Archived decisions

Appendix 1

Throughout this appendix references are made to Hampshire's peer group. For publication purposes, and when awarding blobs, Hampshire is compared with other Shire authorities. Many of these counties are of limited relevance to Hampshire, being in the Midlands or the North where different market conditions apply. Many northern Shire counties appear to have an increased market capacity, better availability of suitable staff and a lower cost base for many services.

Hampshire feels that its best comparators are South East Shire counties such as Surrey, Sussex and Kent; as all experience similar problems around rurality and prevailing market conditions. Although PAF indicators for these counties are available, weighted figures are not; so for comparison purposes indicators are provided for Outer London authorities as the best available approximation. The Social Services Inspectorate acknowledges this issue; publishing a South East Regional analysis for the Position Statements which includes many PAF indicators. It has also been suggested that unit cost indicators may have a `cost weighting' applied in future years, to remove regional bias.

A1 BVPI 49 C&F Stability of Placements of Children Looked After

The percentage of children looked after at 31st March with 3 or more placements during the year.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	16%	16%	13%	14%	79%
1999/2000	15%	15%	12%	14%	87%
2000/1	13%	13%	12%	13%	80%
2001/2	12%	12%	12%	14%	86%

Hampshire was awarded 5 blobs (very good) for this indicator and showed average performance in comparison with other councils.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 13%, which we just missed. The target for 2002-3 is 12%, matching the national average.

A2 BVPI 50 C&F Educational qualifications of Children Looked After

The percentage of young people leaving care aged 16 or over with at least 1 GCSE at grade A*-G or a GNVQ

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1999/2000	31%	36%	27%	42%	49%
2000/1	37%	42%	25%	62%	26%
2001/2	41%	47%	34%	47%	36%

Hampshire was awarded 3 blobs (acceptable) for this indicator, yet showed performance slightly above average.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 78%, which we missed. Actual performance was 47%, which highlighted the fluctuations to be expected between years given the small number of young adults involved and the varying ability mixes often apparent between years. This indicator is also impacted by the decision of increasing numbers of children to attend college; thus not leaving care at 16 and distorting the indicator. As these students leave care in later years with better qualifications, this causes a blip in the results rather than establishing a trend of poor results. Accordingly the target for 2002-3 remains at 78%, well within the national target of 70-100%.

This indicator is reflected in the Public Service Agreement which includes targets for the percentage of children leaving care with 5 A*-G grades (Target 7a) and the number with 5 A*-C grades (Target 8).

A3 BVPI - C&F Re-registrations on the Child Protection Register

The percentage of children registered during the year on the Child Protection Register who had been previously registered

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	15%	15%	11%	14%	75%
1999/2000	14%	14%	10%	14%	83%
2000/1	14%	14%	11%	13%	80%
2001/2	14%	15%	10%	14%	80%

Hampshire was awarded 3 blobs (acceptable) for this indicator and showed performance just below average

A4 BVPI 161 C&F Employment, education and training for care leavers

The percentage of those young people who were looked after on 1 April in their 17th year (aged 16), who were engaged in education, training or employment at the age of 19

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2001/2	46%	46%	54%	35%	58%

Hampshire was awarded 1 blob (investigate urgently) for this indicator.

An underlying factor was the lack of a specialist team to support, and maintain contact with, care leavers. Contact, if any, was frequently ad hoc with minimal recording in client files, causing data collection problems for this indicator. It is expected that the creation of the care leavers team, and the consequent rise in profile of the corporate parent role, will facilitate contact and consequentially recording. This will allow monitoring of existing performance and service planning. It is believed that many of the young adults still in contact with SSD at 19, are in contact as they are still in need of support; this will have a detrimental effect on the indicator.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. No target was provided for 2001-2, as this was a new indicator for which no benchmarks were available. The target for 2002-3 is 45%, similar to the national average.

