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Health and Well Being

Health and Well Being Key Area of Focus - Performance

Cabinet Member with Responsibility

  • Councillor Marcus Hart, Cabinet Member for Health and Well Being.
  • Councillor Sheila Blagg, Cabinet Member for Adult Social Care.

Director with Responsibility

  • Richard Harling Director of Adult Services and Health.

Background

We believe that health and well-being is of the highest importance to people in Worcestershire. This means supporting people to live healthy lives and ensuring that health and social care services are of high quality and value for money. The Council has taken on new statutory duties from April 2013 because of the NHS and public health reforms contained in the Health and Social Care Act 2012, for improving and protecting health, as well as for ensuring integrated and sustainable health and social care services.

We recognise that a number of the indicators are long term and outside of the direct control of the Council, but we are measuring progress against them because of their importance to local residents. 

We judge our progress by measuring:

  • Difference in life expectancy across Worcestershire
  • Percentage of residents aged 65 or more receiving a social care service
  • Percentage of residents aged 65 or more receiving a social care service living independently
  • Number of people supported in permanent residential/nursing placements
  • Service users with a direct payment
  • Timeliness of adult protection strategy discussions
  • Service users who say services have made them feel safe and secure
  • Mortality rate of children and young people
  • Fuel poverty

Performance and activity in 2013/14

Difference in life expectancy across Worcestershire:

The indicator we are using measures the difference between life expectancy in the ten wards in Worcestershire with the lowest figures, and life expectancy across the rest of Worcestershire. In 2007-2009 there was a difference of 4.6 years. Our target is to reduce this to 3.6 years by March 2016. The latest figures we have (2009-2011) show a reduction to 3.9 years so far. The main work locally is around reducing alcohol misuse, stopping smoking, addressing obesity and providing health checks for individual people.

Percentage of residents aged 65 or more receiving a social care service:

We measure the percentage of residents aged 65+ who are receiving a social care service funded by the Council following an assessment of need. The Council wants to help older people stay healthy, active and independent as long as possible, and to reduce the number of people who need a social care service. The target for this year is to reduce the percentage from 3.7% at the end of March 2013 to 3.6% at the end of March 2014. At the end of September 2013, the figure had reduced to 3.5%.

Percentage of residents aged 65 or more receiving a social care service living independently:

Where older people do receive a social care service, we want as many as possible to receive services in their own home, rather than have to move to a care home. Our target is that 65% of older people with care services funded by the Council should be receiving these services in their own home. At the end of September, the percentage was 59%, which is below target. This is partly because increasing pressure on resources means that services are increasingly concentrated on those in greatest need and partly because there are not always cost-effective alternatives to care homes available. Work within our Future Lives programme includes a number of projects designed to reduce our use of care homes.

Number of people supported in permanent residential/nursing placements:

This is a count of the number of adults funded by the Council in care homes at a point in time. Although our target for the year is a reduction of 50 placements, in the first part of the financial year we saw a small increase in numbers. This reflects pressure on services, and the fact that initiatives to develop alternative types of services will take some time to have an impact.

Service users with a direct payment:

People who are eligible for council funded social care services can choose to receive the money and arrange these services themselves. This allows them a greater degree of choice and control than if the Council made the arrangements for them. This indicator is the percentage of service users receiving services who choose to take a direct payment where that is available. Our intention is to continue to increase these numbers. In the first half of the financial year there had been a small increase both in numbers and the percentage of people with a direct payment.

Timeliness of adult protection strategy discussions:

This is a local indicator that looks at the process for handling adult protection referrals. Strategy discussions are the first major stage in the process, and there is a nationally agreed standard to complete these within 5 working days of the referral. Our target of 70% was set to promote a significant improvement in performance during the year. At the end of September, 87.8% of strategy discussions had taken place in the target timescales.

Service users who say services have made them feel safe and secure:

This indicator comes from an annual postal survey of people receiving social care services. 80.3% of people replying in Worcestershire said their services did make them feel safe and secure. This result was slightly better than the national average of 77.9%.

Mortality rate of children and young people:

This is an important measure of the health of the population. The indicator looks at the number of deaths aged 1 to 17 years per 1000 population. Because numbers are very small, the long term trend is calculated as an average over a 20 year period. The target is to keep performance in line with the long term trend. The latest data relates to the 2012 calendar year, and performance was marginally below the long-term average.

Fuel poverty:

This is the Department of Energy and Climate Change estimate of the percentage of households in fuel poverty. The latest figures available are for 2011. Worcestershire's figure of 12.8% was slightly lower than the West Midlands average of 13.8%.

Further Information

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External websites

  • LG Inform
    Local Government Association service which allows you to access, compare and share data and reports.
  • Communities and Local Government
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This page was last reviewed 4 December 2013 at 12:55.
The page is next due for review 2 June 2015.