health and wellbeing performance dashboard:...

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Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 04 March 2016

HEALTH AND WELLBEING PERFORMANCE DASHBOARD: LONDON BOROUGH OF HOUNSLOW: MARCH 2016

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Overview of the health & wellbeing strategy performance report March 2016 This bi-annual dashboard shows how we are performing against the health and wellbeing strategy action plan (2014-16). The report includes an infographic front page that summarises our best achievements and areas for improvement (including all amber and red indicators), followed by a more detailed report summarising performance in each of the 9 key themes of the strategy. All the indicators have been Red/ Amber/ Green rated, except cancer screening (HWI 2.2, 2.3), because we do not yet have a local plan or agreement on performance milestones and indicators. We are also awaiting data from Public Health England around tooth decay in children (HWI 4.5). The current dental survey is underway this year for 5 year olds; the data is due to be released in early 2016-17. Our best achievements (Green) Hounslow has achieved well against 11 indicators in the areas of smoking reduction, NHS health checks, increasing access to dentists for 3-5 year olds, obesity reduction in children, timely consultations for young people with mental health issues, and the diagnosis of dementia. Smoking prevalence (HWI 1.5) continues to drop in the borough with a near 1 percentage point drop since 2013 to 12.3% (2014). With 804 quitters within the 7 months ending October 2015, we have exceeded our year-to-date target of 776 (HWI 1.6). We have already exceeded our end of year target for NHS health checks offered (HWI 3.4), and completed (HWI 3.5) based on just the first 9 months of the year. We are the most improved borough in London on this measure, now rank order 1

st in London and 3

rd in the UK. We have further improved our yearly increase in the proportion of children receiving fluoride

varnish applications (HWI 4.7) by 8% (2015-16) from the previous year. Childhood obesity has continued to drop, by a further 0.5% in reception age (5 years) children (HWI 6.3) and a further 0.8% in Year 6 (11 year old children) (HWI 6.4). A new weight management service has been commissioned for overweight and obese children as part of the new integrated Hounslow Wellbeing Service scheduled to start in April 2016. The number of care assessments completed (HWI 9.5) has increased to 1748 (November 2015), as a result of the implementation of the Care Act in combination with a strong and clear communication campaign to increase carer awareness in Hounslow. We have exceeded our dementia diagnosis target by 3 percentage points (HWI 8.3). For our young people with mental health issues, we have provided appropriate referrals within 18 weeks for first consultations (HWI 9.6), and reduced waiting times further for those with more severe mental health issues (HWI 9.7), for 100% of clients (December 2015). Collaborative working between Hounslow’s public health and NHS England has improved our child dental access rates (HWI 4.6) to 60.2% (March 2015). Areas requiring improvement (Amber) Current cancer screening rates (HWI 2.2, 2.3) for both breast (69.3%) and cervical (65.2%) within the borough are below the England averages of 75.9% and 73.5%. A draft Cancer Screen Plan for Hounslow has been prepared by NHSE. The plan was reviewed in Hounslow in February 2016 and is being finalised with local input. The finalised plan will be submitted to the next Health and wellbeing meeting and will cover 16/17 (HWM 2.1). Although further investment in the new Child and adolescent mental health services has now been confirmed, the delay has resulted in the two milestones (HWM 9.2, 9.3) remaining amber. Areas where we have not achieved so well (Red) Although the rate of admissions of older people to care homes has increased over the last year, the total number of people in care homes has fallen by 17% (during the period from April 2014 to February 2016), with a 4.5% drop since June 2015. Despite this improvement the indicator is still red (HWI 7.6). The increasing rate of admissions probably reflects a higher number of older people (as the 80+ population continues to grow) being admitted for short spells towards the end of their lives (i.e. receiving the care and support they need), while overall the number of older people in care homes has fallen as other more suitable care options are provided. The number of young adults in care homes remains above target (HWI 9.4), with an increase of 15% since June 2015. This is largely due to rising demand and a shortage of supported accommodation – this is being tackled through a strategic plan which will deliver a range of suitable accommodation options over the next 5 years.

