Committee : SOCIAL SERVICES,
HOUSING AND BENEFITS SELECT COMMITTEE
Date : 15 OCTOBER 2002
Title : SERVICE
PLANS AND PERFORMANCE INDICATORS – ADULT SERVICES
REPORT OF
THE STRATEGIC DIRECTOR OF SOCIAL SERVICES AND HOUSING
SUMMARY / PURPOSE:
This report summarises information
on the 2002/03 Service Plan for adult service together with information and
commentary on past performance in 2001/02.
Service Plans have been prepared
to a standard format for all major service areas within the authority. The
Plans contain a range of information including:
Following preparation of a
Corporate Plan (draft approved for consultation at Executive on July 2nd
2002), a revised Service Plan format is to be introduced for the next financial
year – this will ensure that service activities directly link to the approved
corporate goals.
The Council also collects a
diverse range of information regarding service performance through both
national and local Performance Indicators (PIs) which are published each year
in the Best Value Performance Plan (BVPP). In the 2001/02 BVPP, a “traffic light” system has been introduced to
classify PIs by the following categories :
Attached
to this report (Annex 1), members will find summary information for the
following service areas:
The
information provided in Annex 1 includes:
Members
should note the following:
Members
are invited to comment upon the Service Plan. Areas for enquiry may include :
Also
attached to this report (Annex 2), are the Performance Indicators for the
Select Committees areas of responsibility. These have been categorised into the
4 “traffic light” groupings described earlier. A fifth category (“unclassified)
has been added to include those PIs where it is not possible to make a
performance judgement.
The
following comments should be noted:
1.
Better than average and
improving
|
55 |
18+ Clients receiving a Review
as % of those receiving a service |
The harmonisation of working
practices as a result of the Best Value Review of Care Management has lead to
this improvement. Further gains could
result from improvements in recording practices. |
|
56 |
Items of Equipment <£1000
delivered within 3 weeks |
Performance now reaching optimal
levels when compared with national targets.
Minor improvements in performance possible with adjustments to
recording practice |
2.
Better than average and
worsening
|
52 |
Cost of intensive social care
for Adults |
Recent price rises for providers
driving this indicator upwards. Structural
factors in the residential care and labour markets in the South East will
reinforce this tendency. Improvements
to the levels of home care clients within this group could potentially reduce
this indicator |
|
53 |
Intensive home care per 1,000
population 65+ |
The elimination of domestic (as
opposed to personal) care adversely affected our performance this year. This sector of our service provision will
be attracting additional attention due to its incorporation in the PSA. |
|
54 |
Older people helped to live at
home |
The elimination of domestic (as
opposed to personal) care adversely affected our performance this year. |
|
59 |
Assessments per head of
population |
The incorporation of a wider
number of mental health clients has negatively impacted on this indicator.
This indicator is discontinued from this year. |
3.
Worse than average and
improving
|
57 |
Users/Carers who said they got
help quickly. |
Joint Mental Health Services are
now fully integrated on to our Client Database. Many of these service users who received the questionnaire did
not feel the questions asked were relevant to their service and therefore did
not return the form. There will be
changes to the collection method for this indicator this year. |
4.
Worse than average and
worsening
5. Unclassified
|
58 |
Percentage of people receiving a
statement of needs. |
The harmonisation of working
practices as a result of the Best Value Review of Care Management has lead to
this marginal improvement, further more substantial gains are expected. |
|
60 |
Users/Carers who said that
matters relating to race culture or religion were noted. |
Joint Mental Health Services are
now fully integrated on to our Client Database. Many of these service users who received the questionnaire did
not feel the questions asked were relevant to their service and therefore did
not return the form. There will be
changes to the collection method for this indicator this year. |
None as
a direct result of this report.
RECOMMENDATIONS That the Committee: 1.
