Screening Annual Report 2021/22: Dr Emilia Crighton, pictured left, Interim Director for Public Health, presented the annual screening report for 2021/22. The report shows the performance across a number of screening programmes with the majority of programmes meeting expected annual targets.
Screening programmes across NHSGGC continue to recover from the impact of the Covid-19 pandemic and the commitment to early detection and timely interventions by providing comprehensive screening services is demonstrated within this report.
It reflects the dedication from our staff members to deliver high quality screening services that prevent or identify diseases at an early stage.
Notable areas of success are the newborn blood-spot and newborn hearing screening where there was over 99% uptake; the babies affected received timely treatment that improved their health or prevented significant disability. Breast and bowel screening programmes also met the uptake targets which reflects the organisation’s commitment to providing accessible services to help early detection and treatment of cancer.
Dr Crighton said: “While the report demonstrates success across our screening programmes, I recognise there are improvements to be made across specific area such as cervical screening, where I would urge women to make the smear appointment when prompted as it can save their life.
“I would like to thank the dedicated staff across the whole of NHS Greater Glasgow and Clyde who have helped ensure our screening programmes continue to provide the best possible service for members of the public.”
Click here to read the Board paper.
Performance Report: Mr Colin Neil, Finance Director, presented the performance report and highlighted a number of key areas:
- For the third consecutive month there has been an improvement in the Cancer 62 day waiting times performance, which is currently 66%. Overall performance however remains a challenge.
- Progress continues in relation to reducing longest waits with the number of patients waiting more than 52 weeks for a new outpatient appointment within the planned position for April 2023. The number of inpatient and day cases waiting more than 78 weeks is also within the planned position for April 2023.
- Access to Psychological Therapies (85.5%) was marginally below the national target of 90% in April 2023. Performance in relation to the number of CAMHS patients seen in less than 18 weeks of referral (81.3%) was below the planned position for April 2023, although the number of long waiting patients continues to reduce.
- Performance relating to A&E four hour waits remained a significant challenge during April 2023.
- Performance in relation to the overall number of acute delayed discharges remained challenging in April 2023, (303 compared to the previous month of 285).
Board members noted the current ED performance and asked about preparations for winter. Dr Jennifer Armstrong, Medical Director, advised that planning for this winter began back in February, with a series of workshops to identify and agree priorities for action. A systematic approach will see a focus on vaccination, the further development and embedding of unscheduled care pathways and discharge without delay, and bed surge plans for additional capacity.
Click here to read the Board paper.
Social listening: The issue of social listening was discussed. The Finance, Planning and Performance Committee had received a briefing on this activity from the Director of Communications and Public Engagement, who had acknowledged and apologised for the error of judgement made in monitoring the public social media account of one family member. The Committee had been provided with assurances that no other members of the public, patients or relatives were followed [on social media] and that this account was no longer followed. In addition, three senior staff members had been followed [on social media] with their agreement. West of Scotland MSPs had also been followed. None of these accounts are now followed. In response to a further question from a Board member, the Chief Executive confirmed that the use of social listening within the organisation and the handling of the issue had been reviewed and lessons learned.
Healthcare Associated Infection Reporting Template
Professor Angela Wallace, Executive Nurse Director, pictured right, gave her regular report to the Board.
The Healthcare Associated Infection Reporting Template (HAIRT) is a mandatory reporting tool for the Board to have an oversight of the Healthcare Associated targets Staphylococcus aureus bacteraemia (SAB), Clostridioides difficile infections (CDI), E.coli bacteraemia (ECB), incidents and outbreaks and all other Healthcare Associated Infections activities across NHS Greater Glasgow and Clyde.
Professor Wallace highlighted the following from the report:
- The number of the Healthcare Associated SAB cases has been variable but within expected limits since 2020.
- There has been a decrease in the overall ECB cases over the past two months. ECB rates remain within normal control limits.
- There has been a reduction in the overall CDI cases from October 2021 to date. The Infection Prevention and Control Team continues to closely monitor and implement local actions in any areas with higher than expected numbers. There have been no incidents of cross transmission due to CDI during this period.
- There were no Non-COVID incidents in March and April 2023 that were assessed at Red or Amber.
- Healthcare Improvement Scotland commenced a new element of external quality assurance work in December 2022, to inspect infection prevention and control arrangements in NHS inpatient mental health services. There was an inspection of services in Gartnavel Royal Hospital carried out on the 18th January 2023. There were four requirements and two recommendations made. An action plan was completed and the report was published at the end of March.
Click here to read the Board paper. |