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Highlight report section 1: Smoking Reduction - Lead Officer Imran Choudhury

Milestones status

Reference Work stream Milestone Date due Comment on Outcome

HWM 1.1 Stopping young

people taking up

smoking

Prevention and education delivered

in primary and secondary schools

Helping young smokers quit

through targeting 6th

form colleges

with stop smoking groups.

March 2016 Hounslow Stop Smoking Service has delivered educational programmes in

various schools and colleges in Hounslow to raise awareness of dangers of

smoking, including shisha pipes.

For the period April 2015 – August 2015, just under 500 children have been

educated in schools.

For the same period, 22 young smokers gave up smoking for at least 4 weeks.

HWM 1.2 Helping tobacco users

to quit Workplace focus for target

demographic (males 26-35 years)

Public Health information

campaigns: Stoptober, New Year

New You, Stop Smoking Day, Illegal

Tobacco

March 2016 The Stop Smoking Service has carried out numerous promotion events and

support sessions in different workplaces including Hounslow Civic Centre,

London Highways and London underground. 20% of all service users are from

Routine and manual group.

The Stop Smoking Service carried out a series of Stoptober events across

Hounslow. This resulted in 159 residents signing up for Stoptober support

locally.

HWM 1.3 Reducing the harm of

second hand smoke

Smoke Free Homes and Cars: Continue

existing smoke-free homes campaign.

March 2016 All council sites went smoke-free for council employees on 11th

of March 2015.

For the period of April – August 2015, 21 smoke-free homes pledges were

made.

HWM 1.4 Effective enforcement

and legislation

Trading Standards spot checks and

sniffer dog searches

Employ an apprentice to support

illegal tobacco trading standards

work

December

2015

Two Operation Henry (for illicit tobacco goods seizures) raids have been

scheduled in December in collaboration with Trading Standards, HMRC and

the Police. 3 days of educational/promotional events have also been organised

in December. An apprentice has been employed to support illegal tobacco

trading standards work.

Performance measures

Reference Outcome

(Performance Indicator)

Frequency

of data

publication

Polarity

(higher or

lower=

better)

Baseline

(year)

Threshold

Target

(March

2015/16)

Previous

result

(date)

Current

result

(date)

Notes

HWI 1.5 Fewer people smoking

(reduction in smoking prevalence)

Annual Lower 16.9%

(2012)

0.5% 15% 13.2%

(2013)

12.3 %

(2014)

Hounslow continues its downward

smoking prevalence trend and has

the 4th

lowest smoking prevalence in

England.

HWI 1.6 More people quitting smoking

(quitters)

(annual 4-week quits monitored

monthly - three month time lag)

Annual Higher 1502

(2013-14)

5% 1331 1,341

(April 14-

Feb 2015)

804 (April-

Oct 2015)

Year to date target by month 7 (776

quitters) has been exceeded.

Hounslow is on track to achieve its

annual target.

HWI 1.7 Increase number of homes that

are smoke-free

(more than 50 homes made smoke

free in year)

Annual Higher 50 (2013-

14)

10% 50 46 (April

14-Feb

2015)

21 (April-

Aug 2015)

Hounslow is on track to achieve its

annual target of 50 smoke-free

homes.

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Overall Commentary Completed by /date

All actions related to Smoking Cessation and Tobacco Control are on track.

From April 2016, the Stop Smoking Service will be provided as part of the new Hounslow Integrated Wellbeing Service, the procurement exercise for which

has now been completed and mobilisation process started.

Ibrahim khan (Feb 2016)

Highlight report section 2 – Cancer Screening - Lead Officer Imran Choudhury

Milestones status


HWM 2.1 Breast & Cervical cancer

screening

Develop local action plans & targets April 2015 A draft Cancer Screen Plan for Hounslow has been prepared by NHSE. The

plan was reviewed in Hounslow in February 2016 and is being finalised with

local input. The finalised plan will be submitted to the next Health and

wellbeing meeting and will cover 16/17.


