south ayrshire health and social care partnership · 2018. 6. 1. · 2015/16 - carol fisher deaths...

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Appendix 1 South Ayrshire Health and Social Care Partnership Performance Report Community Health and Care - June 2016

No concerns

Some concerns

Major concerns

A We will work to reduce the inequality gradient and in particular health inequality

Performance measure reference and description

Values and targets recorded against performance measure covering the last three years

Status Trend Manager

Responsible Explanation of the performance against the measure and any planned remedial

action to address any issues or underperformance

1. Mortality Rates per

100,000 for people aged under 75

Value Target

2012/13 386.7

2013/14 424.8

2014/15 390.8

2015/16 -

N/A

Kenny Leinster

These data are showing a green and improving position from a rate of 424.8 in 2013/14 to 390.8 in 2014/15. NHS Ayrshire and Arran position was 445.3 and Scotland was 423.2

2. Emergency hospital admission rates per 100,000 population ( all ages)

Value Target

2011/12 12,498

2012/13 13,335

2013/14 13,011

2014/15 13,996 p

Kenny Leinster

These data are showing a Red and worsening position from a rate of 13,011 Emergency hospital admissions in 2013/14 to 13,996p in 2014/15. NHS Ayrshire & Arran was 13,814 and Scotland 10,436. (p= provisional figures)

3 .Bed Day Rates per 100,000 population of all emergency admissions for people aged 65+

Value Target

2011/12 288,022

2012/13 297,304

2013/14 305,921

2014/15 310,210

Kenny Leinster

The Emergency Inpatient Bed Day Rate has continued to rise over the past 4 years. South Ayrshire is higher than the national average of 291,162.

Improving

Declining

No change

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4.Warwick Edinburgh Mental Wellbeing Score

Value Target

2014/15 49.2

2015/16

Carol Fisher

South Ayrshire figures were not available for 2014/15 however Ayrshire and Arran scores were 49.2 which is slightly below the National average of 49.9. The 2015/16 figures are not yet available.

5.Deaths from Suicide

Value Target

2011/12 15

2012/13 9

2013/14 12

2014/15 12

2015/16 -

Carol Fisher

Deaths from Suicide in South Ayrshire have seen an overall long term reduction over the past 4 years. The 2015/16 figures are due to be published in August 2016.

6. Rate of drug related hospital stays

Value Target

2012/13 113.2

2013/14 153.9

2014/15 177.5

2015/16 - 150 by 2018

Faye Murfet

Data not yet available for 2015/16. Actual numbers are low and variations can have a significant impact on the rate. Further exploration of the data trends to take place.

7. Rate of alcohol related hospital stays

Value Target

2012/13 793.8

2013/14 777.4

2014/15 722.9

2015/16 - 750 by 2018

Faye Murfet

Data not yet available for 2015/16. The rate of alcohol related hospital stays continues to show a downward trend, however it is too early to confirm if this is a long term trend.

8. Rate of alcohol related mortality

Value Target

2012/13 23.2

2013/14 14.8

2014/15 22.2

2015/16 - 14 by 2018

Faye Murfet


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9. Rate of drug related mortality

Value Target

2012/13 9.2

2013/14 13.5

2014/15 11.6

2015/16 - 12 by 2018

Faye Murfet


10 Number of drug related deaths

Value Target

2011 10

2012 11

2013 12

2014 14

Faye Murfet

Reducing drug related deaths remains a priority for the ADP. A local Reducing Drug Related Deaths Sub Group has been established to consider additional actions to be taken forward to improve engagement with individuals at risk, including the provision of Naloxone Kits. A multiagency stakeholder event, including service users and peers, was held in November 2015 and improvement actions are being taken forward.

11. Alcohol Brief Interventions delivered

Value Target

2012/13 8,002

2013/14 5,796

2014/15 4,712

2015/16 4,931 4275

Faye Murfet

The number of Alcohol Brief Interventions across Ayrshire and Arran in 2015/16 was 4931 which exceeded the target of 4275 for the second year running.

12. Cumulative number of Take Home Naloxone Kits distributed

and percentage of drug prevalence rate

Value Target

2012/13 27%

2013/14 38.6%

2014/15 57%

2015/16 - 40% by 2018

Faye Murfet

The provision of Take Home Naloxone Kits to individuals at risk of an opiate overdose remains a priority for the ADP. Provision of kits continues to exceed the local and national targets. The Take Home Naloxone programme was introduced in November 2010. The percentage figure is a cumulative figure of all of the kits distributed since 2011/12 expressed as a percentage of the estimate Drug Prevalence Rate. Between 2011/12 to 2014/15 a total of 570 kits have been distributed. Data for 2015/16 not yet available.