Consider and comment
upon the Service Plan 2. Consider and comment upon the Performance Indicators for the service and identifies priority areas for improvement |
BACKGROUND PAPERS
Best
Value Performance Plan, 2001/02
Directorate
of Social Services and Housing Service Plans 2002/2003
Contact
point : James Lowe ext 2228
C WADDICOR
Strategic Director of Social Services and Housing
ANNEX 1
: SERVICE PLAN
STATEMENT OF PERFORMANCE 1
HIV/AIDS DRUGS AND ALCOHOL, MENTAL HEALTH AND LEARNING DISABILITY
SERVICES
NUMERIC INDICATORS, TARGETS, STANDARDS AND COMPARISONS
|
PERFORMANCE INDICATOR AND SOURCE |
PERFORMANCE |
BENCHMARKING |
|
|
ACTUAL 01/02 |
ESTIMATE 02/03 |
TARGET (& DATE) |
COMPARATIVE PERFORMANCE (DATE) |
SOURCE OF COMPARISON |
|
B14 Unit cost residential LD homes |
£348 |
£428 |
£445 by 2003 |
£690 |
PAF
00/01 Unitary |
|
B15
Unit cost residential MI homes
|
£390 |
£467 |
£485 by 2003 |
£396 |
PAF
00/01 Unitary |
|
D36 Uses
who say they got help quickly |
85% |
87% |
87% by 2004 |
85% |
PAF
00/01 Unitary |
|
C31
Adults with MH problems helped to live at home |
10.5 |
10.6 |
10.7 by 2003 |
2.4 |
PAF
00/01 Unitary |
|
|
|
|
|
|
|
8. STATEMENT OF PERFORMANCE 2
NON NUMERIC PERFORMANCE STANDARDS, SIGNIFICANT
ACHIEVEMENTS OR AREAS FOR IMPROVEMENT
|
During
last 12 months |
|
Achievements.
Achievements. (Description, consequences, action taken.) <
The Health Improvement Plan (HImP) has been
produced on time. <
Achievement of Local Implementation Plan for Mental
Health National Service Framework. Plan sanctioned by SSI and SERO, this
means that the Islands plan for mental health services has been approved at a
national level. <
The Joint Investment Plan for Learning Disabilities
has been produced on time. <
The second Long Term Care Charter has been produced
jointly with the PCT and housing, this is a national requirement. <
Total Communication project developed and continues
to run. <
Funding has been bid for and awarded by central
government for UK online centres within the Learning Disability service. <
A new bus fleet has been commissioned and is now in
place to take people with learning disabilities to their work placements,
also available for the general public outside of core times. <
Integration of mental health services under Trust
management and lead commissioning for mental health and learning disability
services from 1.4.01. This has demonstrated to the NHS and SSI that we are
working towards closer integration of services under the Partnership in
Action agenda and the NHS Plan. This integration continues. <
Best Value revues in Care Management and Out of
Hours duty have impacted on the service and are informing service delivery.
This has led to the reorganisation of adult services. This has now been
achieved and new specialist teams are in place with a centralised duty
service available from its Newport base. <
Services for Autistic adults are receiving a higher
profile and plans are continue to be developed to improve the service offered
on the Island. <
Investors in People accreditation has been maintained <
Service users and carers are now being involved in
the strategic planning of mental health and learning disability services. |
|
Areas
for Improvement. <
We need to continue to develop our
user and carer involvement <
Data
collection is still not reliable and needs to be improved <
Need to develop capacity for on Island services for
autistic adults. |
|
Over
last 1 to 3 years |
|
Achievements.
<
The implementation of the recommendations of the
SSI review of mental health services <
Implementing the recommendations of the best value
review on care management <
Adult service restructuring <
Joint Commissioning with PCT <
Merging mental health service with IOW NHS Trust. |
11. SERVICE AIMS, OBJECTIVES, TASKS AND TARGETS
|
SERVICE AIM /OBJECTIVE |
TASKS |
TARGETS AND DATES |
RESPONSIBLE OFFICER |
DIRECTORATE OBJECTIVE TO WHICH THIS TASK
CONTRIBUTES |
|
a. To implement the white Paper for Learning
Disability “Valuing People”. |
1. Maintain
the Partnership Board and sub groups. 2. Implement
the LD JIP. 3. Re-tender
LD Day Care contract 4.
Develop a multi agency information strategy to address the needs of people
from different ethnic and cultural backgrounds 5. Training
will take account of the needs of minority groups |
1. Ongoing 2. Set
out in the LD JIP 3. By
March 2003 4. By
June 2003 5. Training
plan 2002/3 |
1. Head
of Adult Service 2. Head
of Adult Service 3. Head
of Adult Service 4. Head
of Adult Service 5. Training
Manager |
All
Objectives |
|
b. Continue to implement the NSF (MH) |
1. Continue
to meet targets set out in the Local Implementation Plan 2. Continue
integration of service 3.
