Issue - meetings

BHRUT Referral to Treatment Plan Update

Meeting: 26/07/2016 - Health & Wellbeing Board and ICB Sub-Committee (Committees in Common) (Item 23)

23 18 Week Referral To Treatment Update pdf icon PDF 56 KB

Additional documents:

Minutes:

BHRUT reminded the Board of the background to how the poor performance had occurred and gave a presentation on the work that had been undertaken on their 18 week Right to Treatment (RTT) Recovery and Improvement Plan and the work streams within it.  In addition, they had now completed a major validation exercise on the data and now had accurate information on the patients waiting to be seen

 

BHRUT advised that good progress had been made to reduce the backlogs on both admitted and non-admitted patients.  BHRUT had developed a trajectory to clear the longest waiting patients and by 3 April 2016 had made, better than expected progress against that target, with a 34.8% reduction in those patients waiting.  The total number of patients on the Trust waiting list had now been reduced from 114,000 to 54,000.  The Trust was also undertaking a review of the RTT administration roles for booking and managing patient pathways.  However, even with material demand management, outsourcing, additional recruitment, improved theatre productivity and administration the size of the backlog meant that it would take until 2017 to clear. 

 

BHRUT advised that they were also developing detailed demand and capacity plans for the specialities.  These plans would allow staff to quantify weekly any capacity gaps and assist with future planning to match resources with patients’ needs.

 

BHRUT reiterated that they had a communications strategy in place.

 

CCG advised that their role was to hold the BHRUT to contractual delivery and ensure that the Trust adhered to the Improvement Plan.  Havering CCG, as the lead on contracting body for BHRUT, had been issued with legal directions in June by NHS England.  The CCG also had a role in averting 30,000 GP Outpatient referrals in high demand sections out of BHRUT.  The Board’s attention was also drawn to the work which was being undertaken to design new clinical pathways for 10 key areas. 

The escalated position had provided extra support to focus on the RTT problems.  A robust, overarching recovery plan from the Trust with a CCG Demand Management Plan would need to be signed off and reported to NHS England in September 2016.

 

Cllr Carpenter asked for clarification in regard to the backlog taking till 2017 to clear and what affect that would have on new patient referrals.  BHRUT responded that both current backlog and new patients were being taken into consideration and assessed to determine clinical priority and any problems were also being resolved in regards to incorrect pathway data. 

 

Cllr Butt indicated that despite raising this issue with the BHRUT Chief Executive at his recent attendance at the Board, she was dismayed to see individuals were still being referred to by BHRUT as ‘waiters’, rather than people or patients.  BHRUT apologised for this and gave an undertaking that this would not happen again.

 

Cllrs also raised concern about the value of the additional leadership and administrative roles and if the cost of this would be taking resources away from treatment.  BHRUT responded that this area  ...  view the full minutes text for item 23