Issue - meetings

To present the Dashboard and highlight any emerging issues.

The Board considered a report (Agenda Item 10) concerning the health and social care dashboard.

Ian Dawe presented the data for the adult social care indicators particularly drawing attention to ASC2 - Number of assessments completed in last 12 months leading to a provision of a Long Term Service: highlighting that the outturn showed that while there had been an increase in the number of people approaching the Council in need of help and an increase in prevention work many people could be supported without the need for a long term service.

Ian Dawe also referred to the New Ways of Working model which came into effect on 24 May 2016. A Review Team was focussing on planned work and was achieving 95% against ASC3 - Proportion of clients with Long Term Service receiving a review in the past 12 months.

Jo Reeves explained that due to staff capacity issues, the data against the Children’s Social Care indicators were the same as those presented to the last ordinary meeting of the Board in March 2016.

AS1 - 4-hour A&E target - total time spent in the A&E Department: Shairoz Claridge advised that performance against this indicator continued to be a challenge because there had been a ‘late winter’ whereby admissions has risen during March, April and May 2016. At quarter one for 2016/17, the outturn was 92.6% for the Royal Berkshire Hospital (RBH) which demonstrated a deteriorating picture. The RBH was however the third best in the Thames Valley so declining performance against this indicator was an indication of a national issue. Healthwatch had been involved in undertaking a patient survey which had revealed that patients being admitted to Accident and Emergency departments had higher needs, so the right patients were being seen by A&E. The Board’s Steering Group had been examining in closer detail the reasons for non-elective admissions. The narrative provided for AS6 - A&E attendances revealed that there had been an average of 300 attendances per day.

AS2 - Average number of Delayed Transfers of Care: Shairoz Claridge explained that performance against this indicator continued to pose a challenge because increased A&E attendances led to increased discharges. Ian Dawe advised that systems resilience phone calls occurred several times per week and the Council was using therapy assistants and the reablement team to support getting people out of hospital. Shairoz Claridge added that the Urgent Care Programme Board was working on the ‘front door’ side of the system to understand why people were being admitted to hospital.

AS5 - Ambulance Clinical Quality - Category A 8 Minute Response Time - Red 2: During February there was a further deterioration in the Thames Valley wide performance. This deterioration was as a result of increased activity levels in the month (13.8% above plan and 16.8% above previous year). Thames Valley performance was therefore not on plan with the recovery trajectory, although the majority of actions within the action plan had been delivered by SCAS. Dr  ...  view the full minutes text for item 9