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XEnsure successful bids for Multi Professional Education and Training Levy (MPET) funding, Medical & Dental Education Levy (MADEL) and Non Medical Education and training (NMET) - including additional recognition of specialist national paediatric activity.Agree robust plans for the delivery of the Cash Releasing Efficiency Scheme (CRES) programme and ensure that these plans are delivered through clear project and performance management. bWork within the GOSH charity to support their work to achieve the targeted level of fund-raising. Ensure that Information Governance processes are strengthened and the self assessment score in the Information Governance toolkit is improved.,Surgical Checklist completed - Sign out (%)Inpatient waits >26wksOutpatient wait >13wks(18 week RTT performance - Admitted (%) *18 week RTT performance - Non-Admitted (%)$Clinic outcome form completeness (%)%Valid coding for ethnic category (%) Discharge summary completion (%) Did not attend - outpatients (%)Theatre Utilisation - U4 (%)Follow up to new ratio9No. of External emergency referrals to PICU/NICU refused 'Income variance - Budget against actual<External Research Grants - Commercial and non-commercial ()MPET SLA Value ()Vacancy rate (%)+NHS Number completeness - FCE inpatient (%)%Staff PDR completeness - clinical (%))Staff PDR completeness - non clinical (%)* Rolling 12 month positionContentsKey deliverablesKey workstreams: RAG analysisMaintain our focus on Zero Harm_Improve our measurement of clinical outcomes and demonstrable continued improvement in outcomesLImprove the standard of customer service that we offer patients and familiesReview this analysis in conjunction with our pattern of outreach clinics and consider a more formalised model of partnership with referring hospitalsqContinue to improve the patient environment through major upgrades, working closely with our charitable partners.JContinue to reduce waiting times further through our  no waits programme.uImprove our understanding of our referrers, and their requirements and improve our service to meet these requirements!Key Performance Indicator Report Page 'Revise future activity and growth plans"Deliver our planned in year growthPosition ourselves as a pan-London leader of networked paediatric services, providing co-ordination, training and education and setting standards43. Successfully deliver our clinical growth strategyl2. Consistently deliver an excellent experience that exceeds our patient, family and referrers' expectations4. Currently partnered with ICH, and moving to UCL Partners with AHSC, maintain and develop our position as the UK s top children s research organisation'Continue to develop partnership working:Develop and agree R&D strategies at clinical service level5. To work with our academic partners to ensure that we are provider of choice for specialist paediatric education and training in the UKTo work with our academic partners to ensure that we are the provider of choice for specialist paediatric education and training in the UK>Commissioning of high quality educational programmes from HEI.`Agree achievable CRES plan and ensure delivery through robust project and performance managementGEnsure appropriate funding for our clinical services from commissioners+Support the charity to raise targeted fundsEImprove efficiency through rolling out Managing Variability Programme,6. Deliver a financially stable organisationx7. Ensure corporate support processes are developed and strengthened in line with the changing needs of the organisation1Make progress towards becoming a Foundation Trust?Ensure that the Trust is compliant with regulatory requirements(Strengthen the Trust s IT infrastructureh1. Consistently deliver clinical outcomes that place us amongst top 5 Children s Hospitals in the world.Month Valid (%)26+13+ Target (%) Non-admittedAdmittedCardiacDTSICIMedicineSurgery Clinical Unit NeurosciencesTotal Key Performance Indicator ReportTarget Clinical unitRedGreenQ1Junior doctorsNursingClinical support Non-clinicalQ2Q3Q4Medical Additional clinical servicesAHPsHealthcare scientistsAdmin and clericalEstates and ancillaryAll staff groupsMRSA