North East Ambulance Service Performance February 2019 · 2019-03-28 · 3 111 Call demand has...
Transcript of North East Ambulance Service Performance February 2019 · 2019-03-28 · 3 111 Call demand has...
North East Ambulance Service Performance
February 2019
2
999 Call demand in February 2019 has Decreased from January, with current levels the lowest seen since April 2018. The percentage of 999 calls being answered within 5 seconds continues to decreased from January to February (85.82%) giving the lowest performance in 2 years. Comparison to January 2018 performance has decreased by 8.28% with a downward trend overall.
The Hear and Treat rate is below historic levels and has remained static at around 5% for a number of months, with an upward trend.
With changes to call flow following implementation of the new IUC service in October 2018 The forecasted drop in hear and treat performance has not been seen.
NEAS remain below the national average for Hear and Treat outcomes for January 2018.
20,000
25,000
30,000
35,000
40,000
45,000
50,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Call demand to NEAS via the 999 service
2017/18 2018/19
70%
75%
80%
85%
90%
95%
100%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Calls to 999 answered within 5 seconds
2017/18 2018/19 Target
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
0
500
1,000
1,500
2,000
2,500
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Calls to 999 discharged with telephone advice (Hear and Treat)
2018/19 - vol. 2017/18 - % 2018/19 - %
Operations Centre – 999 Our Performance
5.12
%
0%
1%
2%
3%
4%
5%
6%
7%
8%
WM
AS LAS
NEA
S
SCAS
SWAS
SECA
MB
NW
AS IoW YAS
EoE
EMAS
Call/incident outcome performance - Hear & Treat percentage rate (A17 / A7) -(YTD) February 2018-19
3
111 Call demand has decreased compared to January 2018. February 2019 providing a decrease from the previous month by 14.7%.
The percentage of 111 calls answered within 60 seconds has decreased again in February compared to the previous month below the 95% standard by 13.88%, with performance now under the same time last year.
The percentage of 111 calls where a patient has had contact with a clinician (clinical Input) is a new reporting measure from the Integrated Urgent Care. This target is set at 50% with current performance at 41%.
0
20,000
40,000
60,000
80,000
100,000
120,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Call demand to NEAS via the NHS111 service
2017/18 2018/19
81.12%
70%
75%
80%
85%
90%
95%
100%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Calls to 111 answered within 60 seconds
2017/18 2018/19 Target
Operations Centre – 111 Our Performance
4
C1 response times have consistently achieved both the Mean and the 90th Centile targets for a number of months. C1 response times are lower than February 2018.
C2 response times are continuing to increase above national standards for the mean for 8 months and the 90th centile for 6 months consecutively. C2 response times are higher than February 2018.
C3 and C4 90th centiles have both marginally decreased for February 2019 remaining over the national standard. C4 now achieving National Standard for the first time since August 2018.
