Integrated Joint Board Annual Performance Report 2023-24
Perth and Kinross Council · 30 October 2024
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Perth and Kinross Council Scrutiny and Audit Committee 18 September 2024 Perth and Kinross Council 30 October 2024 INTEGRATION JOINT BOARD ANNUAL PERFORMANCE REPORT 2023/24 Report by Chief Officer of the Integration Joint Board (Report No. 24/255) 1. PURPOSE OF REPORT 1.1 This report presents the Perth & Kinross Integration Joint Board’s Annual Performance Report (APR) for 2023/24. The APR sets out performance in relation to the National Core Suite of Integration Indicators and provides an overview of progress in meeting the Integration Joint Board’s (IJB) strategic delivery plans focusing on the impact and the experiences of people who use health and care services. 2. RECOMMENDATION(S) 2.1 It is recommended that the Scrutiny and Performance Committee: (i) Scrutinise and comment as appropriate, on the Perth and Kinross Integration Joint Board Annual Performance Report (Appendix 1). It is recommended that Council: (ii) Notes the Integration Joint Board Annual Performance Report (Appendix 1). 3. STRUCTURE OF REPORT 3.1 This report is structured over the following sections: Section 4: Background Section 5: Overview Section 6: Conclusion 4. BACKGROUND 4.1 The Public Bodies (Joint Working) (Scotland) Act 2014 requires the IJB to publish an Annual Performance Report setting out an assessment of performance in respect to those functions for which it has responsibility. The Act requires the report to be published within 4 months of the end of each reporting year (by 31 July). As such the IJB Audit and Performance Committee reviewed the APR and approved it at its most recent meeting of 29 August 2024.
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The APR sets out an overview of performance for the reporting year and describes the activities undertaken to deliver services, improve outcomes and demonstrate progress towards the achievement of the IJB’s strategic priorities. The data included in the report for National Indicators 1-9 and 11-19 is published by Public Health Scotland and is available here. Some indicators have data provided for calendar year 2023 which acts a proxy for the financial year. This approach is recommended by Public Health Scotland and has been necessary over recent years due to national issues around data completeness. 5. OVERVIEW 5.1 The IJB is required to assess performance in relation to the delivery of the National Health and Wellbeing Outcomes with particular reference to the Core Suite of Integration Indicators (NIs 1-9 and 11-19), supplemented by four set by the Ministerial Steering Group (MSG). Locally determined indicators linked to the IJB’s Strategic Delivery Plans are also set out in this report Overall, performance is good. Out of the 22 nationally determined indicators, 13 are rated green (better than or within 3% of the comparator) 3 are rated amber (within 3-6% of the comparator) and 5 are rated red (more than 6% of the comparator) and 1 is not rated presently. There is demonstrable progress in supporting people to remain at home, reducing the need for people to spend unscheduled time in hospital. Taking the indicators together we can see that flow through inpatient settings has improved. The IJB’s continued investment in community-based services is having a positive impact in ensuring that people spend as little time as possible in acute settings and to remain safely and independently in their own homes or homely care setting. Emergency admissions and readmissions are highlighted as areas for improvement. Our population is older and frailty can increase the likelihood of people needing emergency/unplanned care. This is being addressed through the “Focus on frailty programme” supported by Health Improvement Scotland. This brings together multi-disciplinary teams from across Scotland to share learning and best practice. The APR has a strong focus on the views and experiences of the people that use services. Over the last three years the mechanisms for gathering feedback have been expanded and improved. All Health and Social Care Partnership directly provided services are using Care Opinion and this is also being rolled out across commissioned providers. The increasing numbers of people providing feedback and the focus on high quality engagement and involvement across our services enables the APR to report on the quality of experience and the impact of services on people’s lives. Through Care Opinion the overall rating of the services provided was excellent. Across a range of measures all received scores of 4.5 (out of 5) or better. Through our local Service User Patient Experience Survey, 97% of users rated the services they received as good or excellent. The biennial Health and Care Experience Survey also reflects good overall satisfaction
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with some areas of improvement highlighted such as the need for greater co- ordination of services, and the need to support people to have more of a say in how they are supported to live as independently as possible. These are areas which are highlighted in the revised Strategic Plan for 2024- 27 and for which there are already improvement actions underway. The Health and Social Care Partnership (HSCP) has taken forward a new senior leadership structure and this combined with an ambitious programme of transformation across a range of service areas will assist to make integration of services work better for people and communities. In the first quarter of 2024 there has been a commissioning of Care at Home provision which will increase the number of providers available to support people, improving access and resilience. 6. CONCLUSION 6.1 The Annual Performance Report provides a summary of Health and Social Care performance in 2023/24. It sets out performance against the national core indicator set and local indicators.. The overall assessment of performance in 2023/24 is positive with the majority of measures indicating good progress and focused improvement activity already identified in strategic plans which will address those areas which are not showing as good progress. Author(s) Name Designation Contact Details Jacquie Pepper Chief Officer, Integration Joint Board tay.pkijbbusinesssupport@nhs.scot
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ANNEX 1. IMPLICATIONS, ASSESSMENTS, CONSULTATION AND COMMUNICATION The undernoted table should be completed for all reports. Where the answer is ‘yes’, the relevant section(s) should also be completed. Where the answer is ‘no’, the relevant section(s) should be marked ‘not applicable (n/a)’. Strategic Implications Yes / None IJB Strategic Plan Yes Transformation Programme n/a Resource Implications Financial n/a Workforce n/a Assessments Equality Impact Assessment Yes Risk n/a Other assessments (enter here from para 3.3) Yes Consultation External n/a Internal Yes Legal & Governance Legal Yes Clinical/Care/Professional Governance n/a Corporate Governance Yes Directions Communication Communications Plan n/a 1. Strategic Implications Strategic Plan 1.1 This Annual Performance Report provides an assessment of performance against the National Health and Wellbeing Outcomes and the IJB’s ambitions as set out within the Strategic Commissioning Plan (2020-25) and revised in the new Strategic Plan (2024-27). 2. Resource Implications Financial Not applicable. Workforce Not applicable. 3. Assessments Equality Impact Assessment
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This report sets out progress in respect to performance against the nationally agreed integration indicators. In doing so it provides assurance of progress in relation to our Strategic Plan which includes the reduction of the impact of inequalities. Risk Not applicable. Other assessments This report provides an assessment of performance against national integration indicators. 4. Consultation – Patient/Service User first priority External Not applicable. Internal This report has been created in consultation and collaboration with Health and Social Care delegated services, has been reviewed by the HSCP Executive Management Team and approved by the IJB Audit and Performance Committee. Impact of Recommendation Not applicable. 5. Legal and Governance This report supports the delivery of the IJB’s public reporting responsibilities and meets the statutory requirement to produce an Annual Performance Report within four months of the end of the financial year to which the report relates. 6. Directions Not applicable. 7. Communication Not applicable. 8. BACKGROUND PAPERS/REFERENCES The documents that have been relied on in preparing the report, other than those committee reports already referenced within the main body of the report are as follows: Public Health Scotland Core Suite Integration Indicators 2024 (July Update) Perth and Kinross Performance Update 06.23
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All documents will be kept available for inspection by the public for four years from the date of the meeting at which the report is presented. 9. APPENDICES Appendix 1 - Perth and Kinross Health and Social Care Partnership, Annual Performance Report 2023-24.