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Agenda item

Health and Social Care Dashboard (Shairoz Claridge/Tandra Forster/Rachael Wardell)

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

 

Minutes:

Tandra Forster introduced the item to Members of the Health and Wellbeing Board with the purpose of highlighting any emerging issues.

Tandra Forster referred to ASC1 regarding the proportion of people still at home 91 days after discharge for hospital to reablement/rehabilitation services.  This particular measure would be impacted upon by the change in the eligibility criteria. As a result of work taking place, including the Joint Care Provider Project, it was hoped that this indicator would remain green.

Rachael Wardell introduced the Children’s Social Care section of the Dashboard to the Board. Positively the number of Looked after Children (LAC) has decreased and it was highlighted that the numbers had been managed down safely.

CSC2 regarding the number of Child Protection Plans was red. It was expected that this number would come down as the service was stabilised. Positively the number of agency staff had decreased.

Rachael Wardell highlighted that CSC3 was measured differently to how it had been in the past. The latest figure was red compared to what was considered the normal range. The remaining three indicators for Children’s Social Care were green.

Councillor Mollie Lock queried how many children in West Berkshire were currently looked after. Rachael Wardell could not give the exact figure but reported that it was around 160.

Cathy Winfield referred to the target for Child Protection Plans and felt that it seemed unfair to set a target against such  measure.
Rachael Wardell confirmed that the service did not consider this a target. In relation to the Dashboard a red or green rating simply indicated pressure upon the service. It was agreed that the measure was more appropriate as a bench mark rather than a target.

Shairoz Claridge introduced the Acute Sector of the Dashboard to Members of the Board. Regarding AS1: four hour Accident and Emergency target, it was reported that the Royal Berkshire Hospital had achieved the target throughout quarter one. Great Western Hospital and Hampshire Hospitals were not commissioned by Newbury and District CCG and had their own processes in place. Great Western Hospital had met the target however, Hampshire Hospitals had not.

Shairoz Claridge referred to AS2 regarding the number of Delayed Transfers of Care per 100 000 population. Although the latest data was still on target there had been a slight rise since the previous set of latest data was reported.

Tandra Forster drew attention to AS3 regarding the average number of Delayed Transfers of Care, which were attributable to social care per 100 000. There had been a spike in average bed days and the red target was driven by other hospital pathways. Although Newbury and District Clinical Commissioning Group (CCG) was not the commissioner for Hampshire Hospitals, the area was still a contributing factor to their performance. It was hoped that the Better Care Fund Joint Care Provider Project would support the Royal Berkshire Hospital to improve its figures. There were a variety of factors in place that would hopefully bring the figure down.

Cathy Winfield felt that good progress had been made and stated that she kept oversight of the ‘fit to go’ list. There was rising concern about the approaching winter with regards to workforce. Recruitment drives for nursing staff had taken place in both the Philippines and Ireland. The Urgent Care Board was due to meet imminently and would be focusing on the resilience of care homes. Tandra Forster agreed that workforce was consistently an issue. There were soon to be new NICE Guidelines and this coupled with the Home Care Living Wage, made the area particularly difficult tot tackle.

Councillor Lock asked if links were made with the John Radcliff Hospital, as she was aware of a case where a patient had been sent home from hospital with no home care provision in place for four to five days. Tandra Forster reported that there should be a joined up discharge process. It was not a hospital’s responsibility to ensure the care was in place however, it was its responsibility to have the right conversations.

With winter approaching Cathy Winfield felt that it was important to understand contracts with nursing homes. Tandra Forster confirmed that most of the Council’s money was with Birchwood Nursing Home. Following the Health and Wellbeing Board meeting Tandra Forster reported that she was due to attend a meeting on seven day working. It was reported that there was a very enthusiastic social worker in post at the Royal Berkshire Hospital and it was hoped that they would gather support.

Shairoz Claridge reported that AS5 regarding Ambulance response times was red against the target. This indicator needed to be achieved on a Thames Valley basis. Work was going on with the South and Central Ambulance Team (SCAS), who had faced particular challenges around recruitment. Councillor Graham Jones queried if the possibility of achieving the target was diminishing with winter on the horizon. Cathy Winfield reported that a lot of focus had been given to workforce issue, which was hoped would overcome the further winter pressures. SCAS had also been asked for a recovery plan. Adrian Barker queried if the latest data (74%) was a Thames Valley figure and Shairoz Claridge confirmed that the figure was for West Berkshire.

Shairoz Claridge reported that AS6, AS7 and AS8 were all measures of volume. Moving onto the Community Services section of the Dashboard, it was highlighted that performance for CSC1 regarding Mental Health – Crises Response/percentage of responses within four hours, was very positive at 100%. Quarter one data had showed a consistently high achievement for this indicator.

Rachael Wardell stressed that the recruitment was a major issue and the recruitment and the retention of staff were the main areas for concern that needed to be tackled with a whole system approach.

Cathy Winfield reported That CCG Chief Officers had met and as a result of concerns raised about workforce a review of governance arrangements had been initiated.

RESOLVED that The Health and Wellbeing Board be informed about recruitment and workforce issues being faced by Health and Social Care and have the opportunity to discuss.

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