HSCP Performance Report_FQ1_202627 Appendix 1
Argyll and Bute Council · 13 August 2026
Back to Argyll and Bute HSCP Clinical and Care Governance Committee — 13 August 2026 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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Argyll & Bute Health and Social Care Partnership FQ1 (Apr –Jun 2026) Performance Overview Update 10 August 2026 Appendix 1 – A&B HSCP performance metrics
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• HWBOI & MSG Indicators • FQ1 IPMF Performance Update • Operational Improvement Plan - Update A&B HSCP Performance Overview Metrics FQ1 (Apr - Jun 2026)
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National Health & Wellbeing Outcome Indicators HWBOI – Outcomes Indicators Data • Latest available data notes 77.7% (7 of 9) HWBOI Outcomes measures reporting as above the national Scotland Rate. It is worth noting that performance will be influenced and vary in line with the total number of respondents participating in this voluntary survey. As such, caution should be noted with regards to previous comparison and trends. HWBOI- Performance Indicators Data • Latest available data notes 55.5% (5 of 9) HWBOI Performance measures reporting as above the national Scotland Rate. Core Suite of Integration Indicators 2018/19 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25 Latest** Scotland 1 - Percentage of adults able to look after their health very well or quite well 93.0% 93.2% 93.2% 90.8% 90.8% 92.4% 92.4% 92.4% 90.7% 2 - Percentage of adults supported at home who agreed that they are supported to live as independently as possible 79.0% 79.9% 79.9% 75.0% 75.0% 79.4% 79.4% 79.4% 72.4% 3 - Percentage of adults supported at home who agreed that they had a say in how their help, care, or support was provided 76.0% 72.5% 72.5% 66.9% 66.9% 56.9% 56.9% 56.9% 59.6% 4 - Percentage of adults supported at home who agreed that their health and social care services seemed to be well co-ordinated 72.0% 73.7% 73.7% 66.0% 66.0% 66.2% 66.2% 66.2% 61.4% 5 - Total % of adults receiving any care or support who rated it as excellent or good 79.9% 78.3% 78.3% 68.6% 68.6% 76.8% 76.8% 76.8% 70.0% 6 - Percentage of people with positive experience of the care provided by their GP practice 84.8% 84.5% 84.5% 77.6% 77.6% 83.9% 83.9% 83.9% 68.5% 7 - Percentage of adults supported at home who agree that their services and support had an impact on improving or maintaining their quality of life 74.2% 76.5% 76.5% 76.7% 76.7% 75.0% 75.0% 75.0% 69.8% 8 - Total combined % carers who feel supported to continue in their caring role 32.7% 35.0% 35.0% 38.0% 38.0% 37.6% 37.6% 37.6% 31.2% 9 - Percentage of adults supported at home who agreed they felt safe 82.9% 78.7% 78.7% 76.4% 76.4% 72.6% 72.6% 72.6% 72.7% 11 - Premature mortality rate per 100,000 persons* 393 403 398 386 398 395 395 395 426 12 - Emergency admission rate (per 100,000 population)* 12,938 12,402 10,702 12,004 11,968 12,204 12,022 12,022 11,514 13 - Emergency bed day rate (per 100,000 population)* 112,235 108,088 91,065 106,155 118,552 120,888 122,657 122,657 118,078 14 - Readmission to hospital within 28 days (per 1,000 population)* 83 80 96 89 84 85 85 85 103 15 - Proportion of last 6 months of life spent at home or in a community setting* 90.0% 9080.0% 9240.0% 90.8% 89.6% 89.7% 89.6% 89.6% 89.1% 16 - Falls rate per 1,000 population aged 65+* 26.2 26 24.3 29.2 27.6 28.4 26.4 26.4 22.8 17 - Proportion of care services graded 'good' (4) or better in Care Inspectorate inspections 74.2% 85.0% 87.0% 80.0% 79.0% 77.3% 84.2% 84.2% 81.9% 18 - Percentage of adults with intensive care needs receiving care at home* 68.4% 70.8.0% 72.3% 72.1% 72.2% 68.3% 68.8% 68.8% 64.7% 19 - Number of days people spend in hospital when they are ready to be discharged (per 1,000 population) 640 540 343 570 804 912 882 1,197 925 20 - Percentage of health and care resource spent on hospital stays where the patient was admitted in an emergency* 22.0% 22.0% N/A N/A N/A N/A N/A N/A N/A Core Suite of Integration Indicators • Data presented is based on latest PHS published data @ Aug 2026. Latest performance notes 66.6% (12 of 18) measures reporting above the national rate.
