Issue - meetings

Medway’s Council Plan 2017/18 sets out the Council’s three priorities. This report sets out the quarter 3 2017/18 performance summary against the Council priority relevant for this Committee: Supporting Medway’s people to realise their potential.

Discussion

Significantly improved performance in relation to Delayed Transfers of Care  (DEToC) was highlighted. The number that were attributable to Adult Social Care had fallen significantly with performance having been maintained during the challenging winter. In relation to the performance indicator for the Proportion of adults in contact with secondary mental health services in settled accommodation, performancewas below target but remained in line with the national average. The most recent available figure available since publication of the report showed that performance had improved from 60% to 65%.

A Committee Member was concerned that performance was below target for the above indicator as this covered a very vulnerable group of people. She noted that being in settled accommodation would better enable recovery and asked the extent to which the Kent and Medway NHS and Social Care Partnership Trust (KMPT) was assisting with the achievement of the target. The Member also requested that the Committee be provided with an update on the development and implementation of the Three Conversations model.

The Assistant Director of Adult Social Care agreed that vulnerable people with mental health challenges being in settled accommodation was important. Medway’s target was higher than the national average to reflect this importance. Work was being undertaken with KMPT and further information could be provided on this once the work had progressed further.

The Three Conversations Model was not a simple and straightforward change. It required significant cultural change within the workforce in terms of the way that Adult Social Care worked with clients and with partners, including the community and voluntary sector. Some work to embed the approach had been undertaken as part of the restructure of Adult Social Care but more work was required to embed the principles within the service. There was a need to work on how to embed Three Conversations principles within long term services and to consider how people could be supported to remain independent and live in their own homes for as long as possible. Support for people after discharge from hospital to recover well at home and sustain independence in their own homes was also important.

Decision

The Committee:

i)     Considered the Quarter 3 2017/18 performance  against the measures of success used to monitor progress against the Council’s priorities.

ii)    Requested that an update on the Three Conversations Model be provided to the June 2018 meeting of the Committee.