health and wellbeing performance scorecard...

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Health and Wellbeing Performance Scorecard 2017-18Generated on: 25 August 2017

Priority 1 : People will live longer, and have healthier lives

Description Code Latest Value Latest Target Last Update RAG

Status Performance Data Trend Chart Commentary Responsible Board

The rate of Alcohol related hospital admissions 'broad measure'.

DAAT 65 C

518.44 520.0 Q3 2016/17 Alcohol related hospital admissions decreased slightly during Q3 2016/17 to 518.44, just achieving the minimum performance standard of 520.00. Solihull is performing well compared to West Mids (581.19) and national standards. (551.07)

Health & Wellbeing Board – Reporting to the Safer Solihull board for Information.

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An increase in the number of people living beyond 75 years of age

HWBB PR1 : 01

13.9% 2016 The proportion of people living beyond 75 years of age has increased significantly during 2016, up to a level of 13.9%.

Health and Wellbeing Board

% of adult population with a healthy weight.

HWBB PR1 : 07

36.4 2016/17 36.4% of Solihull population have a BMI between 18-25 (range for healthy weight). England average is 35.2% Solihull has lower levels of adult obesity (BMI ≥30) and higher levels of people classified as overweight (BMI ≥25 ≤30) than the national average.


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An increase in the number of Solihull workplaces achieving at least commitment level of the PHE Workplace Wellbeing Charter

HWBB PR1 : 10

1 3 2016/17 SMBC is currently in the process of working towards Commitment level. JLR have achieved commitment level.


An increase in people using the social prescribing 'self service' (those only accessing the directory online)

HWBB PR1 : 11

180 100 2016/17 221 – between 1/10/16 – 31/12/16 (no previous baseline). The Social prescribing service provided by Health Exchange has gone from strength to strength. In year targets were met mid-year. No comparisons available with England average.


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An increase in the number of people with a Learning Disability accessing lifestyle services.

HWBB PR1 : 12

8 2016/17 Awaiting data from Gateway FS. It is proposed that this be carried forward to next year's scorecard.


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Slope index of Inequality (SII) for life expectancy at birth (Years) - males

PH 01aNGAP09 01a

11.4 2014/15 Aug 2016 reporting period: Angie Collard (x6753) Data relates to 2012-14. Commentary Sangeeta Leahy (x6797): The slope index of inequality looks at the estimated average life expectancy at birth and compares the 10% most deprived population in an area to the most affluent as judged by the Index of Multiple Deprivation. The indicator expresses this as a gap in years. In the latest calculated time period there has been a slight increase in the gap for males and females, however this is not statistically significant. A wide range of service developments across the Partnership are likely to impact on overall levels of mortality and life expectancy. There are currently a comprehensive array of inter-related strategic plans in place, covering different target groups in order to narrow this gap in life expectancy, with commissioning plans explicitly specifying interventions to tackle health inequalities in both males and females. High impact measures shown to reduce inequalities, based on health need are therefore in place across a variety of topics including weight management, smoking cessation, NHS health checks, provision of targeted health trainer service and breast feeding.


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Slope index of Inequality (SII) for life expectancy at birth (Years) - females

PH 01bNGAP09 01b

11.1 2014/15 Aug 2016 reporting period: Angie Collard data (x6753): data relates to 2012-14. Commentary Sangeeta Leahy (x6797): The slope index of inequality looks at the estimated average life expectancy at birth and compares the 10% most deprived population in an area to the most affluent as judged by the Index of Multiple Deprivation. The indicator expresses this as a gap in years. In the latest calculated time period there has been a slight increase in the gap for males and females, however this is not statistically significant. A wide range of service developments across the Partnership are likely to impact on overall levels of mortality and life expectancy. There are currently a comprehensive array of inter-related strategic plans in place, covering different target groups in order to narrow this gap in life expectancy, with commissioning plans explicitly specifying interventions to tackle health inequalities in both males and females. High impact measures shown to reduce inequalities, based on health need are therefore in place across a variety of topics including weight management, smoking cessation, NHS health checks, provision of targeted health trainer service and breast feeding.


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Proportion of the population meeting the recommended '5 a day'.

PHOF 02.11i

53.7 55 2016/17 Annual data only. Data collection started in 2014. Latest England average is 52.3%.


Percentage of physically active adults

PHOF02.13i

56.3% 58% 2015 The latest PHOF figure isn't available until later in 2017. Sport England's Active Lives physical activity measure for 2015/16 published in January 2017 identifies that the percentage of physically active adults in Solihull is 63.8%. The next Active Lives survey will be conducted in September 2017, so we will be able to have an update to this figure then. Although the data sources are different this does give an indication that physical activity levels are higher than that identified for 2015.


