Archived decisions

        CHILDREN'S SERVICES Appendix 1

    ACTION PLANS FOR PAF INDICATORS RAISING CONCERN

    A4: Employment, education and training for care leavers

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

    Action

    By whom

    Deadline

    1

    Information Team to provide lists of names for each year's care leavers and those to be contacted each month.

      · Systems in place

    Tim Crook

    DONE

    Jan 2003

    2

    CLASS Team Managers to set up systems within their teams to ensure that contact is attempted with all care leavers on a quarterly basis.

    CLASS Team Managers / Howard Firth

    DONE

    Jan 2003

    3

    A co-ordinated approach to the development of work provided by TES workers across the county, to ensure equality of access to education, training and employment and consistent development of services.

    Howard Firth

    March 2003

    4

    Monthly monitoring of care leaver contacts (to include details of those in employment, training and education).

    Jan 2003 ongoing

    5

    Regular evaluation and monitoring of practice and procedures impacting on this indicator.

    Implementation of improvements to the service.

    The Leaving Care Implementation Group

    Feb 2003

    B8 Cost of services for children looked after

    The average gross weekly expenditure per looked after child in foster care or in a Children's Home.

    Action

    By whom

    Deadline

    1

    Setting of Hampshire Rate for consistency of approach

    SS/MC/JJ/MM

    2

    Regular review of F. Care or Residential Care Package as part of routine Care Management

    Form of words in C. Management Manual

    Procedure clarifying expectation that all resources are reviewed at both stat. and non-stat. reviews; and guidance on standard and exceptional payments

    MC/Henright/GW

    ditto

    SS/GW/MC/SHough/GH

    3

    Formal business process to ensure that all new Placements (FC or Res.) are taken through approvals and recording and reporting process [eg RAG; Costed Care Plans)

    Finance Task Group

    4

    Detailed s/sheet or database of ALL F. Care Approvals - type and availability in order that we have accurate and up-to-date info. re. vacancies

    Jennie Pollyblank

    5

    Parental contributions - need clarification of `rules' ie when and in what circumstances we should be seeking P.Cs; followed by revision of current Hampshire procedures to ensure full income generation

    JP/SS/GW

    6

    Monthly monitoring and evaluation through the QP Management Group.

    Graham Wright

    March 2003

    7

    Work with FSU on logic behind some apportionment procedures in PSS EX1 return

    FSU/??

    B9 Unit cost of children's residential care

    The average gross weekly expenditure per looked after child in a Children's Home.

    Action

    By whom

    Deadline

    Please see notes 2,3 and 5 above in B8

    Monthly monitoring and evaluation through the QP Management Group.

    Graham Wright

    March 2003

    B10 Cost of services for children in foster care

    The average gross weekly expenditure per looked after child in foster care.

    Action

    By whom

    Deadline

    see 1 to 6 above in B8

    Monthly monitoring and evaluation through the QP Management Group.

    Graham Wright

    March 2003

    C19 Health of children looked after

    The average of the percentage of children looked after at 30 September who had been looked after continuously for at least 12 months and who had routine health checks, dental checks and an up-to-date immunisation record

    NB Indicator changing for 2002-3. Immunisations no longer part of PAF set, but still collected by the SSI

    Action

    By whom

    Deadline

    1

    The appointment of 2 short term dedicated, peripatetic admin. workers to ensure that all medicals and dental checks recorded on files are input into SSS.

    Steve Love and Alisdair Couper-Johnson to identify.

    Appointment Feb 2003. work to be completed March 31st 2003

    2

    The above work will be targeted. A list of children with missing data to be produced by the stats. team

      · Weekly interrogation implemented

    Tim Crook

    DONE

    Feb 2003

    3

    To identify a Senior Designated Manager within SSD to oversee the implementation of the guidance promoting the Health of Looked After Children and project manage improvements.

    Steve Love / Terry Butler to identify.

    Feb 2003

    4

    Implementation of the guidance promoting the Health of Looked After Children to include a joint protocol with all PCTs (which includes a commitment to sharing information).

