ANNEX A

NHS FIFE - Balanced Scorecard 2014/15

Improving Health - 1 Patient & Staff Experience - 2 Planning for Service Improvement - 3 Delivery & Efficiency - 4

03 Smoking Cessation 01 Delayed Discharge 04 Dementia Support 07 Financial Performance

11 Ante-Natal Care 03 HAI 11 IVF Waiting Times 10 A & E Waiting Times

National
(HEAT) 12 Detect Cancer Early 15 CAMHS Waiting Times
Targets
13 Emergency Inpatient Bed Days 16 Environment

17 Psychological Therapies

02 Alcohol Brief Interventions 06 Sick Absence 12 Cancer Waiting Times

National 13 18 Weeks RTT

(HEAT)
Standards 14 Drug and Alcohol Waiting Times

19 Treatment Time Guarantee

Total 3 5 2 9

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 1 of 15 ver. 2014.06

 ANNEX A

No. Quality Ambition

2020 Vision Target Target Origin
Target Date Enablers/Drivers Key Performance Indicators Account. Executive Govern. Committee Dependencies

Alcohol Brief Interventions - we will aim to deliver 4,505, at least 95%

NS S Number of Interventions
of which (4,280) will be in priority settings
Clinically Effective

National Standard: 01 Develop comprehensive training schedule

Prevention

Embedding of alcohol brief interventions in

1.02 02 Mary Porter KL CHP
NHS Boards and Alcohol and Drug Partnerships (ADPs) will sustain NHS core business
and embed alcohol brief interventions (ABI) in the three priority
Pursue opportunities for ABI activity in wider
settings (primary care, A&E, antenatal), in accordance with the 03
settings
SIGN74 Guideline. In addition, they will continue to develop delivery of
alcohol brief interventions in wider settings.
04

Smoking Cessation (SIMD) - we will aim to deliver 761 post 12-weeks

NT Mar-15 Number of Quits
smoking quits in the 40% most-deprived areas of Fife
A Fife-wide Action Plan for attainment of the
National Target: 01
new target is to be agreed
Health Inequalities
Clinically Effective

Regular monitoring of referral rates from GP

02 practices, including the recording of the use of
e-cigarettes
DWF CHP
1.03 Eddie Coyle
KL CHP
NHSScotland to deliver universal smoking cessation services to Work with Acute Services staff to target
achieve at least 12,000 successful quits, at 12 weeks post quit, in the awareness raising of brief intervention and
40% most deprived within-board SIMD areas (60% for island health 03 referral to Stop Smoking Services, with a focus
boards) over the 1 year ending March 2015 on the continued development of referral
pathways

04

Ante-Natal Care - by March 2015, at least 80% of pregnant women in

each SIMD quintile will have booked for antenatal care by the 12th NT Mar-15 % Booked within 12 Weeks
week of gestation

Following training, provide hand-held devices

National Target: 01 to community midwives to ensure data is
Clinically Effective

entered in real time

Early Years

Consider the recommendations resulting from

1.11 NHS Fife's participation in the National Mary Porter DWF CHP
02
Maternity Manpower tool when results from
At least 80% of pregnant women in each NHS Board deprivation national reporting group are available
quintile will have booked for antenatal care by the 12th week of
gestation by March 2015 so as to ensure improvements in breast Ensure that information about booking early is
03
feeding rates and other important health behaviours available in alternative formats

Ensure that patient monitoring can identify any

04 group that is not booking early, so that
appropriate interventions can be made

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 2 of 15 ver. 2014.06

 ANNEX A

Quality Target Target Account. Govern.

No. 2020 Vision Target Enablers/Drivers Key Performance Indicators Dependencies
Ambition Origin Date Executive Committee

Delayed Discharges - we will aim to achieve no waits over 2 weeks NT Apr-15 Number DD > 2 weeks

Continuous review of demand and flow by

Partnership Management Group to inform
National Target: 01
options and plans for consideration by the
Health & Social Care Partnership
Integrated Care
Person-centred

Identify and evaluate support mechanisms

02
which facilitate earlier discharge DWF CHP
GNEF CHP
2.01 Review services provided within our local Vicky Irons
03 KL CHP
Intermediate Care model ASD
No people will wait more than 28 days to be discharged from hospital Develop a Frailty Screening Tool to ensure
into a more appropriate care setting once treatment is complete, from elderly patients are screened on admission
April 2013; followed by a 14 day maximum wait from April 2015 04
and that a frailty assessment is started within
48 hours, where appropriate

