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Canterbury DHB logo and link to their website.

Health Targets

Canterbury DHB


Information on Canterbury DHB's Health Targets can be found on their website in their District Annual Plan:
Information on Canterbury DHB's Targets and their progress (2007/08) is available below:
Summaries on national progress towards each Target for each Quarter from the Ministry of Health Target champions, and more detailed information (eg, graphs and data sources) can be found here - Quarterly reports

Improving Immunisation Coverage

National indicator
95% of two year olds are fully immunised- with at least 4 to 6 percent point increase on 2005 national immunisation coverage survey baselines.

Canterbury DHB Target
85%

Progress towards Target
No data available for Quarters One or Two.
Quarter Three = 83%
Quarter Four = 66%

Improving Oral Health

National indicator
Progress is made towards 85% adolescent oral health utilisation.

Canterbury DHB Target
74.2%

Progress towards Target
2007/08 = 67%

Comment from Canterbury DHB for Quarter One 2007/08
The DHB is confident that it has a strong provider base for adolescent oral health in its region. While the 67.2 percent utilisation rate in the 2006 calendar year is below the DHB’s target for 2007, the result is still well above the 58.3 percent national average. The DHB is working with PHOs on an Adolescent Oral Health Promotion Programme and is waiting for the Ministry of Health’s approval of its Oral Health Business Plan, both of which it hopes will help to improve utilisation rates in the region.

Improving Elective Services

National indicator one - ESPIs
Each District Health Board will maintain compliance in all Elective Services Patient Flow Indicators (ESPIs)*.

Quarter 1Quarter 2Quarter 3Quarter 4Full Year1DHB TargetMinistry Compliance Threshold
ESPI 1 100%100%100%100%100%>90%>90%
ESPI 20.4 – 0.5%0.5 – 0.7%0.6 – 0.8%0.5 – 0.7%0.4 – 0.8%<2%<2%
ESPI 30.4 – 0.70.6 – 0.7%0.3 – 0.4%0.4%0.3 – 0.8%<5%<5%
ESPI 4N/AN/AN/AN/AN/AN/AN/A
ESPI 51.9 – 2.0%1.9 – 2.4%2.5 – 3.1%2.3 – 2.9%1.5 – 2.9%<5%<5%
ESPI 617.5 – 21.2%6.7 – 7.9%0.0 – 8.3%0.0%0.0 – 20.0%<15%<15%
ESPI 71.1 – 1.2%1.2 – 1.6%1.4 – 1.9%1.3 – 1.9%0.8 – 1.9%<5%<5%
ESPI 894 – 97%97 – 99%95 – 99%98 – 100%94 – 100%>90%>90%
Progress Towards Target
Achieved2
Achieved
AchievedAchievedAchieved
1- NBRS is a dynamic database. The full year result may contain data which was updated subsequent to Quarter 1 – 3 reporting.
2- Canterbury DHB had a dispensation for ESPI 6 results

National indicator two - Volumes
Each District Health Board will agree an increase in the number of elective service discharges, and will provide the level of service agreed.

This graph shows Canterbury DHB's delivery against the Electives Health Target (Volumes). Figures are expressed by DHB of Domicile. The Health Target for Canterbury DHB includes all elective discharges in casemix included surgical purchase units (including inpatient dental) and the cardiology medical purchase unit (query refreshed: 16/09/2008). The source data is provided below the graph.

Graph of Canterbury DHB's delivery against the Electives Health Target (Volumes).
"key to chart. "


Quarter 1Quarter 2Quarter 3Quarter 4TotalYear to Date
Base Planned Health Target Volume
3,478
3,199
2,879
3,267
12,823
12,823
Additional Planned Health Target Volume
61
105
516
739
1,421
1,421
Total Planned Health Target Volume
3,539
3,305
3,395
4,006
14,244
14,244
Total Health Target Delivery
3,461
3,023
2,938
3,501
12,923
Total Plan to Actual Variance
-78
-282
-457
-505
-1,321
Health Target Achievement LevelNot Achieved Not Achieved Not Achieved Not Achieved Not
Achieved


