Local Account

Some information about the budget for Adult Social Care and also some figures about activity.

Total budget

Adult Social Care total budget for 2024/2025 was £74.5m.

Budget breakdown

Main budget areas were:​

• Staffing for social care teams and care provision - £9.7m​

• Contracts for services budget - £6.8m ​

• Care packages - £64.8m (net of income)​

Income

Income received from grants, NHS and client contributions includes £8.8m from the Better Care Fund (BCF) and other external funding. Addionally, £11.9m from care charges and £7.8m from health contributions to care packages.

Local care providers

In March 2024 there were 22 care homes in Peterborough

82% of care homes in Peterborough are rated as 'good' or 'outstanding' by the Care Quality Commission (CQC).

No care homes in Peterborough are currently rated as 'inadequate'. Three care homes are rated as 'requires improvement' and one home does not currently have a rating from CQC.

You can find out more about local care providers on the Peterborough Guide to Independent Living.

In March 2024 the following care providers were registered to provide community-based adult social care in Peterborough:

• 46 care providers registered to provide domiciliary/home care
• 21 care providers registered to provide supported living
• Five locations registered to provide extra care housing

89% of community-based locations are currently rated as 'good' or 'outstanding'.

None are rated as 'inadequate' and six are rated as 'requires improvement'.

Early intervention, prevention and wellbeing

This means supporting people early with targeted information and advice and low-level and community support and Technology Enabled Care. This is to prevent or delay the need for long-term care and support. The following figures are all monthly averages.

• The Adult Early Help Team handled 3546 contacts. 2054 were received through the web form or Joy app and 1492 were telephone calls
• 61% of contacts were resolved at first contact
• 40% of contacts results in provision of information and advice and 21% of contacts were referred to the voluntary sector or health
• The Adult Early Help team processed 354 contacts of which 74 progressed to Care Act assessments
• We triaged 354 referrals for Occupational Therapy of which 90 progressed to an Occupational Therapy assessment, 34 were referred for a Disabled Facilities Grant and 30 received equipment
• 74 referrals were made to the Handyperson Service
• 40 referrals were made for Technology Enabled Care
• 700 pieces of equipment were provided
• We undertook 23 carers conversations to offer support and advice
• 20 contacts were triaged to the Sensory Rehab service and which 10 progressed to a Sensory assessment
• 51 contacts from people in the community were triaged to the Reablement service and 18 completed Reablement

In relation to people leaving hospital:

The following figures are all monthly averages:

• 181 referrals were received by our Transfers of Care Team from the hospital to support discharge for people new to social care
• 71 people were triaged for Reablement and 27 completed Reablement
• 25 carers conversations were held
• 22 Care Act assessments were carried out resulting in 19 being discharged with a care and support plan
• 117 referrals were received by our Transfers of Care Team from the hospital to support discharge for people with existing care and support plans
• 14 Care Act reassessments were carried out
• 14 Care Act reviews were carried out
• 39 restarts of previous care and support plans

Long-term care and support keeps people connected to their communities​

The following figures are all monthly averages:

• 61 new Care Act assessments led to long-term care and support leading to 51 new long term placements including 14 care home placements and 37 community placements
• We carried out 114 planned reviews, 17 unplanned reviews and 36 reassessments
• 2291 people were supported with long-term care and support - the majority of these (1761) received support to remain in their own homes
• 556 people received support via a Direct Payment​

Adults at risk are safeguarded from harm in ways that meet their desired outcomes

The following figures are all monthly averages:

• 136 adult safeguarding concerns were received and processed
• 106 Notifications of Concerns were received and processed
• 57 safeguarding enquiries were completed
• In 93% of cases the risk was reduced or removed
• In 77% of cases safeguarding outcomes were asked and in 97% of cases the outcomes were met

Strategic Performance Outcomes

Adult Social Care has three Strategic Performance Outcomes:

1. Early intervention and prevention - supporting people early with targeted information and advice and low level and community support, technology enabled care and reablement services. The aim is to prevent or delay the need for long term care and support
2. Long term care and support when needed is personalised and keeps people connected to their communities
3. Adults at risk are safeguarded from harm in ways that meet their desired outcomes

Each of these outcomes has key performance indicators which are detailed below.

