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Apr 1, 2014 - ... and Social Care. Contact: Jo McStay, Business Intelligence Manager ... Dashboard. Appendix 2: Corporat
Health, Social Care and Housing Committee 10 am, Tuesday, 1 April 2014

Achieving Excellence Performance Report August to December 2013 Item number

8.1

Report number Wards

All

Links Coalition pledges

All

Council outcomes

All

Single Outcome Agreement

All

Mark Turley

Peter Gabbitas

Director of Services for Communities

Director of Health and Social Care

Contact: Jo McStay, Business Intelligence Manager E-mail: [email protected] | Tel: 0131 529 7950

Executive summary Achieving Excellence Performance Report August to December 2013 Summary This report provides an update on Council performance against Health, Social Care and Housing strategic outcomes. The report is presented in line with the update of Council’s Performance Framework approved by Corporate Policy and Strategy Committee on 3 December 2013, and contains analysis of performance covering the period from August to December 2013.

Recommendations It is recommended that the Health, Social Care and Housing Committee: 1. Notes performance for the period from August to December 2013 and that detailed action plans are being prepared for all the underperforming areas.

Measures of success This report provides detail on Council performance against delivery of Health, Social Care and Housing outcomes for the period from August to December 2013.

Financial impact The financial impact is set out within the Council’s Performance Framework.

Equalities impact Reducing poverty, inequality and deprivation is integrated within the Council’s Performance Framework.

Sustainability impact The sustainability impact is set out within the Council’s Performance Framework.

Consultation and engagement Priorities and outcomes have been developed in consultation with stakeholders.

Health, Social Care and Housing Committee – 1 April 2014

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Background reading / external references The Council’s Performance Framework approved by Corporate Policy and Strategy Committee on 3 December 2013. The Review of Political Arrangements report approved by the City of Edinburgh Council on 24 October 2013.

Health, Social Care and Housing Committee – 1 April 2014

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Report Achieving Excellence Performance Report August to December 2013 1.

Background

1.1

The ‘Review of political arrangements’ report to the City of Edinburgh Council on 24 October 2013 approved a number of revisions to committee business. It was agreed by Council that performance monitoring, review and scrutiny will be led by the Executive Committees on a bi-annual basis with oversight by the Corporate Policy and Strategy Committee.

1.2

This report provides an update on performance for Health, Social Care and Housing for the period August to December 2013.

2.

Main report

2.1

The Council’s Performance Framework is set out in the diagram below and takes account of the Council’s vision, five strategic outcomes and the six key Capital Coalition pledges.

Health, Social Care and Housing Committee – 1 April 2014

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2.2

This report provides performance updates under two of the Council outcomes shown above: •

Edinburgh is an excellent place in which to live, study, work, visit and invest.



Health and Wellbeing are improved in Edinburgh and there is a high quality of care and protection in place for those who need it.

2.3

The Corporate Dashboard in Appendix 1 provides an overview of performance in meeting these Council outcomes from August to December 2013. Further detailed information by indicator is provided in Appendix 2.

3.

Recommendations

3.1

It is recommended that the Health, Social Care and Housing Committee: 1.

Notes performance for the period from August to December 2013 and that detailed action plans are being prepared for all the underperforming areas.

Mark Turley

Peter Gabbitas

Director of Services for Communities

Director of Health and Social Care

Links Coalition pledges

All

Council outcomes

All

Single Outcome Agreement Appendices

All The links below can be used to navigate through this report: Appendix 1: Corporate Dashboard Appendix 2: Corporate Dashboard Indicator Detail

Health, Social Care and Housing Committee – 1 April 2014

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Appendix 1: Dashboard August December 2013 Edinburgh is an excellent place in which to live, study, work, visit and invest Director's notes: Rent arrears: These have more than doubled since April 2013. It is estimated that around a quarter of this is due to under-occupation and a significant proportion is a result of delayed income from Housing Benefit. An improvement plan has been developed to address this increase in arrears. Actions include maximising the use of Discretionary Housing Payments, more resources to address Housing Benefit backlogs for Council tenants and a communication plan focusing on a ‘Rent First’ message. Benchmarking with other local authorities shows that councils across Scotland are experiencing significant increases in rent arrears this financial year. Homelessness: The number of new homeless presentations continues to fall. However the average case length has increased due to an increase in the number of households to which the Council has a statutory responsibility. Action to improve access to housing association properties and the private rented sector is ongoing, a case management pilot is targeting complex cases and case audits are identifying alternative housing options for specific customer groups e.g. those with higher incomes.

Rent arrears as a % of net rent due

Oct-13

Nov-13

Dec-13

Target

14.7%

15.2%

14.8%

7%

Rent arrears as a % of net rent due - Statutory Performance Indicator national average

Average homelessness case length Average Homelessness case length in weeks – Performance Indicator SHBVN Benchmarking

Projected approvals of new affordable homes for the year

6.8% Ranked 14 out of 32 205

205

207

29 weeks Ranked 14 out of 28

700

Health, Social Care and Housing Committee – 1 April 2014

700

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700

174 -

700

Health and Wellbeing are improved in Edinburgh and there is a high quality of care and protection for those who need it Director's notes: The main area for concern in Health and Social Care continues to be the number of people waiting for domiciliary care and for places in care homes, particularly for specialist dementia beds. Some of these people are in the community with no current support and consequently are at greater risk of hospital admission. Positively, the number of people waiting for discharge from hospital for over four weeks fell at the December delayed discharge census. The lack of capacity in mainstream domiciliary care means that people can’t move on from the reablement service, which in turn can’t take on new people. Without reablement, the potential to reduce the level of support a person needs is lost, and so packages of support remain larger than might have been necessary, with higher ongoing costs and poorer outcomes for the individual. A number of initiatives are underway to increase capacity including support to external care at home providers to expand their service and a pilot where providers are given greater freedom to liaise directly with family carers to finalise the package details. It is hoped that this will also speed up the process of arranging a package of care. Step Down care is now provided in two care homes in the city with the aim of diverting people from long term residential care, where appropriate, following a stay in hospital. Further beds are due to be phased into operation over the next two months.

