The Strategic Director of Health and Wellbeing will submit Document “N” which sets out a summary of performance within Adult Social Care and how performance reporting and business intelligence processes are being improved.

Members are invited to comment on the report.

(Paul Swallow– 01274 435230)

The Strategic Director of Health and Wellbeing submitted Document “N” which set out a summary of performance within Adult Social Care and how performance reporting and business intelligence processes were being improved.

Document “N” provided an overview of the Department of Health and Wellbeing’s performance across the Adult Social Care Outcomes Framework (ASCOF) in 2017/18, as well as an updated position on the NHS-Social Care Interface Dashboard.

The report also provided an up to date position of the work taking place across six key areas including four transformation programmes within Adult Social Care.

Document “N” revealed that a revised Performance and Business Intelligence framework was being implemented in Adult Social Care.

Performance Clinics had been launched, which focused around six key areas, four of which were current transformation programmes. The first of those clinics took place on 10^th September. The clinics would  increase accountability and provide a platform for the leadership group to act as a critical friend to the lead officers providing both challenge and support. At each clinic a performance paper would  be written for key areas to be discussed, focusing on performance information from ASCOF and local management information, what work was currently happening to drive improvement and what else needed to happen in the future as well as identify issues with finance and any data development needs. Key performance indicators linked to each of these key areas would be agreed and tracked and discussed on an exceptions basis. Narrative from the performance papers was included at appendices A-F to Document “N”. The six key areas were reported as:-

·         Delayed Transfers Of Care,

·         Safeguarding and Deprivation of Liberty Safeguards (DOLS),

·         Front Door,

·         Effective Community Support,

·         Long Term Support,

·         Learning disabilities

Members questioned the overall response rates to the questionnaire and were advised that this was generally 30%.  The Department of  Health worked with the University of Western England to determine accurate comparator rates.  There were 2,534 surveys despatched with 663 completed surveys returned to give a response rate of 26%.  The survey would be conducted again in February 2019.  

Members questioned the ambition to improve the Delayed Transfer of Care performance and were advised that case files and staff surveys were analysed to ensure that patients received the appropriate care on discharge.  The Strategic Director, Health and Wellbeing, believed this could be a topic which Members would be interested to discuss in the future.

In response to discussions about safeguarding referrals it was explained  that officers in the Multi Agency Safeguarding Hub would discuss all referrals and agree the appropriate response required.

Following discussions about the measures contained in the ASCOF analysis it was explained that in some cases a high score was positive whilst in some instances a low score was good.  An explanation was provided in the first column of that table. 

A co-opted Member raised concern about lack of awareness about funding options available to disabled people. 

The presentation concluded with a demonstration of newly developed business intelligence reports, developed using Microsoft Power BI.  Power BI allowed users to access interactive dashboards and to develop reports which allowed end users to interrogate their data and gain deeper insight.  Data was extracted from Adults Social Care Management System, SystmOne, as well as other key systems.  Business intelligence reports would be updated on a daily basis. 

Resolved –

That the Strategic Director, Health and Wellbeing, be requested to provide a further report in 12 months time.

ACTION: Strategic Director, Health and Wellbeing