1. DRAFT RESTRICTED POLICY
Making policy count: Developing performance indicators for health and social care partnerships
Strategic Improving Information Programme Board
29 September 2009
Simon Medcalf
Local Performance Strategy, DH

2. Progress report
SIIP Board members have been briefed in the past of will be aware of the background and approach to this project, as well as the key principles by which the work is conducted. This paper gives an update on progress of work.
There are three main workstrands which cover the breadth of the work’s aims:
Managing development of performance indicators related to adult social care, predominantly through regional and local pilots;
Managing overall development of the performance approach across the breadth of DH interest, and facilitating the cross-DH conversation to create a workplan for future PI frameworks;
Influencing cross-Government discussions on the future of the performance architecture, to reinforce key messages and aspirations and better prepare for the next SR.
These strands overlap and are interlinked. They also share a number of the same risks and considerations – not least of which, the uncertainty regarding the future shape of the national performance frameworks. One of the key aims across all strands is to ‘future-proof’ PI development in such a way as it is able to respond effectively to the new performance arrangements.
This paper:
Updates on recent progress related to adult social care PI development (slides 3, 6);
Provides detail on timelines for PI development across the project (slides 4-5);
Gives a latest cut of outcome themes tables (slides 7-11);
Demonstrates the emerging overall PI picture, and how this relates to outcomes (slides 12-15);

3. Developing social care PIs
The continued focus of work on adult social care PIs has been on engagement with internal and external stakeholders, and commissioning of new development work. Key actions include:
Developing a detailed timeline for PI piloting, incorporating stages of data development and analysis, to set a route map towards April 2011 (and publication of new PIs in September 2010);
Agreed proposals for central support to be offered to regional and local PI pilots – combining DH/IC/Local Authority (via ARG) contacts and funding;
Continued engagement towards target date of mid-October for finalising all planned pilot work: held seminar with ULOs and expert users/carers (August), engaged ADASS policy networks through Coordinating Group for commentary (Sept) and internal DH consultation. Meeting with IT suppliers’ group, further user engagement and NCAS planned for October;
Commissioned a new PI pilot project through ADASS North West Performance Group (led by Cumbria) to develop proposal to capture signposting function and outcomes achieved through outside organisations;
Commissioned development work through Adult Review Group to consider options for further disaggregation of all data/PIs for client groups not currently available (in particular, dementia and autism) to improve data quality and analysis for all future PIs;
The next slides (4-5) show the detailed timelines developed in consultation with the IC. The first of these is particularly relevant to adult social care PIs where a new collection is being worked on through a pilot. Together, there are some key milestones to draw to the Board’s attention:
Mid-October 2009 Deadline for commissioning of all pilot work for PIs requiring new national data collections, allowing allocation of central support and agreeing overall picture of work.
February 2010 All pilots to have developed PI collections/guidance for full month’s piloting (in March).
September 2010 Future PI requirements to be published/communicated to LAs for April 2011 start.