06:3
0
06:3
4
06:2
7
05:5
3
05:5
0
06:0
3
06:1
9
06:0
8
06:1
1
06:1
4
06:1
3
06:2
9
06:1
7
06:1
1
10:5
9
10:4
3
10:5
8
09:5
8
09:4
8
10:1
7
10:5
1
10:2
2
10:3
6
10:3
4
10:4
7
11:1
7
10:5
4
10:3
7
-
2:00
4:00
6:00
8:00
10:00
12:00
14:00
16:00
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19
Category 1 response times
Mean 90th Centile National standard National standard
23:0
4
19:5
3
22:3
0
16:4
6
16:5
2
17:3
9
20:2
6
19:0
0
20:1
5
20:4
0
23:4
1
26:3
5
26:5
4
26:1
1
47:3
1
39:4
8
45:5
8
33:3
0
34:1
0
36:1
3
37:4
0
38:4
1
41:1
8
43:0
8
48:4
4
54:5
0
56:1
9
54:4
7
-
0:10:00
0:20:00
0:30:00
0:40:00
0:50:00
1:00:00
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19
Category 2 response times
Mean 90th Centile National standard National standard
1:26
:50
1:12
:49
1:31
:41
0:51
:48
0:51
:12
1:00
:07
1:09
:00
1:05
:28
1:11
:51
1:08
:43
1:21
:30
1:36
:24
1:34
:17
1:31
:19
3:20
:24
2:46
:51
3:37
:17
1:58
:26
1:57
:10
2:17
:46
2:45
:22
2:33
:28
2:51
:52
2:42
:49
3:10
:06
3:46
:35
3:54
:07
3:46
:38
-
0:30:00
1:00:00
1:30:00
2:00:00
2:30:00
3:00:00
3:30:00
4:00:00
4:30:00
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19
Category 3 response times
Mean 90th Centile National standard
1:14
:56
1:11
:03
1:16
:12
0:48
:32
0:57
:17
1:01
:01
1:10
:01
1:09
:03
1:19
:31
1:13
:22
1:24
:02
1:27
:20
1:28
:31
1:17
:35
2:41
:26
2:36
:50
2:41
:35
1:46
:23
2:03
:12
2:16
:35
2:33
:52
2:52
:46
3:41
:53
3:06
:29
3:37
:55
3:44
:09
3:45
:37
2:56
:31
-
0:30:00
1:00:00
1:30:00
2:00:00
2:30:00
3:00:00
3:30:00
4:00:00
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19
Category 4 response times
Mean 90th Centile National standard
Unscheduled Care - Response Times Our Performance
5
Category 3 & 4 - both 90th centileCategory 2 - Mean and 90th centileCategory 1 - Mean and 90th centile
Benchmarking for February 2019 due for publication later in the month.
In January 2019 NEAS has reclaimed performance as the best placed Ambulance Trust for C1 response times remaining overtaking LAS (London) for Mean response time (remaining second for 90th Centile).
All C2, C3 &C4 all sitting above target and above national average For January 2018.
Unscheduled Care - Response Times - National Benchmarking Our Performance
00:0002:0004:0006:0008:0010:0012:0014:0016:0018:0020:0022:00
IoW EoE
SECA
MB
EMAS
SWAS
NW
AS
SCAS YA
S
WM
AS LAS
NEA
S
Category 1 Response Times - 90th centile response (min:sec) - (YTD) February 2018-19
England Target
00:00
02:00
04:00
06:00
08:00
10:00
12:00
IoW EoE
NW
AS
EMAS
SECA
MB
YAS
SWAS
SCAS
WM
AS LAS
NEA
S
Category 1 Response Times - Mean response (min:sec) - (YTD) February 2018-19
England Target
00:00
05:00
10:00
15:00
20:00
25:00
30:00
35:00
EMAS
SWAS Eo
E
NW
AS
NEA
S
YAS
LAS
SECA
MB
IoW
SCAS
WM
AS
Category 2 Response Times - Mean response (hour:min:sec) - (YTD) February 2018-19
England Target
2:56
:23
-
0:30:00
1:00:00
1:30:00
2:00:00
2:30:00
3:00:00
3:30:00
4:00:00
SECA
MB
EoE
EMAS
NEA
S
SWAS
NW
AS LAS
IoW
YAS
SCAS
WM
AS
Category 3 Response Times - 90th centile response (hour:min:sec) - (YTD) February 2018-
19
England Target
-0:30:001:00:001:30:002:00:002:30:003:00:003:30:004:00:004:30:005:00:00
SWAS
SECA
MB
EoE
IoW
NW
AS
NEA
S
SCAS YA
S
EMAS LA
S
WM
AS
Category 4 Response Times - 90th centile response (hour:min:sec) - (YTD) February 2018-
19
England Target
00:00
10:00
20:00
30:00
40:00
50:00
00:00
10:00
EMAS
SWAS
NW
AS EoE
NEA
S
YAS
LAS
IoW
SECA
MB
SCAS
WM
AS
Category 2 Response Times - 90th centile response (hour:min:sec) - (YTD) February
2018-19
England Target
6
The number of incidents attended to by an ambulance resource has decreased in February 2019 but is 3.79% above the February 2018, following last year’s trend.