A5 BVPI - Adult (was OP) Emergency Admissions to hospital

Percentage change on the previous year in total emergency admissions to hospital per 1,000 population

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	73	69	59
2001/2	73	69	57
% change	+0.2%	+1.0%	-3.9%	+1.7%

This is a re-defined indicator. It is now based on the percentage change from the previous year in emergency admissions to hospital per 1,000 in the population. It used to be based on emergency admissions of people aged 75+ to hospital per 1,000 in the population aged over 75; and reported on by Health Authority.

Hampshire was awarded 3 blobs (acceptable) for this indicator and showed average performance

A6 BVPI - Adult Emergency Psychiatric re-admissions

Emergency psychiatric re-admissions within 90 days of hospital discharge as a percentage of people aged 18-64 discharged from the care of a psychiatric specialist

	England	Shires & Unitaries	Inner & Outer London	Health Authorities covering Hampshire	% authorities achieving 3 blobs
1998/9	13.6%	14%	12%
1999/2000	13.0%	13%	13%
2000/1	12.8%	12%	13%
2001/2	12.7%	13%	13%	14.8%

The Hampshire & Isle of Wight Health Authority was considered as average against this indicator

B7 BVPI - C&F Children Looked After in foster placements or placed for

adoption

Of children looked after at 31 March (excluding those placed with parents) the percentage who were in foster placements or placed for adoption

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2001/2	80.8%	82%	75%	78%	91%

This indicator has been revised to remove children placed with a parent from the calculation, so only one year's data is shown.

Hampshire was awarded 3 blobs (acceptable) for this indicator and showed below average performance

When viewed alongside C22, which repeats this indicator for the subset of children under 10 and shows 93%, it can be seen that the major difficulty is around family placements for older children.

B8 BVPI 51 C&F Costs of Services for Children Looked After

Average gross weekly expenditure per looked after child in foster care or in a children's home

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£545	£553	£647	£729	68%
2001/2	£587	£605	£711	£763	56%

Hampshire was awarded 2 blobs (ask questions) for this indicator and showed very poor performance in comparison with other Shire authorities

During recent year's Hampshire has been restructuring in-house residential provision. This has resulted in reduced occupancy rates, and consequential increased unit costs. Additionally, some other children's homes have become surplus to needs, also impacting on the cost base. As these issues are resolved it is hoped that unit costs fall closer to national levels.

B9 BVPI - C&F Unit cost of Children's residential care

Average gross weekly expenditure per looked after child in a children's home

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£1910	£2224	£1692	£2951	70%
2001/2	£2129	£2471	£2069	£3118	76%

Hampshire was awarded 2 blobs (ask questions) for this indicator and showed poor performance in comparison with other Shire authorities

As mentioned previously, during recent year's Hampshire has been restructuring in-house residential provision. This has resulted in reduced occupancy rates, and consequential increased unit costs.

B10 BVPI - C&F Unit cost of foster care

Average gross weekly expenditure per looked after child in foster care

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£281	£270	£411	£344	73%
2001/2	£312	£307	£452	£380	67%

Hampshire was awarded 2 blobs (ask questions) for this indicator and showed poor performance in comparison with other Shire authorities. However performance was similar to that of other authorities in the region, and costs were lower than for Outer London . This is interesting given the increasing use of foster carers based in Hampshire by these authorities.

B11 BVPI - Adults Intensive care at home as a % of intensive home and

residential care

The number of households receiving intensive home care as a percentage of all adults and older people in residential and nursing care and households receiving intensive home care

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	19%	17%	25%	18%	55%
1999/2000	20%	18%	28%	17%	65%
2000/1	22%	19%	28%	18%	73%
2001/2	23%	20%	29%	17%	76%

Hampshire was awarded 2 blobs (ask questions) for this indicator and showed below average performance.

This indicator should be looked at alongside C28 (intensive home care per 1,000 older people) and C26 and C27 (admissions to residential care). From this it can be seen that the problem is not that too many people are admitted to residential care, but that too few are supported to live in the community using intensive residential care. More details on this are provided under C28 analysis.

