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NHSScotland Chief Executive's Annual Report 2007/08

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Appendix C
HEAT Targets 2009/10

HEAT Targets 2009/10: Health Improvement

H2: 80 per cent of all three to five year old children to be registered with an NHS dentist by 2010/11.

H3: Achieve agreed completion rates for child healthy weight intervention programme by 2010/11.

H4: Achieve agreed number of screenings using the setting-appropriate screening tool and appropriate alcohol brief intervention, in line with SIGN 74 guidelines by 2010/11.

H5: Reduce suicide rate between 2002 and 2013 by 20 per cent, supported by 50 per cent of key frontline staff in mental health and substance misuse services, primary care, and accident and emergency being educated and trained in using suicide assessment tools/suicide prevention training programmes by 2010.

H6: Through smoking cessation services, support 8 per cent of your Board's smoking population in successfully quitting (at one month post quit) over the period 2008/09 - 2010/11.

H7: Increase the proportion of new-born children exclusively breastfed at 6-8 weeks from 26.6 per cent in 2006/07 to 33.3 per cent in 2010/11.

H8: Achieve agreed number of inequalities targeted cardiovascular Health Checks during 2009/10.

HEAT Targets 2009/10: Efficiency and Governance

E4: Health Boards to deliver agreed improved efficiencies for first outpatient attendance DNA, non-routine inpatient average length of stay, review to new outpatient attendance ratio and day case rate by March 2011.

E5: Health Boards to operate within their agreed revenue resource limit; operate within their capital resource limit; meet their cash requirement.

E6: Health Boards to meet their cash efficiency target.

E7: To increase the percentage of new GP outpatient referrals into consultant led secondary care services that are managed electronically to 90 per cent from December 2010.

E8: NHSScotland to reduce emissions over the period to 2011.

E9: Achieve universal utilisation of Community Health Index ( CHI) (radiology requests).

E10: Health Boards to ensure at least 80 per cent of staff covered by Agenda for Change to have their knowledge and skills framework development reviews completed and recorded on e- KSF by March 2011.

HEAT Targets 2009/10: Access to Services

A8: Provide 48 hour access or advance booking to an appropriate member of the GP practice Team by 2010/11.

A9: The maximum wait from urgent referral with a suspicion of cancer to treatment is 62 days; and the maximum wait from decision to treat to first treatment for all patients diagnosed with cancer will be
31 days from December 2011.

A10: Deliver 18 weeks referral to treatment from 31 December 2011. No patient will wait longer than 12 weeks from referral to a first outpatient appointment from 31 March 2010. No patient will wait longer than 12 weeks from being placed on a waiting list to admission for an inpatient or day case treatment from 31 March 2010.

A11: To offer drug misusers faster access to appropriate treatment to support their recovery.

A12: Health Boards to deliver faster access to Child and Adolescent Mental Health Services.

HEAT Targets 2009/10: Treatment

T2: NHSQIS clinical governance and risk management standards improving.

T3: Reduce the annual rate of increase of defined daily dose per capita of anti-depressants to zero by 2009/10, and put in place the required support framework to achieve a 10 per cent reduction in future years.

T4: Reduce the number of readmissions (within one year) for those that have had a psychiatric hospital admission of over 7 days by 10 per cent by the end of December 2009.

T6: To achieve agreed reductions in the rates of hospital admissions and bed days of patients with primary diagnosis of COPD, Asthma, Diabetes or CHD, from 2006/07 to 2010/11.

T7: Improvement in the quality of healthcare experience.

T8: Increase the level of older people with complex care needs receiving care at home.

T9: Each Health Board will achieve agreed improvements in the early diagnosis and management of patients with a dementia by March 2011.

T10: To support shifting the balance of care, Health Boards will achieve agreed reductions in the rates of attendance at A&E, between 2007/08 and 2010/11.

T11: To reduce all staphylococcus aureus bacteraemia (including MRSA) by 30 per cent by 2010; to introduce and comply with local antimicrobial policies by 2010; and to reduce the rate of C.diff infection in hospitals by at least 30 per cent by 2011.

T12 : By 2010/11, Health Boards will reduce the emergency inpatient bed days for people aged 65 and over, by 10 per cent compared with 2004/05.

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