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Agenda item

Performance update - Quarters 1/ 2

Minutes:

Councillor Burgess, Executive Member Health and Social Care, was present at the meeting and outlined the report

 

During consideration of the report the following main points were made –

 

·         Delayed transfers of care – noted these are at 5.6 beds per day at quarter 2, over the target of 5 beds per day. To improve the rate of delayed transfers of care, processes have been reviewed and support strengthened within the local system. There are also weekly heads of service, AD escalation meetings chaired by the Local Authority with the Whittington, UCLH, and St. Pancras to ensure cases are resolved, and there is a strategic approach in identifying themes and recurrent issues to be addressed and resolved

·         Discharge to home or community setting – at the end of 2018/19, 95% of people discharged from hospital into enablement services were at home or in a community setting 91 days after discharge, meeting the target of 95%. Work is taking place with acute partners to co-ordinate hospital discharges, and ensuring full utilisation of all pathways

·         Direct Payments – in Quarter 2 24% of all Islington Community Care and support is provided through Direct Payments, compared to 24% at this point last year. The total number of service users continues to show that direct payments recipients felt that they had the most choice and control over their care and support services. Personalisation is a key work stream of the Adult Social Care Plan 2019/22. Work is taking place with Children’s Services to ensure the offer is consistent, and allows a clear and supportive transition for young people moving into adulthood. Work is also taking place with partners in health to ensure a co-ordinated approach to personalisation, and the sharing of knowledge, and expertise. Work has taken place to reform the Direct Payments Forum, so that people using Direct Payments and their carers can discuss issues arising with Council staff, and make suggestions for improvements

·         Admissions into residential or nursing care – the aim is to keep the number of permanent placements as low as possible, supporting more people to remain in the community. To maintain the same target rate per 100000 residents aged 65 and older as 2018/19, the target is 134 new placements for 2019/20. At the end of Quarter 2 there had been a total of 51 new placements of people aged 65 or older. This places it on target, and a reduction from the same period last year

·         In the year to date, at end of Quarter 2, there have been 510 placements in nursing or residential care homes for service users, aged 65 or over. New admissions have accounted for 15% of these placements. There are an additional 1062 placements with long term homecare services for service users, aged 65 or over, in the year to date

·         Reducing social isolation – results from the 2018/19 Social Care survey show an increased percentage of working age adults known to Adult Social Care feeling that they have adequate, or better social contact, at 78%, compared to 70% in 2027/18. There is a strengths based approach, and Framework to focus on enabling people to remain as independent as possible

·         Reducing prevalence of smoking – the quarter 2 figure of 225 four - week smoking quits against a target of 200, showed clear improvement on the previous quarter. The quit rate in Q2 was 59.2%, over the 50% target. Over half of people who quit the service were from key target populations with high rates of smoking. The service’s outreach work continues to build good links with these key groups, and communities, and work is taking place to help build a team of smoking cessation volunteers

·         Effective detection of health risk – NHS Health checks is a national programme, delivered locally, designed for residents between 40 and 74, who are at risk of cardiovascular disease, and conversations take place in order to support the individual to reduce risk. In Q2 3.3% of eligible residents received a check, and this met the quarterly target

·         Tacking mental health issues – Public health commission services to raise awareness, and understanding, of mental health conditions to reduce stigma and to support early access to mental health services, and early signposting to support. In Q2 performance exceeded target, and this represents an improvement from last year. The percentage of Islington residents entering IAPT treatment who recover, is in line with the national target 50%, and is at 50.8%. Alongside IAPT service provision, a range of mental health awareness, training and promotion programmes are in place to build awareness, signpost residents into local services, and tackle stigma, encouraging residents to seek help, and support, for mental health

·         Effective treatment programmes to tackle substance misuse – Q2 demonstrates an improvement across both indicators. Successful completion rates for both drug and alcohol users have increased, although both are still below target. Monitoring of the service improvement plan is taking place

·         Improve sexual health -  Data for Q2 shows Islington to be on target for Long Acting Reversible Contraception, and to be in excess of the quarterly target

·         In response to a question it was stated that in relation to the target for number of people in residential accommodation, this was not driven by cost and that this is not a target to achieve savings

·         In response to a question Councillor Burgess stated that she would check the discrepancy in the figure for the percentage of Direct Payments

 

 

The Chair thanked Councillor Burgess for attending

Supporting documents: