agenda item hertfordshire county council no. adult … · 1.1. to enable the panel to review the...

HERTFORDSHIRE COUNTY COUNCIL ADULT CARE & HEALTH CABINET PANEL

WEDNESDAY 9 SEPTEMBER 2020

ADULT SOCIAL CARE PERFORMANCE MONITOR - QUARTER 1 (Q1), 2020/21

Report of the Interim Director of Adult Care Services

Report author: Alex Ogle, ACS Performance Manager (Tel: 01438 844291)

Executive Member: Richard Roberts – Adult Care and Health

1. Purpose of the report

1.1. To enable the panel to review the performance of adult social care for the first quarter of the 2020/21 financial year (April 2020 – June 2020).

2. Background

2.1. Each year the Council are required to submit data on adult social care activity to NHS Digital. This data is used to calculate a number of Adult Social Care Outcome Framework indicators which allows the benchmarking of local authorities’ performance. This report provides the latest performance on a selection of these key indicators as well as those included in the Adult Care Services (ACS) three year Plan.

2.2. This report now includes (where applicable) 2018-19 benchmarking data versus England and Hertfordshire’s Chartered Institute of Public Finance & Accountancy (CIPFA) comparative authorities. These authorities are detailed in Appendices 3 and 5 of this report

Agenda Item

No.

3

3. Recommendations 3.1. The Panel is invited to note the report and comment on the Quarter 1

performance. 4. Financial Implications 4.1 This report is for noting and commenting purposes only and does not require a

decision which would have any financial implications. 5. Equalities Implications

5.1. When considering proposals placed before Members it is important that they

are fully aware of and have themselves rigorously considered the equalities implications of the decision that they are taking.

5.2. Rigorous consideration will ensure that proper appreciation of any potential

impact of that decision on the County Council’s statutory obligations under the Public Sector Equality Duty. As a minimum this requires decision makers to read and carefully consider the content of any Equalities Impact Assessment (EqIA) produced by officers.

5.3. The Equality Act 2010 requires the Council when exercising its functions to

have due regard to the need to (a) eliminate discrimination, harassment, victimisation and other conduct prohibited under the Act; (b) advance equality of opportunity between persons who share a relevant protected characteristic and persons who do not share it and (c) foster good relations between persons who share a relevant protected characteristic and persons who do not share it. The protected characteristics under the Equality Act 2010 are age; disability; gender reassignment; marriage and civil partnership; pregnancy and maternity; race; religion and belief, sex and sexual orientation.

5.4. No Equalities Impact Assessment was undertaken in relation to this matter.

This report is for noting and commenting purposes only and does not require a

decision which would have any equality implications

ACS Performance Report

Alex Ogle

Adult Care & Health Panel

ACS Performance ManagerACS PerformanceBusiness Improvement & Modernisation

P R E PA R E D F O R :

P R E PA R E D B Y:

C O N T R I B U T E D TO B Y

Helen MiramsCarolyn FloydYazid LallmohomedIan BaynesKaty AnkerXenia Demetriou

September 2020

ITEM 3: ACS PERFORMANCE REPORT

3 S UMMA R Y

REPORT KEY

Performance

Performance

improved since

last reporting

period

Performance

stable compared

to last reporting

period

Performance

declining

compared to last

reporting period

Above/On

Target

(for end of year)

Below but

within 5% of

target

Below/ Not on

Target

(for end of year)

No Target

Specified

Number or

Percentage has

increased

Number or

Percentage has

stayed the same

Number or

Percentage has

decreased

DATA

1

Throughout quarter 1 ACS has been working

to maintain delivery of care and support

services under the Covid pandemic. ACS has

had to adapt activities and ways of working

in response to the pandemic. Reduced levels

of staffing, the challenges of lock down and

the need to deliver key services without

putting residents or staff at heightened risk

of acquiring the coronavirus.

SUMMARY

Our key performance indicators and activities are

being monitored regularly to review the effect of

Covid 19. Although there has been a significant

decrease in general activity during April and May

(see Appendix 4) (e.g. Needs Assessments, new

service starts) this is now on the rise and is

beginning to return to pre Covid levels. Key

indicators however are yet to see major changes at

this stage in the year and we may not see any

significant effects until quarter 2.

