Agenda item

2:40

15 minutes

Person(s) responsible:        All Partners

Person giving report:           Director of Public Health, Director for Social Services and Director for Children’s Services, Chief Executive, OCCG

The regular review of current performance against all the outcomes set out in the Health & Wellbeing Strategy is attached at HWB8 for consideration.

The Board reviewed current performance against all the outcomes set out in the Health & Wellbeing Strategy (HWB8).

Councillor Tilley highlighted the following in relation to the indicators for Children, Education & Families:

 2.3 ‘Maintain the current low level of persistent absence from school for looked after children’ – Councillor Tilley commented that work was in progress to meet the target.

2.8 ‘Improve the free school meals attainment gap at all key stages and aim to be in line with the national average by 2014’. Councillor Tilley pointed out that children in primary schools were not signing up because they were in receipt of school meals anyway.

4.7 ‘Of those pupils at School Action Plus, increase the proportion achieving 5 GCSEs at A* - C including English and Maths to 17% (baseline 10% 12/13 academic year) – Councillor Tilley reported that work was in progress on this.

John Jackson highlighted the following in relation to the indicators for Health and Adult Social Services:

He pointed out that most of the red indicators in adult services related to the relationship between acute hospitals and other Health systems, for example on Delayed Transfers of Care (DTOC) and Older People’s Reablement. He reported that hard work was in progress to bring the numbers down in the case of DTOC and delays in health funded care arrangements had also reduced significantly.

David Smith reported that, in the case of DTOC, a target had been set by the Secretary of State to reduce by 50% in four weeks. Four weeks ago there had been 173 people in hospital. This week the figure had reduced to 122. He added that this was a remarkable achievement but the 50% reduction had still not been met. He also pointed out that the OUHT had achieved the 95% target to see people presenting in A & E in four hours, but was struggling to deliver this on a continual basis. Mr Smith also added that the OCCG had put in a bid for £4.5m to the Prime Minister’s Challenge Fund to address particular issues one of which was to address avoidable admissions to emergency care, and the outcome of the bid would be known by the end of March.

Councillor Biles commented that she would like to see the expansion of first aid units (EMU’s) around the county, which would also serve to keep A & E only for acute cases. David Smith responded that the expansion of this model had already been included within the Better Care Fund range of initiatives.

Dr McWilliam highlighted the following in relation to the Public Health indicators:

8.2 and 8.3  - Health Checks -  there was still not sufficient people picking up to their health checks. Notwithstanding that the service had been recognised nationally as good practice, Public Health Officers were working with GPs, looking at the service in detail to see how it may be improved;

8.4 ’At least 3800 people will quit smoking for at least 4 weeks’ – Dr McWilliam reported that the contract for this service had been re-let and would start in 1 April 2015;

8.5 and 8.6 – Opiate and non-opiate users successfully leaving treatment by the end of 2014/15 – A new contract would be put in place on 1 April 2015. A gradual improvement in getting people off opiates altogether was showing.

9.1 – ‘Ensure that the obesity level in Year 6 children is held at no more than 15% and no district population should record more than 19%’ – Oxfordshire was bucking the national trend, but there was a need to continue working on it.

11.1 – 11.4 – Immunisations – Dr McWilliam reported that the Health Improvement Partnership Board was working with the NHS England Area Team to ensure that they did not slip.

It was noted that the use of more detailed ‘Report Cards’ on individual outcomes had proved to be very successful at the Health Improvement Board and that this could be used by the Children's Trust.

The Board AGREED to note the report.