Reference Measure/Performance

Indicator

Frequency of

data

publication

Polarity

(higher or

lower=

better)

England

average

(2015)

Previous

result (2014)

Current result

(2015)

Notes

HWI 2.2 More women screened for

breast cancer

(Breast cancer screening

coverage)

Annual Higher 75.4% 69% 69.3% Local action plan and associated

targets have not yet been agreed,

hence these indicators are not RAG-

rated. Kindly see detailed

commentary below

HWI 2.3 More women screened for

cervical cancer

(Cervical cancer screening

coverage)

Annual Higher 73.5% 67.7% 65.2% Local action plan and associated

targets have not yet been agreed,

hence these indicators are not RAG-

rated. Kindly see detailed

commentary below


Breast screening

Breast screening is coordinated at national and London levels. Hounslow remains below the national and London coverage levels and achievable target for breast screening. We are

above the NW London area team coverage average. A range of new initiatives were put in place through 2014/15 to increase uptake in screening across London, including Hounslow.

These included: introduction of pre-invitation letters, second ‘timed’ appointments for those missing first appointment, and innovative use of text messaging. These initiatives continue

through 15/16. An evaluation report for 14/15 would hopefully be available in the early part of 2016. In addition, the screening service has commissioned work through ‘Community

Links’ to reduce ‘Did Not Attend’ levels (to start in Hounslow in 2015). Screening lists were also updated (‘cleaned’) in 14/15. A major recommissioning exercise is currently underway

for breast screening across London. The new service, scheduled to start in April 2016, will bring together the current six screening systems into one new London wide organisation. This

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will allow women to attend screening in any location across London, which should improve access. There will also be a single point of contact for the service and a call centre for any

user queries. The existing ’footprint’ of the service (i.e. existing screening locations) will not change.

Cervical screening

Cervical screening is coordinated by the national NHS Cancer Screening Programme. Locally it is provided through GP practices and the sexual health service GUM and community

clinics. Hounslow remains below the national and London coverage levels. It is above the NW London Area Team coverage average. Coverage of women aged 25-49 is particularly low.

Hounslow is the lowest performing CCG area in London for ‘Estimated Date of Delivery’ (EDD) for delivery of results within 14 days of test to women screened. An action plan has been

put in place with Ashford & St Peters Hospital, which was commissioned to process Hounslow samples. This situation is expected to be resolved within 3 months. Visits to GP practices

to support the cervical screening programme will commence in Hounslow in early 2016 (jointly with London Immunisation lead visits). A local rolling screening improvement action

plan covering cervical screening (and also breast and bowel screening) will be developed between the London Screening team and Hounslow partners in 15/16. It is expected that this

plan will cover, for cervical screening, improvements to invitation letters and information leaflet, database and training of screeners and possibly, the development of local screening

‘centres of excellence’.

The latest Public Health Outcomes Framework data for Hounslow (June 2015, PHOF 2014 data) continue to show that Hounslow’s

screening coverage for breast cancer and cervical cancer remains significantly worse than England as a whole. A draft Cancer Screen

Plan for Hounslow has been prepared by NHSE. The plan was reviewed in Hounslow by a local working group in February 2016 and is

being finalised. The finalised plan will be submitted to the next HWB meeting and will cover 16/17.

Laura MacLehose – Feb 2016

Highlight report section 3 - NHS Health Checks - Lead Officer Imran Choudhury

Milestones status

Reference Milestone Date due Comment on Outcome

HWM 3.1 Review of service specifications and sign up of GPs

March 2015 52 out of 53 practices signed up to the contract. All signed up practices are actively providing the service to their

patients.

HWM 3.1 Streamline flow of data and information on health

checks, and improve performance reporting

April 2015 All SystmOne GP practices are now using the CWHHE agreed NHS Health Checks template. Reporting system has been

set up for invoicing, audit and performance improvement.

Public Health Intelligence Team is in the process of setting up NHS Health Checks outcomes reports to help identify

patients at high risk of developing long term conditions,

HWM 3.3 Quality Assurance of health checks programme October 2015 Over the last 6 months, a number of NHS Health Check training sessions have been delivered to practices. 31 Hounslow

practices have now sent staff for NHS Health Check training over 2015. The training followed an external audit of the

local NHS Health Checks in Jan-Feb 2015.

Standardised patient results card has been agreed with CCG. The cards have been printed and being distributed to all

practices.


Reference Outcome


Frequency

of data

publication

Polarity

(higher or

lower=

better)

Baseline

(2013/14

)

Threshol

d

Target

(March

2015/16)

Previous

result

(2014/15)

Current

result (date)

Notes

HWI 3.4 Meet the national target for health

checks offered to patients

(Number/% NHS Health Checks offered)

Quarterly Higher 18.1%

5% 20% 22% (13,758) 20.2% (April –

Dec 2015)

Annual target exceeded by month 9.