Continued promotion of a re-ablement

05
approach, to minimise dependency on services

Rate of Sabs cases (per 1,000

HAI - we will aim to reduce the rate of staphylococcus aureus
AOBD)
bacteraemia (including MRSA) to 0.24 and the rate of C diff infection in NT Mar-15
Rate of C diff cases (per 1,000
the over 15s to 0.32
TOBD)

Progress initiatives for hospital-acquired and

community SABs, via joint investigation and
action planning with HPS epidemiologists.
National Target: 01
Maintain focus on preventing device related
SABs in hospital, and develop initiatives to
help reduce community SABs cases.

Maintain systematic monitoring of antibiotic

prescribing (particularly for UTI) and the use of
Safe Care

broad-spectrum antibiotics. Link findings to

02
Safe

2.03 targeted prescriber education in order to Scott McLean ASD CRR 516 - Infection Control
further reduce prescribing of ‘high risk’ broad
spectrum antibiotics.

Deliver the Infection Control Communication

Further reduce healthcare associated infections so that by 2014/15
NHS Boards’ staphylococcus aureus bacteriamia (including MRSA)
cases are 0.24 or less per 1000 acute occupied bed days; and the rate
of Clostridium difficile infections in patients aged 15 and over is 0.32
cases or less per 1000 total occupied bed days
Strategy, with particular focus on ensuring
03 senior management and the Board are fully
sighted on successes, challenges and future
risks

Deliver the Infection Control Training Strategy,

and monitor impact through SPSP and LBC
audits of Standard IC Precautions (SICPs).
04
Ensure the momentum behind Hand Hygiene
is maintained during integration of the national
programme into SPSP.

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 3 of 15 ver. 2014.06

 ANNEX A

Quality Target Target Account. Govern.

No. Ambition
2020 Vision Target Enablers/Drivers Key Performance Indicators Dependencies
Origin Date Executive Committee
Sick Absence - we will aim to achieve and sustain a sickness absence
NS S % Sickness Absence Rate
rate of no more than 4%

Maintenance of a sustainable attendance

National Standard: 01 management rolling training and refresher
programme for managers and supervisors
Clinically Effective

Review and improve OHSAS Management

Referral processes to maximise OH input to
Workforce

02
the management of absence and reduce DNA CRR 527 - Staff Governance,
2.06 and cancellation rates Rona King SG
Sickness Absence

Consolidate the activity of the NHS Fife and

NHS Boards to achieve a sickness absence rate of 4% local Attendance Management Groups to
03 share best practice, organisational learning
and to monitor attendance management
performance

Develop and refine improved data recording

04
and reporting processes

Detect Cancer Early - by 2014/15, at least 29% of cancer patients will

Cancer Detection Rate (Stage
be diagnosed and treated in the first stage of breast, colorectal and NT Mar-15
1)
lung cancer

Complete and evaluate local initiatives on

National Target: 01
Clinically Effective

cancer symptom awareness

Prevention

Collect data and produce reports to referrers

02
2.12 and others, as required Frances Elliot CG
Understand the possible changes in demand
To increase the proportion of people diagnosed and treated in the first 03 on diagnostics and treatment, and assess the
stage of breast, colorectal and lung cancer by 25% by 2014/2015 impact and ability to respond

Complete an Equality & Diversity Impact

04 Assessment, and progress actions as
appropriate

Reduction in Emergency Bed Day Rates for Patients Aged 75+ - by Bed Day Rate per 1,000
NT Mar-15
2014/15, we will aim to reduce the bed days rate to 4,058 Population Aged 75+

Complete the implementation of Hospital at

Care for Multiple and Chronic Illnesses

National Target: 01 Home (H@H) across Fife and work with GPs
and the acute hospital to optimise capacity

Build a sustainable workforce model within

Person-centred

ICASS to ensure the availability of

02
appropriately skilled staff within ICTs, H@H
2.13 and homecare reablement Vicky Irons GNEF CHP

NHS Boards and partners will reduce the rate of emergency inpatient Review intermediate care bed pilot schemes in
bed days for people aged 75 and over per 1,000 population, by at least 03 the independent sector, to determine most
12% between 2009/10 and 2014/15 appropriate provision across Fife

Review frailty pathways within acute to prevent

admission at the point of referral, discharge
04
from ED and early supported discharge on
defined pathways

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 4 of 15 ver. 2014.06

 ANNEX A

Quality Target Target Account. Govern.

