 289 291 231 277 258 305 410 2899 Variance 68 3 33 24 33 83 47 49 11 35 16 63 Variance % 28% 1% 14% 10% 14% 35% 20% 20% 4% 15% 7% 26% 515 4 3299 RHEUMATOLOGY IPDC COMBINED 242 310 246 275 218 275 326 291 291 231 277 258 305 410 Total 2909 Variance 68 4 33 24 33 84 49 49 11 35 16 63 3303 Variance % 28% 1% 13% 10% 13% 34% 20% 20% 5% 14% 6% 26% 17 1 188 838 205 837 100 43 1050 609 1150 566 115 114 981 486 1096 372 10 10 490 8 500 2 34 19 70 114 104 95 390 125 10 6 2899 400 2909 394 6% 446% 408% 43% 58% 49% 99% 50% 34% 100% 2% 0% 56% 163% 91% 32% 60% 14% 14% 20170612_20162017 V1_0_LLappin

INPATIENT AND DAY CASE SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE INPATIENTS & DAYCASES 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY Paediatric Medicine IP 7 2 8 10 7 7 6 7 7 7 8 7 10 420 80 Variance 5 1 3 0 0 1 0 0 0 1 0 3 InPatient Variance % 70% 20% 50% 5% 5% 10% 5% 5% 5% 20% 5% 50% 420 Paediatric Medicine DC 3 0 0 0 0 0 0 0 1 0 2 3 2 40 Variance 3 3 3 3 3 3 3 2 3 1 0 1 Variance % 100% 100% 100% 100% 100% 100% 100% 70% 100% 40% 10% 40% 86 8 PAEDIATRIC MEDICINE IPDC COMBINED 10 2 8 10 7 7 6 7 8 7 10 10 12 420 Total 120 Variance 8 2 0 3 3 4 3 2 3 0 0 2 94 Variance % 80% 20% 0% 30% 30% 40% 30% 20% 30% 0% 0% 20% 502 Gynaecology IP 107 70 81 86 73 79 103 78 74 69 59 68 71 1281 Variance 37 26 21 34 28 4 29 33 38 48 39 36 InPatient Variance % 34% 24% 19% 32% 26% 4% 27% 31% 35% 45% 36% 33% Gynaecology DC 118 148 118 106 116 133 127 125 133 101 105 115 129 502 1411 Variance 30 0 12 2 15 9 7 15 17 13 3 11 Variance % 26% 0% 10% 1% 13% 8% 6% 13% 14% 11% 2% 10% 911 1456 GYNAECOLOGY IPDC COMBINED 224 218 199 192 189 212 230 203 207 170 164 183 200 502 Total 2692 Variance 6 25 32 35 12 6 21 17 54 60 41 24 2367 Variance % 3% 11% 14% 16% 5% 3% 10% 8% 24% 27% 18% 11% COMMUNITY DENTISTRY DC 146 130 122 129 116 124 118 118 127 104 129 122 127 620 1746 Variance 16 24 17 30 22 28 28 19 42 17 24 19 Variance % 11% 16% 11% 20% 15% 19% 19% 13% 29% 11% 16% 13% 1466 INPATIENT TOTAL 589 348 432 441 338 420 465 445 407 235 310 362 446 IP 7073 Variance 241 157 148 251 169 124 144 182 354 279 227 143 4649 Variance % 41% 27% 25% 43% 29% 21% 25% 31% 60% 47% 39% 24% DAYCASE TOTAL 1767 1976 1850 1979 1610 1940 2146 2044 2057 1636 1898 1760 2076 DC 21201 Variance 209 83 212 157 173 379 277 290 131 131 7 309 22972 Variance % 12% 5% 12% 9% 10% 21% 16% 16% 7% 7% 0% 18% INPATIENT & DAYCASE TOTAL 2356 2324 2282 2420 1948 2360 2611 2489 2464 1871 2208 2122 2522 Total 28274 Variance 32 74 64 408 4 255 133 108 485 148 234 166 27621 Variance % 1% 3% 3% 17% 0% 11% 6% 5% 21% 6% 10% 7% 80 6 8% 40 32 80% 120 26 22% 1281 370 29% 1411 45 3% 2692 325 12% 1746 280 16% 7073 2424 34% 21201 1771 8% 28274 653 2% 20170612_20162017 V1_0_LLappin

