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					My Life My Choice Programme
CCT Performance Report
March 2008
Section A: Activity / Service Usage
The following graph shows the number of service users against the planned number. The values are
cumulative and will be updated monthly.
The red crosses denote the quarterly targets submitted to the Dept of Health (DH) in Q4 07/08.


                                                   Service Usage: Complex Care Teams
                           14000
                                                                   Planned (Cumulative)
                           12000                                   Actual (Cumulative)
 Number of Service Users




                           10000


                           8000


                           6000


                           4000


                           2000


                                    0
                                                                                                                                                 Jul 08
                                                          Oct 07




                                                                                      Jan 08

                                                                                               Feb 08

                                                                                                        Mar 08
                                                                   Nov 07

                                                                             Dec 07




                                                                                                                              May 08

                                                                                                                                       Jun 08




                                                                                                                                                                                Oct 08




                                                                                                                                                                                                                             Mar 09
                                                                                                                                                                                         Nov 08

                                                                                                                                                                                                  Dec 08

                                                                                                                                                                                                           Jan 09

                                                                                                                                                                                                                    Feb 09
                                                 Sep 07




                                                                                                                                                                       Sep 08
                                                                                                                   Apr 08




                                                                                                                                                            Aug 08




                                                                                                                              Month
Comment: Activity between 1/9/07 and 31/3/08 is for CCTs in Exeter and North Devon.
All other CCT activity will be counted from 1 April 2008.
The number of Service Users up to 31 March 2008 is 1144, which exceeds the DH target of 927.



Section B: Other Performance Indicators                                                                                                                              (definitions in Annex A)

1) Core Indicators - Older Person’s Public Service Agreements (OP PSA’s):

                       a. Increase in Older People Helped to live at home
                                 Older People Helped To Live At Home                                                                   Target                    Actual

                                                 71.00
                                                 70.00
                            Older People (65+)
                              per 1,000 pop




                                                 69.00
                                                 68.00
                                                 67.00
                                                 66.00
                                                 65.00
                                                 64.00
                                                                   2005-6                      2006-7                       2007-8                        2008-9
                                                                                                                 Year

                                                                            2005-6             2006-7                   2007-8                  2008-9
                                                 Target                      67.00              68.00                    69.00                   70.00
                                                 Actual                      67.60              64.71                    69.55

                       Comment: The provisional figure for 2007/8 indicates improvement and that the target has been
                                exceeded.


529689da-d54f-418b-a18f-85674ad42836.doc                                                                                                                                                          Page 1 of 4
   b. Reduction in Emergency bed days
                                   Emergency Bed Days                          Target        Actual

    In-Year Bed Days   410,000


                       400,000


                       390,000


                       380,000


                       370,000


                       360,000

                                       2005-6       2006-7            2007-8              2008-9
                                                              Year

                                          2005-6    2006-7      2007-8         2008-9
                             Target        none     407,011     376,877        367,384
                             Actual       379,725   397,266     369,643

   Comment: The provisional figure for 2007/8 indicates improvement and that the value
            is within target .

   2) Complex Care Teams Local Indicators:
         a. Reduction in unnecessary emergency non-elective admissions

                       Emergency Non Elective Admissions              Target       Actual

                             16.00
    for ACS conditions per




                             14.00
      Hospital admissions

      100,000 population




                             12.00
                             10.00
                              8.00
                              6.00
                              4.00
                              2.00
                              0.00

                                       2005-6       2006-7           2007-8             2008-9
                                                             Year

                                          2005-6    2006-7      2007-8          2008-9
                             Target         none     none        none            13.64
                             Actual        11.36     12.04       11.67

   Comment: The provisional figure for 2007/8 indicates improvement.
            There are no targets for 2005/6, 06/7 or 07/8.