Overall progress towards Target
Quarter 1 YTDQuarter 2 YTD Quarter 3 YTDFull Year
Planned
Delivery		11%3%7%11%
Actual
Delivery 		-1%-7%-2%1%
Progress Towards Target Not AchievedNot AchievedNot AchievedNot Achieved

Quarter 1Quarter 2Quarter 3Quarter 4Full Year
Overall Progress Toward TargetPartially AchievedPartially AchievedPartially AchievedPartially AchievedPartially Achieved


Additional information
Definitions of Levels of Achievement

Comment from Canterbury DHB for Quarter One 2007/08
The DHB has met the Ministry’s compliance threshold for every month of the quarter. The additional electives health target reflects the need to increase the number of operations the DHB provides by 11 percent. This is a significant challenge for the DHB and it will take time to increase capacity to deliver these volumes.

Expectation has been that the DHB would not deliver significant additional volumes in this first quarter, and this is reflected in the first quarter performance.

It should be noted that the reported level of delivery is understated due to issues in the capture of dental activity which, once correct, would increase the health target delivery by up to 175 cases giving a total of up to 3425 cases or up to 129 cases in excess of the baseline target. This reflects a positive start.

It should also be noted that the target number of cases reflects the expected level of delivery the DHB hopes to achieve within the additional funds available. The actual number of patients receiving surgery will, however, vary depending on the mix of surgery actually delivered within the funding available. For example, if there is a need for a greater number of complicated (and more costly) operations such as coronary bypass surgery then fewer people can be treated within the additional funding. Conversely, if there is a need for a greater number of simple (and less costly) operations such as hernias, more people may be treated within the additional funding.


* Compliance is measured based on achievement of outcomes greater than the Ministry threshold for compliance.

Reducing Cancer Waiting Times

National indicator
All patients wait less than 8 weeks between first specialist assessment and the start of radiation oncology treatment (excluding category D).

Canterbury DHB Target
100%

Progress towards Target
Results for this Target are presented by region
Southern Region
Comment from Canterbury DHB for Quarter One 2007/08
There were a small number of patients who waited for more than eight weeks for treatment from their specialist assessment. The DHB continues to carefully balance its oncology resource and actively seeks to recruit additional staff. The DHB’s ability to flex to meet demand is limited by shortages in radiation oncologists and medical physicists and this can mean delays in treatment at times of high demand.

Reducing Ambulatory Sensitive (Avoidable) Hospital Admissions

National indicator
There will be a decline in admissions to hospital that are avoidable or preventable by primary health care for those aged 0-74, under 5 years and 45-64 years across all population groups.

Targets are expressed as a figure above or below the national level (100).

Canterbury DHB Target and Progress towards Target
PopulationAge Group
Agreed Target
Quarter One
Quarter Two
Quarter Three
Quarter Four
Maori0-4
Remain below national level
96.0
95.1
102.5
111.9
45-64
Remain below national level
78.4
78.9
82.2
86.1
0-74
Remain below national level
84.8
87.0
91.7
97.5
Pacific0-4
Remain at or below national level
106.2
102.5
115.9
134.0
45-64
Remain at or below national level
88.7
83.1
82.0
89.7
0-74
Remain at or below national level
91.1
96.1
107.2
121.3
Other0-4
131.2
125.8
119.3
117.1
122.5
45-64
Remain at or below 100
98.1
99.7
82.2
99.0
0-74
107.1
105.1
104.9
102.7
102.8

Comment from Canterbury DHB for Quarter One 2007/08
The DHB is achieving positive results (below the national average) for Maori for aged 0–4. It has also reduced its results for Other in this age group, moving closer towards the national average. Pacific rates have dropped a little but have yet to make the target of the national average. The DHB does not have a large Pacific population in the 0 to 4 age group and a small number of admissions can significantly change this result: the DHB had a total of 122 admissions in the Pacific 0 to 4 age group in 2006/07.

The DHB is currently achieving below the national average for all groupings in the 45 to 64 age group.

The DHB is currently achieving below the national average for Pacific and for Maori in the 0 to 74 age group.

