Soumya Kanti-Chatterjee Senior Public Health Intelligence...

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Transcript of Soumya Kanti-Chatterjee Senior Public Health Intelligence...

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Overview of the health & wellbeing strategy performance report June 2015 The health & wellbeing strategy (HWBS) dashboard bi-annual report shows how we are performing against the health & wellbeing strategy action plan (2014-16). The report includes an infographic front page that summarises our best achievements and areas for improvement (including all amber and red indicators), followed by a more detailed report summarising performance in each of the 9 key themes of the strategy. All the indicators have been Red/ Amber/ Green rated, except cancer screening (HWI 2.2, 2.3), because we do not yet have a local plan or agreement on performance milestones and indicators. We are also awaiting data around tooth decay in children (HWI 4.5). The current dental survey is underway this year for 5 year olds, with the data to be released in early 2016-17. Our best achievements (Green) Hounslow has achieved well against 8 indicators (Green) in the areas of tobacco control, NHS health checks, care assessments for older people, & obesity reduction in 5 year old children. Smoking prevalence (HWI 1.5) continues to drop in the borough with a near 4 percentage point drop since 2012-13 to 13.2% (2013-14). While 1342 quitters within the last year mean we are on track to exceed our 2015/16 target, although by a slightly smaller margin than last year (HWI 1.6). We are currently exceeding our target for NHS health checks offered (HWI 3.4) by 2%, and delivered (HWI 3.5) by 3%. Our work to reduce obesity in reception age children (HWI 6.3) has resulted in a 1.4 percentage point drop since 2012-13. We are also looking after older people better in the borough by providing 650 more care assessments than we did in 2013-14 (HWI 9.5). For our young people with mental health issues, we have provided timely referrals within 18 weeks for first consultations (HWI 9.6) including reducing waiting times within 18 weeks for those with more severe mental health issues (HWI 9.7). Areas requiring improvement (Amber) Obesity in Year 6 (11 year old children) has not dropped as expected compared to 2013 (HWI 6.4), & currently remains above target at 23.9%. The number of younger adults in care homes (measured as a rate) still remains above target (HWI 9.4), with an increase from the previous year (2014) to the current value of 10/100,000 population. Although rates of dementia diagnosis have improved (HWI 8.3), they remain below the local target of 73%. Our current performance at 66% is closer to the national target of 67%. Demand for neurodisability services has prompted additional funding from our CCG (HWI 9.1), followed by staff recruitment in December 2015 (HWI 9.2) Cancer screening rates (HWI 2.2, 2.3) for both breast (69%) & cervical (67.7%) within the borough are below the England averages of 75.9% & 74.2%. New initiatives have been introduced and continue through 2015-16 to increase breast screening levels across London and Hounslow. A major recommissioning exercise will merge six screening systems into one single London-wide screening programme (April 2016). Actions plans are in place for commissioned services with Ashford & St Peters hospital for cervical screening, with GP visits for supporting the programme starting in September 2015. A local rolling screening improvement action plan covering cervical, breast and bowel screening will be developed between the London Screening team and Hounslow partners in 2015-16, with a service evaluation report due in October 2015 (HWM 2.1).

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Areas requiring immediate remedial action (Red) Although the rate of admissions of older people to care homes has increased over the last year, the total number of people in care homes has fallen by 13% over the last 14 months. Despite this drop the indicator is still red (HWI 7.6), because the current number (330) is more than 10% above the target (280). The increasing rate of admissions probably reflects a higher number of older people (as the 80+ population continues to grow) being admitted for short spells towards the end of their lives (i.e. receiving the care and support they need), while overall the number of older people in care homes has fallen as other more suitable care options are provided. Highlight report section 1: Smoking Reduction - Lead Officer Imran Choudhury

Milestones status Reference Work stream Milestone Date due Comment on Outcome HWM 1.1 Stopping young

people taking up smoking

3020 children educated on the harms of smoking in assemblies. 31 young people stopped smoking (achieving 4-week quit). School nurses and welfare officers trained to Level 2.

April 2015 Planned targets exceeded

HWM 1.2 Helping tobacco users to quit

1341 4-week quits (up to Feb 2015)

June 2015 On track

HWM 1.3 Reducing the harm of second hand smoke

All council sites went smoke free for council employees on 11th March 2015. 46 smoke free homes and cars pledges (up to Feb 2015). Maternity sub-group to be established to discuss priorities and incentive pilot. Attended smoking in pregnancy workshop May 15.

