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Performance

A range of social care-related performance measures show how the services we provide compare to other authorities, and whether they are meeting the needs of the community. Some of the measures recognise how we work across health and social care to meet individuals’ needs.

Here are some of the performance measures included in the Government’s Adult Social Care.

Outcomes Framework. Our 2015/16 performance is compared with national figures for 2014/15 as these are the latest available.

The percentage of service users with self-directed support was 80.2 percent as at 31 March 2016 compared to 81.0 percent in the previous year.  National (2014/15) service users with self-directed support 83.7 percent.  The percentage of carers with self-directed support was 100 percent as at 31 March 2016, this is the same percentage as the previous year.  National (2014/15) carers with self-directed support 77.4 percent.

The percentage of service users (excluding carers) receiving a direct payment is 26.4 percent (26.8 percent at 31 March 2015). National (2014/15) service users (excluding carers) direct payment 26.3 percent.

The percentage of older people discharged from hospital who received reablement or rehabilitation care services and who are still at home 91 days after discharge from hospital is another key performance measure. This looks at the effectiveness of services which aim to improve older people’s independence when they have been discharged from hospital. Our 2014/15 performance showed that 81 percent were still at home. The figures for 2015/16 is 86.6 percent. National (2014/15) 82.1 percent.

The percentage of adults with learning disabilities receiving social care services who were in paid employment at the time of their review was 4.8 percent (32 people) (8.6 percent in 2014/15).

National (2014/15) 6.0 percent.

As at 31 March 2015, the percentage of adults (18-64) with learning disabilities receiving social care services who were in settled accommodation at the time of their review was 42 percent (279 out of 662 adults known to council) (66 percent, 474 out of 713 adults known to the council as at 31 March 2015). National (2014/15) 73.3 percent.

The percentage of adults with mental health problems receiving secondary mental health services who were in paid employment measures employment outcomes for those adults in touch with secondary mental health services whose complex needs are being managed using the Care Programme Approach (CPA). As at 31 March 2016, 19.4 percent of adults (122 people) using the CPA in South Gloucestershire were in paid employment (21.6 percent in 2014/15). National (2014/15) 6.8 percent.

The percentage of adults with Mental Health problems receiving secondary mental health services who were in settled accommodation at the time of their review measures the accommodation situation for adults in touch with secondary mental health services whose complex needs are being managed using the Care Programme Approach (CPA). As at 31 March 2016 76.3 percent (82.2 percent in 2014/15) in South Gloucestershire were in accommodation classed as ‘settled’.

National (2014/15) 59.7 percent.

The number of hospital discharges that were delayed by social services for people aged 18 or over (per 100,000 population) measure aims for as few delayed discharges as possible. In 2015/16 adult social care was responsible for an average of 10.1 delayed patients ‘bed-days’ per 100,000 population for all discharges (9.8 in 2014/15). The main cause of this change has been delays in completing assessments and other processes to allow people to move to available commissioned services. Although a contributory factor has been the occasional shortage of nursing care beds for people with dementia.  National (2014/15) 3.7 percent.

Permanent admissions to residential/nursing care for older people (per 100,000 population).

It is better to have a low rate of permanent admissions to residential care, as a high rate can indicate a lack in the range of health and social care community services needed to enable someone to remain in their own home and/or a need for improved assessments and decision making processes. In 2015/16 South Gloucestershire had an admissions rate to residential/nursing care for older people of 707 per 100,000 population (680 in 2014/15) and 13.4 per 100,000 for the population aged 18-64 (5.5 in 2014/15). National (2014/15) 669 and 14.2.