Agenda item

(To receive a report by Katy Thomas, County Manager – Performance & Intelligence, Adult Care and Community Wellbeing, which presents performance against Council Business Plan targets for the Directorate as at the end of Quarter 2 2019/20)

Consideration was given to a report which presented performance against Council Business Plan targets for the Directorate as at the end of Quarter 2 2019/20.  A summary of performance against target for the year was provided in Appendix A of the report and a full analysis of each indicator over the year was provided in Appendix B of the report.

Members were provided with the opportunity to ask questions to the officers present in relation to the information contained within the report and some of the points raised during discussion included the following:

·         18 of the 26 measures were either meeting or exceeding target, with three being survey measures which were reported annually.  There were only five measures which were not achieving target;  four within Community Wellbeing and one in Carers.

·         Measure 31 – Percentage of alcohol users that left specialist treatment successfully – this had declined slightly, but was expected to fluctuate around the 35% mark.  Less than 1% of people re-presented who had been through the service.  This service gave good value for money.

·         Measure 34 – Chlamydia diagnoses per 100,000 15 – 24 year old PHOF 3.02 – this had missed target, however officers were in the early processes of recommissioning sexual health services.  It was suggested that the indicator used did not accurately represent the quality of service.

·         It was queried whether success in terms of chlamydia diagnoses was measured as the number of clear cases.  It was also highlighted that the testing kits were sent out on request and it was queried whether any contraception was included as a way of prevention.  It was noted that the indicator measured activity instead of outcomes, and this was being reviewed at a national level.

·         Measure 109 – number of health and social care staff trained in Making Every Contact Count (MECC) – it was noted that this was a collective target through the year.

·         Measure 111 – People successfully supported to stop smoking – it was noted that there was a three month time lag with this data, and so this data was for the end of June 2019.  Members were advised that the Integrated Lifestyle Support Service had commenced on 1 July 2019 and so an increase in performance was expected.  It was considered important that the smoking indicator remained.

·         It was noted that the Integrated Lifestyle Support Service was badged as 'One You Lincolnshire'.  There was a need to measure what people were using the service for, and it was suggested that someone from the service come to a future meeting and give an update on progress to the Committee.

·         Measure 121 – Carers who have received a review of their needs in the last 12 months – it was noted that it was unusual for this to be below target, but was believed to be due to a shift in the delivery model.  It was expected that by the end of the year the target would be reached.

·         In terms of 'Making Every Contact Count', cumulative performance was above target.  Staff could do the training, but ultimately the success depended on whether they put it into practice.

·         Carers had a right to an independent assessment, and a reasonable number wanted to be seen separately from the person they cared for, and so the authority needed to offer this.  Whether it was done with the service user present, was at their discretion.

·         Carers could come under a lot of stress and so sometime it was quite relevant for them to have a separate review.

RESOLVED

            That the performance for Adult Care and Community Wellbeing for Quarter 2 be noted.