Covers information on councils’ expenditure on personal social services and the social services staff they employ. It also includes information on council’s performance in providing these services.
Publications
Summarises information on assessments and social services provided to adults aged 18 and over by Welsh local authorities.
Local Authorities are required under section 251 of the Apprenticeships, Skills, Children and Learning Act 2009 to prepare and submit an education and children’s social care outturn statement. These statistics provide a detailed picture of local authority actual expenditure and provide details of the size and amount of school balances.
Local Authorities are required under section 251 of the Apprenticeships, Skills, Children and Learning Act 2009 to prepare and submit an education and children’s social care budget statement. These statistics provide a detailed picture of local authority planned expenditure.
Statistics on key activities in settings and services within Wales regulated by the Care and Social Services Inspectorate Wales.
Presents estimates of annual basic pay and total earnings for NHS staff groups (excluding GPs and high street dentists).
NHS Vacancies Survey.
Summary of Northern Ireland Health and Social Care Workforce by staff group and organisation
Contains Personal Social Services current expenditure (gross expenditure; net expenditure; income from sales, fees and charges) data reported by councils in England.
Contains Personal Social Services current expenditure (gross expenditure; net expenditure; income from sales, fees and charges) data reported by councils in England.
Contains Personal Social Services current expenditure (gross expenditure; net expenditure; income from sales, fees and charges) data reported by councils in England.
An annual return that collects information on all staff, whether full or part-time, directly employed by social services departments. Some information is also collected on gender and ethnicity.
Summarises information on referrals, assessments and social services provided to children by Welsh local authorities.
Statistics on key activities in settings and services within Wales regulated by the Care and Social Services Inspectorate Wales.
Provides performance indicators for adult social care.
Overview
This topic presents reports on resources provided by councils in England towards providing personal social services:
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Personal social services expenditure and unit costs. Collects detailed information on Personal Social Services (PSS) expenditure by English local authorities.
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Personal Social Services Staff of Social Services Departments. Collects detailed information on all staff, whether full or part-time, directly employed by social services departments.
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Annual Performance Assessments. Presents the adults’ social services performance ratings for all 152 English councils with adult social services responsibilities.
Technical Data
Personal Social Services Expenditure and Unit Costs, England
The PSS EX1 analyses adult social care expenditure by Councils with Adult Social Services Responsibilities in England by type of service and type of expenditure/income. The type of service analysis matches the sub-divisions of the Service Expenditure Analysis (SEA) for Social Services in the CIPFA Best Value Accounting Code of Practice (BVACOP). The client groups used will generally reflect the primary cause for placement/service provided.
Personal Social Services Staff of Social Services Departments
The data is derived from a return (SSDS001) completed each September by Councils with Adult Social Services Responsibilities. The form covers all staff, whether full or part time, directly employed by social services departments (whole time equivalents are calculated on the basis of staff contractual weeks). The return does not cover agency staff or staff who work in the independent or voluntary sector.
Further guidance for both the expenditure and staffing data collection can be found on the NHS Information Centre website.
Annual Performance Assessment
The Care Quality Commission (CQC) produce performance gradings for the 152 local councils with statutory responsibility for adult social services in England, and which assess how councils carried out those responsibilities in respect of adults of working age and older people. The overall performance grading combines results from individual outcomes.
Note that the Annual Performance Assessment is discontinued from 2011-12 onwards.
Glossary
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Admissions
An admission is a separate event of a person entering residential or nursing care (and being supported by the Local Authority).
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Adult Placement
Adult Placement schemes are similar to fostering schemes for children. These are locally run and place between one to three adults with care or support needs with an adult placement carer and are no longer classed as registered accommodation. They ensure that these adults are able to enjoy an ordinary and independent life in the community and share in the family life of the carer.
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Assessment
The process of gathering data for the purpose of determining a client’sneed and eligibility for services. The Community Care Act specifies that all services offered to a client should be the outcome of an assessment of needs. There are no restrictions as to who carries out the assessment or part of it. An “assessment” is defined as the first assessment for a new client. All subsequent assessments which include a reassessment are defined as a review. Screening also qualifies as an assessment under the terms of the NHS and Community Care Act 1990 (see ‘Screening’). In some CASSRs partial self-assessment (by the client) is possible.