ENDOSCOPY SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE ENDOSCOPY (4SCOPES) 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY Endoscopy Symptomatic IP 6 14 14 7 11 15 13 13 14 7 1 3 2 InPatient 71 Variance 8 8 1 5 9 7 7 8 1 5 3 4 114 71 Variance % 137% 137% 18% 86% 154% 120% 120% 137% 18% 83% 49% 66% Endoscopy Symptomatic DC 726 586 603 623 490 607 597 667 675 552 633 410 511 8707 Variance 140 123 103 236 119 129 59 51 174 93 316 215 6954 8707 Variance % 19% 17% 14% 32% 16% 18% 8% 7% 24% 13% 43% 30% ENDOSCOPY SYMPTOMATIC IPDC COMBINED 732 600 617 630 501 622 610 680 689 559 634 413 513 Total 8778 Variance 132 115 102 231 110 122 52 43 173 98 319 219 7068 8778 Variance % 18% 16% 14% 32% 15% 17% 7% 6% 24% 13% 44% 30% Endoscopy Bowel Cancer Screening IP 0 0 0 0 1 0 1 0 0 0 0 0 0 InPatient 0 Variance 0 0 0 1 0 1 0 0 0 0 0 0 2 0 2 Endoscopy Bowel Cancer Screening DC 39 33 34 36 20 27 48 37 41 38 32 29 33 471 Variance 6 5 3 19 12 9 2 2 1 7 10 6 408 471 63 13% Variance % 16% 13% 8% 49% 31% 22% 6% 4% 3% 18% 26% 16% ENDOSCOPY BOWEL CANCER SCREENING 39 33 34 36 21 27 49 37 41 38 32 29 33 IPDC COMBINED Total 471 410 471 61 13% Variance 6 5 3 18 12 10 2 2 1 7 10 6 Variance % 16% 13% 8% 46% 31% 25% 6% 4% 3% 18% 26% 16% INPATIENT TOTAL 6 14 14 7 12 15 14 13 14 7 1 3 2 IP 71 Variance 8 8 1 6 9 8 7 8 1 5 3 4 116 71 45 63% Variance % 137% 137% 18% 103% 154% 137% 120% 137% 18% 83% 49% 66% DAYCASE TOTAL 765 619 637 659 510 634 645 704 716 590 665 439 544 DC 9178 Variance 146 128 106 255 131 120 61 49 175 100 326 221 7362 9178 1816 20% Variance % 19% 17% 14% 33% 17% 16% 8% 6% 23% 13% 43% 29% INPATIENT & DAYCASE TOTAL 771 633 651 666 522 649 659 717 730 597 666 442 546 Total 9249 Variance 138 120 105 249 122 112 54 41 174 105 329 225 7478 9249 1771 19% Variance % 18% 16% 14% 32% 16% 14% 7% 5% 23% 14% 43% 29% 43 1753 1710 61% 20% 19% #DIV/0! 20170612_20162017 V1_0_LLappin

NONELECTIVE INPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NONELECTIVE INPATIENTS (FCEs) 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY GENERAL SURGERY 745 805 869 846 900 792 839 765 669 745 795 750 856 100 8941 Variance 60 124 101 155 47 94 20 76 0 50 5 111 9631 8941 690 8% Variance % 8% 17% 14% 21% 6% 13% 3% 10% 0% 7% 1% 15% UROLOGY 52 66 79 72 89 84 73 87 80 80 67 54 82 101 629 Variance 14 27 20 37 32 21 35 28 28 15 2 30 913 629 284 45% Variance % 26% 51% 37% 70% 60% 39% 66% 53% 53% 28% 3% 56% TRAUMA 141 191 194 180 179 186 187 215 184 199 222 207 180 110A 1687 Variance 50 53 39 38 45 46 74 43 58 81 66 39 2324 1687 637 38% Variance % 36% 38% 28% 27% 32% 33% 53% 31% 42% 58% 47% 28% EAR, NOSE & THROAT 56 70 63 82 53 52 47 61 79 39 59 52 62 120 666 Variance 15 8 27 3 4 9 6 24 17 4 4 7 719 666 53 8% Variance % 26% 14% 48% 5% 6% 15% 10% 42% 30% 6% 6% 12% ACCIDENT & EMERGENCY 194 105 92 109 113 134 118 105 110 89 53 64 57 180 2324 Variance 89 102 85 81 60 76 89 84 105 141 130 137 1149 2324 1175 51% Variance % 46% 52% 44% 42% 31% 39% 46% 43% 54% 73% 67% 71% GENERAL MEDICINE 1040 2566 2942 2647 2466 2788 2682 3064 2948 3061 3136 