What will we do all day once the National Indicator set has gone?

Or the evolution of local authority performance staff

Pickled!!

“So today I am announcing the end of other burdensome aspects of the old command-and control regime, linked to Local Area Agreements and the National Indicator Set”

The Rt Hon Eric Pickles MP, Secretary of State for Communities and Local Government – October 2010

Pickled!!

Comprehensive Area Assessment –

RIP June 2010

Audit Commission – RIP 2012/13

Local Authority Performance Staff

- ??

Why did we have Performance Indicators?

What gets measured Gets done!

Assessments got quicker!More people received

Direct Payments!

The Evolution of Performance Staff

2000 AD: The Era of RAP and early days of PAF

2005-2010 AD: The Emergence of outcome based

PAF Indicators and development of the National

Indicator Set

2008-10: The Era of the Text Based Self Assessment

Bean Counter Creative Accountant Spin Doctor

The next evolutionary stage - Information Scientists New TOM Activity

Model V2.xls

3rd Sector Partners

Variety of referral points

Library ServiceESCD

ContactsHospital Contacts

(S2's)

Web-based self-referral 20,500 16,581

0

NFA Customer Access 11,070 GP 0 Ambulance Service 0 8,291

9,430 No Further Action Required

MOW and Equipment Only 8,291

0

2,989 NFA

package restarts 4,643

D&A Sensory Behavioural SupportSignposting Advice and

GuidanceReablement IP Beds

Major equipment 2,561 894Transfer to LTM

teams995

Transfer to LTM teams

1,328 Minor Equipment

Non Complex - <4 interventions a year

Complex - 4+ interventions a year

Non Complex - <4 interventions a year

1,076 336 269

LD Transition Cases +

OAMH Cases Long Term Support Team 3171 Services Outcomes Hub 6,869 54

151 360 5,000

3,300

Hospital 682

NFA - Closed Cases. 6,886 Hospital 2,322

LTM 2,241

Review 4,645

Assists in commissioning services. Package restarts. Minor changes in

need dealt with by provider + services outcomes hub

Non Crisis

Person is identified as likely to require ongoing support

7856

2,653

Suitable for Early InterventionSuitable for Early Intervention

5,203

Crisis - Suitable for EI

Scheduled Reviews Pool

Target Operating Model - Transfers during a typical year

Hospital

At discharge the person is identified by health professionals supported by discharge co-

ordinators as likely to require ongoing support

Person is identified by GP as requiring urgent care

Person identified as requiring urgent care or likely to need

services

Please Select Year:

0

Plus LD&PI already in LTM

No Further Intervention required. Prepares on support plan and commissions services

6 week review again proportionate and risk based also acts as validation

Ongoing Services via ECC Managed Services

Ongoing Services Via Personal Budget Direct

Plus OA and OAMH already in LTM

Proportionate rick based reviews commissioned from a variety of providers

Plus those already in reviews pool 16,300

6,923

Current Position

AdoptionsEquipment and

Telecare

2,684

1,717

Crisis - Suitable for EI

Early Intervention - Assessment

0

Complex transfers may be many people who have reassessment of needs and could be suitable to early intervention as deterioration happens but not through HAT process-Approx 14% Review move to CATApprox 5% LTM PI&LD move to CATApprox 8% LTM OA&OAMH move to CAT

Not able to benefit from Early Intervention

2,800 Safeguard Alerts and

Referrals. Of which 1,500 are contacts

at ESCD, 155 HAT, 800 LTM,

150 CAT and 100 Review

Return to Hospital

77

Potential Change in Needs - Suitable for

Early Intervention4019

Residential or nursing care required

881

No Further Action Required, successful early intervention

Not able to benefit from Early Intervention

+ MOW and Equipment

Only1,218

Complex transfers between LTM and review teams -Approx 5% move from review to LTMApprox 20% of LTM OA&OAMH cases move from LTM to reviewApprox 16% of LTM PI&LD cases move from LTM to review

5,216

Assisting in preparing SP and in commissioning services. Confirmation of SP, Validation of SP. Carry our reviews

0

1,346 336

Self Support

The next evolutionary stage Information Artists!

Endangered species!We need data to function and our natural habitat is under threat

•CLG review of all national data collections

•Zero Based Review from the Information Centre

•End of CQC Self Assessment

This is not about self preservation.

This is about making sure we have the resources to provide Commissioners and Decision makers with the information they need.

We must:

Make sure the Zero Based Review by the Information Centre works for local authorities, and support the IC to continue the development of tools such as NASCIS.

Educate members and politicians of the importance of having a relevant national data set for adult social care.