Primary care trust overview

Key targets

The key targets are available via the indicator links on the left hand side of this page. They include details of why the indicator is included, the data source, the period of time assessed by the indicator, and the technical specification (construction). These were announced in March 2004 before the start of the financial year to be assessed.

The key targets are:

• Access to a GP
• Access to a primary care professional (PCP)
• Drug misusers accessing treatment
• Elective patients waiting longer than standard
• Financial management
• Four-week smoking quitters
• Outpatients waiting longer than standard
• Total time in A&E: four hours or less

Balanced scorecard indicators

These indicators have been chosen to provide a balance across a broad range of areas. In the final ratings model the balanced scorecard indicators will be divided into three separate focus areas.

The balanced scorecard indicators are available via the indicator links on the left hand side of this page. They include details of the rationale, the data source, the data period and the technical specification (construction) for all of the indicators.

The balanced scorecard indicators are:

Improving Health

• Cervical screening
• Death rates from cancer, ages under 75 (change in rate)
• Death rates from circulatory diseases, ages under 75 (change in rate)
• Diabetic retinopathy screening
• Flu vaccinations
• Health equity audit
• Immunisation: MMR
• Infant health
• Teenage pregnancy

Service Provision

• CAMHS
• Child protection
• Community equipment
• Data quality on ethnic group
• Learning disability: identification in primary care and reducing long-term NHS residence
• Risk management
• Staff opinion survey: health, safety and incidents
• Staff opinion survey: human resource management
• Staff opinion survey: staff attitudes
• Workforce indicator

Access to Quality Services

• Ambulance category A calls meeting 8-minute target
• Commissioning of assertive outreach services
• Commissioning of new mental health workers and crisis resolution services
• Delayed transfers of care
• NHS dentistry
• PCT patient survey: access and waiting
• PCT patient survey: better information, more choice
• PCT patient survey: building closer relationships
• PCT patient survey: clean, comfortable, friendly place to be
• PCT patient survey: safe, high quality, coordinated care
• Sexual health
• Six month inpatient waits
• Thrombolysis - 60 minute call to needle time

Clinical governance review (CGR) scores and 2005 performance ratings

In February 2005, the Healthcare Commission made the decision to exclude the assessment scores from all clinical governance reviews (or the follow up of action plans, where more appropriate) from the performance ratings for all organisations in 2004/2005. This decision reflects feedback received from strategic health authorities and trusts. The Healthcare Commission continues to support the importance of clinical governance and this is reflected in the core standards assessment that will form part of the annual review of trusts in 2006 and beyond.

Combined trusts

Combined trusts (those that provide services in primary care as well as mental health) need to refer to the indicator lists for both trust types and will be star rated in both sectors (primary care and mental health).

Queries

Please direct any queries to the performance indicator mailbox: performance.indicators@healthcarecommission.org.uk