The proportion of patients being conveyed to a Type 1 or 2 ED has decreased in February, the percentages of patients attended subsequently conveyed to an ED is 1.3% higher than February 2018. The percentage increases of see and treat cases has decreased in February in both Volume and percentage.
See and Treat rates have increased in February 2019 however remain higher than the same period last year and not meeting the national standard (30%).
25000
26000
27000
28000
29000
30000
31000
32000
33000
34000
35000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Volume of incidents attended to by an ambulance service resource
2017/18 2018/19
0%
5%
10%
15%
20%
25%
30%
35%
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Patients treated face-to-face and discharged at the scene (See & Treat)
2018/19 - vol. 2017/18 - % 2018/19 - %
25.2
8%
0%
5%
10%
15%
20%
25%
30%
35%
40%
IoW
YAS
NW
AS
NEA
S
LAS
EMAS Eo
E
SECA
MB
SCAS
WM
AS
SWAS
Call/incident outcome performance - See & Treat percentage rate (A55 / A7) - (YTD) February 2018-19
Unscheduled Care Our Performance
52%
54%
56%
58%
60%
62%
64%
0
5000
10000
15000
20000
25000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Patients treated and subsequently conveyed to a Type 1 or 2 Emergency Department (Hospital A&E)
2018/19 - vol. 2017/18 - % 2018/19 - %
7
Arrival Time performance has decreased in February 19 in terms of On Time arrivals sitting at the lowest it has been in the last recorded 23 months.
Collection within 60 minutes remains outside of target for the third month by only 0.6%.
Previously proportion of Completed Journeys has decreased in February2019 following the 2017/18 trend, 5% lower than equivalent time in 2018.
50%
60%
70%
80%
90%
100%
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Patients arriving on time for their appointments
Target
50%
60%
70%
80%
90%
100%
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Patients collected within 60 minutes of them being ready following their appointment
Target
50%
60%
70%
80%
90%
100%
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Patients spending less than 60 minutes travelling to/from their appointment
Target
20,000
30,000
40,000
50,000
60,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Number of completed patient journeys to/from their appointments
2017/18 2018/19
Scheduled Care Our Performance
8
NHS Durham Dales, Easington and Sedgefield CCG
9
NHS Durham Dales, Easington and Sedgefield CCG
The Hear and Treat rate has decreased in February 2019 however percentages remain consistent around 5%, performance remaining higher than 2018.
Call demand to 111 decreased in February 2019 and the current level of demand following the trends from last year.
Clinical input per CCG is in development to show how many calls per CCG had contact with a health care professional.
Operations Centre – 999 & 111 Our Performance
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
0
50
100
150
200
250
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Calls to 999 discharged with telephone advice (Hear and Treat)
2018/19 - vol. 2017/18 - % 2018/19 - %
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Call demand to NEAS via the NHS111 service
2017/18 2018/19
Graph of IUC KPI 15 - Clinical input in developed by CCG
10
NHS Durham Dales, Easington and Sedgefield CCG
There has been a marginal increase in Cat 1 response time performance for both Mean and 90th centile, with the Mean response times remains out with the target by 31 seconds.
C3 and C2 response times show minimal improvement in February 2019, remaining above standard.
A decrease for C4 from December 2018 to February 2019 has been seen, achieving C4 response time category for the first time since October 2018.