B12 BVPI 52 Adults Cost of intensive social care for adults and older

people (residential, nursing and care at home)

Average gross weekly expenditure per person on supporting adults and older people in residential and nursing care and providing intensive care at home

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£398	£390	£459	£416	68%
2001/2	£419	£418	£499	£444	70%

Hampshire was awarded 2 blobs (ask questions) for this indicator and showed below average performance in comparison with other Shire authorities, although similar performance to other authorities in the region.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target provided for 2001-2 was £350, but this was based on a different definition of unit costs so misleading. The target for 2002-3 is £462, similar to the regional average. The high level of costs in the region is linked to the regional shortage in market capacity for both domiciliary and residential care.

B13 BVPI - OP Unit cost of residential and nursing care for Older

People

Average gross weekly expenditure per person on supporting older people in

residential and nursing care

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£338	£325	£431	£318	75%
2001/2	£358	£350	£457	£344	77%

Hampshire was awarded 3 blobs (acceptable) for this indicator and showed average performance in comparison with other Shire authorities. This is one of the unit costs which reflects Shire county expenditure levels, rather than regional ones. However it is expected that significant price increases paid to providers, to boost market capacity, will impact on costs for 2002-3, consequently returning us to the regional level.

B14 BVPI - LD Unit cost of residential and nursing care for People

with Learning Disabilities

Average gross weekly expenditure per person on supporting adults with learning

disabilities in residential and nursing care

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£633	£644	£653	£711	68%
2001/2	£725	£697	£816	£738	68%

Hampshire was awarded 2 blobs (acceptable) for this indicator and showed below average performance in comparison with other Shire authorities, although good performance against other authorities in our region.

As users with lower needs move into supported accommodation with their own tenancies, in line with commissioning plans, they are removed from this indicator. This leaves clients with higher needs predominating, thus increasing the unit costs.

B15 BVPI - MH Unit cost of residential and nursing care for Adults with

mental illness

Average gross weekly expenditure per person on supporting adults with mental

illness in residential and nursing care

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£418	£380	£444	£388	72%
2001/2	£448	£415	£505	£401	68%

Hampshire was awarded 3 blobs (acceptable) for this indicator and showed average performance in comparison with other Shire authorities, low for the region.

Due to the wide spread of results for this indicator, it is believed that other authorities classify some s28a costs differently and probably account for clients with multiple diagnosis in various ways. Because of this, the indicator should be treated with caution.

B16 BVPI - PD Unit cost of residential and nursing care for Adults with

physical Disabilities

Average gross weekly expenditure per person on supporting adults with physical

disabilities in residential and nursing care

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£518	£521	£630	£548	68
2001/2	£534	£521	£690	£568	75

Hampshire was awarded 3 blobs (acceptable) for this indicator and showed reasonable performance in comparison with other Shire authorities, although being above the average rate. Costs were consistent with other regional authorities.

B17 BVPI - Adults Unit cost of home care for Adults and Older People

Average gross hourly cost for home help/care

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	£11.40	£11.70	£12.40	£11.00	70%
2001/2	£11.90	£12.30	£12.70	£11.90	72%

Hampshire was awarded 4 blobs (good) for this indicator and showed above average performance in comparison with other Shire authorities. This is one of the unit costs which reflects Shire county expenditure levels, rather than regional ones. However it is expected that significant price increases paid to providers, to boost market capacity, will impact on costs for 2002-3, consequently returning us to the regional level.

C18 BVPI - C&F Final warnings/reprimands and convictions of Children

Looked After

The percentage of children aged 10 or over who had been looked after continuously for at least 12 months, who were given a final warning/reprimand/caution or convicted during the year for an offence committed whilst they were looked after; expressed as a ratio of all children aged 10 or over given a final warning/reprimand/caution or convicted for an offence in the police force area

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	3.0	3.0	2.6	1.7	46%
2001/2	3.0	3.3	2.1	2.9	54%

Hampshire was awarded 3 blobs (acceptable) for this indicator and showed average performance

Caution should be exercised with this indicator as the base data covers the whole police authority, not just Hampshire.

