Acute trust overview
Key targets
The key targets, including details of why the indicator is included, data source, the period of time assessed by the indicator, and technical specification (construction), are available via the indicator links on the left side of this page.
The key targets are:
- 12 hour waits for emergency admission via A&E post decision to admit
- all Cancers: 2 week wait
- financial management
- hospital cleanliness
- Improving Working Lives
- outpatient and elective (inpatient and day case) booking
- outpatients waiting longer than the standard
- patients waiting longer than the standard for elective admission
- total time in A&E: 4 hours or less
Balanced scorecard indicators
These indicators have been chosen to provide a balance across a broad range of areas.
The balanced scorecard indicators, including details of the rationale, the data source and the data period and technical specification (construction), are available via the indicator links on the left side of this page.
The balanced scorecard indicators are:
Clinical focus
- child protection
- clinical governance composite indicator
- clinical negligence
- composite of participation in audits
- deaths following a heart bypass operation
- deaths following selected non-elective surgical procedures
- emergency readmission following discharge (adults)
- emergency readmission following discharge for a fractured hip
- indicator on stroke care
- infection control
- thrombolysis - 30 minute door to needle time
- "Winning Ways" - processes and procedures
Patient focus
- A&E emergency admission waits (4 hours)
- adult inpatient and young patient surveys: access and waiting
- adult inpatient and young patient surveys: better information, more choice
- adult inpatient and young patient surveys: building closer relationships
- adult inpatient and young patient surveys: clean, comfortable, friendly place to be
- adult inpatient and young patient surveys: safe, high-quality, coordinated care
- better Hospital Food
- breast cancer: 1 month diagnosis to treatment
- breast cancer: 2 month GP urgent referral to treatment
- cancelled operations
- day case patient booking
- delayed transfers of care
- patient complaints
- patients waiting longer than standard for revascularisation
- six month inpatient waits
- thirteen week outpatients
Capacity and capability
- consultant appraisal
- HES & Workforce datasets: data quality on ethnic group
- information governance
- junior doctors' hours
- staff opinion survey: health, safety and incidents
- staff opinion survey: human resource management
- staff opinion survey: staff attitudes
Clinical governance reviews
For acute and specialist trusts, Healthcare Commission Clinical Governance Review assessment levels and progress made against action plans have had no impact on 2004 star ratings.
Indicators that are not applicable to all trusts
Some key targets and balanced scorecard indicators may only be appropriate for some individual specialist trusts. For instance, accident and emergency waits do not apply to hospitals without A&E services. A trust rating has been allocated on the basis of those key targets and indicators that are appropriate to the trust concerned.
Specialist trusts
The key targets and balanced scorecard indicators are the same for specialist trusts as those for acute trusts (subject to applicability as outlined above).
Combined trusts
Combined trusts, those that provide services in mental health as well as acute or primary care, need to refer to the indicator lists for both trust types and have been rated in both sectors (acute and mental health, or primary care and mental health).
