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North Ayrshire Health and Social Care Partnership Annual Performance Report 2015-16

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North Ayrshire Health and Social Care Partnership Annual Performance Report 2015-16 Paper 12 Ayrshire and Arran NHS Board Monday 12 December 2016 North Ayrshire Health and Social Care Partnership Annual Performance Report 2015-16 Author: Sponsoring Director: Debbie Campbell, Team Manager Iona Colvin, Director NAHSCP Performance Date: 24 November 2016 Recommendation The Board is asked to consider the content of North Ayrshire HSCP first Annual Performance report for 2015-16. The board is asked to note and discuss the report. Summary Scottish Government, as part of the Integration legislation, require each Partnership to publish an Annual Performance Report no later than four months after the end of each financial year. North Ayrshire published our first report on 5 August 2016. The report pulls together performance information that evidence the National Health and Wellbeing Outcomes as well as the Children’s and Criminal Justice Outcomes. The report also includes sections on our Localities, our role as Lead Partnership and the services that fall under that remit, our inspection of services and our financial and best practice position. Key Messages: The key messages from this report are: 1. The excellent work NAHSCP did to meet the National Outcomes 2. The extensive Change Programme, transforming care across all service groups 3. The reception of the APR within and out with NAHSCP including Scottish Government and NHS A&A Library. 1 of 7 Glossary of Terms ADP Alcohol and Drug Partnership APR Annual Performance Report ASP Adult Support and Protection CAH Care at Home CAMHS Child and Adolescent Mental Health Service FIS Flexible Intervention Service FNP Family Nurse Partnership IJB Integration Joint Board LPF Locality Planning Forum MADART Multi Agency Domestic Abuse Response Team NAC North Ayrshire Council NADARS North Ayrshire Drug and Alcohol Recovery Service NAHSCP North Ayrshire Health and Social Care Partnership NHS A&A NHS Ayrshire & Arran 2 of 7 Background The first North Ayrshire HSCP Annual Performance Report was published on 5 August 2016. The IJB noted the APR on 5 August 2016. The report has subsequently been presented to the IJB Performance and Audit Committee in November 2016 (September meeting was cancelled). The report has been widely distributed and been very positively received. The main points to note from the report are detailed in the sections below. 1. Our Performance against National Outcomes 1.1 Improve their own Health and wellbeing and live in good health longer The pilot of Community Connectors in seven GP practices has worked very well and will be expanded in 2016-17. The community Connectors are both Partnership and Third Sector employees and they signpost to a range of alternative community and non-medical services and opportunities that can contribute to people’s health and wellbeing. In 2015-16 (not a full year of the pilot) 175 patients and 40 carers engaged. We worked towards an integrated Addiction Service (NADARS). Through a period of great change the teams consistently performed above Scottish average in the three week referral targets for both drugs and alcohol. 1.2 People are able to live as far as reasonably practicable independently at home or in a homely setting. We reduced the average length of stay in P3 from 41 days (2014-15) to 28.8 days in 2015-16. Through the winter of 2015-16 we increased the number of weekly admissions to P3 to six per week, above the Winter plan target of five. We reduced the number of people who were delayed in hospital waiting on Care at Home packages or a care home place. 1.3 Positive Experience of those services and have their dignity respected. The ADPs Recovery at Work, Café Solace had 3,621 people attend to have a three course evening meal for £3 since the Café opened in June 2015. 27 volunteers have been involved since the beginning with 15 still involved. Two volunteers have gone on to full time employment and 16 have completed or are completing further education courses. 1.4 Maintain or improve the quality of Life of people who use those services The Flexible Intervention Service provided by Richmond Fellowship provides early intervention and/or crisis prevention for people with mental health issues for a period of up to 12 weeks. Since starting, the service has supported 104 people to retain their independence and maintain their quality of life. 3 of 7 1.5 Reducing Health Inequalities Our Money Matters team has advised and supported the most vulnerable people in our communities to access more of the benefits they are entitled to. This led to an additional £7.6m of household income across North Ayrshire. 1.6 Unpaid carers are supported to look after their own health and wellbeing We held a Care and Support North Ayrshire event in October 2015 with 135 exhibitors and almost 1000 people attended. This networking event allowed people to see what services were available in their local area. Our carers are being supported to develop their own carers assessment for and this will be progressed in 2016-17. 