Year to date figure is 12073 against

target of 8970 (April – Dec 2015)

HWI 3.5 Meet the national target for health

checks delivered to patients who were

Quarterly Higher 46.9%

5% 66%

68.9% (9,498)

63.4% (7591,

April – Dec

Year to date figure is 7591 against

target of 5919 (April – Dec 2015).

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offered a health check (uptake)

(Number/% NHS Health Checks

delivered)

2015)

Hounslow is expected to exceed the

annual target by month 10 of the

financial year. The NHS England’s

uptake target for London is 66%

(ambitious target 75%).


Hounslow is the most improved borough in London at the delivery of Health Checks programme as compared to last year. For the number of Health Checks delivered

by percentage, Hounslow is 1st in London and 3

rd in the country.

Ibrahim Khan (Feb 2016)

Highlight report section 4 – Child Oral Health - Lead Officer Imran Choudhury

Milestones status


HWM 4.1 Extended Health Visitors

programme

Oral Health Promoter (OHP) has offered training to all new Health Visitors, and

refresher training to existing teams – creating Tooth Champions in every HV team

July 2015 – Dec

2015

On target

HWM 4.2 Extended Early Years

programme

Oral Health Promoter (OHP) has offered training to all Early years’ providers –

creating Tooth Champions in Children’s centres, private nurseries etc.

July to December 2015

On target

HWM 4.3 Outreach schools

programme

Fluoride Varnish programme to be delivered to at least 10 schools this financial year (2015/16)

March 2015 – Dec 2015

On target

HWM 4.4 Universal training – oral

health champions

Oral Health promoter to train at least 100 health and non-health professionals per year as “Tooth Champions”, to ensure consistent OH promotion messaging across all opportunities of contact with young children and their families.

On –going for 2015/16

On target – quarterly contract monitoring meetings to review progress.


Ref Outcome

(performance

indicator)

Frequency

of data

publicatio

n

Polarity

(higher

or

lower=

better)

Baselin

e (year)

Threshold Target

(March

2015/16)

Previous result

(date)

Current result (date) Notes

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HWI

4.5

To reduce the

level of tooth

decay in 5 year

olds. (% under 5

year olds with

decay experience)

3 yearly

BASCD

survey

Lower

36.4%

(2012)

0.5%

34.4%

Data not available Data outstanding from

2014/15 BASCD enhanced

survey – due to be published

in 2016 from PHE (Public

Health England).

Enhanced national dental survey of 5 year

olds (completed July 2015), as baseline

for tooth decay rates (ward level).

Repeated enhanced survey (2016/17) for 5

year olds (results 2018). (BASCD - British

Association for the Study of Community

Dentistry) HWI

4.6

Increase access to

dentists for

3 - 5 year olds (% 3 -

5 year olds accessing

dental services)

Annual

Higher

56.4%

access

rate

(March

2014)

0.5%

56.4%

Data not available 60.2%

(March

2015)

This is both an NHS England target and

a local authority target.

HWI

4.7

Yearly increase (5%

points) in the

proportion of

children receiving

fluoride varnish

applications

(3-5 year olds, %

fluoride varnish rate)

Annual Higher 30.5%

FV rate

(2013/14

)

5%

40%

35.5%

(2014-15)

43.5%

(2015-16)

Schools’ Dental outreach project

(SDOP) set up to offer free fluoride

varnish application to Reception, Year

1 and Year 2 primary aged children (4

-7 year olds) from 12 schools across

Hounslow.

Overall Commentary Completed by

/date

Public Health England, Hounslow CCG and Hounslow and Richmond Community Healthcare are partners in this programme

1.Successful roll-out of the “Now You Have Teeth” programme, in collaboration with NHS England, PHE and HEE to 17 Children’ centres and Early Years’ settings during October and

November 2015. For this project, the OH promoter supported Foundation Dentists (newly qualified) at settings across Hounslow, to support improvement in dental access rates for 3 to 5

year olds. Evaluation report due from HEE and PHE by end March 2016.