Early Intervention and Prevention

Key Performance Indicators:

Percentage of new client contacts for Adult Social Care which result in Care Act Assessment:

The performance for 2023/24 was 20.5%

The target for 2024/25 is 17.8%

Current position for 2024/25 is 16.2%

Our aim for 2024/25 is to maintain our preventative offer, even given increasing demand, so that we do not see an increase in % of contacts leading to long term care and support

Percentage of people who find that information and advice is easily accessible

Position for 2023/24 was 68.9%.

Target for 2024/25 is 70%.

Our aim for 2024/25 is to co-produce and deliver on an action plan to improve accessibility of information, with an initial focus on implementing a digital app for carers.

Percentage of people receiving reablement who did not require long term support

Position for 2023/24 was 81.8%.

The target for 2025/25 is 77.5%.

Current position for 2024/25 is 82.8%.

The reason we have reduced the target for 2024/25 is to widen the availability of reablement to include those who may continue to have long term needs, but can still be supported to do more things for themselves.

Number of carers assessed or reviewed per 100,000 population

The performance for 2023/24 was 142.6 per 100,000

Target for 2024/25 is 202 per 100,000

Current position for 2024/25 is 169.3 per 100,000

Our aim is to offer more carers assessments and carers breaks to those who will benefit.

Long term care and support

Key performance indicators

Percentage of people accessing long term support in the community aged 65+

Position for 2023/24 was 66.8%.

Target for 2024/25 is 68%.

Current position for 2024/25 is 67.1%

Our aim is to maintain our focus on 'home first' and supporting people to remain in their own homes.

Number of new permanent residential admissions 65+

Position for 2023/24 was 673.37 per 100,000

Target for 2024/25 is 550 per 100,000

Current position for 2024/25 is 558 per 100,000

Our aim is to ensure this is only the pathway for those who really do require this level of care and support.

Safeguarding

Percentage of safeguarding enquiries where people expressed outcomes

Position for 2023/24 was 89.1%

Target for 2024/25 is 85%.

Current position for 2024/25 is 77.8%.

Percentage of safeguarding enquiries where outcomes were achieved

Position for 2023/24 was 96%

Target for 2024/25 is 95%.

Current position for 2024/25 is 98.7%.

Percentage of safeguarding enquiries where risk was reduced or removed

Position for 2023/24 was 96%

Target for 2024/25 is 95%.

Current position for 2024/25 is 98.7%.

Adult Social Care Outcomes Framework (ASCOF)

The Adult Social Care Outcomes Framework (ASCOF) measures how well care and support services achieve the outcomes that matter most to people.

The ASCOF is used both locally and nationally to set priorities for care and support, measure progress and strengthen transparency and accountability. The latest published figures are for 2023/24.

Measures from the Adult Social Care Outcomes Framework - NHS England Digital

In respect of the data based ASCOF metrics Peterborough performs comparatively well against all 153 Councils in respect of the following:

• Proportion of service users and carers receiving self-directed support – rank 1

• Quality of Life for carers – taken from the responses to the 2023 carers survey – rank 14

• Percentage of people receiving direct payments – rank 20

• Carers who find it easy to find information about services and / or support - taken from the responses to the 2023 carers survey – rank 39

• Percentage of carers who had as much social contact as they would like - taken from the responses to the 2023 carers survey – rank 43

• The percentage of people with a learning disability who were supported to live in their own home or with family – rank 44

• Overall satisfaction of carers - taken from the responses to the 2023 carers survey – rank 50

Areas where Peterborough performs comparatively less well are:

• The percentage of people completing reablement who were still home after 91 days – rank 141

• The percentage of people who feel safe – taken from the 2024 personal experience survey – rank 137

• The proportion of carers who receive direct payments – rank 134

• Percentage of people who felt they had as much social contact as they would like – taken from the 2024 personal experience survey – rank 121

