How we are performing

As a Special Health Board, we are set national performance targets by the Scottish Government. These targets are called HEAT and are designed to measure our performance against core priorities.

HEAT stands for:

Health Improvement for the people of Scotland – improving healthy life expectancy;
Efficiency and Governance Improvements - continually improve the efficiency of the NHS;
Access to Services – recognising patients’ need for quicker and easier use of NHS services;
Treatment appropriate to individuals – ensure patients receive high quality services that meet their needs.

The table below shows our HEAT targets and performance against them. Performance against these targets is reviewed continuously and reported to the Board every month.
 

HEAT targets and performance

Performance indicator	2009/10 full year targets	Performance Month November 2009	Shift on previous month/ quarter	Performance year to date to end November 2009	On track year to date	Comments
H1 Save more lives Rate of survival of cardiac arrests on arrival at hospital	12%  - 20%	16.4%		16.1%
H2 Category A* chest pain patients Percent of cardiac arrest patients responded to with eight minutes	75%	78.2%		79.9%
E1 Meet financial targets Operate within revenue and capital limits; meet the cash requirement	Meet target	-£12,000		-£261,000
E2 Meet cash efficiency target Cash releasing savings achieved	2% (£3,786,000)	£79,000		£3,530,000
E3 Implement knowledge and skills framework 80 percent of Agenda for Change staff to have had Knowledge and Skills Framework Personal Development Plan reviewed by March 2011	20%	n/a	n/a	n/a	n/a	Reported annually
E4 Sickness absence Rate of sickness absence Efficiency	5%	6.0%		5.3%
E5 Universal use of Community Health Index number Percent of of Patient Transport Service journeys where Community Health Index number is used	75%	85.9%		83.9%
E6 Reduce emissions Reduce energy consumption	2%	2.1%		3.1%		Reported quarterly
A1 Response to Category A* incidents Percent of Category A incidents responded to within eight minutes	75%	71.6%		73.2%
A2 Response to Category B* incidents Percent of Category B incidents responded to within 14, 19 or 21 minutes	95%	93.3%		94.5%
A3 Response to emergencies on Island Boards Percent of Emergency incidents responded to within eight minutes	50%	57.1%		52.3%
A4 Patient Transport Service: punctuality for appointment Percent of Priority one patients at hospital 30 minutes prior to appointment	70%	74.6%		72.7%
A5 Patient Transport Service: punctuality for pick up after appointment Percent of Priority one patients picked up 30 minutes after appointment	87%	85.5%		84.9%
T1 Improve health outcomes for patients NHS Quality Improvement Scotland standards for patient safety and clinical governance	10 or above	n/a	n/a	n/a	n/a
T2 Health acquired infection Compliance with Red Amber Green Healthcare Associated Infection monitoring	Meet target	Performance against this indicator will be reported monthly
T3 Reduce hospital admissions Percent of of emergency calls treated at scene	11%	10.8%		11.5%
T4 Scottish Early Warning System Percent of patients with Scottish Early Warning System score above four taken to hospital	95-98%	96.8%		97.4%
T5 Hyper acute stroke Percent of hyper acute stroke patients taken to hospital within 55 minutes	90%	n/a		72.7%

*Category A – Category A calls are those calls deemed to be immediately life threatening e.g. hanging, drowning, severe asthma attack, heart attack

Category B – Category B calls are those calls that are serious & urgent e.g. epileptic fit, asthma attack

Category C – Category C calls are non-urgent calls but require being seen e.g. a fall resulting in a broken wrist