The Royal Laurel Hospital (RLH) and The King Hardy Hospital (KHH) are government funded institutions which are managed by the Glasburgh Trust. The following information is available for the year ended 31 May.

Additional information 1 Both hospitals were in operation for 365 days during the year 2 Each hospital has 42 wards, each of which accommodates 10 beds 3 RLH budgeted that each inpatient would require a stay of four days and nights in hospital.
4 Each hospital has ten operating theatres in each of which an average of nine operations per day were undertaken.
5 No outpatient required an operation during the year.
6 The management of the trust uses a ‘balanced scorecard’
approach in order to assess the performance of each hospital. Their balanced scorecard has four dimensions which are as follows:
(i) Access to services 

(ii) Clinical 

(iii) Efficiency 

(iv) Financial management.

Required:
Prepare a report to the management of the Glasburgh Trust which:

(a) Critically assesses, on the basis of the above information, the performance of both hospitals for the year ended 31 May.
You should use the four dimensions to perform your assessement as per note (6) above;

(b) Evaluates the balanced scorecard used by the Glasburgh Trust and provides recommendations which would improve its usefulness as a performance measurement tool.
4 professional marks will be awarded in question 1 for the appropriateness of the format and presentation of the report and the quality of its content.

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RLH RLH KHH Total inpatients Number of inpatients waiting >5 weeks for admission Number of inpatients waiting >11 Actual Budget Actual 37000 36500 40000 3330 365 320 weeks for admission 740 0 0 Total outpatients 44000 43800 44000 Number of outpatients waiting >5 weeks for treatment 4400 2190 352 Number of outpatients waiting >11 weeks for treatment 1320 438 220 Number of outpatients waiting >13 weeks for treatment 220 0 0 Achievement (per cent) of target maximum waiting time of 2 weeks for admission to Rapid Access Chest Pains Clinic 70 98 100 Number of emergency admissions 300 400 300 Number of 12 hour 'trolley' waits for emergency admissions 4 0 0 Achievement (per cent) of target of 4 hours or less time spent in accident and Emergency ward 96 98 100 Number of complaints received 1620 803 420 Number of complaints responded to with in 25 days 1539 803 416 Number of deaths (all inpatients) 600 730 800 Infection control - number of instances of infections reported 2 6 0 Number of drug administration errors 80 100 20