No. Ambition
2020 Vision Target Enablers/Drivers Key Performance Indicators Dependencies
Origin Date Executive Committee

Dementia - we will aim to have a QOF-registered proportion of % Dementia Patients

diagnosed patients consistent with the European measure of Registered on QOF
NT Mar-16
prevalence, all of whom will have a minimum of a year's post- % Demential Patients with
diagnostic support and a person-centred support plan Support Plan

Plan and implement an IT modernisation

programme for Mental Health and Psychology
Person-centred Care

National Target: 01 Services which also supports the gathering of

Person-centred

data an intelligence for the Dementia Standard

and the Dementia HEAT Target
3.04 Mary Porter KL CHP

Work to redesign pathways to diagnosis and

02
post diagnostic support

To deliver expected rates of dementia diagnosis and by 2015/16, all

The creation of new post diagnostic support
people newly diagnosed with dementia will have a minimum of a year’s
03 hubs to provide coordination and signposting
worth of post-diagnostic support coordinated by a link worker,
as well as direct support to those referred
including the building of a person-centred support plan

04

IVF - we will reduce the waiting time for IVF treatment to ensure that % Patients Screened at an IVF
nobody will wait longer than 12 months for the first cycle by March NT Mar-15 Centre within 12 Months of
2015 Referral from Secondary Care

Ensure systems are in place with NHS Tayside

Person-centred Care

Local Priority: 01 to monitor waiting times and demand against

Person-centred

funding allocations
3.11 Eddie Coyle CG
Monitor the impact of the new criteria for
accessing the service, and ensure this is
02
reported at local and national level, as
appropriate
Eligible patients will commence IVF treatment within 12 months by 31
March 2015
03

04

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 ANNEX A

Quality Target Target Account. Govern.

No. 2020 Vision Target Enablers/Drivers Key Performance Indicators Dependencies
Ambition Origin Date Executive Committee
Financial performance - we will aim to i) operate within our RRL, ii) Deficit/Surplus for ‘End FY’
NT Mar-15
operate within our CRL, iii) meet our cash requirement against Total RRL

Monthly monitoring and reporting of the

financial position including both the revenue
National Target: 01 and capital position to relevant committees
Efficiency & Productivity

including the Finance and Resources

Clinically Effective

Committee and the Board

CRR 522 - Prescribing and
4.07 Robust process of year-end forecasting of out- Chris Bowring F&R Medicines Management
02 turn position from mid-year review and high CRR 517 - Financial Targets
level forecasting from the first quarter

NHS Boards to operate within their agreed revenue resource limit; Regular budget review meetings with key
operate within their capital resource limit; meet their cash requirement 03 budget holders to monitor progress and agree
actions to ensure year-end targets are met

04

A&E Waiting Time - we will aim to have 96.9% of attendees seen

within 4 hours by year ending September 2014, as a step towards a NT Sep-14 % Patients Treated <= 4 hours
sustainable monthly performance standard of 98%

Consistently achieve 100% compliance in the

National Target: 01
Emergency Department minors flow

Highlight delays within flows in ED, acute

receiving units, specialty wards and community
02
Unscheduled and Emergency Care

hospitals to inform improvements across the 7

day week
Clinically Effective

Ensure operational data supports monitoring of

03 and improvement against the 4 hour
emergency access standard
4.10 Scott McLean ASD CRR 521 - Capacity Planning
Ensure that delivery of the target is
95% of patients will wait less than 4 hours from arrival to admission, synonymous, to partners and stakeholders,
04
discharge or transfer for accident and emergency treatment by year with delivery of quality and improved patient
ending September 2014 outcomes

Progress recruitment initiatives such as

Emergency Nurse Practitioners, Consultants
05
and fixed-term Senior and Junior Clinical
Fellows

Work with health and social care partners to

standardise access arrangements to
06
community health and social care teams
across Fife

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 6 of 15 ver. 2014.06

 ANNEX A

Quality Target Target Account. Govern.

