Integrated Performance Report

Transcription

1 Month 11 Prepared: 23 March Updated: 1

2 CONTENTS Item Page Item Page Indicators by RAG status 3 17 Long Length of Stay 54 1 Monitor Governance Risk Assessment Indicators and 5 18 Stroke Care 55 Third Parties Assessment 1a Monitor Governance Risk Assessment Access Targets 7 19 Community Activity 57 QUALITY 20 Other Performance Indicators 59 2 Healthcare Acquired Infections Maternity Indicators 62 3 Hospital Standardised Mortality Ratios Operational Effectiveness 64 3a Summary Hospital Mortality Indicators 16 Performance Glossary of Terms 66 4 Safety and Quality Indicators 19 CQUINs 5 Incidents National CQUINs 67 6 Safety Thermometer 21 WORKFORCE 7 Complaints Key Workforce Indicators 69 8 Patient Experience Percentage of Budgeted WTE used 70 9 Research and Development Percentage of Pay Budget used 71 PERFORMANCE 27 Workforce Plan Sustainability and Transformation Fund Sickness Absence Ambulance Handovers 36 28a Sickness Absence by Division A&E Indicators Staff Turnover Cancer Standards Appraisal Completion 79 13a Cancer 62 Day Waits by Tumour Site 44 30a Appraisals by Division RTT and Elective Waiting Times Statutory and Mandatory Training Endoscopy 53 31a Statutory and Mandatory Training Breakdown Emergency Readmissions 54 31b Statutory and Mandatory Training by Division 88 Workforce Glossary of Terms 92 Key to RAG Rating Key to Data Quality Scale Background Format Key Symbol Key Red Below plan Standard of data accuracy is not known, it is incomplete and inconsistent with relevant standards Amber Almost on plan Data is assumed to be complete and accurate, although there may be limitations or unresolved queries Green On plan or better Data is complete, accurate and consistent with the standards set for the specific indicator 2

3 Indicators achieving set threshold (Green) Ambulance Handovers > 30 mins of women booked before 13 weeks gestation A&E waiting time - Number of patients spending over 12 hours in A&E (trolley waits) AHP RTT Waiting time Non-admitted <18 weeks Maternity Monthly Breast feeding rate - Denominator All Del's by Dr or Midw in hosp or home Number of A&E Attendances - NDDH only Last minute cancelled operations for non-clinical reasons (monthly) - Rebooked within 28 days Medicines Reconciliation - Stage 1 completed within 24 hours of admission (North Community) MSA Breaches - Sleeping Accommodation (exc ASU) (Acute) Data Completeness: community services - referral information Never Events Re admission 28 day from Elective RY RR from Dr Foster Data Completeness: community services - referral to treatment Outpatients First Appointment DNA Rate Re admission 28 day from Non-Elective RY RR from Dr Foster Data Completeness: community services - treatment information Outpatients Follow-up Appointment DNA Rate SHMI - Fracture of neck of femur - diagnosis group 120 DTC Delayed Transfers of Care North Community Outpatients First to Follow-up Ratio SHMI - Diabetes mellitus with complications - diagnosis group 35 Endoscopy patients routine waiting < 6 weeks Cancer 62 Day Waits (aggregate measure) - Total Treated < 62 Days from Urgent GP Referral SHMI - Elective Admissions G U Medicine appointments offered in 48 hours Trust Total Cancer 62 Day Waits (aggregate measure) - Total Treated < 62 Days Consultant Upgrade SHMI - Acute Myocardial Infarction - diagnosis group 57 C.Difficile over 3 days: Total Eastern Comm Hosps Cancer 31 Day Waits - Total Treated < 31 Days from Diagnosis - (Decision to treat) SHMI - Pneumonia - diagnosis group 73 C.Difficile over 3 days: Total Northern Comm Hosps Cancer 31 Day Waits - Total Treated < 31 Days Subsequent Surgical Treatment SHMI - Acute cerebrovascular disease - diagnosis group 66 E.Coli Bacteraemia over 3 days: Eastern Community Cancer 31 Day Waits - Total Treated < 31 Days Subsequent Drug Treatment SMR Relative Risk Eastern Community Sites - Rolling Year E.Coli Bacteraemia over 3 days: Northern Community RTT >52wk Waiters - Admitted pathway SMR Relative Risk Northern Community Sites - Rolling Year Hand Hygiene Compliance - Trust Total RTT >52wk Waiters - Non-Admitted pathway Urgent scans within 1 hour MRSA Bacteraemia over 2 Days : NDDH RTT Non-admitted 95th Percentile 90 of stay on SU (EASTERN HOSPITALS) MRSA Bacteraemia over 2 Days : Eastern Community RTT Non-admitted Median A&E Valid Data MRSA Bacteraemia over 2 Days: Northern Community RTT Incomplete Pathways 95th Percentile Admitted Patient Care Valid Data MSSA Bacteraemia over 2 Days: NDDH RTT Incomplete Median APC Records First Submitted with Valid HRG Code MSSA Bacteraemia over 2 days: Eastern Community Diagnostic Waiting Times (Patients waiting at month end - DM01) Outpatients Valid Data MSSA Bacteraemia over 2 Days: Northern Community Certification against compliance with requirements regarding access to healthcare for people with a learning disability A&E waiting time- Patients left department without being seen rate A&E waiting time - Time to treatment (median) minutes VTE Prophylaxis - Number of adult patients receiving appropriate prophylaxis (Acute) Unplanned Ward Transfers >1 transfer 3

