Item 8 - Sheffield Health and Social Care

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Drug and alcohol servicesThe service continues to prioritise ensuring timely access to primary and secondary care treatment.The service aims to ensure all of Sheffield’s population that would benefit from the range of servicesprovided in drug and alcohol treatment are able to access support. The service adopts a range ofapproaches to engage with people from this vulnerable service user group.Priorities for next year including further expansion of the universal screening tool to increase the numberof people accessing primary care services for alcohol problems and maximising the numbers of peoplesupported and ready to finish treatment drug and/or alcohol free.Learning disability servicesA key area of focus has been ensuring that people with complex and challenging behaviours are supported throughcommunity focused support packages within Sheffield and the individual’s local community as far as possible.During the last year the service has made good progress in supporting people to return to Sheffield fromout of town placements. Within our local inpatient services we have ensured that individual clients do notexperienced prolonged periods in hospital beyond what the client needs. We have delivered care that iswell co-ordinated and focus on the needs of individuals, and delivered in a personalised and dignifiedway (as evidenced by visit reports from the CQC).Drug and alcohol servicesDrugsNo client to wait longer than 3 weeks from referralto medical appointmentNo drug intervention client to wait longer than5 days from referral to medical appointmentNo Premium client should wait longer than 48ours from referral to medical appointmentNo prison release client should wait longer than24 hours from referral to medical treatment% Problematic drug users retained in treatmentfor 12 weeks or moreAlcohol single entry and accessNo client to wait longer than 1 week from referralto assessmentNo client to wait longer than 3 weeks from Single Entryand Access Point assessment to start of treatmentOutcomes, self careThis yearstargetHow did wedo in year2011 – 12How did wedo this year100% 100% 100%100% 100% 100%100% 100% 100%100% 100% 100%90% 94% 95%100% 100% 100%100% 100% 100%Learning disability servicesNo-one should experience prolonged hospital care(‘Campus beds’)All clients receiving hospital care should have fullhealth assessmentsAssessments and supporting plans for theircommunication needsInformation source: Insight & Trust internal clinical information systemThis yearstargetNilHow did wedo in year2011 – 12NilHow did wedo this yearNil todate100% 100% 100%100% 100% 100%Dementia servicesOur specialist inpatient service for people with dementia and complex needs has prioritised its focus onimproving the care pathway to ensure discharge in a timely manner either home or as close to a person’shome as possible. This results in much better outcomes for the individual concerned. This has enabledmore throughput into the ward but recognises the increasing complexity of the service users admitted.We continue to explore ways to build on the excellent success of the memory service in improved accessand improved diagnosis rates within Sheffield. Making further improvements in this area is a priority forus next year.Initial Treatment Outcome Profile (TOP) completed 100% 96% 98%Review TOP completed 100% 80% 71%Discharge TOP completed 100% 100% 100%All clients new to treatment receive physical healthcheck as part of comprehensive assessmentNumber of service users and carers trained in overdoseprevention and harm reduction% Successful completions for the provision of treatmentfor injecting-related wounds and infections100% 100% 100%240 292 27275% 85% 94%Dementia servicesThis yearstargetHow did wedo in year2011 – 12How did wedo this yearDischarges from acute care (G1) 30 34 53Number of assessments for memory problemsby memory management services900 876 918Rapid response and access to home treatment 350 338 339Waiting times for memory assessment N/A 14.5 weeks16.3 weeksprojectedInformation source: National Drug Treatment SystemInformation source: Insight & Trust internal clinical information system117118
Independent living and choiceIndependent living and choiceThis yearstargetHow did wedo in year2011 – 12How did wedo this yearMental health servicesThis yearstargetHow did wedo in year2011 – 12How did wedo this yearAccess to equipment• Community equipment to be delivered within7 days of assessment95% ofitems to bedeliveredwithin 7 days95.3%95.2%projectImproving access to psychological therapies• Number of people accessing services• Numbers of people returning to work5,36489 people10,661396 (18.6%)10,735344 (31%) (a)Choice and control• People accessing direct payments to purchasetheir own social care packagesN/A263 peoplewith budgetsagreedFurther 203activelyexploring454 peoplewith budgetsagreedFurther 312activelyexploring• Number of people achieving recoveryEarly intervention• People should have access to earlyintervention services when experiencinga first episode of psychosis50%90 new casesper year49.5%136 newclientsaccessedservices46%107 newclientsaccessedservicesInformation source: Insight & Trust internal monitoring systemsMental health servicesServices continue to perform well across a range ofmeasures used to monitor access and co-ordination ofcare, achieving all national targets expected of mentalhealth services. A range of key service changes havebeen introduced during the last year (for informationabout them see our Annual Report), and the Trust hasensured that performance levels have been maintainedduring times of extensive change.7 day follow up standards. This is influenced mainlyby failures to achieve the standard in the secondquarter of the year. Following review at the time ourdischarge arrangements were strengthened further.Sheffield Health and Social Care NHS Trust hastaken the following actions to improve this.