Acronyms

Acronym Definition
18WW Eighteen Week Waits
A&E Accident & Emergency
AD Advance Decision
AIN Assistant in Nursing
AMHP Approved Mental Health Professional
AMHP Approved Mental Health Professional
APGAR after Dr. Virginia APGAR
AS Advance Statement
ASA Average Speed of Answer
ASW Approved Social Worker (redundant term. See AMHP)
AVA Abuse of Vulnerable Adults
BAAF British Association for Adoption and Fostering
BCG Bacillus Calmette-Guérin
BME Black and Minority Ethnic
BMP Bitmap (file extension format)
BNF British National Formulary
C19 Form C19: Application for a warrant of assistance (Section 102 Children Act 1989)
CAB Choose and Book
CAF Common Assessment Framework
CCG Clinical Commissioning Group
CCHP Community Children’s Health Partnership
CCOW Clinical Context Object Workgroup
CD Controlled Drugs
CDA Clinical Document Architecture
CMDS Contract Minimum Data Set
COVER Cover Of Vaccination Evaluated Rapidly
CPMS Clozaril Patient Monitoring System
CTO Community Treatment Order
DNA Did Not Attend
DNAR Do Not Attempt Resuscitation
DOB Date of Birth
DOLS Deprivation of Liberty Safeguards
DPA Data Protection Act
DSCN Data Set Change Notice (replaced by ISN)
DTOC Delayed Transfer of Care
EDM Electronic Document Management
e-GIF e-Government Interoperability Framework
eMAR electronic Medication Administration System
EPS Electronic Prescription Service
FTA Failed to Attend
FTE Full Time Equivalent
GDP General Dental Practitioner
GIF Graphics Interchange Format (file extension format)
GP General Practitioner
GUM Genito Urinary Medicine
HL7 Health Level 7
HNEAHS Hunter New England Area Health Service
HOCF Home Oxygen Consent Form
HRG Health Resource Group
IAPTS Increased Access to Psychological Therapies
IAPTS Increased Access to Psychological Therapies Services
IC Information Centre
ICD10 International Classification of Diseases
ICP Integrated Care Pathway
ID Identity
IG Information Governance
IMHA Independent Mental Health Advocate
IPTAMDS Inter-Provider Transfer Administrative Minimum Dataset
ISI Information Sharing Index
ISN Information Standards Notice
ISN Information Standards Notice
JPEG Joint Photographic Experts Group (file extension format)
KC51 Form KC51: Data collection form required by the Health and Social Care Information Centre
KPI Key Performance Indicator
LEA Local Education Authority
MCA Mental Capacity Act
MDS Minimum Data Set
MHA Mental Health Act
MHRA Medicines and Healthcare products Regulatory Agency
MIU Minor Injury Unit
MoJ Ministry of Justice
MRSA Methicillin-resistant Staphylococcus aureus
NCMP National Child Measurement Programme
NCOD National Child Obesity Database
NDTMS National Drug Treatment Monitoring System
NHS National Health Service
NICE National Institute for National Excellence
NICU Neonatal Intensive Care Unit
NMP Non-Medical Prescriber
NN4B NHS Number for Babies
NPRAS National Patient Record Analysis Service
ODS Organisation Data Service
PCT Primary Care Trust
PDA Personal Digital Assistant
PDF Portable Document Format (file extension format)
PDS Personal Demographic Service
PGD Patient Group Directions
PICU Paediatric Intensive Care Unit
PICU Psychiatric Intensive Care Unit
PNG Portable Network Graphics  (file extension format)
QR Code Quick Response Code
READ After Dr James Read
RTT Referral to Treatment
SCBU Special Care Baby Unit
SPOTRN Satisfactory, Problem, Observe, Treatment, Refer, Normal
SHA Strategic Health Authority
SNOMED CT Systematized Nomenclature of Medicine Clinical Terms
SRHAD Sexual Reproductive Health Activity Dataset
SUS Secondary Uses Service
TB tubercle bacillus (aka Tuberculosis)
TTO To Take Out
UBRN Unique Booking Reference Number
UK United Kingdom
UUID Unique User Identification
V&I Vaccinations and Immunisations
VTP Vaccine Tracking Project
W3C World Wide Web Consortium
WAI Web Accessibility Initiative
XDS XML Data Services
XML Extensible Markup Language

Caldicott principles

The six Caldicott principles, applying to the handling of patient-identifiable information, are:

  • justify the purpose(s) of every proposed use or transfer
  • don’t use it unless it is absolutely necessary, and
  • use the minimum necessary
  • access to it should be on a strict need-to-know basis
  • everyone with access to it should be aware of their responsibilities, and
  • understand and comply with the law.

