Outcomes and metrics - Cumbriacouncilportal.cumbria.gov.uk/documents/s27726/Cumbria Better...

2014/15 Operational Plans

Metrics Current Baseline

(as at….)

Performance underpinning

April 2015 payment

Performance underpinning

October 2015 payment

Metric Value 670.3 610

Numerator 720

Denominator 107560 116308 (NHS Outcomes)

( April 2012 - March 2013 ) ( April 2014 - March 2015 )

Metric Value 84.3 88

Numerator 311

Denominator 369 116,308 (NHS Outcomes)

( April 2012 - March 2013 ) ( April 2014 - March 2015 )

Metric Value 464.2 460.9 436.7

Numerator 22536 16902 10704.6

Denominator 404600 407471.6988 408531.3435

( April 2012 - March 2013 ) ( April - December 2014 ) ( January - June 2015 )

Metric Value 2367.8 1104.8 1276.5

Numerator 11818 5546.7 6408.7

Denominator 499104 502041.5 502041.5

( April 2012 - March 2013 ) ( April - September 2014 ) ( October 2014 - March 2015 )

( insert time period ) ( insert time period )

Metric Value 19.6 19.7 19.8

Numerator

Denominator

as at April 2012 to March 2013 as at April 2013 to March 2014 as at April 2014to March 2015

If planning is being undertaken at multiple HWB level please include details of which HWBs this covers and submit a separate version of the metric template both for each HWB and for the

multiple-HWB combined

Permanent admissions of older people (aged 65 and over) to residential and

nursing care homes, per 100,000 populationN/A

[local measure - please give full description ] Social Care related quakity of

life 12/13baseline 19.6. 13/14f igure 19.7, 14/15 igure 19.8 (data will not

enter into template).

Proportion of older people (65 and over) who were still at home 91 days after

discharge from hospital into reablement / rehabilitation servicesN/A

Outcomes and metrics

For each metric other than patient experience, please provide details of the expected outcomes and benefits of the scheme and how these will be measured.

The metrics should be seen to improve around a series of operational options, designed to impact on all measures rather than individual discreet ones. These options are part of the BCF plan and

include, Accountable care co-ordinator from most relevent agency (health, social care, housing , third sector), embed access to advice and information and support at community level through

innovative partnerships with the third sector and Housing,.An integrated single point of access for unscheduled care and hospital discharges. Social Worker presence in A and E units 7 days a

week, improvement in pharmacy delivery in acute hospitals through 7 day pharmacy cover, access to generic domiciliary care (GDC), reablement and rehabilitation 7 days a week, access to step

up/step down beds in the system 7 days a week, introduction of emergency floors at acute hospitals in Cumbria.

For the patient experience metric, either existing or newly developed local metrics or a national metric (currently under development) can be used for October 2015 payment. Please see the

technical guidance for further detail. If you are using a local metric please provide details of the expected outcomes and benefits and how these will be measured, and include the relevant

details in the table below

For each metric, please provide details of the assurance process underpinning the agreement of the performance plans

Strategic governance will be provided through the Cumbria Health and Wellbeing Board. Operational governance arrangements will be undertaken through NHS Trust boards, the NHS Cumbria

Clinical Commissioning Group’s governing body and Cumbria County Council’s cabinet and overview and scrutiny body as well as Cumbria Housing Executive Group.

As described in section 1C a partnership programme board has overseen the development of this draft plan. The programme board includes two members of the Health and Wellbeing Board.

Delayed transfers of care from hospital per 100,000 population (average per

month)

Avoidable emergency admissions (composite measure)

Patient / service user experience [for local measure, please list actual

measure to be used. This does not need to be completed if the national

metric (under development) is to be used]

N/A

03/04/2014 of 27 NHS Cumbria CCG

ASCOF 1a Social care-related quality of life

Metrics CUMBRIA April 2010 - March 2011 April 2011 - March 2012April 2012 - March 2013

(Baseline)April 2013 - March 2014 April 2014 - March 2015

CUMBRIA 19.5 19.3 19.6 19.7 19.8

Numerator 7255 179845 170830

Denominator 375 9315 8705

ENGLAND 18.7 18.7 18.8 18.8 18.8

Social Care related quality

of life 12/13baseline 19.6.

13/14f igure 19.7, 14/15

igure 19.8

Composite Measure on Social care-related quality of life

0

5

10

15

20

25

20

12

/13

Ba

seli

ne

Ra

te

Cumbria 1st Quartile 2nd Quartile 3rd Quartile 4th Quartile England

Composite Measure on Social Care-related quality of life

18

18

18

19

19

19

19

19

20

20

20

April 2010 - March 2011 April 2011 - March 2012 April 2012 - March 2013 (Baseline) April 2013 - March 2014 April 2014 - March 2015

Cumbria Trend

CUMBRIA

ENGLAND

England Trend

Cumbria (october 2015 payment target)

ASCOF 2a Permanent admissions of older people (aged 65 and over) to residential and nursing care homes, per 100,000 populationMetrics CUMBRIA April 2010 - March 2011 April 2011 - March 2012 April 2012 - March 2013

(Baseline)

April 2013 - March 2014 April 2014 - March 2015

CUMBRIA 700.9 669.1 670.3 660.0 645.0

Numerator 710 695 720

Denominator 101440 103565 107560

ENGLAND 686.6 695.9 697.2 697.2 697.2

Permanent admissions of

older people (aged 65 and

over) to residential and

nursing care homes, per

100,000 population

Composite Measure on permanent admissions of older people

0

200

400

600

800

1000

1200

1400

1600

20

12

/13

Ba

seli

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Ra

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Composite Measure on permanent admissions of older people

610

620

630

640

650

660

670

680

690

700

710


Cumbria Trend

CUMBRIA

ENGLAND

England Trend

Cumbria (October 2015 payment target)

ASCOF 2b Achieving independence for older people through rehabilitation/Intermediate careMetrics CUMBRIA April 2010 - March 2011 April 2011 - March 2012 April 2012 - March 2013

(Baseline)

April 2013 - March 2014 April 2014 - March 2015

CUMBRIA 86.2 87.5 84.3 86.0 88.0

Numerator 263 330 311

Denominator 305 377 369

ENGLAND 82.0 82.7 81.4 81.4 81.4

Achieving independence for

older people through

rehabilitation/Intermediate

care

Composite Measure on Achieving independence for older people through rehabilitation/Intermediate care

0

20

40

60

80

100

120

20

12

/13

Ba

seli

ne

Ra

te


Composite Measure on Achieving independence for older people through rehabilitation/Intermediate care

78

80

82

84

86

88

90


Cumbria Trend

CUMBRIA

ENGLAND

England Trend

Cumbria (october 2015 payment target)


