2015/16 Activity Report April 2015 to January 2016 · 2016-03-08 · Key Points: Elective Activity • This report focuses on hospital activity trends and rates. It is largely based

2015/16 Activity Report April 2015 to January 2016

Section Page

Key Points 2 – 4

CCG Demographics 5

GP Referrals to Outpatients (seen) 6

Outpatient First attendances (all referral sources) 7

Outpatient Follow-up attendances 8

Day Case Admissions 9

Elective Inpatient Admissions (overnight stay) 10

Emergency Admissions 11 – 13

A&E Attendances 14 – 15

NHS 111 Calls 16

NUH & Circle Fast Track Reports 17– 19

GP Practices Financial Performance against Commissioning Budget 20

Key Points: Elective Activity • This report focuses on hospital activity trends and rates. It is largely based on SUS data up to January 2016

(YTD Month 10) and includes both specialised and non-specialised activity.

Outpatient Attendances

• Year-on-year GP referrals to Outpatient first appointments in 2015/16 YTD are 1.8% lower than in the same

period last year. The cumulative variance from last year, however, continues reducing month by month.

• In 2015/16 YTD there has been an increase in GP Referrals to the following specialties:

• Gastroenterology; Respiratory Medicine; Obstetrics; Nephrology; Hepatology

• Overall, year to date Outpatient first attendances from all referral sources are down by 0.8% from last year.

NNE QIPP target for 2015/16 is -3.9%

• Fast Track data from NUH and Circle continues to show higher level of OP 1st activity in January & February

2016 compared with last year.

• Outpatient Follow-up attendances (all providers) are 1% up from last year. The increase has occurred in:

– T&O; Pain Management; Gynaecology; Respiratory Medicine; Paediatrics; Ophthalmology; Gastroenterology; ENT

Day Case & Elective Admissions

• SUS data shows that Day Case (DC) admissions have increased by 6% compared with last year (all

providers). The increase is seen mainly at NUH (8%) and Ramsay (23%) . There has been a sharp increase in

June and July this year and activity has remained higher than the previous two years between September

and January. DC activity did not drop in December 2015 as it did in previous years

• DC activity has increased in the following specialties:

– Gastroenterology; Pain Management; T&O; Clinical Haematology and Oncology; Hepatology; ENT.

• Fast Track data from NUH & Circle continue to show an increase in year to date DC activity (7.6%)

• Year-on-year Ordinary Elective admissions with overnight stay (EL) have increased by 1.4% (all providers).

The increase has occurred across several specialties, in particular:

– Cardiology; Geriatric Medicine; Clinical Haematology; Paediatrics; Vascular Surgery; Spinal Surgery

• Unlike DC, EL admissions dropped In December 2015 compared to December 2014.

• Fast Track data from NUH & Circle shows a slow-down in February 16

2

Key Points: Emergency Activity A&E

• The number of ED attendances at Type 1 (24/7 consultant led Major ED), Type 2 (Mono-specialty consultant

led ED, e.g. Eye Casualty) and Type 3 (Minor Injury) Departments in 2015/16 YTD is 3.2% higher than last

year. Attendances have remained relatively stable since April 2015.

• The increase has mainly occurred at both QMC (2.5%) and Kings Mill Hospital (4%) Emergency Departments

• The increase appears to be across most age groups, particularly 0-4 and 20-39, 55-59 and 75+

• In the same period, apart from Rushcliffe CCG, all other Notts South CCGs have seen an increase in ED

attendances.

• Data from the London Road Urgent Care Centre is included in this report (Attendances at Minor Injury Units

and Walk-in Centres, page 15)

• The number of calls to NHS 111 in April 2015 – February 2016 this year is 9.1% higher than last year.

Emergency Admissions

• Year-on-year, there has been a cumulative 5.6% drop in the overall number of Emergency hospital admissions

(all providers) this year (n=677). There has been a noticeable increase in December 2015, but admissions

have dropped again in January 2016.

• Emergency admissions from GP are significantly lower than last two years (-26%)

• Fast Track data from NUH shows that activity in February 2016 has slightly increased but it is in line with last

year. The cumulative reduction this year up to end of February is -5.0% compared to last year

• 28-day emergency re-admissions this year are down by 5% from last year. A sharp increase occurred in

December 2015, but readmissions have gone down again in January 2016.

