Performance Report: April 2018
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1 Performance Report: pril 218
2 Performance nnex - Legend Manage Our Resources Illustrates the operating model component ommonly Used cronyms S dult Social are; PMS Primary Medical Services; HSP Hospitals; MH Mental Health; NS National ustomer Service entre; IH Independent Health; YT Year To ate (Financial Year); KPI - Key Performance Indicator; Enf Enforcement; RI Requires Improvement rrow colour measures YT performance against target rrow direction measures trend against previous month performance YT performance 3% (6%) Monthly performance Letter of graph on the page for reference Trend: improving; deteriorating; or no change Title & ontent Information about the timescales of the data Graph dditional information relevant to the content of the graph Performance: green or red only. Measures with no target will have a white background 2
3 Manage Our Resources 2% (2%) 5% (5%) 3.8% (2.8%) 1. 24% 99% () (99%) Finance: Pay Forecast Finance: Non-Pay Forecast Sickness: 12 Month verage Turnover: 12 Month verage Turnover: Negative Reasons Last 12 Months omplaints: cknowledged Information ccess: Responsiveness Register 99% (99%) 65% (65%) 87% (87%) (147) pplications: NS Processing pplications: New Reg ssessment pplications: Var & an Reg ssessment Notices of Proposal: Last 12 Months Unregistered Provider Enquiries Monitor, Inspect & Rate 98% (98%) orrespondence 92% (92%) 82% (82%) General alls 86% (86%) 89% (89%) Registration alls 83% (83%) 96% (96%) Mental Health alls 7 (7) 87% (87%) Safeguarding alls 238 (238) () lert Triage 93% (93%) 99% (99%) oncern Triage lerts: Referred to Local uthority lerts/oncerns: Mandatory ction Productivity Timeliness: S Numbers: Hospitals Units Timeliness: PMS Enforce 188 (188) 5 88% 95% Enforcement ctions Issued Special Measures: urrent Total 4Q+ In reach With ctions: S 4Q+ In reach With ctions: PMS Independent Voice 79% (79%) 96% (96%) () 9 (9) Report Publication Timeliness Positive overage Negative overage Q Themes ata From pril Static ut; 218/19 Financial Year, unless otherwise stated
4 Manage Our Resources Finance: Pay Forecast KPI: 2% variance Finance: Non- Pay Forecast KPI: 2% variance Sickness: 12 Month verage KPI: elow 5% Turnover: 12 Month verage No current benchmark in place Turnover: Neg Reasons Last 12 Months Incl. work life balance, lack of opportunities, better reward package. omplaints cknowledged KPI: 3 ays Target: 95% Information ccess Responsiveness enchmark: 9% ased on statutory time limits of diff. legislation Register pplications: NS Processing KPI: 5 days pplications: New Reg ssessment KPI: NOP/NO sent in 5 days Target: Includes all reg applications pplications: Var/an Reg ssessment KPI: NOP/NO sent in 5 days Includes all reg applications Notices of Proposal Last 12 Months Most cases of NOPs are where we are refusing an application. Unregistered Provider Enquiries 147 (147) lerts of services not assessed to ensure they are safe to operate Monitor, Inspect & Rate orrespondence KPI: 3 days Safeguarding lerts: Referred to Local uthority KPI: 1 day General alls KPI: 3 seconds Target: Safeguarding lerts/oncerns: Mandatory ctions KPI: 5 day Registration alls KPI: 3 seconds Target: Productivity S/PMS KPI: 2 inspections (any type) a month HSP KPI: average of 238 units a month Productivity Target: Mental Health alls KPI: 3 seconds Timeliness: S RI/I Returns: 9% G/O Returns: 1 st s: Safeguarding alls KPI: 3 seconds Numbers: Hospitals Units unit is equivalent to 1 independent location or 1 core service Safeguarding lerts Triage KPI: 1 day Target: 95% Timeliness: PMS Safeguarding oncerns Triage KPI: 1 day Target: 95% Enforce Enforcement ctions Issued Includes Warning Notices, ivil ctions and riminal ctions. ctions may still await outcomes. Special Measures: urrent Total Services enter and exit during the month 4Q+ In reach With ctions: S s in progress or scheduled and current/recent enforcement 4Q+ In reach With ctions: PMS s in progress or scheduled and current/recent enforcement Independent Voice Report Publication Timeliness KPI: 5 days Except HSP 3+ ore Services: 65 days Positive overage Target: >7% Negative overage Target: <1% Q Themes Target: > ata From pril Static ut; 218/19 Financial Year, unless otherwise stated