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Percentage of physically inactive

PHOF02.13ii

27.1% 28.7% 2015 The latest PHOF figure isn't available until later in 2017. Sport England's Active Lives physical activity measure for 2015/16 published in January 2017 identifies that the percentage of physically inactive adults in Solihull is 21.2%. The next Active Lives survey will be conducted in September 2017, so we will be able to have an update to this figure then. Although the data sources are different this does give an indication that physical inactivity levels are lower than that identified for 2015.


Smoking prevalence – routine and manual

PHOF02.14i

19.2 18 2016/17 Currently 19.2%. England average is currently 26.5%


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Mortality from causes considered preventable

PHOF4.03

160.5 184.5 2014/15 Rate of mortality from causes considered preventable has decreased during 2013-15, down to a rate of 160.5 per 100,000. This is significantly below the rate nationally which is 184.5.


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Priority 2 : Give every child the best start in life



Breastfeeding prevalence at 6-8 weeks after birth

PHOF02.02ii

41.52% 45.00% Q1 2017/18 A particularly low breastfeeding rate in April of 36.3% has lowered the overall rate for the quarter. It is difficult to predict what has caused the reduced prevalence and plans are in place to address this.

Early Help

Smoking status at time of delivery

PHOF02.03

14.7% 10.9% Q1 2017/18 Target for 2017/18 is to reduce down the 2016/17 figure of 11%, there is no requirement to reduce the 11% by a set amount, so target has been set as 10.9%.


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Number of Child Protection Plans

ECS 127

164 July 2017 164 CP Plans of these: CP Plans under 1 = 10 CP Plans pre-birth= 1

Early Help

% of face-to-face New Birth Visits (NBV) undertaken between 10-14 days by a Health Visitor

HWB02

93% 95% Q1 2017/18 This represents the highest performance in 2 years which is encouraging. There was only one child who was not seen before the end of the quarter who was scheduled to be seen on 7/7/17.

Ian Mather

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Proportion of children aged 10 -11 classified as overweight or obese (Year 6) (%)

NGAP08 03

29.7% 2015/16 Figures recalculated based on population changes. No major change from 2014/15 (29.9%). 2014/15 National average = 33.2%

Early Help

Total number of on line parenting courses accessed

PH 01

1 13 Q1 2016/17 This has been the lowest termly rate of groups since the parenting programmes began, due to a lack of facilitators for the programmes. Discussions are underway to support volunteer parenting facilitators and look to partners to support facilitation of groups. As figures are reported termly, there will be no report for Q2 as there were no courses that started and completed in the quarter. Awaiting data from Solar

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% of 2-2.5yr development checks carried out by a health visitor

PH 07

84.14% 95.00% Q1 2017/18 45 families did not attend their appointments (8.7%), 22 children were seen late (4.3%) and 11 not seen (2.1%).

Number of parents starting an antenatal parenting programme

PH 22

112 144 Q1 2016/17 The number of parents starting a programme has increased from the previous term and it is hoped that this trend will continue. As figures are reported termly, there will be no report for Q2 as there were no courses that started and completed in the quarter. Awaiting data from Solar

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Under 18 conceptions (rate of conceptions per 1,000 females aged 15-17)

PHOF02.04

16.7 22.5 Q1 2016/17 The Annual Rate for the chronological year 2015 was 19 per 1,000 females aged 15 to 18, slightly up on the record low of 16.7 in 2014, but below all previous years since 1998. The rate for this quarter ( Jan-March 2016) has gone down to 11.5; the lowest level ever and a fall of 20.7% on 2015. The annual rolling rate has reduced to 18.3. Solihull now seems to have returned to the expected downwards trajectory, and it may reflect the increased availability of contraception and the new model of care provided by the Umbrella Sexual Health services, which began delivery mid August 2015.

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Priority 3 : Ageing well - Healthy older life



Proportion of people who use services who reported that they had as much social contact as they would like.

ASCOF_1I1 SURVEY

40.33% 2016/17 This measure is based on Question 8a of the Adult Social Care Survey: "Thinking about how much contact you've had with people you like, which of the following best describes your social situation?" The measure is defined by the percentage of users responding "I have as much contact as I want with people I like."

Proportionally, 2,364 respondents answered the question, with 953 responding with the answer above.

This represents a decrease of 6% to this indicator compared to last year.

DLT; SLT

Overall satisfaction of people who use service with their care and support

ASCOF_3A SURVEY

60.76% 2016/17 The measure is defined by determining the percentage of all those responding who choose the answers "I am extremely satisfied" or "I am very satisfied" in the standard version, and "I am very happy with the way staff help me, it's really good" in the easy read version.

Proportionally, 2,364 people answered the question, of which 1,436 responded with one of the above answers.

This is down (just under 2%) on last year.

DLT; SLT

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An decrease in the proportion of people who die in hospitals.

HWBB PR3 : 03

41.8 September 2016

there is no real trend of increase/ decrease in proportion of deaths occurring in hospital. Percentages are monitored on a monthly basis by public health intelligence.monthyl figures show fluctuations


Community Dementia Diagnosis Rate (Local Measure)

ICASS06 BCF

63.2% 68.6% February 2017 Target for 2016/17 = 68.6%. Actual for February '17 = 63.2%, a small improvement from January which stood at 62.8%.

