Renfrewshire Council: the Audit of Best Value and ... - Audit Scotland
Renfrewshire Council: the Audit of Best Value and ... - Audit Scotland
Renfrewshire Council: the Audit of Best Value and ... - Audit Scotland
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esponding well to <strong>the</strong> local challenges <strong>and</strong> delivering a programme <strong>of</strong> service redesign, change <strong>and</strong><br />
improvement. Its management processes are developing well to support this, with examples <strong>of</strong><br />
strategic projects such as <strong>the</strong> roll-out <strong>of</strong> electronic care records with care partners <strong>and</strong> <strong>the</strong><br />
development <strong>and</strong> roll-out <strong>of</strong> <strong>the</strong> social work information system.<br />
Community care<br />
133. The service is in <strong>the</strong> process <strong>of</strong> major modernisation <strong>of</strong> services for various community care client<br />
groups. In particular, <strong>the</strong> council with its strategic NHS partner, (formerly) NHS Argyll & Clyde,<br />
published its first Joint Future Annual Plan in June 2005, <strong>and</strong> its performance in delivering joint future<br />
targets was judged by <strong>the</strong> national joint improvement team in 2004/05 to be in <strong>the</strong> top quartile <strong>of</strong><br />
Scottish councils.<br />
134. This good progress is despite considerable difficulties associated with <strong>the</strong> dissolution <strong>of</strong> NHS Argyll<br />
<strong>and</strong> Clyde on 31 March 2006. (NHS services in <strong>Renfrewshire</strong> are now being delivered by a new body,<br />
NHS Greater Glasgow <strong>and</strong> Clyde). In <strong>the</strong> period leading up to dissolution, factors such as uncertainty<br />
over resources <strong>and</strong> delays in establishing a Community Health Partnership (CHP) slowed progress on<br />
joint service developments. However, <strong>the</strong> CHP has existed in shadow form since 1 April 2006, <strong>and</strong> is<br />
intended to be fully operational by <strong>the</strong> end <strong>of</strong> 2006. As a result, joint work <strong>and</strong> projects such as <strong>the</strong><br />
development <strong>of</strong> a new multi-agency service unit in Renfrew are anticipated to progress.<br />
135. Despite <strong>the</strong>se difficulties <strong>the</strong> council can demonstrate good progress on developing new joint planning<br />
structures <strong>and</strong> major joint commissioning strategies were progressed during 2005 for a number <strong>of</strong><br />
community care client groups including older people, mental health services, <strong>and</strong> learning disability<br />
services. The council was reported in <strong>the</strong> Joint Performance Improvement Assessment Framework<br />
(JPIAF) annual statement for 2004/05 as making ’good progress’ in developing a holistic approach to<br />
<strong>the</strong> balance <strong>of</strong> care. In addition, <strong>the</strong> single shared assessment tool was launched in October 2004 <strong>and</strong><br />
piloted for all community care client groups. The JPIAF annual statement for 2004/05 reported ’steady<br />
progress’ in this regard. The council can demonstrate that it is successfully tackling delayed<br />
discharges. It reports that <strong>the</strong> number <strong>of</strong> delayed discharges has fallen by 69 per cent (i.e. 119 to 37)<br />
in <strong>the</strong> three years to April 2006.<br />
136. SPIs suggest that <strong>the</strong>re is scope for improvement in homecare services for older people. In 2004/05,<br />
<strong>the</strong> council was ranked 28 out <strong>of</strong> 32 Scottish councils for <strong>the</strong> proportion <strong>of</strong> homecare clients aged 65+<br />
receiving evening <strong>and</strong>/or overnight care. The service aims for its ongoing review <strong>of</strong> <strong>the</strong> service,<br />
building upon a successful recruitment drive in 2004-05, to have a positive impact on this performance<br />
in <strong>the</strong> future. The joint commissioning strategy for older people developed by <strong>the</strong> council <strong>and</strong> its NHS<br />
partner brings toge<strong>the</strong>r a number <strong>of</strong> changes to shift <strong>the</strong> balance in care for older people in favour <strong>of</strong><br />
more independent living.<br />
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