Common use of Benchmarking and Comparisons with other Authorities Clause in Contracts

Benchmarking and Comparisons with other Authorities. The strategic direction of adult social care, as outlined in Section 1, is based on several benchmarking reports published during 2012 as well as NHS and Social Care national information databases. National Audit Office – Reducing Care Management and Assessment Costs Department of Health Use of Resources Annual Report Towards Excellence in Adult Social Care (TEASC) Benchmarking Report Institute of Public Care (IPC) Benchmarking Report The first three given in the list above are national reports; the fourth was a report commissioned directly by Torbay Council. The Xx Xxxxxx NHS database and the Audit Commission Toolkit were also accessed to provide comparative information. The high level summary of the findings are outlined below: Finding Comparison ASC Survey - General Findings Overall quality of life for the over 65 population was 9th highest in the country; the 18 – 64 population quality of life was below average (100th out of 151 local authorities) Finding Comparison High level of satisfaction for the services clients receive Clients feel in control of their daily lives Clients find accessing information and advice easy A small proportion of clients (1.7%) are highly dissatisfied with their care; national average is 1.0% A higher proportion of clients feel unsafe; 8.2% against the national average of 7.2% and the Southwest average of 6.6% 24.7% of clients view their health as “bad” or “very bad”; the national average is 19.6%, the Southwest average is 17.6% Care Homes Care home placements decreased by 25% between April ’07 and Sept ’12 from 960 to 726 clients, i.e. 4 – 5 % p/a. The proportion of nursing to residential home clients is low. The national average is a 24:76 ratio. The Torbay ratio is closer to 11:89. The direct input of community nursing and intermediate care teams is providing support within residential care homes to delay the need for nursing home services. (A detailed audit in August ’12 revealed 22% of community nurse visits are to care homes.) Home based support services are allowing Torbay to be in the top 10% of Councils for minimising the number of permanent admissions in to care homes. High reliance on bed based care for mental health clients aged between 18 and 64. Community Based Services 13.2% of clients within Torbay receive less than 2 hours of domiciliary care each week. This is in line with the national average of 12.2%. 27.5% of clients receive in excess of 10 hours of domiciliary care each week. This is well below the national average of 41%. This is surprising when taking account of the reduced reliance on care home placements and points towards the effectiveness of intermediate care services within the Bay who support and work closely with complex clients. A higher proportion of clients receive 2 – 5 hours of care; 29% against a national average of 20%. The IPC report highlighted the benefits of a Reablement Team which could focus on clients with lower level needs that may not automatically have access to the intermediate care teams who focus on more complex needs. A Reablement Pilot commenced in August ’12 and preliminary results are expected in January ’13 to determine next steps. Average response time for the delivery of urgent community equipment is 72 minutes Care Assessment & Management Costs Service transformation plans seek to protect frontline staff and reduce management/back office costs Torbay’s unit cost for an assessment or review is in line with the national average according to the NAO Report produced in August ‘12 The Use of Resources report highlights Torbay as having high care assessment Finding Comparison and management costs. Some of the additional costs are explained by: ▪ An inability to apportion care assessment and corporate costs against in- house services – 50% of LAs have the ability to do this ▪ Care home fees within the Bay are lower than the national average and so care management costs automatically form a larger proportion of the cost pool ▪ Reduced reliance on care home placements is likely to require additional frontline staff time, e.g. to manage increasing needs or crises, more complex reviews, etc. Acute Care Related 51% of clients die at “home” – the national average is below 30% Delayed discharges are minimal Average length of stay for people aged over 65 admitted as an emergency are the lowest in the Southwest Emergency readmissions within 28 days are the 2nd lowest in the Southwest Standardised admissions rate for the over 65’s is the 3rd lowest in the Southwest Housing related support 92.35% of vulnerable people achieved independent living from short term services against an annual target of 86% (Q1-2 April to September 2012) 95.59 % vulnerable people were supported to maintain independent living against an annual target of 98% (Q1-2 April to September 2012)