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Assessment or review terminated
Some clients are passed through for an assessment or review of need, but for a variety of reasons the assessment or review is not completed, but rather is brought to an end before completion.
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Basic Services
These are services where there is an initial but no ongoing financial or other resource commitment on the part of the CASSR. This term is used to describe the issue of blue badges, bus passes or administration of other comparable provisions, such as keys to public toilets for disabled people. CASSR blind / deaf registrations are also included. Many CASSRs do not distribute or fund the distribution of these provisions, whereas others do.
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Boyd Loophole Cases
Residents who have funded their own care through receipt of social security benefits, sometimes topped up by relatives. Although these residents were all admitted to before April 2002, these residents will, by definition be new to local authority support from 6 October 2003.
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Care plan
A ‘care plan’ is a description of the client’s needs and how these will be met that is developed and agreed as a result of an assessment or review.
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Carer
The definition of a carer is taken from the Carers & Disabled Children Act 2000, which states the act affects 'Carers (aged 16 and over) who provide or intend to provide a substantial amount of care on a regular basis for another individual aged 18 or over’. It is possible for a client to have more than one carer, and for a carer to additionally be a client in his or her own right.
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CASSR
Councils with Adult Social Services Responsibility.
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Clients
Customers of the CASSR who are ‘on the books’ for an assessment, or review, or the receipt of services. A client can be an individual, family or group, or can contain several clients. Individuals being considered as a service provider, for example, as a carer or foster parent in adult fostering scheme, should not be counted as clients.
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Community-based services
These are services provided to support clients living in the community.
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Completed assessment
A completed assessment for RAP purposes is one where all the components of the assessment of an individual’s needs and eligibility for services have been undertaken, and either a care plan has been agreed with the client or a decision taken that there should be no (further) services as a result of the assessment.
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Contacts
A ‘contact’, often called an enquiry, is a person visiting, writing, phoning or making a request of the CASSR in some other way. In the broadest sense a ‘contact’ is anyone who has made a request of the CASSR, at any of its access points (including those shared with others, such as in health settings).
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Day care
Attendance at a day care centre for day care and/ or meals and includes the attendance at training centres and luncheon clubs.
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Deferred Payments
From October 2001 deferred payments, under section 55 of the Health and Social Care Act 2001, were introduced. (Where residents whose property is taken into account by the financial assessment for residential accommodation, and who would ordinarily have to sell their homes to cover care fees, may keep their homes on admission to residential care contribute assessed income to care home fees, and the council makes up the difference between the residents contribution and its standard rate. Residents or their estates pay back the contribution made by the council when the property is eventually sold).
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Direct payments
Direct payments are defined as monetary payments made by local CASSRs directly to adult clients aged 18 and over in lieu of social service provisions, who have been assessed as needing certain services.
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Equipment and Adaptations
Equipment and adaptations are defined as one off pieces of equipment such as a ferrule, walking stick or bath rail (including fitting) as well as items of equipment or adaptations that incur an ongoing financial commitment or ongoing regular contractual maintenance’, e.g. stair lifts or hoists, if these are maintained by the CASSR or where the CASSR funds the maintenance. This also includes expenditure on Telecare and other monitoring systems which are not classed as an aid or adaptation.
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Former Preserved Rights Clients
People who became supported residents as a result of the end of the preserved rights scheme on 7 April 2002 should be included in ASC-CAR; there is no need to separately identify them on the ASC-CAR in 2009-10.
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Gross Total Cost
Cost of services provided or commissioned by the council and including grants to voluntary organisations and any income generated by the council.
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Gross Total Expenditure
Equals the total expenditure minus joint arrangements, income from the NHS and other income, but includes client contributions
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Home Care
The definition of home care follows (as closely as possible), that which was used in the central data collection HH1 return on home help/home care. The categories home help/home care (meaning all care that is not a short term break in the client’s own home) and overnight short term break (for the benefit of the client) that is provided in the client’s own home have been combined.
