Agenda item

Purpose: To present the Dashboard and highlight any emerging issues.

Tandra Forster introduced the item to the Health and Wellbeing Board and referred to the Adult Social Care section. It was noted that ASC1 was currently red regarding the average number of delayed transfers of care which were attributable to social care per 100,000. She reported that the figure of 6.1 per 100,000 population had now improved to 5.3 and therefore the direction of travel was improving.

ASC2 was also red regarding the proportion of older people who were still at home 91 days after discharge from hospital to reablement/rehabilitation services. Tandra Forster reported that this area in particular was under a lot of pressure as they were working with people with critical needs.

Shairoz Claridge referred to the section of the dashboard on the Acute Sector. There had been a good degree of improvement around the four hour accident and emergency target. The Royal Berkshire Hospital in particular had seen a significant improvement. Ongoing work would continue to alleviate pressures within this area. Cathy Winfield added that this particular target had been achieved for seven of the last eight weeks and therefore was on track to be on target at the end of the quarter.

Shairoz Claridge asked if there were any further comments on the Acute Sector section of the dashboard. Councillor Marcus Franks queried when missing target information would be added to the Dashboard. Shairoz Claridge reported that some new information would be added as related areas of work progressed. In the mean time it was suggested that baseline information be provided where there were no targets/benchmarks.

RESOLVED that Shairoz Claridge would provide baseline data for the Dashboard where necessary.

Cathy Winfield reported that 10% was the target for the 111 Service nationally and therefore this could be used on the Dashboard. Berkshire was currently green (9.7%) against the national target. Cathy Winfield reported that there was also activity information that could be added.

Dr Lise Llewellyn referred to the Primary Care Section of the dashboard and suggested that the extension of hours be used as a metric. This would gauge how surgeries were responding. Dr Bal Bahia reported that there were a number of initiatives taking place across Primary Care and the limiting factor was currently the workforce. Many practices already opened on a Saturday morning. There was also an additional fund available for winter resilience.

Dr Llewellyn felt that Dashboards often focused on negatives issue. The expansion of Primary Care was extremely positive and should be included. Dr Bahia agreed in principle however felt that it would be difficult to define a measure.

RESOLVED that metrics to reflect the expansion of Primary Care to be explored as a possibility for the Health and Social Care Dashboard.

Rachael Wardell drew the Board’s attention to the Children’s Social Care section on the Dashboard. She referred to the number of Looked After Children and reported that the decision to take a child into care was always taken for the right reasons. Ways to bring this figure down were being explored and involved early intervention and family work. Regarding Child Protection Cases, although red (91%), they were not too far from the 99% target however, there was still a lot of work to be done to get them to where they wanted to be. The number of Section 47 enquiries carried out was within the normal range expected however, was at the higher end of the range. This was also the picture nationally and in turn created work load pressures, which impacted upon review timescales.

Adrian Barker commented on the format of the Dashboard and suggested that it could show trends over a period of time.

RESOLVED that the format of the dashboard and whether it should include longer term trend data would be discussed at the Management Group.

Cathy Winfield reported that Monitor had recently been called in to carry out an investigation at the Royal Berkshire Hospital. She suggested that this could be included on the Dashboard.

RESOLVED that a metric to reflect Monitor's investigation at the Royal Berkshire Hospital would be included on the dashboard.