NES Item 7h March 2015 NES/15/22 (Enclosure) NHS Education for Scotland Board Paper Summary 1. Title of Paper Performance Management Report following December (2014/15 quarter3) progress updates. 2. Author(s) of Paper Diane Boys, Senior Planning Officer 3. Purpose of Paper This paper provides the Board with an overview of NES performance, against Local Delivery Plan (LDP) and Local Operational Plans (OP) for the third quarter of the reporting year (2014/15). The progress reported is for the period 1 October to 31 December 2014, where we have highlighted exceptions (Reds), we have included both the update as at the period end from the full performance report and also additional text outlining the current known position. The full performance reports are available to any member of the Board on request. The full performance reports have been reviewed by both the Executive Team and the Finance and Performance Management Committee as two appendices to this paper. This summary Board report aims to present an overview of performance across the organisation, by Directorate and by Strategic Theme. It focuses on reporting by exception, giving more detail on key targets which are assessed as being Red - which equate to being unlikely to be delivered in accordance with the original plan. 4. Key Issues The overall summary of performance across NES against targets contained within the Local Delivery Plan (LDP) and those within the Operational Plan as at the end of quarter 3 2014/15 is set out in the table below: Number of green targets Number of amber targets Number of red targets Number of completed targets from previous quarter Total number of targets total LDP Operational Plan 370 214 156 31 13 18 3 1 2 51 28 23 455 256 199 Number of completed targets this quarter * 39 20 * completed this quarter - also counted the general Red-Amber-Green columns above 19 The Board report gives detail of the red targets identified in the table above and also summarises the complete performance data to date against strategic themes and corporate primary families (see item 4 in the Board report). 5. Recommendation(s) for Decision The Board is recommended to note the current performance of NES. NES February 2015 DB ORGANISATIONAL PERFORMANCE AGAINST LOCAL DELIVERY PLAN AND OPERATIONAL PLAN TARGETS REPORT TO THE NES BOARD 1 Introduction In assessing its performance against all targets, NES uses a RAG (Red, Amber, Green) methodology. Revised definitions for 2014/15 are shown below: Red – progress against this target has not been satisfactory. The target will not be achieved in year and / or there has been major deviation from planned key deliverables. Amber – progress against this target has not been fully satisfactory. Planned key deliverables may now be behind schedule, but overall outputs / programme objectives are expected to be delivered within the financial year. Green – progress against this target has been satisfactory. The target is expected to be delivered on schedule and/or better than expected. This report provides detailed information against all the targets that are rated ‘Red’ at this stage in the year. It also provides a summary of performance against all other targets. This summary is presented to show total performance against all targets and is also broken down to provide a view of performance against individual NES Strategic Themes, and also by NES Directorate. 2 Summary Performance Data at an Organisational Level Overall picture as at the end of quarter 3 2014/15: total Number of green targets Number of amber targets Number of red targets No. previously completed targets Total number of targets 370 31 3 51 455 % of % of LDP Operational % of OP LDP total Plan 81.32% 214 83.59% 156 78.39% 6.81% 13 5.08% 18 9.05% 0.66% 1 0.39% 2 1.01% 11.21% 28 10.94% 23 11.56% 256 199 page 2 of 9 3 Exception Reporting – Measures that are Red There are 3 Red targets this quarter, equating to 0.66% of all targets: Ref Target Comments on Performance to date This Red relates to Targets in the Local Delivery Plan (LDP) LDP E05-06 [Workforce] STAFF GOVERNANCE, ORGANISATIONAL DEVELOPMENT, CHANGE PRIMARY MANAGEMENT AND LEARNING FAMILY: NES & DEVELOPMENT FOR OUR Business Support STAFF. / (6) Develop and deliver a one day workshop in managing organisational change for all our line managers by the end of March 2015. December 2014: Not achieved. We have delivered 5 one-day training