Incidence0-<22-<66-<99-<130-<66-<1212-<1818-<26 Potential Schemes Unidentified Schemes Total Risk Exec LeadBBFDWMcGDGCNJCIncrease research income20082009 CommercialNon-CommercialMedication errorsBed daysInpatient complete (%)Outpatient complete (%)Cardiac Jan - Mar 08 Apr - Jun 08 Jul- Sep 08 Oct - Dec 08 Jan - Mar 09 Apr - Jun 09Appropriate calls Survived yesSurvived unknown TrustCourse GroupingFTE/WTE Total MADEL Total SIFT Total NMETMADELTraining doctorsPost graduate centreSIFTMedical school 2Medical school 1 New studentsOther NMETInternational Last Update Last update Last updated Jul- Sep 09 Survival rateRAG PageNeuroMonth ReportedNumber of SUIs Reported*nb - number adjusted for de-escalated suisAverage = 0.42AprilMayJuneJulyAugust SeptemberOctoberNovemberDecember ConsultantsJunior DoctorsTraining]Percentage of staff who have a current PDR in the last 13 months (e.g. April 08-end April 09)Clinical Non-ClinicalExisting students09/10Risk Rating Target for FTSci, Ther & Tech1. Infection control3. Mortality Figures4. CET Calls per month5. Medication errors 1. Ethnicity2. Inpatient weeks waiting3. Outpatients weeks waiting4. 18 Weeks RTT Performance6. Clinic outcome forms1. External Research Grants21. Training course and room hire income generation2. MPET SLA Value summary3. MPET SLA Value detail 1. CRES 2. Agency spend1. Staff in post (FTEs)2. Vacancy rate (FTE's)4. Sickness absence (%)5. Turnover by staff group6. Turnover by clinical unit 7. NHS NumberX8. PDR percentage completion rate by clinical and non-clinical staff (excluding Doctors)2. NICE Enquiry Forms Survived no6. Monitor Risk Rating3. Bank Expenditure 4. Agency Expenditure%5. Bank & Agency Total (DO NOT AMEND)TCTrust Total 24 hrs Oct - Dec 09Jan-10Revised SLA value Q3Revised SLA value Q2 Q1 SLA valueFeb - 10Jan- marRevised SLA value Q4 Grand TotalCardiac ServicesClinic Research IPP NeuroscienceTemporary notesCPSsReview the Intensive Care Outreach team (ICON) pilot and the current 'Hospital at Night Team' and build on the successes of these two services to deliver integrated support for the sickest children on our ward.Maintain Child Protection structures and processes to support safe child protection practice. Child protection supervision policies to be fully implemented.Implement the Priority Actions for Health Plan for phase 2 (Jan - June 2010) and phase 3 (July 2010 onwards) identified in the safeguarding plan for Haringey (Joint Area Review action plan).Spread the Situation, Background, Assessment, Recommendations and Decision (SBARD) communication tool and the Children's Early Warning Score (CEWS) throughout the Trust to ensure it is used by all staff.AContinue weekly Executive walkabouts and audit actions quarterly.EEnsure Safety First is a key agenda ite< m for all appropriate meetingsEstablish base lines where the global trigger tool has been introduced and set a percentage reduction target of trigger incidents. LMReport Clinical Outcomes/Patient-Reported Outcome Measures (PROMS) through operational performance reviews and agree actions to improve.QDevelop benchmarking standards with international best practice across all units.To develop and publish a trustwide Quality Account by June 2010 in line with the Department of Health (DH) Quality Account Toolkit Advisory guidance.dDevelop a reliable and robust system for capturing real time patient and family experience feedback.=Implement Patient and Public Involvement/Engagement Strategy.Continue to improve the patient and family experience and measure effectiveness, specifically focussing on areas highlighted in the Ipsos MORI survey.tEnsure all staff receive an appropriate level of customer service training via inductions, update or bespoke events.Undertake an analysis of our referral patterns, market share and competitors across all specialties to better understand our key referrers.TDevelop an action plan for improvement following the results of the Referrer Survey."Continue progress on redevelopment of new buildings within agreed timescale and budget. This includes the development of the Morgan Stanley Clinical Building due to complete in December 2011 and the continued development of the Phase 2b Full Business Case for final