5 Year to date, 65% of New Registration applications and 87% of Variations and ancellations have been completed within KPI, compared with 77% and 89% respectively in 217/18 pplications: Volumes Received Rolling 12 months; ata from pril ut* pplications Received ctual Strength May Jun Jul ug Sep Oct Nov ec Jan Feb Mar pr *ctual Strength is the number of FTE in post, discounting those that are out of the business, which includes those on long-term sick, on parental leave, suspensions, and external secondments. Transformation: Format of pplications Received Rolling 12 months: ata T 15 pplications: Timeliness of ssessment 218/19 Financial Year; ata from pril ut* New Target (New) ctual (New) Variance to Establishment 87% 65% % Var & an Target (Var & an) ctual (Var & an) pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar 9% KPI: Notice of Proposal or ecision to be sent within 5 days *includes data where the employees directorate was unspecified Variance to Establishment is the ctual Strength against Target Establishment displayed as a shortfall 5% % From July we will track applications received and the format in which they re received compared to rejection rate. 5
6 In pril, Q has spent the majority of reported hours on our Monitor function. cross all sectors, we have undertaken 1,165 inspections so far this year and published 79% of reports within KPI. 6% Inspector ctivity: Q pril data; ata from pril ut Manage Our Organisation bsence Register Inspect & Rate Monitor Enforcement Report Writing 17.2% 17.2% 14.9% 2.5% 3.2% 1.% % 21.% 2.8% 29.6% 12% 6% s: Q Productivity 218/19 Financial Year; ata from pril ut 12% 76% 7 S HOS PMS Target 4% 2% % % 19.2% 18.2% 19.4%...%.2% 15.% 14.3% 15.2% 16.5% 12.2% 12.9% 11.9% 1.4% Q S HSP PMS bsence includes annual leave and sickness; Manage Our Organisation includes learning & development and 1:1s; Monitor includes portfolio management and admin & correspondence Published Reports: Q Timeliness & Influences 218/19 Financial Year; ata from pril ut raft Final In KPI Out KPI % Within KPI Enf. Fac. cc. Target Perf Enf % 79% % % % 184 8% 9% % 8% % Over. pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar KPI: S, PMS & HSP -2 ore Services 5 working days after last visit date; HSP 3+ ore Services 65 working days after last visit date; Enf.: where the report involved enforcement; Fac. cc.: number of reports where we have received a Factual ccuracy challenge. raft/final: shows reports that are overdue or due and whether they are at draft of final stage. 6% 4% 2% % 6% 4% 2% % pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar Target: S & PMS 2 inspections (any type) a month per inspector; HSP average of a total of 238 units a month Ratings Profile: hanges Over Time ata from pril ut Inadequate Requires 526 Improvement Good Outstanding 6% 3% 2% 2% 2% ,145 5,61 4,96 4,421 4,185 4,213 1,926 26% 2 17% 15% 14% 14% 3% 3,975 63% 11,355 17,65 22,24 23,527 23,436 23,911 7% 75% 79% % 392 2% 649 3% 752 3% 863 3% /16-215/16-216/17-216/17-217/18-217/18 - urrent Q2 Q4 Q2 Q4 Q2 Q4 6