Additional overviews of the below, can be found in

the appendices of this report. These include;

- ACS Performance Overview (Appendix 1)

- The Adult Social Care Survey (Appendix 2)

- The Adult Social Care Outcomes Framework

(Appendix 3)

- Covid 19 Activity trends (Appendix 4)

2

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ryPERFORMANCE HIGHLIGHTS

1.1 “ We will increase the proportion of adults with a learning disability in employment”

The measure is intended to improve the employment outcomes for adults with a primary support reason of learning

disability support, reducing the risk of social exclusion. There is a strong link between employment and enhanced quality

of life, including evidenced benefits for health and wellbeing and financial benefits.

We have supported 2974 learning disability clients with a long-term service so far in 2020-21. 188 of these clients are in

paid employment. The ACS 0-25 service have supported 510 clients with 12 (2.4%) in Employment and the Adult Disability

Service have supported 2566 clients with 200 (7.8%) clients in Employment.

This indicator can be affected by adult social care eligibility criteria meaning those in receipt of long-term services are

often unlikely to be employed due to having more acute needs. Sourcing employment for adults with a learning disability

in Hertfordshire can be challenging as HCC have a limited influence on the number of vacancies employers can offer.

Much of the economy in Hertfordshire is geared towards high tech industries such as pharmaceuticals and ICT which

have limited opportunities for people with a Learning Disability at a level which meets the eligibility criteria for long term

support. Many of the 0-25 cohort are still in college and their opportunities for work are limited.

Some of the challenges in sourcing employment under the Covid 19 pandemic have been;

• A lack of digital skills for Learning disability clients and lack of equipment and access to the internet

• Employers have limited vacancies

• Employment advisers have had less face to face contact with employers

• Employers are currently not offering work tasters for our clients with Learning disability

• Some Learning disability clients have stopped engaging with ACS due to anxiety around COVID

• Families have requested to put our service on hold due concerns around the coronavirus

6.3%Data Performance

Performance has decreased from quarter 4 in 2019-20 (6.8%).

In 2018-19 Lancashire reported the lowest number of adults

with learning disability in paid employment at 1.8%. Essex

were the highest with 16%

Good to be high

5.86.8

8.0

6.3

10

0

2

4

6

8

10

2018-19ComparatorData (IfApplicable)


HCCPerformance2019/20

HCC Target 2020/21 Q1 2020/21

Further breakdown for Q1

7.4%

Adult Disability Herts

Valleys

6.8%

Adult Disability East

& North

2.4%

0-25 Service

3

Please note - This indicator is reported a quarter in arrears in order to allow for the 91-day period to elapse

There were 708 clients aged over 65 discharged from hospital into reablement during 1 Jan 2020 to 31 Mar 2020. Of

those, 596 (84.2%) were living independently 91 days from the date of their discharge. Of those not at home on the

91st day, 81 were reported as deceased, 30 were back in Hospital and 1 was in a residential or nursing setting.

Close working between Post Hospital Review teams, care providers and health colleagues during the reablement

pathway is working well and helping to support service users to remain independent. This enables a good

understanding of those on the pathway and a closely managed case load to ensure that service users are supported

with the best outcomes at the end of their period of reablement.

There is a potential that we may see an impact on these numbers and the % of those remaining home after 91 days in

Quarter 2 when the impact of Covid-19 on activity for this PI is likely to be seen.

ACS Commissioners undertook a large procurement exercise to retender both mainstream and reablement home care

services for contracts to go live in 2020. There have been some delays to this due to financial changes and most

recently impacts from COVID-19, but September 2020 is now scheduled for go-live. In the new contractual measures

with integrated service design will further improve the home care market and accessibility to services to support

operational and strategic pressures over future years.

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ry1 .2 “ We will increase the proportion of older people still at home

91 days after leaving hospital with reablement/rehabilitation services”

81.1 80.286.0 84.2

00

0

20

40

60

80

00




HCC Target2020/21

Q1 2020/21


Performance has increased from 80.2% In quarter 4 of 19-20.

In 2018-19 Cambridgeshire reported the lowest % still at home

with 56.5% Central Warwickshire reported the highest with

96.8%

Good to be high

PerformanceData

84.2%

83

86

85

80

89

78

85 and over

65-74

75-84

85 and over

L100 50 0 50 100

4

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ry1 .3 “ We will increase the % of clients whose desired outcomes

were either fully or partially achieved as part of a safeguarding enquiry”

9

Performance has improved into Q1 matching performance seen earlier in the year. 76% reported that their outcomes

were fully met with a further 21% reporting that they were partially met. 3% reported that their outcomes were not

achieved. The average performance in 2019-20 was 95% per quarter.

