PAF Mk 3 No | Indicators and Assessments (Assessments in italics) |
1.01.01 | Quality of the NHS Board's approach to Health Improvement and Tackling Inequalities, as evidenced by:
Board's progress in developing as a Public Health Organisation, through: implementing key health improvement functions; having systems to assess coverage and impact of health improvement strategies and actions; translating strategy into action; having investment plans linked to effective health improvement; partnership working (LAs and others). Board's progress in key priority areas: early years, teenage transition, workplace health, community health, through - collaborative strategic planning; resource allocation; monitoring; evaluation; accountability and reporting; impact. |
1.04.01 | Percentage of low birth weight babies. |
1.04.02 | Proportion of women still breastfeeding at 6 weeks. |
1.05.01 | Proportion of 5 year olds with no experience of dental disease. |
1.06.01 | Percentage of target population vaccinated for the 7 childhood immunisation programmes excluding MMR. |
1.06.02 | Percentage of target population vaccinated for the MMR immunisation programmes. |
1.06.03 | Percentage of target groups (over 65s and those at risk) vaccinated against influenza. |
1.07.01 | Pregnancy rate among 13-15 year olds. |
1.07.02 | Incidence of sexually transmitted infections. |
1.08.01 | Proportion of pregnant women who smoke at the time of booking for their first antenatal visit. |
1.08.02 | Proportion of adults (16-64) smoking. |
1.09.01 | Proportion of men and women aged 16-64 exceeding weekly limits of 21 and 14 units of alcohol. |
1.10.01 | Quality of the NHS Board's approach to tackling drugs misuse, as evidenced by: whether the Health Board treatment and care provision on illicit drug misuse is in accordance with local DAT action plans and has been signed off by constituent DAT members. |
1.11.01 | Increase the number of drug misusers in contact with drug treatment and care services in the community, by at least 10% every year until 2005. |
1.11.02 | Reduce the proportion of drug misusers who inject and the proportion of injecting users sharing needles and syringes, by 20% by 2005. |
1.12.01 | Proportion of men and women aged 16-64 taking 30 minutes of moderate activity on 5 or more occasions per week. |
1.13.01 | Percentage of people consuming 400 grams (5 portions) of fruit and vegetables daily. |
1.14.01 (part) | For the following indicators, the ratio of the 20% of the population living in the most deprived postcode sectors to the 20% living in the most affluent postcode sectors as determined by the Carstairs score within each NHS Board. (These have been chosen as indicators of inequalities in health and do not necessarily reflect the top priorities for tackling health inequalities): percentage of pregnant women who smoke at the time of their first antenatal visit; percentage of 5 year olds with dental cavities; percentage of 16-64 year olds who are current smokers; age standardised mortality rate from Coronary Heart Disease in people under 75; life expectancy at birth. |
2.07.01 | Percentage of the population aged 0-17 registered with an NHS dentist. |
2.07.02 | Percentage of the adult population registered with an NHS dentist. |
2.07.03 | Assess progress in relation to the implementation of the Dental Action Plan. |
DELAYED DISCHARGES |
2.08.01 | Percentage of patients experiencing a delay in discharge where the delay was 6 weeks or more. |
2.08.02 | Patients ready for discharge as a percentage of occupied beds. |
2.08.03 | Whether approaches to tackling delayed discharge are based on Joint Local Action Plans agreed with local authority partners. |
48-HOUR ACCESS |
2.06.03 | Access to a member of the primary care team within 48 hours. |
2.06.04 | Progress with the implementation of the pharmaceutical strategy "The Right Medicine". |
CANCER |
1.02.02 | Percentage reduction in age standardised mortality rate from all cancers in people under 75 years. |
2.04.01 | Percentage of target population screened for breast cancer (50-64). |
2.04.02 | Percentage of target population screened for cervical cancer (20-60). |
3.07.01 | Relative survival rates of persons who were diagnosed with the 4 main cancers (Lung, Breast, Colorectal and Ovarian), adjusted for case mix. |
4.10.03 | Percentage of patients with urgent referral for breast cancer waiting more than one month for treatment following diagnosis (where clinically appropriate). |
4.10.04 | Percentage of patients with urgent referral for all cancers waiting more than 2 months for treatment following diagnosis (where clinically appropriate). |
CORONARY HEART DISEASE/STROKE |
1.02.01 | Percentage reduction in age standardised mortality rate from CHD in people under 75 years. |
1.02.03 | Percentage reduction in age standardised mortality rate from stroke in people under 75 years. |
1.14.01 (part) | For the following indicator, the ratio of the 20% of the population living in the most deprived postcode sectors to the 20% living in the most affluent postcode sectors as determined by the Carstairs score within each NHS Board. (These have been chosen as indicators of inequalities in health and do not necessarily reflect the top priorities for tackling health inequalities) : age standardised mortality rate from Coronary Heart Disease in people under 75. |