2772 2820 300 12478 Variance 1526 1902 1607 1426 1748 1642 2024 1908 2021 2096 1732 1780 33892 12478 21414 172% Variance % 147% 183% 155% 137% 168% 158% 195% 184% 194% 202% 167% 171% GASTROENTEROLOGY 1 1 3 6 6 10 21 8 10 26 25 9 25 301 14 Variance 0 2 5 5 9 20 7 9 25 24 8 24 150 14 136 971% Variance % 14% 157% 414% 414% 757% 1700% 586% 757% 2129% 2043% 671% 2043% HAEMATOLOGY 18 13 20 28 19 13 23 24 20 14 24 19 23 303 213 Variance 5 2 10 1 5 5 6 2 4 6 1 5 240 213 27 13% Variance % 27% 13% 58% 7% 27% 30% 35% 13% 21% 35% 7% 30% DERMATOLOGY 3 0 0 0 0 0 0 0 0 0 0 0 0 330 34 Variance 3 3 3 3 3 3 3 3 3 3 3 3 0 34 34 100% Variance % 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% THORACIC MEDICINE 0 10 11 14 12 30 14 25 31 36 65 18 52 340 1 Variance 10 11 14 12 30 14 25 31 36 65 18 52 318 1 317 31700% Variance % 11900% 13100% 16700% 14300% 35900% 16700% 29900% 37100% 43100% 77900% 21500% 62300% NEPHROLOGY 14 32 43 84 66 37 95 44 26 80 51 90 110 361 168 Variance 18 29 70 52 23 81 30 12 66 37 76 96 758 168 590 351% Variance % 129% 207% 500% 371% 164% 579% 214% 86% 471% 264% 543% 686% RHEUMATOLOGY 0 8 3 0 4 1 2 0 2 1 11 8 0 410 5 Variance 8 3 0 4 1 2 0 2 1 11 8 0 40 5 35 700% Variance % 1820% 620% 100% 860% 140% 380% 100% 380% 140% 2540% 1820% 100% PAEDIATRIC MEDICINE 266 225 239 220 191 212 251 296 337 305 219 225 251 420 3189 Variance 41 27 46 75 54 15 30 71 39 47 41 15 2971 3189 218 7% Variance % 15% 10% 17% 28% 20% 6% 11% 27% 15% 18% 15% 6% GYNAECOLOGY 101 74 69 72 66 72 68 62 77 75 82 77 89 502 1215 Variance 27 32 29 35 29 33 39 24 26 19 24 12 883 1215 332 27% Variance % 27% 32% 29% 35% 29% 33% 39% 24% 26% 19% 24% 12% Total 2630 4166 4627 4360 4164 4411 4420 4756 4573 4750 4809 4345 4607 31564 Variance 1536 1997 1730 1534 1781 1790 2126 1943 2120 2179 1715 1977 53988 31564 22424 71% Variance % 58% 76% 66% 58% 68% 68% 81% 74% 81% 83% 65% 75% 20170612_20162017 V1_0_LLappin

NONELECTIVE INPATIENT SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE NONELECTIVE INPATIENTS (FCEs) 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY 20170612_20162017 V1_0_LLappin

EMERGENCY CARE SERVICE BUDGET AGREEMENT EMERGENCY DEPARTMENT NEW ATTENDANCES 2016/2017 MONTHLY PERFORMANCE EMERGENCY CARE 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY EMERGENCY DEPT CAH 0 6851 7338 7034 6595 6968 6988 7273 6863 6982 6783 6231 7420 Variance 6851 7338 7034 6595 6968 6988 7273 6863 6982 6783 6231 7420 83326 0 83326 #DIV/0! EMERGENCY DEPT DHH 0 4375 4924 4643 4440 4636 4312 4647 4240 4559 4265 3869 4574 Variance 4375 4924 4643 4440 4636 4312 4647 4240 4559 4265 3869 4574 53484 0 53484 #DIV/0! 