It should be noted that on occasions a person’s desired outcome may not always be achievable (not within the

authority’s power). However, these will still be recorded and reported.

The support of partner organisations has been crucial in maintaining contact with individuals when visits by the

safeguarding team have been limited due to COVID-19. IT solutions have also allowed contact with people where visits

in person have not been possible.

It is too early to tell what effect Covid 19 will have on this measure.

96.3 97.0 97.0 97.0

00

0

00

50




HCC Target2020/21

Q1 2020/21


Performance matched the 97% reported at the end of quarter 4

19-20

Not all authorities are able to report in this dataset, Comparisons

therefore only include a subset of English authorities.

Good to be high

PerformanceData

97.0%

100

98

97

97

95

92

Support with Memory and Cognition

Sensory Support

Learning Disability Support

Physical Support

Support with Memory and Cognition

Mental Health Support

Social Support

L90 95 100 105

98% Of adult females and

96% of adult Males who

expressed outcomes as

part of the enquiry had

those outcomes fully or

partially acheived

5

Co

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ry1 .4 “The proportion of people who use services who receive

direct payments”

1 . 4 D I R E C T P A Y M E N T S - A S C O F ( E n h a n c i n g Q u a l i t y O f L i f e )

There were 7468 clients 18+ with a long-term service as at the 30 June 2020. 2037 (27.3%) of those were in receipt of a

Direct Payment. 1456 (39.6%) of 3675 long term clients aged 18-64 were receiving a Direct Payment compared to 581

(15.3%) of 3793 clients aged 65 and over.

ACS teams continue to promote direct payments with service users as an effective and flexible way of meeting care

needs and providing choice and control over the services they receive. Over the last quarter and throughout the

COVID-19 pandemic, Direct Payments have proved very effective in terms of meeting needs whilst Day Services were

closed.

Support within the ACS Teams is being offered by the direct payments champion to aid understanding and practice. All

staff within the area teams now have a direct payment target within their Performance Management & Development

Plan.

As part of Covid response (during April 2020), all adults receiving direct payments were contacted to better understand

how they were choosing to utilise those direct payments e.g. employing a personal assistant or to pay for home care.

This was to ensure ACS were able to step in and support directly should that adults support network fail.

30.8 28.6 29.0 27.3

0

0

0

0

0

0




HCC Target2020/21

Q1 2020/21


Performance decreased from 28.6% at the end of quarter 4

In 2018-19 Northamptonshire reported the highest % with 46.2%.

Gloucestershire reported the lowest with 19.6%

Good to be high

PerformanceData

27.3%

66

35

37

14

17

9

ADS Herts Valleys

0-25 TS

ADS East & North

ADS Herts Valleys

OP East & North

OP Herts Valleys

HPFT & CMHT

L0 20 40 60 80

6

Performance has continued to improve slightly into Quarter 1 75.6% of carers receiving a Direct Payment. 87.1% (672

out of 772) carers aged 18-64 have received a Direct Payment so far this year, compared to 66.5% (624 out of 939)

carers aged 65 and over. Like service user direct payments, the % of carers receiving a direct payment decreases with

the carer’s age. Some older carers are service users in their own right and so this may be affected by the services an

older carer may be receiving themselves.

ACS carer referral levels have significantly reduced through this last during quarter one due to the COVID-19 situation

and this has reduced the number of carer assessments (45% reduction compared to 2019-20 average) and therefore

reduced the potential for new carers direct payments to be put in place. Our Older Peoples teams are continuing to

promote the Carers assessments practice and each team has a Carer’s Champion who attends a regular forum to

consider best practice and outcomes for Carers and to provide surgeries for Carers in Hertfordshire.

A large piece of work is currently under way to contact carers supported by or known to ACS. These contacts will

encourage completion of contingency plans and will offer face to face carer assessments or reviews. This activity may

positively impact upon the uptake of carers direct payments and in turn the performance indicator.

