Agenda item

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

Patrick Leavey introduced the item to Members of the Health and Wellbeing Board beginning with the Adult Social Care section of the Dashboard.

It was reported that improvement was being seen regarding ASC1; the proportion of older people (65+) who were still at home 91 days after discharge from hospital to reablement/rehabilitation service. Staff were often not waiting for formal discharge notes, but seeking it before this point ensuring a more timely approach. Better planning gave increased opportunity to engage with patients.

Regarding AS2; the number of assessments completed in the last 12 months leading to a provision of a long term service, Patrick Leavey reported that changes in eligibility under the Care Act would impact on this area. Data was not yet available to indicate the scale of the impact.

Lastly Patrick Leavey referred to ASC3; Proportion of clients with Long Term Service receiving a review in past 12 months. Since the introduction of the Care Act, there was a requirement for Councils to carry out these reviews. This measure would also be impacted upon by the change in the eligibility criteria, as some people receiving care would be entitled to an increased service.

Cathy Winfield commented that the Dashboard was a useful tool however, the level of impact needed to be considered. This would also need to be taken into account when planning for the Better Care Fund for 2016. Patrick Leavey stated that it was important to recognise that the impact from the Care Act i would not just be on the Council but the whole health system.

Dr Bal Bahia queried if the indicators under the Adult Social Care section of the Dashboard were the right ones to show resilience. Patrick Leavey reported that he would be able to bring data to the Board which showed increases in client numbers and impact on budgets. This also linked to the new way of working within Adult Social Care, which Tandra Forster would be presenting on at the next meeting of the Health and Wellbeing Board.

Dr Lise Llewellyn stated that it was important that wider conversations were taking place around prevention and that links were being made with different agencies in order to build resilience.

Mac Heath introduced the Children’s Social Care section of the Dashboard. CSC1; number of Looked After Children: CSC2; the number of child protection plans and CSC3; the number of 47 enquiries per 10,000 population were all red and highlighted the increase in demand on Children’s Social Care. The recent Ofsted inspection had not identified thresholds as being wrong.

Shairoz Claridge introduced the Acute Sector of the Dashboard to the Board. There had been a struggle around AS1; four hour Accident and Emergency target, over the winter however, it was now an improving picture and performance was amber for the Royal Berkshire NHS Foundation Trust. Shairoz Claridge reported that this had improved further with June data being 96.7%. Data was not yet available for Great Western or Hampshire Hospitals NHS Foundation Trusts however, work was taking place to improve performance.

Regarding the AS5; Ambulance Clinical Quality, this was very close to being green and was being achieved on a Thames Valley basis. Work was taking place with the South and Central Ambulance Service (SCAS) to improve the picture.

Dr Bahia reported that there were no indicators that showed resilience for Primary Care however, the next item on the agenda was the Primary Care Strategy.