Issue - meetings

To consider a joint report of the Director of Public Health and Interim Director of Adult Social Care.

The Quarter 3 Update Portfolio Performance and Resource Report (PPRR) for the Health and Adult Social Care Portfolio are presented for consideration by the Committee.

The Portfolio Report are based on the 2022/23 Portfolio Performance and Resource Agreements (PPRAs), which were considered by the Committee on 8 September and approved by Cabinet on 28 September 2022.

The Quarter 3 update focuses on highlights and exceptions in relation to delivering the portfolio priorities since the Mid-Year Report presented to the committee on 24 November 2022. It includes forecast performance and financial data (where this is available) for the portfolio, along with an update on the portfolio savings programme.

The Scrutiny Committee is recommended to:-

(a)  Consider the Quarter 3 Update Portfolio Performance and Resource Report;

(b)  Review the progress against delivering key projects, priority outcomes, targets and budgets for 2022/23;

(c)  Highlight key areas of and responsibility for taking forward corrective action to address any performance or resource issues;

(d)  Highlight any significant issues or changes to be fed back to the Cabinet alongside the Corporate Performance and Resource Report;

(e)  Identify how areas of strong performance and good practice can be shared in other services.

Officer contact: Gaynor Ward on 0161 474 8186 or email:  gaynor.ward@stockport.gov.uk or Paul Graham by email: paul.graham@stockport.gov.uk

The Director of Adult Social Care and Interim Director of Public Health submitted a joint report (copies of which had been circulated) providing the Quarter 3 Update Portfolio Performance and Resource Report (PPRR) for the Health and Adult Social Care Portfolio. The Quarter 3 update focussed on highlights and exceptions in relation to delivering the portfolio priorities since the Mid-Year Report was presented to the committee on 24 November 2022 and included forecast performance and financial data (where this was available) for the portfolio, along with an update on the portfolio savings programme.

The Cabinet Member for Health and Adult Social Care (Councillor Keith Holloway) attended the meeting to respond to questions from the Scrutiny Committee.

The following comments were made/issues raised:-

·         Concerns were raised in relation to the red status and downward trend of the performance indicators relating to the percentage of adult social care facilities rated as good or outstanding, percentage of nursing beds in Stockport rated as good or outstanding and percentage of residential care beds in Stockport rated as good or outstanding.

·         In response, it was commented that whilst the indicators were not showing signs of improvement, there were challenges in relation to the volume of inspections and inspection regime of the CQC which meant that the CQC rating was not necessarily reflective of the improvements that had been made. It was commented that as part of the adult social care transformation programme improvements had been made to support care homes within the borough which included supporting staff retention of registered managers and adequate resources in relation to the workforce to reduce the reliance on agencies.

·         In relation to the drug treatment programme, it was queried if additional support was provided to residents who did not complete the programme.

·         In response, it was stated that a new provider had been appointed for the drug and alcohol treatment programme and access was managed through the in-house service in the public health team, it was noted that residents who wished to be readmitted to the programme were able to do so and would be readded to the waiting list.

·         Members noted the lack of financial sustainability as a context to the report and the restrictions this had on future financial planning.

·         Members requested additional information in relation to the funding, responsibility and accountability of the National Diabetes Prevention Programme and whether there was any geographical data.

·         Concerns were raised in relation to the red status and downward trend of the performance indicators relating to the number of high and medium priority DOLS referrals awaiting assessment and the percentage of safeguarding cases where risk is reduced or removed and queried the steps being taken to address the issue.

·         In response, Members were advised that the service recognised there was further work required in relation to DOLS referrals and an action plan had been devised which committed investment of additional resources for a short period in order to improve the outcome. In relation to safeguarding, work was ongoing around recording including training associated with training.

·         Members requested expanded commentary in relation to the ongoing work around DOLS referrals and safeguarding cases in the Quarter 4 report noting any improvements made and ongoing actions.

·         Members noted the waiting lists in relation to the weight management intervention programme.

·         Requested information around the CQC standards and inspection framework be shared with the Committee.

·         Members noted the data quality issues relating to the percentage of safeguarding cases where the client outcomes were wholly / partially achieved and queried impact this was having and when the data quality issues would be resolved.

·         In response, it was commented that the data quality issues related to the use of the system and the information recorded by officers was not being transferred to the necessary fields. Members were assured that the service were seeking improvements around training officers in this area.

·         Concerns were raised in relation to underspend  ...  view the full minutes text for item 4