C19 BVPI - C&F Health of Children Looked After

The average of the percentage of children looked after as at 30 September who had been looked after continuously for at least 12 months, and who had routine immunisations up to date, had their teeth checked by a dentist during the previous 12 months, and had an annual health assessment during the previous 12 months.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	65.7%	70%	64%	n/a	70%
2001/2	69.3%	73%	66%	31%	79%

Hampshire was awarded 1 blob (investigate urgently) for this indicator and showed very poor performance.

This situation is expected to improve over time, due to the re-modelling of children's services. The creation of the reviewing officer posts highlights when this information is missing from children's records, aiding the collection of this data. It is believed that practice exceeds the performance shown by this indicator, with performance being affected by historic poor recording.

C20 BVPI 162 C&F Reviews of Child Protection cases

The percentage of child protection cases which should have been reviewed during the

year that were reviewed.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	87%	89%	87%	94%	56%
1999/2000	81%	87%	76%	92%	49%
2000/1	87%	88%	79%	92%	68%
2001/2	93%	91%	93%	93%	86%

Hampshire was awarded 4 blobs (good) for this indicator, although showing below average performance in comparison with other authorities.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target provided for 2001-2 was 100%, reflecting best practice. Due to staffing shortages this target was not reached but the target for 2002-3 remains at 100%, reflecting national standards to which Hampshire should be adhering.

C21 BVPI - C&F Duration on the Child Protection Register

The percentage of children de-registered from the Child Protection Register during the year who had been on the register continuously for two years or more

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	13%	8%	18%	2%	69%
1999/2000	12%	9%	15%	2%	71%
2000/1	11%	9%	16%	5%	74%
2001/2	10%	7%	17%	8%	79%

Hampshire was awarded 4 blobs for this indicator and showed good performance

C22 BVPI - C&F Young children looked after in foster placements or

placed for adoption

Of children looked after at 31 March (excluding those placed with parents) and under the age of ten, the percentage who were in foster placements or placed for adoption.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2001/2	96%	97%	93%	93%	90%

This is the first year of an amended definition which excludes children placed with their parents. Hampshire was awarded 3 blobs for this indicator and showed poor performance in comparison with many other authorities.

C23 BVPI 163 C&F Adoptions of Children Looked After

The number of looked after children adopted during the year as a percentage of the number of children looked after on 31 March who had been looked after for 6 months or more at that date.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2001/2	6.8%	7.0%	4.4%	6.0%	63%

The definition was revised for 2001-2 and now only counts children looked after for 6 months or more as at the end of March. Hampshire was awarded 3 blobs for this indicator and showed performance just below average; narrowly missing the two blob range.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 8%, which we missed. The target for 2002-3 is 10%, mid way through the range indicating best practice. At present we are expected to fall short of this target. The Public Service Agreement sets a target of 84 children to be adopted in 2004-5; although some can be offset against a permanent 'friends and family' placement not leading to adoption. The target of 84 children in 2004-5 needs to be compared with the 49 adopted during 2001-2.

C24 BVPI - C&F Children Looked After absent from school

The percentage of children, who had been looked after continuously for at least 12 months and were of school age, who missed a total of at least 25 days of schooling for any reason during the previous school year.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	12%	11%	8%	8%	75%
2001/2	12%	10%	10%	6%	73%

Hampshire was awarded 4 blobs for this indicator and showed very good performance, being amongst the best authorities. (Only 7 authorities were awarded 5 blobs)

C25 BVPI - C&F Inspections of Children's Homes

The percentage of inspections of residential care homes for children which should have been carried out that were carried out.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	96%	96%	98%	100%	78%
1999/2000	100%	100%	100%	100%	100%
2000/1	99.6%	99.9%	100%	100%	98%
2001/2	99.1%	99.0%	100%	100%	97%

Hampshire was awarded 5 blobs for this indicator and showed average performance.

This function was transferred to the National Care Standards Commission during April 2002, and consequently has been dropped from future PAF indicators for Hampshire.