2012/13 = 27%, 138 kits distributed.

2013/14 = 38.6%, 127 kits distributed.

2014/15 = 57%, 145 kits distributed

2015/16 = tbc%, 214 kits distributed between April 2015 - December 2015. Quarter 4 data not currently available.

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13.% waiting more than 3

weeks for referral to specialist drug service

Value Target

2012/13 1.9%

2013/14 1.9%

2014/15 0.8%

2015/16 - 1.8% by 2018

Faye Murfet

Data for 2015/16 not yet available. Alcohol and drug services continue to meet and exceed the national Access to Treatment Waiting Times target.

14. % waiting more than 3

weeks for referral to specialist alcohol service

Value Target

2012/13 3.9%

2013/14 3.9%

2014/15 2.0%

2015/16 - 3.8% by 2018

Faye Murfet

Alcohol and drug services continue to meet and exceed the national Access to Treatment Waiting Times target.

D We will support people to live independently and healthily in local communities






15. Adults able to look after their health very well or quite

well

Value Target

2013/14 94%

2014/15 -

2015/16 94% 94%

Kenny Leinster

Our performance has remained at a high level of 94% from 2013/14 to 2015/16, this is in line with the Scottish Average. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

16. Adults who agree they are supported to be independent

Value Target

2013/14 83%

2014/15 -

2015/16 83% 84%

Kenny Leinster

Our performance is only marginally below the Scottish Average of 84% and has remained the same over the two survey periods. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

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17. Adults who agree they had a

say in how their support is provided

Value Target

2013/14 81%

2014/15 -

2015/16 79% 78%

Kenny Leinster

Our performance has marginally decreased however is still slightly above the Scottish Average of 78%. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

18. Adults who rate their care as excellent or good

Value Target

2013/14 82%

2014/15 -

2015/16 82% 81%

Kenny Leinster

Our performance at 82% is slightly above the Scottish average of 81%. Results across Scotland ranged from 73% to 88%. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

19. Adults supported at home who agree that services have improved or maintained their

quality of life

Value Target

2013/14 82%

2014/15 -

2015/16 84% 84%

Kenny Leinster

Our performance has increased from 82% to 84% which is in line with the national average. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

20. Adults who agree that they

feel safe

Value Target

2013/14 84%

2014/15 -

2015/16 86% 84%

Kenny Leinster

Our performance has improved from 84% to 86% over the past two years. This is higher than the national average of 84%. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

21.Carers who feel supported to continue in their caring role

Value Target

2013/14 45%

2014/15 -

2015/16 42% 41%

Kenny Leinster

Our performance at 42% has decreased slightly however is higher than the national average of 41%. The range across Scotland was 34% to 59%. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

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Responsible Explanation of the performance against the measure and any planned remedial action to address any issues or underperformance

22. No.of Carers who have had

a carers assessment

Value Target

2012/13 13

2013/14 21

2014/15 97

2015/16

102

Kenny Leinster

There has been a significant increase over the last 3 years in the number of Carers Assessments completed. All Carers are given the offer of a formal Carers Assessment each time the service user they care for is either assessed or reviewed.

23. Service users who agree that Enablement has improved

their quality of life

Value Target

2014/15 76%

2015/16

83%

Liz Roy

An increasing number of service users are reporting that the Enablement service they have received has improved their quality of life. Around 16% also state that their quality of life has been maintained as a result of receiving an Enablement service.

24.Service users who are fully enabled following an Enablement Service

Value Target

2014/15 40%

2015/16 40%

Liz Roy

The level of service users who are fully enabled, and do not require any further services at the end of their enablement service, remains fairly steady at around 40% over the past 2 years. Around 750 people received an enablement service during 2015/16.

25. Adults requiring personal care needs receiving it at home

Value Target

2012 66.6%

2013 71.4%

2014 67.1%

2015 63.0% 61.1%

Liz Roy

63% of Adults in South Ayrshire requiring personal care currently receive care within their own home. 34% receive care within a Nursing Home and 2% receive care in a long stay care ward in hospital. This is higher than the national average of 61.1% across Scotland. 2015/16 figures will be available in October 2016.