Hospital Performance Measures

A&E 4-hour wait time: all patients

This is the percentage of patients who have received emergency treatment and who have been discharged from the department within 4 hours of arrival in A&E, or admitted to the Trust within 4 hours of arrival.
Target figure for 2015/16: 95%

Total time spent in A&E: all patients

National: 305
95% of all patients waited under 582 minutes from arrival to departure*.
* The data used in these reports are sourced from provisional A&E Hospital Episodes Statistics data, and may differ to the data held by individual Trusts.
The 95th percentile information is particularly sensitive to poor data quality and outliers which contributes to why some unusually high values may be observed for these measures.

Total time spent in A&E: non-admitted patients

National: 238
95% of patients not requiring admission to hospital waited under 453 minutes from arrival to departure*.
* The data used in these reports are sourced from provisional A&E Hospital Episodes Statistics data, and may differ to the data held by individual Trusts.
The 95th percentile information is particularly sensitive to poor data quality and outliers which contributes to why some unusually high values may be observed for these measures.

Total time spent in A&E: admitted patients

National: 510
95% of patients requiring admission to hospital waited under 815 minutes from arrival to departure*.
* The data used in these reports are sourced from provisional A&E Hospital Episodes Statistics data, and may differ to the data held by individual Trusts.
The 95th percentile information is particularly sensitive to poor data quality and outliers which contributes to why some unusually high values may be observed for these measures.

Time to treatment in A&E

National: 54
The average (median) waiting time for patients to be seen by a clinical decision maker was 69 minutes.
The target figure for 2015/16: 60 minutes
* The data used in these reports are sourced from provisional A&E Hospital Episodes Statistics data, and may differ to the data held by individual Trusts.

Left A&E without being seen
National: 2.7%
This is the percentage of patients leaving A&E without being seen by a clinical decision-maker (senior doctor or nurse).
* The data used in these reports are sourced from provisional A&E Hospital Episodes Statistics data, and may differ to the data held by individual Trusts.
Unplanned re-attendances in A&E
National: 7.6 %
We want to reduce the number of people returning to A&E by ensuring that the quality of care they receive and our communication with them was right first time. This standard is for the percentage of patients who return to the department within 7 days of their first attendance.
* The data used in these reports are sourced from provisional A&E Hospital Episodes Statistics data, and may differ to the data held by individual Trusts.

Time to initial assessment (emergency ambulances only)

National: 183
95% of patients requiring admission to hospital waited under 77 minutes from arrival to initial assessment*.
* The data used in these reports are sourced from provisional A&E Hospital Episodes Statistics data, and may differ to the data held by individual Trusts.
The 95th percentile information is particularly sensitive to poor data quality and outliers which contributes to why some unusually high values may be observed for these measures.

18 weeks referral to treatment target – incomplete

All non-urgent patients referred to us should be treated within 18 weeks of the receipt of the referral.   The figure shown represents the percentage of patients waiting less than 18 weeks on the last day of the month.
The target figure for 2015/16:  92%

Diagnostic treatment – six week referral
Patients referred to us for treatment should wait no longer than six-weeks for a diagnostic test from the request from the referring clinician.   The figure shown represents the percentage of patients seen within this time-frame.
The target figure for 2015/16:  99%

Cancer treatment – 2 week referral
All patients referred to us urgently where their GP suspects there may be a risk of cancer should be seen in outpatients within 14 days of the receipt of the referral.   The figure shown represents the percentage of patients seen within this time-frame.
The target figure for 2015/16:  93%

Cancer treatment – 31 day waits

All patients diagnosed with cancer should start their recommended treatment (which may include chemotherapy, radiotherapy and surgery) within 31 days from the decision to treat.  The figure shown represents the percentage of patients seen within this time-frame.

The target figure for 2015/16: 96%

 

Cancer treatment – 62 day waits

All patients diagnosed with cancer should start their recommended treatment (which may include chemotherapy, radiotherapy and surgery) within 62 days from first being referred to us.  The figure shown represents the percentage of patients seen within this time-frame.
The target figure for 2015/16:  85%

Number of clostridium difficile (C.diff) cases
Like all other healthcare organisations, one of our key priorities is to prevent patients from getting an infection whilst they are in our care.  Trusts routinely publish data on MRSA and Clostridium difficile (C. diff) to indicate to demonstrate how effective efforts to control infection have been. Clostridium difficile is a bacteria that can cause diarrhoea in some circumstances.
Target figure for 2015/16: 31 cases

Number of MRSA cases
Like all other healthcare organisations, one of our key priorities is to prevent patients from getting an infection whilst they are in our care.  Trusts routinely publish data on MRSA and Clostridium difficile (C. diff) to indicate to demonstrate how effective efforts to control infection have been.

Target figure for 2015/16:  Zero

 

Occurrence of avoidable pressure ulcers (bed sores)
We are committed to improving patient safety by reducing and eventually eliminating all hospital acquired pressure ulcers. The level of severity (where 1=least severe and 4=most severe) of the categories increases with the number. All pressure ulcers can cause pain and distress for patients and the more serious ones can cause major disability or even death, which makes this priority extremely important.
Target figure for 2015/16: 19 per 100,000 bed days