7 In pril, S has spent 33% of reported hours on our Monitor function. S has undertaken 822 inspections so far this year, with 7 meeting the KPIs, and has published 79% reports within KPI. 6% 4% 2% Manage Our Organisation bsence Register Inspect & Rate Monitor Enforcement Report Writing % Inspector ctivity: S pril data; ata from pril ut 17.2% 17.2% 2.8% 3.2% 4.4% 1.4% % 28.4% 36.5% 19.2% % 14.4% 14.% % 2.5% 29.8% 18.6% 17.4% 22..%. 14.4%.% 15.7% 12.3% 12.9% % 13.2% 12.5% Overall entral London North South bsence includes annual leave and sickness; Manage Our Organisation includes learning & development and 1:1s; Monitor includes portfolio management and admin & correspondence Published Reports: S Timeliness & Influences 218/19 Financial Year; ata from pril ut raft Final In KPI Out KPI % Within KPI Enf. Fac. cc. Target 12 Perf Enf % 84% 79% 189 6% % % 15% % 1 12% % 9% % Over. pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar KPI: S, PMS & HSP -2 ore Services 5 working days after last visit date; HSP 3+ ore Services 65 working days after last visit date; Enf.: where the report involved enforcement; Fac. cc.: number of reports where we have received a Factual ccuracy challenge. raft/final: shows reports that are overdue or due and whether they are at draft of final stage % 4% 2% % s: S ctivity 218/19 Financial Year; ata from pril ut Overdue In KPI Out KPI No KPI Not scheduled apacity Ratings Profile: hanges Over Time ata from pril ut Outstanding Good Requires Improvement Inadequate 318 6% 366 3% 373 2% 345 2% % 329 2% , ,82 3, % 24% 2% 18% 17% 17% 34% % O/ U - pr May Jun Jul ug Sep Oct Nov ec Jan Feb , ,16 17,16 67% 73% 77% 78% 79% 79% Mar % 2% 2% 2% 2% /16-215/16-216/17-216/17-217/18-217/18 - urrent - Q2 Q4 Q2 Q4 Q2 Q4 pr 18/19 7 7
8 MH HSP In pril, Hospitals has spent 33% of reported hours on our Monitor function. Hospitals has undertaken 45 inspections so far this year and has published 38% reports with less than two core services and 57% of those with three or more core services within KPI. Inspector ctivity: HSP pril data; ata from pril ut Manage Our Organisation bsence Register Inspect & Rate Monitor Enforcement Report Writing % 12.8% 13.7%.% 16.%.% 17.9% 18.4% 44.5% 36..9% 13.2% % % 1% 2% 3% 4% 5% 6% 7% 9% bsence includes annual leave and sickness; Manage Our Organisation includes learning & development and 1:1s; Monitor includes portfolio management and admin & correspondence 8 Published Reports: HSP Timeliness & Influences 218/19 Financial Year; ata from pril ut raft Final In KPI Out KPI % Within KPI Enf. Fac. cc. Target Perf Enf % % 4% 4% % % 5% 19 8% 2% 14 6% % % Over. pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar KPI: S, PMS & HSP -2 ore Services 5 working days after last visit date; HSP 3+ ore Services 65 working days after last visit date; Enf.: where the report involved enforcement; Fac. cc.: number of reports where we have received a Factual ccuracy challenge. raft/final: shows reports that are overdue or due and whether they are at draft of final stage. 6% s: HSP ctivity 218/19 Financial Year; ata from pril ut Ratings Profile: hanges Over Time ata from pril ut 6% 4% 2% % Scheduled Undertaken apacity # of s Outstanding Good Requires Improvement Inadequate 24 5% 14 2% 16 2% 15 2% 13 2% % 3% 28% 28% % 63% 56% 5% 4% 5% 6% 7% 7% /17 - Q2 216/17 - Q4 217/18 - Q2 217/18 - Q4 urrent - pr 18/ pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar 235 8
9 In pril, PMS has spent 3% of reported hours on our Monitor function. PMS has undertaken 31 inspections so far this year, with 93% meeting the KPIs, and has published 87% reports within KPI. Inspector ctivity: PMS pril data; ata from pril ut Manage Our Organisation bsence Register Inspect & Rate Monitor Enforcement Report Writing 21.% 2.8% 19.5% 17.5% % % % 1.9% 31.6% 3.9% 28.8% 6% 29.6% 31.2% 32.% 23. 4% 19.3% 19.4% 15.8% %.4%.2%.% 22.9%. 2% 16.5% 16.%.3% 2.7% 16.7%. 7.5% % 11.4% % 11.4% 7.8% % PMS Inspectors (GP) entral London North South entistry bsence includes annual leave and sickness; Manage Our Organisation includes learning & development and 1:1s; Monitor includes portfolio management and admin & correspondence Published Reports: PMS Timeliness & Influences 218/19 Financial Year; ata from pril ut raft Final In KPI Out KPI % Within KPI Enf. Fac. cc. Target 4 Perf Enf % 9% 85% % % % % % 39 7% 2% 33 4% 5% % Over. pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar KPI: S, PMS & HSP -2 ore Services 5 working days after last visit date; HSP 3+ ore Services 65 working