Develop a multi agency information strategy to address the needs of people
from different ethnic and cultural backgrounds 4. Training
will take account of the needs of minority groups |
|
|
|
|
c. Manage
the Transfer of Preserved Rights service users. |
1. Review
the financial consequences of this transfer to the Directorate 2. Review
the needs of service users via care management assessments at first review
stage |
1. Ongoing 2. At
first review |
1. Head
of Adult Service 2.
Service Manager (Adults) |
Objectives
1 to 5 |
|
d. Improve
the take up of community support available from “Supporting People” |
1. To
maximise the benefits available to service users and to the directorate. |
1. October
2002 |
1. Head of
Adult Service |
Objectives
1 to 4 |
|
e. Refocus
the service to HIV/Aids service users |
1. To
review the role of the directorate jointly with the NHS Trust 2. To
review the role of the “Choices” element of the service |
1. May 2002 2. May 2002 |
1. Head of
Adult Service 2. Team
Manager (LD) |
All
Objectives |
|
f. Develop
the role of Care Management for Drugs and Alcohol Services |
1. To
review the role of the service jointly with the NHS Trust |
1. June
2002 |
1. Head of
Adult Service |
All
Objectives |
OLDER AND DISABLED PEOPLE
7. STATEMENT OF PERFORMANCE 1
NUMERIC INDICATORS, TARGETS, STANDARDS AND COMPARISONS
|
PERFORMANCE INDICATOR AND SOURCE |
PERFORMANCE |
BENCHMARKING |
|
|
ACTUAL 01/02 |
ESTIMATE 02/03 |
TARGET (& DATE) |
COMPARATIVE PERFORMANCE (DATE) |
SOURCE OF COMPARISON |
|
||||
|
PAF B12
Weekly cost of intensive home care |
(est) 327 |
300 |
295 by 2004-05 |
PAF rating 2000-01 Good ···· |
DoH
Performance Assessment Framework |
|
||||
|
PAF B11 Households receiving intensive homecare as
a % |
18.6% |
19% |
25% by 2004 |
PAF rating 2000-02 Acceptable ··· |
DoH
Performance Assessment Framework |
|
||||
|
PAF C32 Older People helped to live at home per
1000 |
106.5 |
110 |
112 2004-05 |
PAF rating 2000-01 Very Good ····· |
DoH
Performance Assessment Framework |
|
||||
|
PAF D40 Clients receiving a review as a % of
adults |
87% |
90% |
94% 2004-05 |
Reported Performance in 2001 poor but actual
performance rapidly improving |
DoH
Performance Assessment Framework |
|
||||
|
PAF D39 % of people receiving a statement of their
need |
92% |
93% |
93% 3004 |
Reported Performance in 2001 poor but actual
performance rapidly improving |
DoH
Performance Assessment Framework |
|
||||
|
PAF E49 Assessments per head of population |
0.146 |
0.17 |
.18 by 2004-05 |
Performance Good ···· |
DoH Performance Assessment Framework |
106.5 |
110 |
112 2004-05 |
PAF rating 2000-01 Very Good ····· |
DoH
Performance Assessment Framework |
|
D36 Users and carers who said they got help
quickly |
86% |
86.5% |
87% by 2004 |
Performance good ···· |
DoH
Performance Assessment Framework |
87% |
90% |
94% 2004-05 |
Reported Performance in 2001 poor but actual
performance rapidly improving |
DoH
Performance Assessment Framework |
|
LBVP 157 Proportion of multi-disciplinary
assessments |
31.4% |
32% |
50% 2004-05 |
No comparator |
N.B.
