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Health and Social Care Partnership - Performance Report - FQ4 2025/26 (JANUARY - MARCH)

Argyll and Bute Council · 13 August 2026
Back to Argyll and Bute HSCP Clinical and Care Governance Committee — 13 August 2026 and its agenda

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The Clinical & Care Governance Committee     
Date of Meeting: 13 August 2026 
Title of Report:   Health & Social Care Partnership - Performance Report 
FQ1 2026/27 (April – June 2026) 
Presented by:     Kristin Gillies - Head of Strategic Planning, Performance & Technology    
The Committee is asked to: 
• Review performance for FQ1 2026/27 (April – June) against latest Key Performance
Indicators within the revised Integrated Performance Management Framework for
2026/27 
• Review the A&B HSCP performance metrics, including “Plans, mitigation and
Actions” Feedback reported in Appendix 1, aligned to national reporting across the
following areas: 
• SG National Health & Wellbeing Outcomes 
• SG Ministerial Steering Group Integration Indicators
• Centre for Sustainable Delivery (CfSD) Unscheduled Care
• SG Delayed Discharges Sitrep
• Planned Care within the Operational Improvement Plan (OIP) 
1. EXECUTIVE SUMMARY 
This report details performance for the Financial Quarter (FQ) 1 2026/27 (April – June). The key
performance outputs are taken from the current Integrated Performance Management Framework
(IPMF) Reporting Dashboard. Overall performance for FQ1 notes 38 of 97* measures reported as
on target (39%). 51 are noted as off track and 8 are awaiting data/TBC. National Delayed Discharge
Sitrep and the National Health & Wellbeing Indicators performance are also provided. The HSCP
Senior Leadership Team recently reviewed the content and structure of the Integrated Performance
Management Framework, and the revised suite of performance metrics is being presented before
the IJB in a new suite of measures (Appendix 1). This new suite of measures is designed to integrate
national pressures around Centre for Sustainable Delivery’s (CfSD) Urgent & Unscheduled Care,
Planned Care and NHS Highland Operational Improvement Plan (OIP), including scope for service
feedback.   
2. RECOMENDATIONS
The Clinical & Care Governance Committee is asked to:
• Review performance for FQ1 2026/27 (April – June) against latest Key Performance
Indicators within the Integrated Performance Management Framework for 2026/27.

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• Review the A&B HSCP performance metrics, including “Plans, mitigation and Actions”
Feedback reported in Appendix 1. Further narrative will be provided verbally within the
meeting, however data is provided to ensure that reporting is available. 
3. DETAIL OF REPORT
The report details the HSCP (Health and Social Care Partnership) performance for FQ 1 2026/27
(April - June), highlighting key performance trends across the 97* KPIs (Key Performance
Indicators). For FQ 1 2026/27, the latest national update on Delayed Discharges, the latest
performance on the National Health and Wellbeing Outcomes Indicators and additional performance
metrics aligned to Urgent & Unscheduled Care, Planned Care and NHS Highland’s OIP are all now
reported within Appendix 1. 
4. RELEVANT DATA & INDICATORS 
4.1 FQ 1 2026/27 (April – June) Performance Summary                           
Overall performance for FQ1 notes that 97* KPI’s are scoring against a target, with 38 (39%)
reporting as on track. 51 are noted as off track and 8 are awaiting TBC/data. The KPI’s report
performance against the target and include the target, actual and variance and is a mix of both
quantitative and qualitative indicators. The use of the green, amber and red graphics within the
Dashboard is used to give an overview of the HSCP’s total performance for each of the thirteen
services and 97* KPI’s. The use of only green and red for the KPI’s is used to focus delivery with
regards to sustaining performance on or above target.  
Metrics around CfSD Urgent & Unscheduled Care, Planned Care are now imbedded within the IPMF
and are all reported within Appendix 1. 
4.2 Analysis of Key Performance  
This analysis identifies performance across the 13 service reporting categories within the Integrated
Performance Management Framework (IPMF).

