Appendix 2

National position from the 2000/1 PAF

in comparison with Hampshire's position

No 'overall' score is used, each indicator stands alone and is just part of our annual assessment from the SSI.

NATIONAL MESSAGES

Main messages nationally:

· Overall improvement since last year, with variations between councils narrowing

· On cost indicators, and some others, there is a noticeable difference between London and the South East and the rest of the country

· Several councils could not provide information for new indicators, and five could not supply financial information by the deadline for the report. However, there was an overall improvement in data quality

National Priorities and strategic objectives:

· Nationally, progress has been made against the National Priorities Guidance targets for children's services. The re-registration on the Child Protection Register (A3) target of 17.2% has been met. 78% of CSSR met the target of 16% or less on stability of placements for looked after children (A1). However, the educational attainment of looked after children remains very low, at 37% compared to the target of 50% (A2)

· Performance at the interface between Health and Social Care is mixed. The target for emergency admissions to hospital of older people (A5) has been met, the number of emergency psychiatric admissions (A6) has fallen - but the number of delayed discharges of older people (D41) has risen. No data for older persons admitted to hospital with falls or hypothermia (C33) is yet available

Cost and Efficiency:

· The balance between care home admissions and care at home (B11) has improved, although there is still scope for further improvement

· The proportion of children looked after in a family setting (B7 and C22) has remained stable

· The costs of residential care, across all client groups, has risen significantly - but this is distorted to some extent by changes in the data collection/definition

Effectiveness of service delivery and outcomes:

· Most councils met their statutory inspection obligations (C25 and C34)

· Review procedures for child protection cases (C20) improved, but further improvement is required as only 25% of councils fully reviewed all their cases and only 13% took place on their due date

· Duration on the child protection register (C21) reduced, signifying improved performance.

· There was an increase in the proportion of looked after children adopted (C23)

· 66% of looked after children had up-to-date immunisations and health checks (C19); 13% were absent from school for at least 25 days (C24) and three times more looked after children were cautioned or convicted (C18) than in the local population

· Progress appears to have been made in promoting independence through the use of intensive home care (C28)

Quality of services for users and carers:

· Despite improvements in many CSSR, only 90% of users are receiving equipment within 3 weeks (D38) and only 81% of users receive a statement showing how their needs will be met (D39). Further improvement is needed to meet the national targets set for 2004/5 of 95.57% and 90.85% respectively

· Almost 10% of adults and older people are not allocated a single room when they enter permanent residential or nursing care (D37). 13 of councils reported that less than 80% were allocated a single room

· The proportion of clients receiving a review (D40) was 42%, the proportion of carer assessments (D42) was 21% - both very low

· Long term stability of placements for looked after children (D35) is still very low, and 57% of CSSR have unacceptable performance

· A high proportion of users, 84%, felt they got help quickly (D36)

Fair Access:

· 18% of councils had fewer children in need from ethnic minorities than might be expected from their population mix (E45). This might mean they are not reaching the ethnic minorities in their areas

· 110 older people per 1,000 in the population were assessed (E49) and 84 were helped to live at home (C32), a rate of 76%

· 68% of assessments for adults and older people led to provision of services (E50); slightly lower for black and ethnic minority groups (E48). This relationship varied significantly between councils

HAMPSHIRE PERFORMANCE AGAINST THESE MEASURES

National Priorities and strategic objectives:

· Locally, progress has been made against the National Priorities Guidance targets for children's services. The re-registration on the Child Protection Register (A3) target of 17.2% has been exceeded with only 13% of children being re-registered and Hampshire achieving the ***** rating. Although 78% of CSSR met the target of 16% or less on stability of placements for looked after children (A1), this was again exceeded in Hampshire where we had only13% in placements considered unstable - and we achieved a ***** rating. Although the national educational attainment of looked after children remains very low, at 37% compared to the target of 50% (A2), in Hampshire 63% of looked after children gained a GCSE and met this performance objective.

· Performance at the interface between Health and Social Care is mixed, with the 3 Health Authorities showing different performance levels. Given this it is not possible to comment on our performance, as distinct from that of CSSRs in the health authority areas.

