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Every year, North Lanarkshire Health and Care Partnership has to set and report on Local Improvement Targets. These targets are designed to show that the partners are jointly achieving improved outcomes for people who use community care services and their carers.
Local Improvement Targets must be linked to the four national outcomes set by the Scottish Executive in a paper issued in March 2003. These are:
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Supporting more people at home, as an alternative to residential and nursing care, through local agreed joint service developments;
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Assisting people to lead independent lives through reducing inappropriate hospital admissions, reducing time spent inappropriately in hospital and enabling supported and faster discharges from hospital through service developments;
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Ensuring people receive an improved quality of care through faster access to services and better quality services; and
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Better involvement and support of carers.
This years, the targets are mainly about services for older people. Our report received an evaluation of 'meeting or close to meeting target' from the Executive.
National Outcome 1
Supporting more people at home, as an alternative to residential and nursing care.
Local Improvement Targets.
1.1 Increase number of older people (65+) receiving 20+ hours per week care packages by 20 (7%).
1.2 Maintain number of older people (65+) receiving 10+ hours per week care packages.
1.3 Increase number of Alert systems for over 65 age group by 400
1.4 Increase number of systems as a proportion of over 75 population (systems per 1000 75+ population) by 2.5%
1.5 Increase the number of people accessing assisted technology service by 20 (20%)
1.6 Adults with disabilities or mental ill health: increase by 10 the number of people with high support care packages which help them to live independently in the community
The baseline.
1.1 287
1.2 1153
1.3 7869
1.4 307
1.5 81 service users
1.6 301 (see note 2 below)
The definition of how your targets are being measured
1.1 and 1.2: Source: Social Work Information System
These figures are based on a full week of service at the end of the period
1.3 and 1.4 Source: Alert team statistics/mid-year population estimates
1.5 Source: SWIS/Joint Equipment Store
1.6 Source: Social Work Dept database (see note 1 and 2 below)
Note 1: In future years there will be a lower increase as resource constraints take effect.
Note 2: This figure has been amended. The previous figure of 341 included people with an individualised support arrangement through the day. This is now reflected in LIT 3.3.
Performance against target
1.1 274 (4.5% decrease; target not met)
1.2 1089 (5.6% decrease; target not met)
1.3 8491 (increase of 622; target exceeded)
1.4 330 (increase of 7.5%; target exceeded)
1.5 150 service users (increase of 85%; target exceeded)
1.6 325 (increase of 24; target exceeded) Note: this target has been removed from LITS 2006-7 and will be included in a refined form in LITs for adult care groups 2007-8
Action required
For both 1.1 and 1.2 there is a decrease, although the figure for 1.1 (20+ hours) is still higher than the 2004 baseline. Our target was over optimistic, but the decrease should be seen in the context of the Partnership's strong starting position. We provide over 10 hours of homecare to 24 older people per thousand, compared to a Scottish average of 17.1. It is also the case, confirmed in the last Annual Evaluation Statement that 'the balance of care is very positive'. In terms of the intensive homecare national target, the number of older people receiving intensive homecare as a proportion of long term care is 41.4% compared to the target of 30% by 2008.
Another factor influencing this indicator is the growth recorded in 1.5 in provision of assisted living systems. We believe that this may have had an impact on reducing the need for additional hours of homecare for certain service users.
There is also evidence that the proportion of home care clients receiving free personal care is rising, indicating better targeting of the service. Our target for 2006-7 and the following 2 years have been amended in the light of these factors.
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