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Ministerial Steering Group – Performance Indicators Ministerial Steering Group Indicators • MSG Indicators have been updated to FY 2024/25 and are presented as a proxy for part year 2025/26 (April – Dec) based on latest available publication. MSG Indicators 1.1 & 1.2 & 2.1 notes slight fall in activity compared to the last reporting year, however this may be due to impact of data lag. • Activity around Emergency Admissions, Unplanned Bed Days, A&E attendances and Delayed Discharge Bed Days all noted performance exceeding pre –Covid levels. This highlights the necessity to consider approaches to alleviate systems pressures around Urgent and Unscheduled Care and expedite hospital flow, particularly around significant increases seen in A&E Admissions and Delayed Discharges. Ministerial Steering Group Indicators 2020/21 2021/22 2022/23 2023/24 2024/25 2025/26* MSG 1.1 - Number of emergency admissions 6,918 7,822 7,939 8,412 8,187 5,829 MSG 1.2 - Number of Admissions from A&E 3,668 5,040 4,957 5,097 4,816 3,385 MSG 2.1 - Number of unplanned bed days acute specialties 53,390 67,308 77,281 80,356 79,982 47,880 MSG 2.2 - Number of unplanned bed days MH specialties 10,478 7,954 8,289 10,368 11,350 9,028 MSG 3.1 - Number of A&E attendances 10,091 15,647 16,774 17,740 18,448 14,191 MSG 3.2 - % A&E attendances seen within 4 hours 92.79% 85.50% 80.03% 80.28% 80.73% 80.30% MSG 4.1 - Number of DD bed days occupied 5,354 7,742 11,944 12,757 14,042 11,361 MSG 5.1 - % of last six months of life by setting community & hospital 90.80% 90.80% 89.60% 89.40% N/A N/A MSG 6.1 - % of 65+ population at Home (unsupported) 92.50% 92.60% 93.20% 93.40% N/A N/A PHS MSG Latest publication v1.74 Filtered to +18 age only
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FQ1 Performance Update - IPMF The IPMF was reviewed across the summer of 2026 in line with HoS engagement meetings. The number of KPIs has increased from 77 in 2025/26 to 97* for 2026/27. This will be partially due to the OIP and U&UC metrics being threaded through the IPMF main structure. Additionally, QPS is recognised as its own service area, resulting in 13 key areas of performance monitoring for 26/27. *Currently 8 KPIs TBC
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Children & Families & Justice Current IPMF Performance Metrics FQ4 Target FQ 1 Plans, Mitigations and Actions Children & Adolescent Mental Health Services (CAMHS) will see 90% of children and young people within 18 weeks of referral 100.0% 90.0% 95.0% Improve the number of statutory individual Health Assessments commenced within four weeks of coming into care 0 96.0% 80.0% Improve the number of teams that have delivered 85% or more of the Universal Health Visiting Pathway (UHVP) 81.0% 85.0% 87.0% Percentage of Criminal Justice social work reports submitted by 12 noon, 2 days before court 86.0% 90.0% 96.0% Conversion rate (%) Initial or Pre-birth Child Protection planning meetings leading to registration 76.0% 75.0% 75.0% % of Initial CP Planning Meetings held no later than 28 calendar days from Inter-agency referral discussion (IRD) 13.0% 70.0% 33.0% % of Care Experienced Children with Review Completed - 25.0% 16.0% % of MAPPA cases reviewed within timescales - 95.0% 100.0% % of Child Immunisations uptake rate - (6-1 at 5 years old point) - 95.0% 97.0% Achieve a minimum 95 percent uptake for 6 in 1 vaccination in children by the time they reach 1 year old - 95.0% 90.0% Number of children waiting for a New Neurodevelopmental Assessment breaching RTT Guarantee Date - 350 383 Children & Families – Shona Williams – FQ1 (Apr-Jun 2026) Performance Overview
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OIP - CAMHS Current Performance Metrics FQ4 Target FQ1 Children & Adolescent Mental Health Services (CAMHS) will see 90% of children and young people within 18 weeks of referral 100.0% 90.0% 95.0% OIP - CAMHS - Shona Williams – FQ1 (Apr – Jun 2026) Performance Overview Plans, Mitigations and Actions
