Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents


8.  PSA AND DSO PERFORMANCE

8.1.11  For all DSO indicators which are not linked to another department's PSA, can the Department provide an explicit statement of progress where available? (Q102)

Answer

  1.  Of the 44 indicators in the Department's DSO indicator set, to which PSA indicators are a subset, there are 16 DSO indicators that are not linked to another government department's PSA. Of the 16, four are part of the Better Health DSO, seven are part of the Better Care DSO, and five are part of the Value for Money DSO.

  2.  The Department can update as follows:

    — In 2008-09, there were 11.9 acute and non-acute delayed transfers in care per 100,000 population aged 18 and over, a continuing decrease on the baseline of 14.9 in 2006-07.

    — At 2008-09, quarter 4 compared to quarter 1 data, there was a 1.4% improvement on lipid modification drugs prescribing; a 1.06% improvement on proton pump inhibitors prescribing; and a 0.10% decrease on renin-angiotensin drugs prescribing.

    — On financial balance (PCT), as reported in the PCT audited accounts for 2008-09, the NHS ended the 2008-09 financial year with a net surplus in PCT accounts of £448 million. At quarter 1 of 2009-10, PCTs are forecasting an overall surplus of £333 million, with only three PCTs forecasting a combined total operating deficit of £14 million. The Department is working through SHAs to ensure that the PCTs forecasting an operating deficit develop recovery plans to return to financial balance while maintaining and improving services to patients.

    — In 2008-09, some 79.8% of adults aged 18 and over waited four weeks or less for their social care assessment to be completed, and 90.7% of adults aged 65 and over waited four weeks or less from completed assessment to receipt of all services. This shows a slight but steady increase over the last three years for both indicators.

    — In 2008-09, some 6.5% of adults and carers received direct payments for social care, and increase from 5.6% in 2007-08.

    — In 2008-09, of people receiving a community-based service 23.0% had a carer who received a carer's specific service or advice and information after having a needs assessment or review.

    — The National Chlamydia Screening Programme has seen significant increases in the number of screens. In 2008-09, national coverage reached 15.9% of the target population. While just short of the Vital Signs indicator (17%), there were major increases from 2007-08 when national coverage was only 4.9%. Also, for the first quarter of 2008-09 (April to June) over 281,000 tests were reported outside of GUM clinics, compared to the same quarter last year there was a 45.5% increase in screening volumes. While it is too early to say if the 2009-10 Vital Signs indicator will be met, if current trends in testing coverage continue the Department would expect to move closer to monitoring chlamydia prevalence next year.

  3.  The position remains as reported in Departmental Report 2009 for:

    — public confidence in local NHS;

    — emergency bed days;

    — estates energy/carbon efficiency; and

    — proportion of all deaths that occur at home.

  4.  For the other DSO indicators, please refer to the answer provided for:

    — Q105 for the self-reported measure of people's overall health;

    — Q108 on older people aged 65 and over discharged for rehabilitation;

    — Q107 on preparedness for pandemic flu; and

    — Q113 on patient and user reported respect and dignity in their treatment.


 
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