Health Board’s red rating signals danger zone in performance review

Health Board CEO Jane Grant, chairman John Brown and MSP Jackie Baillie

By Democrat reporter

The local Health Board, NHS Greater Glasgow and Clyde, have been given a red rating in a new performance review.

Dumbarton and Helensburgh constituency MSP, Jackie Baillie, says more must be done to improve performance in NHS Greater Glasgow and Clyde.

This new report to the board, chaired by John Brown and administered by CEO Jane Grant,  shows key performance measures are rated red, which indicates that they missed their target by more than 5%.

In total the health board missed their targets for eight key performance measures. These include:

  • Suspicion of cancer referrals within 62 days
  • % of patients waiting less than six weeks for key diagnostic tests
  • Number of available new outpatients waiting less than 12 weeks for an appointment
  • Number of eligible patients waiting less than 12 weeks (Treatment Time Guarantee)
  • A&E four hour wait
  • % of eligible CAMHS patients being seen within 18 weeks of referral
  • Delayed discharge and bed days occupied by delayed discharge patients
  • Sickness absence

At the end of February 2019, just 72.7% of patients with an urgent referral for suspicion of cancer started their treatment within the 62 day target time. The health board’s target for this service is 95% of patients being treated within 62 days meaning they missed their target by more than 20%.

In A&E 87.4% of patients waited 4 hours or less to be seen, treated or transferred. If the health board were to meet this target, 93% of patients would have waited 4 hours or less, meaning they missed this target by 5.5%.

In February, 26,951 new outpatients were waiting more than 12 weeks for an appointment; their target is 20,000 patients or less.

At the end of February, 16.7% (22,151) of patients waited longer than 6 weeks for access to a key diagnostic test, while an improvement on the previous month, the health board still missed their target by more than 1,000 patients.

The health board, once again, broke the Treatment Time Guarantee law in February with just 69.4% of patients treated under the Treatment Time Guarantee waiting less than 12 weeks for their treatment. A decrease on the 75.5% reported in January and another month of failed targets.

In February, 79.2% of patients who were referred for treatment with the Child and Adolescent Mental Health service started their treatment within 18 weeks, meaning thousands of vulnerable children and young people were left waiting for support for their mental health.

The health board also missed their target on delayed discharge, in total 154 patients’ discharge was delayed in February meaning 4,326 bed days were lost to delayed discharge. Bed blocking which is caused by delayed discharge is estimated to cost £233 per day.  Each key target missed has a direct impact on patient experience.

Jackie Baillie said: “Time and time again the Greater Glasgow and Clyde health board is missing key targets, from cancer waiting times, to treatment time guarantee, to A&E waiting times and referrals to mental health services. All of these delays represent patients waiting, often in pain for treatment.

“While NHS Greater Glasgow and Clyde have outlined the work they are undertaking to improve their service in these areas, they are missing targets consistently without the service improving.

“It is clear that more must be done, and quickly to improve the experience that patients have with our health service.”

West Dunbartonshire Council leader Jonathan McColl, who is a Health Board member and has been publicly criticised for poor attendance at their meeting, refuses to comment to The Democrat.


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