Agenda item

The Board had before them a performance report reviewing current performance against all the outcomes set out in the Health & Wellbeing Strategy (HWB7).

A table showing the agreed measures under each priority in the Joint Health & Wellbeing Strategy, expected performance and current performance, was attached at Appendix A.

It was noted that:

·         Performance on 3 indicators had improved from amber to green (ie. 4:4  - schools rated outstanding by OFSTED; 4:5  - young people not in employment, education or training (NEETS); and 9:2 – 60% of babies are breastfed at 6 – 8 weeks of age). With regard to the latter target, the Board asked that their congratulations be conveyed to the Health Visitors;

·         Performance on 2 indicators had dropped from green to amber (ie. 5:2 – mental health service users in employment and 7:10 carer’s breaks). It was reported that appropriate action was being taken where performance did not meet expected levels.

With regard to:

·         Priority 2:3 ‘Reduce persistent absence (15% lost school days or more) from school for children looked after to 4.9% for 2011/12 academic year (expected 4.9% - actual 7.7%) – the Director of Children’s Services reported that the County Council had been improving  for a considerable period of time in comparison to statistical neighbours, and a range of resources had been put in place to address the rise;

·         Priority 5:2 ‘15% of adults on the care programme approach receiving secondary mental health services will be in paid employment at the time of their most recent assessment/review’ – Dr McManners pointed out that a piece of work to support these service users to remain in their employment was planned;

·         Priority 6:1 ‘A reduction in delayed transfers of care so that Oxfordshire’s performance is not in the bottom quartile’’ – Dr McManners  reported that there had been a steady improvement in the third quarter. However, since then, there had been a significant increase in the number of older people’s hospital admissions, adding that this was a national issue. This also coincided with the introduction of a new arrangement for the assessment of discharges. Dr Richards added his support for the new arrangements stating that a clear trajectory was awaited from the providers, together with clarification about whether any additional support was required to enable swift action.

·         8:2 ‘’2,000 adults receiving bowel screening for the first time (meeting the challenging national target of 60% of 60-69 year olds every 2 years’ – it was reported that screening was publicised on the front page of the Oxford Mail. Dr Richards highlighted the need to further publicise this with the public and with GPs.

·         9:1 ‘Ensure that the obesity level in year 6 children is held at no more than 15%’ (expected 14.9%, actual 15.6%)  – it was reported that although  this was an ambitious target, the County was already bucking the national trend by 4%. It was, however,  important to try to stem the tide and to continue to challenge the target.

·         11:5 ’80,000 flu vaccinations for people aged 65 or more  (meeting the national target of 75% of people aged 65+) – it was reported that some late statistics had revealed that the expected target would be exceeded by 3,000 . The Board congratulated the medical staff and noted that the next step was to target groups of at – risk patients under 65 to receive flu jabs.

The Board recognised the need to include local variation within the indicators and to reflect it when revising both the children’s and the adult indicators.