Respite nights in care homes (18+) Late discharge from hospital Reduction in care by reablement Direct payments

Oct-13

Nov-13

Dec-13

Target

1,412

1,375

n/a

1,391

43

46

40

0

31.7%

36.6%

48.1%

40%

827

833

838

843

Direct Payments - Rank (based on recipients over full year 2012/13 as a rate per 1,000 18+ population)

Substance misuse: timely treatment

Ranked 4 out of 32

89%

Substance misuse: timely treatment – national average

Balance of care for older people

84%

96.0 % Ranked 25 out of 30 33.3%

Balance of care for older people – national average

Satisfaction with Adult Care Services

88%

-

33.3%

33.4%

33.1% Ranked 24 out of 32 78.8%

Health, Social Care and Housing Committee – 1 April 2014

79%

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79.5%

90% 33.8% 80%

Appendix 2: Corporate Dashboard Indicator Detail August December 2013 3. Edinburgh is an excellent place to live, study, work, visit and invest

Indicator

Rent arrears as a % of net rent due

Aug 13

13.5%

Sep 13

14.7%

Oct 13

14.7%

Nov 13

15.2%

Dec 13

14.8%

Target

Status Latest Note

7%

The percentage of net rent due has shown a slight improvement (0.4%) on last period as the position with rent arrears has stabilised. · Citywide arrears have decreased by £406,077 since last month. · The number of households in arrears has reduced by 804 cases to 7,502 since November. This improvement is a result of: · H&R providing additional resources to deal with outstanding Housing Benefit cases. · Additional resources to help tenants apply for Discretionary Housing Payments.

Average homelessness case length (days)

209

190

205

205

207

174

The average homelessness case length for December is 207 days. This is consistent with the performance in the year to date. Projects are underway to identify further housing options which will provide a greater range of options for customers seeking settled housing. Areas being considered in these projects include: · Greater access to Private Rented Sector housing · Provision of additional accommodation options for Young People · Provision of a Housing Association Leasing Direct scheme · Move on options from PSL scheme In addition to these areas, work has began on process maps outlining a new approach to housing options. This will ensure that officers consider a range of options for customers for the duration of their homelessness case, which should see a decrease in case length.

Projected approvals of new affordable homes for the year

700

700

700

700

700

700

The number of new affordable home completions has increased from 657 in 2011/12 to 1,187 year to date in 2013/14. This is as a result of a number of new investment models that have been introduced.

Health, Social Care and Housing Committee 1 April 2014

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4. Health and wellbeing are improved in Edinburgh and there is a high quality of care and protection for those who need it

Indicator

Aug 13

Sep 13

Oct 13

Nov 13

Dec 13

Target Status Latest Note

Respite nights in care homes (18+)

1,472

1,374

1,412

1,375

n/a

1,391

Re-provisioning of internal respite beds is underway which has resulted in greater capacity however, there will be a lag before it is fully utilised.

Late discharge from hospital

34

40

43

46

40

0

The number of people waiting for discharge from hospital for longer than four weeks has fallen by six since the last census to 40 despite the over number of people delayed rising from 97 to 113.

Reduction in care by reablement

42.3%

39.8%

31.7%

36.6%

48.1%

40%

Performance on this indicator is variable due to the complex needs of the people receiving the service and their ability to be reabled. Performance improved last month and is now only slightly below target.

Direct payments

805

825

827

833

838

843

The number of people receiving direct payments rose by 5 in December, this is below the target of 843 but it should be seen as an increase from the previous month.

Proportion of cases meeting the three week target timescale from referral to start of treatment for drugs and alcohol

95%

90%

89%

88%

84%

90%

The percentage of people starting a service within three weeks fell again in December and is now 6% below the target of 90%. Three of the 16 organisations reporting this month failed to meet the target. There will be a number of actions to improve the performance including ongoing monitoring of performance and a refresh of the improvement plan to address particular changes within the organisation.

Balance of Care: Proportion of older people receiving an intensive service who are at home at end of period

33%

33.5%

33.3%

33.3%

33.4%

33.8%

The Balance of Care increased by a small amount, but remains slightly behind target. The number of people receiving intensive packages of care at home remained stable whilst the number of older people supported in care homes fell.

Satisfaction with Adult Care Services

84.5%

79.8%

78.8%

79%

79.5%

80%

There was an increase of 0.5% in satisfaction in December compared to November and is now only 0.5% below the target, which is within an acceptable range of the target.

Key PI is below target and tolerances.

PI is below target but within tolerances.

On target.

Health, Social Care and Housing Committee – 1 April 2014

This PI cannot be calculated.

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Data-only PI, no target set.

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