The following information supplements a number of charts in our annual report.
Urgent and emergency care performance chart (page 20 of the published report)
The four-hour A&E waiting time standard is a pledge set out in the Handbook to the NHS Constitution. The operational standard set in 2010 stated that at least 95% of patients attending A&E should be admitted, transferred or discharged within four hours. In December 2022, an intermediary threshold target of 76% to be hit by March 2024 was introduced with further improvement expected in 2024-25.
In West Yorkshire, performance against the A&E four-hour standard dipped over the winter period due to severe pressures on services which can be seen in the A&E attendance numbers which peaked in December at 92,348. This position has improved and is now better than the previous 12 months with the aggregate for West Yorkshire just below the new operational target for March 2024 of 76%, with further improvement required in 2024-25. In 2019 the Mid Yorkshire Hospitals NHS Trust (MYHT) accepted the opportunity to be part of the national clinical review of Urgent and Emergency Care standards pilot. The pilot metrics were designed to support a more rounded and qualitative focus on performance in the A&E department with a focus on timely assessment and treatment on the critically ill and promote patient safety. Therefore the data shown below does not include MYHT.
Table showing the data behind the chart
|
Month |
ANFT |
BTHFT |
CHFT |
LTHT |
West Yorkshire |
|
Apr-22 |
59.80% |
72.90% |
72.60% |
68.70% |
70.30% |
|
May-22 |
63.90% |
74.80% |
75.80% |
67.80% |
71.50% |
|
Jun-22 |
62.80% |
74.80% |
73.00% |
66.30% |
70.10% |
|
Jul-22 |
58.20% |
73.60% |
72.50% |
67.60% |
69.90% |
|
Aug-22 |
59.50% |
73.60% |
73.30% |
68.20% |
70.50% |
|
Sep-22 |
62.70% |
74.80% |
75.40% |
69.30% |
71.90% |
|
Oct-22 |
56.80% |
72.70% |
68.40% |
69.70% |
69.60% |
|
Nov-22 |
51.60% |
71.00% |
66.40% |
68.80% |
68.10% |
|
Dec-22 |
45.70% |
67.80% |
60.30% |
65.60% |
64.40% |
|
Jan-23 |
57.30% |
74.40% |
70.90% |
74.20% |
72.90% |
|
Feb-23 |
55.30% |
72.90% |
67.50% |
72.20% |
70.80% |
|
Mar-23 |
56.90% |
72.00% |
66.00% |
73.60% |
71.00% |
Winter Board Assurance Framework (page 43 of the published report)
Each year health and care services collectively develop and implement plans to enhance capacity and resilience in response to the additional demands and increased pressures that are experienced over the winter months.
To guide and support our planning in 2022-23 NHS England (NHSE) set out a winter planning Board Assurance Framework (BAF) with nine core objectives and actions for systems to address to underpin a robust approach to winter planning.
The ICB, provider organisations and other partners worked together to implement the actions to ensure our services where well prepared for the challenges of winter set in the context of a still recovery NHS system.
Significant progress was made across the ICB to fully implement the 51 initiatives. At the end of March 2023, we had fully implemented 38 and partially implemented the remaining 13.
The chart and table below show the progress made across the ICB with the implementation of the 51 initiatives a shift from 28% to 75% fully implemented.
Table showing the data behind the chart
|
Progress |
Sep-22 |
Oct-22 |
Nov-22 |
Dec-22 |
Jan-23 |
Feb-23 |
Mar-23 |
|
Will not be implemented |
0% |
0% |
0% |
0% |
0% |
0% |
0% |
|
Planned |
8% |
10% |
2% |
2% |
0% |
0% |
0% |
|
Partial |
64% |
63% |
47% |
39% |
37% |
31% |
25% |
|
Full |
28% |
28% |
51% |
59% |
63% |
69% |
75% |