March 2015 End March 2015

On track

HWM 1.4 Effective enforcement and legislation

Seizures of goods resulting from 2 collaborative raids with HMRC, Police and Trading Standards. Public Health transferred £12k to Community Safety to recruit an apprentice. Illegal Tobacco campaign in collaboration with Crime-stoppers (ended February 2015 – outcomes report received mid-March 2015). Apprentice advert gone out and should be in post by August 2015. Sniffer dogs resulted in large seizure of shisha and tobacco.

End March 2015

On track

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Performance measures Reference Outcome

(Performance Indicator) Frequency of data publication

Polarity (higher or lower= better)

Baseline (year)

Threshold

Current result (date)

Target (March 2016)

Notes

HWI 1.5 Fewer people smoking (reduction in smoking prevalence)

Annual Lower 16.9% (2012-13)

0.5% 13.2% (2013/14)

G

15% 2013 result shows good improvement

HWI 1.6 More people quitting smoking (quitters) (annual 4-week quits monitored monthly - three month time lag)

Annual Higher 1502 (2013-14)

5% 1341 (Feb 15)

G

1331 On track, this is data for April 2014 – Feb 2015)

HWI 1.7 Increase number of homes that are smoke-free (more than 50 homes made smoke free in year)

Annual Higher 50 (2013-14)

10% 46 (Feb 15)

G

50 On track

Overall Commentary Completed by /date All planned smoking cessation and tobacco control activities on schedule

Laura MacLehose – June 2015

Highlight report section 2 – Cancer Screening - Lead Officer Imran Choudhury Reference Work stream Milestone Date due Comment on Outcome HWM 2.1 Breast & Cervical

cancer screening Develop local action plans & targets

April 2015 Action plan being developed between Hounslow and London Screening Team. 2014-15 service evaluation report due October 2015.

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Performance measures Reference Measure/Performance

Indicator Frequency of data publication

Polarity (higher or lower= better)

England average (2014)

Current result (2014)

Notes

HWI 2.2 More women screened for breast cancer (Breast cancer screening coverage)

Annual Higher 75.9% 69% Local action plan and associated targets have not yet been agreed, hence these indicators are not RAG-rated. Kindly see detailed commentary below

HWI 2.3 More women screened for cervical cancer (Cervical cancer screening coverage)

Annual Higher 74.2% 67.7% Local action plan and associated targets have not yet been agreed, hence these indicators are not RAG-rated. Kindly see detailed commentary below

Overall Commentary Completed by /date Breast screening Breast screening is coordinated at national and London levels. Hounslow remains below the national and London coverage levels and achievable target for breast screening. It is above the NW London area team coverage average. A range of new initiatives were put in place through 2014/15 to increase uptake in screening across London, including Hounslow. These included: introduction of pre-invitation letters, second ‘timed’ appointments for those missing first appointment, and innovative use of text messaging. These initiatives continue through 15/16. An evaluation report for 14/15 will be available in October 2015. In addition, the screening service has commissioned work through ‘Community Links’ to reduce ‘Did Not Attend’ levels (to start in Hounslow in 2015). Screening lists were also updated (‘cleaned’) in 14/15. A major recommissioning exercise is currently underway for breast screening across London. The new service, scheduled to start in April 2016, will bring together the current six screening systems into one new London wide organisation. This will allow women to attend screening in any location across London, which should improve access. There will also be a single point of contact for the service and a call centre for any user queries. The existing ’footprint’ of the service (i.e. existing screening locations) will not change.

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Cervical screening Cervical screening is coordinated by the national NHS Cancer Screening Programme. Locally it is provided through GP practices and the sexual health service GUM and community clinics. Hounslow remains below the national and London coverage levels. It is above the NW London Area Team coverage average. Coverage of women aged 25-49 is particularly low. Hounslow is the lowest performing CCG area in London for ‘Estimated Date of Delivery’ (EDD) for delivery of results within 14 days of test to women screened. An action plan has been put in place with Ashford & St Peters Hospital, which was commissioned to processes Hounslow samples. This situation is expected to have been resolved within 3 months. Visits to GP practices to support the cervical screening programme will commence in Hounslow in September 2015 (jointly with London Immunisation lead visits). A local rolling screening improvement action plan covering cervical screening (and also breast and bowel screening) will be developed between the London Screening team and Hounslow partners in 15/16. It is expected that this plan will cover, for cervical screening, improvements to invitation letters and information leaflet, database and training of screeners and possibly, the development of local screening ‘centres of excellence’. The latest Public Health Outcomes Framework data for Hounslow (June 2015, PHOF 2014 data) continue to show that Hounslow’s screening coverage for breast cancer and cervical cancer remains significantly worse than England as a whole. A local rolling action plan will be developed with regional screening leads and local teams in 15/16. This will build on new initiatives started in 14/15 in the breast screening programme and will also seek to address particular local issues.