2.Schools’ Dental Outreach programme (FV) has been delivered in 12 primary schools across Hounslow; this tooth brushing and Fluoride Varnish programme started early December 2015

and was completed by mid-February 2016. Around 3000 children received OH promotion, a tooth brushing kit, a visit from a local NHS dentist and the opportunity to have fluoride varnish

applied to their teeth.

Shelly Khan Feb

2016

Highlight report section 5 – Child Immunisation - Lead Officer Imran Choudhury

Milestones status

Reference Milestone Date due Comment on progress/ outcome

Strategic Leadership

HWM 5.1 Establishment of new Hounslow multi-agency immunisation

working group

March 15 Completed

HWM 5.2 Agree local action plan to improve uptake of vaccinations March 15 Agreed action plan now in place

Strengthening primary care systems and improving performance

HWM 5.3 Work with NHSE to secure better data April 2015 Completed

HWM 5.4 Improvement of information system – Review immunisation

pathways and communication processes

March 2016 On track

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This provides an update on the delivery of work streams and milestones which we are leading on to help improve the uptake of child

immunisation. Principally this involves providing commentary on the implementation of the Hounslow Childhood Immunisation Action

Plan, being led by NHSE.

Work streams in the Action plan are:

Organisational governance and accountability - a named commissioning manager has been assigned by NHSE. Commissioning for service

improvement – agreement on standard operating procedure for data submission coupled with monthly reconciliation of children moving

in and out of borough. Work with NHSE and PHE to develop and implement targeted interventions with communities with low uptake –

ongoing. Public & Service user engagement – health watch representative invited to group. Stakeholder engagement / building a

reporting culture – attendance at practice nurse forums (quarterly CCG HEAT training events and report Immunisation incident trends.

NHSE re-tendered school age immunisation service which was awarded to Central London Community Healthcare on 01/10/15 (the same

provider awarded the School Nursing Service).

There is a focus on improving the measles-mumps-rubella vaccine 2nd

dose (MMR2) uptake both by LBH Public Health with a birthday card

reminder (commenced Q2) and a local incentive scheme for GP’s offered by the CCG. The MMR2 immunisation coverage rate for children

aged 5 is currently 73.8% (July-Sept, 2015/16) with no significant change from the previous quarter reported at January Immunisation

meeting. We are yet to see the impact on the MMR2 of the four year old birthday card (sent in Autumn 2015) and the CCG Local Incentive

Scheme. The CCG have agreed to continue the incentive scheme in 2016/17.

Joan Wallace – Feb

2016

Highlight report section 6 – Child Obesity - Lead Officer Imran Choudhury

Milestones status


HWM 6.1 Schools’ based

“Discovery Clubs”

Completed Pilot Phase 1 completed in June 2015. Targeted at overweight children (plus a small number of children with low

physical activity). BMI reduced in 48% of all attendees. Further, 51% improved cardiovascular endurance. Further

physical activity/ physical coordination measures such as ball chasing, reaction/response improved in the majority of

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programme children in 3 of the 4 schools. 3 of the 4 pilot schools are now self-funding the programme

HWM 6.2 Tier 2 Child Weight

Management (CWM)

programme

commissioned

November

2015

Commissioning process completed for an Integrated Wellbeing Service that will include a child weight management programme for 5-19 year olds. HRCH are the lead provider in collaboration a Consortium arrangement with a range of voluntary sector organisations. The child weight management element will be delivered by HRCH and Brentford Community Sports Trust. The new goes live on the 1

st April 1st 2016. In the interim, the existing child management

service run by HRCH will continue to provide a service to families with identified overweight or obese children.