Further work is required to link with commissioned or voluntary groups who provide carer services to consider how we

can promote together the carers offer and Connected Lives approach to reflect on how services can be improved.

In addition to this work Herts Valleys CCG are also developing their strategy to support carers and respond to the

COVID situation through their social prescribing and link worker initiatives to provide a more coordinated approach

with working with Carers.

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ry1 .5 “The proportion of Carers who receive direct payments”

82.575.4 75.5 75.6

0

0

0

0

0

0




HCC Target2020/21

Q1 2020/21


Performance has improved from quarter 4

In 2018-19 Buckinghamshire reported the highest percentage at

100% with Gloucestershire

Good to be high

PerformanceData

75.6%

100

83

96

64

71

ADS Herts Valleys

0-25 TS

ADS East & North

ADS Herts Valleys

OP East & North

OP Herts Valleys

L60 70 80 90 100 110

7

Please Note – During the year this indicator uses current activity and projects to year end to provide a view of full year

effect performance. Data for Q1 is based on actual full year effect performance. Note, this will be significantly effected

by Covid 19.

Hertfordshire reported 1833 safeguarding concerns in Quarter 1 of 2020-. This was a 33% decrease from the volume of

concerns reported in Q1 2019-20 (2434). In 2019-20 Hertfordshire received a total of 9675 concerns (106 per 10,000

population), roughly a 10% increase from 2019-20.

The greatest proportion of concerns relates to abuse involving acts of neglect or acts of omission (47.4%) followed by

physical abuse (32.3%). (Note that more than one type of abuse can be recorded against each concern). The adult’s

home remains the most prevalent location for abuse followed by residential and nursing homes.

There was a significant drop in concerns being raised at the start of the COVID-19 lockdown. Whilst this eased pressure

on the ACS Safeguarding team there was a concern that abuse may not be being reported. Concerns have started to

increase, and we are now back to levels seen prior to the COVID-19 pandemic. Messages sent out via HCC

communications and the Hertfordshire Safeguarding Adults Board helped to support the identification of possible

abuse during the lockdown and how to report it.

During February 2020 a decision was made to bring forward the removal of one-off medication errors from

safeguarding in line with the CQC and Department of Health guidance. This has also caused a reduction in recorded

concerns.

Under lockdown the proportion of Domestic abuse cases reported to ACS has increased by around 4% when compared

to the 2019-20 monthly average.

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ry1 .6 “Adult Social Care - Safeguarding Concerns”

2,204

5,1174,576

5,221

9,6759,074

10,000

2,000

4,000

6,000

8,000

10,000

Comparator AuthorityAverage (18-19)

Comparator AuthorityAverage (18-19)

End of Year2019/20 Q12020/21

Number of Safeguarding Concerns Number of Safeguarding Enquiries


Performance matched the 97% reported at the end of quarter 4

19-20

Not all authorities are able to report in this dataset, Comparisons

therefore only include a subset of English authorities.

Good to be high

Data

9074

51% Of abuse took place in the

adults own home. 36% Of

abuse took place in a

residential setting. 12% of

abuse took place in a hospital

setting

47.4% of Cases that progressed to

enquiry had "Neglect and Acts of

omission" as the type of risk. 32.3%

were physical abuse. 11.9% were

domestic abuse (compared to 9.6%

average across 2019-20).

8

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ry1 .7 “ We will reduce the proportion of people aged 18-64 & 65 +

whose needs are met by admission to residential or nursing care” (Rate per 100k)(No Data for Q1)

Please Note – As data for this indicator is affected by backdated reporting, we will not be reporting it for Quarter 1.

However, commentary has been provided to give context around the current state of residential and nursing services

and the challenges under Covid 19.

Placement activity has been significantly impacted by COVID and therefore placement numbers will not be comparable

to previous performance quarters. Some activity is also being recorded separately for COVID hospital discharges which

are to be funded through Government funding streams. This means there is a potential for pent up demand that may

not show itself until later in the year.

ACS are making every effort to support people to remain living in the community and promoting were possible a

strength-based enablement and Connected Lives approach. ACS endeavour to assess people at point of crisis either

through case management or assessing a person within 28 days in receipt of referrals. The COVID situation has seen a

significant reduction in overall referral activity and we are anticipating a large volume of pent up demand which the

Service will need to respond to. We are also seeing a heighted increase in carer breakdowns and prevention of hospital

admission requests which are resulting in placement activity. With the possibility of second a COVID wave and due to the

prolonged COVID situation and likelihood of a challenging Winter this may have implications for placement activity and

general community care capacity.