• Emergency admissions at Sherwood Forest Hospitals (King’s Mill Hospital) have increased by 18% (n=110).

The great majority of these (88%) are admissions from A&E.

• Oakenhall and Torkard have seen the largest increase in Emergency Admissions at SFHT (+62% and +16%

respectively). They have also seen a reduction at NUH (-4% and -7% respectively), indicating a possible

marginal shift in patient flow.

3

Key Points: Financial Position at the 3 Main Providers Nottingham University Hospitals NHS Trust (NUH)

• In Month 10, NNE is overspent at NUH

• Main areas of YTD over-spend are:

Day Case (DC): 10% (£479,129) – Gastroenterology; Pain Management; Hepatology, Clinical Oncology

Emergency Admissions (NEL): 2% (£273,785) – Despite a reduction in activity compared with last year,

NNE is still above plan: this is mainly due to QIPP non-delivery and case-mix.

Outpatient Follow-up (OPFUP): 10% (£374,751) – across several specialties, including Outpatient

Parenteral Antibiotic Therapy (OPAT), T&O and Fracture Clinic, Pre-op Assessments; Geriatric Medicine

Outpatient Procedures: 9% (£230,858) – Ophthalmology, Urology, Fracture Clinic, ENT, Gynaecology

Inpatient Unbundled: 24% (£186,139) – Rehabilitation

OP Unbundled: 14% (£175,711) – Diagnostic Imaging (MRI and CT scans)

Circle Ltd – Nottingham Treatment Centre

• In Month 10, NNE is overspent at Circle


QIPP (non-delivery): £511,850

Elective Inpatients: £136,000 – T&O (Hip, Knee, Shoulder procedures)

High Cost Drugs: £65,668 – mainly Cytokine Inhibitors - Gastroenterology

Sherwood Forest Hospitals NHS Foundation Trust (SFH)

• In Month 10, NNE is overspent at SFH (10%, £436,035)


Emergency Admissions (including short-stay): 25% (£277,261)

Critical Care: £89,698

High Cost Drugs: 102% (£61,671)

4

CCG Demographics

6.9

7

.5

8.5

1

0.5

1

3.5

1

3.8

1

3.8

1

4.2

1

5.8

1

6.0

1

6.5

1

6.6

1

7.7

2

0.7

2

0.8

2

2.9

2

3.5

2

3.8

2

4.3

2

4.4

2

4.8

0

5

10

15

20

25

Deprivation Scores (IMD 2010) High is more deprived

NNE Nott West Rushcliffe County CCGs

5

5.7

%

6.2

%

6.8

%

7.1

%

7.2

%

7.6

%

7.8

%

8.1

%

8.2

%

8.5

%

8.8

%

9.2

%

10

.0%

1

0.1

%

10

.2%

1

0.3

%

10

.9%

1

1.5

%

11

.8%

1

3.1

%

14

.4%

0%

2%

4%

6%

8%

10%

12%

14%

16%

% of Patients Aged 75+ years

NNE Nott West Rushcliffe

GP Referrals to Outpatient First Attendances (SUS Data)

6

142 146 151 159 166 188 50

70

90

110

130

150

170

190

210

NottinghamNorth & East

Rushcliffe NottinghamWest

Mansfield &Ashfield

NottinghamCity

Newark &Sherwood

Age

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Outpatient First Attendances from GP Referral - April 15 to January 16 - All specialties excluding Diagnostic Imaging,

General Medicine, Obstetrics & Audiological Medicine

City & County CCGs Rate

50

70

90

110

130

150

170

190

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Outpatient First Attendances from GP Referral - April 15 to January 16 - All specialties excluding Diagnostic Imaging,