08:2
1
08:0
2
07:1
7
07:2
4
07:0
8
06:2
2
07:0
2
08:0
5
06:4
9
07:5
9
07:4
7
07:5
7
07:5
2
07:0
8
07:3
1
14:0
3
13:3
9
11:5
3
12:4
2
11:4
1
10:3
8
12:5
6
13:3
2
11:2
0
13:4
8
12:5
7
13:1
8
12:5
8
12:3
2
13:3
3
-
2:00
4:00
6:00
8:00
10:00
12:00
14:00
16:00
Category 1 response times
Mean 90th Centile National standard National standard
33:1
8
28:2
4
23:2
4
25:2
9
21:3
7
21:3
4
21:5
5
37:4
6
23:3
4
23:4
8
26:0
0
28:2
2
29:3
4
31:4
6
30:4
5
1:07
:19
0:57
:40
0:47
:09
0:52
:03
0:43
:47
0:45
:57
0:44
:55
0:43
:15
0:48
:27
0:48
:44
0:53
:21
0:56
:47
0:58
:48
1:04
:09
1:04
:07
-
0:10:00
0:20:00
0:30:00
0:40:00
0:50:00
1:00:00
1:10:00
1:20:00
Category 2 response times
Mean 90th Centile National standard National standard
0 0 0 0 0 0 0 0 0 0 0 0 0 0 05:01
:40
3:16
:40
2:30
:38
3:08
:02
2:14
:15
2:11
:21
2:46
:17
2:39
:55
2:41
:26
2:39
:51
2:45
:45
3:16
:30
3:30
:47
3:51
:30
3:52
:46
-0:30:001:00:001:30:002:00:002:30:003:00:003:30:004:00:004:30:005:00:005:30:00
Category 3 response times
Mean 90th Centile National standard
0 0 0 0 0 0 0 0 0 0 0 0 0 0 03:35
:39
2:50
:39
3:04
:19
2:01
:36
1:26
:00
1:54
:28
2:10
:07
2:43
:00
2:55
:38
3:05
:46
2:01
:10
3:36
:35
4:20
:47
3:30
:53
2:23
:55
-0:30:001:00:001:30:002:00:002:30:003:00:003:30:004:00:004:30:005:00:00
Category 4 response times
Mean 90th Centile National standard
Unscheduled Care - Response Times Our Performance
11
NHS Durham Dales, Easington and Sedgefield CCG
The volume of incidents attended to by an ambulance response has seen a slight decrease following the same trend as 2018.
There has been a slight increase in See and Treat percentage with current performance remaining 3.6% above the average from the same period last year, an upward trend is evident.
The percentage of patients conveyed to a Type 1 or 2 ED is decreasing in February2019 following a stable period of time, moving below the 2017/18 average.
Unscheduled Care Our Performance
0
500
1000
1500
2000
2500
3000
3500
4000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Volume of incidents attended to by an ambulance service resource
2017/18 2018/19
0%
5%
10%
15%
20%
25%
30%
35%
0
200
400
600
800
1000
1200
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Patients treated face-to-face and discharged at the scene (See & Treat)
2018/19 - vol. 2017/18 - % 2018/19 - %
55%56%57%58%59%60%61%62%63%64%
0
500
1000
1500
2000
2500
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Patients treated and subsequently conveyed to a Type 1 or 2 Emergency Department (Hospital A&E)
2018/19 - vol. 2017/18 - % 2018/19 - %
12
NHS North Durham CCG
13
NHS North Durham CCG
The Hear and Treat rate has decreased by 0.14% in February 2019 having remained consecutively static for a number of months, remaining below heart and treat rates from 2018.
Call demand to 111 has decreased marginally in February 2019 and the current level of demand is higher than the same period last year.
Clinical input per CCG is in development to show how many calls per CCG had contact with a health care professional.
Operations Centre – 999 & 111 Our Performance
0%1%2%3%4%5%6%7%8%9%10%
020406080
100120140160180200
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Calls to 999 discharged with telephone advice (Hear and Treat)
2018/19 - vol. 2017/18 - % 2018/19 - %
01,0002,0003,0004,0005,0006,0007,0008,0009,000
10,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Call demand to NEAS via the NHS111 service
2017/18 2018/19
Graph of IUC KPI 15 - Clinical input in developed by CCG
14
NHS North Durham CCG
Response times have decreased for Cat 1 mean hitting response time target, also achieving C1 90th centile.