26. Adults aged 65+ requiring intensive care (10+ hours)

receiving it at home

Value Target

2012/13 36.5%

2013/14 34.5%

2014/15 31.1%

2015/16

Liz Roy

The overall percentage of those aged 65+ receiving care at home has decreased slightly over the past year. This is due to a higher number of service users in Care Homes and Continuing Care Beds and a slight decrease in the numbers receiving 10+ hours due to the continued success of Enablement. The National Average across Scotland for 2014/15 was 34.2%. 2015/16 figures will be available in July 2016.

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27. Last 6 months spent at home or community setting

Value Target

2012/13 91.8%

2013/14 91.1%

2014/15 -

2015/16 -

Kenny Leinster

2014/15 figures are due to be published in August 2016. 91.1% of people in South Ayrshire spent the last 6 months of their lives at home or in a community setting. This is a higher proportion than the national average of 90.8%.

28. Deaths by Cancer by age

standardised mortality rate per 100,000 population.

Value Target

2011 308.1

2012 276.1

2013 321.4

Kenny Leinster

The number of deaths by Cancer dropped in 2012 and then rose again in 2013. It should be noted that South Ayrshire figures are lower overall than the neighbouring authorities.

29. Premature deaths by Stroke by age standardised mortality rate per 100,000

population.

Value Target

2011 12.3

2012 13.0

2013 10.8

2014 10.1 9.8

Kenny Leinster

The rate of premature deaths from a Stroke has decreased in South Ayrshire . Scotland has also seen a decrease in deaths from Strokes from 12.4 in 2011 to 9.8 in 2014.

30. Premature deaths by CHD by age standardised mortality rate per 100,000 population.

Value Target

2011 66.3

2012 58.1

2013 55.6

2014 58.2 53.7

Kenny Leinster

The rate of premature deaths from Coronary Heart Disease has increased slightly in South Ayrshire over the past year. This is in contrast to Scotland wide figures which show a decrease in deaths from 58.1 in 2013 to 53.7 in 2014.

31. Number of hospital episodes for people aged 65+

with Long Term Conditions

Value Target

2011/12 1237

2012/13 1395

2013/14 1375

2014/15 1391

Kenny Leinster

The number of hospital episodes for people aged 65+ with Long Term Conditions has remained fairly static over the past two years. It should be noted that this data captures the number of hospital episodes/bed days by LTC reason for admission rather than total hospital admissions for people with LTC(s). People with an LTC/multiple LTCs could be admitted for reasons other than their LTCs which would not be captured by this report.

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32. Number of Bed days used for people aged 65+ with Long

Term Conditions

Value Target

2011/12 6320

2012/13 6644

2013/14 6374

2014/15 5909

Kenny Leinster

The number of bed days occupied by people with Long Term Conditions continues to decrease.

33. Psychological Therapy

treatment within 18 weeks of referral

Value Target

2013/14 78% (PCMHT) 96% (CMHT)

90%

2014/15 86%(PCMHT) 94% (CMHT)

90%

2015/16 51% (PCMHT) 92%(CMHT)

90%

Carol Fisher

The 90% national target for Psychological Therapy treatment to take place within 18 weeks of referral has been consistently met by the Community Mental Health team over the past 3 years. The Primary Care Mental Health team has not met this target and performance has declined in this area over the past year. The Ayrshire wide figures were also below the target of 90% with 83% in 2014, 83% in 2015 and 75% in 2016.

E We will prioritise preventative, anticipatory & early intervention approaches






34. % of males aged over 16

who are overweight

NHS Ayrshire and Arran

Value Target

2008-11 70% 68%

2012-14 73% 69%

Ruth Campbell

The latest NHS Ayrshire and Arran figures at 73% are higher than the national figures of 69% The South Ayrshire figures for 2008-11 was 70% males.

The source of information used in the past has been the Scottish Health Survey. This survey is carried out annually but the height and weight questions are only asked every second year. In addition, due to the sample size at LA level, the results of the survey are grouped providing data over the combined four year period. The next one being 2012-2015. It is likely to be 2017 before the next set of LA data is published.

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35. % of females aged over 16

who are overweight


Value Target

2008-11 62% 61%

2012-14 69% 61%

Ruth Campbell

The latest NHS Ayrshire and Arran figures at 69% are higher than the national figures of 61%. The South Ayrshire figures for 2008-11 was 58%

As above it is likely to be 2017 before the next set of LA data is published.

36. % of males meeting physical

activity guidelines


Value Target

2008-11 44% 45%

2012-14 66% 69%

Ruth Campbell

Although the percentage of males meeting physical activity guidelines has increased it is still below the national average. The South Ayrshire figure for 2008-11 was 45%.

