Agenda item

To receive an overview of performance across the Health and Adult Social Care Service for Quarter 3 2017/18.

Mark Palethorpe, Director of Adult Social Services, introduced the item for the Health and Adult Social Care Performance Scorecard, this was the first time the scorecard had been presented to this Committee and will be a standing item on the agenda.

Fiona Reynolds, Director of Public Health, was responsible for the Joint Needs Strategic Assessment (JNSA).  Fiona was conducting a review of the document and the evidence gathered would help to commission a more effective piece of work that would sit alongside the Outcomes Framework.

Fiona advised the Committee that the Public Health scorecard related to Quarter Two and contained a mixture of data, some was local and some was commissioned locally.  The data had been ratified but it was a position in the past that helped to acquire a snapshot of progress across all Local Authorities across the country.

The Committee asked for clarification on point 1.3 “Adults- Successful completion of drug treatment, who do not represent within 6 months” the narrative stated that the decrease from 38.7% to 34.8% was not significant.  Fiona advised the decrease was not as significant as to be concerned, overall it was above the national average other than the latest quarter but it would be flagged with providers.

Points 1.5 “Adults- Proportion of service users seen within 10 working days from Referral to Assessment for Drug Treatment” and 1.6 “Adults- Proportion of service users seen within 10 working days from Referral to Assessment for Alcohol Treatment” showed significant improvement (14.4% and 21.8% increases) from Quarter 1, yet the target was still coloured red.  Fiona advised this was because the target for both was 100% so that target would be pushed to achieve in full.

The Committee requested clarification of the acronym LARC, Fiona confirmed this was Long Acting Reversible Contraception, such as an implant or an injection.

Point 3.3 “Percentage of children that receive a 6-8 week review by the time they reach 8 weeks” showed a drop from 88% to 54%.  Fiona advised this was a substantial decrease that linked to the recording of the data and the staffing capacity to get the data in 6-8 weeks.  This was being monitored closely.

The Committee made the comment that there was a lot of red within the scorecard, Fiona acknowledged this was disappointing, but advised that many targets had been stretched and were above the national average, the outcome was to achieve quality of contracts.

Point 3.1 “Percentage of pregnant women that receive an antenatal visit by a Health Visitor” was shown as a figure rather than a percentage, this was a typo within the document.

The mental health of children was mentioned in the scorecard but not specifically included as this was included on the scorecard for Children and Families, Mark advised this could be cross-referenced for the future.

The Committee considered the Performance for Adult services, this showed benchmarking Adult Social Care Outcomes Framework (ASCOF) indicators.  Jill Broomhall, Director of Adult Social Care Operations advised the Committee that the full figures were not available until mid February and the full counting period would change at that point.

RESOLVED:

(a)  That colleagues from Health and Adult Social Care be thanked for their attendance and presentations;

(b)  That the scorecard be received and noted.