E.A.4

Composite Measure on emergency Admissions

NHS Cumbria CCG

Operational Plans 2014/15

OUTCOME AMBTION 3

(links to Domain 3 of the NHS Outcomes Framework)

Reducing the Amount of time people spend avoidably in hospital through better and more integrated care in the community, outside hospital

Numerator: Includes any admission matching the criteria in any of the 4 individual indicator published by the HSCIC

Denominator The sum of the population registered with each CCGs’ practices, October 2013

Metric to set ambition against Rate per 100,000 population, indirectly age-sex standardised to the England population

Baseline year 2012/13

LOCAL AUTHROITY LEVEL TRAJECTORIES

Cumbria Adms Popn Rate # % # % Adms Popn Rate # % # % Adms Popn Rate # % # %

2011/12 10596 499817 2120.0 10596 499817 2120.0 10596 499817 2120.0

Baseline (2012/13) 11818 499104 2367.8 247.9 12% 247.9 12% 11818 499104 2367.8 247.9 12% 247.9 12% 11818 499104 2367.8 247.9 12% 247.9 12%

2013/14 (Apr - Sept) 5883 501216 2347.5 -20.4 -1% -20.4 -1% 5883 501216 2357.3 -10.6 -0.4% -10.6 -0.4% 5883 501216 2357.3 -10.6 0% -10.6 0%

2014/15 12077 502042 2405.6 37.8 2% 58.1 2% 11955 502042 2381.4 13.5 0.6% 24.1 1.0% 11641 502042 2318.8 -49.0 -2% -38.5 -2%

2014/15 (Apr -Sept) 5603 502042 1116.1 5547 502042 1104.8 5401 502042 1075.8

2014/15 (Oct - Mar) 6474 502042 1289.5 6409 502042 1276.5 6240 502042 1243.0

2015/16 12389 502829 2463.8 95.9 4% 58.1 2% 11953 502829 2377.1 9.3 0.4% -4.2 -0.2% 11422 502829 2271.5 -96.4 -4% -47.3 -2%

2016/17 2521.9 154.1 7% 58.1 2% 2327.2 -40.7 -1.7% -50.0 -2.1% 2203.5 -164.4 -7% -68.0 -3%

2017/18 2580.1 212.2 9% 58.1 2% 2249.1 -118.7 -5.0% -78.1 -3.4% 2125.4 -242.4 -10% -78.1 -4%

2018/19 2638.2 270.4 11% 58.1 2% 2161.2 -206.6 -8.7% -87.9 -3.9% 2037.5 -330.3 -14% -87.9 -4%

E.A.1 Cumbria LA %

ACS Conditions 916.46 30%

Paed asthma, diabetes and

epilepsy368.47 12%

acute conds not usually

requiring adm1234.90 40%

Paed LRTI Admissions 547.17 18%

Trends England

2009 1911.6 1.0

2010 1999.8 2.0

2011 1996.3 3.0

Baseline (2012) 2053.7 4.0

2013/14 2096.1 5.0

2014/15 2123.0 6.0

2015/16 2172.9 7.0

2016/17 2207.5 8.0

2017/18 2245.9 9.0

2018/19 2288.2 10.0 1.1142

Seasonality %

Apr-Sept 46%

Oct-Mar 54%

Proposed Trajectory Change cf 12/13Change cf prev

yrAll Ints

Change cf

12/13

Change cf prev

yrNational Trend Change cf 12/13 Change cf prev yr


0

500

1000

1500

2000

2500

3000

3500

4000

20

12

/13

Ba

seli

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Ra

te



1600

1800

2000

2200

2400

2600

2800

2011/12 Baseline (2012/13) 2013/14 (Apr - Sept) 2014/15 2015/16 2016/17 2017/18 2018/19

Cumbria Traj - Do Nothing

Cumbria - All Ints and Flat

Cumbria - Proposed Trajectory

Cumbria

England

England Trend

Assumptions:

1. 13/14 Full year reflects M1-M6 13/14

2. the Any Town % reductions can be applied directly to the 2012 baseline (although it is a 5 year baseline)

Proposed trajectories for the 4 indicators have been aggregated into the composite indicator using the proportions above (taken from LA data). 5603 6474

6 monthly targets split according to historic seasonality.



Unplanned hospitalisation for chronic ambulatory care sensitive conditions

Numerator: The number of finished and unfinished admission episodes, excluding transfers, for patients with an emergency method of admission and with primary diagnoses for chronic ambulatory care sensitive conditions




Cumbria LA All Ints # % # %Proposed

Trajectory# % # %

2005/06 1056.6 1056.6

2006/07 1012.6 -44.0 -4% -44.0 -4% 1012.6 -4% -44.0 -4%

2007/08 895.0 -161.6 -15% -117.6 -12% 895.0 -15% -117.6 -12%

2008/09 954.3 -102.2 -10% 59.3 7% 954.3 -10% 59.3 7%

2009/10 907.9 -148.6 -14% -46.4 -5% 907.9 -14% -46.4 -5%

2010/11 872.1 -184.4 -17% -35.8 -4% 872.1 -17% -35.8 -4%

2011/12 836.0 -220.5 -21% -36.1 -4% 836.0 -21% -36.1 -4%

Baseline (2012/13) 916.5 -140.1 -13% 80.4 10% 916.5 -13% 80.4 10%

2013/14 916.5 0.0 0% 0.0 0% 916.5 0.0% 0.0 0.0%

2014/15 884.1 -32.4 -4% -32.4 -3.5% 920.5 0.4% 4.0 0.4% Do Nothing

2015/16 851.8 -64.7 -7% -32.4 -3.7% 912.0 -0.5% -8.5 -0.9% Acute Visiting

2016/17 819.4 -97.1 -11% -32.4 -3.8% 887.1 -3.2% -25.0 -2.7% Acute Visiting and Meds

2017/18 787.1 -129.4 -14% -32.4 -3.9% 854.7 -6.7% -32.4 -3.6% Full Implementation


Cumbria LA Do Nothing # % # %

Appropriate

Safe Meds

Use

# % # %

Acute

Visiting

Service

# % # %Telecar

e# % # %

2005/06 1056.6 1056.6 1056.6 1056.6

2006/07 1012.6 -44.0 -4% -44.0 -4% 1012.6 -4% -44.0 -4% 1012.6 -44.0 -4% -4% 1012.6 -44.0 -4% -44.0 -4%

2007/08 895.0 -161.6 -15% -117.6 -12% 895.0 -15% -117.6 -12% 895.0 -161.6 -15% -12% 895.0 -161.6 -15% -117.6 -12%