The disproportionate impact of COVID-19 on older people has meant that care homes have been particularly hard hit.

Substantial multi-agency support has been wrapped around care homes. Hertfordshire County Council, Herts Care

Providers Association (HCPA), the NHS Community Health Trusts and the CCGs have delivered a series of interventions,

including;

• The establishment of a Provider Hub providing 7-day access to information and support. It has received over 1500

calls and 1800 emails covering a range of issues, for example, PPE, staff capacity, infection control and training. Strongly

welcomed by providers, the Hub was featured in the National Social Care Action Plan as an example of good practice.

• Working with the Care Quality Commission (CQC), Public Health England and local Public Health for accurate, clear

and consistent messaging.

• Rolling out infection control training with each care home specifically focusing on PPE and donning and doffing. This

is now being rolled out to supported living and flexi care sites.

• Alleviation of staffing pressures through HCPA’s recruitment service

• Setting up of an Employee Assistance Programme to provide emotional support to care home staff.

• Specific guidance and support produced for Learning Disability care homes.

• Fast access to PPE if required.

18-64 Admissions

12.6 12.4 11.0


2018-19Comparator Data(If Applicable)


HCC Target2020/21

Q1 2020/21

65+ Admissions

545.1 536.7 500.0


2018-19Comparator Data(If Applicable)


HCC Target2020/21

Q1 2020/21

99

2255

10

0

10

5

LApril 2020 May 2020 June 2020

18-64 Monthly Admissions

4949

29292222

20

50

LApril 2020 May 2020 June 2020

65+ Monthly Admissions

9

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2018-19Good HCCComparator HCC Target Q1 Q2 Q3 Q4Outcome Indicator Description Performance Format PerformanceData 2020/21 2020/21 2020/21 2020/21 2020/21Looks like 2019/20(If Applicable)We will increase the proportion of people whose enquiries are successfully1.0 Higher is Better % 61 59.7 65.0 61.4resolved by the provision of information and advice

1.1 We will increase people’s satisfaction with information and advice Higher is Better % 85.7 88.0 n/a for Q1

1.2 We will increase the number of people accessing assistive technology Higher is Better Count of Clients 7710 8500 7719

We will reduce the % of people contacting us again after receiving1.3 Lower is Better % 18.9 18.0 18.0information and advice from the social care access serviceWe will Increase the proportion of people who are connected to their local2.0 To be introduced in 2021/22communities again as a result of their support planWe will increase carer reported quality of life as reported using the adult2.1 Higher is Better Score out of 12 7.4 not applicable 8.0 Reported at year Endsocial care outcomes framework (ASCOF) (1D)We will increase the proportion of adults with a learning disability living in2.2 Higher is Better % 72.3 78.7 78.7 80.5their own home or with their family (ASCOF 1G)We will reduce the proportion of people aged 18-64 whose needs are met by Rate per 100k2.3 Lower is Better 13.3 12.4 11 n/a for Q1(18-64)admission to residential or nursing care as measured using ASCOF (2A (1))We will reduce the proportion of people aged 65+ whose needs are met by Rate per 100k2.4 Lower is Better 519.1 536.7 500.0 n/a for Q1(65+)admission to residential or nursing care as measured using ASCOF (2A (2))We will increase the proportion of adults with a learning disability in3.0 Higher is Better % 5.8 6.8 8.0 6.3employment (ASCOF 1E)We will increase the proportion of older people offered reablement services3.1 Higher is Better % 2.3 2.2 3.2 2.3on discharge from hospital (ASCOF 2B(2))We will increase the proportion of older people still at home 91 days after3.2 Higher is Better % 78.9 80.2 86.0 84.2leaving hospital with reablement/rehabilitation services (ASCOF 2B (1))We will reduce the number of people whose discharge from hospital is3.3 Lower is Better Rate per 100k (18+) 3.8 1.7 1.7 n/a for Q1delayed for social care related reasons (ASCOF 2C)We will increase people’s social care related quality of life as reported using4.0 Higher is Better Score out of 24 19.3 19.7 19.7 Reported at year Endthe adult social care outcomes framework (ASCOF) (1A)We will increase the proportion of people who use services who have as4.1 Higher is Better % 47.1 48.4 52.0 Reported at year Endmuch social contact as they would like as reported using ASCOF (1L (1))We will increase the % of clients whose desired outcomes were either fully or4.2 Higher is Better % 96.3 97.0 97.0 97.0partially achieved as part of a safeguarding enquiryWe will increase the proportion of regulated social care organisations in4.3 Higher is Better % N/A 73.0 80.0 71.0Hertfordshire rated good or above

