North Yorkshire Council

Scrutiny of Health Committee

3 October 2025

Performance Report – Q1 2025/26

1.0 PURPOSE OF REPORT

1.1 For the Scrutiny of Health Committee to review a summary of the relevant thematic performance data that forms part of the quarterly reports to the Executive, and;

1.2       For the Committee to consider whether there are any lines of enquiry arising from the

information provided to request further information on, or to add to the Committee’s          future work programme.

2.0       BACKGROUND

2.1       The Scrutiny of Health Committee scrutinises any matter relating to the planning, provision and operation of health services in the County, including Ambulance Trusts and the policies of the Health and Care Partnerships.  The aim is to act as a lever to improve the health of local people, ensuring that the needs of the local people are considered as an integral part of the delivery and development of health services.

2.2       The Council’s Executive considered a Performance and Budget Monitoring Report every quarter, where progress is measured against Key Performance Indicators (KPIs).  The report is organised under the five Council Plan themes: Place and Environment, Economy, Health and Wellbeing, People and Organisation, to aid in the monitoring of the overall Council Plan.

2.3       As part of the consideration of this report at the quarterly Performance Monitoring Executive meetings, members of the Scrutiny Board, made up of the Chairs of each of the six Overview and Scrutiny committees, are invited to ask questions to hold Executive members to account, based on the data, trends and narrative presented in the report of any performance challenges or opportunities.

2.4       At the Performance Monitoring meeting of the Executive held on 27 May 2025, members of the Scrutiny Board sought several responses from Executive Members under the Safe, Healthy, and Living Well theme:

a) Increased hospital discharge rates since COVID had placed significant pressure on social care services, requiring careful balancing of support between discharged patients and those already in the community, with reablement playing a key role in maintaining independence. It was noted that current discharge volumes were now treated as the norm, despite the lack of corresponding funding, creating financial strain on services.

b) Concerns were raised about high summer temperatures in care homes; the issue was acknowledged and had been referred to the quality team for monitoring and future reporting.

3.0       PERFORMANCE REPORT

3.1       As part of ensuring that this Overview and Scrutiny committee plays its role in analysing the performance of the relevant directorate within the Council, a summary of the latest performance information relevant to Public Health is presented at Appendix A. 

3.2       It is recognised that Scrutiny of Health has a wide remit, which covers external as well as internal partners.  Furthermore, a range of issues are cross-cutting across several Scrutiny Committees, in particular Care and Independence.  For that reason, the data does not represent an exhaustive view of Scrutiny of Health’s remit, but does present data relevant to Public Health performance.

3.3       The appendix sets out a summary of the relevant KPIs and associated narrative, providing committee members an opportunity to comment and ask questions, as well as to identify and interrogate trends in the data presented, and key lines of enquiry.  This process of scrutinising performance could lead to follow up actions from the committee, such as requesting formal reports for future meetings, informal briefings on areas of interest, or requests for further information to develop the knowledge and understanding of the Committee.

3.4       The Committee will note the following highlights from the report:

· Adult Weight Management:  67% of clients achieved 5% weight loss, above national guidance (30%).

· Stop Smoking Services:  730+ referrals and 590 service accesses; 4-week quit rates up 38% to highest levels.

· NHS Health Checks:  9,404 invites issued; 713 individuals identified with ≥10% CVD risk, enabling early intervention.

· Healthy Child Service:  High completion rates for developmental reviews (6-8 week, 9-12 months, 2-2.5 years).

· Oral Health Promotion:  Reached 2,000 pupils across Early Years and Special Schools; strong staff training uptake.

· Drug & Alcohol Services:  Adult treatment numbers increased to 2,840; young people’s service exceeded targets.

· Healthy Schools Programme:  80% of schools registered; 164 schools and 32 early years settings achieved awards.

· GUNY Survey:  15,000 pupils surveyed, informing priorities on wellbeing, safety, and health behaviours.

4.0       FINANCIAL IMPLICATIONS

4.1       There are no direct financial implications arising from this report.

5.0       LEGAL IMPLICATIONS

5.1       There are no significant legal implications arising from this report.

6.0       EQUALITIES IMPLICATIONS

6.1       There are no significant equalities implications arising from this report.

7.0       CLIMATE CHANGE IMPLICATIONS

7.1       There are no significant climate change implications arising from this report.

8.0       RECOMMENDATIONS

8.1       It is recommended that the committee:

a) notes the performance information detailed in Appendix A.

b) provide feedback on the performance data and narrative contained within Appendix A, with a view to considering any future lines of enquiry for the committee to explore.

APPENDICES:

Appendix A – Q1 Performance 2025-26

BACKGROUND DOCUMENTS:

None.

Barry Khan

Assistant Chief Executive, Legal and Democratic Services

County Hall

Northallerton

Thursday 25 November

Report Author:       Edward Maxwell, Senior Democratic Services Officer.