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NHSScotland Chief Executive's Annual Report 2007/08

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Appendix B
HEAT Targets 2008/09

HEAT Targets 2008/09: Health Improvement

H1: Reduce mortality from Coronary Heart Disease among people aged under 75 in deprived areas.

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.

HEAT Targets 2008/09: Efficiency and Governance

E1: Universal utilisation of Community Health Index ( CHI).

E2: Health Boards to achieve a sickness absence rate of 4 per cent from 31 March 2009.

E3 : Health Boards to ensure that all employees covered by Agenda for Change have an agreed KSF personal development plan by March 2009.

E4: Health Boards to deliver agreed improved efficiencies for first outpatient attendance did not attend ( 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 triaged online for clinical priority and appropriate recipient service to 90 per cent from December 2010.

HEAT Targets 2008/09: Access to Services

A1: Ensure that anyone contacting their GP surgery has guaranteed access to a GP, nurse or other healthcare professional within 48 hours.

A2: The maximum wait from urgent referral to treatment for all cancers is two months.

A3: To respond to 75 per cent of Category A calls within 8 minutes from April 2009 onwards across mainland Scotland.

A4: As a milestone in achieving 18 weeks referral to treatment, no patient will wait longer than 15 weeks from GP referral to a first outpatient appointment from 31 March 2009.

A5: As a milestone in achieving 18 weeks referral to treatment, no patient will wait longer than 15 weeks for inpatient or day case treatment from 31 March 2009.

A6: As a milestone in achieving 18 weeks referral to treatment, no patient will wait longer than 6 weeks for one of the 8 key diagnostic tests from 31 March 2009.

A7: Health Boards will achieve agreed reductions in the rates of attendance at A&E, from 2006/07 to 2010/11; and from end 2007 no patient will wait more than 4 hours from arrival to admission, discharge or transfer for accident and emergency treatment.

HEAT Targets 2008/09: Treatment

T1: By 2008/09, we will reduce the proportion of older people (aged 65+) who are admitted as an emergency inpatient 2 or more times in a single year by 20 per cent compared with 2004/05 and reduce, by 10 per cent, emergency inpatient bed days for people aged 65 and over by 2008.

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.

T5: To reduce all staphylococcus aureus bacteraemia (including MRSA) by 30 per cent by 2010.

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.

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Page updated: Friday, November 28, 2008