The Adult Social Care Forum is a group that talks about health and social care issues in Cambridgeshire and Peterborough.​

The Forum looks at key themes raised by the Adult Social Care Partnership Boards and expert by experience groups and uses this information to help make local services better.​

The Forum agrees actions to help this to happen.​

The Forum is chaired by the two Heads of Adult Social Care Commissioning for Cambridgeshire County Council and Peterborough City Council and has members from: ​

• The five Adult Social Care Partnership Boards​

• SUN Network​

• Counting Every Adult co-production group​

• Healthwatch Cambridgeshire and Peterborough​

• Cambridgeshire County Council and Peterborough City Council​

• Health organisations

The Forum has three shared annual priorities for 2025-26:

Priority 1: Concerns about the accessibility of services, including accessible information and advice, accessibility of buildings and access to local service provision.

Priority 2: Managing change and the communication of change, including the Local Government Reorganisation in Cambridgeshire and Peterborough, changes to the Cambridgeshire and Peterborough Integrated Care System, the introduction of the NHS 10-year plan and changes to the benefits system.

Priority 3: Gaining feedback in mental health services to identify gaps and recommissioning mental health preventative services in Cambridgeshire and in Peterborough to meet needs.

Priorities means a list of things that are important.​

​The Forum uses a shared action plan to carry out work on these priorities.

Priority 1: This priority is concerned about accessibility of: 

• Information and advice from  and Peterborough City Council (PCC) and Cambridgeshire County Council (CCC)
• GP websites and other types of health information
• Health and social care buildings
• Local service provision either regulated or commissioned by PCC or CCC for example: taxi services, day opportunities and care micro-enterprises

Priority 2: ​This priority is about keeping people informed and engaged in the major changes affecting adult social care, including:

• The Local Government Reorganisation (LGR) taking place across Peterborough and Cambridgeshire
• Changes to the Integrated Care System
• The Government's 10-year Health Plan
• Changes to the national benefits system

Priority 3: this priority is about identifying and providing mental health services and includes:

• The co-production and recommissioning of mental health preventative services across Peterborough and Cambridgeshire.
• Raising awareness of the gaps and inequalities of access to local mental health services across health partners in Peterborough and Cambridgeshire. 
• To escalate feedback on local mental health services to local commissioners, providers and social work teams across Peterborough and Cambridgeshire.

The Forum had three shared annual priorities for 2024-25:

Priority 1: Concerns about gaps in professional knowledge and understanding of health conditions or lived experience that may affect Adult Social Care client groups.

Priority 2: Concerns about the accessibility of health services from primary care services (such as GP practices) through to secondary care services, including the hospital discharge process.

Priority 3: Concerns about the availability and accessibility of transport in Cambridgeshire and Peterborough.

​Priorities means a list of things that are important.​

​The Forum used a shared action plan to carry out work on these priorities.

Priority 1

Priority 1: Concerns about gaps in professional knowledge and understanding of health conditions or lived experience that may affect Adult Social Care client groups. This includes:

• disability
• mental health issues
• substance misuse
• people experiencing multiple disadvantage (including combinations of homelessness, substance misuse, mental health issues, domestic abuse, and contact with the criminal justice system)
• people who have experienced trauma

Forum members have:

• SUN Network ran crisis care workshops
• Launch of Cambridge Homelessness Impact and Research Network
• Planned sessions for medical staff on how to conduct research into homelessness
• Speak Out Cambridgeshire talked to 37 young people about their experiences of finding somewhere to live
• Speak Out Cambridgeshire did first tier Oliver McGowan webinars for health professionals
• Speak Out Cambridgeshire planned a day on keeping safe with the Police and Crime Commissioner present
• Training and information opportunities promoted through regular Practice Update newsletters
• A range of courses and events have been promoted

Priority 2

Priority 2: Concerns about the accessibility of health services from primary care services (such as GP practices) through to secondary care services, including the hospital discharge process. 

