Agenda item

9.1       Mrs Hazel Robertson highlighted the hospital activity data within the report.

9.2       Dr Sohail Bhatti reflected that whilst the report produced overarching data for comparisons across Scotland, there may be benefit in looking into health inequalities and gender through that same lens going forward.

9.3       Mrs Fiona Sandford commented that the fact that really good data was available was very encouraging and she enquired about a narrative around the deteriorating position of occupied bed days.  The Chair advised that Mr Chris Myers was keen to develop the report further and was currently undertaking a piece of work in regard to length of stay and occupied bed days before they become delayed discharge figures.

9.4       Mr Ralph Roberts welcomed the report and commented that emergency admissions to hospital were not at the pre COVID-19 levels however it was clear that length of stay in hospital had increased.  Even though more input had been put into social care hours the number of delayed discharges had increased, so there was something within the whole system that had to be multi factoral that was failing.  He urged using the data to address the drivers of the pressure that was being seen across the whole partnership.

9.5       Dr Robert Manson welcomed the data within the report and commented that in primary care demands and expectations were far exceeding those experienced pre COVID-19.  With a 24 hour society where people could order and have deliveries made the following day he surmised the general public were of the expectation that health services operated within the same time sphere.  Primary care were the front door for all health services and had reached saturation point which meant people would circumvent NHS24 or GPs and go directly to A&E adding pressure on the hospital system.  He emphasised the issues leading to delayed discharges and the knock on effects of patient deterioration and added stress on carers and unpaid carers.

9.6       Mr Tris Taylor commented in terms of carers indicators the latest data showed the highest number of completed carers support plans and he enquired if there were numbers for unmet need.  He enquired if there was data available to show if the position as improving or worsening and he sought clarification that the legend on the Y axis was correct for all of the charts and he noticed that there was little shift in terms of how people felt about finance and benefits in regard to carers support plans.

9.7       Mrs Lynn Gallacher advised that in regard to carers support plans the data reported was captured through the carers census.  There was however further data available that could be included in the report.  In terms of waiting lists for carers support plans there was no waiting list as all requests were met quickly with a liaison officer allocated to all referrals on receipt and resources were currently stretched to the limit to cope with the increased demand.

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the report.

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the key challenges highlighted.

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD directed actions to address the challenges and to mitigate risk.