Delivery and Performance Management. Adult Social Care Services The present arrangements for ASC delivery through an integrated health arrangement delivered by the ICO have been benchmarked against similar authorities in its family group (comparator group). The results show in 2016/17 Torbay spends around £363 per head of adult population, compared to an average of £348 for our comparator group (this is the net current expenditure from 2016/17 Adult Social Care Finance Return (ASC-FR) - per head of adult population). It is to be noted that the integrated nature of the Torbay’s system whilst delivering better outcomes for people does mean that direct comparisons do not always provide an unambiguous picture. The work and benchmarking as provided by Professor Xxxx Xxxxxx illustrates the benefit of the additional analysis and benchmarking. With this in mind a series of additional measures reflecting the challenges put forwards by Xxxxxxxxx Xxxxxx are included within the performance indicators and will be attached as Appendix 2. Torbay performs very well in the following area: Excellent Service user reported quality of life Service user reported social contact Service user reported control over daily life Carer reported ease of finding information And well in these areas: Good Service user reported ease of finding information Service user reported satisfaction with care & support Coverage of reablement service Reablement not followed by long term social care support Delayed transfers of care from hospital Opportunities for improvement are as follows Permanent admissions to residential and nursing care for 18-64 years olds Adults with a learning disability in paid employment Audit South West’s January 2017 audit report looking at the Trust’s care assessment process has confirmed that “the Trust’s arrangements for the assessment of the care needs of referred individuals, and determination of eligibility to receive publicly funded care and support is in line with the Care Act 2014 and are appropriate. Staff are able to access a range of training and operational support mechanisms to help them discharge these key responsibilities.” Appendix 4 provides further detail in respect of the areas above – Summary of Adult Social Care Outcomes Framework for Torbay (Jan 2017) 1 Torbay’s family group of comparator authorities are groups of authorities that central government consider have similar patterns of deprivation and age profiles etc.
Delivery and Performance Management. Adult Social Care Services Given the operational challenges facing these services and the current financial constraints little change is planned in relation to activity against the key performance indicators. Consequently the majority of activity targets for 2016/17 will be set at the same level as 2015/16. The exceptions to this are summarised below with details being set out in Annex 2: Safeguarding Where targets need to be reset to meet the requirements of ‘Making Safeguarding Personal’.
Delivery and Performance Management. Adult Social Care Services The present arrangements for ASC delivery through an integrated health arrangement delivered by the Torbay & South Devon NHS Trust have been benchmarked against similar authorities in its family group (comparator group). The results show in 2018/19 Xxxxxx spends around £405 per head of adult population, compared to an average of £363 for our comparator group1 (this is the net current expenditure from 2018/19 Adult Social Care Finance Return (ASC-FR) - per head of adult population). It is to be noted that the integrated nature of the Torbay’s system whilst delivering better outcomes for people does mean that direct comparisons do not always provide an unambiguous picture. With this in mind a series of additional measures are included within the performance indicators attached as Annex 1. Torbay benchmarks very well in the following areas: • Service user reported quality of life • Service user reported social contact • Service user reported control over daily life • Service user reported satisfaction with care & support • Xxxxx reported ease of finding information Torbay has opportunities for improvement in the following areas: • Adults in contact with secondary mental health services in paid employment • Permanent admissions to residential and nursing care aged 18-64 • Service users receiving direct payments • Adults with a learning disability living in their own home or with their family Audit South West’s January 2017 audit report looking at the Trust’s care assessment process has confirmed that “the Trust’s arrangements for the assessment of the care needs of referred individuals, and determination of eligibility to receive publicly funded care and support is in line with the Care Act 2014 and are appropriate. Staff are able to access a range of training and operational support mechanisms to help them discharge these key responsibilities.” Opportunities for improvement are as follows • Permanent admissions to residential and nursing care for 18-64 years old’s • Adults with a learning disability in paid employment 1 Torbay’s family group of comparator authorities are groups of authorities that central government consider have similar patterns of deprivation and age profiles etc.
Delivery and Performance Management. Adult Social Care Services The present arrangements for ASC delivery through an integrated health arrangement delivered by the ICO have been benchmarked against similar authorities in its family group1. The results show, in a comparison with similar local authorities, Torbay spends around £281.27 per head of total population, compared to £275.73 per head across the family comparator group of most similar local authorities.2 Excellent delayed discharges of care due to social care This demonstrates a good use of money through this contract when considering that Torbay performs very well in the following area: And well in these areas: Good Proportion of people who use services who have control over their daily life. Overall satisfaction of people who use services with their care and support. Information available to carers and service users Opportunities for improvement are as follows ability of people to pay for their care themselves either with a direct payment or individual service fund proportion of people with a learning disability living in their own homes and in paid employment The proportion of older people (aged 65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services Reducing the ASC unit cost so that performance improves in comparison to other CIPFA family group local authorities. Audit South West’s January 2017 audit report looking at the Trust’s care assessment process has confirmed that “the Trust’s arrangements for the assessment of the care needs of referred individuals, and determination of eligibility to receive publicly funded care and support is in line with the Care Act 2014 and are appropriate. Staff are able to access a range of training and operational support mechanisms to help them discharge these key responsibilities.” Appendix 2 provides further detail in respect of the areas above – Summary of Adult Social Care Outcomes Framework for Torbay (Jan 2017) 1 Torbay’s family group of comparator authorities are groups of authorities that central government consider have similar patterns of deprivation and age profiles etc.