C26 BVPI - OP Admissions of supported residents aged 65+ to

residential or nursing care

Supported admissions of older people to permanent residential and nursing care per 10,000 population aged 65 or over

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	128	115	102	115	61%
1999/2000	124	112	101	112	65%
2000/1	109	100	94	86	83%
2001/2	109	103	95	92	87%

Hampshire was awarded 5 blobs for this indicator and showed good performance

Although not set stretched targets in the Public Service Agreement, this performance must be maintained at 5 blobs to 'activate' the money linked to the older person's independence targets around delayed discharges (subset of D41) and intensive care at home(C28).

C27 BVPI - Adults Admissions of supported residents aged 18-64

to residential or nursing homes

Supported admissions of adults to permanent residential and nursing care per 10,000 population aged 18 - 64

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	4.2	3.7	4.7	4.0	67%
1999/2000	3.9	3.3	4.1	3.9	75%
2000/1	3.3	3.1	2.4	2.7	87%
2001/2	2.9	2.8	2.9	1.9	93%

Hampshire was awarded 4 blobs for this indicator and showed just below average performance, having supported too few people into residential or nursing care. It must be questioned how the concept of too few people entering care, as targeted for this indicator, links with the government's intention of supporting as many people to live independently as possible through the use of intensive care at home and the Supporting People agenda.

C28 BVPI 53 Adults Intensive Home Care

Households (any age) receiving intensive home care per 1,000 population aged 65 or over. NB The definition of intensive home care is "more than 10 contact hours and 6 or more visits during the week" - it excludes care provided through Direct Payments, people attending day services or any other activities outside the home.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	7.8	6.0	10.6	6.0	49%
1999/2000	8.8	6.4	12.3	5.6	60%
2000/1	9.3	7.1	13.1	5.9	64%
2001/2	9.9	7.4	13.5	5.7	72%

Hampshire was awarded 2 blobs for this indicator and showed poor performance. Despite this Hampshire performed better than Southampton, Bournemouth, Surrey, East Sussex, West Sussex and Dorset; probably indicating problems around the provision of this service in the South of England. It is also interesting to note how Shire and unitary authorities perform significantly worse that metropolitan and London authorities against this indicator.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 6.2%, which we just missed. The target for 2002-3 is set at 6.3% in the Best Value Performance Plan, and we are expecting to slightly over achieve on this.

This indicator was a required part of the Public Service Agreement; due to our historic poor performance against national targets. Accordingly, Hampshire has been set a target of 18 households per thousand older people to be achieved by 2004/5. This will entail a threefold increase in provision, so it is not yet certain that this stretched target can be achieved within existing resources - both Hampshire's financial constraints and market capacity to provide the service.

C29 BVPI - PD Adults with physical disabilities helped to live at home

Adults with physical disabilities helped to live at home per 1,000 population aged

18 - 64

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	3.5	3.1	3.2	2.1	49%
1999/2000	3.7	3.4	3.5	2.3	40%
2000/1	3.7	3.3	3.2	1.6	50%
2001/2	3.7	3.3	3.7	5.2	56%

Hampshire was awarded 5 blobs for this indicator and showed good performance

C30 BVPI - LD Adults with learning disabilities helped to live at home

Adults with learning difficulties helped to live at home per 1,000 population aged

18 - 64

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	2.3	2.3	2.0	2.2	53%
1999/2000	2.3	2.4	2.0	2.2	65%
2000/1	2.4	2.6	2.1	1.9	69%
2001/2	2.6	2.7	2.2	2.2	77%

Hampshire was awarded 3 blobs for this indicator and showed just below average performance

C31 BVPI - MH Adults with Mental Health problems helped to live at home

Adults with mental health problems helped to live at home per 1,000 population aged

18 - 64

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	1.7	1.4	2.7	0.7	58%
1999/2000	2.2	1.8	3.1	1.0	76%
2000/1	2.6	2.3	3.1	2.8	83%
2001/2	3.1	2.9	3.4	3.2	93%

Hampshire was awarded 5 blobs for this indicator and showed good performance

C32 BVPI 54 OP Older People helped to live at home

Older people helped to live at home per 1,000 population aged 65 or over

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	82	69	98	51	50%
1999/2000	85	74	101	47	55%
2000/1	83	71	89	37	54%
2001/2	85	74	89	85	58%

Hampshire was awarded 3 blobs for this indicator and showed average performance, although above average for a Shire county.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 43, which we exceeded significantly following clarification of the specific counting requirements with the SSI. The target for 2002-3 is set at 90 in the Best Value Performance Plan, and we are expecting to achieve this.

