Information

NHSScotland Chief Executive's Annual Report 2014/15

The NHSScotland Chief Executive's Annual Report 2014/15 presents an assessment of the performance of NHSScotland in 2013/14 and describes key achievements and outcomes.


Appendices

HEAT Target Performance 2014/15

The HEAT Target Performance for 2014/15[130] is provided in the table below.

Health Improvement

HEAT Targets Due for Delivery in 2014/15
Target Outcome
NHSScotland to deliver universal smoking cessation services to achieve at least 12,000 successful quits, at 12 weeks post quit, in the 40 per cent most deprived within-board SIMD areas (60 per cent for island health boards) over one year ending March 2015. Of 39,746 quit attempts, 7,017 were still not smoking at three months, a ‘quit rate’ of 18 per cent, similar to the overall Scotland quit rate. This represents 58 per cent of the HEAT target of around 12,000 three month quits in the most deprived areas.
At least 80 per cent of pregnant women in each SIMD quintile will have booked for antenatal care by the 12th week of gestation by March 2015 so as to ensure improvements in breastfeeding rates and other important health behaviours. For the year ending March 2013, the worst-performing SIMD quintile at the national level was 74.6 per cent.

Awaiting data for period up to March 2015.
HEAT Targets Due in Future Years
Target Latest Results
To increase the proportion of people diagnosed and treated in the first stage of breast, colorectal and lung cancer by 25 per cent by combined calendar years 2014 to 2015. In Scotland, there was a 6.5 per cent increase in the percentage of people diagnosed at stage 1 for breast, colorectal and lung cancer (combined) between the baseline of combined calendar years 2010 and 2011 and combined calendar years 2013 and 2014.

Efficiency and Governance

HEAT Targets Due for Delivery in 2014/15
Target Outcome
NHS Boards are required to operate within their Revenue Resource Limit (RRL), their Capital Resource Limit (CRL) and meet their Cash Requirement. All NHS Boards met their 2014/15 financial targets.
NHSScotland to reduce energy-based carbon dioxide (CO2) emissions and to continue a reduction in energy consumption to contribute to the greenhouse gas emissions reduction targets set in the Climate Change (Scotland) Act 2009. Between 2009/10 and 2014/15, NHSScotland secured a 6.8 per cent reduction in carbon dioxide (CO2) emissions and a 4.6 per cent reduction in energy consumption.

Access to Services

HEAT Targets Due in Future Years
Target Latest Results
Eligible patients will commence IVF treatment within 12 months by 31 March 2015. During the quarter ending March 2015, 397 eligible patients were screened at an IVF Centre in Scotland. The initial estimates from data at this early stage of development indicate that around 96 per cent of eligible patients were screened for IVF treatment within 365 days.
Deliver faster access to mental health services by delivering 26 weeks referral to treatment for specialist Child and Adolescent Mental Health Services (CAMHS) services from March 2013; reducing to 18 weeks from December 2014; and 18 weeks referral to treatment for Psychological Therapies from December 2014. During the quarter ending December 2014, 86.0 per cent of children and young people were seen within 26 weeks for CAMHS.

During the quarter ending March 2015, 78.9 per cent of children and young people were seen within 18 weeks for CAMHS.

During the quarter ending March 2015, 82.8 per cent of people were seen within 18 weeks for Psychological Therapies.
95 per cent of patients will wait less than 4 hours from arrival to admission, discharge or transfer for accident and emergency treatment by year ending September 2014. The percentage of patients waiting less than 4 hours for the year ending September 2014 was 93.4 per cent.

Treatment Appropriate to Individuals

HEAT Targets Due for Delivery in 2014/15
Target Outcome
Further reduce healthcare-associated infections so that by March 2015 NHS Boards’ Staphylococcus aureus bacteraemia (including MRSA) cases are 0.24 or less per 1,000 acute occupied bed days; and the rate of Clostridium difficile infections in patients aged 15 and over is 0.32 cases or less per 1,000 total occupied bed days. For the year ending March 2015, the rate of MRSA/MSSA cases across NHSScotland was 0.31 per 1,000 acute occupied bed days.

For the year ending March 2015, the rate of identifications of CDI across NHSScotland was 0.34 per 1,000 occupied bed days among patients aged 15 and over.
No people will wait more than 14 days to be discharged from hospital into a more appropriate care setting, once treatment is complete from April 2015. There were 357 people waiting over 14 days to be discharged from hospital in April 2015.
Reduce the rate of emergency inpatient bed days for people aged 75 and over per 1,000 population by at least 12 per cent between 2009/10 and 2014/15. Across Scotland, the rate of emergency bed days per 1,000 patients aged 75 and over has reduced by a provisional 11.4 per cent from 5,422 in 2009/10 to 4,805 in 2014/15. This figure will remain provisional until summer 2016 when a final figure will be published.

HEAT Targets Due in Future Years
Target Latest Results
To deliver expected rates of dementia diagnosis and by 2015/16, all people newly diagnosed with dementia will have a minimum of a year’s worth of post-diagnostic support co-ordinated by a link worker, including the building of a person-centred support plan. Data systems and definitions are currently under development.

It should be noted that the Local Delivery Plan (LDP) Standards for 2015/16 have since replaced the system of HEAT targets and Standards, with the vast majority of LDP Standards being former HEAT targets.

Further information is available on the Scotland Performs webpages of the Scottish Government website.[131]

Territorial NHS Boards

NHS Ayrshire and Arran www.nhsaaa.net
NHS Borders www.nhsborders.org.uk
NHS Dumfries and Galloway www.nhsdg.scot.nhs.uk
NHS Fife www.nhsfife.scot.nhs.uk
NHS Forth Valley www.nhsforthvalley.com
NHS Grampian www.nhsgrampian.org
NHS Greater Glasgow and Clyde www.nhsggc.org.uk
NHS Highland www.nhshighland.scot.nhs.uk
NHS Lanarkshire www.nhslanarkshire.co.uk
NHS Lothian www.nhslothian.scot.nhs.uk
NHS Orkney www.ohb.scot.nhs.uk
NHS Shetland www.shb.scot.nhs.uk
NHS Tayside www.nhstayside.scot.nhs.uk
NHS Western Isles www.wihb.scot.nhs.uk

Special NHS Boards

National Waiting Times Centre Board (NWTCB) www.nhsgoldenjubilee.co.uk
NHS Education for Scotland (NES) www.nes.scot.nhs.uk
NHS Health Scotland www.healthscotland.com
NHS National Services Scotland (NSS) www.nhsnss.org
NHS 24 www.nhs24.com
Scottish Ambulance Service www.scottishambulance.com
The State Hospital Board www.tsh.scot.nhs.uk

Healthcare Improvement Scotland

Healthcare Improvement Scotland www.healthcareimprovementscotland.org

Contact

Email: Andrew Wilkie

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