                             b. Number of Very High Intensity Users

                         Number of Very High Intensity Users                        Actual


                         100%
    Case Managed




                             80%
     VHIUs / Plan




                             60%

                             40%

                             20%

                             0%
                                       2005-6       2006-7   Year    2007-8              2008-9




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                                   2005-6   2006-7    2007-8      2008-9
                        Target      none     100%      100%       100%
                        Actual      None    30.8%     95.7%


   Comment: Improved performance in 2007/8 compared to 2006/7 and just below target.
             Awaiting confirmation whether there is a target other than 100%

                        c. Reduction in Permanent admissions to residential care
               Permanent admissions to residential care        Target      Actual
                         (Older People 65+)

                        100.00
     10,000 pop (65+)
     Admissions per




                         80.00

                         60.00

                         40.00

                         20.00

                          0.00
                                 2005-6      2006-7 Year 2007-8         2008-9

                                   2005-6   2006-7    2007-8      2008-9
                        Target       none    97.00     89.00       65.00
                        Actual      96.00    83.68     60.53

   Comment: The provisional figure for 2007/8 indicates improvement and a value within
            target for second consecutive year.



Mark Willis
Management Information Unit
Adult & Community Services
Devon County Council

Tel: 01392 380234
E-mail: mark.willis@devon.gov.uk
             th
Date: 30 April 2008




529689da-d54f-418b-a18f-85674ad42836.doc                                            Page 3 of 4
Annex A – Definition of Performance Indicators

1a) Number of people helped to live at home
From: Guidance note for Round 2 POPP pilots: Implementation Plans Dec 2006
Title: The number of older people helped to live at home per 1,000 population aged 65 and over.
This is the same as PSS PAF indictor AO/C32.
Definition:
Numerator - Older people aged 65 or over helped to live at home at 31 March.
Denominator - Population aged 65 or over.


1b) Emergency bed days
From: Guidance note for Round 2 POPP pilots: Implementation Plans Dec 2006
Definition:
In-year bed-days of Finished Consultant Episodes (FCEs) where the admission method is reported as emergency (HES field
admimeth, codes 21, 22, 23, 24, 28). Data is on a commissioner basis.
Exclusions: The target excludes emergency bed-days with the following primary diagnosis and external cause codes,
Primary diagnosis codes -
A00-B99, relating to infectious and viral diseases.
O00-Q99, relating to abortion and complications and abnormalities arising in labour, delivery and the neonatal and perinatal periods.
External cause codes -
V01-V99, relating to vehicular accidents


2a) Emergency non elective admissions
Title: Rate of hospital admissions for ACS conditions per 100,000 population
Definition:
Numerator - Total number of hospital admissions for ACS conditions
Denominator - 2001 Census based mid-year population estimates for the respective calendar years
Note: The 19 ACS conditions are: chronic obstructive pulmonary disease, angina ( without major procedure), ear nose and throat
infections, convulsions and epilepsy, congestive heart failure, asthma, flu and pneumonia ( over 2 months old), dehydration and
gastroenteritis, cellulitis ( without major procedure), diabetes with complications, pyelonephritis, iron deficiency anaemia,
perforated/bleeding ulcer, dental conditions, hypertension, gangrene, pelvic inflammatory disease, vaccine preventable conditions,
nutritional deficiencies


2b) Number of Very High Intensity Users
From: Healthcare Commission - Performance indicators for assessment 2006/2007
Definition:
Numerator - The actual number of very high intensity users (VHIUs) under the case management of a community matron or
additional case manager.
Denominator - The planned number of very high intensity users (VHIUs) under the case management of a community matron or
additional case manager.


2c) Permanent admissions to residential care (OP)
From: CSCI Adult Performance Indicators and Key Thresholds, 2007-08
Title: Older people aged 65 or over admitted on a permanent basis in the year to residential or nursing care.
This is the same as PSS PAF indictor AO/C72.
Definition:
Numerator - The number of older people aged 65 or over admitted to supported permanent residential and nursing care during the
year.
Denominator - Population aged 65 or over / 10,000.




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