Agenda item

Briefing Note of the Director of Adult Services and Housing

The Board considered a briefing note of the Director of Adult Services and Housing, regarding the Adult Social Care Performance Outturn 2022/2023.

The Adult Social Care Outcomes Framework (ASCOF), measured how well care and support services achieved the outcomes that mattered most to people.  ASCOF was used locally and nationally to set priorities for care and support, measure progress and strengthen transparency and accountancy.

Adult social care saw an increase in activity and number of new requests increase year on year.  Overall number of requests for new people had increased by 22.5%.  The number of people in long term support at 31^st March 2023, had slightly increased.  Slightly less people in Nursing/Residential settings were being supported at 31^st March 2023, compared to the previous financial year.

Detailed ASCOF outturn 2022/23 statistics had been provided within the report under the following headings:

·  Enhancing the quality of life for people with care and support needs.

o  The proportion of adults receiving self-directed support.

o  The proportion of carers receiving self-directed support.

o  The proportion of adults receiving direct payments

o  The proportion of carers receiving direct payments for support direct to carer.

o  The proportion of adults with learning disabilities in paid employment.

o  The proportion of adults with learning disabilities who live in their own home or with their family.

·  Delaying and reducing the need for care and support.

o  Long-term support needs of younger adults met by admission to residential and nursing care homes per 100,000 population.

o  Long-term support needs of older adults met by admission to residential and nursing care homes per 100,000 population.

o  Proportion of older people who were still at home 91 days after discharge from hospital into reablement/rehabilitation.

o  Proportion of those that received a short-term service during the year where the sequel to service was no ongoing support or support of a lower level.

·  Ensuring people have a positive experience of care and support and safeguarding adults whose circumstances make them vulnerable and protecting them for avoidable harm.

·  Reviews for people in long-term support for 12 months or more.

·  Waiting times for Care Act Assessment

·  Waiting list for Care Act Assessment

In summary, Adult Social Care had seen increased demand however, work continued with people in a personalised way to achieve positive outcomes.  The increased demand had not translated into increased numbers receiving long term care at the same level.  This demonstrated that the promoting independence model was supporting people appropriately and achieving good outcomes for people.

Councillor L Bigham commended the report, referring in particular, to trends and areas for improvement.

Members of the Scrutiny Board, having considered the content of the briefing note and presentation, asked questions and received information from officers on the following matters:

·  Why the proportion of people 65+ still at home 91 days after hospital discharge into reablement data has increased.

·  Comparisons of yearly and regional data.

·  Reasons for the worsening trends for the proportion of adults with learning difficulties in paid employment and what improvements had been put in place.

·  Reasons for the reduction in the target of the outcome of short-term services: sequel to services (2D).

·  The backlog in waiting times for Care Act Assessment (average of days and number of people) and strategies in place to alleviate these.

The Cabinet Member for Adult Services thanked the officers for an insight into the Adult Social Care Performance Outturn 2022/23.  The Chair echoed these comments and extended thanks to officers and their teams.

RESOLVED that the Health and Social Care Scrutiny Board (5):

·  Note the Adult Social Care Annual Report 2022/23 and extend thanks to relevant officers and their teams.