• Improved information sharing and monitoringof client circumstances to ensure the follow uphappened as plannedAccess to home treatment• People should have access to home treatmentwhen in a crisis as an alternative to hospital care‘Gate keeping’• Everyone admitted to hospital is assessedand considered for home treatmentDelayed transfers of care• Delays in moving on from hospital careshould be kept to a minimum1,202episodes to beprovided90% ofadmissions tobe gate-keptNo morethan 7.5%1,443episodesprovided99.4%Nationalaverage97.4% (b)1,418episodesprovided99.5%Nationalaverage98.2% (b)4.2% 4.7%The table below highlights our comparativeperformance on 7 Day follow up and Gatekeepingindicators. Sheffield Health and Social Care NHSFoundation Trust believes that its above averageperformance on gatekeeping is due to its robustcare pathway arrangements across communitymental health team, home treatment and inpatientservices. The Trust is below average in respect of• Combined with all service users who aredischarged receiving additional telephone basedsupport immediately after their discharge, inaddition to the planned follow up visit.These measures will support improvements in thequality of our services over the next year.7 day follow up• Everyone discharged from hospital on CPAshould receive support at home within 7days of being dischargedAnnual care reviews• Everyone on CPA should have an annualreview with their care coordinator95% ofpatients to befollowed up in7 days95%96.8%Nationalaverage97.3% (b)98.7%95%Nationalaverage98.2% (b)98%• Everyone on CPA should have a formalreview of their care plan90%89.5%86.3%Information source: Insight & Trust internal clinical information systemNote(a) 31% represents the % of those who were not in work at the beginning of treatment, who had returned to work at the end of treatment.During 2012/13 1,099 of the 10,735 people seen where not in work at the beginning of treatment. 344 of them (31%) returned to workby the time treatment had been completed.(b) Comparative information from Health and Social Care Information Centre. 2012/13 national average figure based on data published for theApr 12-Dec12 period.119120
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ANNUAL REPORT AND ACCOUNTS2012 - 20
Page 6:
2.0 Directors’ Report2.1 Foundati
Page 9 and 10: • The directorate manages beds fo
Page 11 and 12: • Changes in demand are starting
Page 13 and 14: 2.5 An overview of our arrangements
Page 15 and 16: This development is an important st
Page 17 and 18: 2.16.5 Sickness AbsenceThe Trust re
Page 19 and 20: 2.17.7. Key financial risks and cha
Page 21 and 22: SHSC Headquarters at Fulwood House3
Page 23: B) Pension benefitsAs Non-Executive
Page 26 and 27: Governors at the Annual Members mee
Page 28 and 29: Number ofseats2 YoungService user/C
Page 30 and 31: 6.0 MembershipFoundation Trust stat
Page 32 and 33: Service User artwork at Moncrieffe
Page 34 and 35: Name Position Term Number of meetin
Page 36 and 37: 7.3.4 Remuneration and Nominations
Page 38 and 39: Paul RobinsonACMA, CGMAExecutive Di
Page 40 and 41: 8.0 Staff SurveyThe Trust employs a
Page 42 and 43: Art therapy session on ward G1In ad
Page 44 and 45: 10.0 Sustainability ReportOur appro
Page 46 and 47: Part 2A: A review ofour priorities
Page 48 and 49: How did we do?We believe we are mak
Page 50 and 51: How did we do?We have made positive
Page 52 and 53: 101How do our structures help ensur
Page 54 and 55: Improving the management of Violenc
Page 56 and 57: National audit of psychological tre
Page 58 and 59: Part 3: Review of ourquality perfor
Page 62 and 63: 3.3 Service user experienceComplain
Page 64 and 65: Memory servicesSurveys have led to
Page 66 and 67: It was harder for the Committee to
Page 68 and 69: This report, including the conclusi
Page 70 and 71: 13.0 Annual Governance Statement13.
Page 72 and 73: of the systems of internal control.
Page 74 and 75: • Reports from External Audit;•
Page 76 and 77: We are not required to assess, nor
Page 78 and 79: The Accounts of Sheffield Health an
Page 80 and 81: SUPPORTING NOTESTO THE ACCOUNTSNote
Page 82 and 83: Revaluation gains and lossesIncreas
Page 84 and 85: of all assets less the value of all
Page 86 and 87: 3.4 Operating income by type compri
Page 88 and 89: The aggregate of remuneration recei
Page 90 and 91: No assets were held under finance l
Page 92 and 93: 13. Cash and cash equivalents15. Tr
Page 94 and 95: A provision of £729,000 relates to
Page 96 and 97: The value of transactions with boar
Page 98 and 99: Actuarial gains and losses are reco
Page 100: 17.0 ContactsSheffield Health and S
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Item 8 - Sheffield Health and Social Care

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