2018-19Good HCCComparator HCC Target Q1 Q2 Q3 Q4Outcome Indicator Description Performance Format PerformanceData 2020/21 2020/21 2020/21 2020/21 2020/21Looks like 2019/20(If Applicable)The proportion of people who use services who receive self-directed support5.0 Higher is Better % 86.4 99.0 99.0 96.4ASCOF 1C (1A)We will increase the proportion of people who use services who have control5.1 Higher is Better % 79.8 84.1 84.0 Reported at year Endover their daily life as reported using ASCOF (1B)

5.2 The proportion of carers who receive self-directed support ASCOF 1C (1B) Higher is Better % 89.3 99.5 99.0 99.6

The proportion of people who use services who receive direct payments5.3 Higher is Better % 30.0 28.6 29.0 27.3ASCOF 1C (2A)

5.4 The proportion of carers who receive direct payments ASCOF 1C (2B) Higher is Better % 76.9 75.4 75.5 75.6

The proportion of adults in contact with secondary mental health services in5.5 Higher is Better % 11.1 13.2 13.5 14.4paid employment ASCOF 1FThe proportion of adults in contact with secondary mental health services5.6 Higher is Better % 56.4 74.5 75.0 80.5living independently, with or without support ASCOF 1HOverall delayed transfer of care from hospital (NHS Social Care Joint) (Rate5.7 Lower is Better Rate per 100k (18+) 12.8 10.7 7.6 n/a for Q1per 100k)Proportion of new service users that received a short term service during the

5.8 year where the sequel to service was either no ongoing support or support of Higher is Better % 79.0 82.4 83.0 90.5a lower level (%) ASCOF 2D

3520 3323(Rate per 100k (Rate per 100k based5.9 Better Care Fund: Total Emergency Admissions (clients aged 65+) Lower is Better Rate per 100k (18+) 2,163based on Each on Each QuartersQuarters target) target)

Count of Concerns6.0 Number of Safeguarding Concerns (Projected to 5,221 9,661 9070

year end)

Count ofApplications6.1 Number of Deprivation of Liberty Applications 3,263 4,762 3208(Projected to

year end)

Above/On Target (for end of year)

Below but within 5% of targetBelow/ Not on Target (for end of year)

No Target Specified No Target Specified

APPENDIX 1- ACS Performance Overview

10

APPENDIX 2 The Adult Social Care Survey 2019-20

The 2019-20 Adult Social Care Survey showed some really positive results for Adult Care Services with 6 out of 7 Adult Social Care Outcomes

Framework indicators improving. Here are some key figures and feedback.

1,187 Surveys were sent out to adults receiving long term services

38% (451) responded.

75.5%Said they find it easy to find Information and

advice about support (Up from 72.5%)

Said our services help them to have control over

their daily life (up from 80%)84.1%

Said they were satisfied with their care and

support (up from 59.6%)68.0%

Said they have as much social contact as they

would like (up from 47.3%)48.4%

77.3%Said they felt safe with 82.7% saying our services

helped them to feel safe (Up from 68.8%)

“I need to have more hours of support. I am reliant on my

parents and neighbours for

support.”

"I am in a care home. Everything is just great. Staff are

very good. They care for everyone.”

“My visit times very erratic, care quality a

bit variable but overall, apart from

that it’s reasonable.”

“I would like to be able to find people with same/similar

interests in my area.”

“Fabulous care home. Lots of friends and

activities to do.”

“I would like staff to help me with travel training and being more independent in the community.”

11

APPENDIX 3 ‐ Adult Social Care Outcomes Framework Results 2019‐20 (ASCOF)

Adult Social Care Outcomes Framework 2019-20

ASCOF ID

Measure DescriptionGood

performance looks like?