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4.2.1 National Health & Wellbeing Outcome Indicators & Ministerial Steering Group
Integration Indicators 
The National Health and Wellbeing Outcomes provide a strategic framework for the planning and
delivery of health and social care services. This suite of outcomes serves to focus on improving the
experiences and quality of services for people using those services, carers, and their families. These
indicators form the basis of the annual reporting requirement for Health and Social Care
Partnerships across Scotland.   
The national indicators will be updated and reported within A&B HSCP’s Integrated Performance
Management Framework to provide the national performance position alongside the local service
Key Performance Indicators suite. 
The latest data in relation to 18 HWBOI Indicators reports 66.6% on track, with 12 on-track and 6
off-track. An overview of A&B HSCP’s latest performance against the 18 HWBOI measures and the
latest 6 MSG metrics and activity levels are included in Appendix 1. It should be noted that reporting
periods vary across the suite of national indicator measures, with some measures affected by
national reporting data lag. 
4.2.2 Delayed Discharges Sitrep 
Overall trend performance for June 2026 noted an overall increase in the total delays per 100,000,
with 48 reported at the June 2026 census point. With regards to sit rep benchmarked
performance, A&B HSCP remains above the Scottish average per 100,00 population, however the
latest Delayed Discharge sit rep per 100,000 indicates the overall position is worsening, with 58
noted as of 27th July 2026. 
5. CONTRIBUTION TO STRATEGIC PRIORITIES
The monitoring and reporting against Key Performance Indicators using the Integrated Performance
Management Framework and Dashboard ensures the HSCP is able to deliver against key strategic
priorities. This in-turn is aligned with the Strategic Plan and key objectives. 
6. GOVERNANCE IMPLICATIONS
6.1 Financial Impact
Financial performance is evidenced within the IPMF Dashboard ensuring best value as well as
evidencing the impact and performance against organisational budget savings.

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6.2 Staff Governance
Key performance indicators within the IPMF ensure that staff governance requirements continue to
be progressed and developed include health and safety, wellbeing and new service redesign and
working practices. 
6.3 Care and Clinical Governance
Clinical and Care Governance and patient safety remain at the core of prioritised service delivery
against the new IPMF Dashboard and National Health & Wellbeing Outcomes Indicators. The new
governance structure supporting the IPMF ensures that the Clinical & Care Governance Committee
remain central to performance improvement. The development of the IPMF is focussed on moving
away from previous traditional styles of reporting to a fully collaborative approach with Head of
Service and Service Lead commentary. 
7. PROFESSIONAL ADVISORY 
Data used within the performance dashboard is fully accessible in SharePoint with data trends and
forecasting are identified to give wider strategic context. This provides the HSCP professional
advisors with self –service performance information to inform their role in maintaining professional
standards and outcomes. 
8. EQUALITY & DIVERSITY IMPLICATIONS
The Integrated Performance Management Framework captures relevant indictors used to inform the
HSCP E&D work.
8.1 PROTECTED CHARACTERISTICS
Performance detailed within this report acknowledges the rights of the Child (UNCRC), Islands.
Fairer Scotland, Socio-economic Duty, Equalities - protected characteristics.  
9. GENERAL DATA PROTECTION PRINCIPLES COMPLIANCE 
Data use and sharing within this report and IPMF performance dashboard is covered within the
Argyll and Bute Council & NHS Highland Data Sharing Agreement 
10. RISK ASSESSMENT
Risks and mitigations associated with performance data sources and reporting are managed and
identified within the monthly Performance & Improvement Team- Work Plan. 
10.1 STRATEGIC, OPERATIONAL OR CLIMATE RISK
Performance reports are used by operational management to identify service delivery risk and to
inform mitigation action accordingly. 
11. PUBLIC & USER INVOLVEMENT & ENGAGEMENT
Performance reporting is available for the public via Argyll and Bute Council and NHS Highland
websites. The IPMF dashboard utilises SharePoint to support manager and staff access across the
HSCP.

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12. CONCLUSION 
The Clinical & Care Governance Committee is asked to considerer and acknowledge FQ 1 2026/27
(April - June) performance position as detailed in the IPMF Dashboard, and the additional metrics
within revised FQ1 Performance Overview Power Point, presented as Appendix 1.      
13. DIRECTIONS 
Directions
required to
Council, NHS
Board or
both.
Directions to: tick
No Directions required x
Argyll & Bute Council 
NHS Highland Health Board 
Argyll & Bute Council and NHS Highland Health Board 
14. PREVIOUS REVIEW OF THE REPORT 
Meeting  Title of report Date Output (if relevant)     
REPORT AUTHOR AND CONTACT 
Author Name: James Brooks – Performance & Information Team Manager
Email: james.brooks@argyll-bute.gov.uk

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Appendix 1 
Latest FQ1 Performance Presentation provided in separate pdf.