APPENDIX 5
FIFE
LOCAL IMPROVEMENT TARGETS
2005-08
Introduction:
As part of recent Spending Review Ministers announced three national targets:

Reduce the number of people waiting to be discharged from hospital into a more appropriate care setting by 20% per annum
between 2005 and the end of 2008, cutting to a minimum the number of people waiting more than 6 weeks to be discharged.

Increase by 2008 the number of older people receiving intensive home care to 30% of all people receiving long-term care.

By 2008/9 reduce the proportion of older people (aged 65+) who are admitted as an emergency inpatient two or more times in a
single year by 20% compared with 2004/5, to release capacity in hospitals and improve patient care. Community Health
Partnerships will target those most at risk in the community, particularly patients with multiple long term conditions, with
monitoring, support and prevention, using appropriate methodologies such as intensive case management and disease
management.
The Local Improvement Targets outlined in this report demonstrate how the partnership in Fife will work towards meeting the longer
term national targets.
Fife Local Improvement Targets
National Outcome
Baseline 2004/05
Target set for 2005/06
Measures
Supporting more people at home
as an alternative to residential or
nursing home care
SMART technology equipment in
houses for 28 service users in
Fife – includes equipment to
monitor temperature, movement,
falls.
Increase provision of SMART
technology equipment in houses
to enable 50 service users to
remain in their own homes
Increased number of service
users enabled to continue to live
in their own homes
In 2004/05 the average proportion
of people receiving over 10 hours
was 10% of the total.
Increase proportion of people
receiving home care over 10
hours per week (all client groups)
to 12% of all people receiving
home care
Support 20 Home Carers through
the Modern Apprentice Scheme
Increased proportion of people
receiving over 10 hours of home
care per week.
Reduce the length of time from
initial referral to first service start
to average of 14 days
(all community care referrals).
Use sample auditing to check
time intervals (See JPIAF 11,12)
New scheme
Supporting more people at home
as an alternative to residential or
nursing home care
Provisional figures for January to
March 2005 from initial referral,
through completion of Single
Shared Assessment and service
start is an average 16 days.
Number of Modern Apprentices
started.
Fife Local Improvement Targets
National Outcome
Baseline 2004/05
Target set for 2005/06
Measures
Supporting more people at home
as an alternative to residential or
nursing home care
Occupational Therapy Extended
Liaison Policy has been
developed and is currently used
by Hospital OT and Community
OT Staff. Currently 110 NHS staff
are trained to use the Extended
Liaison Policy. 76 Hospital OTs
can order Social Work funded
equipment. In addition, 35 NHS
support staff have been trained in
fitting and check visiting.
Provide annual refresher training
for 130 NHS and Social Work OT
staff.
Number of staff receiving joint
training.
In the past year, 20 Social Work
OTs have received joint training
on ELP with NHS colleagues.
Joint training facilitates the
building of relationships,
development of shared values,
common understanding of
problems and restrictions and
possible solutions and
improvements.
On average, in 2004/05 there
were 3 delayed discharges per
month because the people were
awaiting equipment before being
able to return home.
Increase the level of joint training
to include all SW OTs (36 FTE)
Reduce the average number of
delayed discharges because
people are awaiting equipment to
2 people per month before they
could return home.
Reduction in number of delayed
discharges because people are
awaiting equipment.
Fife Local Improvement Targets
National Outcome
Baseline 2004/05
Target set for 2005/06
Measures
Supporting more people at home
as an alternative to residential or
nursing home care
Total orders received in 2003/4
was 26,355; total orders received
in 2004/5 was 27,269
Increase the number of orders for
OT equipment received by Fife
Community Equipment Store by
5% to 28,632
Increase the number of deliveries
by 5% to 20,868
Number of orders
Average delivery time for urgent
Occupational Therapy equipment
was 2.9 working days in 2004/05
Reduce average delivery time for
Occupational Therapy equipment
to 2.5 working days
Delivery time for delivery of
urgent OT equipment
Average time to provision or
purchase of OT adaptations was
5.0 weeks in 2004/05
Reduce average time to 4.5
weeks
Average time to provision
Access to Services Pilot Working
Group set up in Glenrothes LMU
in August 2004.
Develop access to following
services across disciplines::
 Home Care
 Meals on Wheels
 Shopping/Pension Collection
 Community Alarms
 Joint Community Equipment
Store
 Podiatry services
 Community Nursing Services
 Social Work Day Services
 Occupational Therapy
Services
No of staff accessing services
across disciplines (40)
Total number of deliveries of OT
equipment in 2003/4 = 19,255;
2004/5 19,874
Number of deliveries
Number of staff receiving joint
training (40)
Types of service being accessed.
Reduction in timescale from
Assessment to service delivery
Number of people benefiting from
speedier access (200)
Fife Local Improvement Targets
National Outcome
Baseline 2004/05
Target set for 2005/06
Measures
Delayed Discharge: Assisting
people to lead independent lives
through reducing time spent in
hospital and enabling support and
faster discharge from hospital.
.
On April 15 2004 there were 121
people in total who were delayed
from discharge from hospital.
National target for April 15 2005 is
97.
Meet national target
Number of delayed discharges
against national targets
Develop a real-time, transparent
and accessible shared
information system to manage
delayed discharge.
Aspire to increase the level of
satisfaction of service users with
the process of single shared
assessment close to or to 100%
Shared Information System in
place.
National target to reduce waiting
times for patients ready for
discharge to maximum of 6
weeks. Target for Fife is
maximum of 55 people waiting
ore than 6 weeks on April 15
2005.
Manual systems are in place in
Health and Social Work but these
are not linked.
Single Shared Assessment:
ensuring people receive an
improved quality of care through
faster access to service and
better quality service
The average satisfaction rate with
the assessment process was
95.7% in 2004/05
Number of questionnaires
returned.
Fife Local Improvement Targets
National Outcome
Baseline 2004/05
Target set for 2005/06
Measures
Support of Carers: better
involvement and support of
carers – level of satisfaction with
assessment process
15 carers assessments logged in
2004/5
Increase the number of carers
who receive a Carers
Assessment to 30.
Number of carers receiving a
Carers Assessment
90% of carers indicating
satisfaction with assessment
process.
Responses to survey.
12 April 2005