C33 BVPI - OP Avoidable harm for older people (falls and hypothermia) Admissions to hospital of people aged 75 and over due to hypothermia or injury caused by a fall, per 1,000 head of population aged 75 or over

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	21	22	18	18	78%
1999/2000	23	22	20	19	73%
2000/1	21	21	18	19	81%
2001 (calendar)	21	21	17	19	83%

Hampshire was awarded 4 blobs for this indicator and showed above average performance

NB Data for the 2001 calendar year is provided as data for the financial year 2001/2 was not available.

C34 BVPI - Adults Inspections of residential care for adults and

older people

The percentage of inspections of residential care homes for adults and older people which should have been carried out that were carried out.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	97%	97%	98%	80%	62%
1999/2000	99.63%	99.82%	98.71%	100%	91%
2000/1	99.77%	99.68%	99.88%	100%	95%
2001/2	99.94%	99.93%	100%	100%	99%

Hampshire was awarded 5 blobs for this indicator and showed average performance

This function was transferred to the National Care Standards Commission during April 2002, and consequently has been dropped from future PAF indicators for Hampshire

D35 BVPI - C&F Long Term Stability of Children Looked After

The percentage of children who had been looked after continuously for at least 4 years, who were currently in a foster placement where they had spent at least 2 years

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	50%	53%	50%	45%	47%
1999/2000	51%	49%	53%	42%	45%
2000/1	50%	52%	51%	42%	43%
2001/2	51%	51%	53%	40%	50%

Hampshire was awarded 2 blobs for this indicator and showed poor performance, just avoiding 'one blob' status.

This is believed to be linked to both positive policy issues and changes in the demographic mix. Workers in the childcare sector are trying to re-locate children placed outside Hampshire within the county, to facilitate contact with relatives in line with government objectives. There is also the mix of children to consider, older children are moving in to hostels ready for when they leave care and children with disabilities frequently remain within a school or other residential setting. Further work need doing to benchmark our data with other authorities.

D36 BVPI 57 Adults Users who said they got help quickly

The percentage of survey respondents asked "Arranging or receiving help or services: Did you get the help quickly after a decision was made to provide services?" answering "yes"

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	84%	86%	77%	86%	93%
2001/2	83%	85%	76%	83%	97%

Hampshire was awarded 4 blobs for this indicator and showed average performance.

This question will be replaced in future years; based on a three year cycle across services/client groups. The question for 2002/3 will relate to older people in receipt of care in the home only.

D37 BVPI - Adults Availability of single rooms

The percentage of single adults and older people going into permanent residential or nursing care who were allocated single rooms

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1999/2000	91%	89%	87%	80%	77%
2000/1	91%	90%	90%	81%	84%
2001/2	90%	88%	92%	80%	85%

Hampshire was awarded 2 blobs for this indicator and showed very poor performance.

This might be due to availability of single beds given the limited market capacity in the sector; it might also be linked to our historic unit costs (B13) which were low in comparison with other authorities in the area.

D38 BVPI 56 Adults % of equipment delivered within 3 weeks

Percentage of items of equipment costing less than £1,000 delivered within 3 weeks

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	87%	87%	89%	85%	60%
1999/2000	91%	91%	91%	93%	77%
2000/1	92%	91%	92%	93%	82%
2001/2	93%	90%	93%	88%	86%

Hampshire was awarded 3 blobs for this indicator and showed below average performance. This reflects well on the county considering the size of the operation in comparison with many other authorities - our nearest comparator is Essex which achieved 4 blobs.

