https://phescreening.blog.gov.uk/2016/11/09/screening-key-performance-indicators-publication-of-2015-to-2016-annual-data/

Screening key performance indicators: publication of 2015 to 2016 annual data

We have published the annual data for the non-cancer screening key performance indicators (KPIs) for the 2015 to 2016 screening year (1 April 2015 to 31 March 2016).

The 17 KPIs are used to measure how the 8 non-cancer NHS screening programmes are performing and aim to give a high level overview of programme quality.

Each KPI has 2 performance thresholds. The achievable threshold is the level at which the programme is likely to be running effectively. The acceptable threshold is the lowest level programmes are expected to attain to ensure patient safety and programme effectiveness. KPIs are defined as small number KPIs if the number of individuals counted by the measure is less than 5.

The annual data file only includes providers where there was a valid submission in each quarter of the year.

Antenatal KPIs

All 6 antenatal KPIs saw an improvement compared to the 2014 to 2015 screening year (1 April 2014 to 31 March 2015).

The biggest improvement was in ID2, the small number KPI for timely assessment of women with hepatitis B. This increased from 68.4% to 73.4%, above the acceptable threshold of 70.0%.

Coverage for sickle cell and thalassaemia screening (ST1) rose above the achievable threshold (99.0%) for the first time at 99.1%.

The national performance was above the achievable thresholds for 3 of the antenatal KPIs.

Newborn KPIs

The greatest improvement in the 7 KPIs for the newborn screening programmes was in the 2 newborn hearing measures. NH2 (small number KPI for timely assessment for referrals) increased from 86.2% to 87.2%, although this is still below the acceptable threshold of 90.0%.

We don’t currently recommend using the newborn and infant physical examination KPIs (NP1 and NP2) as performance measures. However, completeness of both these KPIs more than doubled compared with 2014 to 2015.

Adult KPIs

The 4 adult KPIs also saw improvements in 2015 to 2016. For diabetic eye screening, DE1 (uptake of routine digital screening event) and DE2 (results issued within 3 weeks) remained consistently above their achievable thresholds, with performance at 83.0% and 96.5% respectively.

Performance of the small number KPI for timely assessment for R3A screen positive (DE3) increased from 76.7% the previous year to 79.8% in 2015 to 2016. This remains just below the acceptable threshold of 80.0%.

Performance of AA1 (the abdominal aortic aneurysm KPI for completeness of offer) increased from 97.3% the previous year to 98.8% in 2015 to 2016, closer to the achievable threshold of 99.0%.

Annual KPI data 2014 to 2015, and 2015 to 2016

KPI code KPI description Acceptable threshold % Achievable threshold % 2014 to 2015 national average % 2015 to 2016 national average %
ID1 HIV coverage ≥ 90.0 ≥ 95.0 98.9 99.1
ID2 Hepatitis B referral ≥ 70.0 ≥ 90.0 68.4 73.4
FA1 Laboratory form completion ≥ 97.0 = 100 96.6 96.8
ST1 Coverage ≥ 95.0 ≥ 99.0 98.9 99.1
ST2 Timeliness of test ≥ 50.0 ≥ 75.0 51.2 51.8
ST3 Completion of FOQ ≥ 90.0 ≥ 95.0 95.7 96.8
NH1 Coverage ≥ 95.0 ≥ 99.5 98.0 98.2
NH2 Timely assessment for screen referrals ≥ 90.0 = 100 86.2 87.2
NP1 Coverage (newborn)1 ≥ 95.0 ≥ 99.5 93.3 94.9
NP2 Timely assessment (DDH)1 ≥ 95.0 = 100 47.9 41.1
NB1 Coverage (CCG responsibility at birth) ≥ 95.0 ≥ 99.9 95.8 95.6
NB2 Avoidable repeat tests ≤ 2.0 ≤ 0.5 2.7 3.6
NB4 Coverage (movers in)2 ≥ 95.0 ≥ 99.9 - -
DE1 Uptake of routine digital screening event ≥ 70.0 ≥ 80.0 82.9 83.0
DE2 Results issued within 3 weeks ≥ 70.0 ≥ 95.0 96.5 96.5
DE3 Timely assessment for R3A screen positive ≥ 80.0 - 76.7 79.8
AA1 Completeness of offer ≥ 90.0 ≥ 99.03 97.3 98.8

1 We do not currently recommend using NP1 or NP2 as performance measures because of concerns about data quality.

2 NB4 was introduced in 2015 to 2016 and replaced NB3. During the first year of this KPI we collected the data but did not publish it.

3 Threshold changed from 100% in 2014 to 2015, to 99.0% in 2015 to 2016

The full dataset shows the completeness of data by provider, region and sub region

Please send any queries, suggestions or feedback about the KPIs to the PHE Screening Helpdesk.

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