General Medicine, Obstetrics & Audiological Medicine

Lowest South Notts CCG Rate

1,000

1,200

1,400

1,600

1,800

2,000

2,200

2,400

2,600

2,800

3,000

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

Outpatient First Attendances from GP Referral - NNE CCG

2013-14 2014-15 2015-16

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 702 722 716 4 1%

Calverton 1,294 1,589 1,488 47 3%

Daybrook 1,459 1,841 1,791 141 9%

Giltbrook 689 702 677 -19 -3%

Highcroft 2,017 2,427 2,091 -131 -6%

Ivy 713 750 807 76 10%

Jubilee 373 428 492 92 23%

Newthorpe 925 1,001 1,042 79 8%

Oakenhall 800 1,068 1,094 160 17%

Om Surgery 280 324 327 25 8%

Park House 1,076 1,438 1,423 166 13%

Peacock 619 726 859 187 28%

Plains View 869 1,136 1,212 210 21%

Stenhouse 1,537 1,982 2,036 277 16%

Torkard Hill 2,035 2,479 2,416 159 7%

Trentside 1,618 1,739 1,626 -53 -3%

Unity 570 681 546 -80 -13%

West Oak 753 886 954 135 16%

Westdale 1,022 1,204 1,295 182 16%

Whyburn 1,324 1,715 1,553 34 2%

Willows 476 652 578 14 2%

Grand Total 21,151 25,490 25,023 1,703 7.3%

Outpatient First Attendances from all Referral Sources

7

240 248 252 264 281 310 100

150

200

250

300

350

Rushcliffe NottinghamNorth & East

NottinghamWest

NottinghamCity

Mansfield &Ashfield

Newark &Sherwood

Age

& G

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de

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and

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0

All Outpatient First Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine &

Audiological Medicine


100

150

200

250

300

350

Un

ity

Wh

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All Outpatient First Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine &

Audiological Medicine


2,000

2,500

3,000

3,500

4,000

4,500

5,000


All Outpatient First Attendances - NNE CCG

2013-14 2014-15 2015-16

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 1,034 1,074 1,048 -6 -1%

Calverton 2,288 2,567 2,425 -3 0%

Daybrook 2,616 2,837 2,762 36 1%

Giltbrook 1,139 1,161 1,139 -11 -1%

Highcroft 3,335 3,812 3,511 -63 -2%

Ivy 1,094 1,104 1,207 108 10%

Jubilee 592 658 744 119 19%

Newthorpe 1,581 1,669 1,729 104 6%

Oakenhall 1,625 1,841 1,908 175 10%

Om Surgery 540 547 553 10 2%

Park House 1,835 2,177 2,202 196 10%

Peacock 1,108 1,243 1,358 183 16%

Plains View 1,497 1,663 1,785 205 13%

Stenhouse 2,851 3,239 3,215 170 6%

Torkard Hill 3,675 4,087 4,050 169 4%

Trentside 2,894 2,942 2,867 -51 -2%

Unity 971 1,082 889 -138 -13%

West Oak 1,234 1,377 1,481 176 13%

Westdale 1,880 1,980 2,063 133 7%

Whyburn 2,540 2,944 2,792 50 2%

Willows 840 999 941 22 2%

Grand Total 37,169 41,003 40,669 1,583 4.1%

Outpatient Follow-up Attendances

8

514 525 537 545 685 702 200

300

400

500

600

700

800



NottinghamCity

Newark &Sherwood

Mansfield &Ashfield

Age

& G

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Outpatient Follow-up Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine,

Obstetrics & Audiological Medicine


200

300

400

500

600

700

Jub

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Wes

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Will

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Outpatient Follow-up Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine,