Laura MacLehose – June 2015

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Highlight report section 3 - NHS Health Checks - Lead Officer Imran Choudhury Milestones status Reference Milestone Date due Comment on Outcome HWM 3.1 Review of service specifications

and sign up of GPs

March 2015

Specifications circulated for sign up. Decision taken at CCG Board not to commission by locality at this stage All GP Practices visited between Jan-March 2015

HWM 3.1 Streamline flow of data and information on health checks, and improve performance reporting

April 2015 Templates agreed at NWL level. Meetings ongoing to agree reporting requirements. READ codes agreed Training for Health Care Assistants and Practice Nurses delivered in Feb 15. Approximate 30 attendees. Templates published on the GP patient computer system SystmOne-(S1) but awaiting detail coding sheets from Central & West London, Hammersmith & Fulham, and Hounslow & Ealing Team (CWHHE). Granted PH analyst access to S1 at Sovereign Court; S1 can be used to validate payments. PH analyst has received training and has access smart card. Meeting held June 15 to discuss handover of reports and search to PH intelligence.

HWM 3.3 Quality Assurance of health checks programme

February 2015

Training for Health Care Assistants and Practice Nurses delivered Annual training on programme delivery, motivational interviewing and lifestyle interventions to be built into programme. Trainer identified, dates to be agreed and booked by July 2015.

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Performance measures Reference

Outcome (Performance Indicator)

Frequency of data publication

Polarity (higher or lower = better)

Baseline (2013/14)

Threshold Current result (2014/15)

Target (March 2016)

Notes

HWI 3.4

Meet the national target for health checks offered to patients (Number/% NHS Health Checks offered)

Quarterly Higher 18.1%

5% Offered: 13,758

G

20% 22% eligible population 2014/15.

HWI 3.5

Meet the national target for health checks delivered to patients (Number/% NHS Health Checks delivered)

Quarterly Higher 9%

5% Delivered : 9,498

G Uptake

69%

66%

15.1% coverage 2014/15. The NHS England London uptake target is 66% (ambitious target 75%).

Overall Commentary Completed by /date

There has been a significant improvement in Health Checks GP activity. Hounslow is ranked 9th of 33 London boroughs on numbers received; and is one of the eleven boroughs either ahead of target or on schedule to meet the 20% offered and 66% uptake target.

Laura MacLehose – June 2015

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Highlight report section 4 – Child Oral Health - Lead Officer Imran Choudhury Milestones status Reference Work stream Milestone Date due Comment on Outcome HWM 4.1 Extended Health

Visitors programme

Oral Health coordinator and champions for each health visiting team

Jan 2015 – July 2015

On target

HWM 4.2 Extended Early Years programme

Oral Health promotion in Early years settings Begin Sept 2015

On target

HWM 4.3 Outreach schools programme

Programme delivered to at least 10 schools March 2015 to Dec 2015

Roll out, September 2015

HWM 4.4 Universal training – oral health champions

Oral Health Promoter to train at least 100 staff per year

Ongoing On target, new team in place

Performance measures Ref Outcome

(performance indicator)

Frequency of data publication

Polarity (higher or lower= better)

Baseline (year)

Threshold Current result

Target (March 2016)

Notes

HWI 4.5

To reduce the level of tooth decay in 5 year olds. (% under 5 year olds with decay experience)

3 yearly Lower 36.4% (2012/13)

0.5% The current dental survey is under way for 5 year olds. Data to be released in 2016-17

36% Currently data comes from an under 5’s dental survey run every 3 years by Public Health England. We are in the process of commissioning additional data (annual) at ward level, which will only be available if PH continue to fund the enhanced survey each year (from January 2016).

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

HWI 4.6

Increase access to dentists for 5yr olds (% under 5 year olds accessing dentist services)

Annual Higher 71.3% (average access rates for the last 24 months ending June 2014)

This is an NHS England target, therefore not applicable

Public Health team at LBH are supporting NHSE initiatives to improve dental access rates

This is an NHS England target, therefore not applicable

This is an NHS England target only and not a local authority target. Public Health team are supporting PHE and NHSE with the “Now You Have Teeth” project in Early Years’ settings and Children’s Centres in October 2015, to improve dental access rates.

