Agenda item

Families and Wellbeing Dashboard (including Public Health)


The Committee considered the report of the Strategic Director of Families and Wellbeing and the Director of Public Health which provided an update in relation to the 2014/15 performance of the Families and Wellbeing and Public Health Directorate against the delivery of their Directorate Plans for 2014/15 whilst also providing an update of current performance (as at 31st December 2014) against the 2014/15 Directorate Plan.


The report translated the priorities set out in the Directorate Plans into a coherent and measurable set of performance outcome measures and targets. Members were requested to consider the details of the report and highlight any issues.


The Directorate Plan 2014/15 Performance Report set out performance against 57 outcome measures for 2014/15, 30 were rated green, 5 were rated amber and 5 were rated red whilst 17 were currently unrated. The 5 measures rated red had action plans which referred to:



·  NHS Health Checks – Take Up

·  Smoking Quitters (4 weeks)

·  Proportion of opiate drug users that left drug treatment successfully who do not re-present to treatment within 6 months

·  Timeliness of Adoptions, within 12 months of decision date

·  Average monthly bed days lost due to delayed transfers of care per 100,000


In relation to the take up of Health Checks, the Public Health Manager indicated that there had been a 43% increase on Quarter 2 and it was hoped that this target would be in ‘amber’ possibly ‘green’ by Quarter 4.


In relation to smoking quitters and E-Cigarettes, the Public Health Manager indicated that these had attracted very mixed views nationally as to whether or not these were actually helpful or harmful to smoking quitters. Performance was down across the country, the Department had asked for more evidence on this to see if they actually did aid smoking cessation. Meetings were also being held with Wirral Community Trust to see if there was a need to offer a different smoking cessation provision. The Public Health Manager indicated that there could be a possible re-commissioning of services, following an examination as to why they were not performing.


The Chief Executive of Wirral Community Trust commented that they were seeing a reduction in people accessing smoking cessation services, however there was a falling number of smokers in Wirral.


Members commented that this target may need to be revised as they felt this was an unrealistic target and despite the Council’s best efforts it was consistently reporting ‘red’






In relation to the timeliness of adoptions, The Director of Children’s Services indicated that the Department was monitoring each child placed for adoption and was confident that an improvement in this indicator would be achievable by March 2015.


In relation to the indicator regarding the average monthly lost bed days due to delayed transfers of care per 100,000, the Head of Transformation, Adult Social Services Department, indicated that the weekend access to both intermediate care and transitional care beds has been put in place from December to facilitate weekend discharges. Alongside this the number of beds has also been increased by 22 to ensure quicker access to short stay beds. Daily monitoring of capacity is also in place.


Intermediate Care pathway redesign work had been recently completed with new simplified pathways and processes set to be briefed to staff by the end of January. It was envisaged that full implementation of seven day working would be achieved by April 2015 for priority teams such as Integrated Discharge Team, Care Arranging Team and Intermediate Care. 7 day working in Integrated Care Co-Ordination teams would be achieved by September 2015.


Specific delays were highlighted via a daily teleconference so that action could be taken to reduce delays and address any blockages; this was attended by staff from both the NHS and Social Care. Identification of a home of choice could sometimes be a contributing factor to lost bed days, to mitigate against this there had been some specific work carried out with staff to support families to reduce the time spent looking for their home of choice.


Wirral University Teaching Hospital was also looking to embed daily board rounds to ensure the discharge process could start as early as possible.


The Head of Transformation, Adult Social Services Department, indicated that the department was performing well and that the reported delays had come from not just from the department but also the NHS.


In response to a Members question regarding indicator 30 relating to rate of LAC children, the Director of Children’s Services reported that the department were working on improving this; and there was a real focus on children’s care plans and how they focus on achieving performance for children. There was also a re-design of the Social Work team which would be signed off this week; it was hoped that with the new teams in place better planning for Children in Care children could be put in place, however this would take some time to implement.




That the report be noted and officers be thanked for their updates.





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