To identify the most vulnerable and highlight the level of need and to deliver the most appropriate service. The local Health & wellbeing board is the forum where key leaders from the local health and care system work together to improve the health & wellbeing of their local population and reduce health inequalities. The key performance indicators (KPIs) are used to measure how the NHS screening programmes are performing and aim to give a high-level overview of programme quality. It argued that there was ‘A lack of clear incentives and levers to improve performance’2 and that consequently, national standards were needed. Clarity amongst commissioners and providers regarding the contribution individual services make to the delivery of the local HCP child health outcomes. Today, NHS England and NHS Digital published the latest data on key activity and performance measures for October and November of this year. The diagnostic waiting time target has not been met for over six and a half years. The … Transparent availability and joint review of performance data between the various commissioners and providers involved in the local delivery of the HCP. Effective information sharing is an essential component of integrated service delivery. 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. 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. Here we show some of these statistics and how they compare with previous trends. Context . 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. There was an average of 88,947 general and acute beds available each day – 8% fewer than in Week 49 of 2019. Number of new CAFs completed, per WTE as a % of caseload, within a month. The identification of trends within the local health system is an impotant driver. Health improvement, improving the wider determinants of health, infant mortality (NHSOF, PHOF). Number of pre term babies (less than 37 weeks) delivered per month as a % of total births. Updated: Performance Team Page 4 of 23 The identification of trends within the local health system is an impotant driver in the design, delivery and targetting of services. Effective and consistent information sharing is essential to the safe delivery of multi-agency care. 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. There were around 1.6 million calls made to NHS 111 in November 2020, slightly more than in November 2019. Number of CAF's being completed or currently involving staff/services from the individual children's centre. The proportion of antenatal sickle cell and thalassaemia samples submitted to the laboratory which are supported by a completed Family Origin Questionnaire (FOQ). Month 2 . Percentage of children who receive a 12 month developmental review based on the month in which a child reached the age of 12 months. For each indicator, we look at how we are performing against national standards and/or our own targets. 2016 Key Performance Indicators for Hospital Reporting: A Rapid Review. 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. Clear research exists to demonstrate that regular and appropriate supervision is effective in maintaining and identifying training and support. Summary Report . 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). Current national requirements for quality assurance and monitoring of the HCP, Implementing integrated monitoring of the HCP locally, Principles for Commissioning & Delivering, Percentage of mothers receiving a booking visit and completion of appropriate screening and Family of Origin Questionnaire (FOQ) by 8-10 weeks, Reduction of perinatal mortality and infant mortality (NHSOF, PHOF). 2,141 people had a trolley wait of over 12 hours in November 2020, almost double that in October 2019. Audit of effectiveness of communication of findings from school entry assessments communicated to the School Nursing Team. The waiting time target has not been met for over two and a half years. This follows a previous fall to 3.9 million in May 2020. For urgent and emergency care, the field test sites have not been submitting four-hour performance data since May 2019. Availability and uptake of CONI programmes as: Monitor the availability and provision of specialist services for children with long term health and care needs. In Week 49 of 2020, an average of 58 hospital beds were closed each day due to diarrhoea and vomiting (D&V)/norovirus like symptoms – almost 18 times lower than the same week last year. Key performance indicators in healthcare present you with a visual and easy-to-digest means of analyzing your operations. For more information, see our cancer waiting time targets indicator. 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. Waiting times have worsened for the past six consecutive months. The number of elective admissions increased to 609,298 – 22% lower than in October 2019. 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. For interactive charts showing the quality of health and social care over time, please refer to our 200+ indicators. This compares to 95% occupancy in Week 49 of 2019. Total number and proportion of families in UPP. In Week 49 of 2020, the average number of adult critical care beds available each day was 4,415 – 20% higher than Week 49 of 2019. It was the 1999 death of a 38-year-old patient in the north of England, on a waiting list There were 347,211 emergency admissions via A&E in November 2020 – 17% lower than in November 2019. HCP Vision and Ambitions: what do we want to achieve for children? Monitor the availability and provision of specialist programmes to vulnerable groups. The HCP integrated commissioning framework defines KPIs as: KPIs can also be considered as information collected to monitor progress towards achievement of a population Percentage of 50 urgent referrals that recived a same day or next day response to the referrer. Number of packages of care being delivered for specific programmes/support e.g. 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. Number of women as a percentage of total booking appointments, who are categorised as obese at booking. This could include the development of an a single system wide HCP performance dashboard which can be used by joint commissioners to plan, evaluate and improve the quality of the HCP. In October 2016 NHS England introduced a set of Key Performance Indicators for Integrated Urgent Care. Percentage of infants recorded as being totally or partially breastfed at 6-8 weeks. progress towards organisational goals (NHS Institute, 2008) . 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. Pre-conception: Percentage of women that have had pre-conceptual advice to be recorded at birth. Percentage of mothers who received a Maternal Mood assessment, by the time the infant is aged 6-8 weeks, based on the month in which the infant reached 8 weeks of age. Assisting healthcare professionals in practicing evidence-based medicine is a key objective for improving quality. 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, how current national KPIs map to HCP activities provided by services at different stages of a child’s development and; how the service-level KPI’s link to the HCP Ambitions and population health outcomes. 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’. This follows a decrease to 916,581 in April 2020 and a subsequent increase to just over 1.7 million in August 2020. Percentage of 50 transfers where health records are transferred to the HV service within the new area within 2 weeks. Percentage of children within the centres reach area that are achieving a total of 78 points across the EYFS. Percentage of new born bs results which are screened negative for all five conditions available for communication to parents within 6 weeks. In October 2020, 29% of patients had been waiting over six weeks for a diagnostic test. Our monthly round-up of the latest NHS performance data. Healthcare KPIs are critical for any organization in the healthcare sector, to keep track of their business performance. This could include the development of, locally sensitive, integrated performance dashboards for each Children’s Centre. Multi-agency oversight is essential to ensure services are working effectively together to collectively support local children and familes. Number of Maternal Mental Health assessments completed at 28 weeks antenatally as a % of total 28 week antenatal contacts. 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 staff who have recived mandatory child protection training (commensurate with their role) in the last 36 months (rolling). The most recent data published today reflects changes in access and service use as a result of the coronavirus (Covid-19) pandemic. Percentage of babies for whom screening process is complete within 4-5 weeks corrected age. There is a greater risk of mortality in pre term and low weight babies. Annual Report on patient experience feedback from families and caregivers. The number of families with children under the age of five within a centres reach area. Here we show some of these statistics and how they compare with previous trends. Percentage of mothers that initiate breast feeding in the first 48 hours after delivery. Mortality rates for low birth weight and pre term babies as a % (in each category) and of total births. % of families on each UP and UPP pathway. The number of available early education places being accessed within the centres reach area. Latest data 74% of adult critical care beds were occupied, compared to 83% in the same week last year. The number of children on a CIN or CIP within an individual centres reach area that the centre are actively working with. Number of Maternal Mental Health Assessments completed as a % of total of 3-4 month HV contacts. Is an annual audit pathway programme in place? Emergency admissions via A&E have generally been increasing year-on-year, but fell dramatically in April 2020 to 257,928. Notification of pregnancy and birth - (exception reporting) number of incidents and % of total notifications, where notification was not recived by HV service for both pregnancy and birth.