No data provided for practice M89019:Hobs Moat in April or M89003:GPS Healthcare in May. Notional values were therefore used based on actuals for the latest month available at the time for these practices. July figures for practice M89021 Coventry Road have had to be manually estimated as no data had been submitted. No data was submitted for GPS healthcare for Jan '17 therefore previous month’s figures used as a proxy.

Solihull Together

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Reduce the level of Solihull CCG Emergency Readmissions (Emergency Readmissions following any (Elective or Non Elective) admission for all providers commissioned by Solihull CCG)

ICASS07

973 816 June 2017 Target for 2017/18 not yet determined therefore 2016/17 activity used as a proxy target. Data monitoring source has changed from using Secondary Uses Service (SUS) data to readmissions based on the Urgent Care Dashboard data where the provider is NHS Heart of England Foundation Trust. This will be more consistent with the CCG’s reporting of readmissions and will help to identify the impacts that activities under the Solihull Together programme are having. Comparator information requested against the new data source.

Over the 3 months Apr - June '17 activity is cumulatively 157 (19.2%) higher compared against the same period last year. Apr - Jun '17 = 973, Apr - Jun '16 = 816. The cumulative increase of 19.2% has reduced from the previous YTD comparison which stood at 23.7% at the end of May '17. Data source: Urgent Care Dashboard 2017-18 Month 3 shows Emergency Readmissions following any Elective or Non Elective admissions at NHS Heart of England Foundation Trust, commissioned by Solihull CCG.

Solihull Together

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Priority 4 : Healthy & sustainable places and communities



SIS - Number of new participants

Leisure SIS 01

56 70 Q1 2017/18 This metric is a targeted older adult project.

Leisure Services Division

SIS - Total number of participants (previously LEIS067014 Step Into Solihull - Total Number of Participants)

Leisure SIS 02

513 450 Q1 2017/18 This metric is a targeted older adult project.

Leisure Services Division

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Youth claimant rate, Three North Solihull Regen Wards (Chelmsley Wood, Kingshurst & Fordbridge & Smithswood) (information measure)

EST 06(17-18)RW

8.9% July 2017 Around 61% (335 individuals) of 18-24 year old claimants live in the three North Solihull regeneration wards (Chelmsley Wood, Kingshurst & Fordbridge and Smith’s Wood), where the rate is more than four times higher than across the rest of the Borough (8.9% compared to 1.7%).

The number of claimants in North Solihull increased by +12% (+35 individuals) compared with July 2016,

There are five Solihull wards that have an 18-24 year old claimant unemployment rate higher than the West Midlands average: Chelmsley Wood (10.2%), Kingshurst & Fordbridge (8.5%), Smith’s Wood (7.6%), Bickenhill (4.6%) and Castle Bromwich (3.5%).


The total number of Anti Social Behaviour (ASB) incidents reported to the ASB Private Sector Team irrespective of which tenure they are related to (cumulative for year)

NS CS 01a

86 Q3 2016/17 Performance for Q3 2016/17 was 86, this consisted of 24 minor incidents, 54 serious incidents, and 8 very serious.


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A minimum of 150 cold homes and energy surveys of vulnerable residents completed per year.

HWBB PR4 : 03

181 150 2016/17 This target was originally set at 240 as it was partially reliant on additional from a British Gas grant. This funding stream has now finished so the target has been been reduced accordingly. This is also why the trend shows a downward trajectory. The Healthy Homes Survey is being used alongside the existing Cold Homes and Energy Survey. The survey helps the AgeUK staff and volunteers to identify other issues affecting the person or the household.


Number of cases of homelessness prevented or relieved

HWBB PR4 : 08

158 102 Q1 2017/18 Quarter 1 2017/18 (Apr – June 2017) = 158 cases of homelessness were prevented (150) or relieved (8), showing a continued increase compared to previous quarter performance (a 27% increase compared to the previous quarter and a 56% increase compared to the same quarter in the previous year) The main contributors to homelessness prevention in Solihull have not changed compared to previous years with money advice support to resolve arrears issues, manage debt and resolve housing benefit problems preventing homelessness in 42% of all cases in 2016/17. In terms of support to obtain alternative accommodation 23% of cases were supported to access social housing, 13% obtained accommodation in a hostel or HMO without support and 7% were successfully placed in supported accommodation.


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Number of volunteering hours delivered in library locations

HWBB PR4 : 11

517 913 Q1 2017/18 Target for 2017/18 is 3,650 hours, the same as for 2016/17. Q1 figure was 517, against a quarterly target of 913 hours.

Early Help

Mark LardnerEpidemiologistPublic HealthSolihull MBCExtracted from Covalent 25/8/17

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