For the Committee to consider and comment on the Quarter 2 organisational performance and progress against the Integrated Delivery Plan.
Shade Agboola, Director of Public Health introduced this item and gave a presentation to pull out key messages. By way of introduction the report stated the wider national context which was a critical frame within which to view the Council’s performance. It reported the combined impact of political, global and macro-economic turbulence causing high inflation, rising interest rates and cost of living, increasing pressure on an already tight labour market, demand for public services and public finances.
The report summarised the Council’s performance at the end of the second quarter (April-September 2022) against the strategic priorities and areas of focus set out in the Council Plan 2022-2027. This report drew out relevant areas within the Committee’s remit from that presented to Cabinet on 10th November. Sections of the report together with detailed supporting appendices focussed on:
· Performance against the Performance Management Framework
· Progress against the Integrated Delivery Plan
· Management of Finance
· Management of Risk
The report provided a combined picture of the Council’s delivery, performance and risk. Overall Quarter 2 had seen a marginal decline in performance compared with the Quarter 1 position, reflecting the increasingly volatile, uncertain, and high-risk external environment. There were eleven key business measures (KBMs) within the remit of the committee. Of these, eight were reportable in this quarter, with six of the KBMs assessed as being on track and two were not on track.
The report detailed key emerging themes. These included increasing service demand, capacity issues impacting delivery across the organisation and difficulties in recruiting and retaining staff in a highly constrained national and local labour market.
There were notable aspects of positive performance, with the report highlighting that no care providers had exited the market due to business failure. Another area was the stability and performance in regard to the percentage of people under the age of 65, with eligible needs living in the community, who were accessing Adult Social Care.
There were some performance challenges, the main one being the number of people supported in residential or nursing care aged over 65. This had an upwards trajectory due to increased placements from the community and discharges from hospitals.
There were some actions identified as ‘at risk’. These related to capital programmes and projects, linked to current inflation levels and supply chain challenges. One of the Council’s strategic risks related to adult social care and health directly (widening of social, health, and economic inequalities post pandemic). Two others related to inflation and the cost of living. The economy might impact on service provision and service demand. At the service level, two risks had been higher than target for three consecutive quarters, those being the risk of care market failure and the risk of an ongoing impact on Public Health resources from responding to Covid-19.
The presentation included slides on:
· Council Plan 2022-2027: Strategic Context and Performance Commentary
· Performance relating to this Committee
· Area of focus: Support people to live healthy, happy, and independent lives and work with partners to ... view the full minutes text for item 6