    Senior Designated Manager

    April 2003

    5

    A short term interagency group to be set up to oversee the implementation of the new guidance, ensuring corporate commitment to improving this indicator.

    Senior Designated Manager / Strategic Health Authority.

    April 2003

    6

    Monthly monitoring and evaluation of work and progress to this PI by the QP Management Group.

    Graham Wright

    March 2003

    D35 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.

    Action

    By whom

    Deadline

    1

    Stats Team to produce a list of the children who make up the 40% of children included in this indicator.

      · List prepared

    Tim Crook

    DONE

    Feb 2003

    2

    Further analysis is required using the above list to identify factors impacting on this indicator. Details to be reported back to DMT

    Sue Stewart

    March 2003

    3

    Permanence Teams to ensure permanence plans for children identified as requiring permanence placements.

    Jackie Oldfield

    4

    Monthly monitoring and evaluation of work and progress to this PI by the QP Management Group.

    Graham Wright

    March 2003

    then ongoing

    ADULT SERVICES

B11 Intensive Home Care as a percentage of intensive home and residential care

Two blobs, Ask questions.

2001-2 result 17%, good performance 30%<50% nationwide.

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

A study of other indicators shows that this one is poor due to lack of intensive care at home, rather than too much use of residential and nursing care. As such it does not need a separate action plan.

C28 Intensive Home Care

Two blobs, Ask questions.

2001-2 results 5.7, 2002-3 forecast 6.5, good performance 16<45 nationwide.

Households receiving intensive home care per 1,000 population aged 65 or over.

     

    Proposed actions

    By whom

    Deadline

    Linked actions

    1

    Each OP and Adult Team to identify users falling in to this category for all users for which they are/were responsible for 2002/3

      · Area analysis provided for OP

      · Adult work underway - systems issues around some services

    IAT/ OP and Adult Teams

    March 2003

    DONE

    4

    2

    Each OP and Adult Team to identify users just failing to meet the criteria - through reduced hours or visits (eg 8 hours, under 6 visits)

      · Work done. Yielded few users meeting criteria

    IAT/OP and Adult Teams

    June 2003

    DONE

    4

    3

    Each OP and Adult Team to identify users just failing to meet the criteria - through alternative care (such as day care)

      · Work done. Minimal impact possible

    IAT/OP and Adult Teams

    June 2003

    DONE

    None

    4

    Project Team set up to analyse results and recommend actions

      · OP will yield incremental intensive care users. Action team set up and work plan under agreement

      · OP Strategic County Manager taking forward business case to DMT/Members

    PMU/ IAT/ OP

    April - September 2003

    		  

    5

    Decisions (PRC?) on Hampshire's policy on achieving PSA targets

    DMT

    November 2003

    		  

B12 Cost of intensive social care for adults and older people

Two blobs, Ask questions.

2001-2 result £444, good performance £274<£365 in Shires.

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

In Outer London the good performance range is £349<£465, so Hampshire's result is mainly linked to area price differences rather than poor practice. As such performance is likely to remain poor, unless the SSI recognises area price differentials in a more sophisticated way when assessing blob ranges.

No further action is recommended for this indicator

B14 Unit cost of residential and nursing care for adults with learning disabilities

Two blobs, Ask questions.

2001-2 result £738, good performance £437<£582 in Shires.

Average gross weekly expenditure per person on supporting adults with learning disabilities in residential and nursing care.

     

    Proposed actions

    By whom

    Deadline

    Linked actions

    1

    Each LD Team to identify users with high cost placements for all users for which they are responsible for 2002/3 onwards, discussing expensive placements with senior management

    IAT/ LD Teams

    Ongoing

    DONE

    		  

    2

    Investigation into recording accuracy of all LD placements (including respite and shared care/s28a) to ensure maximum residential weeks included in computation

      · FSU investigating accounting guidance for users with joint Health and SSD responsibility

      · Work underway with units to ensure all in-house respite care fully counted

      · FSU liaising with other authorities on historic accounting for Preserved Rights users

    IAT/ LD Teams/ FSU

    Ongoing - but accurate data for 2002/3 vital

    		  

D37 Availability of single rooms

Two blobs, Ask questions.