submission in July 2011.VInvest within our 10 year capital programme to improve the patient environment within our existing buildings. Key deliverables will include at least one ward refurbishment; enhancement of out Patient facilities; upgrading public toilets in the Variety Club Building (VCB) and the start of renewing the patient entertainment system trust wide.nThrough the Foundation Trust process increase membership and develop a strategy to involve members effectively(Achieve required membership trajectory. ?Monitor compliance with new Access policy to minimise refusals.?Integrate members into our management and governance processes.Identify early in year and work up potential future National Commissioning Group (NCG) bids. This includes the timely submission of phase 1 and 2 proposals to maximise success of proposals on a yearly basis.qRevise and update our IBP growth plan, considering general population increase, clinical and market share growth.Maintain IPP service growth9Review International and Private Patient (IPP) workforce.+Increase IPP physical and staffed capacity.'Review activity and improve efficiency.ODevelop a formal IPP strategy and agree an action plan to deliver the strategy.bWork with the Barts and the London (BLT) to support the development of a paediatric trauma centre.XWork with partners to implement the agreed North West London Paediatric Surgery network.Pending the outcome of consultation, work with North Middlesex University Hospital NHS (NMUH) to implement the new organisational model for paediatric services.Work with local government partners and other statutory bodies to ensure Haringey community paediatric services are working in partnership for the benefit of children.5Establish a north London tertiary paediatric network.`Continue to work with University College London Partners (UCLP) and leverage benefits from this.1Agree operational and management arrangements for Great Ormond Street Hospital / Institute of Child Health (GOSH/ICH) joint research activity administered by the Research and Development (R&D) office and clarify systems and processes for ensuring funding and costs are within the appropriate organisation.UAgree the Trust's R&D strategy and ensure Clinical Unit R&D strategies fit with this.aStrengthen our grant-writing infrastructure to increase our success in obtaining research grants.Continue to develop our R&D activities and ensure it is adequately funded. Carry out a review of the progress made in the first year of the clinical Research Facility (CRF) and confirm strategy for the next five years.Agree a financial plan for R&D which is consistent with The National Institute for Health Research (NIHR) priorities and facilitates development of successful research studies.mEnsure there is an appropriate funding transition for activities currently funded by GOSH Children's Charity.PContinue to develop the use of new technologies for innovative delivery of educational programmes. This Includes further development of skills laboratories & the GOLD e-learning site; not only a one stop campus, accessible for work or home, but also a secure open source platform for supervision and to encourage a learning community.Understand and fulfil a lead role within University College London (UCL) Partners and realise potential for training in child health by ensuring developments in the treatment of the patient are fed into the education and training prospectus for medical and clinical workforce.Realise potential of Health Innovation and Education Cluster (HIEC) to ensure GOSH meets obligation to play a key national and international role in the development of child health professionals.Develop our role as a leading education and training provider for other organisations e.g. North Middlesex University Hospital and Kuwait.Invest within our capital programme to support increased revenue and decreased costs, including: Additional bed in Badger ward; additional outpatient capacity; reorganisation of Genetics and release of savings from the core lab development.oAgree a robust 5 year CRES programme, with external scrutiny, to fit with our overall Integrated Business Plan.PManage services within budget, delivering