Overall Commentary Completed by /date Public Health England, Hounslow CCG and Hounslow and Richmond Community Healthcare are partners in this programme

• Report on "Now You Have Teeth" pilot received from NHS England, to improve access to local "Champion" dentists and promote good oral health in CCs and EYs' settings. Second phase of Programme roll out September/October 2015.

• Schools' Dental Outreach project follow-up meeting with local dentists, project plan drafted for roll-out from September 2015 onwards in local schools.

Shelly Khan : July 2015

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Highlight report section 5 – Child Immunisation - Lead Officer Imran Choudhury Milestones status Reference Milestone Date due Comment on progress/ outcome Strategic Leadership HWM 5.1 Establishment of new Hounslow multi-agency

immunisation working group March 15 Completed

HWM 5.2 Agree local action plan to improve uptake of vaccinations

March 15 Agreed action plan now in place

Strengthening primary care systems and improving performance HWM 5.3 Work with NHSE to secure better data April 2015 Completed HWM 5.4 Improvement of information system – Review

immunisation pathways and communication processes March 2016 On track

Overall Commentary Completed by /date

The lead agency for child immunisation is NHS England. Immunisation rates can be monitored via Cover Data, where there is a time lag of 1 year. However, we will be reporting on the delivery of work streams and milestones which we are leading on the help improve the uptake of child immunisation. Principally this involves providing commentary on the implementation of the Hounslow Childhood Immunisation Action Plan. The latest data for immunisations for children 0-5 years in Hounslow is not showing significant improvement but this is expected as any increase in uptake won’t be captured by the Cover statistics which runs with 1 year time lag. The Public Health Team has a Hounslow multi-agency immunisation group to deliver an action plan and discuss mechanisms for improving immunisation rates. Work streams in the Action plan are: strategic leadership around childhood immunisations, strengthening primary care systems and improving performance, working with communities and working with early year’s services. Once the action plan is implemented, we will expect an improvement in uptake and we are exploring ways of capturing this information in a timelier manner with NHSE and CCG.

Khadidja Bichbiche – May 2015

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Highlight report section 6 – Child Obesity - Lead Officer Imran Choudhury Milestones status Reference Milestone Date due Comment on Outcome HWM 6.1 Schools based discovery clubs programme August 2015 Evaluation of programme reported HWM 6.2 Tier 2 Weight management programme

commissioned November 2015

Part of Hounslow wellbeing service for which tendering has been delayed

Performance measures

Reference Measure/Performance Indicator

Frequency of data publication

Polarity (higher or lower= better)

Baseline 2012/13

Threshold Current result (2013/14)

Target (March 2016)

Notes

HWI 6.3 Reception year – percentage obese

Annual Lower 11.5% 0.3% 10.1% G

11.2% Annually reported - Lower is improvement HWI 6.4 Year 6 – percentage obese Annual Lower 24.6% 0.8% 23.9%

A 23.1%

Overall Commentary Completed by /date A long-term target has been set to reduce the percentage of children who are obese to less than the average rate across London, and closer to the England rate, by 2020. This report shows performance against our 2016 target. This indicator shows the most recent data available which is 2013/14. The annual 2013-14 child obesity rates for Hounslow schools were 10.1% (Reception) and 23.9% (Year 6) reported in Dec 2014 by National Child Measurement Programme (NCMP). An action plan for 2014 to 2016 has been agreed to reduce child obesity; this will be through various interventions promoting (and improving opportunities for) healthy eating and increased physical activity levels for children. This includes a new tier 1 and tier 2 child weight measurement service, part of the new Hounslow Wellbeing Service being tendered this year to provide targeted support to overweight and obese 5-11 year olds. In January 2015, a 6-month pilot (Discovery Clubs) programme was commissioned, offering targeted support to overweight and obese children from 4 primary schools in Hounslow - to include healthy eating, physical activity, behaviour change and mentoring through schools, to children and their families; the evaluation report will be available in August 2015, to inform future commissioning for child weight management.