Hertfordshire (19-20)

Final

Hertfordshire (18-19)

Comparator Authority

Group (18-19)

Eastern (18-19)

England(18-19)

Enh

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Car

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Su

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s

1A Social care-related quality of life score (Score out of 24) Good to be high 19.7 19.4 19.3 19.3 19.1

1BThe proportion of people who use services who have control over their daily life

Good to be high 84.1 80 79.8 79.4 77.6

1C(1A)The proportion of people who use services who receive self-directed support

Good to be high 99.0 98.4 86.4 85.2 89

1C(1B) The proportion of carers who receive self-directed support Good to be high 99.5 99.3 89.3 93.4 83.3

1C(2A)The proportion of people who use services who receive direct payments

Good to be high 28.6 27.3 30.0 25.9 28.3

1C(2B) The proportion of carers who receive direct payments Good to be high 75.4 74.2 76.9 78.4 73.4

1D Carer-reported quality of life score (Score out of 12) Good to be highNot reported for 2019-

20 7 7.4 7.3 7.5

1EThe proportion of adults with a learning disability in paid employment

Good to be high 6.8 6.7 5.8 8 5.9

1FThe proportion of adults in contact with secondary mental health services in paid employment

Good to be high 13.2 13 11.1 12 8

1GThe proportion of adults with a learning disability who live in their own home or with their family

Good to be high 78.7 77.9 72.3 76.3 77.4

1HThe proportion of adults in contact with secondary mental health services living independently, with or without support

Good to be high 74.5 70 56.4 55 58

1I(1)The proportion of people who use services who reported that they had as much social contact as they would like

Good to be high 48.4 47.3 47.1 47.2 45.9

1I(2)The proportion of carers who reported that they had as much social contact as they would like

Good to be highNot reported for 2019-

20 22 29.6 27.7 32.5

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2A(1)Long-term support needs of younger adults (aged 18-64) met by admission to residential and nursing care homes, per 100,000 population

Good to be low 12.4 9.8 13.3 14.9 13.9

2A(2)Long-term support needs of older adults (aged 65 and over) met by admission to residential and nursing care homes, per 100,000 population

Good to be low 536.7 550.1 519.1 518.1 579.4

2B(1)The proportion of older people (aged 65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services

Good to be high 80.2 83.7 78.9 81.2 82.4

2B(2)The proportion of older people (aged 65 and over) who received reablement/rehabilitation services after discharge from hospital

Good to be high 2.25 2.2 2.3 2.8 2.8

2C(1) Delayed transfers of care from hospital, per 100,000 Good to be low 10.7 11.0 12.8 10.5 10.3

2C(2)Delayed transfers of care from hospital that are attributable to adult social care, per 100,000 population

Good to be low 1.8 2.5 3.8 3.2 3.1

2C(3)Delayed transfers of care from hospital that are attributable to both adult social care and the NHS, per 100,000 population

Good to be low 0.8 0.4 1.4 0.5 0.8

2D The outcome of short-term services: sequel to service Good to be high 82.4 85.8 79.0 86.3 79.6

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up

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rt 3AOverall satisfaction of people who use services with their care and support

Good to be high 68 59.6 65.6 64 64.3

3B Overall satisfaction of carers with social services Good to be highNot reported for 2019-

20 37.7 38.1 37.6 38.6

3CThe proportion of carers who report that they have been included or consulted in discussion about the person they care for


20 71.7 69.2 69.6 69.7

3D(1)The proportion of people who use services who find it easy to find information about support

Good to be high 75.5 72.5 70.7 69.7 69.7

3D(2)The proportion of carers who find it easy to find information about support


20 63.9 60.3 61.2 62.3

Safe

guar

din

g A

du

lts 4A The proportion of people who use services who feel safe Good to be high 77.3 68.8 71.4 70.4 70

4BThe proportion of people who use services who say that those services have made them feel safe and secure

Good to be high 82.7 84.2 88.2 85.2 86.9

Our CIPFA Comparator Group

Our Eastern Region Group

Buckinghamshire Cambridgeshire

Cambridgeshire Suffolk

Essex Thurrock

Gloucestershire Peterborough

Hampshire Essex

Kent Bedford

Lancashire Southend on Sea

Northamptonshire Norfolk

Oxfordshire Central Bedfordshire

Staffordshire Luton

Suffolk

Surrey

Warwickshire

West Sussex

Worcestershire

A 12

Appendix 5 – Key Indicator Library Description Is this a national Indicator? Description