efficiency e.g. reducing agency spend.Continue the roll-out of Variability and Flow (V&F) projects across the Trust, continuing to monitor the success of the cardiac project and completing the second wave of projects (Neurology, General Surgery, IPP, Medicine / ICI, Cardiology day case), before starting the third wave, which will include Neurosurgery and Oncology. Ensure that each project delivers improvements in both safety and productivity.Ensure issues with Service line Reporting (SLR) system are resolved by Quarter 1 and the system is fully implemented and in use by the units by Quarter 3.Ensure performance monitoring requirements of the Commissioners contract are delivered and the financial penalties are minimised.Complete revisions of funding baselines for the remaining National Commissioning Group (NCG) services (Transplant, Neuromuscular, Extracorporeal membrane oxygenation (ECMO) & Bridge to transplantation (BTT).FSubmit Foundation Trust (FT) application by agreed timetable with SHA.Ensure the Trust has a robust Long Term Financial Model (LTFM) for use in the FT application process. Ensure all financial matters required to achieve FT status are delivered e.g. working capital facility; insurance programme.^Work towards achieving NHS Litigation Authority (NHSLA) level 3 Risk Assessment early in 2011.SEnsure that the Trust retains registered status with Care Quality Commission (CQC).:Ensure the Trust score in financial reporting is improved.mThe Public Health Action Plan is delivered in line with the Health and Adult Social Care Registration System.vEnsure that the Trust achieves best practice in Data Quality standards for all information supporting decision making.Deliver all projects included as current year projects within the Information Technology (IT) investment strategy approved by Trust Board in March 2010.If approved by Board, ensure Business Process Management (BPM) project progresses and meets all milestones in first year of implementation and there is a recognised improvement in Referral to Treatment (RTT) processes as a result of the pilot..Targets - weighted 1.0 (national requirements) Thresholds Weighting Monitoring periodeClostridium difficile year on year reduction (to fit with trajectory for the year as agreed with PCT) Quarterly!MRSA - meeting the MRSA objectiveTBCanti cancer drug treatmentsradiotherapy (from 1 Jan 2011)< pMaximum time of 18 weeks from point of referral to treatment in aggregate and by specialty for admitted patients0.5/1.0uMaximum time of 18 weeks from point of referral to treatment in aggregate and by specialty for non- admitted patientsJMaximum waiting time of 31 days from diagnosis to treatment of all cancers+Screening all elective in-patients for MRSA|Self-certification against compliance with requirements regarding access to healthcare for people with a learning disabilityN/AMonitor governance ratingRisk rating category9Description (risk of significant breach of authorisation)No material concerns Amber-greenEmerging concerns Amber-red4Potential future significant breach if not rectified$Likely or actual significant breach Q1 Performance scoreQ2 Performance scoreQ3 Performance scoreQ4 Performance scoreMonitor Governance Risk RatingOverall governance risk ratingUPublish the Quality Account and demonstrate world-class benchmarked clinical outcomes@Complete the referrer survey and progress an agreed action plan ODeliver planned financial surplus through achieving income and efficiency goals3Improve congruency of clinical and R & D strategiesPSecure advantages from the national paediatric cardiac and neuro surgery reviewsHProgress Phase 2A building and 2B planning to meet future clinical needsAchieve better than NHS average staff satisfaction scores by ensuring all staff work in a supportive team environment with good training and education opportunitiesGraph!Incidence of MRSA and C.DifficileMortality Figures&No. of NICE recommendations unreviewed!Serious Patient Safety Incidents Objective 1 Objective 2"Clinic outcome form completeness /18 week referral to treatment time performance Discharge summary completion Objective 3 Inpatients waiting list profile Objective 4 Objective 5 IG ToolkitClinical Information