4 Indicators not yet achieving set threshold (Amber) Indicators not achieved or requiring attention (Red) MRSA Screening Elective Adms: Trust Total - includes Private Pts Ambulance Handovers > 15 mins MRSA Screening Emergency Adms: Total Ambulance Handovers > 1 hour RTT Admitted Median Ambulance Handovers > 2 hours SHMI overall trust score Percentage of last minute cancelled operations SHMI - Non Elective Admissions Clinical Coding 5 day coding complete SMR Relative Risk Acute Site - Rolling Year Clinical Coding Backlog SMR Relative Risk Trust Level - Rolling Year DTC Delayed Transfers of Care Acute Compliance with WHO checklist DTC Delayed Transfers of Care East Community Elective patients waiting more than 20 weeks Elective Waiting List TOTAL Endoscopy patients urgent waiting < 2 weeks C.Difficile over 3 days: NDDH E. Coli Bacteraemia over 3 days: NDDH or babies readmitted 0-28 days Caesarean section rate (Elective & Non Elective) - Denominator all hospital deliveries >= 24 wks Caesarean section rate (Elective) - Denominator all hospital deliveries >= 24 wks Caesarean section rate (Non Elective) - Denominator all hospital deliveries >= 24 wks Data only indicators Maternity of all babies admitted to neonatal care Maternity All Births A&E admitted from A&E SIRI - Total by month - New (reported) Indicators not achieved or requiring attention (Red) continued Cancer 2 Week Waits (aggregate measure) breast symp SHMI - Congestive Heart Failure - diagnosis group 65 SHMI - Chronic Obstructive Pulmonary Disease - diagnosis group 75 SHMI - Acute and unspecified renal failure - diagnosis group 99 Admitted direct to SU within 4 hours Routine scans within 24 hours Smokers at booking accepting referral to Smoking Cessation (denominator excludes women who refuse referral) Medicines Reconciliation (Acute) Medicines Reconciliation - Stage 1 completed within 24 hours of admission (East Community) GP referrals to Outpatients waiting more than 11 weeks Outpatient Waiting List TOTAL RTT Admitted 95th Percentile RTT Admitted Pathways - Specialties that failed 18 week target RTT Admitted <18wks TOTAL RTT Non-Admitted Pathways - Specialties that failed 18 week target RTT Non-Admitted <18wks TOTAL RTT Incomplete Pathways - Specialties that failed 18 week target RTT Incomplete <18wks TOTAL A&E waiting time- Patients waiting 4 hours or less in A&E A&E waiting time- Unplanned re-attendance at A&E within 7 days A&E waiting time - Total time spent in dept 95th percentile (admitted) A&E waiting time - Number of patients spending over 6 hours in A&E (admitted) A&E waiting time - Total time spent in dept 95th percentile (non-admitted) A&E waiting time - Number of patients spending over 6 hours in A&E department - 95th percentile (non-admitted) A&E waiting time - Time to initial assessment 95th percentile (ambulance arrivals only) 90 of stay on SU (Acute only, SSNAP calculation) A&E, MIU & WIC Attendances and 4 Hour Breaches 90 of stay on SU (Superspell,SSNAP calculation) Cancer 2 Week Waits (aggregate measure) - Total Seen within 14 Days of Urgent GP Referral 4