37. % of females meeting physical activity guidelines


Value Target (National

Figure)

2008-11 31% 33%

2012-14 54% 58%

Ruth Campbell

Although the percentage of females meeting physical activity guidelines has increased it is still below the national average. The South Ayrshire figure for 2008-11 was 36%.

38. % of adults who smoke

Value Target

2012 18%

2013 22% 21%

2014 22% 21%

Ruth Campbell

These data are showing a Red and worsening position from 18% in 2012 to 22% in 2014 against a target of 21%. The Scotland position was 20% in 2014.

39.Care Services graded good or above

Value Target

2015/16

89% 90%

N/A

Kenny Leinster

The latest Care Inspectorate reports show performance across all services both internal and commissioned services to have received 89% gradings of good or above. Gradings for Care Homes both internal and external received 79% gradings good or above whereas all other providers received 96% good or above. 100% of non Care Home services provided in house by the Council received gradings of good or above with the Girvan LD service receiving two Excellent gradings. 90% of all Local Authority provided services received a grading of “Good” or above.

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40. Rate of falls emergency admissions per 1,000

population (For 65+ age group)

Value Target

2011 24.8

2012 25.3

2013 25.6

2014 26.5

Liz Roy

The rate of falls which resulted in an emergency admission has steadily risen over the past 4 years. Please note: It is highly likely that falls are under reported as it depends upon the patient being coded as having had a fall as well as being coded for whatever actual injury they have sustained

41. Adults in receipt of basic Telecare (Community Alarm)

Value Target

2013/14 1,900

2014/15 1,990

2015/16 2457(p) 2943

Liz Roy

There has been a marked increase of around 23% in the number of service users who receive a basic Telecare package. This is still slightly lower than the national average of 2943. (p) provisional figures

42. Adults in receipt of Enhanced Telecare

Value Target

2013/14 290

2014/15 610

2015/16 1500 (p)

Liz Roy

The number of service users in receipt of Enhanced Telecare has risen markedly over the past 2 years. This is due to the recruitment of a dedicated Telecare Officer who has promoted the use of Telecare solutions in delivering safe, effective and personalised support for individuals. In 2015/16 a member of staff from the SFRS has taken up post and has been working jointly with South Ayrshire staff to identify residents at risk, carry out joint fire safety visits and fit linked smoke detectors. (p) provisional figures

43. Proportion aged 75+ with

Telecare Package

Value Target

2012/13 0.13

2013/14 0.14

2014/15 0.12

2015/16 0.14

Liz Roy

The proportion of service users aged 75+ with a Telecare package in South Ayrshire has increased from 0.12 (1438 service users) in 2014/15 to 0.14 ( 1740 service users) in 2015/16. This represents an increase of 21%. In 2015/16 investment was secured from the TEC fund and a number of workstreams are in place with the aim of growing our spend in Telecare solutions across South Ayrshire.

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F We will proactively integrate health and social care services and resources






44. Adults who agree that their health and care services are

well coordinated

Value Target

2013/14 81%

2014/15 -

2015/16 76% 76%

Kenny Leinster

Performance in relation to this measure has decreased by 5% over the period of the two surveys. This is a trend which has been seen nationally with the Scotland wide figures showing a similar 4-5% decrease. The results for this measure ranged nationally from 60% to 85%. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

45. Adults with positive

experiences of the GP practice

Value Target

2013/14 90%

2014/15 -

2015/16 91% 87%

Kenny Leinster

Our performance of 91% is slightly higher than the previous survey and is above the Scottish average of 87%. * The source for this information is the national Scottish Health and Care Experience survey carried out by the Scottish Government every two years.

46. Delayed Discharges of more

than 2 weeks

2015/16 Value Target

April 7 0

May 5 0

June 11 0

July 2 0

August 6 0

September 0 0

October 2 0

November 7 0

December 15 0

January 14 0

February 13 0

March 18 0

Liz Roy

As part of the financial recover y plan that was agreed by the IJB in October 2015 admissions into long term care has been restricted. This has had a direct impact on the number of people whose discharge is delayed for more than two weeks and accounts for the increase since November 2015.

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G We will develop local responses to local needs






47.Uptake of Self Directed Support Options

2014/15 2015/16

Option 1 – Direct Payment

83 107

Option 2- Individual Service

Fund 4 9

Option 3- Traditional

Support 1128 1971(p)

Option 4- Mix of above

4 3

Liz Roy

Self Directed Support (SDS) was implemented in South Ayrshire in 2014 as directed by the relevant legislation. We now have a designated Lead Officer who has a work plan which reflects the national strategy and national work plan. We work closely with the Scottish Government policy department on embedding this policy and on new ways of working. We are offering an ongoing training programme tailored for our social work staff and a tool box has been developed to promote SDS with all other stakeholder groups. It is anticipated that the uptake of options 1 and 2 will increase during 2016/17.