Cost and Efficiency:

· The balance between care home admissions and care at home (B11) has improved slightly in Hampshire, although there is still scope for further improvement

· As nationally. the proportion of children looked after in a family setting (B7 and C22) has remained relatively stable

· The costs of residential care, across all client groups, has risen significantly - but the size of this rise is distorted by changes in the data collection/definition

Effectiveness of service delivery and outcomes:

· Hampshire met its statutory inspection obligations (C25 and C34)

· Nationally review procedures for child protection cases (C20) improved, but further improvement is required as only 25% of councils fully reviewed all their cases and only 13% took place on their due date. Hampshire was acceptable against this indicator, with 92% of cases being reviewed correctly and on time.

· Nationally duration on the child protection register (C21) reduced, signifying improved performance. Hampshire's performance continued the achieve the maximum **** awarded for this indicator.

· Nationally there was an increase in the proportion of looked after children adopted (C23), and Hampshire followed this trend with the percentage increasing from 4.6% to 6.3%

· Nationally 66% of looked after children had up-to-date immunisations and health checks (C19), but no data was provided for Hampshire as issues around medical confidentiality had not yet been satisfactorily completed

· Nationally 13% of looked after children were absent from school for at least 25 days (C24); in Hampshire only 8% of children were absent and our performance was considered good

· Although nationally three times more looked after children were cautioned or convicted (C18) than in the local population, in Hampshire our figure was much lower and we were awarded the maximum *** awarded for this indicator. This is the first year this indicator has been collected, and 'good' performance levels have not been fully analyses yet.

· Our ability to promote independence through the use of intensive home care (C28) has remained stable

Quality of services for users and carers:

· Despite improvements in many CSSR, only 90% of users are receiving equipment within 3 weeks (D38). Hampshire again exceeded this, 93% , although further improvement is needed to meet the national target set for 2004/5 of 95.57%.

· Nationally, 81% of users receive a statement showing how their needs will be met (D39). In Hampshire our performance was lower at 52%; linked to a change in national expectations around the provision of simple services. Further improvement is needed to meet the national target set for 2004/5 of 90.85%, and we are changing some internal procedures to assist in this.

· Nationally, almost 10% of adults and older people are not allocated a single room when they enter permanent residential or nursing care (D37). 13 of councils reported that less than 80% were allocated a single room. Hampshire achieved 81%, just above this threshold but similar to many neighbouring authorities

· Nationally, the proportion of clients receiving a review (D40) was 42%, with the proportion of carer assessments (D42) being 21% - both very low. Hampshire exceeded these figures with 44% of clients being reviewed and 47% of carers receiving an assessment - with carer assessments being awarded the maximum **** given for this indicator

· Long term stability of placements for looked after children (D35) is still very low, and 57% of CSSR have unacceptable performance. Like many other CSSR, Hampshire has poor performance against this indicator

· Nationally, a high proportion of users, 84%, felt they got help quickly (D36). In Hampshire our result was slightly above this, with 86% feeling they got help quickly

Fair Access:

· 18% of councils had fewer children in need from ethnic minorities than might be expected from their population mix (E45). Hampshire's performance did not match this, showing an over-representation of children from ethnic minorities.

· Nationally, 110 older people per 1,000 in the population were assessed (E49) and 84 were helped to live at home (C32), a rate of 76%. In Hampshire these figures were 107 and 37, a rate of 35%. Hampshire was only awarded * for helping older people to live at home, which is the lowest rating given. Although our performance is poor, we cannot currently count against this indicator many older people whom we provide services to, either through subsidising voluntary activities or allowing direct access to services, due to rigid government definitions. Many neighbouring authorities also perform poorly against this indicator, with most achieving the ** rating

· Nationally,68% of assessments for adults and older people led to provision of services (E50); slightly lower for black and ethnic minority groups (E48). This relationship varied significantly between councils. In Hampshire we provided services to 81% of people being assessed, just slightly lower for black and ethnic minority groups