4. National Indicator Set Development Timeline
September
2009
October
2009
November
2009
December
2009
January
2010
February
2010
March
2010
April
2010
May
2010
June
2010
July
2010
August
2010
September
2010
October
2010
November
2010
December
2010
January
2011
February
2011
March
2011
April
2011
September
2011
Review policy intent and
commission new activity
Deadline for commission
of pilots requiring new collections
Review proposals
ARG (12/11):
Update on work parameters
Decisions on candidates’ likelihood
Meetings with pilot leads
Allocate account managers/support
Pilot PI development
ARG (mid-Feb):
Finalise PI collections/
guidance for piloting
Wave 1:
Pilot PI candidates for adoption from April 2011
Pilots develop PI proposals into
Collection tables/guidance for testing
Refine
Full pilot
collection
Sites submit pilot
data to IC for analysis
Coordinated piloting
across all sites
Data analysis
Analysis and recommendations to pilot sites for action
Actions based on result of analysis
Development of national collections
Further development in pilots
ARG (early Sept):
Sign-off collections
ARG (mid-July):
Stocktake and further recs.
SIGASC (mid Sept):
Sign-off collections and publicise to LAs
Publication of NIS
Technical Handbook
Finalise IC guidance
Publicise to LAs
Manage queries
Consultation on NIS definitions
Response to
consultation
Full pilot
collection
Sites submit pilot
data to IC for analysis
NIS comes into effect
Final preparations
Analysis and recommendations to pilot sites for action
Data analysis
Further development in pilots
ARG (early Sept):
Sign-off collections
SIGASC (mid Sept):
Sign-off collections
ARG/SIGASC sign-off latest PI proposal
from pilot for further development
Publication of NIS
Technical Handbook
Consultation on NIS definitions
Response to
consultation
Publicise final detail of PIs for late uptake in 2011/12
Wave 2:
Pilot PI candidates for adoption from September 2011
Effective date for six-monthly collections in first year
Final preparations
September
2009
October
2009
November
2009
December
2009
January
2010
February
2010
March
2010
April
2010
May
2010
June
2010
July
2010
August
2010
September
2010
October
2010
November
2010
December
2010
January
2011
February
2011
March
2011
April
2011
September
2011
Timeline 1 – Indicators from LA-level requiring new national collections

5. National Indicator Set Development Timeline
September
2009
October
2009
November
2009
December
2009
January
2010
February
2010
March
2010
April
2010
May
2010
June
2010
July
2010
August
2010
September
2010
October
2010
November
2010
December
2010
January
2011
February
2011
March
2011
April
2011
September
2011
Review policy intent and
development priorities
PISG Meeting (19/10):
Stocktake
Review proposals
Performance Committee (10/12):
Comment on first draft PI candidates
PISG members engage policy
teams in own area, discuss
review of current PIs and options
for future development
Extended development/analysis where existing data
source means further ability to test in-house
PI development
PISG (early Feb):
Finalise PI collections/
guidance for piloting
DH teams develop PI proposals
for testing, using standard format
Refine
Full pilot
collection
Coordinated piloting
for all PI candidates
Data analysis
PISG (early May): Analysis and recommendations to pilot sites for action
Further development
PISG (early August):
Sign-off PIs
Actions based on result of analysis
Development of national collections
Performance Committee (mid August):
Sign-off PIs
Publication of NIS
Technical Handbook
Finalise guidance
Publicise to NHS/LAs
Manage queries
Consultation on NIS definitions
Response to
consultation
NIS comes into effect
Final preparations
General Election:
latest possible date 2/6
Spending Review negotiations
Publication of national data requirements for Local Government
Further SR planning
Pre-Budget Report (early Nov)
Potential timescales for 2009 Spending Review
September
2009
October
2009
November
2009
December
2009
January
2010
February
2010
March
2010
April
2010
May
2010
June
2010
July
2010
August
2010
September
2010
October
2010
November
2010
December
2010
January
2011
February
2011
March
2011
April
2011
September
2011
Timeline 2 – Indicators from other (non-LA) sources

6. Social care PI pilots
There are now four regionally-led pilots underway to develop proposals for new national PIs, with further work being led nationally and other discussions ongoing:
ADASS South East (led by Oxfordshire) – developing a PI to capture the success of services in achieving the ‘three things’ which matter most to people;
ADASS West Midlands (led by PMG) – developing a PI to reflect the success of reablement and preventative services in reducing needs;
ADASS South West (led by Plymouth) – developing an evidence base for ‘dignity and safety’, out of which key PI recommendations will be made;
ADASS North West (led by Cumbria) – developing a PI on signposting, to show success of Councils information function and outcomes achieved through external organisations;
ADASS London – initial discussions with lead Director to agree focus of pilot work. Over a third of Councils volunteered for involvement; likely topics including personal budgets.
Adult Review Group – leading work on disaggregation to improve quality of data broken down for specific client groups (across all PIs and collections);
Abuse of Vulnerable Adults Working Group – considering options for new PIs based on data collection developed by this group and being used for first time in 2009/10;
User and carer experience – commissioned Personal Social Services Research Unit (PSSRU) at University of Kent to develop PI proposals from both social care user and carers surveys;
The following slides provide a latest cut of the five outcome themes which will be familiar to Board members. This shows the latest position on each, in terms of the outcomes and PI candidates currently under consideration.
Following initial discussions with user/carer groups, there have been a number of changes to the particular outcomes included under each theme, to clarify the overall ambitions and simplify the language. Further work and testing is planned to continue to refine this area.