Most authorities provide a limited range of equipment, currently relying on Health to supply a wider range, and do not fit equipment which requires the use of a technicians service. Hampshire has been a leader in joint working with Health on community equipment and has provided an integrated service for several years, including a technicians service to install simpler aids and adaptations. This is consistent with the NSF for older people, and will be required of all authorities within the next few years.

For 2003-4 the PAF target indicator is being changed to the percentage of equipment delivered within 7 days, again in line with the NSF targets.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 96%, which we fell short of following clarification of the counting requirements with the SSI. The target for 2002-3 is set at 95% in the Best Value Performance Plan, although we are not now expecting to achieve this following clarification of the counting rules. However, performance will have improved on that for 2001-2 by around 2%.

D39 BVPI 58 Adults % of people receiving a statement of needs

The percentage of adults and older people receiving a statement of their needs and how they will be met.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1998/9	78%	74%	78%	56%	25%
1999/2000	83%	81%	78%	60%	27%
2000/1	86%	86%	82%	52%	33%
2001/2	87%	86%	83%	70%	42%

Hampshire was awarded 1 blob for this indicator and showed very poor performance, despite having significantly improved performance since 2000-1.

Historically, Hampshire has not provided all users with a statement of needs; this was seen as overly bureaucratic, expensive and confusing for many clients. Accordingly there are neither automated ways to provide such statements nor robust counting mechanisms. Work on improving this is ongoing, given the high profile of this indicator.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 85%, which we fell short of following clarification of the requirements by. The target for 2002-3 is also set at 85% in the Best Value Performance Plan, and we are hoping to achieve this.

D40 BVPI 55 Adults Clients receiving a review

Adult and older clients receiving a review as a percentage of all those receiving a service.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	42%	42%	43%	44%	39%
2001/2	47%	44%	47%	32%	49%

Hampshire was awarded 2 blobs for this indicator and showed poor performance, following clarification that non care managed users also needed to have their services reviewed. Historically, Hampshire has not reviewed all users to whom a service was provided; this was seen as overly bureaucratic, expensive and confusing for many clients. This was particularly true for users receiving services from a funded voluntary body or a specialist service such as mental health "pop in" centres. Accordingly there are neither automated ways to provide recording of "simple" reviews by providers nor created robust counting mechanisms. Work on improving this is ongoing, given the high profile of this indicator.

This indicator is a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 46%, which was missed following clarification of the requirements. The target for 2002-3 is set at 48% in the Best Value Performance Plan, and it is not expected this will be achieved given the revised understanding of the indicator's definition.

D41 BVPI - Adults Delayed discharges (revised)

The percentage of people in an acute hospital bed whose discharge is delayed

	England	Shires & Unitaries	London	North Hampshire	South East Hampshire and IoW	South West Hampshire
2001/2	5.2%	6%	6%	17.3%	6.5%	14.7%

This indicator has been revised to cover all delayed discharges, not just those for patients over 75 awaiting social care. Additionally, this data is still only available by Health Authority rather than council area - although this is expected to change for 2003/4 onwards. Having said this it must be admitted that Hampshire's performance is known to be poor from weekly SITREP status reports which identify social care clients. Publicly, Hampshire is linked to poor performance for this indicator with the 3 old Health Authorities all in the worst quartile. Work in solving this is very high profile, with both councillors and the DoH.

A subset of this indicator, dealing with clients over 75 years of age, is included as target in the Public Service Agreement. This target is very stretching, and Hampshire is working closely with Health on timely ways to monitor performance.

D42 BVPI - Adults Carer Assessments

The number of informal carers receiving an assessment as a percentage of the total number of clients and carers receiving assessments

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	21%	25%	17%	47%	29%
2001/2	23%	27%	15%	44%	45%

Hampshire was awarded 4 blobs for this indicator and had very high performance in comparison with other authorities. It should be noted that the range was 2 to 4 blobs; 1 and 5 were not awarded.

D43 BVPI - Adults Waiting times for care packages

For new adult and older clients, the percentage where the time from first contact to provision of service is more than 6 weeks

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2001/2	34%	30%	37%	20%	58%

Hampshire was awarded 4 blobs for this indicator and showed very good performance. However, it must be realised that data for this indicator was collected for the first time in 2001/2 and many council's were unsure of definitions and counting rules.