2.03.01 | Surgery rates, composite consisting of age standardised elective rates for CABG & PTCA (percutaneous transluminal coronary angioplasty) (Weighted by relative mortality rate). |
3.05.02 | Statin prescribing: number of defined daily doses per 1,000 patients per month. |
3.08.01 | 30 day survival after admission for acute myocardial infarction. |
3.08.03 | 30 day survival after admission for stroke. |
4.10.01 | Percentage patients waiting more than the 8 week maximum for angiography after seeing a specialist. |
4.10.02 | Percentage of patients waiting more than the 18 week maximum wait for surgery or angioplasty following angiography. |
MENTAL HEALTH |
1.03.01 | Proportion of 13-74 year olds with a GHQ12 score of 4 or more. |
2.10.01 | Percentage change in expenditure on mental health accounted for by non in-patient services. |
2.11.01 | Percentage change in expenditure on learning disability accounted for by non in-patient services. |
3.05.03 | Hypnotics and anxiolytics: number of defined daily doses per 1,000 patients per month. |
4.04.01 | Assessment of progress on key Mental Health and Joint Future and planning for the implementation of the new Mental Health Act. |
4.05.01 | The extent of progress of implementation of The Same As You?; progress on closure of all long-stay institutions for people with learning disabilities and provision of appropriate health care services to meet their needs; target date 2005; provision of assessment/treatment beds; evidence of investment in specialist and community health services to meet the needs of children and adults with learning disabilities across the NHS Board area. |
WAITING TIMES |
4.08.01 | Patients waiting longer than 6 months for a new out-patient appointment: progress to 2006 target. |
4.08.02 | Patients waiting more than 9 months for in-patient or day case treatment: progress to December 2003 target. |
4.09.01 | Arrival to completion of treatment: trolley cases (percentage seen within 2 hours). |
4.09.02 | Arrival to completion of treatment: walking wounded (percentage seen within 2.5 hours). |
4.10.01 | Percentage patients waiting more than the 8 week maximum for angiography after seeing a specialist. |
4.10.02 | Percentage of patients waiting more than the 18 week maximum wait for surgery or angioplasty following angiography. |
4.10.03 | Percentage of patients with urgent referral for breast cancer waiting more than one month for treatment following diagnosis (where clinically appropriate). |
4.10.04 | Percentage of patients with urgent referral for all cancers waiting more than 2 months for treatment following diagnosis (where clinically appropriate). |
PATIENT FOCUS/PUBLIC INVOLVEMENT |
5.01.01 | NHS Boards can demonstrate the implementation of involvement, patient information, responsiveness, and building capacity, and communications performance indicators, across all services, through the development of patient focus and public involvement framework. |
5.02.01 | Meeting the needs of the disabled. |
5.02.02 | Evidence that there is a strategy in place to meet the specific needs of homeless people and that this strategy includes progress towards the delivery of the Homeless Task Force Health Recommendations. |
5.02.03 | Assessment of NHSScotland's progress in complying with the Good Practice Guidance on Adult Hearing Aid Fitting Services issued by the Executive in March 2001. |
WORKFORCE DEVELOPMENT/STAFF GOVERNANCE |
6.01.01 | Compliance with agreed integrated approach to strategic and operational workforce planning to ensure that the numbers, skills and mix of people is right. |
6.02.01 | A 2-way regular, relevant information system that keeps staff informed will operate effectively. |
6.03.01 | "Learning Together" will be fully implemented and resources allocated so that staff are appropriately trained. |
6.04.01 | Systems for the involvement of all staff and their trade union/professional organisation representatives will be developed, operated and evaluated in partnership. |
6.05.01 | Employment practices across NHSScotland will reflect current best practice to ensure that all staff are treated fairly. This will include the New Deal for Junior Doctors; and implementation of pay modernisation through Agenda for Change, new consultants' contracts and new GP contracts. |
6.06.01 | "Towards a Safer, Healthier Workplace" will be fully implemented and resources allocated to ensure the safety and well being of all staff. |
HEALTHCARE ACQUIRED INFECTION |
4.11.01 | Rate of MRSA (Methicillin - Resistant Staphylococcus Aureus Bacteraemia). |
FINANCIAL BREAK-EVEN |
7.04.01 | NHS Boards to: operate within their revenue resource limit, operate within their capital resource limit, meet their cash requirement. |
7.04.02 | NHS Trusts to: break even taking one year with another, stay within their capital resource limit. |
SERVICE RE-DESIGN |
7.02.01 | To assess the strategic development of community based services. |
7.02.02 | To monitor progress on the organisational agenda. |
7.02.03 | To assess progress with the implementation of the "Nursing for Health" and "Framework for Nursing in Schools" strategies. |
7.03.01 | To monitor progress of the programmes of work initiated by the Centre for Change and Innovation. |