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OFFICIAL Item No: 13 Meeting Date: Wednesday 23rd September 2020 Glasgow City Integration Joint Board Report By: Susanne Millar, Interim Chief Officer Contact: Duncan Goldie, Performance Planning Manager Phone: 0141 287 0398 ANNUAL PERFORMANCE REPORT 2019/20 Purpose of Report: To present and seek approval of the Annual Performance Report for the Health and Social Care Partnership for the year 2019/20. Background/Engagement: The IJB have previously agreed that an Annual Performance Report would be produced and presented to them each year. There have been three previous Annual Performance Reports, covering 2016/17, 2017/18 and 2018/19. Recommendations: The Integration Joint Board is asked to: a) approve the attached Annual Performance Report; b) note that some final year-end figures will be included once available; c) approve that responsibility for any final amendments to the report to incorporate these year-end figures will be delegated to the Interim Chief Officer; and d) note that a Summary Version will also be produced and published. Relevance to Integration Joint Board Strategic Plan: This report reviews performance against agreed local and national performance indicators and against the commitments within Glasgow City IJB’s Strategic Plan (2019-22). OFFICIAL OFFICIAL Implications for Health and Social Care Partnership: Reference to National Health & HSCP activity and performance within the report is Wellbeing Outcome: mapped against the Partnership’s strategic priorities and the 9 National Health and Wellbeing Outcomes. Personnel: None Carers: The report includes a section relating to carers. Provider Organisations: None Equalities: None Fairer Scotland Compliance: Not applicable Financial: None Legal: The Public Bodies (Joint Working) (Scotland) Act 2014 requires IJBs to produce an Annual Performance Report (APR), to be published within four months of the end of each financial year (by 31 July). This Act and accompanying guidance outlined core contents expected within these Annual Performance Reports. The guidance indicates that APRs are for HSCPs to provide an assessment of performance in planning and carrying out the integrated functions for which they are responsible. It also states that they are to be produced for the consideration of the Partnerships themselves and it is primarily their responsibility to act upon the information and recommendations within them. Economic Impact: None Sustainability: None Sustainable Procurement and None Article 19: Risk Implications: None Implications for Glasgow City The Integration Joint Board’s performance framework Council: includes performance indicators previously reported to the Council. OFFICIAL OFFICIAL Implications for NHS Greater The Integration Joint Board’s performance framework Glasgow & Clyde: includes performance indicators previously reported to the Health Board. Direction Required to Council, Health Board or Both Direction to: 1. No Direction Required ☒ 2. Glasgow City Council ☐ 3. NHS Greater Glasgow & Clyde ☐ 4. Glasgow City Council and NHS Greater Glasgow & Clyde ☐ 1. Purpose 1.1 The purpose of this report is to present and seek approval of the Annual Performance Report for the Health and Social Care Partnership for 2019/20. 2. Background - Scottish Government Performance Guidance 2.1 The Public Bodies (Joint Working) (Scotland) Act 2014 requires the Integration Joint Board to publish an Annual Performance Report, setting out an assessment of performance in planning and carrying out those functions for which they are responsible. This Annual Performance Report is required to be published within 4 months of the end of each reporting year. The 2019/20 report requires to be published no later than 31 July 2020. 2.2 Guidance on these Annual Performance reports was produced by the Scottish Government in March 2016. This indicates that APRs are for HSCPs to provide an assessment of performance in planning and carrying out the integrated functions for which they are responsible. It also states that they are to be produced for the consideration of the Partnerships themselves and it is primarily their responsibility to act upon the information and recommendations within them. It also indicates that the reports should be made available online with consideration given to making them accessible to the public. 