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
• Main areas of YTD over-spend are:
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)
• Main areas of YTD over-spend are:
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
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
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
Wh
ybu
rn
Un
ity
Tren
tsid
e
Cal
vert
on
Oak
enh
all
Ne
wth
orp
e
Wes
tdal
e
Gilt
bro
ok
Sten
ho
use
Hig
hcr
oft
Will
ow
s
Pea
cock
Tork
ard
Hill
Wes
t O
ak
Jub
ilee
Om
Su
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y
Ap
ple
Tre
e
Pla
ins
Vie
w
Day
bro
ok
Ivy
Par
k H
ou
se
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
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
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
All Outpatient First Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine &
Audiological Medicine
City & County CCGs Rate
100
150
200
250
300
350
Un
ity
Wh
ybu
rn
Cal
vert
on
Tren
tsid
e
Wes
tdal
e
Ne
wth
orp
e
Sten
ho
use
Pea
cock
Oak
enh
all
Gilt
bro
ok
Will
ow
s
Hig
hcr
oft
Tork
ard
Hill
Ap
ple
Tre
e
Wes
t O
ak
Pla
ins
Vie
w
Jub
ilee
Day
bro
ok
Om
Su
rger
y
Par
k H
ou
se Ivy
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
All Outpatient First Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine &
Audiological Medicine
Lowest South Notts CCG Rate
2,000
2,500
3,000
3,500
4,000
4,500
5,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Rushcliffe NottinghamWest
NottinghamNorth & East
NottinghamCity
Newark &Sherwood
Mansfield &Ashfield
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Outpatient Follow-up Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine,
Obstetrics & Audiological Medicine
City & County CCGs Rate
200
300
400
500
600
700
Jub
ilee
Wes
tdal
e
Will
ow
s
Cal
vert
on
Un
ity
Sten
ho
use
Tren
tsid
e
Hig
hcr
oft
Wes
t O
ak
Wh
ybu
rn
Gilt
bro
ok
Ne
wth
orp
e
Pea
cock Ivy
Oak
enh
all
Tork
ard
Hill
Ap
ple
Tre
e
Pla
ins
Vie
w
Day
bro
ok
Om
Su
rger
y
Par
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ou
se
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Outpatient Follow-up Attendances - April 15 to January 16 - All specialties excluding Diagnostic Imaging, General Medicine,
Obstetrics & Audiological Medicine
Lowest South Notts CCG Rate
5,000
6,000
7,000
8,000
9,000
10,000
11,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Rushcliffe NottinghamNorth & East
NottinghamWest
NottinghamCity
Mansfield &Ashfield
Newark &Sherwood
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Daycase Hospital Admissions - April 15 to January 16
City & County CCGs Rate
40
50
60
70
80
90
100
110
Om
Su
rger
y
Will
ow
s
Ap
ple
Tre
e
Ivy
Wh
ybu
rn
Pla
ins
Vie
w
Wes
tdal
e
Tren
tsid
e
Pea
cock
Sten
ho
use
Jub
ilee
Gilt
bro
ok
Un
ity
Wes
t O
ak
Hig
hcr
oft
Cal
vert
on
Tork
ard
Hill
Oak
enh
all
Day
bro
ok
Ne
wth
orp
e
Par
k H
ou
se
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Daycase Hospital Admissions - April 15 to January 16
Lowest South Notts CCG Rate
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
Rushcliffe NottinghamWest
NottinghamNorth & East
NottinghamCity
Newark &Sherwood
Mansfield &Ashfield
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0 Elective Hospital Admissions - April 15 to January 16