The C2 response times continue to be high even following a small decrease month on month and each is above the target standard.
C3 remains above the target threshold increasing from October 2018 to February 2019.
C4 remains outside of target by 55 Minutes.
07:5
8
07:2
2
08:3
7
07:1
8
06:3
4
06:2
6
06:5
2
07:0
6
06:5
7
06:2
9
07:0
4
06:3
3
07:0
6
07:0
8
06:5
3
14:0
3
14:0
7
14:0
8
13:2
7
12:1
2
12:1
3
11:4
4
13:3
8
12:2
1
11:0
8
12:4
1
11:1
3
12:4
1
12:0
9
12:3
0
-
2:00
4:00
6:00
8:00
10:00
12:00
14:00
16:00
Category 1 response times
Mean 90th Centile National standard National standard
34:0
2
27:3
9
23:2
4
25:3
7
19:2
1
18:3
4
18:5
9
21:0
4
20:1
7
22:5
6
22:3
5
27:1
2
30:2
5
30:2
6
29:2
2
01:0
9:57
00:5
5:51
00:4
6:19
00:5
1:34
00:3
9:05
00:3
6:32
00:3
6:48
00:4
1:19
00:3
9:16
00:4
5:51
00:4
6:29
00:5
3:45
01:0
1:30
01:0
1:04
01:0
0:11
-
0:10:00
0:20:00
0:30:00
0:40:00
0:50:00
1:00:00
1:10:00
1:20:00
Category 2 response times
Mean 90th Centile National standard National standard
0 0 0 0 0 0 0 0 0 0 0 0 0 0 05:53
:50
3:36
:01
3:16
:28
3:40
:31
2:14
:06
2:08
:28
2:16
:35
2:50
:58
2:38
:44
3:13
:01
2:38
:22
3:15
:23
3:54
:21
4:05
:40
4:06
:25
-0:30:001:00:001:30:002:00:002:30:003:00:003:30:004:00:004:30:005:00:005:30:006:00:006:30:00
Category 3 response times
Mean 90th Centile National standard
0 0 0 0 0 0 0 0 0 0 0 0 0 0 04:54
:57
3:22
:32
3:20
:51
1:48
:21
1:45
:46
2:10
:03
3:05
:01
3:09
:54
2:07
:52
3:21
:50
1:30
:08
1:45
:22
3:04
:50
3:42
:29
3:55
:00
-0:30:001:00:001:30:002:00:002:30:003:00:003:30:004:00:004:30:005:00:005:30:00
Category 4 response times
Mean 90th Centile National standard
Unscheduled Care - Response Times Our Performance
15
NHS North Durham CCG
The volume of incidents attended to by an ambulance response has decreased slightly in February 2019 with the overall volume in line with the same period last year.
There has been a slight increase in the See and Treat percentage in February, showing an increase on the historic trend.
There has been a slight increase in the percentage of patients conveyed to a Type 1 or 2 ED in February with current performance 3.1% higher than the same period last year. The volumes conveyed are the highest reported from April 2018.
Unscheduled Care Our Performance
0
500
1000
1500
2000
2500
3000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Volume of incidents attended to by an ambulance service resource
2017/18 2018/19
0%
5%
10%
15%
20%
25%
30%
0
100
200
300
400
500
600
700
800
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Patients treated face-to-face and discharged at the scene (See & Treat)
2018/19 - vol. 2017/18 - % 2018/19 - %
0%
10%
20%
30%
40%
50%
60%
70%
0200400600800
100012001400160018002000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Patients treated and subsequently conveyed to a Type 1 or 2 Emergency Department (Hospital A&E)
2018/19 - vol. 2017/18 - % 2018/19 - %