Obstetrics & Audiological Medicine


5,000

6,000

7,000

8,000

9,000

10,000

11,000


Outpatient Follow-up Attendances - NNE CCG

2013-14 2014-15 2015-16

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 2,581 2,612 2,740 144 6%

Calverton 5,703 6,457 6,402 322 5%

Daybrook 6,190 6,842 6,616 100 2%

Giltbrook 2,599 3,206 2,817 -86 -3%

Highcroft 7,808 8,557 8,582 400 5%

Ivy 2,595 2,624 2,907 298 11%

Jubilee 1,462 1,714 1,682 94 6%

Newthorpe 3,814 4,335 4,516 442 11%

Oakenhall 4,277 4,660 4,900 432 10%

Om Surgery 1,190 1,288 1,275 36 3%

Park House 4,599 4,847 5,185 462 10%

Peacock 2,786 2,952 3,328 459 16%

Plains View 3,642 3,837 4,177 438 12%

Stenhouse 7,635 8,111 8,197 324 4%

Torkard Hill 8,633 9,572 9,808 706 8%

Trentside 6,899 6,975 7,072 135 2%

Unity 2,475 2,655 2,489 -76 -3%

West Oak 2,745 3,128 3,376 440 15%

Westdale 4,632 5,425 5,074 46 1%

Whyburn 6,699 7,872 7,616 331 5%

Willows 2,254 2,617 2,241 -195 -8%

Grand Total 91,218 100,286 101,000 5,248 5%

Day Case Hospital Admissions

9

1000

1100

1200

1300

1400

1500

1600

1700

1800


Day Case Admissions - NNE CCG

2013-14 2014-15 2015-16

83 84 88 92 98 100 40

50

60

70

80

90

100

110


NottinghamWest

NottinghamCity

Mansfield &Ashfield

Newark &Sherwood

Age

& G

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Daycase Hospital Admissions - April 15 to January 16


40

50

60

70

80

90

100

110

Om

Su

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Daycase Hospital Admissions - April 15 to January 16


Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 451 420 387 -49 -11%

Calverton 948 1135 1135 94 9%

Daybrook 863 981 1068 146 16%

Giltbrook 417 426 424 3 1%

Highcroft 1136 1276 1328 122 10%

Ivy 489 473 407 -74 -15%

Jubilee 313 246 259 -21 -7%

Newthorpe 623 776 782 83 12%

Oakenhall 557 599 801 223 39%

Om Surgery 234 161 152 -46 -23%

Park House 707 786 827 81 11%

Peacock 338 388 454 91 25%

Plains View 573 601 599 12 2%

Stenhouse 1079 1201 1314 174 15%

Torkard Hill 1228 1334 1573 292 23%

Trentside 1099 1061 1105 25 2%

Unity 383 396 385 -5 -1%

West Oak 401 421 543 132 32%

Westdale 706 752 836 107 15%

Whyburn 1123 1105 1046 -68 -6%

Willows 290 377 325 -9 -3%

Grand Total 13958 14915 15750 1,314 9%

Ordinary Elective Hospital Admissions (Overnight Stay)

10

18.1 18.2 19.5 19.6 20.6 21.1 5.0

7.0

9.0

11.0

13.0

15.0

17.0

19.0

21.0

23.0



NottinghamCity

Newark &Sherwood

Mansfield &Ashfield

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0 Elective Hospital Admissions - April 15 to January 16


0

5

10

15

20

25

30

35

Jub

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Will

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Elective Hospital Admissions - April 15 to January 16


200

250

300

350

400

450


Elective Overnight Stay Admissions - NNE CCG

2013-14 2014-15 2015-16

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 98 105 82 -20 -19%

Calverton 194 258 230 4 2%

Daybrook 269 252 260 -1 0%

Giltbrook 99 102 105 5 4%

Highcroft 266 306 312 26 9%

Ivy 96 96 76 -20 -21%

Jubilee 62 58 44 -16 -27%

Newthorpe 145 149 170 23 16%

Oakenhall 143 147 183 38 26%

Om Surgery 66 45 48 -8 -14%

Park House 170 142 166 10 6%

Peacock 84 91 117 30 34%

Plains View 137 119 141 13 10%

Stenhouse 267 260 309 46 17%

Torkard Hill 318 355 340 4 1%

Trentside 264 260 236 -26 -10%

Unity 101 127 83 -31 -27%

West Oak 109 99 117 13 13%

Westdale 163 192 194 17 9%

Whyburn 270 281 272 -4 -1%

Willows 76 69 77 5 6%

Grand Total 3397 3513 3562 107 3%

Emergency Hospital Admissions (All)

11

20

30

40

50

60

70

80

90

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Emergency Hospital Admissions - April 15 to January 16


49.5 60.1 60.5 65.4 72.4 78.3 20

30

40

50

60

70

80

90



Newark &Sherwood

NottinghamCity

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1,0

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Emergency Hospital Admissions - April 15 to January 16