2008/09 954.3 -102.2 -10% 59.3 7% 954.3 -10% 59.3 7% 954.3 -102.2 -10% 7% 954.3 -102.2 -10% 59.3 7%

2009/10 907.9 -148.6 -14% -46.4 -5% 907.9 -14% -46.4 -5% 907.9 -148.6 -14% -5% 907.9 -148.6 -14% -46.4 -5%

2010/11 872.1 -184.4 -17% -35.8 -4% 872.1 -17% -35.8 -4% 872.1 -184.4 -17% -4% 872.1 -184.4 -17% -35.8 -4%

2011/12 836.0 -220.5 -21% -36.1 -4% 836.0 -21% -36.1 -4% 836.0 -220.5 -21% -4% 836.0 -220.5 -21% -36.1 -4%

Baseline (2012/13) 916.5 -140.1 -13% 80.4 10% 916.5 -13% 80.4 10% 916.5 -140.1 -13% 10% 916.5 -140.1 -13% 80.4 10%

2013/14 916.5 0.0 0% 0.0 0% 916.5 0% 0.0 0% 916.5 0.0 0% 0% 916.5 0.0 0% 0.0 0%

2014/15 920.5 4.0 0% 4.0 0.4% 904.0 -1% -12.5 -1.4% 908.0 -8.5 -1% -0.9% 913.1 -3.4 0% -3.4 -0.4%

2015/16 924.5 8.0 1% 4.0 0.4% 891.5 -3% -12.5 -1.4% 899.5 -16.9 -2% -0.9% 909.7 -6.7 -1% -3.4 -0.4%

2016/17 928.5 12.0 1% 4.0 0.4% 879.0 -4% -12.5 -1.4% 891.1 -25.4 -3% -0.9% 906.4 -10.1 -1% -3.4 -0.4%

2017/18 932.5 16.0 2% 4.0 0.4% 866.5 -5% -12.5 -1.4% 882.6 -33.8 -4% -0.9% 903.0 -13.5 -1% -3.4 -0.4%

2018/19 936.5 20.0 2% 4.0 0.4% 854.0 -7% -12.5 -1.4% 874.2 -42.3 -5% -1.0% 899.6 -16.8 -2% -3.4 -0.4%

E.A.1 Do Nothing

Appropria

te / Safe

Meds

Acute

VisitingTele-Care All Ints

Baseline (2012) 777.9 777.9 777.9 777.9 777.9

2018/19 794.9 724.9 742.0 763.6 640.6

Change cf 12/13 - # 17.0 -53.0 -35.9 -14.3 -137.3

Change cf 12/13 - % 2% -7% -5% -2% -18%

Trends England 12/13 Baseline

2005/06 918.53 Top Quartile 678.445

2006/07 896.32 Median 829.19

2007/08 852.86 Bottom Quartile 1007.875

2008/09 860.94

2009/10 828.7

2010/11 830.7

2011/12 807.6

Baseline (2012/13) 826.8

2013/14 829.8

2014/15 832.8

2015/16 835.8

2016/17 838.8

2017/18 841.8

2018/19 844.8

Change cf 12/13 Change cf prev yr Change cf Change cf prev yr

Change cf prev

'Any Town' National Projections

Change cf 12/13 Change cf prev yr Change cf Change cf prev yr Change cf Change cf Change


600

650

700

750

800

850

900

950

1000

1050

1100

2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 Baseline

(2012/13)

2013/14 2014/15 2015/16 2016/17 2017/18 2018/19



Cumbria Traj - All Ints

Cumbria LA

England

England Proj - Do Nothing

Assumptions:

1. No Change in 13/14 compared to 12/13


14/15 Do Nothing15/16 Acute Visiting Fully implemented

16/17 safe meds fully implemented17/18 Full implemetation of Any Town


0

200

400

600

800

1000

1200

1400

1600

1800




Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s

Numerator: The number of finished and unfinished admission episodes, excluding transfers, for patients aged under 19 with an emergency method of admission and where asthma, diabetes or epilepsy was the primary diagnosis




Cumbria LA All Ints # % # %Proposed

Trajectory# % # %

2005/06 513.2 513.2

2006/07 545.6 -511.0 -48% 32.4 6% 545.6 -48% 32.4 6%

2007/08 475.0 -581.5 -55% -70.6 -13% 475.0 -55% -70.6 -13%

2008/09 478.2 -578.4 -55% 3.1 1% 478.2 -55% 3.1 1%

2009/10 469.1 -587.5 -56% -9.0 -2% 469.1 -56% -9.0 -2%

2010/11 483.8 -572.8 -54% 14.7 3% 483.8 -54% 14.7 3%

2011/12 348.3 -708.2 -67% -135.5 -28% 348.3 -67% -135.5 -28%

Baseline (2012/13) 368.5 -688.1 -65% 20.2 6% 368.5 -65% 20.2 6%

2013/14 368.5 0.0 0% 0.0 0% 368.5 0.0% 0.0 0.0%

2014/15 329.4 -39.1 -11% -39.1 -10.6% 374.1 1.5% 5.6 1.5% Do Nothing

2015/16 290.3 -78.1 -21% -39.1 -11.9% 366.9 -0.4% -7.1 -1.9% Safe Meds

2016/17 251.3 -117.2 -32% -39.1 -13.5% 343.9 -6.7% -23.1 -6.3% Safe Meds and partial Asthma



Cumbria LA Do Nothing # % # %

Appropriate

Safe Meds

Use

# % # %

24-hr

Asthma

Services

# % # %

2005/06 513.2 513.2 513.2

2006/07 545.6 -511.0 -48% 32.4 6% 545.6 -48% 32.4 6% 545.6 -511.0 -48% 6%

2007/08 475.0 -581.5 -55% -70.6 -13% 475.0 -55% -70.6 -13% 475.0 -581.5 -55% -13%

2008/09 478.2 -578.4 -55% 3.1 1% 478.2 -55% 3.1 1% 478.2 -578.4 -55% 1%

2009/10 469.1 -587.5 -56% -9.0 -2% 469.1 -56% -9.0 -2% 469.1 -587.5 -56% -2%

2010/11 483.8 -572.8 -54% 14.7 3% 483.8 -54% 14.7 3% 483.8 -572.8 -54% 3%

2011/12 348.3 -708.2 -67% -135.5 -28% 348.3 -67% -135.5 -28% 348.3 -708.2 -67% -28%

Baseline (2012/13) 368.5 -688.1 -65% 20.2 6% 368.5 -65% 20.2 6% 368.5 -688.1 -65% 6%