5 1 Monitor Governance Risk Assessment (shadow monitoring -17) Category Metrics Governance concern triggered by: Current score at December CQC CQC judgements CQC warning notice issued Quarterly-Q3: information Changes to registration conditions Score = 0 Access and outcomes metrics For acute trusts, metrics including: Referral to treatment within 18 weeks A&E waits (4 hours) Cancer waits (62 days) C difficile (national target) For providers of community services: Data completeness against selected elements of the CIDs data set Civil and/or criminal action initiated Breach of a single metric in three consecutive quarters or four or more metrics breached in a single quarter Breaching predetermined annual c.difficile threshold (either three quarters breach of the year to date threshold or breaching the full-year threshold at any time in the year) Breaching the A&E waiting times target in two quarters of any four-quarter period and in any additional quarter over the subsequent three quarters Quarterly-Q3: 4 hour waits for emergency care Total = 1 Please see table 1 on page 7 for details. Commentary No score allocated for Q3. Previous areas of concern have mainly recovered to deliver performance above standard in Q3. The 4 hour waits standard has dropped below the 95 target for all types. Third party reports Quality governance indicators Financial risk Total Ad hoc reports from GMC, the Ombudsman, commissioners, Healthwatch England, auditor reports, Health and Safety Executive, patient groups, complaints, whistle blowers, medical colleges, etc. Patient metrics: Patient satisfaction Staff metrics: High executive team turnover Satisfaction Sickness/absence rate Proportion of temporary staff Staff turnover Judgement based on the frequency and severity of reports Material reductions in satisfaction, or increases in sickness or turnover rate Material increases in proportion of temporary staff Cost reductions in excess of 5 in any given year. Aggressive cost reduction plans Continuity of services risk rating Breaching any continuity of services licence condition as a result of governance Inadequate planning processes Quarterly-Q3: Dr Foster alert Acute Renal Failure. Score = 1 Quarterly-Q3: Score = 1 Quarterly-Q3: Score = 0 Total Quarterly-Q3: Score = 3 Report completed for CQC; formal response received. Score will be removed in Q4. Increased executive team turnover in Q3, therefore the score is 1. No score allocated for Q3. 5

6 Note on assigning ratings (taken from Monitor s Risk Assessment Framework, published August, pages 36-37): The governance rating assigned to an NHS [foundation] trust reflects Monitor s views of its governance: Green rating: no governance concern evident or no formal investigation being undertaken; Under review: potential material concerns with the Trust s governance identified in one or more category listed in [the table above] requiring further information or fomal investigation; we provide a description of the issue(s); Red rating: enforcement action being taken. In assigning an appropriate governance rating, we are informed by the: seriousness of the issue; information we have concerning the situation; effectiveness of the trust s initial response to it; and time-critical nature of the situation. We may require additional information from the trust. Depending on our assessment, we may decide to investigate formally and/or address the issue through our enforcement powers. Note on scoring (taken from Monitor s Risk Assessment Framework, published August, page 50); Where NHS foundation trusts breach given target(s), or certify breaches, we use the sum of each metric s weighting to calculate a service performance score. A score of 4.0 represents a governance concern. Repeated breaches of a target also represents a governance concern. 6

7 1a Monitor Governance Assessment Framework Access Targets (monitored quarterly) -16 Quarterly Totals Target Q4 Q1 Q2 Q3 Value Value Value Value Value Chart Commentary Score RTT Incomplete <18wks TOTAL Standard met in Q3. 0 A&E, MIU & WIC Attendances and 4 Hour Breaches Standard not met in Q3 for all types. Under the guidance provided by Monitor this second failure in a four-quarter period counts as failure of the overall metric. 1 Cancer 62 Day Waits (Open Exeter) Overall Total Treated < 62 days from urgent GP referral Standard met in Q3. 0 Cancer 62 Day Waits (aggregate measure) - Total Treated < 62 Days Screening Service Standard met in last 4 quarters. Cancer 31 Day Waits - Total Treated < 31 Days Subsequent Surgical Treatment Target met in last 3 quarters. 0 7

