2020/21 Finance and Performance First Quarter Report Health and Adult Social Care
- Meeting of Health and Adult Social Care Policy and Scrutiny Committee, Tuesday, 10 November 2020 5.30 pm (Item 5.)
This report analyses the latest performance for 2020/21 and forecasts the financial outturn position by reference to the service plans and budgets for all the relevant Health and Adult Social Care services falling under the responsibility of the Corporate Director of Health, Housing & Adult Social Care.
Members considered a report which analysed the latest performance for 2020/21 and forecasted the financial outturn position by reference to the service plans and budgets for all the relevant Health and Adult Social Care services falling under the responsibility of the Corporate Director of Health, Housing & Adult Social Care, the Head of Finance: Adults, Children & Education and the Strategic Support Manager (Adults and Public Health), were in attendance to present the report and to respond to questions.
Key points arising from discussion of this item included:
· Overspend in quarter one was due to carried forward overspend from last year when the budget was set for 2021. The Covid emergency had impacted upon the ASC budget.
· Healthy Child Service had continued to operate throughout the pandemic adapting its service in the first wave of the pandemic. Routine home visits and new births were prioritised and then given continued support online and via telephone.
· Delayed Transfers of Care: The Department of Health and Social Care had suspended the monitoring of that information as it was considered that this was not a productive way to address performance concerns. The department does measure the length of time a patient remains in hospital once they are deemed fit – which should be hours not days.
· Haxby Hall: Members requested further explanation on the projected overspend, to its next meeting.
· Sickness rates of Adult Social Care staff had fallen officers considered this had been due to the flexibility of working from home. Measures to reduce this further included encouraging staff to get away from their desks, taking regular breaks and measures to support their physical and mental wellbeing.
· Health Checks: Members expressed concern regarding York’s underperformance in undertaking these checks as compared with the regional and national averages. These were NHS health checks that the government transferred for commissioning to local authorities, however the health checks were provided by GP practices. The local authority is reliant on GP service data to identify those invited for checks in the 40 – 75 age group. There had been a number of obstacles to getting this process underway. This had been a five year cycle which had started last year. The programme had been halted due to safety concerns in relation to Covid and Health Trainers had been re-deployed to support the contact tracing.
· Continuing Health Care (CHC) funding concern regarding ongoing issues of customers no longer qualifying for 100% CHC funding and responsibility passing across from Health to ASC – the Directorate assured Members that a lot of work had been done to ensure customers were receiving all of their entitlements.
· Psychological therapies (IAPT): Q2 data on improving access to this in the Vale of York CCG area shows the referrals to IAPT (504 per 100,000) are lower than the England average (953 per 100,000) this data is compiled by the NHS CCG as referrals are made by GPs . The Committee were advised to write to the Accountable Officer, NHS VOYCCG should they required further information on this aspect.
Resolved: That the Committee considered and noted the
2020/21 Finance and Performance First Quarter Report for Health and Adult Social Care.
Reason: So that the Committee is updated on the latest financial
and performance position for 2020/21.