2013/14 368.5 0.0 0% 0.0 0% 368.5 0% 0.0 0% 368.5 0.0 0% 0%

2014/15 374.1 5.6 2% 5.6 1.5% 361.4 -2% -7.1 -1.9% 342.1 -26.3 -7% -7.1%

2015/16 379.6 11.2 3% 5.6 1.5% 354.2 -4% -7.1 -2.0% 315.8 -52.7 -14% -7.7%

2016/17 385.2 16.8 5% 5.6 1.5% 347.1 -6% -7.1 -2.0% 289.5 -79.0 -21% -8.3%

2017/18 390.8 22.3 6% 5.6 1.4% 340.0 -8% -7.1 -2.0% 263.1 -105.4 -29% -9.1%

2018/19 396.4 27.9 8% 5.6 1.4% 332.9 -10% -7.1 -2.1% 236.8 -131.7 -36% -10.0%

E.A.1 Do Nothing

Appropria

te / Safe

Meds

24-hr

Asthma

Services

All Ints

Baseline (2012) 312.8 312.8 312.8 312.8

2018/19 336.5 282.6 201.0 147.0

Change cf 12/13 - # 23.7 -30.2 -111.8 -165.8

Change cf 12/13 - % 8% -10% -36% -53%


2005/06 360.76 Top Quartile 249.395

2006/07 396.37 Median 325.37

2007/08 356.64 Bottom Quartile 399.7

2008/09 375.38

2009/10 364.1

2010/11 356.2

2011/12 321.5

Baseline (2012/13) 343.2

2013/14 347.5

2014/15 351.9

2015/16 356.2

2016/17 360.5

2017/18 364.9

2018/19 369.2


Change cf Change

'Any Town' National Projections



0

100

200

300

400

500

600

2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 Baseline

(2012/13)

2013/14 2014/15 2015/16 2016/17 2017/18 2018/19



Cumbria Traj - All Ints

Cumbria LA

England Proj - Do Nothing

England

Assumptions:



14/15 Do Nothing15/16 Safe meds Fully implemented

16/17 asthma partially implemented17/18 Full implemetation of Any Town


0

100

200

300

400

500

600

700

800

900




Emergency admissions for acute conditions that should not usually require hospital admission

Numerator: The number of Finished and unfinished admission episodes, excluding transfers, for patients with an emergency method of admission and with primary diagnoses for acute conditions that should not usually require hospital admission.




Cumbria LANational

Trend# % # %

Proposed

Trajectory# % # %

2005/06 782.5 782.5

2006/07 885.9 -170.7 -16% 103.4 13% 885.9 -16% 103.4 13%

2007/08 867.4 -189.2 -18% -18.5 -2% 867.4 -18% -18.5 -2%

2008/09 981.9 -74.7 -7% 114.5 13% 981.9 -7% 114.5 13%

2009/10 1004.6 -52.0 -5% 22.7 2% 1004.6 -5% 22.7 2%

2010/11 1029.4 -27.2 -3% 24.8 2% 1029.4 -3% 24.8 2%

2011/12 1032.4 -24.1 -2% 3.1 0% 1032.4 -2% 3.1 0%

Baseline (2012/13) 1234.9 178.3 17% 202.5 20% 1234.9 17% 202.5 20%

2013/14 1234.9 0.0 0.0% 0.0 0.0% 1234.9 0.0% 0.0 0.0%

2014/15 1273.2 38.3 3.1% 38.3 3.1% 1273.2 3.1% 38.3 3.1%

2015/16 1311.5 76.6 6.2% 38.3 3.0% 1300.0 5.3% 26.8 2.1%

2016/17 1349.8 114.9 9.3% 38.3 2.9% 1300.0 5.3% 0.0 0.0%

2017/18 1388.0 153.1 12.4% 38.3 2.8% 1287.0 4.2% -13.0 -1.0%

2018/19 1426.3 191.4 15.5% 38.3 2.8% 1261.2 2.1% -25.7 -2.0%


2005/06 968.92 1 Top Quartile 955.015

2006/07 993.74 2 Median 1149.27

2007/08 1008.56 3 Bottom Quartile 1411.205

2008/09 1044.79 4

2009/10 1091.2 5

2010/11 1142.1 6

2011/12 1139.3 7

Baseline (2012/13) 1214.2 8

2013/14 1230.3 9

2014/15 1264.7 10

2015/16 1299.1 11

2016/17 1333.6 12

2017/18 1368.0 13

2018/19 1402.4 14

1.155

Change cf prev yrChange cf 12/13 Change cf prev yr Change cf


500

600

700

800

900

1000

1100

1200

1300

1400

1500

2005/06

2006/07

2007/08

2008/09

2009/10

2010/11

2011/12

Baselin

e (2012/1

3)

2013/14

2014/15

2015/16

2016/17

2017/18

2018/19


Cumbria LA

England Proj - Trend

England


Assumptions:



14/15 Follow National Trend

15/16 improve on national trend (by 30%)

16/17 no growth

17/18 1% reduction

18/19 2% reduction


0

500

1000

1500

2000

2500




Emergency admissions for children with lower respiratory tract infections (LRTI)

Numerator: The number of finished and unfinished admission episodes, excluding transfers, for patients aged under 19 with an emergency method of admission and where lower respiratory tract infection was the primary diagnosis




Cumbria LANational

Trend# % # %

Proposed

Trajectory# % # %

2005/06 541.9 541.9

2006/07 423.2 -633.4 -60% -118.7 -22% 423.2 -60% -118.7 -22%

2007/08 459.1 -597.5 -57% 35.9 8% 459.1 -57% 35.9 8%

2008/09 643.8 -412.7 -39% 184.8 40% 643.8 -39% 184.8 40%

2009/10 599.6 -456.9 -43% -44.2 -7% 599.6 -43% -44.2 -7%

2010/11 689.9 -366.7 -35% 90.3 15% 689.9 -35% 90.3 15%

2011/12 545.8 -510.8 -48% -144.1 -21% 545.8 -48% -144.1 -21%

Baseline (2012/13) 547.2 -509.4 -48% 1.4 0% 547.2 -48% 1.4 0%

2013/14 547.2 0.0 0.0% 0.0 0.0% 533.5 -2.5% -13.7 -2.5% reduction to reflect work in 13/14