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Planning, Performance & Technology Current IPMF Performance Metrics FQ4 Target FQ 1 Plans, Mitigations and Actions Increase the number of New Clients to Telecare services 219 205 169 Increase the number of Telecare Service reviews completed 162 140 151 Increase the number of patients utilising 'Near Me' clinics 1163 900 1309 Increase the utilisation of 'Connect Me' for Blood Pressure monitoring within primary care 98 100 107 Waiting Times for Cancer Appointments at the 31 Day Target 5 0 14 Reduce New OP Waiting Times breaches >12 weeks 34.0% 40.0% 37.0% Reduce OPWL long waits >52 weeks 30 0 1.9% Reduce OPWL long waits >78 weeks 7 0 0.5% Reduce OPWL long waits >104 weeks 4 0 0.3% 95% of patients with a referral to Radiology are being seen within 6 weeks 96.0% 95.0% 96.0% Minimise the % of Total Inpatient TTG Waiting List breaching over 12 weeks (84 days) 15.2% 14.0% 47.2% Strategic Planning Performance & Technology – Kristin Gillies – FQ 1 (Apr – Jun 2026) Performance Overview
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OIP - Planned Care – Long Waits - Planned Care - Long Waits – Kristin – FQ 4 (Jan – Mar 2026) Performance Tar - Reduce OPWL Current Performance Metrics FQ4 Target Q1 Actual OIP - Reduce OPWL long waits >52 weeks 1.8% 0.0% 4.9% Reduce OPWL long waits >78 weeks 7 0.0% 1.3% Reduce OPWL long waits >104 weeks 4 0.0% 0.7% OIP - Planned Care - Long Waits – Kristin Gillies – FQ 1 (Apr – Jun 2026) Performance Overview Plans, Mitigations and Actions The findings for Quarter 1 continue to identify Orthodontics and Urology as the primary pressure specialties, with the highest proportion of patients waiting longer than 52 weeks. Targeted improvement work is underway within both specialties to address these long waits, increase capacity where possible, and reduce the number of patients exceeding waiting time thresholds. It is anticipated that these interventions will lead to a significant improvement in access times and a reduction in long wait breaches over the coming quarters. Continued monitoring will be essential to assess the effectiveness of these actions and ensure sustained progress.
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OIP - Planned Care – Outpatients Current Performance Metrics FQ4 Target Q1 Actual OIP - Reduce New OP Waiting Times breaches >12 weeks 34.2% 40.0% 37.0% OIP Planned Care - Outpatients - Kristin Gillies – FQ 1 (Apr –Jun 2026) Performance Overview Plans, Mitigations and Actions The pressure specialties identified in Quarter 1 are Urology, Orthodontics, Ophthalmology, Gastroenterology, Respiratory Medicine, and Oral Surgery, all of which continue to experience increased waiting time pressures. Targeted improvement activity is underway across these specialties to reduce long waits, increase capacity where feasible, and improve patient access. It is anticipated that these interventions will result in a significant improvement in access times and a reduction in waiting time breaches over the coming quarters. Progress will continue to be closely monitored to evaluate the impact of these measures and identify any further actions required.
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Planned Care - Inpatients Source: Argyll & Bute – Full IPDCWL as at 30/07/2026 Current Performance Metrics FQ4 Target Q1 Actual Minimise the % of Total Inpatient TTG Waiting List breaching over 12 weeks (84 days) 15.2% 14.5% 40.6% OIP Planned Care - Outpatients - Kristin Gillies – FQ 1 (Apr –Jun 2026) Performance Overview Plans, Mitigations and Actions Work is continuing within Oral Surgery to reduce the number of patients breaching the waiting time standard. Improvement initiatives remain focused on increasing patient throughput, reducing long waits, and improving overall access to the service. The impact of these actions will continue to be monitored to ensure sustained progress in reducing breaches and improving waiting time performance.
