Agenda item

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 Bal Bahia commented that the delays had not been revealed to have any impact on patient health.

Andrew Sharp made reference to an article which had revealed that Oxford University Hospital Trust had employed their own Home Care Workers to improve their performance against Delayed Transfers of Care. Shairoz Claridge advised that their fit list contained hundreds of patients whereas West Berkshire’s had 60. Andrew Sharp agreed that the RBH was performing well in comparison to other hospitals such as the Great Western hospital in Swindon.

Andrew Sharp made reference to AS8 - Total number of 111 calls (Answered in 60 seconds ) noting that during March 2016 54.99% of 111 calls were answered within 60 seconds across Berkshire against a target of 95%. He stated that this figure revealed the weight of demand and that this indicated that people were sicker rather than a later winter.

Dr Barbara Barrie commented that the dashboard did not include a comparison to the previous year. The data regarding delayed transfers of care was concerning. In September 24/7 palliative care would be launched and was hoped to have an impact. It had also been identified on a walk around of RBH’s Hurley Ward that many of the staff were unaware of the pathways available. Analysis of non-elective admissions had revealed that the groups which took up large amounts of costs were women in their early fifties with mental health needs rather than the frail elderly.

RESOLVED that the health and social care dashboard be noted.