2014/15 555.7 8.6 1.6% 8.6 1.6% 516.8 -5.6% -16.7 -3.1%

2015/16 564.3 17.1 3.1% 8.6 1.5% 500.1 -8.6% -16.7 -3.2%

2016/17 572.9 25.7 4.7% 8.6 1.5% 483.4 -11.7% -16.7 -3.3%

2017/18 581.5 34.3 6.3% 8.6 1.5% 466.7 -14.7% -16.7 -3.5%

2018/19 590.0 42.9 7.8% 8.6 1.5% 450.0 -17.8% -16.7 -3.6% reduction to 450


2005/06 355.86 Top Quartile 274.3

2006/07 307.48 Median 364.99

2007/08 317.15 1 Bottom Quartile 471.8

2008/09 323.03 2

2009/10 351.0 3

2010/11 375.2 4

2011/12 346.8 5

Baseline (2012/13) 373.6 6

2013/14 371.8 7

2014/15 378.0 8

2015/16 384.2 9

2016/17 390.4 10

2017/18 396.7 11

2018/19 402.9 12

13

14 1.0783



0

100

200

300

400

500

600

700

800

2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 Baseline

(2012/13)

2013/14 2014/15 2015/16 2016/17 2017/18 2018/19



Cumbria LA

England Proj - Trend

England

Assumptions:



14/15 Follow National Trend

15/16 improve on national trend (by 50%)

16/17 no growth

17/18 1% reduction

18/19 2% reduction

down to c450 in straight line take from 12/13 - assume reduction in 13/14


0

100

200

300

400

500

600

700

800




Better Care Fund

Delayed transfers of care from hospital per 100,000 population (average per month)

NHS Cumbria CCG

Numerator: The total number of delayed transfers of care (for those aged 18 and over) for each month included

Denominator ONS mid-year population estimate (this rate should be divided by number of months included in numerator in order to give average total monthly delayed discharges.

Metric to set ambition against Average delayed transfers of care per 100,000 population (attributable to either NHS, social care or both) per month.


Cumbria No of DToCs MYE Monthly Rate # % # % No of DToCs MYE Monthly Rate # % # %

2012/13 22536 404600 464.16 22536 404600 464.16

2013/14 (Apr-Dec) 9141 406373 249.93 -214.2 -46% -214.2 -46% 9141 406373 249.93 -214.2 -46% -214.2 -46%

( Apr - Dec 2014 ) 16902 407472 460.89 -3.3 -0.7% 211.0 84.4% 16902 407472 460.89 -3.3 -0.7% 211.0 84.4%

( Jan - Jun 2015 ) 11268 408531 459.70 -4.5 -1.0% -1.2 -0.3% 10705 408531 436.71 -27.5 -6% -24.2 -5.2%

2014/15 22536 407472 460.89 -3.3 -0.7% 211.0 84.4% 22536 407472 460.89 -3.3 -0.7% 211.0 84.4%

2015/16 22536 408531 459.70 -4.5 -1.0% -1.2 -0.3% 20282 408531 413.73 -50.4 -11% -47.2 -10.2%

2012/13 2013/14

No of DToCs MYE % Top Quartile 149.96 149.96

2012/13 1376048 42070200 272.57 Median 222.92 222.92

2013/14 (Apr-Dec) 1049431 42549632 274.04 Bottom Quartile 302.20 302.20

Bottom Decile 416.39 416.39

Change cf prev

England

Proposed Trajectory

Flat DToCs Change cf Change cf prev 10% Reduction in 15/16 Backloaded Change cf

Average delayed transfers of care per 100,000 population (attributable to either

NHS, social care or both) per month.

0

100

200

300

400

500

600

700

Ap

r-

12

M

ay-

12

Ju

n-

12

J

ul-

12

Au

g-

12

Se

p-

12

Oc

t-

12

No

v-

12

De

c-

12

Ja

n-

13

Fe

b-

13

M

ar-

13

Ap

r-

13

M

ay-

13

Ju

n-

13

J

ul-

13

Au

g-

13

Se

p-

13

Oc

t-

13

No

v-

13

De

c-

13

Cumbria Rate England Rate

Notes:

REduction in DToC Rate by 10% but backloaded to reflect most change in 2015/16. Therefore Apr-Dec target set at flat DToCs and Jan-Jun set to 5% reduction

Significant change in reporting in 2013/14 - assumed to be incorrect and expectation that reporting will return to 2012/13 levels in 2014/15.

NB. Guidance asks for total number of delays in the month but this data is not collected. Instead the totla number of days delayed in the month is collected and has been made available

nationally as a baseline. Therefore these trajectories are based on days delayed rather than total number of delays.

Average delayed transfers of care per 100,000 population (attributable to either

NHS, social care or both) per month.

150

200

250

300

350

400

450

500

1 2 3 4

10% Reduction in 15/16 Backloaded Cumbria England

Average delayed transfers of care per 100,000 population (attributable to either NHS, social care or both) per month.

0

200

400

600

800

1000

Local Authority

20

13

/14

Ra

te

Cumbria

1st Quartile

2nd Quartile

3rd Quartile

4th Quartile

England

Average delayed transfers of care per 100,000 population (attributable to either NHS, social care or both) per month.

0

200

400

600

800

1000

Local Authority

20

12

/13

ra

te

Cumbria

1st Quartile

2nd Quartile

3rd Quartile

4th Quartile

England


ASCOF1a Outcome ID (1A - Social care-related quality of life) (Source: NASCIS)