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OIP - Radiology Current Performance Metrics FQ4 Target Q1 Actual 95% of patients with a referral to Radiology are being seen within 6 weeks 96.0% 95.0% 96.0% OIP - Planned Care - Radiology - Kristin Gillies – FQ 1 (Apr – Jun 2026) Performance Overview Plans, Mitigations and Actions .
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Primary Care Current IPMF Performance Metrics FQ4 Target FQ 1 Plans, Mitigations and Actions 80% of children who received Fluoride Varnish treatment did not require to be referred for further dental treatment 85.0% 80.0% 80.0% Percentage of planned activity carried out to deliver National Oral Health Improvement Programmes against Service Plan 93.0% 100.0% 76.0% Monitor vaccination delivery against National trends during autumn winter and spring booster programmes 65.0% 59.0% 58.0% Monitoring HSCP 2C GP Practices operating on budget TBC Average Wait for GP walk in clinics TBC Number or % of patients with Anticipatory Care Plan in Place TBC Cervical Cancer Screening Rates TBC % of GP-Referred Patients attending A&E as p4 (avoidable A&E attendance) TBC Primary Care – Eilidh Gallagher – FQ 1 (Apr – Jun 2026) Performance Overview
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Public Health Current IPMF Performance Metrics FQ4 Target FQ 1 Plans, Mitigations and Actions Increase the monthly number of successful quits supported by NHS smoking cessation advisors or jointly through shared care with pharmacy, by people in the 40 % most deprived areas in Argyll and Bute. ** Reported 1 quarter in arrears** 14 10 17 Increase the number of people in Argyll and Bute attending training in the following areas: Money Counts, Behaviour Change, Speakeasy, Mental Health and Suicide Prevention. 19 26 6 Mitigate health inequalities through increasing the number of referrals to community link workers supported by ‘With You’, ensuring health and wellbeing support is targeted to areas of rural or socio-economic need. 207 250 230 Report on the number of engagements relating to planning with people with lived or living experience of alcohol and/or drugs. 6 4 1 Number of instances working with Scottish Government or national agencies on national strategy and policy development 12 11 5 Number of locality-based ROSC (Recovery Orientated System of Care) meetings or engagements within local communities. 3 7 Public Health - Alison McGrory – FQ 1 (Apr – Jun 2026) Performance Overview
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Finance Current IPMF Performance Metrics FQ4 Target FQ1 Plans, Mitigations and Actions Monitor Older People (OP) - Internal Residential Budget Spend 10% 0.0% 13% Monitor Older People (OP) - External Residential Budget spend 0% 0.0% -40.0% Monitor Older People - Homecare Budget spend 2% 0.0% 37% Monitor Lorn & Islands Hospital overall budget 24438 23192 24677 Monitor NHS Savings Recovery to ensure this remains on track (£k) 5259 8414 4795 Monitor Social Work Savings Recovery to ensure this remains on track (£k) 2337 3015 2640 Monitor the HSCP Total Budget to ensure this remains on track (£m) 405 422 432 Monitor SW Adults with Complex Care (LD,PD,MH) - Budget spend 0.0% -30% Monitor SW Children & Families Budget spend 0.0% 25% Finance – James Gow – FQ 1 (Apr – Jun 2026) Performance Overview
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Carers Current IPMF Performance Metrics FQ4 Target FQ 1 Plans, Mitigations and Actions Increase the number of Adult Carer Support Plans completed across A&B Carers Centres 140 115 136 Increase the number of Young Carer Statements completed across A&B Carers Centres 32 28 47 Increase the number of Unpaid Adult Carers supported across A&B Carers Centres 2981 2800 3009 Increase the number of Unpaid Young Carers supported across A&B Carers Centres 833 833 831 Increase the number of ACSP reviews completed by the various Carers Centres. 2968 2400 2005 Carers – Linda Currie – FQ 1 (Apr – Jun 2026) Performance Overview