E44 BVPI 61 C&F Relative spend on family support

Gross expenditure on children in need but not looked after, as a percentage of gross expenditure on all children's services.

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	26%	24%	25%	25%	77%
2001/2	27%	26%	26%	30%	82%

Hampshire was awarded 4 blobs for this indicator and showed above average performance. It should be noted that the range was 2 to 4 blobs; 1 and 5 were not awarded.

This indicator was a Best Value Indicator, affecting assessment of Hampshire's corporate health. The target for 2001-2 was 35%, which was missed following a change in definition. No target for 2002-3 is set in the Best Value Performance Plan, as this indicators is expected to be deleted from the BVPI set.

E45 BVPI - C&F Ethnicity of children in need

The ratio of the percentage of children in need that were from minority ethnic groups to the percentage of children in the local population that were from minority ethnic groups

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
1999/2000	1.89	1.74	1.71	2.95	51%
2000/1	n/a	n/a	n/a	n/a	n/a
2001/2	1.61	1.79	1.51	2.28	58%

Hampshire was awarded 2 blobs for this indicator and showed below average performance. This is believed to be linked to demographic changes since the 1991 census rather than particularly bad practice.

E46 BVPI 60 Adults Users who said that matters relating to race,

religion or culture were noted

The percentage of survey respondents asked "Assessing your needs: Did social services staff take note of any important matters relating to your race, culture or religion?" answering "yes" (excluding those who answered "not applicable"

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	37%	37%	36%	41%	43%
2001/2	39%	38%	39%	40%	48%

Hampshire was awarded 2 blobs for this indicator and showed average performance. As with many other authorities, this indicator is severely distrusted as it removes any users who answer "not applicable" from the sample - in Hampshire's case this amounts to nearly half the respondents.

This question will be replaced in future years; based on a three year cycle across services/client groups. The question for 2002/3 will relate to older people in receipt of care in the home only.

This indicator was a Best Value Indicator, affecting assessment of Hampshire's corporate health. No targets were set for 2001-2 or 2002-3, as there was no base data was available at the time of publication. This indicator has now been deleted from the BVPI set.

E47 BVPI - OP Ethnicity of Older People receiving assessments

The percentage of older service users receiving an assessment that are from minority ethnic groups, divided by the percentage of older people in the local population that are from minority ethnic groups

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2001/2	2.19%	2.99%	2.08%	2.48%	42%

Hampshire was awarded 2 blobs for this indicator and showed reasonable performance, although slightly higher than expected in DoH targets. This is believed to be linked to demographic changes since the 1991 census rather than poor practice.

E48 BVPI - OP Ethnicity of older people receiving services following

an assessment

The percentage of older service users receiving services following an assessment that are from minority ethnic groups, divided by the percentage of older service users assessed that are from minority ethnic groups

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2001/2	0.99	0.88	1.01	0.97	89%

Hampshire was awarded 4 blobs for this indicator and showed good performance

E49 BVPI 59 OP Assessments of older people

The numbers of assessments of older service users per 1,000 head of population aged 65 or over

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	110	104	122	107	84%
2001/2	113	107	111	199	93%

Hampshire was awarded 5 blobs for this indicator and showed significantly higher performance than most authorities. Officers are investigating definitional aspects around the understanding of 'assessment' with other authorities.

Although this is a Best Value indicator, no base data was available when targets were being set. Historical data was for all adult users, rather than just older people.

E50 BVPI - Adults Assessments of Adults and Older People leading to

provision of service

The percentage of assessments which lead to services being provided

	England	Shires	Outer London	Hampshire	% authorities achieving 3 blobs
2000/1	68%	66%	64%	81%	81%
2001/2	68%	68%	60%	80%	91%

Hampshire was awarded 4 blobs for this indicator, yet showed below average performance. This is probably linked to the high number of assessments reported, rather than poor practice. (see E49)