800

900

1000

1100

1200

1300

1400


All Emergency Admissions - NNE CCG

2013-14 2014-15 2015-16

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 273 292 259 -24 -8%

Calverton 676 732 701 -3 0%

Daybrook 798 814 717 -89 -11%

Giltbrook 328 368 315 -33 -9%

Highcroft 1035 1161 1065 -33 -3%

Ivy 357 318 306 -32 -9%

Jubilee 142 159 175 25 16%

Newthorpe 523 518 482 -39 -7%

Oakenhall 530 527 576 48 9%

Om Surgery 171 151 155 -6 -4%

Park House 475 503 515 26 5%

Peacock 295 354 370 46 14%

Plains View 392 417 374 -31 -8%

Stenhouse 1025 1061 1006 -37 -4%

Torkard Hill 1154 1184 1161 -8 -1%

Trentside 915 862 745 -144 -16%

Unity 273 267 270 0 0%

West Oak 306 302 347 43 14%

Westdale 678 761 657 -63 -9%

Whyburn 889 951 889 -31 -3%

Willows 356 383 323 -47 -13%

Grand Total 11591 12085 11408 -430 -4%

Emergency Hospital Admissions (from GP)

12

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 98 94 75 -21 -22%

Calverton 183 209 143 -53 -27%

Daybrook 234 241 159 -79 -33%

Giltbrook 66 79 39 -34 -46%

Highcroft 302 330 252 -64 -20%

Ivy 129 109 80 -39 -33%

Jubilee 44 53 65 17 34%

Newthorpe 137 128 108 -25 -18%

Oakenhall 95 124 91 -19 -17%

Om Surgery 28 27 22 -6 -20%

Park House 132 113 95 -28 -22%

Peacock 72 112 78 -14 -15%

Plains View 110 135 69 -54 -44%

Stenhouse 293 341 278 -39 -12%

Torkard Hill 294 328 230 -81 -26%

Trentside 223 198 113 -98 -46%

Unity 74 73 48 -26 -35%

West Oak 91 87 59 -30 -34%

Westdale 157 191 135 -39 -22%

Whyburn 198 255 173 -54 -24%

Willows 89 112 56 -45 -44%

Grand Total 3049 3339 2368 -826 -26%

0

50

100

150

200

250

300

350

400

450


Emergency Admissions from GP - NNE CCG

2013-14 2014-15 2015-16

9.4 10.1 11.5 12.7 13.6 13.6 5

6

7

8

9

10

11

12

13

14

15

Mansfield &Ashfield

Newark &Sherwood


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NottinghamWest

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GP Emergency Hospital Admissions - April 15 to January 16


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GP Emergency Hospital Admissions - April 15 to January 16


Emergency Hospital Re-Admissions within 28 Days (All Providers)

13

8.7 10.5 11.7 13.0 14.2 14.9 5

7

9

11

13

15

17



Newark &Sherwood

NottinghamCity

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0 Emergency Hospital Re-admissions within 28 days from

discharge - April 15 to January 16


5

7

9

11

13

15

17

19

21

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Emergency Hospital Re-admissions within 28 days from discharge - April 15 to January 16


100

150

200

250

300


Emergency Readmissions within 28 days from Discharge - NNE CCG

2013-14 2014-15 2015-16

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 35 51 45 2 5%

Calverton 114 142 151 23 18%

Daybrook 147 158 134 -19 -12%

Giltbrook 75 86 59 -22 -27%

Highcroft 191 221 193 -13 -6%

Ivy 70 54 53 -9 -15%

Jubilee 17 27 38 16 73%

Newthorpe 97 98 90 -8 -8%

Oakenhall 100 97 93 -6 -6%

Om Surgery 28 29 29 1 2%

Park House 92 91 124 33 36%

Peacock 44 71 68 11 18%

Plains View 74 83 60 -19 -24%

Stenhouse 198 190 210 16 8%

Torkard Hill 208 236 227 5 2%

Trentside 168 157 148 -15 -9%

Unity 51 46 44 -5 -9%

West Oak 47 45 84 38 83%

Westdale 110 162 122 -14 -10%

Whyburn 178 212 186 -9 -5%

Willows 79 83 68 -13 -16%

Grand Total 2,123 2,339 2,226 -5 0%

A&E Attendances at Type 1 and 2 Emergency Departments

14

156 180 187 223 254 264 100

120

140

160

180

200

220

240

260

280



NottinghamCity

Mansfield &Ashfield

Newark &Sherwood

Age

& G

en

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0 Type 1 and Type 2 Emergency Departments A&E

Attendances - April 15 to January 16


100

120

140

160

180

200

220

240

Ne

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Type 1 and Type 2 Emergency Departments A&E Attendances - April 15 to January 16


1800

2000

2200

2400

2600

2800

3000

3200


A&E Attendances (Type 1 & 2 Only)