95481 EMERGENCY DEPT CAH +DHH 7957 11226 12262 11677 11035 11604 11300 11920 11103 11541 11048 10100 11994 COMBINED Variance 3269 4305 3720 3078 3647 3343 3963 3146 3584 3091 2143 4037 136810 95481 41329 43% Variance % 41% 54% 47% 39% 46% 42% 50% 40% 45% 39% 27% 51% MINOR INJURIES UNIT (MIU) STH 873 2494 2708 2770 2376 2638 2678 2504 2150 2086 2116 2266 2676 10472 Variance 1621 1835 1897 1503 1765 1805 1631 1277 1213 1243 1393 1803 29462 10472 18990 181% Variance % 186% 210% 217% 172% 202% 207% 187% 146% 139% 142% 160% 207% Total 8829 13720 14970 14447 13411 14242 13978 14424 13253 13627 13164 12366 14670 105953 Variance 4891 6141 5618 4582 5413 5149 5595 4424 4798 4335 3537 5841 166272 105953 60319 57% 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 0 239 274 292 248 254 240 234 243 198 196 236 262 Variance 239 274 292 248 254 240 234 243 198 196 236 262 2916 0 2916 #DIV/0! 19096 EMERGENCY DEPT DHH 0 107 100 106 132 142 135 130 111 115 105 117 144 Variance 107 100 106 132 142 135 130 111 115 105 117 144 EMERGENCY DEPT CAH +DHH COMBINED 1591 346 374 398 380 396 375 364 354 313 301 353 406 Variance 1245 1217 1193 1211 1195 1216 1227 1237 1278 1290 1238 1185 Variance % 16% 15% 15% 15% 15% 15% 20% 20% 20% 20% 20% 20% MINOR INJURIES UNIT (MIU) STH 175 196 270 262 249 157 165 168 111 221 241 282 353 2094 Variance 22 96 88 75 18 10 7 64 47 67 108 179 2675 2094 Variance % 78% 69% 70% 71% 82% 81% 100% 100% 100% 100% 100% 100% Total 1766 542 644 660 629 553 540 532 465 534 542 635 759 21190 Variance 1224 1122 1106 1137 1213 1226 1234 1301 1232 1224 1131 1007 7035 21190 Variance % 69% 64% 63% 64% 69% 69% 70% 74% 70% 69% 64% 57% 1444 4360 19096 0 1444 #DIV/0! 14736 581 14155 77% 28% 67% 20170612_20162017 V1_0_LLappin

DIAGNOSTIC SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE DIAGNOSTICS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY AUDIOLOGY 2608 2562 2797 2722 2300 2932 2817 3070 3028 2391 2688 2863 2831 31290 Variance 46 190 115 308 325 210 463 421 217 81 256 224 33001 31290 Variance % 2% 7% 4% 12% 12% 8% 18% 16% 8% 3% 10% 9% CT SCANS (INCLUDING CT ANGIO) 1928 2302 2124 2268 2119 2177 2299 2241 2264 2239 2314 2133 2378 23141 Variance 374 196 340 191 249 371 313 336 311 386 205 450 26858 23141 Variance % 19% 10% 18% 10% 13% 19% 16% 17% 16% 20% 11% 23% DEXA SCANS 208 202 196 210 221 258 199 211 237 145 192 209 218 2500 Variance 6 12 2 13 50 9 3 29 63 16 1 10 2498 2500 Variance % 3% 6% 1% 6% 24% 4% 1% 14% 30% 8% 0% 5% MRI SCANS 1296 1348 1248 1334 1269 1240 1258 1274 1181 1152 1278 1276 1400 15550 Variance 52 48 38 27 56 38 22 115 144 18 20 104 15258 15550 Variance % 4% 4% 3% 2% 4% 3% 2% 9% 11% 1% 2% 8% NEUROPHYSIOLOGY 125 96 78 78 73 80 94 73 94 64 76 89 108 1499 Variance 29 47 47 52 45 31 52 31 61 49 36 17 1003 1499 Variance % 23% 38% 38% 42% 36% 25% 42% 25% 49% 39% 29% 14% 37742 NONOBSTETRICS ULTRASOUND SCANS 3145 3102 3074 3254 2519 2823 3054 3043 3249 2538 3104 2893 3174 Variance 43 71 109 626 322 91 102 104 607 41 252 29 Variance % 1% 2% 3% 20% 10% 3% 3% 3% 19% 1% 8% 1% 35827 37742 1915 PLAIN FILM XRAY 14096 17408 17862 17570 15202 17133 16947 17096 15939 14839 16884 15759 17728 169150 Variance 3312 3766 