2001-2 results 80%, good performance 95%<100% nationwide.

The percentage of single adults and older people going into permanent residential and

nursing care who were allocated single rooms.

     

    Proposed actions

    By whom

    Deadline

    Linked actions

    1

    A workgroup is set up to investigate the feasibility of collecting this data for all people placed in residential/nursing care

    IAT/ OP and Adult Teams

    March 2003 then ongoing

    		  

    2

    Customer/user surveys to investigate placements in shared rooms (eg in shared until single room available etc)

    IAT/ OP and Adult Teams

    Summer 2003

    		  

    3

    Work with Care Standards Agency to investigate the availability (ratio) of single rooms in the county

      · This data is not held in a retrievable format

    IAT/ OP and Adult Teams

    DONE

    4

    4

    Work with local supplier organisations to investigate the availability (ratio) of single rooms in the county

    PMU/ OP and Adult Teams

    Summer 2003

    		  

D39 % of people receiving a statement of their needs and how they will be met

One blob, Investigate urgently.

2001-2 result 70%, good performance 100%

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

Hampshire is in the worst quartile for this indicator, despite significantly improving on 2000-1's performance.

     

    Proposed actions

    By whom

    Deadline

    Linked actions

    1

    A workgroup is set up to detail/agree procedures needed to implement statements as part of contractual arrangements with all external providers

    IAT/ OP and Adult Teams

    March 2003 then ongoing

    3

    2

    Training for all Teams on the importance of this to SSD and users - good recording/sharing practice

    IAT/ OP and Adult Teams

    Autumn 2003

    		  

    3

    Liaison with FSU Compliance Officer on recording arrangements for bulk contracts/grants

    PMU/FSU

    ongoing - summer 2003

    1

    4

    Improved links with Joint Equipment Stores to include equipment users meeting criteria

      · OT clients

      · JES equipment only users

      · Sensory Services

    PMU/PD

    ongoing - summer 2003

    		  

    5

    Close links with SWIFT implementation team to ensure current ad hoc arrangements are built in to new systems

    PMU/IAT

    ongoing - summer 2004

    		  

    6

    Role of in-house provider services to be investigated

      · against DoH regulations

      · ACMS access arrangements

    IAT/ PMU /OP and Adult Teams

    ongoing - summer 2003

    		  

D40 Clients receiving a review

Two blobs, Ask questions.

2001-2 results 32%, good performance 60%<95% nationwide.

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

     

    Proposed actions

    By whom

    Deadline

    Linked actions

    1

    A workgroup is set up to detail/agree procedures needed to implement reviews as part of contractual arrangements with all external providers

    IAT/ OP and Adult Teams

    March 2003 then ongoing

    		  

    2

    Training for all Teams on the importance of this to SSD and users - good care management practice

    IAT/ OP and Adult Teams

    Autumn 2003

    		  

    3

    Liaison with FSU Compliance Officer on recording arrangements for bulk contracts/grants

    PMU/FSU

    ongoing - summer 2003

    		  

    4

    Improved links with Joint Equipment Stores to include equipment users meeting criteria

      · OT clients

      · JES equipment only users

      · Sensory Services

    PMU/PD

    ongoing - summer 2003

    		  

    5

    Close links with SWIFT implementation team to ensure current ad hoc arrangements are built in to new systems

    PMU/IAT

    ongoing - summer 2004

    		  

    6

    Role of in-house provider services to be investigated

      · against DoH regulations

      · ACMS access arrangements

    IAT/ PMU /OP and Adult Teams

    ongoing - summer 2003

    		  

E46 Users who said matters relating to race, religion or culture were noted

Two stars, Ask questions.

2001-2 results 40%, good performance 80%<100% nationwide.

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").

No further action required as indicator deleted

E47 Ethnicity of older people receiving assessments

Two blobs, Ask questions.

2000-1 results 2.48, good performance 1<2 nationwide.

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.

No further action on this indicator required until the 2001 census results are available