Reference Measure/Performance

Indicator

Frequency of data

publication

Polarity

(higher or

lower= better)

Baseline

2012/13

Threshold Target

(March

2015/16)

Previous

result

(2013/14)

Current result

(2014/15)

Notes

HWI 6.3 Reception year –

percentage obese

Annual Lower 11.4% 0.3% 11.2% 10.4% 9.9% Annually reported -

Lower is

improvement

HWI 6.4 Year 6 – percentage

obese

Annual Lower 24.4% 0.8% 23.1% 23.4% 22.6% Annually reported -

Lower is

improvement

Overall Commentary Completed

by /date A long-term target was set to reduce the percentage of obese children to less than the average rate across London, and closer to or better than the England rate, by 2020. An action plan for 2014 to March 2016 to reduce child obesity was agreed. This report shows performance against our 2016 target. The annual 2014-15 child obesity rates for Hounslow schools were 9.9% (Reception) and 22.6% (Year 6) reported in Nov 2015 by the National Child Measurement Programme (NCMP). A ‘Behavioural Audit’ on healthy eating and physical activity was completed in August 2015, findings will be used in future programme design. A new child weight management service has been commissioned for 5-19 year olds as part of an integrated Hounslow Wellbeing Service. This service goes live 1st April 2016. In January 2015, a 6-month pilot (Discovery Clubs) programme was commissioned, offering targeted support to overweight and obese children from 4 primary schools in Hounslow. Working with schools and families to get them more active, provide healthy eating advice, behaviour change support and mentoring through schools, to children and their families. Learning from this will guide future work in school settings. LBH Transport and Public Health teams have been running a large scale SWITCH programme (as part of a wider European project) to increase physical activity through active travel. It has run in three localities with over 12,000 children and their families walking over 40,000 miles. The challenge led to further activities including several resident led activities such as themed walks, community breakfasts and art and drama workshops in schools. The programme is running in Isleworth in February/ March 2016 with 6 schools and expansion of the project across the borough is planned for 2016/17. Going forward a ‘whole systems’ childhood obesity stakeholder event will take place 11th March 2016. This will bring together experts from across London with key local partners to consider what more can be done locally to tackle the issue. It is envisioned that a cross-borough Child Obesity Task Force will be established to guide work over the coming year. In 2016/17 Public Health and Leisure will be working with a range of partners to further promote breastfeeding in the community, strengthen obesity prevention messaging with parents, increase active play and explore opportunities to improve the food environment.

Clare

McKenzie :

Dec 2015

Highlight report section 7 – Bed-based Social Care - Lead Officer Martin Waddington

Milestones status

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Reference Milestone Date due Comment on progress/ outcome Reduce the use of bed-based social care

HWM 7.1 Development of Extra Care Housing Plan (Oct 14) and new developments

April 15/16 to 18/19 36 units at Park Lodge delivered in July 2015. 36 units under construction in Isleworth and due to come on line in Spring 2017. 92 unit scheme in Feltham feasibility completed, design and construction team engaged for planned delivery in March 2018.

HWM 7.2 Implement new Community Recovery Service – re-ablement and community rehabilitation

Sept to March 14/15 full roll-out April 15

Across the 166 patients discharged since April, the average decrease in personal care hours has been approximately 1.6 hours, totalling a reduction of 267 hours per week. This figure, as of December, had improved to 3.3 hours.

HWM 7.3 Implementation of new Personal Care Framework providing outcome recovery focussed homecare

November 2014 Go live was on 17 Nov 2014. Formally reviewed in May 2015. 70% of domiciliary care hours have been transferred onto the PCF.

HWM 7.4 Development of Adults Prevention Strategy

November 2014 Completed. Timescale rolls out to 2018. Information and advice, supported housing and floating support being delivered through LIFE project to reconfigure and commis sion new Preventative Services. New contracts to be in place in October 2016 and April 2017. Review of Telecare underway. Review of Falls Pathway with Intelligence Hub and Public Health underway. Falls Coordinator post to be recruited

HWM 7.5 Integrate care and support with CCG, and transfer care from acute services to the community

ongoing BCF is a large programme with increasing prominence and a relatively secure future for the next few years. We are in the process of planning next year’s BCF, taking into account the lessons learned this year.



There is a Better Care Fund objective to reduce the amount of care delivered by Residential Care Homes. This continues to be actively monitored each month throughout 2015/6. There are various schemes underway which are encouraging this: Primarily: Reducing social isolation, assistive technology, Personal Care Framework. Secondarily: Carers Support, Dementia Pathway, and Community Recovery Service

Jeremy Labram 26/02/16

Additional commentary explaining change of indicator The last HWB dashboard (June 2015) reported on a different measure (the rate of permanent admissions to residential and nursing care), which was taken from the Adult Social Care Outcomes Framework (ASCOF), but is only a measure of those entering the service and does not give a full picture. Length of stay and capacity measures are needed to complete the picture. Therefore the measure (above) has been changed to the total number of older people in residential and nursing homes, which is more appropriate. This will continue to be actively monitored on a monthly basis through local finance and activity reporting.