No. Ambition
2020 Vision Target Enablers/Drivers Key Performance Indicators Dependencies
Origin Date Executive Committee
Cancer Waiting Times - we will aim to;
i) treat any patient urgently referred with a suspicion of cancer within
% RTT within 62 days
62 days NS S
% DTT within 31 days
ii) treat any cancer patient within 31 days of decision to treat

Work with the clinical teams and directorate

management to ensure enough surgical,
National Standards: 01
outpatient and diagnostic capacity for cancer
patients
Person-centred Care
Clinically Effective

Working closely with Primary Care colleagues,

4.12 continue to review all care pathways from Frances Elliot ASD
02 referral to treatment, including the pathways for
screening patients, and undertake re-design as
appropriate
95% of all patients diagnosed with cancer to begin treatment within 31
days of decision to treat, and 95% of those referred urgently with a
suspicion of cancer to begin treatment within 62 days of receipt of Develop improvement measures and
referral outcomes and report cancer waiting times
03
through the Elective Flow Improvement
Programme

Monitor and analyse the steps in pathways for

04 patients transferred to other health boards, to
identify areas for improvement

18 Weeks RTT - we will aim to deliver a maximum 18 weeks referral to % Patients Treated within 18
NS S
treatment Weeks of Referral

Review booking processes for elective

inpatient and day case procedures to reduce
National Standards: 01 time between patient and consultant
agreement to list and confirmation of
Person-centred Care

procedure date
Clinically Effective

Review capacity planning and management in

4.13 outpatients for all specialties, with specific Scott McLean ASD CRR 521 - Capacity Planning
02
emphasis on high volume specialties (in
particular Orthopaedics)

90% of planned/elective patients to commence treatment within 18

weeks of referral Review capacity planning and management for
03 inpatient and day case capacity: review DCAQ
and monitor utilisation of theatre sessions

04 Clinical outcome recording to be optimised

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 7 of 15 ver. 2014.06

 ANNEX A

Quality Target Target Account. Govern.

No. Ambition
2020 Vision Target Enablers/Drivers Key Performance Indicators Dependencies
Origin Date Executive Committee

% Clients Referred for

Drug and Alcohol Waiting Times - we will aim to have 90% of clients Drug/Alcohol Treatment
NS S
wait no longer than 3 weeks from referral to treatment treated within 3 weeks from
date referral received
Person-centred Care
Clinically Effective

Monitor and review service responsiveness

National Standard: 01
Fife wide
4.14 Mary Porter KL CHP
Monitor, scope and review service demand,
02
capacity and service provision
90% of clients will wait no longer than 3 weeks from referral received
03
to appropriate drug or alcohol treatment that supports their recovery

04

Faster Access to Mental Health Services - we will aim to have 90% of

% Patients Treated within 18
patients wait no longer than 18 weeks from referral to treatment for NT Mar-15
Weeks of Referral
specialist CAMHS services

Pilot stepped care approach to test its efficacy

National Target: 01
in demand management

Make reducing DNAs (Did Not Attends) a

Person-centred Care

02 priority, through a series of tests of change that

Clinically Effective

aim to increase delivery capacity

4.15 Examine service activity to identify patterns Mary Porter KL CHP

03 and indicate optimum review-to-new
Deliver faster access to mental health services by delivering 26 weeks attendance ratios
referral to treatment for specialist Child and Adolescent Mental Health
Services (CAMHS) from March 2013, reducing to 18 weeks by Implementation of individual clinician work plan
December 2014 targets which track the referral demand and
04
current availability of overall CAMHS clinician
manpower

Restructuring of management to ensure better

05 coordination of resources between teams and
disciplines

Environment - we will aim to reduce: % Reduction in CO₂ Emissions

i) CO₂ emissions, by 3% per year NT Mar-15 % Reduction in Energy
ii) Energy consumption by 1% per year Consumption

Continue to monitor consumption levels and

Efficiency & Productivity

National Target: 01
report on this as appropriate
Clinically Effective

Ensure any new-build projects incorporate

02 good practice and benchmarks, and make full
4.16 use of technology opportunities Jim Leiper ASD

NHSScotland to reduce energy-based carbon emissions and to Work with the Communications Team to add
continue a reduction in energy consumption to contribute to the 03
support to existing energy reduction messages
greenhouse gas emissions reduction targets set in the Climate
Change (Scotland) Act 2009
Develop business cases to take advantage of
any central funding that can be utilised to
04
reduce energy consumption and CO₂
emissions

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 8 of 15 ver. 2014.06

 ANNEX A

Quality Target Target Account. Govern.