3474 1106 3037 2851 3000 1843 743 2788 1663 3632 200367 169150 31217 18% Variance % 23% 27% 25% 8% 22% 20% 21% 13% 5% 20% 12% 26% TTE ECHO (Transthoracic Echocardiogram) 848 712 700 781 722 717 701 728 743 698 827 789 890 10170 Variance 136 148 67 126 131 147 120 105 150 21 59 43 9008 10170 Variance % 16% 17% 8% 15% 15% 17% 14% 12% 18% 2% 7% 5% Total 24254 27732 28079 28217 24425 27360 27369 27736 26735 24066 27363 26011 28727 291042 Variance 3479 3826 3964 172 3107 3116 3483 2482 188 3110 1758 4474 323820 291042 Variance % 14% 16% 16% 1% 13% 13% 14% 10% 1% 13% 7% 18% 1711 3717 16% 2 292 496 0% 33% 1162 11% 32778 5% 2% 5% 11% 20170612_20162017 V1_0_LLappin

BIRTH SERVICE BUDGET AGREEMENT 2016/2017 MONTHLY PERFORMANCE BIRTHS 2016/2017 CUMULATIVE PERFORMANCE VOLUME SPECIALTY OBSTETRICS CONSULTANT LED 0 383 415 428 425 445 477 424 450 412 407 371 409 510 Variance 383 415 428 425 445 477 424 450 412 407 371 409 5046 0 5046 #DIV/0! OBSTETRICS MIDWIFE LED 0 88 75 72 81 70 80 75 68 69 73 47 64 510 Variance 88 75 72 81 70 80 75 68 69 73 47 64 862 0 OBSTETRICS TOTAL 500 471 490 500 506 515 557 499 518 481 480 418 473 510 5995 Variance 29 10 0 6 15 57 1 18 19 20 82 27 5908 5995 87 Variance % 6% 2% 0% 1% 3% 11% 0% 4% 4% 4% 16% 5% Total 500 471 490 500 506 515 557 499 518 481 480 418 473 5995 Variance 29 10 0 6 15 57 1 18 19 20 82 27 5908 5995 87 Variance % 6% 2% 0% 1% 3% 11% 0% 4% 4% 4% 16% 5% 862 #DIV/0! 1% 1% 20170612_20162017 V1_0_LLappin

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 418 428 459 564 437 528 490 519 476 396 475 469 534 5016 Variance 10 41 146 19 110 72 101 58 22 57 51 116 5775 5016 759 15% Variance % 2% 10% 35% 5% 26% 17% 24% 14% 5% 14% 12% 28% OCCUPATIONAL THERAPY 665 710 762 799 623 699 714 655 731 663 736 634 690 7980 Variance 45 97 134 42 34 49 10 66 2 71 31 25 8416 7980 436 5% Variance % 7% 15% 20% 6% 5% 7% 2% 10% 0% 11% 5% 4% ORTHOPTICS 168 166 163 235 162 143 177 163 227 163 219 220 282 2016 Variance 2 5 67 6 25 9 5 59 5 51 52 114 2320 2016 304 15% Variance % 1% 3% 40% 4% 15% 5% 3% 35% 3% 30% 31% 68% PHYSIOTHERAPY 2396 2312 2088 2282 2044 2328 2383 2232 2114 1582 2301 2186 2370 28752 Variance 84 308 114 352 68 13 164 282 814 95 210 26 26222 28752 2530 9% Variance % 4% 13% 5% 15% 3% 1% 7% 12% 34% 4% 9% 1% PODIATRY 420 499 542 461 413 485 487 551 596 441 554 491 461 5040 Variance 79 122 41 7 65 67 131 176 21 134 71 41 5981 5040 941 19% Variance % 19% 29% 10% 2% 15% 16% 31% 42% 5% 32% 17% 10% SPEECH & LANGUAGE THERAPY 165 274 306 384 354 375 227 218 221 178 202 176 214 1980 Variance 109 141 219 189 210 62 53 56 13 37 11 49 3129 1980 1149 58% Variance % 66% 85% 133% 115% 127% 38% 32% 34% 8% 22% 7% 30% Total 4232 4389 4320 4725 4033 4558 4478 4338 4365 3423 4487 4176 4551 50784 Variance 157 88 493 199 326 246 106 133 809 255 56 319 51843 50784 1059 2% Variance % 4% 2% 12% 5% 8% 6% 3% 3% 19% 6% 1% 8% 20170612_20162017 V1_0_LLappin