City & County CCGs Rate
0
5
10
15
20
25
30
35
Jub
ilee
Ivy
Will
ow
s
Un
ity
Ap
ple
Tre
e
Wes
tdal
e
Pla
ins
Vie
w
Cal
vert
on
Wes
t O
ak
Tren
tsid
e
Gilt
bro
ok
Wh
ybu
rn
Oak
enh
all
Hig
hcr
oft
Sten
ho
use
Tork
ard
Hill
Ne
wth
orp
e
Par
k H
ou
se
Pea
cock
Om
Su
rger
y
Day
bro
ok
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Elective Hospital Admissions - April 15 to January 16
Lowest South Notts CCG Rate
200
250
300
350
400
450
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Jub
ilee
Pla
ins
Vie
w
Un
ity
Ap
ple
Tre
e
Ivy
Tren
tsid
e
Wes
t O
ak
Cal
vert
on
Ne
wth
orp
e
Pea
cock
Wes
tdal
e
Gilt
bro
ok
Par
k H
ou
se
Day
bro
ok
Will
ow
s
Sten
ho
use
Oak
enh
all
Hig
hcr
oft
Wh
ybu
rn
Tork
ard
Hill
Om
Su
rger
y
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Emergency Hospital Admissions - April 15 to January 16
Lowest South Notts CCG Rate
49.5 60.1 60.5 65.4 72.4 78.3 20
30
40
50
60
70
80
90
Rushcliffe NottinghamWest
NottinghamNorth & East
Newark &Sherwood
NottinghamCity
Mansfield &AshfieldA
ge &
Ge
nd
er
Stan
dar
dis
ed
Rat
e p
er
1,0
00
Emergency Hospital Admissions - April 15 to January 16
City & County CCGs Rate
800
900
1000
1100
1200
1300
1400
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Rushcliffe NottinghamNorth & East
NottinghamCity
NottinghamWest
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
GP Emergency Hospital Admissions - April 15 to January 16
City & County CCGs Rate
0
5
10
15
20
25
Gilt
bro
ok
Tren
tsid
e
Om
Su
rger
y
Wes
t O
ak
Pla
ins
Vie
w
Un
ity
Cal
vert
on
Oak
enh
all
Will
ow
s
Par
k H
ou
se Ivy
Pea
cock
Wh
ybu
rn
Wes
tdal
e
Ne
wth
orp
e
Tork
ard
Hill
Day
bro
ok
Ap
ple
Tre
e
Jub
ilee
Hig
hcr
oft
Sten
ho
use
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
GP Emergency Hospital Admissions - April 15 to January 16
Lowest South Notts CCG Rate
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
Rushcliffe NottinghamWest
NottinghamNorth & East
Newark &Sherwood
NottinghamCity
Mansfield &Ashfield
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0 Emergency Hospital Re-admissions within 28 days from
discharge - April 15 to January 16
City & County CCGs Rate
5
7
9
11
13
15
17
19
21
Un
ity
Pla
ins
Vie
w Ivy
Jub
ilee
Ap
ple
Tre
e
Wes
tdal
e
Oak
enh
all
Tren
tsid
e
Ne
wth
orp
e
Day
bro
ok
Pea
cock
Hig
hcr
oft
Gilt
bro
ok
Tork
ard
Hill
Cal
vert
on
Sten
ho
use
Om
Su
rger
y
Will
ow
s
Wh
ybu
rn
Wes
t O
ak
Par
k H
ou
se
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Emergency Hospital Re-admissions within 28 days from discharge - April 15 to January 16
Lowest South Notts CCG Rate
100
150
200
250
300
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Rushcliffe NottinghamWest
NottinghamNorth & East
NottinghamCity
Mansfield &Ashfield
Newark &Sherwood
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0 Type 1 and Type 2 Emergency Departments A&E
Attendances - April 15 to January 16
City & County CCGs Rate
100
120
140
160
180
200
220
240
Ne
wth
orp
e
Gilt
bro
ok
Jub
ilee
Pla
ins
Vie
w
Wes
t O
ak Ivy
Ap
ple
Tre
e
Cal
vert
on
Pea
cock
Un
ity
Sten
ho
use
Wes
tdal
e
Par
k H
ou
se
Tren
tsid
e
Wh
ybu
rn
Hig
hcr
oft
Tork
ard
Hill
Will
ow
s
Day
bro
ok
Oak
enh
all
Om
Su
rger
y
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Type 1 and Type 2 Emergency Departments A&E Attendances - April 15 to January 16