7. Quality of life Outcomes for people and places Activity Results1
People can live their own lives to the full, maintain their independence and manage their own condition as far as possible. 2
People are less dependent on intensive services, and carers can balance their caring role and maintain an acceptable quality of life. 3
People receive the support they need to be independent, and only go into hospital or care placements when they have a need to do so.
Performance indicators
(service accountability)
(population accountability)
Link to outcome
Avoiding inappropriate placements:
Adults with learning disabilities/ mental health problems in settled accommodation (NI146 and NI149)
Rate of admissions to residential care v. those to intermediate care
% of acute admissions which results in discharge to residential care 3
Improving quality of life:
Service users successfully achieving their three personal outcomes
Self-reported experience of social care users (NI127)
Experience of local health and care services (composite measure)
Users who say they are able to spend their time doing things they value or enjoy (sub-set of NI127) 1
Supporting families and carers:
Carers receiving a specific carers’ service, or information and advice (NI135)
Children in appropriate caring roles: numbers of days of education missed
Carers’ experience of services 2
Reducing dependency:
% of those receiving a Council-commissioned service which was deemed ‘good’ or ‘excellent’
% of users whose care needs have reduced following the conclusion of a reablement/prevention service
People with a long-term condition supported to be independent and in control of their condition (NI124)
Number of vulnerable people who are supported to maintain independent living (NI142)
People over 65 who say they receive the information, assistance and support to live independently at home (NI139) R A R R E E E A R E A E R A E A
Activity R
Results E
Experience

8. Choice and control Outcomes for people and places Activity Results1
People are put in control of the services the receive – they can design what, how and when they are delivered to match their needs. 2
People have a genuine choice in how and where services are provided, and know how to access the support they need to make those choices. 3
People know what is available to them locally, what they are entitled to, and who to contact when they need help.
Performance indicators
(service accountability)
(population accountability)
Link to outcome
Control over own care and support:
Social care clients receiving self-directed support (NI130)
% of users who feel they have as much control over their life/services as they want to (sub-set of NI127)
Percentage of people whose identified needs were met following a self-assessment
People with a long-term condition supported to be independent and in control of their condition (NI124) 1 2
Promoting information and advice:
Signposting: people referred by Council to outside organisations whose needs have been met
Effectiveness of information/advice offered by LA to users/carers/public
Avoidable contact: the average number of customer contacts per received customer request (NI14) 3
Advocacy and empowerment:
% of users reporting that their family/carer was involved in their assessment and care planning
% of residents believing they can influence local decisions (NI4) A E E R R R A E E A
Activity R
Results E
Experience

9. Inclusion and contribution
Outcomes for people and places 1
People are able to engage socially as much as they want to, and avoid loneliness or isolation. 2
People are able to be financially secure, to find employment or to access benefits and allowances, no matter what their circumstances. 3
People feel able to contribute to community life, and are able to access information and support when they need it.
Performance indicators
(service accountability)
(population accountability)
Link to outcome
Active participation in communities:
Social care users who report that they are able to have as much social interaction as they wish (sub-set of NI127)
% of people who report feeling useful and valued in their home and family, and/or the wider community
Percentage of people who feel that they belong to their neighbourhood (NI2)
Participation in regular volunteering (NI6) or engaged in voluntary activity with NHS and/or LA organisations (LINks)
Access to services and facilities by public transport, walking and cycling (NI175) 1 3
Supporting economic stability:
Carers maintaining additional employment alongside their caring role
Older people living in poverty
Tackling fuel poverty – people receiving income-based benefits living in homes with a low energy efficiency rating (NI187)
Adults with learning disabilities/mental health problems in employment (NI145 and NI150)
People falling out of work and onto incapacity benefit (NI173)
Proportion of children in poverty (NI116)
16-18 year olds not in employment, education or training (NI117)
Proportion of people whose health affects the amount/type of work they do (VSC28) 2 E E E A R R R R R R R R R A
Activity R
Results E
Experience