8 -16 Quarterly Totals Target Q4 Q1 Q2 Q3 Value Value Value Value Value Chart Commentary Score Cancer 31 Day Waits - Total Treated < 31 Days Subsequent Drug Treatment Target met in last 5 quarters. Cancer 31 Day Waits - Total Treated < 31 Days from Diagnosis - (Decision to treat) Target met in last 5 quarters for overall standard. 0 Cancer 2 Week Waits (aggregate measure) - Total Seen within 14 Days of Urgent GP Referral Standard met in Q3. 0 Cancer 2 Week Waits (aggregate measure) breast symp Standard met in Q3. C.Difficile over 3 days - avoidable: NDDH Avoidable cases reported in line with Monitor guidance. 0 8

9 -16 Quarterly Totals Target Q4 Q1 Q2 Q3 Value Value Value Value Value Chart Commentary Score Certification against compliance with requirements regarding access to healthcare for people with a learning disability Yes Yes Yes Yes Yes Yes 0 Data Completeness: community services - referral to treatment Data Completeness: community services - referral information Data Completeness: community services - treatment information

10 2 Healthcare Acquired Infections - 16 Quarterly Totals Monthly Totals Year to Date Target Q4 Q1 Q2 Q3 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality MRSA Bacteraemia over 2 Days : NDDH MRSA Bacteraemia over 2 Days: Northern Community MRSA Screening Elective Adms: Trust Total - includes Private Pts MRSA Screening Emergency Adms: Total MSSA Bacteraemia over 2 Days: NDDH

11 - 16 Quarterly Totals Monthly Totals Year to Date Target Q4 Q1 Q2 Q3 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality MSSA Bacteraemia over 2 Days: Northern Community E. Coli Bacteraemia over 3 days: NDDH E.Coli Bacteraemia over 3 days: Northern Community C.Difficile over 3 days - avoidable: NDDH C.Difficile over 3 days: NDDH C.Difficile over 3 days: Total Northern Comm Hosps

12 - 16 Quarterly Totals Monthly Totals Year to Date Target Q4 Q1 Q2 Q3 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality Hand Hygiene Compliance - Trust Total

13 3 Hospital Standardised Mortality Ratios - 16 Quarterly Totals Monthly Totals Year to Date Target Q4 Q1 Q2 Q3 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality HSMR Relative Risk Trust Level - Rolling Year HSMR Relative Risk Acute Site - Rolling Year HSMR Relative Risk Northern Community Sites - Rolling Year

14 HSMR Data Refresh 27 February (Source Data: Dr Foster Quality Investigator) Trust Overall NDDH Overall 14

15 Northern Community Hospitals 15

16 3a Summary Hospital Mortality Indicators Previous Full Year Quarterly Totals Year to Date Target /16 Q4 Q1 Q2 Q3 /17 Value Value Value Value Value Value Run Chart Data Quality SHMI overall trust score SHMI - Elective Admissions SHMI - Non Elective Admissions SHMI - Acute cerebrovascular disease - diagnosis group SHMI - Chronic Obstructive Pulmonary Disease - diagnosis group SHMI - Acute Myocardial Infarction - diagnosis group

17 SHMI - Fracture of neck of femur - diagnosis group SHMI - Pneumonia - diagnosis group SHMI - Acute and unspecified renal failure - diagnosis group SHMI - Congestive Heart Failure - diagnosis group SHMI - Diabetes mellitus with complications - diagnosis group