Changed, more accurate method of counting means target will have to b e
revised |
|
|
|
|
|
|
LBVP1 S10
Increase in support to carers – respite care |
16,473 |
18,000 |
12,500 to be revised in 2002 |
No comparator |
|
92% |
93% |
93% 3004 |
Reported Performance in 2001 poor but actual
performance rapidly improving |
DoH
Performance Assessment Framework |
|
LBVP 1 S8 Increase in number of people using
Direct Payments Scheme |
13 |
16 |
25 by 2004 |
Equal to that of a similar authority in 2001-02 |
Brighton |
0.146 |
0.17 |
.18 by 2004-05 |
Performance Good ···· |
DoH
Performance Assessment Framework |
|
|
|
|
|
|
|
|
|
|
|
|
8. STATEMENT OF PERFORMANCE 2
NON NUMERIC PERFORMANCE STANDARDS, SIGNIFICANT
ACHIEVEMENTS OR AREAS FOR IMPROVEMENT
|
During
last 12 months |
|
Achievements. Review of Adult Protection Policy and
procedures and establishing Multi Agency Adult Protection Committee. Completion of a major BV review within
timescale. Managing Impact of Review
of Eligibility Criteria due to budget pressures. Performance against some PAF indicators further improved
Commissioning Strategies for Older Peoples Services completed. Implementation of NSF standards
commenced. Working with health
partners and using Cash for Change Grant to reduce delayed discharges by 50%
from September 2001 level. |
|
Areas
for Improvement. Poor data collection
contributing to poor outturn on some P.I.’s.
Little progress on integrated performance management. User and carer involvement requires
further development. Need to maintain
and develop capacity in nursing, Residential and HomeCare market. Developing links with Primary Care. |
|
Over
last 1 to 3 years |
|
Achievements. Implementing recommendations of Joint and
Best value reviews. Developing joint
commissioning with health partners.
Implementing Adult Services restructuring and establishing single
point of duty access and specialist teams. |
11. SERVICE AIMS, OBJECTIVES, TASKS AND TARGETS
|
SERVICE AIM/OBJECTIVE |
TASKS |
TARGETS AND DATES |
RESPONSIBLE OFFICER |
DIRECTORATE OBJECTIVE TO WHICH
THIS TASK CONTRIBUTES |
|
a. Maintain and develop capacity in a
range of flexible community care support services which meet objectives of
the Commissioning Strategy. |
Complete Community Strategy Implement Community Care Best
Value Review Action Plan (attached). Develop alternatives to
residential care. Relaunch direct payment scheme. |
April 2002 Set out in the plan Pilot scheme commenced May 2002 July 2002 |
Head of Adult Services |
Contributes to all the objectives Objectives 2 & 5 |
|
b. Take
forward the implementation of the NSF for Older People. |
Meet NSF targets for 2002-03 Pilot Contact Assessment |
Set out in Plan (attached). Start pilot May and evaluate
August 2002. |
Head of Adult Services |
Contributes to all the objectives |
|
c. Building Capacity and Partnerships in
Care@. Maintain and develop capacity
in the residential and Nursing Home Sector, working jointly with health
partners and providers to develop intermediate care services. |
Direct Commissioning Strategy Secure resources to maintain rapid
response team. Develop increase intermediate care
capacity. |
April 2002 May/June 2002 March 2003 |
Head of Adult Services, Head of
Central Support PCT Commissioning Managers |
Contributes to objectives 1, 3, 4
& 6 |
|
d. Review
framework for the protection of vulnerable adults. |
Relaunch Adult Protection Policy
and Guidelines. Develop Risk Assessment framework. |
Commence May 2002 training rolled
out in 2002-03. Completed May 2002 |
Head of Adult Services |
Objective 1 5&6 |
|
e. Improve
reported performance of PAF and LBVP Plan indicators. |
Review data collection process. Review activity codes. Quarterly monitoring of
performance Raise staff awareness. |
April 2002 April 2002 Commence June 2002 Team meetings commencing April
2002. |
|
|
ANNEX 2 : PERFORMANCE INDICATORS
BV55 Clients
receiving a review (Clients receiving a review as a percentage of adult clients
receiving a service)
BV56 Percentage
of items of Occupational Terapy equipment costing less than £1000 delivered
within three weeks.
Better than
average but worsening:
BV 52 Cost of
intensive social care for adults (residential nursing and intensive homecare
for all adults).
BV53 Intensive
homecare per 1000 population aged 65 and over.
BV54 Older people
aged 65 or over helped to live at home (people aged 65 or over receiving
community based services per 1000 head of population aged 65 or over).
BV59 Assessments
per head of population. (The number of Assessments of service users aged 65 and
over per head of population aged 65 and over).
Worse than
average but improving:
BV57 Users/carers
who said they got help quickly.
Unclassified:
BV58 Percentage
of people receiving a statement of their needs and how they will be met.
(Percentage of adults receiving a service who have received in the financial
year a statement of what their needs are and how they will be met). (The same
as average but improving).
BV60 Users/carers
who said that matters relating to race, culture or religion were noted. (Worse
than average but static).