2013-14 2014-15 2015-16

Practice

2013/2014

YTD Period

2014/2015

YTD Period

2015/2016

YTD Period

Variance

from Last 2

Years

Average %

Apple Tree 498 587 592 50 9%

Calverton 1486 1525 1579 74 5%

Daybrook 1759 1726 1934 192 11%

Giltbrook 622 722 673 1 0%

Highcroft 2314 2516 2630 215 9%

Ivy 638 675 667 11 2%

Jubilee 413 419 413 -3 -1%

Newthorpe 993 1091 1036 -6 -1%

Oakenhall 1306 1348 1491 164 12%

Om Surgery 502 438 433 -37 -8%

Park House 1332 1435 1407 24 2%

Peacock 765 939 932 80 9%

Plains View 868 938 980 77 9%

Stenhouse 2093 2126 2165 56 3%

Torkard Hill 2580 2803 2989 298 11%

Trentside 2189 2236 2242 30 1%

Unity 660 674 708 41 6%

West Oak 716 768 883 141 19%

Westdale 1347 1464 1428 23 2%

Whyburn 2133 2286 2328 119 5%

Willows 786 789 802 15 2%

Grand Total 26000 27505 28312 1,560 6%

Attendances at Minor Injury Units and NHS Walk-in Centres

15

9 11 61 66 74 87

0

20

40

60

80

100

Mansfield &Ashfield

Newark &Sherwood


NottinghamNorth &

East

NottinghamCityA

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1,0

00

Minor Injury Units and Walk-in Centres Attendances - April 15 to January 16


0

20

40

60

80

100

120

140

160

Om

Su

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Hill

Wh

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Minor Injury Units and Walk-in Centres Attendances - April 15 to January 16


5.0%

7.0%

9.0%

11.0%

13.0%

15.0%

17.0%

19.0%

21.0%

% o

f To

tal A

tte

nd

ance

s

NNE CCG - Attendances at MIU and Walk-in Centres by Day of Week: 2015/16 YTD

Type Description

1

Emergency departments are a CONSULTANT led 24 hour service with full

resuscitation facilities and designated accommodation for the reception of

accident and emergency PATIENTS

2

Consultant led mono specialty accident and emergency service (e.g.

ophthalmology, dental) with designated accommodation for the reception of

PATIENTS

3

Other type of A&E/minor injury ACTIVITY with designated accommodation for

the reception of accident and emergency PATIENTS. The department may be

doctor led or NURSE led and treats at least minor injuries and illnesses and can

be routinely accessed without APPOINTMENT.

4 NHS walk in centres

A&E Department Types (NHS Data Dictionary)

NHS 111 Calls (Derbyshire Health United)

16

Disposition Category - 2015/16 YTD %

Contact Primary Care Service 37%

Emergency Ambulance 13%

Speak to Primary Care service 13%

Non Clinical Enquiry 10%

Attend A&E 10%

Contact a Dental Practitioner or Pharmacist 8%

Recommended Home Care 5%

Attend another service 3%

Health Information 2%

Not Known 1%

Total 100%

50

70

90

110

130

150

170

190

210

230

Jub

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NHS 111 Calls - April 15 to February 16


1,000

1,200

1,400

1,600

1,800

2,000

2,200

2,400

2,600

2,800

3,000


NNE CCG - Number of NHS 111 Calls (Source: DHU)

2013/14 2014/15 2015/16

135 153 176 176 195 201 50

70

90

110

130

150

170

190

210


Newark &Sherwood

NottinghamNorth &

East

NottinghamCity

Mansfield &AshfieldA

ge &

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NHS 111 Calls - April 15 to February 16


17

Code Practice Variance % Variance % Variance % Variance % Variance % Variance % Variance % Variance %

C84053 Torkard 25 0.6% -7 -0.3% 195 16.2% -7 -2.3% 137 7.2% -50 -4.9% -103 -29.3% -41 -0.3%

C84095 Oakenhall 161 8.2% 84 8.1% 205 36.5% 31 24.0% 85 8.9% -18 -3.9% -41 -32.3% -35 -0.5%

C84124 Whyburn -103 -3.1% -208 -11.7% -2 -0.2% -11 -4.3% 107 6.9% -25 -3.1% -72 -27.5% 168 1.4%