Council 2012/13 England Cumbria 1st Quartile2nd Quartile

North Tyneside 19.9 18.8

Blackburn 19.9 18.8

Cumbria (October 2015 payment target) 19.8 18.8

Redbridge 19.6 18.8

Blackpool 19.6 18.8

Cumbria 19.6 18.8 19.6

South Gloucestershire 19.6 18.8

Richmond upon Thames 19.5 18.8

Durham 19.5 18.8

Bury 19.5 18.8

Brighton & Hove 19.5 18.8

Isle of Wight 19.5 18.8

Gloucestershire 19.5 18.8

Herefordshire 19.5 18.8

Norfolk 19.4 18.8

Hampshire 19.4 18.8

Cornwall 19.4 18.8

Plymouth 19.4 18.8

Kingston-upon-Hull 19.4 18.8

Nottinghamshire 19.3 18.8

Rutland 19.3 18.8

Knowsley 19.3 18.8

West Sussex 19.3 18.8

Wokingham 19.3 18.8

Somerset 19.3 18.8

Worcestershire 19.3 18.8

N Lincolnshire 19.3 18.8

Suffolk 19.2 18.8

Newcastle upon Tyne 19.2 18.8

Sefton 19.2 18.8

Trafford 19.2 18.8

Surrey 19.2 18.8

North Somerset 19.2 18.8

Wolverhampton 19.2 18.8

Doncaster 19.2 18.8

East Riding 19.2 18.8

Leeds 19.2 18.8

North Yorkshire 19.2 18.8

Rotherham 19.2 18.8

Central Bedfordshire 19.1 18.8

Southend 19.1 18.8

Sutton 19.1 18.8

Hartlepool 19.1 18.8

Middlesbrough 19.1 18.8

Northumberland 19.1 18.8

Sunderland 19.1 18.8

Halton 19.1 18.8

Liverpool 19.1 18.8

St Helens 19.1 18.8

Tameside 19.1 18.8

Medway Towns 19.1 18.8

Oxfordshire 19.1 18.8

Portsmouth 19.1 18.8

Bradford 19.1 18.8

Derby 19 18.8

Peterborough 19 18.8

Wandsworth 19 18.8

South Tyneside 19 18.8

Cheshire East 19 18.8

Lancashire 19 18.8

Oldham 19 18.8

Warrington 19 18.8

Reading 19 18.8

Windsor & Maidenhead 19 18.8

Poole 19 18.8

Dudley 19 18.8

Stoke-on-Trent 19 18.8

Walsall 19 18.8

Barnsley 19 18.8

Leicestershire 18.9 18.8

Bexley 18.9 18.8

Gateshead 18.9 18.8

Wigan 18.9 18.8

East Sussex 18.9 18.8

Birmingham 18.9 18.8

Coventry 18.9 18.8

Kirklees 18.9 18.8

York 18.9 18.8

Cambridgeshire 18.8 18.8 18.8

Cheshire West And Chester 18.8 18.8 18.8

Kent 18.8 18.8 18.8

Bath & N E Somerset 18.8 18.8 18.8

Bournemouth 18.8 18.8 18.8

Dorset 18.8 18.8 18.8

Wiltshire 18.8 18.8 18.8

Sandwell 18.8 18.8 18.8

Shropshire 18.8 18.8 18.8

Solihull 18.8 18.8 18.8

N E Lincolnshire 18.8 18.8 18.8

Northamptonshire 18.7 18.8 18.7

Thurrock 18.7 18.8 18.7

Bromley 18.7 18.8 18.7

Kingston-upon-Thames 18.7 18.8 18.7

Redcar & Cleveland 18.7 18.8 18.7

Stockport 18.7 18.8 18.7

Wirral 18.7 18.8 18.7

Bracknell Forest 18.7 18.8 18.7

Devon 18.7 18.8 18.7

Calderdale 18.7 18.8 18.7

Wakefield 18.7 18.8 18.7

Lincolnshire 18.6 18.8 18.6

Barnet 18.6 18.8 18.6

Enfield 18.6 18.8 18.6

Darlington 18.6 18.8 18.6

Milton Keynes 18.6 18.8 18.6

Swindon 18.6 18.8 18.6

Torbay 18.6 18.8 18.6

Nottingham 18.5 18.8 18.5

Essex 18.5 18.8 18.5

Newham 18.5 18.8 18.5

Stockton-on-Tees 18.5 18.8 18.5

Southampton 18.5 18.8 18.5

Bristol 18.5 18.8 18.5

Staffordshire 18.5 18.8 18.5

Warwickshire 18.5 18.8 18.5

Bedford 18.4 18.8 18.4

Hertfordshire 18.4 18.8 18.4

Luton 18.4 18.8 18.4

Havering 18.4 18.8 18.4

Bolton 18.4 18.8 18.4

Manchester 18.4 18.8 18.4

Salford 18.4 18.8 18.4

Buckinghamshire 18.4 18.8 18.4

Telford and Wrekin 18.4 18.8 18.4

Sheffield 18.4 18.8 18.4

Derbyshire 18.3 18.8 18.3

Leicester 18.3 18.8 18.3

Greenwich 18.3 18.8 18.3

Harrow 18.3 18.8 18.3

Lewisham 18.3 18.8 18.3

Westminster 18.3 18.8 18.3

West Berkshire 18.3 18.8 18.3

Croydon 18.2 18.8 18.2

Rochdale 18.2 18.8 18.2

Hillingdon 18.1 18.8 18.1

Kensington & Chelsea 18.1 18.8 18.1

Barking & Dagenham 18 18.8 18

Camden 18 18.8 18

Ealing 18 18.8 18

Southwark 18 18.8 18

Tower Hamlets 18 18.8 18

Hackney 17.9 18.8 17.9

Hounslow 17.9 18.8 17.9

Lambeth 17.9 18.8 17.9

Merton 17.9 18.8 17.9

Haringey 17.8 18.8 17.8

Waltham Forest 17.8 18.8 17.8

Hammersmith & Fulham 17.7 18.8 17.7

Islington 17.7 18.8 17.7

Brent 17.6 18.8 17.6

England 18.8 18.8 18.8

Outcome ID (1A - Social care-related quality of life) (Source: NASCIS) ASCOF2A Permanent admissions of older people (aged 65 and over) to residential and nursing care homes, per 100,000 population

