Item 8 - Sheffield Health and Social Care

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