Introducing monthly A&E control charts
The 4-hour A&E target is the highest profile performance target in the English NHS. We analyse every Trust's performance each month using control charts, and this is an introduction.
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The 4-hour A&E target is the highest profile performance target in the English NHS. We analyse every Trust's performance each month using control charts, and this is an introduction.
When financial penalties were lifted from referral-to-treatment waiting times back in March, I said that looser waiting list management might be the first clear sign that focus on this NHS Constitution right was being lost. This has now happened.
The NHS has no choice about doing it. It is core to any successful contract negotiation. But there are no targets for it, budgets are not based on it, CCGs don't collect data on it, and in practice it is often ignored...
If you're an information professional then you'll probably want to ask: How do you get data into Gooroo Planner? And how difficult is it?
Our free monthly RTT analyses are designed to reveal the story behind the waiting times, as this introduction explains.
Waiting times remained stubbornly close to 20 weeks at the end of July, the 17th consecutive breach of the 18 week target.
Senior managers are increasingly expected to understand why performance varies, using control charts. Mike Davidge of NHS Elect explains it beautifully, using your daily commute and some real-life trust board reports.
The waiting list has been threatening to exceed 4 million patients for a while now, and in June it finally popped over. A slump in the admission rate didn't help.
In theory, the NHS has highly sophisticated processes for finance and activity planning. In practice they are rather less polished. So here are two changes that would transform planning for the better.
What is control charting? How does it differ from a straightforward chart of performance over time? Why does it make such a huge difference to management? And why does it matter now?