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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 2016/17 performance is compared with national figures for 2015/16 as these are the latest available.

The percentage of service users with self-directed support was 80.9 percent as at 31 March 2017 compared to 80.2 percent in the previous year. National (2015/16) service users with self-directed support 86.9 percent. The percentage of carers with self-directed support was 100 percent as at 31 March 2017, this is the same percentage as the previous year. National (2015/16) carers with self-directed support 77.7 percent.

The percentage of service users (excluding carers) receiving a direct payment is 27.4 percent (26.4 percent at 31 March 2016). National (2015/16) service users (excluding carers) direct payment 28.1 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 2016/17 performance showed that 87.2 percent were still at home.  National (2015/16) 82.7 percent.

The percentage of adults with learning disabilities receiving social care services who were in paid employment at the time of their review was 4.5 percent (31 people) (4.8 percent in 2015/16). National (2015/16) 5.8 percent.

As at 31 March 2017, 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 45.6 percent (312 out of 684 adults known to council) (66 percent, 279 out of 662 adults known to the council as at 31 March 2016). National (2015/16) 75.4 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 2017, 19.6 percent of adults (131 people) using the CPA in South Gloucestershire were in paid employment (19.4 percent in 2015/16). National (2015/16) 6.7 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 2017 80.2 percent (76.3 percent in 2015/16) in South Gloucestershire were in accommodation classed as ‘settled’. National (2015/16) 58.6 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 2016/17 adult social care was responsible for an average of 6.3 delayed patients ‘bed-days’ per 100,000 population for all discharges (10.1 in 2015/16). 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. The national average (2015/16) was 4.7 delayed patient bed-days.

There has been a welcome and significant improvement in delayed transfer of care for social care and indeed the broader local health and social care system in the second half of 2016/17. This has continued into 2017/18 making South Gloucestershire currently an upper quartile performer in minimising delay transfer of care from hospital.

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 2016/17 South Gloucestershire had an admissions rate to residential/nursing care for older people of 679.5 per 100,000 population (633.9 in 2015/16) and 15.0 per 100,000 for the population aged 18-64 (12.6 in 2015/16). National (2015/16) 628.2 and 13.3.