Queen Mary’s Hospital
During the past year the trust has seen significant improvements in clinical performance such as cancer waiting times and infection control. The trust has also become host to the south west London major trauma centre and hyper acute stroke unit, with both services achieving excellent results in national audits and seeing improved patient outcomes.
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- Key performance indicators
- Did not attend – first appointments
- Average wait (in weeks) – All GP referrals
- First to follow-up ratio
- CQC ratings
Key performance indicators
| Key performance indicator | Month | Outturn | Threshold | ||
|---|---|---|---|---|---|
| Apr 2013 | May 2013 | Jun 2013 | 2011/12 | ||
| Minor injuries unit – percentage of patients seen with four hours | 100.00% | 99.93% | 100.00% | N/A | 95% |
| Minor injuries unit – total waiting time (95th percentile waiting time) | 155 | 157 | 167 | N/A | 240 minutes (four hours) |
| Minor injuries unit – unplanned reattendance rate | 0.8% | 0.6% | 0.8% | N/A | 5% |
| Minor injuries unit – percentage of patients leaving without being seen | 1.8% | 1.8% | 2.1% | N/A | 5% |
| Minor injuries unit – median time to treatment | 31 | 35 | 44 | N/A | 60 minutes |
| 18 weeks RTT (performance) – percentage of patients seen within 18 weeks | 99.70% | 100.00% | Not yet available | N/A | 95% |
| 18 weeks RTT (performance) – 95th percentile waiting time for complete pathways | 11.4 | 11.7 | Not yet available | N/A | 18.3 |
| 18 weeks RTT (performance) – 95th percentile waiting time for incomplete pathways | 16.8 | 16.9 | Not yet available | N/A | 28.0 |
| 18 weeks RTT (performance) – median waiting time for complete pathways | 3.7 | 3.6 | Not yet available | 3.4 | 3.4 |
| 18 weeks RRT DA audiology (performance) – percentage of patients seen within 18 weeks | 100.00% | 100.00% | Not yet available | N/A | 95% |
| 18 weeks RTT – data completeness | 131.1% | 132.7% | Not yet available | N/A | 80-120% |
| Percentage of diagnostic waits greater than six weeks | 0.00% | 0.00% | Not yet available | N/A | 0.1% |
| Percentage of referrals booked through Choose & Book for all relevant services | 33.5% | 36.9% | 33.4% | 31.1% | 39% (London-wide average) |
| Slot issues / Successful DBS booking | 6.0% | Not yet available | Not yet available | N/A | 5% |
| Did not attend rates – first appointment | 9.4% | 8.3% | 8.9% | 9.7% | 9.7% |
| Did not attend rates – follow-up | 8.8% | 9.7% | 9.6% | 11.8% | 11.8% |
| Did not attend rates – first and follow-up | 9.1% | 9.1% | 9.3% | 10.9% | 10.9% |
| Delayed transfers of care – overall | 0.97% | 0.41% | 1.3% | N/A | 3.5% |
| Delayed transfers of care – NHS responsibility | 0.00% (0.0%) |
0.00% (0.0%) |
0.00% (0.0%) |
N/A | N/A |
| Delayed transfers of care – Social Care responsibility | 0.97% (100%) |
0.41% (100%) |
1.3% (100%) |
N/A | N/A |
| Percentage of un-coded inpatient data | 5.88% | Not yet available | Not yet available | N/A | 2.0% |
| Percentage of un-coded outpatient data | 0.00% | Not yet available | Not yet available | N/A | 2.0% |
| Consultant to consultant referrals (financial penalty treatment functions) | 2.5% | 3.2% | 1.6% | 1.6% | 20.0% |