Benchmarking and Comparisons with other Authorities. The strategic direction of adult social care, as outlined in Section 1, is based on several benchmarking reports published during 2012 as well as NHS and Social Care national information databases. National Audit Office – Reducing Care Management and Assessment Costs Department of Health Use of Resources Annual Report Towards Excellence in Adult Social Care (TEASC) Benchmarking Report Institute of Public Care (IPC) Benchmarking Report The first three given in the list above are national reports; the fourth was a report commissioned directly by Torbay Council. The Xx Xxxxxx NHS database and the Audit Commission Toolkit were also accessed to provide comparative information. The high level summary of the findings are outlined below: Finding Comparison ASC Survey - General Findings Overall quality of life for the over 65 population was 9th highest in the country; Finding Comparison General Findings the 18 – 64 population quality of life was below average (100th out of 151 local authorities) Finding Comparison High level of satisfaction for the services clients receive Clients feel in control of their daily lives Clients find accessing information and advice easy A small proportion of clients (1.7%) are highly dissatisfied with their care; national average is 1.0% A higher proportion of clients feel unsafe; 8.2% against the national average of 7.2% and the Southwest average of 6.6% 24.7% of clients view their health as “bad” or “very bad”; the national average is 19.6%, the Southwest average is 17.6% Care Homes Care home placements decreased by 25% between April ’07 and Sept ’12 from 960 to 726 clients, i.e. 4 – 5 % p/a. The proportion of nursing to residential home clients is low. The national average is a 24:76 ratio. The Torbay ratio is closer to 11:89. The direct input of community nursing and intermediate care teams is providing support within residential care homes to delay the need for nursing home services. (A detailed audit in August ’12 revealed 22% of community nurse visits are to care homes.) Home based support services are allowing Torbay to be in the top 10% of Councils for minimising the number of permanent admissions in to care homes. High reliance on bed based care for mental health clients aged between 18 and 64. Community Based Services 13.2% of clients within Torbay receive less than 2 hours of domiciliary care each week. This is in line with the national average of 12.2%. 27.5% of clients receive in excess of 10 hours of domiciliary care each week. This is well below the national average of 41%. This is surprising when taking account of the reduced reliance on care home placements and points towards the effectiveness of intermediate care services within the Bay who support and work closely with complex clients. A higher proportion of clients receive 2 – 5 hours of care; 29% against a national average of 20%. The IPC report highlighted the benefits of a Reablement Team which could focus on clients with lower level needs that may not automatically have access to the intermediate care teams who focus on more complex needs. A Reablement Pilot commenced in August ’12 and preliminary results are expected in January ’13 to determine next steps. Average response time for the delivery of urgent community equipment is 72 minutes Care Assessment & and Management Costs Service transformation plans seek to protect frontline staff and reduce management/back office costs Torbay’s unit cost for an assessment or review is in line with the national average according to the NAO Report produced in August ‘12 Finding Comparison The Use of Resources report highlights Torbay as having high care assessment Finding Comparison and management costs. Some of the additional costs are explained by: ▪  An inability to apportion care assessment and corporate costs against in- house services – 50% of LAs have the ability to do this ▪  Care home fees within the Bay are lower than the national average and so care management costs automatically form a larger proportion of the cost pool ▪  Reduced reliance on care home placements is likely to require additional frontline staff time, e.g. to manage increasing needs or crises, more complex reviews, etc. Acute Care Related 51% of clients die at “home” – the national average is below 30% Delayed discharges are minimal Average length of stay for people aged over 65 admitted as an emergency are the lowest in the Southwest Emergency readmissions within 28 days are the 2nd lowest in the Southwest Standardised admissions rate for the over 65’s is the 3rd lowest in the Southwest Housing related support 92.35% of vulnerable people achieved independent living from short term services against an annual target of 86% (Q1-2 April to September 2012) 95.59 % vulnerable people were supported to maintain independent living against an annual target of 98% (Q1-2 April to September 2012)