10. Health and wellbeing Outcomes for people and places Activity Results1
Everybody has the opportunity to enjoy a long and healthy life, and is able to manage their own health. 2
Avoidable deaths, disease and injuries are prevented, and the local environment supports healthier lifestyles. 3
When people become ill, recovery takes place in the most appropriate place, and supports people to regain their health and wellbeing.
Performance indicators
(service accountability)
(population accountability)
Link to outcome
Overall health of communities:
Self-reported measure of people’s overall health and wellbeing (NI119)
Healthy life expectancy at age 65 (NI137)
All-age all-cause mortality rate (NI120)
Disability-free life expectancy 1
Preventing avoidable deaths, disease and injury:
Amenable/preventable mortality rates
Mortality rate for under 75 cancer/CVD (NI121/NI122)
Rate of hospital admissions for alcohol-related harm (NI39)
Acute admissions resulting from accidents in individuals’ own homes 2
Care supports recovery:
% of service users who feel they get all the food and drink they need (sub-set of NI127)
Emergency bed days associated with multiple (2+ pa) acute emergency admissions per 1,000 population
Achieving independence through intermediate care/rehabilitation (NI125)
Emergency bed days per head of weighted population (NI134)
Delayed transfers of care from hospitals (NI131) 3
An environment which promotes healthy lifestyles:
Smoking prevalence amongst people aged 16 and over (NI123)
Percentage of infants breastfed at 6-8 weeks (NI53)
Obesity amongst primary school-age children (NI54/NI55)
Adult participation in sport and active recreation (NI8)
Rate of physical activity R R R R R R R R E R R R R A R R R A
Activity R
Results E
Experience

11. Dignity and safety Outcomes for people and places Activity Results1
Everyone enjoys physical safety and feels secure. People are free from abuse, harassment, neglect and self-harm. 2
People respect each others’ dignity, and feel that services are sensitive to their own circumstances and right to privacy. 3
People feel that they are treated fairly and equally in the community and by services.
Performance indicators
(service accountability)
(population accountability)
Link to outcome
Keeping people safe:
Percentage of all referrals which are repeat referrals
Percentage of all referrals in which alleged abuse took place in a service commissioned by the Council
Percentage of completed referrals where there is a risk of abuse leading to a protection plan being put in place / action taken against perpetrator
Incidences of abuse against people in own homes
Acute hospital admissions resulting from abuse, neglect or self-harm
People who report feeling safe in their own home 1
Respecting dignity:
User-reported dignity and respect in their treatment (NI128)
Perceptions that people in the area treat one another with respect and dignity (NI23) 2
Fairness and equality:
Availability of services to meet the needs of local communities
Proportion of all complaints received from certain groups v. their representation in the wider community
Fair treatment by local services (NI140) 3 A R A R E A E E E A A A
Activity R
Results E
Experience