| Consultant to consultant referrals (investigative treatment functions) | 5.9% | 9.7% | 5.8% | 5.3% | 5.3% |
| Consultant to consultant referrals (non-financial penalty treatment functions) | 0.7% | 1.0% | 1.2% | 1.7% | 1.7% |
| Consultant to consultant referrals (financial penalty treatment functions over 20%) | No | No | No | No | No treatment functions over 20% |
| First to follow-up ratios (financial penalty treatment functions) | 1.31 | 1.09 | 1.32 | 1.18 | 1.67 |
| First to follow-up ratios (investigative treatment functions) | 8.31 | 7.38 | 6.74 | 6.35 | 6.35 |
| First to follow-up ratios (non-financial penalty treatment functions) | 2.16 | 2.22 | 2.12 | 2.26 | 2.26 |
| First to follow-up ratios (financial penalty treatment functions over threshold) | Yes | No | Yes | No | No treatment functions over thresholds |
| Inpatient average length of stay – Amputee rehabilitation | 45.4 | 46.0 | 49.0 | 42.2 | 42.2 |
| Inpatient average length of stay – Elderly rehabilitation | 33.8 | 26.0 | 28.5 | 34.4 | 32.0 |
| Inpatient average length of stay – Neuro Rehabilitation | 94.7 | 67.3 | 62.3 | 70.7 | 70.7 |
| Percentage of clinics cancelled with six weeks notice | 85.8% | 88.8% | 82.8% | 64.7% | 64.7% |
| Percentage of suspected cancer patients seen within two weeks | 93.0% | 93.1% | Not yet available | N/A | 93% |
| Percentage of patients with breast symptoms seen within two weeks | 91.7% | 90.9% | Not yet available | N/A | 93% |
| Sleeping accommodation breaches | 0 | 0 | 0 | 0 | 0 |
Did not attend – first appointments
| DNA first appt | Month | Outturn | ||
|---|---|---|---|---|
| Treatment function | Apr 2013 | May 2013 | Jun 2013 | 2011/12 |
| General Surgery | 10.3% | 9.4% | 9.5% | 10.2% |
| Urology | 10.5% | 10.5% | 7.5% | 11.8% |
| Breast surgery | 93% | 14.9% | 12.6% | 11.1% |
| Colorectal surgery | 0.0% | 0.0% | 0.0% | 0.0% |
| Hepatobiliary & pancreatic surgery | 0.0% | 0.0% | 0.0% | 0.0% |
| Upper gastrointestinal surgery | 7.4% | 7.7% | 5.8% | 4.4% |
| Vascular surgery | 0.0% | 0.0% | 7.7% | 10.2% |
| Trauma & orthopaedics | 10.1% | 10.0% | 13.6% | 7.8% |
| Ear, nose & throat | 7.2% | 9.3% | 12.6% | 9.9% |
| Ophthalmology | 16.5% | 2.5% | 16.7% | 18.3% |
| Plastic surgery | 7.4% | 3.5% | 3.1% | 9.0% |
| Pain management | 11.9% | 9.7% | 4.8% | 12.4% |
| General medicine | 13.6% | 4.3% | 15.9% | 11.8% |
| Gastroenterology | 10.7% | 5.2% | 7.3% | 11.6% |
| Endocrinology | 0.0% | 20.0% | 7.7% | 8.5% |
| Clinical haematology (excluding anticoagulation) | 9.7% | 4.3% | 7.4% | 8.0% |
| Clinical physiology | 4.9% | 4.0% | 3.3% | 4.2% |
| Hepatology | 0.0% | 0.0% | 0.0% | 0.0% |
| Diabetic medicine | 16.7% | 23.0% | 11.1% | 23.2% |
| Rehabilitation | 9.5% | 2.6% | 0.0% | 7.2% |
| Cardiology | 10.3% | 5.0% | 8.0% | 8.8% |
| Anticoagulant service | 10.0% | 41.9% | 16.0% | 14.2% |
| Dermatology | 9.4% | 6.9% | 8.7% | 11.7% |
| Neurology | 14.6% | 12.2% | 10.8% | 11.7% |
| Rheumatology | 5.1% | 4.5% | 8.5% | 7.7% |
| Paediatrics | 11.5% | 7.4% | 4.2% | 9.4% |
| Geriatric medicine | 9.2% | 12.7% | 11.1% | 14.6% |
| Gynaecology | 5.5% | 11.5% | 9.0% | 9.5% |
| Speech and language therapy | 0.0% | 0.0% | 0.0% | 0.0% |
| Podiatry | 9.7% | 8.2% | 21.7% | 16.1% |
| Audiology | 11.6% | 7.7% | 10.6% | 6.5% |
| Grand total | 9.4% | 8.3% | 8.9% | 9.7% |