The DHB’s rate for Other is above the national average, primarily driven by the 0 to 4 age group, however the DHB has met its target for reducing the rate for this group.

Improving Diabetes Services

National indicator one
There will be an increase in the percentage of people in all population groups:
  • estimated to have diabetes accessing free annual checks
  • on the diabetes register who have good diabetes management
  • on the diabetes register who have had retinal screening in the past two years.

Canterbury DHB Target and Progress towards Target
Population
Agreed Target
Quarter One
Quarter Two
Quarter Three
Quarter Four
Annual CheckMaori
42%
No data available
29%
No data available
35%
Pacific
81%
No data available
49%
No data available
68%
Other
64%
No data available
64%
No data available
69%
All
64%
No data available
60%
No data available
65%
ManagementMaori
70%
No data available
69%
No data available
64%
Pacific
53%
No data available
53%
No data available
52%
Other
79%
No data available
78%
No data available
74%
All
78%
No data available
77%
No data available
73%
Retinal ScreeningMaori
54%
No data available
48%
No data available
54%
Pacific
57%
No data available
41%
No data available
41%
Other
61%
No data available
55%
No data available
56%
All
60%
No data available
54%
No data available
55%

Note: The data presented for Quarter Two is sourced from local diabetes teams and covers the 12 month period to December 2007. This data cannot be directly compared with the results presented for Quarter One which represented only 3 months data.

National indicator two
There will be improved equity for all population groups in relation to diabetes management

Comment from Canterbury DHB for Quarter One 2007/08
The contract between the DHB and the five Canterbury PHOs requires PHOs to provide Diabetes Annual Check information to the DHB on an ‘annual basis’. The DHB and the five Canterbury PHOs are working on establishing quarterly information collection.

The DHB’s most recent results (those for the 2006) show achievement of 59 percent for all groups estimated to have diabetes, having annual checks. As highlighted above the DHB is currently working with PHOs to collect diabetes information on a quarterly rather than annual basis.

The DHB’s results for 2006 show achievement of 77 percent for all groups on the diabetes register who have satisfactory or better diabetes management.
There is an achievement of 55 percent for all groups on the diabetes register who have had a retinal (eye) screen in the past two years.

This result was lower than expected for the region and the DHB and PHOs are currently working on sharing information to establish the number of people having annual checks and retinal screens.

It is anticipated that this will provide the DHB and the PHOs with a comprehensive list of those who need to be followedup and offered appropriate services or treatment.

The DHB is currently developing systems to provide ongoing data on the percentage of long-term clients with relapse prevention plans. As signalled to the Ministry of Health, the DHB anticipates being able to provide data as early as the second quarter of the 2007/08 year.

Improving Mental Health Services

National indicator
At least 90% of long-term clients have up to date relapse prevention plans (NMHSS criteria 16.4)

Canterbury DHB Target
95%

Progress towards Target
No data available for Quarter One.
Quarter Two = 97%
Quarter Three = 85%
Quarter Four = 90%


Comment from Canterbury DHB for Quarter One 2007/08
The DHB is currently developing systems to provide ongoing data on the percentage of long-term clients with relapse prevention plans. As signalled to the Ministry of Health, the DHB anticipates being able to provide data as early as the second quarter of the 2007/08 year.

Improving Nutrition, Increasing Physical Activity and Reducing Obesity

National indicator
District Health Board activity supports achievement of health sector targets:
  • proportion (%) of infants exclusively and fully breastfed; 74% at six weeks; 57% at three months; 27% at six months
  • proportion (%) of adults (15 + years) consuming at least three servings of vegetables per day and proportion (%) of adults (15+ years) consuming at least two servings of fruit per day: 70% for vegetable consumption; 62% for fruit consumption.


View National Summary for this Target


Reducing the Harm Caused by Tobacco

National indicator
District Health Board activity supports achievement of health sector targets:
  • to continue to increase the prevalence of “never smokers” among Year 10 students by at least 2% (absolute increase) over 2007/08
  • to increase the proportion of homes which contain one or more smokers and one or more children that have a smokefree policy to over 75% in 2007/08.

View National Summary for this Target



Page last updated: 12 October 2008


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