Benchmarking and Comparisons with other Authorities. The strategic direction of adult social care, as outlined in Section 1, is based on several benchmarking reports published during 2012 as well as NHS and Social Care national information databases. National Audit Office – Reducing Care Management and Assessment Costs Department of Health Use of Resources Annual Report Towards Excellence in Adult Social Care (TEASC) Benchmarking Report Institute of Public Care (IPC) Benchmarking Report The first three given in the list above are national reports; the fourth was a report commissioned directly by Torbay Council. The Xx Xxxxxx NHS database and the Audit Commission Toolkit were also accessed to provide comparative information. The high level summary of the findings are outlined below: Finding Comparison ASC Survey - General Findings Overall quality of life for the over 65 population was 9th highest in the country; Finding Comparison General Findings the 18 – 64 population quality of life was below average (100th out of 151 local authorities) Finding Comparison High level of satisfaction for the services clients receive Clients feel in control of their daily lives Clients find accessing information and advice easy A small proportion of clients (1.7%) are highly dissatisfied with their care; national average is 1.0% A higher proportion of clients feel unsafe; 8.2% against the national average of 7.2% and the Southwest average of 6.6% 24.7% of clients view their health as “bad” or “very bad”; the national average is 19.6%, the Southwest average is 17.6% Care Homes Care home placements decreased by 25% between April ’07 and Sept ’12 from 960 to 726 clients, i.e. 4 – 5 % p/a. The proportion of nursing to residential home clients is low. The national average is a 24:76 ratio. The Torbay ratio is closer to 11:89. The direct input of community nursing and intermediate care teams is providing support within residential care homes to delay the need for nursing home services. (A detailed audit in August ’12 revealed 22% of community nurse visits are to care homes.) Home based support services are allowing Torbay to be in the top 10% of Councils for minimising the number of permanent admissions in to care homes. High reliance on bed based care for mental health clients aged between 18 and 64. Community Based Services 13.2% of clients within Torbay receive less than 2 hours of domiciliary care each week. This is in line with the national average of 12.2%. 27.5% of clients receive in excess of 10 hours of domiciliary care each week. This is well below the national average of 41%. This is surprising when taking account of the reduced reliance on care home placements and points towards the effectiveness of intermediate care services within the Bay who support and work closely with complex clients. A higher proportion of clients receive 2 – 5 hours of care; 29% against a national average of 20%. The IPC report highlighted the benefits of a Reablement Team which could focus on clients with lower level needs that may not automatically have access to the intermediate care teams who focus on more complex needs. A Reablement Pilot commenced in August ’12 and preliminary results are expected in January ’13 to determine next steps. Average response time for the delivery of urgent community equipment is 72 minutes Care Assessment & and Management Costs Service transformation plans seek to protect frontline staff and reduce management/back office costs Torbay’s unit cost for an assessment or review is in line with the national average according to the NAO Report produced in August ‘12 Finding Comparison The Use of Resources report highlights Torbay as having high care assessment Finding Comparison and management costs. Some of the additional costs are explained by: ▪ An inability to apportion care assessment and corporate costs against in- house services – 50% of LAs have the ability to do this ▪ Care home fees within the Bay are lower than the national average and so care management costs automatically form a larger proportion of the cost pool ▪ Reduced reliance on care home placements is likely to require additional frontline staff time, e.g. to manage increasing needs or crises, more complex reviews, etc. Acute Care Related 51% of clients die at “home” – the national average is below 30% Delayed discharges are minimal Average length of stay for people aged over 65 admitted as an emergency are the lowest in the Southwest Emergency readmissions within 28 days are the 2nd lowest in the Southwest Standardised admissions rate for the over 65’s is the 3rd lowest in the Southwest Housing related support 92.35% of vulnerable people achieved independent living from short term services against an annual target of 86% (Q1-2 April to September 2012) 95.59 % vulnerable people were supported to maintain independent living against an annual target of 98% (Q1-2 April to September 2012)