Lowest South Notts CCG Rate
1800
2000
2200
2400
2600
2800
3000
3200
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
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
Rushcliffe NottinghamWest
NottinghamNorth &
East
NottinghamCityA
ge &
Ge
nd
er
Stan
dar
dis
ed
Rat
e p
er
1,0
00
Minor Injury Units and Walk-in Centres Attendances - April 15 to January 16
City & County CCGs Rate
0
20
40
60
80
100
120
140
160
Om
Su
rger
y
Tork
ard
Hill
Wh
ybu
rn
Oak
enh
all
Cal
vert
on
Day
bro
ok
Ap
ple
Tre
e
Sten
ho
use
Pla
ins
Vie
w
Hig
hcr
oft
Ivy
Un
ity
Jub
ilee
Wes
tdal
e
Wes
t O
ak
Gilt
bro
ok
Pea
cock
Par
k H
ou
se
Tren
tsid
e
Ne
wth
orp
e
Will
ow
s
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
Minor Injury Units and Walk-in Centres Attendances - April 15 to January 16
Lowest South Notts CCG Rate
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
ilee
Pla
ins
Vie
w Ivy
Cal
vert
on
Ap
ple
Tre
e
Om
Su
rger
y
Wes
t O
ak
Un
ity
Oak
enh
all
Ne
wth
orp
e
Sten
ho
use
Wes
tdal
e
Tork
ard
Hill
Tren
tsid
e
Gilt
bro
ok
Hig
hcr
oft
Pea
cock
Will
ow
s
Par
k H
ou
se
Wh
ybu
rn
Day
bro
ok
Age
& G
en
de
r St
and
ard
ise
d R
ate
pe
r 1
,00
0
NHS 111 Calls - April 15 to February 16
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
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
Rushcliffe NottinghamWest
Newark &Sherwood
NottinghamNorth &
East
NottinghamCity
Mansfield &AshfieldA
ge &
Ge
nd
er
Stan
dar
dis
ed
Rat
e p
er
1,0
00
NHS 111 Calls - April 15 to February 16
City & County CCGs Rate
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
Total for locality 2
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
Total for locality 3
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
Wee
k 1
4W
eek
16
Wee
k 1
8W
eek
20
Wee
k 2
2W
eek
24
Wee
k 2
6W
eek
28
Wee
k 3
0W
eek
32
Wee
k 3
4W
eek
36
Wee
k 3
8W
eek
40
Wee
k 4
2W
eek
44
Wee
k 4
6W
eek
48
Wee
k 5
0W
eek
52
Wee
k 2
Wee
k 4
Wee
k 6
Wee
k 8
Wee
k 1
0W
eek
12
Wee
k 1
4W
eek
16
Wee
k 1
8W
eek
20
Wee
k 2
2W
eek
24
Wee
k 2
6W
eek
28
Wee
k 3
0W
eek
32
Wee
k 3
4W
eek
36
Wee
k 3
8W
eek
40
Wee
k 4
2W
eek
44
Wee
k 4
6W
eek
48
Wee
k 5
0W
eek
52
Wee
k 2
Wee
k 4
Wee
k 6
Wee
k 8
Wee
k 1
0W
eek
12
Wee
k 1
4W
eek
16
Wee
k 1
8W
eek
20
Wee
k 2
2W
eek
24
Wee
k 2
6W
eek
28
Wee
k 3
0W
eek
32
Wee
k 3
4W
eek
36
Wee
k 3
8W
eek
40
Wee
k 4
2W
eek
44
Wee
k 4
6W
eek
48
Wee
k 5
0W
eek
52
Wee
k 2
Wee
k 4
Wee
k 6
Wee
k 8
2013/14 2014/15 2015/16
Nu
mb
er
of
Att
en
dan
ces
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
Wee
k 1
4W
eek
16
Wee
k 1
8W
eek
20
Wee
k 2
2W
eek
24
Wee
k 2
6W
eek
28
Wee
k 3
0W
eek
32
Wee
k 3
4W
eek
36
Wee
k 3
8W
eek
40
Wee
k 4
2W
eek
44
Wee
k 4
6W
eek
48
Wee
k 5
0W
eek
52
Wee
k 2
Wee
k 4
Wee
k 6
Wee
k 8
Wee
k 1
0W
eek
12
Wee
k 1
4W
eek
16
Wee
k 1
8W
eek
20
Wee
k 2
2W
eek
24
Wee
k 2
6W
eek
28
Wee
k 3
0W
eek
32
Wee
k 3
4W
eek
36
Wee
k 3
8W
eek
40
Wee
k 4
2W
eek
44
Wee
k 4
6W
eek
48
Wee
k 5
0W
eek
52
Wee
k 2
Wee
k 4
Wee
k 6
Wee
k 8
Wee
k 1
0W
eek
12
Wee
k 1
4W
eek
16
Wee
k 1
8W
eek
20
Wee
k 2
2W
eek
24
Wee
k 2
6W
eek
28
Wee
k 3
0W
eek
32
Wee
k 3
4W
eek
36
Wee
k 3
8W
eek
40
Wee
k 4
2W
eek
44
Wee
k 4
6W
eek
48
Wee
k 5
0W
eek
52
Wee
k 2
Wee
k 4
Wee
k 6
Wee
k 8
2013/14 2014/15 2015/16
Nu
mb
er
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