days after last visit date; Enf.: where the report involved enforcement; Fac. cc.: number of reports where we have received a Factual ccuracy challenge. raft/final: shows reports that are overdue or due and whether they are at draft of final stage % 4% 2% s: PMS ctivity 218/19 Financial Year; ata from pril ut eregistrations Overdue In KPI Out KPI No KPI Indep. Prog. entist Prog. Not scheduled apacity Ratings Profile: hanges Over Time ata from pril ut % Outstanding Good Requires Improvement Inadequate 42 4% 15 3% 129 2% 118 2% 11 2% % 1% 8% 5% 4% 3% ,363 6,332 82% 83% 84% 86% 89% 9 9 3% 4% 4% 4% 4% 5% 5% /16 - Q /16 - Q4 216/17 - Q2 216/17 - Q /18 - Q2 217/18 - Q urrent - pr 18/19 9
10 In the last 12 months, 22% of services previously rated Good deteriorated, 5% of services previously rated Requires Improvement improved, and 72% of services previously rated Inadequate improved at their most recent inspection. Ratings: urrent Ratings Profile ata from pril ut Outstanding Good Requires Improvement Inadequate HSP MH (IH) HSP MH (NHS) HSP cute (IH) HSP cute (NHS) PMS 12 6% 2 4% 19 8% 13 8% 329 5% S 531 2% 67 4% % % 6,332 17,16 79% % 3,787 17% 31 15% % 12% 6 25% 3 6 4% 243 3% % % 2% 4% 6% Ratings hange: Previously Rated Good 12 Months Rolling; ata from pril ut Improved to Outstanding Remained Good eteriorated to Requires Improvement eteriorated to Inadequate % % 1% 6% 5% 2% 6% 4% 2% % % % 7 7% 6 67% 2 3 2% 33% % cute Trusts 14 78% MH Trust Locations 52 7% % 14 19% 3 9% 17% % 5% 3% S HSP PMS IH Ratings hange: Previously Rated RI 12 Months Rolling; ata from pril ut Ratings hange: Previously Rated Inadequate 12 Months Rolling; ata from pril ut 6% 4% 2% % eteriorated to Inadequate Improved to Good 6 1 % % % % % % 28% 46% % 62% % % 16 44% % 32% 13% % 6% % 3% 6% 8% cute Trust MH Trust Locations Remained Requires Improvement Improved to Outstanding S HSP PMS IH Improved to Outstanding Improved to Good Improved to Requires Improvement Remained Inadequate 39 2 % 8% % % 64% 7% 68% 54 33% % 5 29% 3% % 7% 6% 4% 2% % cute Trusts MH Trust Locations S HSP PMS IH 1
11 In the last 12 months, we have issued 2,281 enforcement actions, of which 1,567 (69%) are pending outcome. 88% of S and 95% of PMS locations in breach for over a year have an appropriate action in place Enforcement: Published/ompleted/Pending Rolling 12 months; ata from pril cut ll ctions Pending Outcome ll ctions ompleted ivil ctions Whistleblowing: Volumes received Rolling 12 months: ata from pril ut ll ctions Published Warning Notices riminal ctions Other (such as information used to support future inspections) Triggered a responsive inspection rought forward a planned inspection Referred to a more appropriate organisation (such as a local authority) % where a safeguarding record has been set up (safeguarding issue identitified) % where a management review record has been set up (could result in enforcement) 6% 62% 57% 55% 6% 52% 57% 55% 52% 48% 5% 46% 4% % % % % 3% 3% 2% 2% 2% 2% 2% 2% 2% 2% % % May Jun Jul ug Sep Oct Nov ec Jan Feb Mar pr May Jun Jul ug Sep Oct Nov ec Jan Feb Mar pr Special Measures: Entries, Exits & Remaining ata from pril ut Services entering and exiting Special Measures within the month, and those remaining in Special Measures at month end % 12% % 13% % 33% % 6% % 13% % S urrently in Special measures by irectorate S PMS HSP Trusts IH % 2% 4% 6% Sufficient Improvements 519 in Special 5 in Special Measures were eregistered Measures at carried into pril Registration ancelled from March the end of pril 58 entered Special Measures in pril 77 exited Special Measures in pril PMS Of those exiting ction against Long-term reach: S & PMS ata from pril ut 49 No active or planned inspection or enforcement Number identified by the directorate as de-registering Scheduled outside KPI Scheduled within KPI Recent Enforcement (Published within last 12 months) Enforcement in progress in progress 11
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