AssuranceCorporate Information AssuranceSecondary Use Assurance%Theatre Utilisation Objective 6CRES - Trust PositionMonitor Risk Rating Objective 7Sickness Rate by Clinical Unit Staff in PostVacancy rate by staff groupTurnover by staff groupTurnover by Clinical UnitNHS Number completenessActions WorkstreamPage no. Indicator Deliver IT improvements to planNationalInternalCQUINMonitor DH standard Line daysCVLsCVLs per 1000 line daysSSIsNumber of OperationsSSIs per operation%Medication Errors per 1000 bed days. Month %Released from Budgets (Blue schemes) !Feasible Schemes (Amber schemes) #Deliverable Schemes (Green schemes) 09/10 average+Leverage R&D and non R&D benefits from UCLPAchieve accreditation as a national paediatric cardiac centre through the new national processes, and plan to accommodate any further growth that arises from this process.4Number of follow up appointments per new appointmentEnsure we have a robust action plan to continue to meet all national access targets as described in the Trust Access Policy including: 18 week referral to treatment time, 6 week diagnostic waits and cancer targets. (Graph 13)Achieve reduction in each specific hospital acquired infections including Central Venous Line infections (CVL), Surgical Site infections (SSI) and Ventilator Associated Pneumonia (VAP) from current baseline over the next year. (Graphs 6,7,8)MRSA trajectoryC.diff trajectoryCommunity Paed, Medical team!Specialist Child Health TherapiesHealth VisitingSchool NursingEarly Years TherapiesMainstream Schools TherapiesSpec. Schools Therapies Safeguarding Haringey PDR VAP per month!Number of Harm incidents occuringLower Limit 4%Upper Limit 6%Total number of incidentsPatient Safety SUIs Number of Incidents Occurring"Number of Harm incidents occurringKNetwork availability and the AVERAGE UTILISATION OF CORES AND SERVER ACCESSNetwork availability Utilisation7. Charity Fundraising TargetActualSign In CompletedTime Out CompletedSign Out Completed Actual date Planned date CumulativeC.Diff Incidence cumulativeVentilator-associated pneumoniaAmber/Formally agree constitution including election. Q1 2010/11 Q2 2010/11 Q3 2010/11 Q4 2010/113. Sickness absence (%) Contractual TPN No monitoringNew monitoring Continuing ContractualHarm incidents Amber-GreenTarget Waiting time,Number of GP referrals waiting over 13 weeksICON refused referrals;Refused admissions to NICU/PICU transferred to external ICUUCLLCLMean2External emergency referrals to PICU/NICU refused OP Clinical Units/Patients waiting over 13 weeks by Clinical UnitJanuaryFebruaryMarchBudgetVarianceREFUSED ADMISSIONS#Scientific technical & therapeutic Upper LimitCRES 2010/11 Target9Patient operation utilisation of scheduled duration (U4)Income vs actual (variance) YTD VarianceMonitor governance risk rating -Surgical Check List (Trust and Clinical Unit)2Valid coding for ethnic category (GOSH & Haringey)Clinical incomeIncome variance Internal Diagnostic utilisationME#Theatre check list by Clinical UnitCardaic,Surgical Checklist - Clinical Unit breakdown$Monthly Key Application AvailabilityClinical Unit refusalsCATSMPET SLA 10/11Server DescriptionRISPACSMedconCarevue Application NameElectronic PrescribingiSOFT (PiMS) LiveTomcat Trust TotalCAB Live Voice over IPCitrix Metaframe - GVDWindows Print Services CompletionMSSASeptOnset in HospitalCommentary: :Objective / IndicatorYTD Target/Trajectory (10/11)YTD PerformanceIn month / quarter performanceYTD RAGg1. Consistently deliver clinical outcomes that place us amongst top 5 Children s Hospitals in the worldIncidence of C.DifficileIncidence of MRSAIncidence of MSSAMortality figures-.Medication errors reported (per 1000 bed days) Data under reviewHarm incidents (%)8Surgical Site Infections of all operations - Urology (%)+Surgical Checklist completed - Sign in (%)+Surgical Checklist completed - Time out (%)OAll cancers: 31-day wait for second or subsequent treatment comprising either:HXContinue the development of systems to decrease adverse drug events by concentrating on high risk medications and high risk areas in the Trust with the aim of a 50% reduction in adverse drug events in each high risk clinical area. Page 1Refused admissions>Achieve compliance with infection control national standards. ;Introduce surgical check list before 100% theatre sessions.Continue to monitor new National Institute for Clinical Excellence / National Service Framework (NICE/NSF) guidance through the Quality and Safety meetings. XComplete the roll-out of the Advanced Access Outpatient project across all specialties. 