1.7 People are safe from harm Our Multi Agency Domestic Abuse Response Team (MADART) reduced domestic abuse in North Ayrshire by 0.4% in contrast to the Scottish trend which increased by 2.5%. The Adult Support and Protection service (ASP) received 724 referrals in 2015- 16 with 80 progressing to full investigation. 1.8 Engaged Workforce At a time of great change for many staff the levels of positive engagement across NAC and NHS staff in the Partnership was encouragingly high. 1.9 Resources are used effectively and efficiently Care at home hours are a resource the Partnership cannot afford to waste. We worked with colleagues in acute to reduce the number of cancelled discharges. However we still lost 3,658hours of CAH due to discharges being cancelled. Between October 2016 and January 2016 we saved a total of 20,025 bed days in acute and frail elderly wards. 2. Our Performance against Children and Criminal Justice Outcomes 2.1 Our Children have the best start in life Our childhood immunisation programme performs well as does the Flu schools programme that saw an uptake of 75.4%, above target of 75% and higher than the Scottish average of 71.1%. 2.2 Successful Learners, confident individuals and responsible citizens The Untitled: Bad Entertainment art project gave vulnerable young people the opportunity to participate in an innovative, collaborative programme, developing employability skills. 75% of the young people involved have secured a positive destination. 4 of 7 2.3 Improved life chances for children and young people Our Family Nurse Partnership supports vulnerable young mums from the early stages of pregnancy. 71 new born children and their mums have been supported in the first cohort. This service is now signing up the next cohort and extending the criteria to include first time mothers who have previously been Looked After and Accommodated. 2.4 Criminal Justice and Public Protection The community Payback Scheme continues to achieve great results and is performing well above target. They also donated over £1000 to Women’s Aid and North Ayrshire Foodbank from the sale of garden products. 2.5 Reduction of re-offending Over the past 10 years North Ayrshire recorded crime has reduced by 39% 2.6 Social Inclusion to support desistance from offending Support for women just released from custody project was started up and early feedback has been positive and the service will continue to embed the programme to improve outcomes for those accessing support. 3. Change Programme In 2015-16 we embarked on a change programme to radically transform major areas of local health and social care provision. Major pieces of work were undertaken across all service areas. These change projects included a review of Care at Home services, remodelling rehabilitation services, progressed work to redesign services to create Teams around children, bringing two Addiction services together into one team and preparations to move all in-patient mental health staff and patients into Woodland View hospital. For 2016-17 there will be four development streams: Build Teams around Children Develop Primary Care services in local communities Support the needs of older people and adults with complex care needs Develop and deliver a new strategy Mental Health and Learning Disability. 4. Localities NAHSCP developed six Locality Planning Forums in 2015-16. Each locality has a chairperson who is a member of the IJB, a lead officer who is a senior manager from NAHSCP and a local GP. Each locality identified between two and four priorities for delivery in 2016-17 which have been incorporated into our refreshed Strategic Plan. 5. Lead Partnership Responsibilities North Ayrshire is the lead Partnership for Mental Health Service including Mental Health in-patient services, CAMHS and Learning Disability Assessment and Treatment. We are also lead partnership for some Early Years services including Child Health services, Children’s immunisation, infant feeding and Family Nurse Partnership. 5 of 7 In 2015-16 we worked toward the successful opening up of the new facility at Woodland View, the new state of the art Mental Health and Community Hospital, Irvine. The CAMHS is a multi disciplinary service including psychiatry, psychology, nursing, speech and language therapy6 and occupational therapy and psychotherapy. The service has had great success in meeting the 18 week Referral to Treatment target, but challenges still remain including trying to develop alternative models of service delivery and achieving integration across agencies. CAMHS, across Ayrshire, had a total of 1,679 referrals accepted as follows: HSCP Referrals East 596 North 615 South 468 TOTAL 1679 Psychological Services commenced 76.8% of treatments and interventions throughout 2015/16 (this is aggregated total across 12 specialist teams).
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