Better Health, Better Care: Action Plan
This Action Plan sets out the Government's programme to deliver a healthier Scotland by helping people to sustain and improve their health, especially in disadvantaged communities, ensuring better, local and faster access to health care. The report is informed by the response to the consultation on Better Health, Better Care: A Discussion Document (August 2007).
ANNEX A
2008/09 HEAT targets
HEALTH IMPROVEMENT (7)
Reduce mortality from Coronary Heart Disease among the under 75s in deprived areas
80% of all three to five year old children to be registered with an NHS dentist by 2010/11
Achieve agreed completion rates for child healthy weight intervention programme by 2010/11.
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.
Through smoking cessation services, support 8% of each NHS Board's smoking population in successfully quitting (at one month post quit) over the period 2008/09 - 2010/11
Reduce suicide rate between 2002 and 2013 by 20%, supported by 50% 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
Increase the proportion of newborn children exclusively breastfed at 6-8 weeks from 26.6% in 2006/07 to 33.3% in 2010/11
EFFICIENCY AND GOVERNANCE (7)
NHS Boards to achieve a sickness absence rate of 4% from 31 March 2009
NHS Boards to operate within their agreed revenue resource limit; operate within their capital resource limit; meet their cash requirement
NHS Boards to meet their cash efficiency target
NHS 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
NHS Boards to ensure that all employees covered by Agenda for Change have an agreed KSF personal development plan by March 2009
Universal utilisation of CHI
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% from December 2010
ACCESS (7)
To respond to 75% of Category A calls within 8 minutes from April 2009 onwards across mainland Scotland
Ensure that anyone contacting their GP surgery has guaranteed access to a GP, nurse or other health care professional within 48 hours
The maximum wait from urgent referral to treatment for all cancers is two months
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
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
As a milestone in achieving 18 weeks referral to treatment, no patient will wait longer than six weeks for one of the 8 key diagnostic tests from 31 March 2009
NHS Boards will achieve agreed reductions in the rates of attendance at A&E, from 2006/7 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
TREATMENT (9)
By 2008/09, we will reduce the proportion of older people (aged 65+) who are admitted as an emergency inpatient two or more times in a single year by 20% compared with 2004/05 and reduce, by 10%, emergency inpatient bed days for people aged 65 and over by 2008
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 2006/7 to 2010/11
Reduce the annual rate of increase of defined daily dose per capita of antidepressants to zero by 2009/10, and put in place the required support framework to achieve a 10% reduction in future years
Reduce the number of readmissions (within one year for those that have had a psychiatric hospital admission of over seven days by 10% by the end of December 2009)
Each NHS Board will achieve agreed improvements in the early diagnosis and management of patients with dementia by March 2011
QIS clinical governance and risk management standards improving
To reduce all staphylococcus aureus bacteraemia (including MRSA) by 30% by 2010
Increase the level of older people with complex care needs receiving care at home
Improvement in the quality of health care experience
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