Forum members have:​

• A video of a Sensory Impairment Partnership Board member’s experiences was shown to the hospital Board of Governors
• Healthwatch carried out Enter and View visit to Peterborough City Hospital
• Examples of accessing primary care were raised at the Healthwatch Summit event
• Work was carried out on asking people about their experience of Annual Health Checks for people with a learning disability
• A Health Navigator project was supported to work with the homeless community to help them access health services and go to appointments
• The SUN Network shared experiences of hospital discharges with the Transfer of Care team
• A meeting was held to discuss hospital discharge case studies and how the ASC Forum can support the Home First programme
• A report was published on Digital Inclusion
• Four people who do VoiceAbility work gave evidence to the Health and Social Care Select Committed about their experiences of disability
• The forum contributed to a survey about the NHS wheelchair service
• Member were asked for their feedback about palliative and end of life care by NHS East of England and Marie Curie

Priority 3

Priority 3: Concerns about the availability and accessibility of transport in Cambridgeshire and Peterborough. 

Forum members have:​

• Feedback provided to Stagecoach about the audio-visual announcements on buses not working properly
• Information shared about the Mayoral Precept Bus Service improvements
• Stagecoach East guidance about the use of mobility scooters and wheelchairs on buses was shared
• Discussions took place with Stagecoach East on how they could best work with local experts
• Information shared on the National Autistic Society’s project researching autistic people’s experiences of travel
• Members of the Cambridgeshire and Peterborough Combined Authority were invited to the ASC Forum to discuss the availability of public transport
• Disability awareness training was discussed
• Issues were raised about taxis not collecting people from the door and not escorting them to the taxi. Also, taxis not taking assistance dogs
• A film was created by young people about independent travel by train

There are a wide range of ways in which we capture your views.

If you go through our Reablement Service you will receive a questionnaire at the end of your service. Your comments are vital for us to improve our services.

Peterborough City Council also participates in a number of national surveys. 

You can find out about the National Personal Experience Survey here.

You can find out about the Survey of Adult Carers here.

What we are proud of

• Comprehensive Early Intervention and Prevention Service – delivery good outcomes, including online information and advice platform - PIN

• Good evidence of strength-based practice backed up by practice guidance and assurance, including tackling waiting lists.

• Good partnership working with Housing and Health with joint teams embedded in the service.

• Shared priorities and action plan with Adult Social Care Forum and Partnership Boards

What we are working to make better

• All Age Carers Strategy sets out plan to improve support to carers, including parent carers and young carers, focus on co-produced solutions.

• Developing further mechanisms for continuous feedback and learning and wider co-production

• System wide Prevention Independence and Resilience Programme – looking to better reach diverse communities and seldom heard groups

What we are proud of

• Resilient and good quality local care market with positive relationships maintained

• Market oversight and embedded feedback mechanisms and strong evidence of successful management of concerns

• Co-production in commissioning – particularly for the current re-commissioning of care in the community.

• Better Care Fund in place with positive feedback from NHS England

What we are working to make better

• Development of specialist provision for Learning Disability and Mental Health

• Reducing higher rates of residential / nursing placements for older people

• System wide Learning Disability and Autism transformation programme

What we are proud of

• Established multi-agency working arrangements, responses and learning around safeguarding and emergency response

• Transfer of care – good multi-agency working around Home First and low rate of delayed discharges.

• Established Deprivation of Liberty Safeguards Team, with high levels of referrals and good timelines.

• Safeguarding finances with our Client Income Service.

What we are working to make better

• Preparing for and transitioning into adulthood – system wide programme

• New model of safeguarding following review by Partners In Care and Health.

What we are proud of

• Committed Leadership team able to focus on outcomes for Peterborough people

• Robust performance management and increasing use of data and digital innovation

• Supporting workforce wellbeing and valuing our people

• Well resource Quality Practice Team, with staff engagement, learning and audit programme

What we are working to make better

• Workforce Development, internal and external working with Partners in Care and Health – Including Care Academy

• Embedding co-production alongside continuous gathering and learning from feedback

• Digital Transformation Programme – including AI and Assistive Technology