3. Recommendations 3.1 The Integration Joint Board is asked to: a) approve the attached Annual Performance Report; b) note that some final year-end figures will be included once available; c) approve that responsibility for any final amendments to the report to incorporate these year-end figures will be delegated to the Interim Chief Officer; and d) note that a Summary Version will also be produced and published. OFFICIAL DRAFT ANNUAL PERFORMANCE REPORT 2019/20 Version 5 1 CONTENTS PAGE SECTION NUMBER Foreword 4 1. Introduction 5 Partnership Overview 5 Area Profile 7 Strategic Vision and Priorities 15 2. Delivering Our Key Priorities 17 Prevention, early intervention and harm reduction 18 Providing greater self-determination and choice 27 Shifting the balance of care 34 Enabling independent living for longer 47 Public Protection 56 Engaging and developing our staff 60 Equalities 64 3. Locality Planning in Glasgow 66 Locality Areas 66 Management Arrangements 68 Locality Plans 69 Participation and Engagement 69 Thriving Places 72 4. Financial Performance 76 Best Value 76 2019/20 Financial Planning 77 2019/20 Set Aside Budget 77 2019/20 Financial Management 77 Change and Improvement 79 Capital Investment and Priorities 80 Financial Outlook for 2020/21 and Beyond 81 5. Performance Summary 83 Inspection and Practice Audit 83 Local Performance Indicators 86 National Integration Indicators 96 2 Ministerial Steering Group Indicators 99 Key Performance Achievements 2019/20 101 Areas for Improvement 2020/21 102 Appendix A 109 – Glasgow City Profile - Additional Information Appendix B 111 – National Health & Wellbeing Outcomes By clicking on the page number link above, you will be taken to the relevant section of the report. You can then return to this contents page by clicking on the ‘Back to Contents’ link provided at end of each section. 3 FOREWORD We are pleased to provide this foreword to the fourth annual report by Glasgow City IJB on the performance of integrated health and social care provision within the city. Within this report, we highlight key service developments in the last 12 months and reflect upon how we have delivered our key priority of transforming the way in which services are planned, delivered and accessed in the city. We also describe some key operational highlights and achievements in respect to our performance, while identifying areas where we fell below our expectations and will be seeking improvements going forward over the course of the next year. The annual performance report can only ever provide a snapshot of the overall performance of the IJB in delivering its Strategic Plan and its aspirations to transform how health and social care is planned, delivered, received and experienced. The size, scale, complexity, history, culture, expectation within and across a city the size of Glasgow necessarily means that it would be impossible to produce an all-encompassing definitive report that establishes unequivocally that the IJB is delivering the nine National Health and Wellbeing Outcomes. Within these annual performance reports, however, we endeavour to demonstrate the significant progress made by the IJB and the operational vehicle reflecting the Partnership, the HSCP, in working towards delivering not just the nine National Health and Wellbeing Outcomes; but also the spirit and principles behind the Public Bodies (Joint Working) (Scotland) Act, through the fostering of a culture of joint working and partnership across all HSCP services and partner agencies. Towards the end of 2019/20, we have had to respond to the unprecedented challenges facing public sector organisations and wider society as whole from the emergence of the Coronavirus (Covid-19) pandemic. New and innovative ways of working were rapidly developed and implemented in order to ensure our critical services were delivered and we were able to continue to support the health and social care needs of our most vulnerable and at risk patients and service users in our communities across the city. Given the effects of Covid-19 and its impact upon the HSCP’s service delivery and performance will be felt more during the course of 2020/21, we have not focussed upon it within this report. We will, instead, reflect in more detail upon the resultant challenges and service responses during the next Annual Performance Report. We would, however, like to take this opportunity to recognise and commend the dedication, commitment and professionalism of our most valuable resource, our staff and managers, as well as those of our partners during this challenging period. Susanne Millar Councillor Mhairi Hunter Simon Carr Interim Chief Officer Chair, Glasgow City Vice Chair, Glasgow City Integration Joint Board Integration Joint Board Back to Contents 4 1. INTRODUCTION 1.1 PURPOSE OF REPORT The Public Bodies (Joint Working) (Scotland) Act 2014 requires Integration Joint Boards to publish an Annual Performance Report, setting out an assessment of performance in planning and carrying out those functions for which they are responsible. This is the fourth report for the Glasgow Integration Joint Board (IJB) and within it we look back upon the last year (2019/20). We consider progress in delivering the priorities