No. Ambition
2020 Vision Target Enablers/Drivers Key Performance Indicators Dependencies
Origin Date Executive Committee

Faster Access to Mental Health Services - we will aim to have 90% of

% Patients Treated within 18
patients waiting no longer than 18 weeks from referral to treatment for NT Mar-15
Weeks of Referral
Psychological Therapies
Person-centred Care
Clinically Effective

Increasing availability of lower intensity/higher

National Target: 01
volume options for referrers
4.17 Mary Porter KL CHP
02 E-Health strategy to improve IT systems

Deliver faster access to mental health services by delivering 18 weeks

03 Referral pathway redesign
referral to treatment for Psychological Therapies from December 2014

04

Treatment Time Guarantee - we will deliver the Treatment Time Number of Patients Treated
LG Mar-15
Guarantee under the Patient Rights (Scotland) Act 2011 outwith 12-Week TTG
Ensure high volume pathways are in place and
Local Priority: 01
Person-centred Care

utilised, e.g. musculo-skeletal patients

Person-centred

Complete a day case DCAQ review by

02
specialty
4.19 Scott McLean ASD CRR 521 - Capacity Planning
MSK and Orthopaedic Quality Drive will focus
03
We will ensure that all eligible patients receive Inpatient or Day Case improvements across the service
Treatment within 12 weeks of such treatment being agreed Refocus and recommencing of Elective Flow
04
Group

05 Participation in Transforming Outpatient Group

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 9 of 15 ver. 2014.06

 ANNEX A

NHS FIFE - Balanced Scorecard

List of abbreviations

ASD Acute Services Division

CG - Clinical Governance
CHP - Community Health Partnership
DWF - Dunfermline & West Fife
F&R - Finance & Resources
GNEF - Glenrothes & North East Fife
KL - Kirkcaldy & Levenmouth
LG - Legal Guarantee
NS - National Standard
NT - National Target
SG - Staff Governance

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 10 of 15 ver. 2014.06

 ANNEX A

NHS Scotland Quality Strategy

The Quality Ambitions

In 2010, the Healthcare Quality Strategy for NHSScotland set out the overarching aim of achieving world-leading quality
healthcare services across Scotland, underpinned by the 3 Healthcare Quality Ambitions;

Healthcare Quality Ambitions

Person-centred - Mutually beneficial partnerships between patients, their families and those delivering healthcare services
which respect individual needs and values and which demonstrate compassion, continuity, clear communication and
shared decision-making.

Safe - There will be no avoidable injury or harm to people from healthcare they receive, and an appropriate, clean and
safe environment will be provided for the delivery of healthcare services at all times.
Clinically Effective - The most appropriate treatments, interventions, support and services will be provided at the right
time to everyone who will benefit, and wasteful or harmful variation will be eradicated.

The Quality Strategy included a commitment to develop a Quality Measurement Framework to support our shared vision
of healthcare quality. It was proposed that progress towards the three Quality Ambitions would be assessed by reference
to a number of Quality Outcome Measures, and that these measures would be based on a combination of patient and staff
perspectives, alongside measures of safety and effectiveness. These measures would be used to assess direction of travel,
and would not be set as targets.

As part of the proposal for the Quality Measurement Framework, the Quality Strategy made a commitment that the HEAT
targets would be aligned to the Quality Ambitions. The HEAT targets would therefore reflect the agreed areas for specific
accelerated improvement each year, contributing to progress towards the Quality Ambitions.

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 11 of 15 ver. 2014.06

 ANNEX A

ROUTE MAP TO THE 2020 VISION FOR HEALTH AND SOCIAL CARE
12 Priority
Triple Aim Quality Ambitions Areas for 25 Key Deliverables for 2013/14
Improvement
1 Person-centred Health and Care Collaborative Implemented
Person-centred
Person-centred
Care Information and support to enable people at home and during times of
2
transition
3 Further increase in safety in Scottish hospitals

4 New broader measure of safety developed (SPSI)

Safe Safe Care
Maternity, mental health and primary care components of the Scottish
5 Patient Safety Programme implemented with measureable
improvements
6 Implementation of new GP contract

Primary Care 7 2020 Vision for expanded primary care

Quality of
8 New models of ‘place-based’ primary care
Care
9 Out of hospital care action plan
Unscheduled
and
10 Sustainable performance on 4-hour A&E waits
Emergency
Care
11 Increase flow through the system

12 New Bill
Integrated
Care Preparatory work with NHS Boards, local authorities, third and
13 independent sector and the building of effective Integrated Health and
Social Care Partnerships
Care for Key pressure points in the entire patient pathway for most common
14
Multiple and multiple illnesses will be identified and actions agreed
Chronic Through more detailed analysis of existing data, people will be identified
Effective Illnesses 15
as ‘at risk’ and anticipatory plans will be agreed
The world’s first national multi-agency quality improvement programme
Early Years 16
will be implemented across partner organisations
17 New focus on most deprived areas
Health
Health of the Inequalities
NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 12 of 15 ver. 2014.06
Population
 ANNEX A

