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;
— 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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