Issue - meetings

To consider a joint report of the Director of Adult Services and the Director of Public Health.

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

This provides a summary of progress in delivering the Portfolio priority outcomes since the mid-year report. In the case of the budget and capital updates, this covers the period since the Q2+ report considered by CRMG Scrutiny in January and Cabinet on 1st February. 

The Third Quarter Update Report focuses on the Portfolio performance measures which are reported where new data or forecasts are available since the Mid-Year Report.

The Scrutiny Committee is recommended to:

·         Consider the Third Quarter Update Portfolio Performance and Resource Reports; 

·         Review the progress against key measures, targets and budgets for 2021/22;

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

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

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

Officer contact: Peter Owston on 0161 474 3274 or email: peter.owston@stockport.gov.uk; and Paul Graham on 0161 474 4674 or email: paul.graham@stockport.gov.uk

The Director of Adult Services and Director of Public Health submitted a joint report (copies of which had been circulated) providing the Third Quarter Update Portfolio Performance and Resource Report (PPRR) for the Adult Care and Health Portfolio. The report provided a summary of progress in delivering the Portfolio priority outcomes since the mid-year report. In the case of the budget and capital updates, this covered the period since the Q2+ report considered by CRMG Scrutiny in January and Cabinet on 1st February.

The report focussed on the Portfolio performance measures which were reported where new data or forecasts were available since the Mid-Year Report.

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

The following comments were made/issues raised:-

·         Raised concerns in relation to the red status of the number of people undertaking the National Diabetes Prevention Programme.

·         In response it was stated that since 2017 over 2500 people had completed the programme and whilst the numbers had increased from Q2 to Q3, this remained below the target from the Greater Manchester contract. This was due to the ongoing impact of the pandemic on GP referrals and to provide support in the catch up, the capacity of staff within the COVID team would be used.

·         Noted the impact of and response to COVID on performance.

·         Raised concerns in relation to the red status of the uptake of flu vaccinations and increase in the rates of obesity.

·         In response, members were advised that obesity rates had increased in line with the national picture and whilst it was recognised that obesity was a complex issue with wider determinants, the council’s response was linked to the Active Communities Strategy. In relation to the uptake of flu vaccination, it was stated that uptake figures had increased since the publication of the report, however there had been issues with flu vaccine supply for younger adults and high levels of school absences had impacted on the uptake in these groups.

·         Commented on the importance of GP appointments and GP referrals.

·         Raised concerns in relation to the red status of safeguarding outcomes.

·         In response it was stated that although performance remained below target, the figures had increased from the previous two quarters and that the liquid logic system may not have caught up with all the outcomes. It was reported that in some instances individuals were not willing to work with the council to remove the risk.

·         Requested information in relation to the Controlling Migration Fund be shared with the Committee.

·         Raised concerns in relation to the red status of the proportion of nursing bed capacity in Stockport with an overall CQC rating of good or outstanding.

·         In response, members were advised that whilst it was disappointing that the nursing bed quality had fallen, the service was confident that this would improve as the council continued to work with care homes to improve on these measures, monitor performance and provide constructive challenge. It was noted that CQC were also behind on their inspections.

·         In response to a query in relation to the drug and alcohol team and the new provider, members were advised that the service had been recommissioned, where the service was previously serviced by two providers, only Pennine Care was due to be continued.

RESOLVED – That the report be noted.