12. The overall picture
Developing the strategic view across PI proposals is crucial to the narrative which binds together the performance framework. If the next NIS is to be more coherent, it is important that the overall balance of priorities is the right one, and it is clear how different PIs work together. Ensuring that this happens is one of the key aims of the cross-DH steering group set up to manage the conversation on PI development.
Aside from adult social care, much of DH will have a strong interest in the future NIS, and its overlap to the NHS Vital Signs. The areas of overlap should represent those areas of common interest for local partnerships, where different services can focus together on common priorities. This would include public health areas, health inequalities, health protection, children’s issues, and other areas. Each of these will have their own views on current indicators, and proposals for new ones, and one of the three workstrands of this project is facilitating the conversation which leads DH to an agreed overall position for the next SR.
The following slides show some simple mapping exercise based on the detail in the previous outcome themes. It demonstrates the spread of current proposals using the outcome themes, and also shows how the information can be presented in different ways, depending on the type of indicator. This mapping will be expanded during October to present the PIs around other frameworks, including Quality, Innovation, Productivity and Prevention (QIPP) and Putting People First.
Such mapping will be important to maintain a strategic view across the work. It will also be important in ‘future-proofing’ the project against the unknown direction for overarching performance frameworks. We will not know what shape the future framework(s) may take until mid 2010 – but we need to undertake development work now. By being clear what level indicators operate at (service or population), what type of information they provide (activity, results, experience) and how they work together (in baskets), we will be able to respond to any of the numerous possible options for the future framework. For instance, if there is to be a single national outcomes framework for the whole public sector, population-level indicators will be most appropriate (others need not be lost, but could be shared through NASCIS, or become part of Self-Assessments).

13. Mapping the next NIS How does the overall framework fit together?
Mapping across the thematic outcomes framework by ‘baskets’ – what is the balance between service and population accountability indicators?
Quality of life
Choice and control
Inclusion and
contribution
Health and wellbeing
Dignity and safety
Population
Accountability
Indicators which
capture a whole-
population effect
or outcome and
are relevant to
more than one
service or sector.
PIs provide basis
for partnership
working locally,
since different
contributions are
required from
individual partner
organisations.
NI146 – Adults with LD in accommodation
NI130 – Self-directed support
NI2 – Belong to neighbourhood
NI119 – Reported health and wellbeing
NEW – Abuse in people’s homes
NI149 – Adults with MH in accommodation
NEW – Needs met post self-assmt
NI6 – Participation in volunteering
NI120 – All age all cause mortality
NEW – Admissions from abuse/self-harm
NEW – Acute admissions to res. care
NEW – Users’ control over life
NI175 – Access by public transport
NI137 – Healthy life expectancy
NEW – People feel safe in own home
NEW – Res. v int. care admissions
NEW – Feel valued in community
NEW – Disability-free life expectancy
NEW – % repeat referrals to safeguarding
NI14 – Avoidable contact
NEW – Users’ social interaction
NEW – % abuse cases in LA services
NEW – Patient/user experience
NEW – Effectiveness of information
NI39 – Alcohol admissions
NEW – % referrals leading to protection
NEW – Three personal outcomes
NEW – Signposting
NI116 – Children in poverty
NI121 – Under 75 cancer mortality
NI127 – Social care experience
NI117 – NEET
NI122 – Under 75 CVD mortality
NI23 – People treat one other with respect
NI4 – Influence local decisions
NI145 – Adults with LD in employment
NEW – Amenable/preventable mortality
NI128 – User dignity and respect
NEW – Children in caring roles
NEW – Advocacy in care planning
NI150 – Adults with MH in employment
NEW – Admissions from accidents
NEW – Carers’ experience
NI140 – Fair treatment by services
NI173 – Falling onto incapacity benefit
Service
Accountability
Indicators which
capture the effect
or outcome
achieved by a
single service or
sector acting on
its own. Can be
client outcome or
activity measure,
but is result of
only one service.
Not a basis for
partnerships, but
part of judgment
of public service
efficiency etc.
NI135 – Carers receiving services
NI125 – Independence through rehab.
NEW – Services to meet local needs
NI187 – Fuel poverty
NI131 – Delayed transfers of care
NEW – Complaints from groups
NI124 – LTC independent and in control
NEW – Older people in poverty
NI134 – Emergency bed days
NI142 – Vulnerable people independent
NEW – Health problem affects work
NEW – EBDs for multiple admissions
NI139 – OP receive support to live at home
NEW – Carers in employment
NEW – Users’ nutrition needs
NEW – % receiving excellent services
NEW – Care needs post-reablement
NI8 – Participation in sport/recreation
NI53 – Breastfeeding rates
NI55/NI56 – Childhood obesity
NI123 – Smoking prevalence
NEW – Rate of physical activity
NEW – Adult obesity