Effective

Health
Inequalities ‘Deep-end’ GP practices approach rolled out more widely across
Health of the 18
relevant areas
Population
19 Early detection of cancer
Prevention
20 New restrictions on tobacco advertising

21 2020 Vision for NHSScotland workforce

Workforce
22 Detailed action plan agreed to deliver 2020 Workforce Vision
Value and A new fund to provide pump-priming for innovative approaches in
23
Sustainability healthcare
Innovation
A new procurement portal will be established to encourage working with
24
SMEs and third sector
Efficiency and
25 Recommendations to increase shared services
Productivity

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 13 of 15 ver. 2014.06

 ANNEX A

NHS Fife Balanced Scorecard - audit trail of changes

Date Target ID Nature Change / Comment

Version 2014.06 Baselined for February 2015 Board Meeting

29/01/2015 1.11 Enablers/Drivers Minor change to wording of Enabler 1.11/02
17/12/2014 4.10 Account Executive Scott McLean replaced Heather Knox
17/12/2014 4.13 Account Executive Scott McLean replaced Heather Knox
17/12/2014 4.19 Account Executive Scott McLean replaced Heather Knox
Version 2014.05 Baselined for December 2014 Board Meeting
Addition of Enablers 4.19/04, 05 - proposed with
28/11/2014 4.19 Key Performance Indicators
December update
Performance measure modified as per guidance from
11/11/2014 3.11 Key Performance Indicators
SGHSCD and National Fertility Group
31/10/2014 2.12 Account Executive Frances Elliot replaced Brian Montgomery
31/10/2014 4.12 Account Executive Frances Elliot replaced Brian Montgomery
Version 2014.04 Baselined for October 2014 Board Meeting
Addition of Enabler 4.15/05 - proposed with October
29/09/2014 4.15 Enablers/Drivers
update
Version 2014.03 Baselined for August 2014 Board Meeting
15/07/2014 1.11 Account Executive Mary Porter replaced Susan Manion
Version 2014.02 Baselined for June 2014 Board Meeting
Addition of Enabler 4.19/03 - proposed with June
12/06/2014 4.19 Enablers/Drivers
update
09/06/2014 4.10 Enablers/Drivers General rationalisation of Enablers and their wording
09/06/2014 2.13 Enablers/Drivers General rationalisation of Enablers and their wording
09/06/2014 2.01 Enablers/Drivers General rationalisation of Enablers and their wording
Addition of Enabler 4.15/04 - proposed with June
03/06/2014 4.15 Enablers/Drivers update
Rewording of Enabler 4.15/01 to reflect current plans
02/06/2014 4.14 Enablers/Drivers Enablers specified for 2014/15
02/06/2014 1.02 Enablers/Drivers Enablers specified for 2014/15
30/05/2014 4.17 Enablers/Drivers General rationalisation of Enablers and their wording
Addition of Enablers 3.04/02, 03 - proposed with June
28/05/2014 3.04 Enablers/Drivers
update
21/05/2014 2.03 Dependencies CRR ID updated to reflect revised CRR numbering
21/05.2014 2.06 Dependencies CRR ID updated to reflect revised CRR numbering
21/05/2014 4.07 Dependencies CRR ID updated to reflect revised CRR numbering
21/05/2014 4.10 Dependencies CRR ID updated to reflect revised CRR numbering
21/05/2014`4.13 4.14 Dependencies CRR ID updated to reflect revised CRR numbering
21/05/2014 4.19 Dependencies CRR ID 521 added

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 ANNEX A

Slight amendment to the % and number of interventions

15/05/2014 1.02 Target Wording
to be completed in Priority Settings
14/05/2014 2.12 Target Wording Clarification that the NHS Fife target is 29%
14/05/2014 4.10 Target Wording Clarification that interim target date is September 2014
Version 2014.01 Baselined for April 2014 Board Meeting
14/04/2014 N/A N/A Final draft approved by SMT
Jan to Apr Various changes to draft BSC, as per decisions made by
N/A N/A
2014 SMT
Draft created

NHS FIFE BALANCED SCORECARD FOR 2014-15 Page 15 of 15 ver. 2014.06