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Community Health & AHPs Current IPMF Performance Metrics FQ4 Target FQ 1 Plans, Mitigations and Actions Reduce New Out Patient Referral waits breaching > 4 weeks for Musculoskeletal (MSK) 1013 0 1079 Reduce New Out Patient Referral waits breaching >12 week waits for AHP services 452 0 487 Reduce New Out Patient Referral waits breaching >52 week waits for AHP services 73 0 82 Allied Health Professionals - Linda Currie – FQ1 (Apr – Jun 2026) Performance Overview
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Delayed Discharges Current IPMF Performance Metrics FQ4 Target FQ1 Plans, Mitigations and Actions CfSD - Reduce the number of overall people delayed in hospital at Monthly Census Point 75 42 48 Reduce the Total Delayed Discharge Bed Days as at Monthly Census Point 1490 2352 3325 Reduce the number of people delayed in hospital with a Standard Delay code at Monthly Census Point 62 38 43 Reduce the number of people delayed in hospital with Complex code at Monthly Census Point 10 5 5 Reduce the number of overall people delayed in GGC hospitals at Monthly Census Point 35 16 26 Reduce the Total Delayed Discharge Bed Days in GGC hospitals as at Monthly Census Point 1759 896 1413 Delayed Discharges – Caroline Robertson – FQ 1 (Apr – Jun 2026) Performance Overview
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CfSD Core Metrics - Delayed Discharges • With regards to latest overall benchmarked performance @ 29 Jun 2026, A&B remain above the Scottish average per 100,00 population • Overall monthly Delayed Discharge performance for June 2026 noted a slight decrease from 72 FQ4 25/26 to 48 with an equal number of delays for hospitals in A&B (24) when compared to GG&C (24) • Overall Delayed Discharge Bed Days at the end of FQ1 noted 1057 days, down from 1490 at FQ4 25/26 quarter end. Current IPMF Performance Metrics FQ4 Target FQ1 Plans, Mitigations and Actions CfSD - Reduce the number of overall people delayed in hospital at Monthly Census Point 47 42 48 Delayed Discharges – Caroline Robertson – FQ 1 (Apr – Jun 2026) Performance Overview
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Community Hospitals Current IPMF Performance Metrics FQ4 Target FQ1 Plans, Mitigations and Actions Reduce the rate of unplanned admission to Community Hospitals for 65+ population 411 445 414 Reduce the average Length of Stay for inpatients in A&B Community Hospitals 8.4 7.0 7.3 A&E Attendances in A&B Community Hospitals meeting the 4 hrs wait target 94.9% 95% 95.9% Maintain A&B Community Hospitals Bed Occupancy Rates below 80% target 70.0% 80.0% 65% Reduce the total number of Unplanned Bed Days in Community Hospitals 4068 3597 3572 A&E Attendances in A&B Community Hospitals breaching the 8 hr wait target 9 7 9 A&E Attendances in A&B Community Hospitals breaching the 12 hr wait target 4 4 7 Increase the number of patients 65+ being treated in Hospital@Home beds across A&B 94 48 98 Community Hospitals – Caroline Robertson – FQ 1 (Apr – Jun 2026) Performance Overview
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OIP – Hospital @ Home Current Performance Metrics FQ4 Target Q1 Actual Increase the number of patients 65+ being treated in Hospital@Home beds across A&B 94 48 97 OIP - Hospital @ Home – Caroline Robertson – (FQ 1 Apr - Jun 2026) Performance Overview Plans, Mitigations and Actions The Hospital at Home (H@H) service provides hospital-level care in patients' homes for a range of conditions, including frailty, cardiac, respiratory, and Outpatient Parenteral Antimicrobial Therapy (OPAT). With 12 Hospital at Home beds now established in Oban, work is continuing to expand the service by developing an additional four beds across the Argyll and Bute area. Consideration is also being given to establishing provision within an island location to further improve equitable access to the service. During 2025/26, a total of 248 referrals were accepted into the Hospital at Home service, resulting in 1,877 acute hospital bed days being avoided across Lorn and Islands. In 2026/27, 97 referrals have been accepted to date, equating to 427 hospital bed days saved. As the service continues to develop and expand, it is anticipated that referral activity and the associated reduction in acute hospital bed occupancy will continue to increase.