14. Mapping the next NIS How does the overall framework fit together?
Mapping across the thematic outcomes framework by ‘baskets’ – what is the balance between different
types of indicator?
Quality of life
Choice and control
Inclusion and
contribution
Health and wellbeing
Dignity and safety
NI146 – Adults with LD in accommodation
NI130 – Self-directed support
NI2 – Belong to neighbourhood
NI119 – Reported health and wellbeing
NEW – Abuse in people’s homes
NI149 – Adults with MH in accommodation
NEW – Needs met post self-assmt
NI6 – Participation in volunteering
NI120 – All age all cause mortality
NEW – Admissions from abuse/self-harm
NEW – Acute admissions to res. care
NEW – Users’ control over life
NI175 – Access by public transport
NI137 – Healthy life expectancy
NEW – People feel safe in own home
NEW – Res. v int. care admissions
NEW – Feel valued in community
NEW – Disability-free life expectancy
NEW – % repeat referrals to safeguarding
NI14 – Avoidable contact
NEW – Users’ social interaction
NEW – % abuse cases in LA services
NEW – Patient/user experience
NEW – Effectiveness of information
NI39 – Alcohol admissions
NEW – % referrals leading to protection
NEW – Three personal outcomes
NEW – Signposting
NI116 – Children in poverty
NI121 – Under 75 cancer mortality
NI127 – Social care experience
NI117 – NEET
NI122 – Under 75 CVD mortality
NI23 – People treat one other with respect
NI4 – Influence local decisions
NI145 – Adults with LD in employment
NEW – Amenable/preventable mortality
NI128 – User dignity and respect
NEW – Children in caring roles
NEW – Advocacy in care planning
NI150 – Adults with MH in employment
NEW – Admissions from accidents
NEW – Carers’ experience
NI140 – Fair treatment by services
NI173 – Falling onto incapacity benefit
NI135 – Carers receiving services
NI125 – Independence through rehab.
NEW – Services to meet local needs
NI187 – Fuel poverty
NI131 – Delayed transfers of care
NEW – Complaints from groups
NI124 – LTC independent and in control
NEW – Older people in poverty
NI134 – Emergency bed days
NI142 – Vulnerable people independent
NEW – Health problem affects work
NEW – EBDs for multiple admissions
NI139 – OP receive support to live at home
NEW – Carers in employment
NEW – Users’ nutrition needs
NEW – % receiving excellent services
NEW – Care needs post-reablement
NI8 – Participation in sport/recreation
NI53 – Breastfeeding rates
NI55/NI56 – Childhood obesity
NI123 – Smoking prevalence
NEW – Rate of physical activity
NEW – Adult obesity
Activity
Indicators which are linked to the inputs or outputs of a single service.
The indicator may capture service performance or quality, or meeting
a minimum standard. May be closely related to achievement of an
outcome, but is based solely on activity undertaken.
Results
Indicators which capture the outcome or result achieved for people
and communities. The outcome may be the result of the input of a
single service (client outcomes) or the aggregate of a number of
services and/or wider factors (population outcomes).
Experience
Indicators which reflect individual or public perceptions about a
particular issue or service. An important component of determining
the overall performance of public services, but open to external
influences.