Simon Haines 30/11/15

Highlight report section 8 – New Mental Health Models - Lead Officer Martin Waddington

Ref Outcome (Performance Indicator)

Frequency of data publication

Polarity (higher or lower= better)

Baseline 2013/14

Threshold Target (March 2015/16)

Previous

result (June

2015)

Current result (Feb 2016)

Notes

HWI

7.6

Fewer older people in care homes (number of people aged 65+ in residential and nursing homes)

Quarterly Lower 378 10% 280 330

315

In the period from April 2014 to February 2016, the number of older people in residential and nursing homes has now reduced by 17% (378 to 315). We will not meet the target of 280.

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Milestones status


Ref Outcome

(Performance

Indicator)

Frequency of data

publication

Polarity (higher or

lower= better)

Baseline

2013/14

Threshold Target (March 2016)

Previous

result (June

2015)

Current result

(August 2015)

Notes

HWI 8.3 Improved

dementia

diagnosis

(% diagnosed with

dementia)

Monthly Higher 52.3% <60% 73%

(Internal

Target set

by the CCG).

The National

Target is

67%

66%

76%

Prevalence of Dementia in

Hounslow is 1,823 (August

2015 report from NHSE)

Overall Commentary Completed by

/date

Dementia Diagnosis continues to remain stable at 76%. Current Dementia Services will be more integrated by:

1. Dementia Steering Group advising on service planning

2. The WLMHT business case is almost implemented, due to go live in April 2016

3. Dementia specific activities pilot project in progress, provided by Age UK.

Stephen Murphy 29/02/16


Implement new models of mental healthcare

HWM 8.1 Improve dementia diagnosis & post diagnosis

services: Dementia Business Case (uplift to current

service)

December 2015/16 Implementation is in progress. The 5 Dementia Link Workers

have been recruited and in post.

HWM 8.2 Dementia Liaison Service March 2016 Dementia Liaison Service will be part of the WLMHT main

contract from April 2016 onwards.

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Highlight report section 9 – Long Term Conditions - Lead Officer Martin Waddington There are 2 themes within this section: Learning Disabilities and Child and Adolescent Mental Health Services (CAMHS).

Milestone status Reference Milestone Date due Comment on progress/ outcome

Implement new approaches to long-term conditions including neurodisability

HWM 9.1 Invest in additional CAMHS services February 2016 Additional funding confirmed by CCG

HWM 9.2 Recruit staff December 2015 Successful recruitment to some posts, further recruitment ongoing

HWM 9.3 Monitor reduction of waiting times January to March 2016 Ongoing

Performance measures – Learning Disabilities Ref Outcome


Frequency

of data

publication

Polarity

(higher

or

lower=

better)

Baseline

2013/14

Threshold Target

(March

2015/16)

Previous result

(June 2015)

Current result

(date)

Notes

HWI 9.4 Fewer young adults in

care homes

(Number of young adults

under 64 years permanently

admitted

to residential & nursing care

homes due to learning

disabilities

Quarterly Lower 9.3 per

100,000

population

10% 9.0 per

100,000

population

10 per 100,000

population

11.5 per 100,000

population (Dec

2015)

An increase in development of extra care

housing provision will continue to lead to

reduced rates of people accessing residential

and nursing care homes. The Impact of the

national Winterbourne View resettlement

programme could increase admissions in to

residential/nursing care.

HWI 9.5 More support for carers

(number of carers

assessments completed)

Quarterly Higher 946 carers

assessments

10% 1366 carers

assessments

1,596 carers

assessments

1748 carers

assessments

(Dec 2015)

Carer’s assessments have increased as a result

of the implementation of the Care Act, so we

are broadly on track to meet end of year

target.