C84131 Newthorpe 14 0.7% -77 -7.3% 17 2.5% 25 19.5% -19 -1.8% -16 -3.2% -12 -9.1% 158 2.4%

C84667 Giltbrook -20 -1.6% -71 -10.0% 26 7.1% -13 -12.1% -81 -11.1% -56 -14.9% -44 -50.6% 115 2.7%

Y00026 Om -5 -1.0% -23 -8.3% -7 -6.0% 1 2.9% 1 0.4% -7 -5.3% -7 -25.0% 8 0.4%

72 0.5% -302 -4.1% 434 11.0% 26 2.7% 230 3.5% -172 -5.2% -279 -28.2% 373 0.8%

C84026 Stenhouse -92 -2.1% 15 0.7% 152 13.0% 52 22.5% 19 0.8% -43 -3.8% -65 -17.8% -193 -1.6%

C84047 Calverton 133 4.4% 20 1.2% 12 1.1% -22 -9.1% 72 5.3% -23 -3.2% -54 -24.8% 186 2.0%

C84055 Highcroft -300 -6.3% -394 -14.9% 32 2.6% -26 -8.5% 128 4.9% -80 -6.6% -69 -19.9% 74 0.6%

C84066 Daybrook -96 -2.7% -115 -5.6% 61 6.4% 4 1.7% 211 11.6% -97 -11.5% -68 -27.6% 52 0.6%

C84125 Apple Tree -50 -3.6% -36 -4.4% 11 3.1% -23 -23.5% 16 2.8% -16 -5.4% -20 -19.8% -53 -1.5%

C84613 Jubilee -1 -0.1% 4 1.0% -25 -12.0% -28 -48.3% 9 2.8% 37 25.2% 20 40.8% 54 2.4%

C84646 Ivy 26 1.9% 14 1.8% -65 -14.5% -7 -8.8% 20 3.3% -2 -0.6% -30 -25.9% -70 -1.8%

-380 -2.0% -492 -4.6% 178 3.3% -50 -4.0% 475 5.0% -224 -4.8% -286 -19.8% 50 0.1%

C84010 Trentside -89 -2.4% -114 -5.8% 64 6.0% -1 -0.4% -67 -2.8% -120 -13.3% -94 -44.1% -27 -0.2%

C84033 Westdale Lane 35 1.4% 37 2.7% 109 14.7% 5 2.9% -63 -3.9% -90 -11.2% -50 -24.9% -5 -0.1%

C84115 Plains View -18 -0.9% -69 -6.0% -3 -0.5% 11 9.6% 64 6.6% -22 -5.1% -63 -44.4% 174 3.0%

C84133 Peacock 108 6.8% 91 10.9% 94 24.9% 3 3.2% 32 3.2% 31 8.5% -32 -27.8% 258 5.3%

C84150 Unity -93 -7.9% -82 -13.6% 12 3.6% -38 -34.2% 18 2.5% 1 0.4% -22 -28.6% -73 -1.9%

C84612 Willows -116 -9.8% -87 -13.9% -25 -7.9% -3 -4.7% -21 -2.4% -45 -11.2% -48 -41.4% -92 -2.5%

C84696 West Oak 87 5.5% 47 5.3% 87 21.7% 29 37.2% 107 12.5% 42 13.4% -27 -29.0% 353 7.1%

C84709 Park House 119 4.6% 15 1.0% 107 14.5% 25 20.0% 31 2.0% -2 -0.4% -23 -18.3% 285 3.9%

33 0.2% -162 -1.8% 445 9.8% 31 3.1% 101 1.0% -205 -5.1% -359 -33.1% 873 1.7%

Grand Total NNE -276 -0.6% -956 -3.5% 1057 7.6% 7 0.2% 807 3.1% -601 -5.0% -924 -26.3% 1296 0.9%

Source: NUH & Circle Fast Track Datasets (data includes both specialised and non-specialised activity)

