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Perth and Kinross Performance

Perth and Kinross Performance. Audrey Ryman – Programme Manager Reshaping Care for Older People Perth and Kinross CHP Sandy Strathearn – Service Manager Business Improvement Perth & Kinross Council. IRF / Change Fund Overview Expenditure Distribution.

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Perth and Kinross Performance

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  1. Perth and Kinross Performance Audrey Ryman – Programme Manager Reshaping Care for Older People Perth and Kinross CHP Sandy Strathearn – Service ManagerBusiness Improvement Perth & Kinross Council

  2. IRF / Change Fund OverviewExpenditure Distribution Perth and Kinross consumption of LA and NHS services by 65 and over: TOTAL EXPENDITURE £93,830,111 Local Authority £28,721,713 NHS £65,108,397 Joint Expenditure by Locality

  3. IRF / Change Fund OverviewCost Projections Unplanned Admissions Prescribing

  4. Change Fund Governance Business Case Approval Reporting 9 Month Review Board Decision

  5. Change Fund Financial Planning Workstream Planned Expenditure

  6. Change Fund OverviewDashboards

  7. Change Fund OverviewDashboards

  8. Initial analysis: Between march and November 2011 a shift was evident initially the shift appeared to be negative however it became clear that a downwards run was part of this shift and that the run coincided with the commencement of the CF work. This improvement was maintained for a period of 9 months, however from October 2012 there has been another negative shift. We are aware of the reasons for this - Issues with provision of reablement, Care at home and long term care, loss of staff from key CF workstream 1 projects and slow re recruitment of these staff. Actions have been put in place to alleviate these issues. Change Fund OverviewRuncharts Trial reduction of Census target from 6 to 4 weeks. June 2012 Census target back to 6 weeks. Aug 2012

  9. IRF Next StepsVariation £ Per Capita Variation in all expenditure areas

  10. IRF Next StepsGP Opportunities Low end admission costs Variation in Unplanned Admissions per Capita ranges from £1393 per capita to £682 per capita High end prescribing costs Variation in prescribing per Capita ranges from £446 per capita to £286 per capita

  11. IRF Next StepsGP Opportunities Does high expenditure in the community always reduce acute / institutional costs…

  12. IRF StepsGP Opportunities Does low expenditure in the community always increase acute / institutional costs

  13. IRF Next StepsLocality Outcomes Calculating new proposed locality outcomes that 98% of 65 and over will live at home

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