Agenda item

Gloucestershire Integrated Care System (GICS) Performance Report

To receive an update on the performance of the Gloucestershire Integrated Care System (GICS) against NHS constitutional and other agreed standards.


The report to be taken as read with an opportunity for members to ask questions.



The committee noted the Gloucestershire Integrated Care System, (ICS), Performance Report relating to the performance of the NHS Gloucestershire Integrated Care Board. The report included information on performance, quality and workforce. The report was taken as read at the meeting.


Information highlighted by the report included the following updates:


Urgent and Emergency Care (UEC) had experienced days of excellent performance during recent months, with tangible improvement against a number of key metrics, including Category 2 ambulance response times and total time lost to handover delays. On some days, Gloucestershire had seen performance for UEC metrics among the best systems in the county. Challenges in specific areas can however impact on the day to day fragility of the system.


Ambulance handover delay performance improved during May 2023, with a total of 1950 hours lost, (against a target of 2150), and an average handover time of 48.7 minutes, (against a target of 54.1 minutes).


Urgent care 2 hour responses continued to meet performance targets with May seeing 83.7% of incidents meeting the 2 hour target.


Work was ongoing ahead of the launch of the transformation programme based around the Newton Europe review held in 2022. An update will be presented at the next committee meeting.


Winter planning will commence in August 2023, with a full report to the committee in October.


Notification of further industrial action by Junior Doctors was ongoing. Mitigation plans have been implemented including deployment of additional respiratory hubs to manage demand but inevitably this was anticipated to impact on patient safety and further loss of elective activity.


A caretaker contract was in place for Drybrook Surgery to allow the surgery to remain open, providing interim arrangements for 6 months while the primary care team continue to progress with the procurement of a longer-term contract.


The uptake of physical health checks for people with serious mental  illness (SMI) increased significantly during 2022/23, with the full year position at over 56% of the SMI register receiving a full physical health check. While below the 80% national target, this still represented a huge improvement from the under 10% compliance report at the start of 2023.


Eating disorders - Children and Young People and Adult routine and urgent referral to treatment waiting time targets had been missed throughout 22/23 with the service under pressure from high demand and significant workforce challenges. During 2022/23, the team had significantly reduced the urgent adolescent assessment waiting list numbers and waiting times and had focussed on providing alternative support to those waiting in collaboration with voluntary sector partners. Improvements have been reported in April, with 85.7% urgent referrals recorded in 1 week against a 95% target.


Throughout 2023, Children and Young people’s mental health access continued to be high across all providers, including Gloucestershire Health Care Foundation Trust (GHC) and Young Gloucestershire, with pressure on core services to deliver an assessment within the 4 weeks target. Additional capacity had been rolled out during 2022/23, particularly for Mental Health Support teams, with further plans to support 2023/24 access targets and the reduction of waiting lists across Children and Young People services. Cllr Paul Hodgkinson requested an overview of performance data/targets in relation to children’s mental health in Gloucestershire. Action by - Gloucestershire Health and Care NHS Foundation Trust


On a more positive note, GHC had maintained excellent performance for Out of Area placements, with none declared during March, April or May 2023.


Cllr Helen Fenton requested information on the following performance target (page 38 of the agenda pack). Action by - Gloucestershire Health and Care NHS Foundation Trust


Improving Access to Psychological Therapies (IAPT) access is below the rate required to reach the Q1 ambition set in the operational plan. Referrals are lower than required to reach these rates, with the service embarking on a media campaign and reworking their website to update their branding. Drop-out rates remain high and the service is carrying out research on this to understand the driving causes. Recovery remains on target with 51.0% patients entering reliable recovery in April 2023.


Cllr Alan Preest requested an update on the progress/development of the new Primary Care Facility for Lydney. An update to be provided/shared with the committee. Action by – NHS Gloucestershire


The performance report was noted.

Supporting documents: