Our Performance
Monitoring our performance allows us to improve services and plan for the future needs of the people within Shetland.
The Performance reports assess the progress made by the Shetland Health and Social Care Partnership (HSCP) in delivering its strategic priorities and meeting a range of Performance Indicators. Please see our reports linked below for more information on our performance monitoring.
Quarterly Performance Reports
Summary of quarterly reports - 2025/26
Q1: April –June 2025
Meeting on 25 September 2025, Paper ref: CC-44-25-F
Shetland’s health and social care services continued to deliver supportive, person‑centred care this quarter, while managing ongoing pressures across teams.
Performance was mixed, with some areas improving and others still facing challenges. More outcomes for individuals were met, care home occupancy increased slightly, and delays in occupational therapy for critical cases remained low. However, workforce pressures continued to affect how quickly assessments could be completed.
Several care homes were inspected this quarter. Overtonlea maintained a Good rating across all areas, while Nordalea and Wastview received Adequate and Good ratings with some areas for improvement. All services were found to provide kind, compassionate care, and improvement actions are underway.
Recruitment showed early signs of improvement, which should help to ease staff workloads in future. Compliments highlighted the kindness and professionalism of staff, especially in care homes, while complaints increased slightly and are being reviewed to support learning.
Projects to redesign and strengthen primary care continued to progress, including improvements to long‑term condition management, digital tools, and accessibility. The PHIO digital MSK pilot remains successful, helping people manage conditions more quickly and reducing demand on appointments.
Work also continued to improve FOI handling after delays earlier in the year, with a recovery plan now in place.
Q2: July –September 2025
Meeting on 12 November 2025, Paper ref: CC-54-25-F
Shetland’s health and social care services continued to deliver high quality care this quarter despite ongoing pressures. Some care services were inspected and these were mostly rated Good or Very Good.
Demand for mental health support remains high, with teams expanding group work, digital options and ADHD pathways. Delayed hospital discharges are still a challenge, but work continues across services to improve flow and support safe transitions home.
A new Podiatry-led vascular care pathway is helping people get faster specialist support, while digital tools and community based initiatives continue to strengthen local care.
The Council care services received several compliments, these highlighted kind, person centred support across services
Summary of quarterly reports - 2024/25
Quarter 1 - April to June 2024
Performance: The HSCP has made progress in improving service delivery, with fewer significant issues and delays. However, there are still areas where improvements are needed, such as reducing sickness absence. The report also includes case studies on the Meals on Wheels service and a project to provide eye care in care homes.
Finance: The HSCP is facing a projected overspend of £3.244 million by the end of the financial year. This overspend is primarily due to high costs associated with temporary staffing across various services. The HSCP has implemented savings and recovery plans to address this issue, however continued reliance on temporary staff poses a significant challenge.
Quarter 2 - July to September 2024
Performance: The HSCP Performance has remained broadly stable. There has been a reduction in complaints received. The report provides updates on the Safer Staffing Act work, Primary Care Phased Investment Programme and Shetland Health Intelligence Platform. There are updates on projects including the PHIO app which supports individuals with
musculoskeletal concerns.
Finance: The HSCP has a projected overspend of £3.944 million by the end of the financial year. It is anticipated that the IJB will achieve the annual savings target of £0.610 million by the end of March 2025. The savings and actions will not enable the IJB to achieve a balanced financial position at the end of the financial year (31 March 2025).
Quarter 3 - October to December 2024
Performance: The HSCP Performance has remained broadly stable. There has been a reduction in complaints received. The report provides updates on the Safer Staffing Act work, Primary Care Phased Investment Programme and Shetland Health Intelligence Platform. There are updates on projects including the PHIO app which supports individuals with
musculoskeletal concerns.
Finance: The HSCP has a projected overspend of £2.765 million (4%) by the end of the financial year (31 March 2025). It is now expected that the annual savings target of £0.610 million will be achieved and exceeded, savings are now expected to be £0.917 million.
These savings have mainly come from vacancy control measures. The savings and actions will not enable the IJB to achieve a balanced financial position at the end of the financial year.
Quarter 4 - January to March 2025
Performance: The HSCP performance improved with more Green indicators and fewer Amber ones, while Red remained stable. Key highlights include 84% of A&E patients seen within 4 hours, no critical OT cases awaiting allocation, and 78% care home occupancy. Efforts are underway to improve response times for complaints, especially for complex Stage 2 cases. Care Inspectorate visits showed mixed results, with Fernlea performing well, Islehaven rated adequate, and North Haven seeing a decline. Progress continues on annual health checks for people with learning disabilities, and psychological therapies are addressing waiting times. The PHIO app for MSK care has been well received, reducing appointments and offering accessible, out-of-hours support.
Finance: The IJB reported a draft year-end overspend of £2.524m, mainly due to high temporary staffing costs. Improvements in GP recruitment and mental health services are expected to ease future pressures, but significant challenges remain. Ongoing redesign efforts, supported by NHSS and SIC, will align with the Strategic Commissioning Plan to ensure long term financial sustainability.
Annual Performance Reports
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Shetland Integration Joint Board Annual Performance Report 2018-19
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Shetland Integration Joint Board Annual Performance Report 2017-18