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Rural General Hospital (LIH) Current IPMF Performance Metrics FQ4 Target FQ1 Plans, Mitigations and Actions Reduce the rate of unplanned admission to LIH for 65+ population 330 340 351 Reduce the total number of Unplanned Bed Days in LIH 3205 3000 3210 Reduce the average Length of Stay for inpatients in LIH 3.7 4.5 3.4 Maintain LIH Bed Occupancy Rates below 90% target 89.6% 90.0% 83.8% Reduce the number of A&E Attendances in LIH that result in an unplanned admission 17.4% 18.0% 16.4% CfSD - A&E Attendances in LIH meet the 4 hrs wait target 92.0% 92.0% 91.3% A&E Attendances in LIH breaching the 8 hr wait target 3 3 5 CfSD - A&E Attendances in LIH breaching the 12 hr wait target 2 3 2 Rural General Hospitals (LIH) – Caroline Robertson – FQ 1 (Apr – Jun 2026) Performance Overview
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CfSD Emergency Department – Core Metrics Current IPMF Performance Metrics FQ4 Target FQ1 Plans, Mitigations and Actions CfSD - A&E Attendances in LIH meet the 4 hrs wait target 92.0% 92.0% 91.3% CfSD - A&E Attendances in LIH breaching the 12 hr wait target 2 3 2 Rural General Hospitals (LIH) – Caroline Robertson – FQ 1 (Apr – Jun 2026) Performance Overview
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Adult Social Care & ASP Current IPMF Performance Metrics FQ4 Target FQ 1 Plans, Mitigations and Actions Increase the percentage of older people who had their homecare monitoring review completed on time 49% 60% 63% Reduce unplanned admissions to A&B hospitals directly from a care home 23 23 21 Increase the occupancy rates across A&B Care Homes 96% 95% 94% Reduce the number of hours of unmet need for care at home 468 500 612 Increase the % of Adult Support Protection Screening Duty to Inquire Assessments completed within 5 working days 48% 70% 33% Increase the % of Adult Support Protection Investigations completed within 15 working days of the ASP Screening Duty to Inquire completion date 45% 70% 40% Adult Social Care & ASP – Nicola Gillespie – FQ 1 (Apr – Jun 2026) Performance Overview
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Complex Care & Registered Services Current IPMF Performance Metrics FQ 4 Target FQ 1 Plans, Mitigations and Actions Reduce the number of clients on Dynamic Support Register with category Amber/RedUSC 11 15 9 Reduce the number of people waiting for a New Mental Health Out Patient service (>12 weeks) 0 593 Reduce the number of people waiting for a New Mental Health Out Patient service (>52 weeks) 0 398 Reduce the number of people monthly waiting for psychological therapy services ( >18 weeks) 26 75 51 MH Urgent Care Referrals Response Timescales < 2 Hours 97% 90% 98% MH Social Circumstances Report Overdue 64% 33% 90% Monitor the percentatge of New MH Admissions to Succoth Ward who are discharged within 30 days of admission 50% 66% 70% % waiting over 26 weeks for Primary Care MH Psychological Appointment 60.3% 60.3% Drug & Alcohol Completed Waiting Times from Referral to First Treatment (LDP) 86.8% 90% 81.9% Complex Care & Registered Services – Nicola Gillespie – FQ 1 (Apr – Jun 2026) Performance Overview
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Psychological Therapies Current Performance Metrics FQ4 Target Q1 Actual Reduce the number of people monthly waiting for psychological therapy services ( >18 weeks) 26 75 51 Performance Focus - Psychological Therapies – Nicola Gillespie – FQ 1 (Apr – Jun 2026) Performance Overview Plans, Mitigations and Actions
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Quality & Patient Safety Current IPMF Performance Metrics FQ4 Target FQ 1 Actual Plans, Mitigations and Actions Reduce the number of Falls being reported in a Community Hospital setting in A&B 58 50 35 Reduce the number of Falls being reported in a hospital setting in LIH 28 20 29 Reduce number of instances of tissue viability in LIH 6 3 3 Reduce the number of medication errors in LIH 16 14 25 % of GP operating with a valid apraisal (SOAR)* Monitoring of S1/S2 Complaints responses on time - Dental* Monitoring of S1/S2 Complaints responses on time - HSCP 2C GP* Quality & Patient Safety – Rebecca Helliwell – FQ 1 (Apr – Jun 2026) Performance Overview
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A&B Operational Improvement Plan (OIP) *awaiting update*
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OIP cont…