3rd Quartile4th Quartile Council 2012/13 England Cumbria 1st Quartile

19.9 City of London - 697.2

19.9 Isles of Scilly - 697.2

19.8 Nottingham 1,376.3 697.2

19.6 Isle of Wight 1,137.7 697.2

19.6 Southampton 1,005.6 697.2

Blackburn with Darwen988.7 697.2

19.6 Sunderland 988.6 697.2

19.5 Darlington 988.4 697.2

19.5 Bath and North East Somerset 970.8 697.2

19.5 West Sussex 936.1 697.2

19.5 Blackpool 934.6 697.2

19.5 Reading 931.3 697.2

19.5 Bournemouth 921.2 697.2

19.5 Redcar and Cleveland916.2 697.2

19.4 Cheshire West & Chester914.9 697.2

19.4 Middlesbrough 911.1 697.2

19.4 Bury 900.9 697.2

19.4 Salford 900.4 697.2

19.4 Stoke-on-Trent 891.1 697.2

19.3 Gateshead 889.1 697.2

19.3 Southend-on-Sea888.8 697.2

19.3 Wirral 881.1 697.2

19.3 Lancashire 876.8 697.2

19.3 Barking and Dagenham871.0 697.2

19.3 South Tyneside 862.6 697.2

19.3 Thurrock 858.2 697.2

19.3 Hartlepool 857.8 697.2

19.2 Stockton-on-Tees856.8 697.2

19.2 Portsmouth 849.7 697.2

19.2 Sefton 821.9 697.2

19.2 Bradford 821.8 697.2

19.2 Manchester 821.8 697.2

19.2 Cambridgeshire 819.9 697.2

19.2 Knowsley 819.5 697.2

19.2 Bristol 818.3 697.2

19.2 Brighton and Hove816.9 697.2

19.2 Durham 809.7 697.2

19.2 Kingston upon Hull803.2 697.2

19.2 Slough 801.4 697.2

19.1 Suffolk 797.4 697.2

19.1 Bolton 793.1 697.2

19.1 Gloucestershire 791.0 697.2

19.1 South Gloucestershire787.5 697.2

19.1 Lincolnshire 784.6 697.2

19.1 Dudley 783.0 697.2

19.1 Kent 782.7 697.2

19.1 Shropshire 780.7 697.2

19.1 Milton Keynes 779.9 697.2

19.1 Norfolk 778.7 697.2

19.1 Sheffield 775.8 697.2

19.1 Liverpool 771.8 697.2

19.1 Southwark 770.8 697.2

19.1 Newcastle upon Tyne766.7 697.2

19.1 Poole 765.6 697.2

19 Leicestershire 762.7 697.2

19 Wolverhampton760.2 697.2

19 Medway Towns 759.5 697.2

19 Derbyshire 758.0 697.2

19 North Tyneside 756.0 697.2

19 Stockport 753.2 697.2

19 Doncaster 751.0 697.2

19 Rochdale 750.9 697.2

19 Bracknell Forest 750.6 697.2

19 Northamptonshire748.4 697.2

19 Coventry 746.3 697.2

19 Birmingham 742.4 697.2

19 West Berkshire 740.7 697.2

19 Rotherham 739.6 697.2

19 Leicester 735.3 697.2

18.9 Warrington 729.6 697.2

18.9 Wigan 728.9 697.2

18.9 Lambeth 728.8 697.2

18.9 North Somerset 723.3 697.2

18.9 East Riding of Yorkshire718.6 697.2

18.9 Torbay 718.4 697.2

18.9 Greenwich 717.6 697.2

18.9 Wakefield 706.5 697.2

18.9 North East Lincolnshire705.5 697.2

Hertfordshire 703.5 697.2

Tameside 700.2 697.2

England 697.2 697.2

Plymouth 697.0 697.2

Solihull 695.4 697.2

Somerset 694.6 697.2

Rutland 691.4 697.2

Barnsley 691.0 697.2

St. Helens 689.7 697.2

Trafford 685.0 697.2

Leeds 684.6 697.2

Havering 675.7 697.2

Sandwell 674.0 697.2

Warwickshire 673.5 697.2

Cumbria 670.3 697.2 670.3

Hammersmith and Fulham665.2 697.2

Bedford 663.6 697.2

Hounslow 661.6 697.2

Staffordshire 661.1 697.2

Northumberland659.8 697.2

Buckinghamshire657.0 697.2

Tower Hamlets 654.7 697.2

Oldham 653.0 697.2

Telford and the Wrekin652.4 697.2

North Lincolnshire649.9 697.2

Hampshire 649.3 697.2

Nottinghamshire648.5 697.2

Cumbria (October 2015 payment target)645.0 697.2

Devon 625.0 697.2

York 617.7 697.2

Lewisham 612.9 697.2

Islington 606.9 697.2

Wiltshire 606.6 697.2

Central Bedfordshire602.9 697.2


Swindon 586.6 697.2

Calderdale 585.8 697.2

Essex 583.0 697.2

East Sussex 572.0 697.2 572

Derby 568.7 697.2 568.7

Surrey 567.7 697.2 567.7

Cheshire East 561.6 697.2 561.6

Kirklees 555.9 697.2 555.9

Wandsworth 554.0 697.2 554

Hillingdon 553.8 697.2 553.8

Cornwall 550.7 697.2 550.7

Bexley 547.8 697.2 547.8

Herefordshire 539.0 697.2 539

Oxfordshire 533.9 697.2 533.9

Dorset 533.8 697.2 533.8

Windsor and Maidenhead523.8 697.2 523.8

North Yorkshire 518.5 697.2 518.5

Enfield 513.5 697.2 513.5

Richmond upon Thames503.9 697.2 503.9

Wokingham 498.4 697.2 498.4

Barnet 493.0 697.2 493

Peterborough 481.2 697.2 481.2

Brent 480.4 697.2 480.4

Newham 480.4 697.2 480.4

Westminster 472.7 697.2 472.7

Haringey 458.2 697.2 458.2

Camden 456.3 697.2 456.3

Luton 432.7 697.2 432.7

Walsall 430.1 697.2 430.1

Merton 420.8 697.2 420.8

Halton 418.3 697.2 418.3

Waltham Forest 412.3 697.2 412.3

Kingston upon Thames348.1 697.2 348.1

Hackney 347.4 697.2 347.4

Harrow 339.7 697.2 339.7

Bromley 336.2 697.2 336.2

Redbridge 323.0 697.2 323

Ealing 285.7 697.2 285.7

Croydon 212.0 697.2 212

Sutton 153.0 697.2 153

Kensington and Chelsea138.3 697.2 138.3

Permanent admissions of older people (aged 65 and over) to residential and nursing care homes, per 100,000 populationASCOF1h Proportion of adults in contact with secondary mental health services who live independently, with or without support (Source: NASCIS)