Shelly Khan – March 2015

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Highlight report section 7 – Bed-based Social Care - Lead Officer Martin Waddington Milestones status Reference Milestone Date due Comment on progress/ outcome Reduce the use of bed-based social care

HWM 7.1 Development of Extra Care Housing Plan (Oct 14) and new developments

April 15/16 to 18/19 36 beds due 07/15

HWM 7.2 Implement new Community Recovery Service – reablement and community rehabilitation

Sep to March 14/15 full roll-out April 15

Benefits currently planned for 09/15

HWM 7.3 Implementation of new Personal Care Framework providing outcome recovery focussed homecare

November 14 Go live was on 17/11/14 Formally reviewed in May 15 and next steps agreed

HWM 7.4 Development of Adults Prevention Strategy November 2014 Completed Timescale rolls out to 2018 Early parts are included in the Better Care Fund (namely Information, advice and signposting, Community Recovery, Locality working, Reduce social isolation, Assistive Technology)

HWM 7.5 Integrate care and support with CCG, and transfer care from acute services to the community

ongoing Most schemes managed by the Better Care Fund

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Performance measures

Overall Commentary Completed by

/date There is a BCF objective to reduce the amount of care delivered by Residential Care Homes. This will continue to be actively monitored each month throughout 2015/6.There are various schemes underway which are encouraging this: Primarily: Reducing social isolation, assistive technology, Personal Care Framework. Secondarily: Carers Support, Dementia Pathway, and Community Recovery Service.

Jeremy Labram 10/06/15

The rate of permanent admissions to residential and nursing care is only a measure of those entering the service; hence length of stay and capacity measures are needed to provide an overall measure. Therefore, we are using a more appropriate measure looking at the number of older people in residential and nursing homes. This will continue to be actively monitored on a monthly basis through local finance and activity reporting. Where placements for older people ended during the financial year 2014/15, the average length of stay for nursing placements was just over 2½ years, with the average residential placement lasting just over 3½ years.

Simon Haines 25/06/15

Ref Outcome (Performance Indicator)

Frequency of data publication

Polarity (higher or lower= better)

Baseline 2013/14

Threshold

Current result June 2015

Target (March 2016)

Notes

HWI 7.6

Fewer older people in care homes (number of people aged 65+ in residential and nursing homes)

Quarterly Lower 378 10% 330 280 In the period from April 2014 to June 2015, the number of older people in residential and nursing homes has reduced by 13% (378 to 330). Considering the year-end target, the first quarter performance is RED. If the numbers continue to fall at the current rate, we should be on track to achieve the target of 330 within the next 9 months.

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Highlight report section 8 – New Mental Health Models - Lead Officer Martin Waddington Milestones status Reference Milestone Date due Comment on Outcome Implement new models of mental healthcare

HWM 8.1 Improve dementia diagnosis & post diagnosis services: implement business case

December 2015/16 Dementia Diagnosis is improving and on track to reach the December 2015/16 milestone. Post diagnosis services milestones are in progress and the business case from WLMHT CIDS team has been approved and in the process of being implemented.

HWM 8.2 Partnership working agreement with WLMHT

TBC TBC

Performance measures Ref Outcome

(Performance Indicator)

Frequency of data publication

Polarity (higher or lower= better)

Baseline 2013/14

Threshold Current result (June 2015)

Target (March 2016)

Notes

HWI 8.3

Improved dementia diagnosis (% diagnosed with dementia)

Monthly Higher 52.3% <60% 66% 73% (Internal Target set by the CCG). The National Target is 67%

Overall Commentary Completed by /date Rates of dementia diagnosis have improved in April (69.7%) and in May are currently at (66.1%) The rates will be variable due to the nature of measurement and the type of illness. There is an action plan in place to improve and maintain rates of diagnosis.

Jeremy Labram 10/06/15

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Highlight report section 9 – Long Term Conditions - Lead Officer Martin Waddington There are 2 themes within this section: Learning Disabilities and Child and Adolescent Mental Health Services (CAMHS). Milestone status Reference Milestone Date due Comment on progress/ outcome Implement new approaches to long-term conditions including neurodisability HWM 9.1 Invest in additional CAMHS services July 2015 Additional funding to be released

imminently by CCG HWM 9.2 Recruit staff December 2015 Not yet started HWM 9.3 Monitor reduction of waiting January to March

2016 Not yet started

Performance measures – Learning Disabilities Ref Outcome

(Performance Indicator)

Frequency of data publication

Polarity (higher or lower= better)

Base-line 2013/4

Threshold Current result (June 2015)

Target (March 2016)

Notes

HWI 9.4

Fewer young adults in care homes (Number of young adults under 64 years permanently admitted to residential & nursing care homes due to learning disabilities

Quarterly Lower 9.3 per 100,000 population

10% 10 per 100,000 population (A)

9.0 per 100,000 population

An increase in development of extra care housing provision will continue to lead to reduced rates of people accessing residential and nursing care homes. The Impact of the national Winterbourne View resettlement programme could increase admissions in to residential/nursing care.