7Achieve contractual standards for discharge summaries. Supported by the Transformation Team, deliver growth by redesigning processes to: Better utilise our assets; increase working hours e.g. Saturday; continue to reduce length of stay; improve theatre utilisation and increase day case rates Week end date$Expected discharge date completeness#Number with expected discharge dateNumber of admissions5. Discharge summary rates)8. Advanced Access Graduated Specialities9. ICON refused referrals 10. New DNA %11. Expected discharge date 6. Incidents7. CVL Infections9. VAP10. Theatre ChecklistTarget RIS Pims PacsPath Rostering CAB Email Print services GVDEPCareVue SLA availability target8. SSIs - UrologyMDTSDateAnnual Less than 1.0from 1.0 to 1.9from 2.0 to 3.9 4.0 or moreGreen Amber-red Red 2Incidence of Ventilator-Associated Pneumonia (VAP)Within tolerance<3 To reduce<5 Commentary:Graph 10. Fully completed defined as Sign In, Time Out and Sign Out all comple<M ted on the surgical safety checklist. Partially completed defined as one or more of these factors completed on the surgical safety checklist.To finalise our Quality and Innovation (CQUIN) measures with our lead commissioners and start reporting against these by May 2011.Service desk incidentsService desk changes Lower Limit Upper Limit 'CV Line related blood-stream infections!Surgical Site Infection - UrologyDNA rate (new & f/up)Patient refusals Clinical trials recruitmentExternal research grantsMPET training SLA value detail MPET training SLA value summary!Bank and agency total expenditure5Staff PDR completeness (excl Doctors and consultants)UNetwork availability and the average utilisation of cores and server access switches. Average key server availability $Average key application availabilityHIncidence of Central Venous Line related infections (per 1000 bed days)"Performance against previous monthlEnsure delivery of specific Information Governance requirements e.g. Pseudonymisation, NHS No, Data quality. No Dec data(NHS Number completeness - outpatient (%)+Average Key Server Availability Monthly (%)Dashboard (UNDER DEVELOPMENT) Trust Board1Appendix 1.ICT service desk changes and incidents2Appendix 1. ICT Service desk changes and incidentsCharity fundraising incomeGraph 5. Incident reporting levels are an indication of the safety culture in an organisation. In a safe culture we would expect to see levels of harm sitting between 4% and 6% of total incidents reported (represented by dotted lines). Harm includes moderate harm, severe harm and death. The number of SUIs reported which have involved harm to patients have been included. The incident figures for August -November have also been adjusted for incidents which have been reported late. All of the incident reports for December (and possibly November have not yet been received/processed, so the data (although included) should not be relied upon for analysis. :@7. Appointment made within 6 working days of referral received. %Progress Foundation Trust applicationiEnsure GOSH retains full CQC registration by delivering key safety improvements and governance structuresCorporate Facilities-Confidentiality and Data Protection Assurance!Information Governance ManagementInformation Security AssuranceNovell GroupWiseSickness absence rate (%)*No. of staff in post - FTE*Turnover rate (%)*Workforce Planning will be moving to the new version of the data warehouse this month, which should correct many of the reporting issues experienced within the existing data warehouse. We will expect to see a decreases in 'Staff in Post' and increased accuracy in 'Turnover'. We will be moving to a different pathway for sickness information by April 2011 which should alter the sickness % to allow us to benchmark ourselves against external organisations. 