Benchmarking and Comparisons with other Authorities. The strategic direction of adult social care, as outlined in Section 1, is based on several benchmarking reports published during 2012 as well as NHS and Social Care national information databases. National Audit Office – Reducing Care Management and Assessment Costs Department of Health Use of Resources Annual Report Towards Excellence in Adult Social Care (TEASC) Benchmarking Report Institute of Public Care (IPC) Benchmarking Report The first three given in the list above are national reports; the fourth was a report commissioned directly by Torbay Council. The Xx Xxxxxx NHS database and the Audit Commission Toolkit were also accessed to provide comparative information. The high level summary of the findings are outlined below: Finding Comparison ASC Survey - General Findings Overall quality of life for the over 65 population was 9th highest in the country; the 18 – 64 population quality of life was below average (100th out of 151 local authorities) Finding Comparison High level of satisfaction for the services clients receive Clients feel in control of their daily lives Clients find accessing information and advice easy A small proportion of clients (1.7%) are highly dissatisfied with their care; national average is 1.0% A higher proportion of clients feel unsafe; 8.2% against the national average of 7.2% and the Southwest average of 6.6% 24.7% of clients view their health as “bad” or “very bad”; the national average is 19.6%, the Southwest average is 17.6% Care Homes Care home placements decreased by 25% between April ’07 and Sept ’12 from 960 to 726 clients, i.e. 4 – 5 % p/a. The proportion of nursing to residential home clients is low. The national average is a 24:76 ratio. The Torbay ratio is closer to 11:89. The direct input of community nursing and intermediate care teams is providing support within residential care homes to delay the need for nursing home services. (A detailed audit in August ’12 revealed 22% of community nurse visits are to care homes.) Home based support services are allowing Torbay to be in the top 10% of Councils for minimising the number of permanent admissions in to care homes. High reliance on bed based care for mental health clients aged between 18 and 64. Community Based Services 13.2% of clients within Torbay receive less than 2 hours of domiciliary care each week. This is in line with the national average of 12.2%. 27.5% of clients receive in excess of 10 hours of domiciliary care each week. This is well below the national average of 41%. This is surprising when taking account of the reduced reliance on care home placements and points towards the effectiveness of intermediate care services within the Bay who support and work closely with complex clients. A higher proportion of clients receive 2 – 5 hours of care; 29% against a national average of 20%. The IPC report highlighted the benefits of a Reablement Team which could focus on clients with lower level needs that may not automatically have access to the intermediate care teams who focus on more complex needs. A Reablement Pilot commenced in August ’12 and preliminary results are expected in January ’13 to determine next steps. Average response time for the delivery of urgent community equipment is 72 minutes Care Assessment & Management Costs Service transformation plans seek to protect frontline staff and reduce management/back office costs Torbay’s unit cost for an assessment or review is in line with the national average according to the NAO Report produced in August ‘12 The Use of Resources report highlights Torbay as having high care assessment Finding Comparison and management costs. Some of the additional costs are explained by: ▪  An inability to apportion care assessment and corporate costs against in- house services – 50% of LAs have the ability to do this ▪  Care home fees within the Bay are lower than the national average and so care management costs automatically form a larger proportion of the cost pool ▪  Reduced reliance on care home placements is likely to require additional frontline staff time, e.g. to manage increasing needs or crises, more complex reviews, etc. Acute Care Related 51% of clients die at “home” – the national average is below 30% Delayed discharges are minimal Average length of stay for people aged over 65 admitted as an emergency are the lowest in the Southwest Emergency readmissions within 28 days are the 2nd lowest in the Southwest Standardised admissions rate for the over 65’s is the 3rd lowest in the Southwest Housing related support 92.35% of vulnerable people achieved independent living from short term services against an annual target of 86% (Q1-2 April to September 2012) 95.59 % vulnerable people were supported to maintain independent living against an annual target of 98% (Q1-2 April to September 2012)