sessions to 28 NES line managers, however delivery has been put on hold due to too few bookings for the sessions. There is a wider discussion being held in the Executive Team regarding participation in learning, in quarter 4, once the Executive Team have agreed a way forward for NES staff development, we will seek to deliver the one day workshop in managing organisational change for line managers in 2015/16 in line with this. R-A-G Status previous quarter: RED These Reds all relate to Targets in the Operational Plan (OP) THE KNOWLEDGE NETWORK / (1) Procure a new search engine for the Knowledge Network which includes a learning platform for FAMILY: health and social care to support MULTI development of a future holistic PROFESSIONAL learning environment. STAFF GROUPS December 2014: No progress on this as this is now the remit of Digital Group and will be addressed in 2014-2015. OP 035-05 [Workforce] December 2014: Survey will be rolled out in August 2015 as part of a now planned 4 year progress review to ensure it does not clash with 2015 activity itself. Delay to survey arising from need to prioritise other activity in 2014 and the need for 3 years outcomes data to identify emerging trends. OP OP 011-01 [Dental] PRIMARY FAMILY: NES Business Support HR and Organisational Development / (5) Repeat the 2011 survey of employee PRP arrangements by August 2014. Pending outcome of Digital Review. R-A-G Status previous quarter: GREEN Delay to survey arising from need to prioritise other activity in 2014 and the need for 3 years outcomes data to identify emerging trends. R-A-G Status previous quarter: AMBER page 3 of 9 4 Early Warnings There were 31 ambers at the end of December 2014, of these, we can be almost certain that the following 4 measures will progress to Red in Quarter 4. Ref Target Comments on Performance to date These Ambers relate to Targets in the Local Delivery Plan (LDP) LDP A07-08 [Finance & Corporate Resources] PRIMARY FAMILY: Leadership and Management Development LDP T10-11 [Dental] PRIMARY FAMILY: Multiprofession al Staff Groups LDP T10-13 [Dental] PRIMARY FAMILY: Multiprofession al Staff Groups SUPPORTING PUBLIC SERVICE REFORM, INTEGRATION AND THE 2020 VISION / (8) Facilitate 15 Community Planning Partnerships (CPPs) to complete self assessments by December 2014. Position remains the same. NES able to support as required but this target is unlikely to progress as initially intended. The lead agency Improvement Service - had expected partner agencies including NES to assist with CPP Board development. This has not resulted in the work originally anticipated. PSCL discussed this target and the expectation of PSCL partners collaborating to support CPPs at their meeting in August. PSCL have discontinued this work stream as the need for PSCL to CPP development support has ceased. CPPs are getting this support directly from the Improvement Service. ONLINE RESOURCES / (11) Develop the business case and select a national solution for educational internet broadcasting. No progress currently as this project is not in plans after IT and Systems & Resources (S&R) teams are moved to Digital group. Pending the outcome of the Digital Review. ONLINE RESOURCES / (13) Gain acceptance of the roadmap for Clinical Knowledge Publisher (CKP) by SIGN / NES Steering Group and extend the Clinical Knowledge Publisher toolkit to support indexing and formatting of SIGN and other guidelines. No current progress as this project is not in plans after IT and Systems & Resources (S&R) teams are moved to Digital team. Pending the outcome of the Digital Review. This Amber relates to a Target in the Operational Plan (OP) OP 047-02 [Medical] PRIMARY FAMILY: Training Grades 5 LEADERSHIP AND MANAGEMENT DEVELOPMENT FOR MEDICAL TRAINEES / (2) Provide module 5 of the LaMP programme. A decision was made to put development of module 5 on hold. The module will be developed but it pending other pre-module 5 priorities being tackled first. Progress against NES Strategic Themes This table shows the previously completed items separately, please note there will also be items completed this quarter that are counted in the general Red-Amber-Green columns. LDP Operational Plan Strategic Theme Green Amber Red Completed Green Amber Red Completed 1. An excellent workforce 33 0 0 4 41 1 0 5 2. Improved quality 40 0 0 3 21 1 0 3 3. New models of care 68 5 0 3 18 7 0 2 4. Enhanced