The Committee received the Integrated Performance Report, which gave a
retrospective summary of the Council’s performance at the end
of Quarter 2 (April - September 2023) against the strategic
priorities and areas of focus set out in the Council Plan
2022-2027. Key sections of the report focussed on:
· Performance against the
Performance Management Framework
· Progress on the Integrated
· Management of
· Management of Risk
The Chair referred to the
pre-committee briefing session on performance and the Power BI
platform. Questions and comments were submitted on the following
- Clarity was provided
on the target and actual data for people supported in residential
or nursing care, both for people aged under and over 65 years of
age. In both cases this was an area where the current target was
being exceeded, so it was ‘not on track’. This was an
area where it would be useful to provide additional context in the
report and an offer was made to circulate a briefing
- Referring to the
above point, it was questioned if there was an increasing trend in
service demand. Pete Sidgwick said there had been an increase in
the number of people being supported and of those, a higher
proportion were in residential or nursing care placements. There
was a financial impact and currently, the cost per placement was
also higher. A perceived contributor was the worsening health and
wellbeing of an aging population. Reference also to the national
datasets, against which Warwickshire had historically compared
favourably. It was reported that the local data had increased but
all areas were seeing a similar growth in data for these
indicators. Increases in NHS activity also had an impact on the
number of people requiring onward care.
- A member asked if
increases in the cost of living was a contributor. This view was
not shared by officers, it being seen more as the worsening health
and wellbeing of the older population with significant care and
support needs. The Chair added that people were living longer with
acuity of need and increased frailty.
- It was noted that the
strategic risk register had been refreshed, with three areas
relating to Adult Social Care. Clarity was sought on the
classification of risk which differed in two sections of the
report. It was agreed that this be researched, and clarification
would be provided to members.
- Reassurance was
sought on the falling data for number of carers receiving support
each month. There had been no change in policy or procedures in
this area delivered by the Carers’ Trust. The data did
fluctuate with factors such as school holidays having an impact.
There had been a lot of work to improve performance in this area
and it was expected that the data would now level out.
- There was concern at
the forecast budget overspend for Adult Social Care, it being asked
if the forecast was realistic or if the end-of-year position could
be even worse. Officers responded that
the position would become clearer as the financial year-end
approached. The current pressures had not been seen historically
and no reduction in demand was expected. The forecast was believed
to be accurate. There was a recovery plan with actions in place to
mitigate the pressures.
- Information was
provided on carers who received direct payments, which was managed
by the Carers’ Trust.
- On care placements, a
member asked if there was data on the NHS contributions and
associated care thresholds. Pete Sidgwick gave an outline of the
differing approaches for younger and older age people requiring
support, the NHS and joint funding streams for eligible people.
This was a technical area, for which members may wish to receive a
detailed briefing. The Chair agreed this could be a useful briefing
or potential item for a future committee meeting.
The Committee noted the Quarter 2 Integrated Performance Report.