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

HWI 9.5

More support for carers (number of carers assessments completed)

Quarterly Higher 946 carers assessments

10% 1596 carers assessments (G)

1366 carers assessments

On target and likely to increase as a result of the implementation of the Care Act

Performance measures – Child and Adolescent Mental Health Services Ref Outcome

(Performance Indicator)

Frequency of reporting

Polarity (higher or lower= better)

Baseline 2013/4

Threshold (where amber turns to red)

Current position June 2015/16

Target March 2016

Notes

HWI 9.6

More young adults with mental health issues receiving timely first consultations (% referred to first consultation within 18 weeks, 11 weeks till April 2015)

Monthly Higher 100% 99% 100% 18 week excluding neurodevelopmental services.

The waiting time target in the WLMHT contract for 2015/16 is for all children and young people accepted by CAMHS to be seen within 18 weeks of referral, excluding neurodevelopmental services.

HWI 9.7

Reduced waiting times for young people with more severe (Tier 3) mental health issues (% Tier 3 clients with waiting times of less than 18 weeks)

Monthly Higher 100% 99% 100% 18 weeks excluding neurodevelopmental services.

The waiting time target in the WLMHT contract for 2015/16 is for all children and young people accepted by CAMHS to be seen within 18 weeks of referral, excluding neurodevelopmental services.

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Overall Commentary Completed by

/date Learning Disabilities The Directorate Development Plan for Children’s and Adults’ services identifies the importance of developing appropriate community based resources to meet identified needs in accordance with the CAS Prevention Strategy. Extra Care Housing developments are viewed key to delivering improved outcomes for residents with learning disabilities.

James Hearn 10/06/15

Child and Adolescent Mental Health Services In 2013/14 the Trust reported that all children and young people were seen within 11 weeks of referral, which was the target in the contract for that financial year. Since that time there has been a significant increase in demand for neurodevelopmental assessments, which is reflected in the amended target for 2015/16. At Month 2 the Trust is meeting the new target, with all children and young people seen within 18 weeks, except those waiting for a neurodevelopmental assessment. The CCG has acknowledged that increased investment is required in CAMHS, particularly in the neurodevelopmental service, to reflect the increase in demand. Additional funding is due to be released in July 2015 and recruitment to additional posts will commence immediately thereafter.

Susie Oneill 10/07/15

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

Guidance on the format of the HWB strategy performance dashboard Milestone status Milestones are significant stages or events (and sometimes products) in the delivery of the Health and Wellbeing Strategy. The due date is the agreed date by which the milestone should be delivered. The comment box contains an up-to-date commentary on progress with delivering the milestone, or outcome if already completed. The comment box should be coloured Red/ Amber/ Green according to whether the milestone is on track or not. Green = on track, Amber = some slippage, Red = missed dates with risk to project. Performance measures These are numeric measures of performance against the Health and Wellbeing Strategy Action Plan.

• Outcome/Performance Indicator – this is the desired outcome and our method of measuring this • Baseline – this is the baseline against which the March 2016 target has been set • Polarity - this describes whether success is indicated by an increase (bigger is better) or a decrease (smaller is better) in the

indicator • Target March 16 - this is a target we are working to achieve by March 2016 • Threshold - this is required for determining the Red/Amber/Green (RAG) status of the indicator. Green = target or better, amber=

between target and threshold, red = worse than threshold. • Current data – this is the most recent data available for this indicator (at the time of the report )

o This is rated Red, Amber or Green according to performance against the target (i.e. are we on track to meet our target for March 2016).

• Notes - commentary on our current position. If an indicator is amber or red, this box should explain why, and the measures being taken to move the indicator back to green.

Overall commentary This is an overall commentary on progress and outcomes of the HWB Strategy theme in question. It should highlight the main achievements and slippages. All dashboard content should be signed off by the Lead Officer for the theme in question. Feedback The format of the report and these guidance notes are currently a pilot scheme (June 2015) - please feedback your views on the design and any comments you have on the template to the Intelligence Hub ([email protected]). We would value your comments to help us develop the format and improve the report.