educational infr 46 3 0 4 36 3 1 3 5. An improved organisation 27 5 1 14 40 6 1 10 TOTALS 214 13 1 28 156 18 2 23 page 4 of 9 Strategic Themes - LDP Strategic Themes - OP page 5 of 9 6 Performance by NES Directorate This table shows the previously completed items separately, please note there will also be items completed this quarter that are counted in the general Red-Amber-Green columns. Directorate Dental (incl Healthcare Science & Optometry) Finance & Corporate Resources Medical NMAHP Pharmacy Psychology Workforce TOTALS LDP Green Amber Red Operational Plan Completed Green Amber Red Completed 27 4 0 7 23 2 1 5 28 3 0 5 51 5 0 7 33 46 21 46 13 214 0 1 0 0 5 13 0 0 0 0 1 1 2 7 1 0 6 28 40 14 3 9 16 156 3 0 0 0 8 18 0 0 0 0 1 2 2 1 0 0 8 23 Directorates - LDP Directorates - OP page 6 of 9 7 Development of our approach to Performance Reporting The Committee has requested that we consider means by which we can categorise our performance targets in a way that helps us to focus scrutiny on the targets that represent the most risk to the organisation if they are missed. This approach will enable us to start to deliver a dashboard approach with targets categorised by type and by risk, and a prototype report is expected to become available next quarter. 8 Performance by Primary Families Families are used to group data in different ways, they tend to fit into one of three categories: an NHS Scotland staff group (eg Healthcare Support Workers, Doctors); an NHS Scotland patient group (eg older people, children and young people) or a health condition (eg Dementia, Cancer). There are some exceptions to this definition, most notably the family NES Business Support. Targets have both primary and secondary families (from the same list) allocated to them allowing the same data to be viewed from different points of view. The concept of families was first used in Operational Planning for 2014/15 and is still being refined. To avoid double counting, this report only shows performance against primary families, The Primary family is chosen by the NES Directorate Planners at the time of Operational Planning and is the family they deem to be the most relevant to the activity for which they are planning. Reports may be run to show performance against specific families if required. For example, the table below shows that there are 14 Greens relating to family Dementia, however, there are in fact a total of 22 targets which have Dementia as either a primary or a secondary family, of which, 21 are currently Green, one is currently Amber and none are currently Red. The table and chart overleaf show the previously completed items separately, please note there will also be items completed this quarter that are counted in the general Red-AmberGreen columns. page 7 of 9 LDP Family Admin & Clerical staff AHPs National Policy Priorities Autism CAMHS CYP Dementia DCPs Dentists Early Years (pre school) Equality & Diversity Facilities staff HAI H&SCI Health Care Chaplains Health Impr & Red'g Inequals Health Protection Human Factors Leadership & Mgt Dev Learning Disabilities LTC + Multiples Midwifery & Maternal Hlth Modern Apprenticeships Modernising Careers Multi Professional Staff NES Business Support NHS Staff Engagement Nurses Optometrists Parenting Patient Safety Person Centred Care PFPI, incl Vols + Lay Pharmacy Portal Post Grad Practice Education Psychological Therapies Quality Improvement Remote & Rural Salaried Dental Service Support Workers The Knowledge Network Trained Doctors Training Grades Undergraduates TOTALS Green 6 2 0 1 6 8 11 5 5 2 1 1 3 3 1 1 0 2 15 1 5 7 0 1 14 25 0 0 3 3 0 4 3 21 1 8 0 7 1 0 1 5 2 8 17 4 214 Operational Plan Amber Red 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 2 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Prev Complete 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 8 1 5 2 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 2 1 28 Green Amber Red 1 2 1 0 0 0 3 0 5 1 3 0 0 2 0 0 2 0 18 0 0 1 1 0 23 33 1 0 0 0 6 0 3 3 0 1 4 0 4 1 0 0 2 10 23 2 156 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 3 7 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Prev Complete 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 2 0 0 0 0 0 1 11 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 23 page 8 of 9 Primary Families - LDP and OP combined page 9 of 9
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