18 Indicator: Hospital Standardised Mortality Ratios (HSMR) Executive Lead: Dr George Thomson, Medical Director Description of how the standard is measured: The Relative Risk is calculated by comparing the number of expected deaths following elective admission to the number of observed deaths. It is defined as the ratio of the number in the observed group, divided by the risk adjusted expected group, multiplied by 100. The national benchmark is set at 100, so a relative risk of less than 100 would mean that the risk of the outcome is smaller than expected. The HSMR covers a basket of 56 specific Clinical Classification System (CCS) groups. Performance in the period: There are a number of factors that affect the HSMR, including recording of comorbidities, palliative care and demographic and historical detail (eg previous admissions). Deaths are attributed to the first trust where a patient s care is provided by multiple organisations. As at November all Trust sites show an HSMR within expected ranges and the overall HSMR is close to the national benchmark at The overall trend reflects the actions undertaken in response to its increase earlier in the year. The 12 months rolling HSMR for the acute site has risen to in November; factors affecting this include previous months below the benchmark moving out of the 12 month period. The Summary Hospital Mortality Indicator (SHMI) has increased slightly to ; the SHMI also includes patients who die up to 30 days after discharge, excludes palliative care, and attributes the death to the final hospital trust treating the patient. Actions taken: In March the Trust introduced a Mortality Review Committee (MRC) which continues to meet monthly, chaired by the Medical Director. The TDA have observed a meeting of the group and continue to provide an early view of the Trust s mortality data to the Medical Director. The Head of Nursing and Quality from NEW Devon CCG is also now attending meetings, as is NDHT s Dr Foster Healthcare Intelligence Specialist. A review of the use of palliative care and end of life coding has been undertaken and new guidelines issued to Trust staff regarding recording and coding these particular types of care. Work is continuing in community hospitals to improve recording of these aspects of their work. The impact of these new guidelines can now be clearly seen in the five most recent months data. Routine audits of deaths occurring in community hospitals have now been completed back to April. Monthly reviews of all deaths are undertaken using the CRAB system to identify areas of concern. Report completed by: Kate Ogilvie, Head of Performance and Bridget Stevens, Senior Performance Analyst Last updated: 21 March 18

19 4 Safety and Quality Indicators - 16 Quarterly Totals Monthly Totals Year to Date Target Q4 Q1 Q2 Q3 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality Medicines Reconciliation - Acute - Completed within 24 hours Not measured Medicines Reconciliation - Stage 1 completed within 24 hours of admission (North Community) VTE Risk Assessments - Acute VTE Risk Assessments - North Community Hospitals

20 5 Incidents - 16 Quarterly Totals Monthly Totals Year to Date Target Q4 Q1 Q2 Q3 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality Never Events SIRI - Total by month - New (reported)

21 6 Safety Thermometer Trust level view New Harm Free Care Types of Harm 21

22 7 Complaints Quarterly Totals Monthly Totals Year to Date Target Q1 Q2 Q3 Q4 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality Complaints Activity Complaints Acknowledgement Performance Complaints Response Performance Complaints Quality, timeliness of investigations Complaints To Ombuds Quality of responses

23 Quarterly Totals Monthly Totals Year to Date Target Q1 Q2 Q3 Q4 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality Complaints Upheld to Ombuds Quality of responses Complaints Not Upheld to Ombuds Quality of responses Complaints Clinical Care and Treatment Complaints Communication Complaints Attitude of Staff

24 Quarterly Totals Monthly Totals Year to Date Target Q1 Q2 Q3 Q4 Mar Apr May Jun Jul Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Aug Sep Oct Nov Dec Jan Feb /17 Data Quality Complaints Access to Clinical services Complaints Discharge Arrangements NB: The target for complaints acknowledgement performance is the only applicable target in this section; other indicators are included to show volumes of complaints received and the most common themes each month. 24

25 8 Patient Experience Target March April May June July August September October November December January Patient Experience - Composite Indicator - Total (Acute) Patient Experience - Were you as involved as much as you wanted to be? (Acute) Patient Experience - Did you find someone to talk to about worries and fear? (Acute) Patient Experience - Were you given enough privacy? (Acute) Patient Experience - Were you told about medication side effects to watch for? (Acute) Patient Experience - Were you told who to contact if you were worried? (Acute) Patient Experience - Composite Indicator - Total (North Community) Patient Experience - Were you as involved as much as you wanted to be? (North Community) Patient Experience - Did you find someone to talk to about worries and fear? (North Community) Patient Experience - Were you given enough privacy? (North Community) Patient Experience - Were you told about medication side effects to watch for? (North Community) Patient Experience - Were you told who to contact if you were worried? (North Community) Value Short Value Short Value Short Value Short Value Short Value NIL RETURN Short Value Short NIL RETURN Value Short Value 95 Short Value Short NIL RETURN Value Short Value 100 Short 25