2nd Quartile3rd Quartile4th Quartile Council 2012/13 England Cumbria

- Rutland - 81.4

- Isles of Scilly- 81.4

1376.3 N E Lincolnshire 98.1 81.4

1137.7 Redcar & Cleveland97.6 81.4

1005.6 Islington 96.7 81.4

988.7 Slough 95.2 81.4

988.6 Derby 95 81.4

988.4 Ealing 93.7 81.4

970.8 Wandsworth 93.4 81.4

936.1 Lambeth 92.9 81.4

934.6 Wirral 92.4 81.4

931.3 Medway Towns 92.2 81.4

921.2 N Lincolnshire 92.2 81.4

916.2 Camden 92 81.4

914.9 Bradford 92 81.4

911.1 Hounslow 91.9 81.4

900.9 Barking & Dagenham91.5 81.4

900.4 Milton Keynes 91.5 81.4

891.1 Tameside 91.1 81.4

889.1 West Sussex 91 81.4

888.8 Hackney 90.8 81.4

881.1 Northumberland 90.8 81.4

876.8 Derbyshire 90.4 81.4

871 Darlington 90.4 81.4

862.6 Leeds 89.7 81.4

858.2 North Tyneside 89.6 81.4

857.8 Warrington 89.6 81.4

856.8 Thurrock 89.3 81.4

849.7 Plymouth 89.3 81.4

821.9 East Sussex 89.2 81.4

821.8 East Riding 89.2 81.4

821.8 Newham 88.9 81.4

819.9 Kirklees 88.9 81.4

819.5 Bracknell Forest 88.8 81.4

818.3 Norfolk 88.7 81.4

816.9 Hammersmith & Fulham88.6 81.4

809.7 Waltham Forest 88.6 81.4

803.2 Greenwich 88.5 81.4

801.4 Blackburn 88.5 81.4

797.4 Haringey 88.4 81.4

793.1 Hillingdon 88.4 81.4

791 Enfield 88.2 81.4

787.5 Southampton 88.2 81.4

784.6 Cumbria (October 2015 payment target88 81.4

783 Devon 87.7 81.4

782.7 Dudley 87.4 81.4

780.7 Herefordshire 87.3 81.4

779.9 Sefton 87.1 81.4

778.7 Rotherham 86.7 81.4

775.8 Lewisham 86.5 81.4

771.8 City of London 86.4 81.4

770.8 Blackpool 86.2 81.4

766.7 Stockport 86.2 81.4

765.6 Bath & N E Somerset86.2 81.4

762.7 Bexley 86.1 81.4

760.2 Westminster 86.1 81.4

759.5 Bolton 85.9 81.4

758 Brighton & Hove 85.9 81.4

756 Staffordshire 85.9 81.4

753.2 North Yorkshire 85.7 81.4

751 Wolverhampton 85.6 81.4

750.9 Somerset 85.5 81.4

750.6 Durham 85.4 81.4

748.4 Croydon 85.1 81.4

746.3 Kensington & Chelsea84.7 81.4

742.4 Gateshead 84.7 81.4

740.7 St Helens 84.6 81.4

739.6 Bury 84.5 81.4

735.3 Reading 84.5 81.4

729.6 North Somerset 84.5 81.4

728.9 Merton 84.4 81.4

728.8 Cumbria 84.3 81.4 84.3

723.3 Hertfordshire 84.1 81.4

718.6 Kingston-upon-Hull84.1 81.4

718.4 Kent 84 81.4

717.6 South Gloucestershire83.9 81.4

706.5 Harrow 83.6 81.4

705.5 Hartlepool 83.6 81.4

703.5 Wiltshire 83.6 81.4

700.2 Middlesbrough 83.3 81.4

697.2 Nottinghamshire 83.2 81.4

697 Barnet 83.2 81.4

695.4 Leicester 83.1 81.4

694.6 Bedford 83 81.4

691.4 Barnsley 82.7 81.4

691 Bristol 82.5 81.4

689.7 Cheshire West And Chester82.2 81.4

685 Warwickshire 82.2 81.4

684.6 Cambridgeshire 82.1 81.4

675.7 Essex 82 81.4

674 Havering 82 81.4

673.5 Lancashire 82 81.4

Oldham 82 81.4

665.2 Tower Hamlets 81.8 81.4

663.6 West Berkshire 81.6 81.4

661.6 Redbridge 81.5 81.4

661.1 Hampshire 81.3 81.4

659.8 Torbay 81.3 81.4

657 Wigan 81.1 81.4

654.7 Brent 80.8 81.4

653 Bromley 80.6 81.4

652.4 Stoke-on-Trent 80.2 81.4

649.9 Swindon 80 81.4

649.3 Southend 79.9 81.4

648.5 Liverpool 79.9 81.4

645 Isle of Wight 79.8 81.4

625 Walsall 79.6 81.4

617.7 Cheshire East 79.3 81.4

612.9 Stockton-on-Tees79.1 81.4

606.9 South Tyneside 79 81.4

606.6 Newcastle upon Tyne78.9 81.4

602.9 Poole 78.9 81.4

597.4 Salford 78.8 81.4

586.6 Leicestershire 78.6 81.4

585.8 Peterborough 78.6 81.4

583 Windsor & Maidenhead78.6 81.4

Buckinghamshire 78.2 81.4

Kingston-upon-Thames77.6 81.4


Southwark 77.2 81.4

Sheffield 76.8 81.4

Sunderland 76.3 81.4

Dorset 76.3 81.4

Coventry 76.1 81.4

Nottingham 76 81.4

Trafford 75.9 81.4

Knowsley 75.3 81.4

Bournemouth 74.5 81.4

Richmond upon Thames74.3 81.4

Sutton 74.1 81.4

Central Bedfordshire74 81.4

Luton 73.9 81.4

Sandwell 72.7 81.4

Halton 72.6 81.4

Lincolnshire 72.4 81.4

Surrey 72 81.4

Birmingham 71.9 81.4

Oxfordshire 71.7 81.4

Portsmouth 71.6 81.4

Gloucestershire 71.6 81.4

Wakefield 70.7 81.4

Solihull 70.5 81.4

Rochdale 70.2 81.4

Calderdale 70 81.4

York 69.8 81.4

Northamptonshire69.6 81.4

Doncaster 69.3 81.4

Wokingham 66.7 81.4

Shropshire 64.6 81.4

Manchester 63.4 81.4

Suffolk 62.9 81.4

Telford and Wrekin53.7 81.4

Bedfordshire 81.4

Cheshire 81.4

Cornwall 81.4

England 81.4 81.4

Proportion of adults in contact with secondary mental health services who live independently, with or without support (Source: NASCIS)

1st Quartile2nd Quartile3rd Quartile4th Quartile

-

-

98.1

97.6

96.7

95.2

95

93.7

93.4

92.9

92.4

92.2

92.2

92

92

91.9

91.5

91.5

91.1

91

90.8

90.8

90.4

90.4

89.7

89.6

89.6

89.3

89.3

89.2

89.2

88.9

88.9

88.8

88.7

88.6

88.6

88.5

88.5

88.4 88.4

88.4 88.4

88.2

88.2

88

87.7

87.4

87.3

87.1

86.7

86.5

86.4

86.2

86.2

86.2

86.1

86.1

85.9

85.9

85.9

85.7

85.6

85.5

85.4

85.1

84.7

84.7

84.6

84.5

84.5

84.5

84.4

84.1

84.1

84

83.9

83.6

83.6

83.6

83.3

83.2

83.2

83.1

83

82.7

82.5

82.2

82.2

82.1

82

82

82

82

81.8

81.6

81.5

81.3

81.3

81.1

80.8

80.6

80.2

80

79.9

79.9

79.8

79.6

79.3

79.1

79

78.9

78.9

78.8

78.6

78.6

78.6

78.2

77.6

77.3

77.2

76.8

76.3

76.3

76.1

76

75.9

75.3

74.5

74.3

74.1

74

73.9

72.7

72.6

72.4

72

71.9

71.7

71.6

71.6

70.7

70.5

70.2

70

69.8

69.6

69.3

66.7

64.6

63.4

62.9

53.7

0

0

0

81.4

Proportion of adults in contact with secondary mental health services who live independently, with or without support (Source: NASCIS)

Outcomes and metrics - Cumbriacouncilportal.cumbria.gov.uk/documents/s27726/Cumbria Better...

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