The King’s Fund publishes its 23rd Quarterly Monitoring Report on performance in the health and care sectors

policy digest

27 / 06 / 2017

Quarterly Monitoring Report
The King’s Fund, June 2017

This is the King’s Fund 23rd Quarterly Monitoring Report (QMR) which looks at the performance of the health and care sectors in the last three months. This QMR is based on publically available data and the responses of 84 NHS trust finance directors and 42 CCG finance leads covering over 50 CCGs. It also uses sampling and qualitative data from GP practices.

The NHS saw, admitted or treated 90 percent of A&E attendees (including at minor injury and walk-in centres) in four hours or less in March 2017, an improvement on March 2016. However type one (or major) A&E departments only reached 85.1 percent. The ‘next steps on the five year forward view’ document committed to reaching 90 percent by September – if current performance continues then this will be achieved, however only 49 per cent of trust finance directors and 60 per cent of CCG finance directors were confident that the NHS could continue at this level and reach the 90 percent target in September.

When looking at other waiting times the NHS “maintained the trend seen in recent years: a slow but steady worsening in performance across the board for the most prominent standards”. The next steps document loosened the 18 week referral-to-treatment target, which may explain why the King’s Fund saw the percentage of CCGs cancelling or cutting back spending plans jump by 50 percent.

CCGs rated general practice as their “second highest operational concern”, which may be a reflection of the reduction in the number of GPs over the last 12 months.

Under two-thirds of mental health providers surveyed were concerned commissioners would not reach the mental health funding commitment this financial year, however only 16 percent of CCGs were fairly concerned they would not meet the target.

Trusts were more positive about finances compared to the last QMR with the percentage forecasting a surplus rising from 38 per cent in February to 54 per cent. While they seem pessimistic about many performance measures, they are slightly less “gloomy” than last year, which is the “first widespread reduction in pessimism QMR has recorded” The King’s Fund suggest this may be because of the next steps document and the extra £2bn for social care.

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