Performance measures – Child and Adolescent Mental Health Services Ref Outcome

(Performance Indicator) Frequency of

reporting Polarity (higher

or lower= better)

Baseline 2013/14

Threshold Target March 2015/16

Previous

result (Oct

2015)

Current result

(Dec 2015)

Notes

HWI

9.6

More young adults with mental health issues receiving timely first consultations (% referred to first consultation within 18 weeks, 11 weeks till April

Monthly Higher 100% 99% 100% to be seen within 18 week excluding neurodevelopmental services.

100% 100% (year to date=74%)

The waiting time target in the West London Mental Health Trust contract for 2015/16 is for all children and young people accepted by CAMHS to be seen within 18 weeks of referral, excluding neurodevelopmental services.

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2015)

HWI

9.7

Reduced waiting times for young people with more severe (Tier 3) mental health issues (% Tier 3 clients with waiting times of less than 18 weeks)

Monthly Higher 100% 99% 18 weeks excluding neurodevelopmental services.

100% 100% (year to date=74%)

The waiting time target in the WLMHT contract for 2015/16 is for all children and young people accepted by CAMHS to be seen within 18 weeks of referral, excluding neurodevelopmental services.


Learning Disabilities

HWI 9.4 - The increased amount is due to a shortage of supported accommodation that is currently able to meet the complex and challenging needs of

young people that are transitioning from children’s to adults’ services within Hounslow. Over the last quarter there has been a number of placements in to

residential services to ensure individual needs are appropriately met. There is a strategic plan running alongside the Transforming Care national

programme to develop a range of supported accommodation options over the next five years which will in turn reduce the need for residential

placements and better meet the needs of people with complex and challenging behaviour.

HWI 9.5 – This target is on course to be achieved. Commissioners have set up and developed a clear communication campaign to increase awareness of

carers in Hounslow. This entailed posters across the borough, raising awareness of the caring role within Hounslow Matters updating the LBH Webpage on

carers and developed business cards enabling existing carers to promote and signpost amongst community.

The following actions will be taken in the next quarter – continued communication campaign to raise awareness across all GP practices in Hounslow.

James Hearn 02/03/16

Child and Adolescent Mental Health Services

In 2015 the government published Future in Mind, the report of the national CAMHS taskforce, which acknowledged the increasing demand for child and

adolescent mental health services nationally and made recommendations for improvement to meet the rising demand. Hounslow CCG has invested

additional funding in CAMHS during 2015/16 and in December 2015 NHS England announced additional investment to support improvements in capacity.

In December 2015 the WLMHT CAMHS service met the waiting time target and further improvements to waiting times and accessibility are expected

throughout 2016/17 as the Future in Mind CAMHS Transformation plan is mobilised across North West London.

Susie Oneill 29/02/16

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Guidance on the format of the HWB strategy performance dashboard Milestone status Milestones are significant stages or events (and sometimes products) in the delivery of the Health and Wellbeing Strategy. The due date is the agreed date by which the milestone should be delivered. The comment box contains an up-to-date commentary on progress with delivering the milestone, or outcome if already completed. The comment box should be coloured Red/ Amber/ Green according to whether the milestone is on track or not. Green = on track, Amber = some slippage, Red = missed dates with risk to project. Performance measures These are numeric measures of performance against the Health and Wellbeing Strategy Action Plan.

Outcome/Performance Indicator – this is the desired outcome and our method of measuring this Baseline – this is the baseline against which the March 2016 target has been set

Polarity - this describes whether success is indicated by an increase (bigger is better) or a decrease (smaller is better) in the indicator

Target March 2015/16 - this is a target we are working to achieve by March 2016

Threshold - this is required for determining the Red/Amber/Green (RAG) status of the indicator. Green = target or better, amber= between target and threshold, red = worse than threshold.

Current data – this is the most recent data available for this indicator (at the time of the report ) o This is rated Red, Amber or Green according to performance against the target (i.e. are we on track to meet our target for March 2016).

Notes - commentary on our current position. If an indicator is amber or red, this box should explain why, and the measures being taken to move the indicator back to green.

Overall commentary

This is an overall commentary on progress and outcomes of the HWB Strategy theme in question. It should highlight the main achievements and

slippages.

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All dashboard content should be signed off by the Lead Officer for the theme in question.

Feedback

Please feedback your views on the design and format of the report, including any comments you have on the template to the Intelligence Hub

([email protected]). We would value your comments to help us develop the format and improve the report.

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