Average wait (in weeks) – All GP referrals
| Average wait (in weeks) | Month | Outturn | ||
|---|---|---|---|---|
| Treatment function | Apr 2013 | May 2013 | Jun 2013 | 2011/12 |
| General Surgery | 2.7 | 3.4 | N/A | 3.0 |
| Urology | 3.9 | 3.4 | N/A | 4.0 |
| Breast surgery | 1.5 | 1.8 | N/A | 1.4 |
| Colorectal surgery | 0.0 | 0.0 | N/A | 0.0 |
| Hepatobiliary & pancreatic surgery | 0.0 | 0.0 | N/A | 0.0 |
| Upper gastrointestinal surgery | 3.1 | 2.8 | N/A | 2.9 |
| Vascular surgery | 2.4 | 2.6 | N/A | 5.2 |
| Trauma & orthopaedics | 3.7 | 2.5 | N/A | 2.6 |
| Ear, nose & throat | 6.1 | 5.6 | N/A | 4.6 |
| Ophthalmology | 5.4 | 5.4 | N/A | 6.5 |
| Plastic surgery | 4.5 | 4.0 | N/A | 4.0 |
| Pain management | 4.0 | 3.4 | N/A | 6.0 |
| General medicine | 5.2 | 4.8 | N/A | 3.9 |
| Gastroenterology | 4.5 | 4.8 | N/A | 4.8 |
| Endocrinology | 5.3 | 4.8 | N/A | 6.1 |
| Clinical haematology (excluding anticoagulation) | 4.5 | 3.3 | N/A | 2.9 |
| Clinical physiology | 0.9 | 0.6 | N/A | 0.5 |
| Diabetic medicine | 2.9 | 3.0 | N/A | 2.8 |
| Rehabilitation | 4.8 | 5.9 | N/A | 5.8 |
| Cardiology | 2.2 | 2.1 | N/A | 2.0 |
| Anticoagulant service | 0.3 | 0.3 | N/A | 0.4 |
| Dermatology | 5.0 | 4.4 | N/A | 4.4 |
| Neurology | 5.2 | 6.1 | N/A | 3.8 |
| Rheumatology | 3.3 | 3.7 | N/A | 4.1 |
| Paediatrics | 5.0 | 6.5 | N/A | 3.9 |
| Geriatric medicine | 2.8 | 3.2 | N/A | 3.1 |
| Gynaecology | 3.9 | 3.4 | N/A | 5.3 |
| Speech and language therapy | 0.0 | 0.0 | N/A | 0.0 |
| Podiatry | 5.1 | 6.0 | N/A | 6.7 |
| Audiology | 5.7 | 15.5 | N/A | 4.8 |
| Grand total | 3.6 | 3.9 | N/A | 3.5 |
First to follow-up ratio
| First to follow-up ratio | Month | Outturn | Threshold | ||
|---|---|---|---|---|---|
| Treatment function | Apr 2013 | May 2013 | Jun 2013 | 2011/12 | |
| General Surgery | 1.31 | 1.10 | 0.97 | 0.87 | 1.10 |
| Urology | 1.58 | 1.29 | 1.48 | 1.33 | 1.70 |
| Trauma & orthopaedics | 2.27 | 0.72 | 1.42 | 1.33 | 1.46 |
| Ear, nose & throat | 1.18 | 0.84 | 1.10 | 0.92 | 1.05 |
| Ophthalmology | 2.15 | 1.80 | 3.31 | 1.98 | 2.13 |
| General medicine | 1.79 | 1.58 | 2.24 | 1.79 | 2.09 |
| Gastroenterology | 1.02 | 1.14 | 1.09 | 0.84 | 1.38 |
| Clinical haematology (excluding anticoagulation) | 3.96 | 3.00 | 3.08 | 3.26 | 4.90 |
| Cardiology | 0.65 | 0.49 | 0.56 | 1.10 | 1.12 |
| Paediatrics | 0.48 | 1.20 | 0.78 | 0.93 | 1.06 |
| Gynaecology | 0.90 | 0.89 | 1.32 | 1.08 | 1.09 |
| Grand total | 1.31 | 1.09 | 1.32 | 1.18 | 1.67 |
CQC ratings
The Care Quality Commission (CQC) is the independent regulator of health and social care in England. It regulates care provided by the NHS, local authorities, private companies and voluntary organisations that provide regulated activities under the Health and Social Care Act 2008.
The CQC registers, and therefore licenses, all NHS trusts. It monitors trusts to make sure they continue to meet very high standards of quality and safety. If services drop below the CQC’s essential standards it can impose fines, issue public warnings, or launch investigations. In extreme cases it has the power to close services down.
The information below shows the results of recent checks of Queen Mary’s by the CQC, showing that it meets the standards that the government says patients have the right to expect.