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Local Authority Staffed Care Home
Residential accommodation provided by local authorities under the terms of Part III, Section 21 of the National Assistance Act 1948.
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Net Current Expenditure
Equals total expenditure minus capital charges.
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Net Total Expenditure
Equals total expenditure minus all income.
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Nursing Homes
Nursing and other medical care provided in the premises defined in Sections 21 to 22 of the Registered Homes Act 1984, and in subsequent amendments as set out in The Care Standards Act 2000. Nursing care homes includes general and mental nursing homes only.
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Own provision
Services provided by the council.
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Package of care (care package)
A service or set of services agreed as part of the care plan arising from the first assessment or subsequent reviews. These services can be residential and / or community-based.
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Personal and / or domestic care
Synonyms for home care.
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Personal Budget
A personal budget is a notional amount of social care funding for an individual’s support, some or all of which maybe taken as a direct payment.
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Primary client type (group)
The categories of ‘primary client type’ are: physical disability, frailty and sensory impairment; mental health needs: including mentally ill or confused people, and those with dementia; vulnerable people: a general heading to include those whose situation cannot be appropriately fitted in any of the preceding groups; learning disability; substance misuse: includes those with drug and / or alcohol related problems.
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Professional support
Typically this occurs when a professional is involved as part of the care package to provide therapy / support / professional input.
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Provision by Others
Council commissioned services: eg services from the private, voluntary or independent sectors.
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Registered Homes
Homes registered under the Care Standards Act 2000.
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Rehabilitation services
Rehabilitation services are generally classified as temporary residential places.
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Residential Care
Accommodation with both board and personal care for persons requiring personal care by reasons of disablement, past or present dependence on alcohol or drugs, or past or present mental disorder.
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Respite care
Overnight respite care is defined as following an assessment or review where the carer’s needs have been taken into account, planned overnight breaks(s) are arranged for the client either at home or in an alternative setting to allow a break primarily for the carer.
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Screening
This is the initial phase with a contact, when basic ‘card index’ type data is gathered (name, address, etc.) along with a sufficient indication as to the purpose of the contact. This enables staff to determine whether information / advice only or a one off basic service is appropriate, or whether further investigation and assessment are warranted. It is also the stage at which callers who have come inappropriately to the CASSR will be filtered out and / or redirected.
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Section 256 Client
Many CASSRs receive revenue from a local health authority partner through arrangements under Section 256 of the NHS Act 2006 (formerly Section 28a of the NHS Act 1977 as amended by Section 29 of the NHS Act 1999) to provide social care services to those who were resident in long stay institutions and Care in the Community homes.
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Self directed support
Services which are delivered by social services or on behalf of social services via a direct payment or personal budget
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Self-funded
A self-funded client is one who pays entirely the direct cost of the services they receive, but whose care is managed (e.g. reviewed) at the expense of the CASSR.
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Short-term residential care - not respite
This refers to the provision of short term residential care for the client for any purpose other than respite care of a carer. It includes the provision of rehabilitation services. (see glossary definition for ‘Components of service’ for clarification).
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Supported Resident
A person in residential or nursing care who is receiving financial support from the local authority towards the cost of that care.
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Type of Stay: Permanent
Residential or nursing care which is of a permanent nature and where the intention is that the spell of care should not be ended by a set date. For people classified as permanent residents, the care home would be regarded as their normal place of residence.
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Type of Stay: Temporary
A spell of residential or nursing care which is intended to be of a temporary nature and of limited duration (although in some cases this may be as long as 12 to 18 months). This will include respite care, rehabilitation, short breaks and other care which is intended to be of a temporary nature, whatever the actual duration.
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Unstaffed Group Home
This is a home catering for a small group of people sharing a common household which is not permanently staffed. The home has communal areas and residents share basic amenities like bathrooms and kitchens. Board and personal care are not provided in such homes.
Contact Details
For statistical enquiries about this topic, please contact:
The NHS Information Centre
Email: enquiries@ic.nhs.uk
Telephone: +44 (0) 845 300 6016
1 Trevelyan Square Boar Lane Leeds LS1 6AE