26 Composite Indicator Questions 26

27 Friends and Family Test FFT Response Rate - Ward Value Target Status ACUTE - Inpatients A&E Victoria Ward Staples Ward Tarka Ward KGV Ward Glossop Ward Lundy Ward (was Fortescue Ward) Caroline Thorpe Ward Capener Ward Fortescue Ward (Was Alex Ward) Acute Stroke Unit

28 FFT Score Ward Value Target Status ACUTE - Inpatients Victoria Ward Tarka Ward Staples Ward MAU KGV Ward Glossop Ward Lundy Ward (was Fortescue Ward) Caroline Thorpe Ward Capener Ward Fortescue Ward (Was Alex Ward) Acute Stroke Unit A&E A&E

29 Acute and Maternity A1 Extremely Likely A2 Likely A3 Neither Likely or Unlikely A4 Unlikely A5 Extremely Unlikely A6 Don't Know A7 Total Responses A8 FFT Score A9 FFT Response Rate Value Value Value Value Value Value Value Value Value - A&E A&E and MAU Acute Stroke Unit Capener Ward Caroline Thorpe Ward - Fortescue Ward (was Alex) Glossop Ward King George V Ward Lundy Ward (was Fortescue) MAU Staples Ward Tarka Ward Victoria Ward ACUTE Total Inpatient and A&E M1 Extremely Likely M2 Likely M3 Neither Likely or Unlikely M4 Unlikely M5 Extremely Unlikely M6 Don't Know M7 Total Responses M8 FFT Score M9 FFT Response Rate Value Value Value Value Value Value Value Value Value - Antenatal Service Bassett Ward Central Delivery Suite - Postnatal Community Service MATERNITY TOTALS

30 Community Hospitals - Bideford - Elizabeth Ward - Bideford - Willow Ward C1 Extremely Likely C2 Likely C3 Neither Likely or Unlikely C4 Unlikely C5 Extremely Unlikely C6 Don't Know C7 Total Responses C8 FFT Score C9 FFT Response Rate Value Value Value Value Value Value Value Value Value Holsworthy Hospital Honiton Hospital - Ilfracombe Tyrell Hospital - South Molton Community Hospital COMMUNITY TOTALS

31 9 Research and Development Rolling 12 Months Target Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Value Value Value Value Value Value Value Value Value Value Value Value Feb Data Quality R&D: Number of studies open to recruitment-commercial R&D: Number of studies open to recruitment-non-commercial R&D: Monthly Recruitment Figures-Total R&D: Monthly Recruitment Figures-Division R&D: Monthly Recruitment Figures-Division

32 Rolling 12 Months Target Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Value Value Value Value Value Value Value Value Value Value Value Value Feb Data Quality R&D: Monthly Recruitment Figures-Division R&D: Monthly Recruitment Figures-Division R&D: Monthly Recruitment Figures-Division R&D: Monthly Recruitment Figures-Division R&D: Total Number of Commercial Studies Opened

33 Rolling 12 Months Target Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Value Value Value Value Value Value Value Value Value Value Value Value Feb Data Quality R&D: Number of studies opening each month-total R&D: Number of studies opening each month-division R&D: Number of studies opening each month-division R&D: Number of studies opening each month-division R&D: Number of studies opening each month-division

34 Rolling 12 Months Target Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Value Value Value Value Value Value Value Value Value Value Value Value Feb Data Quality R&D: Number of studies opening each month-division R&D: Number of studies opening each month-division R&D: Number of studies opened within target timescales-total 100 NA NA NA NA NA NA NA NA NA NA NA R&D: Number of studies opened within 15 days 100 NA NA NA NA NA NA NA NA NA NA NA R&D: Patients recruited within 70 days 100 NA NA NA NA NA NA NA NA NA NA NA 34