48. SDS Direct Payment spend on 18+ Adults

Value Target

2012/13 1.7%

2013/14 1.8%

2014/15 2.0% 6.9%

2015/16 -

Kenneth Leinster

Uptake of Direct Payments in South Ayrshire has been historically been low although there has been a small increase over the past year. Benchmarking data shows that there were 74 clients in receipt of direct payments per 100,000 population in 2014/15 compared with 121 across Scotland.

49 .Adult Protection Referrals

Value Target

2012/13 275

2013/14 549

2014/15 736

2015/16 845

Kenny Leinster

ASP referrals continue to rise year on year with a 15% increase between 2014/15 and 2015/16.

Benchmarking information shows South Ayrshire to have a slightly higher rate of referrals than the National average. With South Ayrshire having 777 referrals per 100,000 adults in 2014/15 and Scotland having 672 referrals per 100,000 adults.

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J We will operate sound strategic and operational management systems and processes






50. % AP Inquiries completed within target timescale

Value Target

2014/15 Q3 45%

2014/15 Q4 59%

2015/16 Q1 51%

2015/16 Q2 48%

2015/16 Q3 62%

2015/16 Q4 66%

Kenny Leinster

The percentage of Inquiries completed within the target timescale of 5 working days has been monitored for the past year from Q3 2014/15. Performance over the past two quarters of 2015/16 has shown an improvement with 66% of AP1 reports being completed within target timescales in Q4 There are no national comparators on this indicator.

51. % AP Investigations completed within target

timescale

Value Target

2014/15 Q3 55%

2014/15 Q4 50%

2015/16 Q1 58%

2015/16 Q2 67%

2015/16 Q3 53%

2015/16 Q4 54%

Kenny Leinster

The percentage of Investigations completed within the target timescale of 8 working days has been monitored for the past year from Q3 2014/15. This is an area which has shown fluctuation over the past year. There are no national comparators on this indicator.

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NATIONAL HEALTH AND WELLBEING OUTCOMES LINKED TO NATIONAL CORE INDICATORS Outcome 1: People are able to look after and improve their own health and wellbeing and live in good health for longer.

Outcome 2:People, including those with disabilities ,long term conditions, or who are frail, are able to live as far as reasonably practicable, independently and at home or in a homely setting in their community

Outcome 3: People who use health and social care services have positive experiences of those services, and have their dignity respected.

Percentage of adults able to look after their health very well or quite well.

Premature mortality rate.

Emergency admission rate.

Percentage of adults supported at home who agree that they are supported to live as independently as possible.

Emergency admission rate

Percentage of adults with intensive care needs receiving care at home.

End of life care

Delayed Discharge bed days

Percentage of adults supported at home who agree that their health and care services seemed to be well coordinated.

Percentage of adults receiving any care or support who rate it as excellent or good

Percentage of people with positive experiences of accessing their GP practice.

End of life care

Proportion of care services graded ”good” or above in Care Inspectorate inspections.

Outcome 4: Health and social care services are centred on helping to maintain or improve the quality of life of service users.

Outcome 5: Health and social care services contribute to reducing health inequalities.

Outcome 6: People who provide unpaid care are supported to reduce the potential impact of their caring role on their own health and wellbeing.

Percentage of adults supported at home who agree that their services and support had an impact in improving or maintaining their quality of life.

Emergency admission rate.

Delayed discharge bed days.

Premature mortality rates

Emergency admission rate

Percentage of carers who feel supported to continue in their caring role.

Percentage of adults with intensive care needs receiving care at home.

Outcome 7: People who use health and social care services are safe from harm.

Outcome 8: People who work in health and social care services are supported to continuously improve the information, support, care and treatment they provide and feel engaged with the work they do.

Outcome 9: Resources are used effectively in the provision of health and social care services without waste.

Percentage of adults supported at home who agree that they felt safe

Suicide rate

Readmission to hospital within 28 days

Falls

Percentage of staff who say they would recommend their workplace as a good place to work.

Readmission to hospital within 28 days

Delayed discharge bed days

Percentage of health and care resource spend on hospital stays where the patient was admitted in an emergency

Expenditure on End of Life care.

south ayrshire health and social care partnership · 2018. 6. 1. · 2015/16 - carol fisher deaths...

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