We will increase the proportion of adults with a learning disability in employment (ASCOF 1E)

Yes - This is a National Adult Social Care Outcomes Framework (ASCOF) Indicator

This indicator is derived from ASCOF and measures the number of learning disability clients supported with a long-term service in the year who are in paid employment. Employment helps to reduce the risk of social exclusion. There is a strong link between employment and enhanced quality of life, including evidenced benefits for health and wellbeing and financial benefits

We will reduce the proportion of people aged 18-64 whose needs are met by admission to residential or nursing care as measured using ASCOF (2A (1))


This indicator is derived from ASCOF and measures the number of new admissions into long term residential or Nursing care for clients aged 18-64. For the purposes of this report this indicator is reported a quarter in arrears e.g. Q2 data is based on Admissions ion Q1. The data is extrapolated to year end to provide a full year projection. It is also converted to a rate per 100k population.

We will reduce the proportion of people aged 65+ whose needs are met by admission to residential or nursing care as measured using ASCOF (2A (2))


This indicator is derived from ASCOF and measures the number of new admissions into long term residential or Nursing care for clients aged 65+. For the purposes of this report this indicator is reported a quarter in arrears e.g. Q2 data is based on Admissions ion Q1. The data is extrapolated to year end to provide a full year projection. It is also converted to a rate per 100k population.

We will increase the proportion of older people still at home 91 days after leaving hospital with reablement/rehabilitation services (ASCOF 2B (1))


This indicator is derived from ASCOF. The indicator references clients discharged from hospital into reablement services that were still at home 91 days after their discharge. By home we mean, not in Residential or Nursing, The client has not been readmitted to hospital or the client has not passed away in this time frame. The indicator is reported a quarter in arrears to allow for the 91-day period to elapse. When reported for ASCOF at year end the indicator references clients discharged during a 3-month period between October to December. When reported throughout the year this indicator will also utilise a 3-month period, but this will be a rolling period.

We will reduce the number of people whose discharge from hospital is delayed for social care related reasons (ASCOF 2C)


This indicator is derived from ASCOF. The indicator references the average number of daily bed day delays per 100k population where the Local Authority was responsible for that delay.

Overall delayed transfer of care from hospital (NHS Social Care Joint) (ASCOF 2C)


This indicator is derived from ASCOF. The indicator references the average number of daily bed day delays per 100k population where the Hertfordshire's local authority OR NHS were responsible for that delay individually or jointly.

We will increase the % of clients whose desired outcomes were either fully or partially achieved as part of a safeguarding enquiry

No - Though this data is derived from our National Safeguarding Adults Collection

This indicator is derived from data reported as part of the Safeguarding Adults Collection. At the start of any safeguarding enquiry, the adult at risk is asked if there are any outcomes they wish to achieve. Of the clients who do express outcomes this indicator measures the proportion whose outcomes were fully or partially achieved.

(Not Highlighted) We will increase the proportion of regulated social care organisations in Hertfordshire rated good or above

No - This data is derived from Hertfordshire's local monitoring of Care providers

This data is based on Hertfordshire’s local monitoring of care providers. Provider monitoring is administered using a risk-based approach. Therefore the providers with the highest risk are reviewed first. it is therefore expected that performance will improve during the year

The proportion of people who use services who receive direct payments (ASCOF 1C (2A))


This indicator is derived from ASCOF. It references the proportion of clients in a long-term community-based service (Not Residential or Nursing) as at the time of reporting. Who have chosen to take their Local authority commissioned Personal budget in the form of a direct payment.

The proportion of carers who receive direct payments ASCOF 1C (2B)


This indicator is derived from ASCOF. It references the proportion of Carers who are receiving a carer’s specific service during the year Who have chosen to take their Local authority commissioned Personal budget in the form of a direct payment.

Number of Safeguarding ConcernsNo - Though this data is derived from our National Safeguarding Adults Collection

This indicator is derived from data reported as part of the Safeguarding Adults Collection. It references the number of concerns reported in the year. The latest figure for the financial year to date is extrapolated to give a full year effect picture of performance.

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agenda item hertfordshire county council no. adult … · 1.1. to enable the panel to review the...

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