Dundee Health and Social Care Partnership Annual Performance Report 2019 - 2020 1 l Dundee Health and Social Care Partnership l Health and Social Care Annual Performance Report 2019-20 Health and Social Care Annual Performance Report 2019-20 l Dundee Health and Social Care Partnership l 1 2 l Dundee Health and Social Care Partnership l Health and Social Care Annual Performance Report 2019-20 Contents 1. Foreword ...........................................................................................................................................5 1.0 Who We Are ...............................................................................................................................7 1.1 How we measure our performance .........................................................................................10 1.2 How we deliver services in communities .................................................................................11 1.3 How we promote equalities and human rights ........................................................................12 1.4 How we engage and communicate with our stakeholders .......................................................13 2. Our Resources .................................................................................................................................16 2.1 Where our resources come from .............................................................................................16 2.2 How we have used our resources .............................................................................................17 3. Our Performance ............................................................................................................................20 4. The Quality of Our Services ............................................................................................................86 5. Looking to the future ......................................................................................................................87 Appendix 1: National Health and Wellbeing Outcomes .....................................................................88 Appendix 2: Performance against National Health and Wellbeing Indicators ...................................89 Appendix 3: Statutory Inspections ......................................................................................................90 Appendix 4: Glossary of terms ..........................................................................................................108 2 l Dundee Health and Social Care Partnership l Health and Social Care Annual Performance Report 2019-20 Health and Social Care Annual Performance Report 2019-20 l Dundee Health and Social Care Partnership l 3 4 l Dundee Health and Social Care Partnership l Health and Social Care Annual Performance Report 2019-20 Foreword Our Vision “Each citizen of Dundee will have access to the information and support that they need to live a fulfilled life” This is the fourth Annual Performance Report for Dundee Health and Social Care Partnership and it sets out some of our key achievements over the past year. During 2019-20 we have continued to work with our statutory partners, service users and their families, carers and communities to deliver our ambitious vision and to make real improvements to the lives of people in Dundee. Over the last year we have redesigned our physiotherapy and occupational therapy teams to improve quality, patient outcomes and service accessibility. Our work with the British Red Cross to provide enhanced support at the point of discharge from hospital has helped us to further reduce care home admissions and increase the proportion of people able to continue to live independently in their own homes. We have also increased the capacity of our care and treatment services to support; enhanced management of leg ulcers, wound care, phlebotomy and injections in the community. We have continued to maintain good performance in reducing the number of days Dundee citizens spend in hospital as a result of an emergency (a 13% reduction between 2015-16 and 2019-20), in the Care Inspectorate’s grading of services directly provided by the Partnership and in relation to the number of bed days lost to delayed discharge for people aged 75 years and over. Through a significant focus on personalisation of services we have more than doubled the spend on Self-Directed Support Options 1 and 2, with a £5.5 million spend in 2019-20. Whilst this is encouraging progress we recognise that there is still much work to do to further improve our performance in this area. We have also achieved significant reductions in expenditure through improved prescribing practice. 4 l Dundee Health and Social Care Partnership l Health and Social Care Annual Performance Report 2019-20 Health and Social Care Annual Performance Report 2019-20 l Dundee Health and Social Care Partnership l 5 A major focus for the Partnership during 2019-20 has been to listen to the findings of the Dundee Drug Commission and Tayside Mental Health Inquiry. This has included work with Community Planning Partners to reflect on our performance and to identify effective improvement actions, including the development and agreement of the Substance Use Action Plan for Change. We look forward to reporting on our progress in implementing these plans in our annual report for 2020-21. At the time of publication of this annual report the Partnership, alongside other public, third and private sector organisations, is responding to the unprecedented challenges of the COVID-19 pandemic. Partnership services have been rapidly re-designed to support the health and social care response to people who have been directly impacted by COVID-19, as well as to maintain essential services to individuals and wider communities. Significant work has also been undertaken to support our workforce and unpaid carers and to protect their mental health and wellbeing. Our response to the pandemic will be reported in our next annual performance report. Trudy McLeay, Chair Councillor Ken Lynn, Vice Chair Dundee Integration Joint Board Dundee Integration Joint Board Introduction 6 l Dundee Health and Social Care Partnership l Health and Social Care Annual Performance Report 2019-20 Who We Are 1 1.1 Who We Are The Public Bodies (Joint Working) (Scotland) Act 2014 required NHS Boards and Local Authorities to integrate the planning and delivery of certain adult Health and Social Care services. The Dundee Integration Joint Board (IJB) was established on 1st April 2016 to plan, oversee and deliver adult Health and Social Care services through the Dundee Health and Social Care Partnership (The Partnership). In accordance with the Public Bodies (Joint Working) (Scotland) Act 2014 (‘Public Bodies Act’), an Integrated Strategic Planning Group (‘ISPG’) established by the IJB, developed the Health and Social Care Strategic and Commissioning Plan (‘Plan’), which was effective from 1 April 2019. Our Plan describes our strategic priorities for the next three years and the key actions required to deliver on our ambitious vision for the city. The Plan represents the knowledge we have gained through our ongoing engagement with communities, people who use Health and Social Care services, their families and with carers. Our Plan describes what has been achieved so far. It also outlines what still needs to be done to arrange services in a way that helps Dundee citizens receive the right information and support at the right time, to live a healthy and fulfilled life in the way they want. Our Plan is a critical companion document to other plans such as the City Plan for Dundee 2017-2026 and the Tayside Primary Care Improvement Plan. Success can only be achieved by our continued joined up working with partner organisations. As a Partnership, we are emboldened by the new vibrancy felt across the city and are determined to play our role in realising the full potential of each Dundee citizen by enhancing individual health and wellbeing. The Partnership consists of Dundee City Council, NHS Tayside, partners from the third sector and independent providers of Health and Social Care services. The main purpose of integration is to improve the wellbeing of people who use Health and Social Care services, particularly people whose needs are complex and require support from both Health and Social Care services. 6 l Dundee Health and Social Care Partnership l Health and Social Care Annual Performance Report 2019-20 Health and Social Care Annual Performance Report 2019-20 l Dundee Health and Social Care Partnership l 7 Additionally Dundee, Angus and Perth and Kinross Health and Social Care Partnerships have mutual hosting responsibilities. Hosting arrangements were agreed for highly specialist or area wide services. On behalf of the three Tayside Health and Social Care Partnerships, Dundee hosts and leads the planning and delivery of a number of services such as sexual and reproductive health, specialist palliative care, the Centre for Brain Injury Rehabilitation, medical advisory services and nutrition and dietetic services. As well as working with other Health and Social Care Partnerships across Tayside and the rest of Scotland the Partnership also works closely with the Dundee Community Planning Partnership, including the Health, Care and Wellbeing Executive Board, Children and Families Executive Board, Community Safety and Justice Executive Board and Public Protection Committees. on and A Dundee City Council NHS Tayside Independent 3rd Sector