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Facts, figures and performance

Facts and figures

We are continuing to focus on greater personalisation, so that people can expect services tailored to their own needs to achieve the outcomes that are important to them.

Some of the figures in this half-year update are snapshots as at 30 September 2014 compared with the position as at 31 March 2014. Those are directly comparable figures. Other figures show activity in the first half year compared with previous full year activity and need to be considered in that context.

Our Customer Service Centre is the first point of contact with us for most people, including those referred on to us by other agencies. We signpost people to a social care assessment or the best services to meet their needs.  In the first half of 2014/15, 16,092 people contacted us with social care enquiries (32,430 in 2013/14).

New people being referred into social care

3,652 referrals for social care and related issues (7,141 in 2013/14), many of which were dealt with by providing simple services, advice and information.

439 people had a ‘self-assessment’ (549 in 2013/14) resulting in 48 (105 in 2013/14) receiving appropriate support guidance or awaiting further action. The remaining 391 (444 in 2013/14) went on to a full assessment.

1,041 (2,002 in 2013/14) people in total had a full assessment undertaken with our social referrals, reviews, carers assessments and services.  This includes 434 self-assessment referrals (444 in 2013/14).

Reviews, carers assessments and services

Between 1 April and 30 September 2014:

1,727 reviews were completed for service users (3,644 in the whole of 2013/14).

259 carers had an assessment or review completed (427 in the whole of 2013/14).

4,659 were receiving a service at 30 September 2014 (4,512 as at 31 March 2014). This increase is as a result of more people receiving low level services as the figures that follow show that a stable or decreasing number of people receiving services to meet higher level needs.

Of those receiving a service, those defined as receiving ‘self-directed support’ (they were provided with a budget and  were able to decide how they would like to spend their money in order to provide the support they needed) as at 30 September 2014 was 2,110 (2963 in 2013/14). The reduction has come about following clarification of the definition of “managed by the local authority” which all local authorities will have received in September 2014.

A sub-set of those receiving self-directed support is the total number of people (service users and their carers) in receipt of direct payments during the 2013-14 financial year was 1087.  At 30 September 2014 there were 645 service users in receipt of direct payments and 305 carers who have so far received a direct payment. The number of direct payments to service users is a “snap-shot” as at 30th Sept 2014 whilst for carers it is cumulative from April-September.

3,034 people were receiving community based services (3,338 in 2013/14).

158 people were permanently admitted to local authority funded residential and nursing home care placements (400 in 2013/14). 73 of these were admissions to residential care (189 in 2013/14) and 85 were admissions to nursing care (211 in 2013/14).  Overall, 1,007 people were funded in residential and nursing care according to a snapshot taken on 30th September 2014 (1006 as at 31 March 2014).

251 service users aged 55+ living in Extra Care Housing (265 in 2013/14). These are cumulative figures of all people who lived in Extra Care Housing for all or part of the period, therefore half-year figures will always be lower.

939 people received home care in an average week (959 in 2013/14).

35.5% (333) of people received ‘intensive home care’ (10 or more hours per week) (34.2% (328 people) in 2013/14).

234 service users living in the community in supported living (255 in 2013/14) (188 with a learning difficulty, (202 in 2013/14)).  These are cumulative figures of all people who lived in supported living for all or part of the period, therefore half-year figures will always be lower.

999 people were provided with additional support to remain in their own homes through aids and adaptations (1,940 in 2013/14).

7.8% of service users (115 people) aged 18-64 are from minority ethnic communities (5.19% in 2013/14).

4.3% of service users (139 people) aged 65 or over are from minority ethnic communities (2.35% in 2013/14).

Performance

A range of social care-related performance measures show how the services we provide compare to other authorities, and whether they are meeting the needs of the community.  Some of the measures recognise how we work across health and social care to meet individuals’ needs.

Here are some of the performance measures included in the Government’s Adult Social Care Outcomes Framework.

The percentage of service users and carers with self-directed Support was 69.5% as at 30 September 2014 (corrected figure was 84.8% as at 31 March 2014).

The percentage of older people discharged from hospitals who received reablement or rehabilitation care services and who are still at home 91 days after discharge from hospital. This looks at the effectiveness of services which aim to improve older people’s independence when they have been discharged from hospital. Our 2013/14 performance showed that 79.9% (238 people) were still at home. (6 month figure not yet available yet – data from Sirona awaited to complete calculation).

The percentage of adults with Learning Disabilities receiving social care services who were in paid employment at the time of their review was 8.6% (59 people) (12.7% in 2013/14).

As at 30 September 2014, the percentage of adults with Learning Disabilities receiving social care services who were in settled accommodation at the time of their review was 67.8% (467 people) (70% as at 31 March 2014).

The percentage of adults with Mental Health problems receiving secondary mental health services who were in paid employment  This measures employment outcomes for those adults in touch with secondary mental health services whose complex needs are being managed using the Care Programme Approach (CPA).   As at 30th September 2014, 21.9% of adults (122 people) using the CPA in South Gloucestershire were in paid employment (22.2% in 2013/14).

The percentage of adults with Mental Health problems receiving secondary mental health services who were in settled accommodation at the time of their review.  This measures the accommodation situation for adults in touch with secondary mental health services whose complex needs are being managed using the Care Programme Approach (CPA). As at 30 September 2014 78.7% (86.7% in 2013/14) in South Gloucestershire were in accommodation classed as ‘settled’.

The number of hospital discharges that were delayed by social services for people aged 18 or over (per 100,000 population).   The aim is for as few delayed discharges as possible.  In the first half of 2014/15 Adult Social Care was responsible for an average of 8.1 delayed patients ‘bed-days’ per 100,000 population for all discharges (6.1 in 2013/14).  The main cause of this change has been the availability of appropriate care home beds.

Permanent admissions to residential/nursing care for older people (per 100,000 population). It is better to have a low rate of permanent admissions to residential care, as a high rate can indicate a lack in the range of health and social care community services needed to enable someone to remain in their own home. In the first half of 2014/15 South Gloucestershire had an admissions rate to residential/nursing care for older people of 315 per 100,000 population (767.5 in 2013/14 – amended from published 2013/14 figure of 825 as new denominator now in use to reflect revised 2013 data on the number of people aged 65+) and 3.7 per 100,000 for the population aged 18-64 (14.2 in 2013/14).