Agenda item

To consider a report of the Corporate Director for People.

The Final Update Portfolio Performance and Resource Reports (PPRRs) for the Adult Social Care and Health Portfolios are presented for consideration by the Committee. These provide a summary of progress in delivering the portfolio priorities, reform programme and other key projects during the third quarter of the financial year (October to December 2017). They include forecast performance and financial data (where this is available) for the Portfolios, along with an update on the portfolio savings programmes.

Where significant activity or decisions have been made since the end of the third quarter, these have been included to ensure that the reports remain timely. These will also be referenced within the Annual Reports.

The Scrutiny Committee is asked to:

·         Consider the Final Update Portfolio Performance and Resource Reports;  

·         Review the progress against delivering key projects, priority outcomes, targets and budgets for 2017/18;

·         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: Andrew Webb, 0161 474 3808, andrew.webb@stockport.gov.uk

The Cabinet Members for Adult Social Care and for Health submitted the Portfolio Performance and Resources Reports (copies of which had been circulated) summarising progress in delivering priorities, reform programme and other key projects for the Adult Social Care and Health portfolios during the up to the third quarter of 2017/18. The reports also included forecast performance and financial data for the portfolios, along with an update on the portfolio savings programmes.

Adult Social Care Portfolio Performance and Resources Report

The Cabinet Member highlighted the following issues:-

·         The appointment of Caroline Drysdale as new the Managing Director of Stockport Neighbourhood Care.

·         Adoption of the Carers Charter by the Stockport Together partners.

·         Further discussion having taken place about the development of an Adult Autism Pathway and on how to raise awareness and widen access to training.

·         Ongoing work to improve quality in care home provision.

·         The significant financial pressures facing the portfolio.

·         Thanks to all staff across the health and care economy for their efforts over the Winter months.

The following comments were made/issues raised:-

·         Did the recent improvement of patient flow through Marbury House now mean that a similar facility was no longer needed? In response it was stated that the efforts made to reduce length of stay at the hospital was now showing improvements, although it was acknowledged that further work was needed.

·         Further comment was sought on efforts to address Delayed Transfers of Care (DTOC). In response it was stated there had been improved performance in relation to be DTOC and with patients who were Medically Optimised Awaiting Transfer (MOAT), which had been achieved partially through the Assess to Discharge process and the role of the trusted assessor to help patients and families make informed choices about out of hospital options for care. A significant amount of resource from adult social care had been put into ensuring timely and safe discharges.

·         Clarification was sought on references to Mental Health Service and Care Act compliance. In response it was stated that these issues were covered in the savings proposals considered earlier.

·         The increasing focus of the Cabinet Member on quality in care provision was applauded and comment was made that this was now beginning to lead to improvements in the sector. The ambition of the Cabinet Member to increase the number of care homes that were CQC rated ‘good’ or better was welcomed. In response, the Cabinet Member paid tribute to the work of officers and providers in working toward and achieving improvement.

Health Portfolio Performance and Resources Report

The Cabinet Member highlighted the following issues:-

·         The important development of the Healthy Ageing Strategy and associated activity.

·         Good flu vaccination rates in Stockport, but this masked variation. Those who had not yet had a vaccination but were eligible were encouraged to do so.

·         Ongoing work around suicide prevention. Committee members were invited to volunteer to take part in online training.

The following comments were made/ issues raised:-

·         Further information was requested in relation to Wellbeing Navigators. In response it was stated that that the public response had been overwhelming with the number of volunteers as health champions, and specifically in relation to the role of Wellbeing Navigators was not to replace access to clinical services but to take pressure off GPs by providing practice based ‘softer’ non-clinical support for issues such as self-esteem, relationship difficulties, and to signpost into community services where appropriate. Recruitment was currently underway for these posts.

·         Clarification was sought on the Paperweight Arm Band initiative. It was stated that this was a simple no invasive indicator of malnutrition or dehydration. This pilot would be rolled out shortly to nursing and care homes staff.

·         The recent visit of the Council Chief Executive to Stepping Hill Hospital and the Emergency Department (ED) to better understand the challenges was welcomed. In response it was commented that it was useful to provide a ‘fresh pair of eyes’. It was further commented that although lots of work was taking place to address ED performance, residents in Stockport needed to assist by only presenting to A&E if they were genuinely ill and in urgent need.

RESOLVED – (1) That the reports be noted.

(2) That the Corporate Director for People be requested to submit a report to a future meeting on

·         current performance with discharging Deprivation of Liberty Safeguarding requirements.

·         progress with efforts to better utilise capacity at Marbury House

·         update on progress with autism support through the housing allocations process