Balanced Scorecard 1 Nick Evans Director of Partnerships

Balanced Scorecard 1 Nick Evans Director of Partnerships Report revised on 16 March 2010 April May June July Aug Sept Oct Nov Section Dec Jan Page no Finance & Clinical Activity 2 Efficiency 3 Quality & Patient Satisfaction 4 Workforce 5 Appendix 1 – Finance and clinical activity trend graphs 6 Appendix 2 – Efficiency trend graphs 7 Appendix 3 – Quality and patient satisfaction trend graphs 9 Appendix 4 – Workforce trend graphs 10 Feb Mar

Balanced Scorecard Finance and Activity 2 Trend graphs – Appendix 1 Further information in Trust Board Papers: §Monthly finance report

Balanced Scorecard 3 Efficiency Elective length of stay Non elective length of stay (including zero lengths of stay) Watford St Albans 3. 5 days 3. 3 days 4. 0 days Zero length of stay for non elective 17% Preoperative bed days 184 17 Bed occupancy 84% 69% ICU occupancy 77% Theatre utilisation 78% 75% Day case rate 74% 76% CHKS benchmark Trust CHKS Peer Group 2. 8 days 3. 4 days (Jan) 4. 2 days 4. 9 days (Dec) 15% 27% National ranking (out of 167) Productivity opportunity Length of stay 12 £ 6, 008, 000 Day case surgery rates 128 £ 154, 000 Reducing pre-operative bed days - non-elective 59 £ 5, 058, 000 Reducing do not attends (DNAs) 80 £ 967, 000 (% session time used) Elective length of stay Non elective length of stay (including zero lengths of stay) Zero length of stay for emergency NHS Indicators scorecard – Q 2 2009 -10 (latest available) Trend graphs: • Appendix 2 Further information in Trust Board Papers: §NHS Indicators quarterly scorecard for the Trust

Balanced Scorecard 4 Quality and Patient Satisfaction External reporting Annual Plan 09/10 Care Quality Commission Rating NHS Eo. E Governance Rating Month actual End of year forecast Excellent Good Score of less than 1 2. 7 (Jan) Score of less than 1 PCT – CQUIN reporting Patient focus Annual Plan 09/10 Hospital standardised mortality ratio (Sep 09 - Feb 10) Less than 90 Hospital standardised mortality ratio (May 08 - Apr 09) Less than 100 Emergency readmissions within 28 days (Jan 10) Patient focus Annual Plan 09/10 CHKS 59 Cancelled operations treated within 28 days 6. 4% (Jan) Month actual Trend graphs: • Appendix 3 6. 1% Year to date 12 6. 7% 6. 5% Less than 0. 8% 32 = 1. 0% 349 = 1. 0% 100% 93. 7% 96. 8% Number of complaints % of complaints managed in line with guidance (overall mortality rate 1 year) 74 1 Emergency readmissions within 28 days Dr Foster 98 Number of Serious Untoward Incidents Same day cancellation of elective surgery CHKS Peer Group 100% Further information in Trust Board Papers: • Monthly NHS Eo. E Governance return, Monthly performance report, Monthly infection control report, Annual Picker survey report (and follow up reports) End of year forecast

Balanced Scorecard Workforce Annual Plan 09/10 Total head count 12. 2% 12% 7. 1% 7. 8% 7. 1% Less than 3. 5% 4. 7% 4. 5% £ 13. 22 m £ 13. 09 m Total paybill Bank as a % of paybill Agency as a % of paybill 5 Less than 10% Vacancy rate % Sickness rates % End of year forecast 3348. 4 (Whole time equivalent) Turnover % (Whole time equivalent) Month actual 5. 8% 3% by 2010/11 Overtime as a % of paybill 4. 2% 4. 5% 0. 32% Consultant appraisal rate 100% Workforce overall appraisal rate 70% 95% 48% 50% Oct. 08–Sep. 09 Mandatory training 70% 38% Oct. 08–Sep. 09 Trend graphs: • Appendix 4 Further information in Trust Board Papers: • Annual Staff Survey Report , Quarterly workforce report 40%