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S S4  3Q: Cardiac Q ; Q ; Q3_  NM  >R R R RǾE 0  K"$S S4EC3% 03O&7Q44S S 4  3Q: SurgeryQ ; Q ; Q3_  NM  dR R R RǾ 0  K"&S S4ES S 4  3Q: MedicineQ ; Q ; Q3_  NM  dR R R RǾE 0  K"&S S4ES S 4  3Q:  ICIQ ; Q ; Q3_ t NM  ttdR R R RH 0  K"'S S4ES S 4  3Q:  NeurosciencesQ ; Q ; Q3_ NM  > dR R R RÌ 0  K"(S S4ES S 4  3Q: TrustQ ; Q ; Q3_  NM  R R R RǾͨ 0  K"+S S4ES S 4  3Q:  09/10 averageQ ; Q ; Q3_ & NM   &&4E4  3Q: TargetQ ; Q ; Q3_ ' NM  'N4E4D$% 0@63O&4Q4$% 0@63O&4Q4FAm5 3O 3 b+3+NZ!  R RR R١  K.S S43*>@Y@$@$@!  ! R R١ ١ S S4%  Z3OP&?Q *Completion rate (%)'R R<\B ?#?KS S4523 NMR Rf܄v S S43" (x3O$'p0% 0@ 3O&7Q423 M >MR RR R R Rfn] S S4<b +ێ֥?H 3Q+ ?mT2.?Y? ON KS S 4$% 0@@63OQ'4$% 4@63OQ'4S S4S S4%  3O&?Q d0Graph 15. Clinic outcome form completeness (%) 'R R<:KS S4D( 6?P#?&?? 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Developed clinical outcomes<(%%%&'<|t 1L c :NChart 2057w]1@`<  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ 4dXA4Canon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @ 4 <*p 1 4 <*p 1ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I " dXX??3PH0 0(  0 Q3d23  >MR R R R:ړ0" S S4 3Q< #REF!Q =Q =Q3_    MM<R R R R:A" S S4ES S 4 3Q< #REF!Q =Q =Q3_    MM<R R R R:" S S4ES S 4 3Q< #REF!Q =Q =Q3_  ,  MM<R R R R:چz" S S4ES S 4D$% 0@63O&Q4$% M@63O&Q4FA} 3Om[ f3 bR RR RV Vdp`Z&!  ١  V1.S S43*N&!  ! R R١ ١ S S4% L Z3O4&'Q  Sickness (%)'R R<_=܃?k?VS S4523 NMR Rk܄v S S43d"  v3O 7% 0@ 3O& Q423 M >MR RR R R Rkn] S S4<' ON VS S 4S S4S S4% H  3O&'Q _Graph 39. Sickness rate by Clinical Unit (%) - Rolling year (NOTE: Data currently under review)'R R<lVS S4Dp[ f V1[S S 4e???e???e&*V1ven-GBV <|t 2L c :NChart 2058 ]2@b  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ odXLetterCanon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @o @*/ o @*/ ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I "dXX??3PH4 0(  4 3d23  >MR R R R:ړ0" S S4 3Q< #REF!Q =Q =Q3_    MM<R R R R:A" S S4ES S 4 3Q< #REF!Q =Q =Q3_    MM<R R R R:" S S4ES S 4 3Q< #REF!Q =Q =Q3_  ,  MM<R R R R:چz" S S4ES S 4D$% 0@63O&Q4$% M@63O&Q4FA?} P 3O[ f3 bR RR RV Vdp`Z&!  ١  K.S S43*N &!  ! R R١ ١ S S4% XL Z3OL&'Q  Sickness (%)'R R<n0x?=Ns?KS S4523 NMR Rk܄v S S43d"  v3O 7% 0@ 3O& Q423 M NMR RR R R Rk] S S4< ON KS S 4S S4S S4%   3O &'Q ^Graph 38. Sickness rate by staff group (%) - Rolling year ( NOTE: Data currently under review)'R R<aKS S4D[ f K[S S 4e???e???e&*Kven-GBK < 3L N?Rectangle 2059]3`e< 4L N?Rectangle 2060]4`f< 5L N?Rectangle 2061]5`|g< 6L N?Rectangle 2062]6`@h< 7L N?Rectangle 2063]7`i< 8L N?Rectangle 2064]8`i< 9L N?Rectangle 2065]9`j< :L N?Rectangle 2066]:`Pk< ;L N?Rectangle 2067];`l< L N?Rectangle 2072]>``n< ?L N?Rectangle 2074]?`$o< @L N?Rectangle 2075]@`8.<|t AL c :NChart 2076 ]A@hq  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ 4dXA4Canon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @ 4 <*p 1 4 <*p 1ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I "dXX??3PH8 0(  8 3d23  >MR R R R:ړ0" S S4 3Q< #REF!Q =Q =Q3_    MM<R R R R:A" S S4ES S 4 3Q< #REF!Q =Q =Q3_    MM<R R R R:" S S4ES S 4 3Q< #REF!Q =Q =Q3_  ,  MM<R R R R:چz" S S4ES S 4D$% 0@63O&Q4$% M@63O&Q4FA}  3OZ f3 bR RR RV Vdp`Z&!  ١  P0.S S43*N&!  ! R R١ ١ S S4% X Z3OL &'Q  No. of staff'R R<n0x? M?PS S4523 NMR R ܄v S S43d"  v3O 7% 0@ 3O& Q423 M NMR RR R R R ] S S4< ON PS S 4S S4S S4%   3O&'Q z;Graph 40. Staff in Post (NOTE: Data currently under review)'R R<aPS S4DZ f P0[S S 4e???e???e&*P0ven-GBP < BL N?Rectangle 2078]B`q< CL N?Rectangle 2079]C`r< DL N?Rectangle 2080]D`s< EL N?Rectangle 2081]E`Pt< FL N?Rectangle 2083]F`u< GL N?Rectangle 2084]G`u< HL N?Rectangle 2085]H`v< IL N?Rectangle 2086]I``w< JL N?Rectangle 2087]J`$x<|t KL c :NChart 2098 ]K@x  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ 4dXA4Canon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @ 4 <*p 1 4 <*p 1ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I " dXX??3PH< 0(  < 3d23  >MR R R R:ړ0" S S4 3Q< #REF!Q =Q =Q3_    MM<R R R R:A" S S4ES S 4 3Q< #REF!Q =Q =Q3_    MM<R R R R:" S S4ES S 4 3Q< #REF!Q =Q =Q3_  ,  MM<R R R R:چz" S S4ES S 4D$% 0@63O&Q4$% M@63O&Q4FA3 3O[ f3 bR RR RV Vdp`Z&!  MΪ8  0.S S43*933333?N &!  ! R R١ ١ S S4% XL Z3OL&'Q  Turnover (%)'R R<n0x??S S4523 NMR Rn܄v S S43d" iv3O0% 0@ 3O&+Q423 M NMR RR R R Rn] S S4<C S S 4S S4S S4%   3O&'Q XGraph 42. Turnover by staff group (%) - Rolling year (NOTE: Data currently under review)'R R<nS S4D[ f 0[S S 4e???e???e&*0ven-GB <|t LL c :NChart 2102P ]L@`{  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ 4dXA4Canon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @ 4 <*p 1 4 <*p 1ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I " dXX??3r@ (  @ B @ Po?Line 1025"PK!Zf[Content_Types].xmlMO &2WR=cJ`F0iK`#̼vLw 9uSq:w`G ^i ½KI)c/ $oVjTMRc|}042ҥCƔM̏P~*ka/8^DkHbL8e i"K\XN\6rco4y@_;oPK!1_a _rels/.relsj0 ѽqCNo^K [ILcX&m߾0XFo;>0xM e`|X}đ I`߽N4aG2$RKIZ)4(M9`ctB{m:f@`3n|O,ܗr޾jxR0T ,0@}WBLǬ5vPK!6Xdrs/shapexml.xmlTn0?z$lrP$M/niP@2ܯRTĺhܝRZ "{a4,DhfԻyyѢG@XU}$73иہǥ%;i:OX q[Y~gQ"XEaβ,VI`byYe}jԾGߚ\O:`Ԕ/~8"1fH^eeWhԂdi^.6Aa/n:]HLzx6 tK+;N xjhlwF)iPyh9z( *0.2-r Q~zOa.j(Fi8:Q:mR00P|QŨ%yPt:{UAg3wV:QޚWGc=HctENgr_ePK!;drs/downrev.xml|_K0Co.m꟭."emӴ6II"T|˹7sEtFS' )j]Qx?^M9tp,-L &ڥM1v\ ĴB^ib>H[².(Ŋ:LRAQ\d6ds~)^fQ'ʧӻ-s^X !RA]Z5$&7i(\CqSNo0xM e`|X}đ I`߽N4aG2$RKIZ)4(M9`ctB{m:f@`3n|O,ܗr޾jxR0T ,0@}WBLǬ5vPK!; drs/shapexml.xmlUn0 ?q8q8Eۭŀn+YNʒ'ӯ%9͂[D|W]#ɖ+*2++%twSb V{n9+@6 ([nk o^+ )%b҇yA| 0PxbklL*̓ >XttVKQ )GYn![% OݛSsf2Kr#7Dy⟘|OϪ Wט zxnDzV%Pt㫖Q3)ZJvڒ_/`8%B cO'؄aNǣ68VEk%uF7X@~ ƺK~.␦\+>@qtK!)P?Ⱦ"HPKlruqScA[!"3YeX'\;dD;& Eܾ504xmHf%G&u'0k|g_ցPaكo?oPK!0"Kdrs/downrev.xmlN0He$n)ІU)(ԫlڦI߾"(7n3;Ӱ8_|88[`Y۵oWc|PT Z|ggSvfdb}$!l!|(? X*tFZZNdnqE04/CR-Wm'j1K9 Ѕg_hRR6qV=W.s8ɩ %ϨCפrhV򛈸=fU!qNɀ897=gPK-!Zf[Content_Types].xmlPK-!1_a /_rels/.relsPK-!; *drs/shapexml.xmlPK-!0"K!drs/downrev.xmlPKa[ &U]` !  <Target<&;3d23  >MR R R R=g$% S S4 3Q< #REF!Q =Q =Q3_    MM<R R R R:A" S S4ES S 4 3Q< #REF!Q =Q =Q3_    MM<R R R R:" S S4ES S 4D$% 0@63O& Q4$% M@63O& Q4FA2} - 3O[Zf3 bR RR RV Vdp`NZ&!  ١   .S S43*Q@Y@@&!  ! R R١ ١ S S4% EL Z3O@&'Q "Performance (%)'R R<o|M~?Q&?S S4523 NMR Rf܄v S S43d"  3Ov% 0@ 3O& Q423 M >MR RR R R Rfn] S S4<M ON S S 4S S4S S4%   3O&'Q P&Graph 44. NHS Number completeness 'R R<bS S4D[Xf  [S S 4e??e??e&* ven-GB <|t ML c :NChart 2104Fp]M@(~  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ 4dXA4Canon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @ 4 <*p 1 4 <*p 1ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I " dXX??3PHD 0(  D N3d23  >MR R R R:ړ0" S S4 3Q< #REF!Q =Q =Q3_    MM<R R R R:A" S S4ES S 4 3Q< #REF!Q =Q =Q3_    MM<R R R R:" S S4ES S 4 3Q< #REF!Q =Q =Q3_  ,  MM<R R R R:چz" S S4ES S 4D$% 0@63O&Q4$% M@63O&Q4FA} 3O[ f3 bR RR RV Vdp`Z&!  ١  K.S S43*N&!  ! R R١ ١ S S4% L Z3O4&'Q  Vacancy (%)'R R<ZsU?W ?KS S4523 NMR Ra܄v S S43d"  v3O 7% 0@ 3O& Q423 M >MR RR R R Ran] S S4<- ON KS S 4S S4S S4%   3O&'Q NGraph 41. Vacancy rate by staff group (%) (NOTE: Data currently under review) 'R R<lKS S4D[ f K[S S 4e???e???e&*Kven-GBK <|t NL c :NChart 2105F}]N@L  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ 4dXA4Canon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @ 4 <*p 1 4 <*p 1ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I " dXX??3PHH 0(  H O3d23  >MR R R R:ړ0" S S4 3Q< #REF!Q = Q = Q3_    MM<R R R R:A" S S4ES S 4 3Q< #REF!Q = Q = Q3_    MM<R R R R:" S S4ES S 4 3Q< #REF!Q = Q = Q3_  ,  MM<R R R R:چz" S S4ES S 4D$% 0@63O&Q4$% M@63O&Q4FAL} Q 3Od[2 f3 bR RR RV Vdp`Z&!  ١  0.S S43*933333???N &!  ! R R١ ١ S S4% L Z3O4&'Q  Turnover (%)'R R<Yy 6}?d^J?S S4523 NMR Rn܄v S S43d"  Kv3O& 0% 0@ 3O&+Q423 M NMR RR R R Rn] S S4<C S S 4S S4S S4% 9A  3O&'Q ZGraph 43. Turnover by Clinical Unit (%) - Rolling year (NOTE: Data currently under review)'R R<lS S4Dh[0 f 0[S S 4e???e???e&*0ven-GB <|t OL c :NChart 2108wd]O@  PP PZaajk&?'?M \\gosh-ps02\PTR019637> ߁ odXLetterCanon   2Canon iR C3080/3480/3580 PCL5cuddd      d d d d d dd@@d  d  d dd d"edd !',  )ddd      !"#$%&'()*-./089:1234567>?@ABd!!d     d !"#$%&'()*+,-/dA     Ad      dC8 @o @*/ o @*/ ANXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@@ I "dXX??3PHL 0(  L M3d23  >MR R R R9*i+! S S4 3Q< #REF!Q = Q = Q3_ t NM  ttdR R R RH 0  0"$S S4ES S 4 3Q< #REF!Q = Q = Q3_  NM  dR R R RE 0  0"%S S4ES S 4D$% 0@63O& Q4$% M@63O& Q4FA } 3Os[< f3 bR RR RV Vdp`NZ&!  ١  0.S S43*933333???&!  ! R R١ ١ S S4% L Z3O4&'Q "Performance (%)'R R<hTATA?DH=?S S4523 NMR Rf܄v S S43" : /v3OB B% 0@ 3O& Q423 M NMR RR R R Rf] S S4< ON S S 4S S4S S4% n  3O&'Q ^Graph 45. 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