ColourActvity

Variance% Variance

<= -20 <= -5% > = 2%

<= -10 <= -1% <= -2%

>= 10 >= 1%

>= 20 >= 5%

-5.0%

Actual % Change

-0.6%

7.6%

0.2%

3.1%

Loca

lity

1

Total for locality 1


Population Change

Dec 14 - Dec 15

NUH & Circle Weekly Fast Track Data 2015/16 - Variance from Last Year

1 April 2015 to 28 February 2016

Outpatient First

ALL ReferralsDay Case Elective A&E Emergency All Emergency GP

Outpatient First

GP Referrals

QIPP Target (%)POD


Loca

lity

3Lo

calit

y 2

Population Increase

Legend

A&E

Emergency

-5.4%

-6.7%

OP 1st

Daycase

Elective -0.1%

-1.6%

-3.9%

NUH & Circle Fast Track Data: Trends (Outpatient First)

18

200

400

600

800

1,000

1,200

1,400

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2013/14 2014/15 2015/16

Nu

mb

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of

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Nottingham North & East Hospital Outpatient First Attendances - 1st April 2013 to 28th February 2016

Data Mean Value LCL LAL UAL UCL 4 per. Mov. Avg. (Data)

NUH Fast Track Data: Trends (Emergency Admissions)

19

100

150

200

250

300

350

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k 1

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12

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20

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16

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k 1

8W

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20

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2W

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24

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k 2

6W

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28

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k 3

0W

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32

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k 3

4W

eek

36

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k 3

8W

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40

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k 4

2W

eek

44

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k 4

6W

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48

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52

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k 2

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2013/14 2014/15 2015/16

Nu

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of

Ad

mis

sio

ns

Nottingham North & East Hospital Emergency Admissions from 1st April 2013 to 28th February 2016

Data Mean Value LCL LAL UAL UCL 4 per. Mov. Avg. (Data)

20

Practice Name2015/16 YTD

Budget

2015/16 YTD

Actual Spend

2015/16 YTD

Variance (£)

2015/16 YTD

Variance (%)

2014/15 Year

End Variance

(£)

2014/15 Year

End Variance

(%)

Overspend

Variance from

last Year

Trentside £5,684,860 £4,956,405 -£728,456 -12.81% £23,208 0.3%

Plains View £2,896,191 £2,553,468 -£342,723 -11.83% £84,749 2.2%

West Oak £2,568,764 £2,287,035 -£281,729 -10.97% -£81,547 -2.5%

Om £981,047 £952,317 -£28,730 -2.93% £114,777 9.2%

Giltbrook £2,119,473 £2,084,604 -£34,869 -1.65% £431,140 15.5%

Park House £3,584,021 £3,530,941 -£53,079 -1.48% £561,578 12.7%

Peacock £2,418,539 £2,387,576 -£30,963 -1.28% £239,767 7.6%

Newthorpe £3,408,582 £3,380,706 -£27,876 -0.82% £590,810 12.9%

Calverton £4,740,011 £4,758,548 £18,537 0.39% £701,348 10.3%

Unity £1,944,754 £1,953,255 £8,501 0.44% £171,410 6.1%

Whyburn £5,735,832 £5,804,172 £68,340 1.19% £900,302 11.4%

Apple Tree £1,715,778 £1,760,464 £44,686 2.60% £103,330 3.8%

Willows £1,838,708 £1,940,766 £102,058 5.55% £162,473 5.6%

Westdale Lane £3,850,673 £4,089,743 £239,070 6.21% £166,092 2.6%

Daybrook £4,624,422 £4,970,311 £345,888 7.48% £156,486 2.1%

Torkard £7,059,214 £7,595,432 £536,217 7.60% £880,864 8.4%

Stenhouse £5,976,158 £6,446,041 £469,883 7.86% £782 0.0%

Jubilee £1,137,912 £1,230,358 £92,446 8.12% £72,519 4.7%

Oakenhall £3,508,126 £3,798,044 £289,917 8.26% -£35,148 -0.7%

Highcroft £6,162,124 £6,692,308 £530,184 8.60% £1,319,044 14.8%

Ivy £1,902,186 £2,084,640 £182,454 9.59% £78,194 2.6%

NNE Central Budget £9,603,295 £10,311,061 £707,766 7.37%

Nottingham North

and East £83,460,671 £85,568,194 £2,107,523 2.53% £8,649,315 8.1%

Financial Performance Against Commissioning Budget

Acute, Independent Sector, NCA, FNC Providers and GP Prescribing (Does not include Reserves)

April 2015 to December 2015

Documents

2015/16 Activity Report April 2015 to January 2016 · 2016-03-08 · Key Points: Elective Activity • This report focuses on hospital activity trends and rates. It is largely based