15. Mapping the next NIS How does the overall framework fit together?
Mapping across the thematic outcomes framework by ‘baskets’ – what is the balance between different
types of indicator?
Quality of life
Choice and control
Inclusion and
contribution
Health and wellbeing
Dignity and safety
NI146 – Adults with LD in accommodation
NI130 – Self-directed support
NI2 – Belong to neighbourhood
NI119 – Reported health and wellbeing
NEW – Abuse in people’s homes
Current or
planned
indicators
owned by
other
Government
Departments;
requires
wider
engagement.
(23)
NI149 – Adults with MH in accommodation
NEW – Needs met post self-assmt
NI6 – Participation in volunteering
NI120 – All age all cause mortality
NEW – Admissions from abuse/self-harm
NEW – Acute admissions to res. care
NEW – Users’ control over life
NI175 – Access by public transport
NI137 – Healthy life expectancy
NEW – People feel safe in own home
NEW – Res. v int. care admissions
NEW – Feel valued in community
NEW – Disability-free life expectancy
NEW – % repeat referrals to safeguarding
NI14 – Avoidable contact
NEW – Users’ social interaction
NEW – % abuse cases in LA services
NEW – Patient/user experience
NEW – Effectiveness of information
NI39 – Alcohol admissions
NEW – % referrals leading to protection
NEW – Three personal outcomes
NEW – Signposting
NI116 – Children in poverty
NI121 – Under 75 cancer mortality
NI127 – Social care experience
NI117 – NEET
NI122 – Under 75 CVD mortality
NI23 – People treat one other with respect
NI4 – Influence local decisions
NI145 – Adults with LD in employment
NEW – Amenable/preventable mortality
NI128 – User dignity and respect
NEW – Children in caring roles
NEW – Advocacy in care planning
Indicators
under
consideration
but unlikely
to be robust
candidates
for next SR.
Includes those
broken down
from higher-
level PIs and
not standalone.
(10)
NI150 – Adults with MH in employment
NEW – Admissions from accidents
NEW – Carers’ experience
NI140 – Fair treatment by services
NI173 – Falling onto incapacity benefit
NI135 – Carers receiving services
NI125 – Independence through rehab.
NEW – Services to meet local needs
NI187 – Fuel poverty
NI131 – Delayed transfers of care
NEW – Complaints from groups
NI124 – LTC independent and in control
NEW – Older people in poverty
NI134 – Emergency bed days
NI142 – Vulnerable people independent
NEW – Health problem affects work
NEW – EBDs for multiple admissions
NI139 – OP receive support to live at home
NEW – Carers in employment
NEW – Users’ nutrition needs
NEW – % receiving excellent services
NEW – Care needs post-reablement
NI8 – Participation in sport/recreation
NI53 – Breastfeeding rates
NI55/NI56 – Childhood obesity
Most likely
Candidates for
Future DH
Contribution
To SR.
(34)
NI123 – Smoking prevalence
NEW – Rate of physical activity
NEW – Adult obesity
Current regional pilots

16. https://govx.socitm.gov.uk/spaces/nisdevelopment
Next steps
One of the key milestones for the project is that by December 2009 there is an agreed ‘first cut’ of the proposals for the next NIS, including all social care pilots underway and a workplan for proposed PIs across health and wellbeing and the breadth of DH’s agenda. Over the next couple of months the priorities will be:
To step up engagement and ensure that all main social care priorities are covered in work either underway or planned for PIs – to identify and fill gaps as far as possible;
To establish a clear view of all work underway in local pilots, their aims, timescales and likelihood of developing PI proposals;
To develop picture of all work underway at all levels for adult social care, and prioritise based on progress and forward plan;
To agree central support offer to local pilots, and allocate as appropriate;
To continue discussions across DH policy areas to build understanding of performance, agree position on current national indicators and gaps, and start to create workplan for next 6-8 months.
The first of these actions is most critical – we are now entering the final phase for identifying gaps in the proposed outcome framework, and commissioning new work. By late October, timescales will mean that starting new work requiring major development (for new national collections) will not be realisable for April 2011.
Support from Board members, by providing commentary or sharing within their organisations, would be welcome to ensure that the current proposals reflect the most important outcomes and support key policy objectives as far as possible.
Updates, reports from pilots and new data will continue to be posted at: