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Home Care Services, Scotland 2003

DescriptionStatistical Release on the latest national figures for home care services provided or purchased by local authorities in Scotland
ISBN
Official Print Publication Date
Website Publication DateDecember 17, 2003

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    Statistics Release
    HOME CARE SERVICES, SCOTLAND 2003

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    Introduction

    The purpose of this Statistics Release is to present the latest national figures for home care services provided or purchased by local authorities in Scotland. All local authorities in Scotland provide Home Care services which give people the support, practical help and personal care that they need to live as independently as possible in the community.

    All figures relate to the week ending 31 March 2003 and are provisional, as such, may be subject to change. The final figures will be published in 'Scottish Community Care Statistics 2003'.

    Main points

    Comparisons with 2002 show that: -

    • The number of home care clients has increased by 4 per cent this year. The number of hours provided to clients has also increased (by 11 per cent). This has resulted in the overall hours per client increasing from 7.0 in 2002 to 7.4 in 2003 (an increase of 6 per cent).
    • The estimated number of older people (aged 65 and over) receiving intensive home care (more than 10 hours per week) has increased from 14.2 clients per 1,000 population of older people in 2002 to 15.7 in 2003 (an increase of 11 per cent).
    • The proportion of service provided solely by the voluntary and private sectors has continued to increase for the fifth year running. It rose from 18 per cent in 2002 to 22 per cent in 2003 (See chart one).

    Information collected on home care services shows that: -

    • 23 per cent of all clients received a service of 10 hours or more per week.
    • The majority of clients (58 per cent) received services on weekdays only. This is down from 64 per cent in 2002. 40 per cent of clients received services on weekdays and at the weekend (up from 35 per cent last year).
    • Two thirds of services were provided in the morning / early afternoon (between 7am and 2pm).

    The groups of people who used home care services in 2003 are similar to last year: -

    • 83 per cent of clients were aged 65 years and over.
    • Gender splits show 71 per cent were female and 29 per cent were male
    • Over three-quarters (76 per cent) of clients had physical disabilities (including frailty associated with ageing).
    • Most people using the service (68 per cent) lived alone.

    An estimated 12,256 whole-time equivalent home care staff were directly employed by local authorities. They gave 368,222 hours of direct contact. That represents a 16 per cent increase in staffing levels in the past year.

    Provider and Purpose of Home Care Services

    There was an estimated 501,030 hours of service provided to around 67,266 clients in 2003. The number of home care clients has increased for the first time since 1998. The number of client hours dropped initially but has since increased to a maximum over this period. Despite an initial fall in 1999, the number of client hours has increased by 25 per cent since 1998. In 1998 and 1999 clients received, on average, 5.1 hours of home care per week. This has risen steadily to 7.4 hours for 2003 (See Table 1).

    Table 1: Number of Home Care Clients and Hours Provided / Purchased

    Year at 31 March

    1998

    1999

    2000

    2001

    2002

    2003

    No. of clients

    79,294

    74,058

    70,229

    65,533

    64,546

    67,266

    Client hours

    401,227

    375,299

    393,074

    394,567

    452,758

    501,030

    Hours per client

    5.1

    5.1

    5.6

    6.0

    7.0

    7.4

    Clients aged 65+ receiving 10 hours+ per 1,000 pop'n aged 65+

    9.6

    9.8

    11.4

    12.6

    14.2

    15.7

    Source: Home Care Statistical Return H1

    The estimated number of older people receiving intensive home care (more than 10 hours per week) has increased over the 5-year period. In 2003, 15.7 clients per 1,000 population aged 65 or over received intensive home care - compared with 14.2 in 2002 and 9.6 in 1998 (See Table 1).

    Of the estimated 67,266 clients who received a home care service provided or purchased by a local authority in 2003, 16 per cent received at least part of their home care service from a private or voluntary provider - compared to 15 per cent in 2002. (See Table 2).

    The average number of contact hours per client for those receiving local authority provided services only was 6.1 hours per week, compared to 14.7 hours for those receiving home care from a private or voluntary provider only (See Table 2).

    Table 2: Number of Home Care Clients and Hours Provided / Purchased by Provider of Service

    Provider of Service

    No. of Clients

    Client Hours

    Hours per Client

    Solely from local authority

    56,342

    344,315

    6.1

    Solely from private / voluntary sector

    7,549

    110,999

    14.7

    Combination of provision from LA and private / voluntary sector

    3,375

    45,716

    13.5

    TOTAL

    67,266

    501,030

    7.4

    Source: Home Care Statistical Return H1

    110,999 hours were provided to clients receiving home care services solely from the private or voluntary sector. This has increased by a third since 2002 when 83,372 hours were provided.

    Additionally, over 45,700 hours (9 per cent) were provided by some combination of local authority, private and voluntary provision (See Table 2 & Chart 1).

    chart 1

    The proportion of service provided solely by local authorities has been decreasing steadily from 89 per cent in 1998 to 69 per cent in 2003. The majority of this decrease is due to the increase in service provided or purchased solely from the voluntary and private sectors (see Table 3).

    Table 3: Distribution of Home Care Hours Provided / Purchased by Provider of Service, 1998 - 2003

    Provider of Service

    1998

    1999

    2000

    2001

    2002

    2003

    %

    %

    %

    %

    %

    %

    Solely from local authority

    89

    86

    82

    78

    74

    69

    Solely from private / voluntary sector

    6

    8

    10

    14

    18

    22

    Combination of provision from LA and private / voluntary sector

    5

    6

    8

    8

    8

    9

    Source: Home Care Statistical Return H1

    Profile of Clients Receiving Home Care Services

    Approximately 76 per cent of clients receiving home care services provided or purchased by local authorities were people with physical disabilities (including frailty associated with ageing). An estimated 71 per cent of clients were female and 83 per cent of all clients were aged 65 years or over. Both figures are unchanged from last year (See Table 4).

    9 per cent of home care clients were classified as being in 'other vulnerable groups'. It is expected that this group will include some clients who would have been classified as 'older people' under the previous classification system (See Table 4).

    Table 4: Age, Client Group and Gender of Clients Receiving Home Care Services

    Age Group

    TOTAL CLIENTS

    Client Group

    0-64

    65-74

    75-84

    85+

    People with Dementia

    100

    496

    1,751

    1,315

    3,662

    People with Mental Health Problems

    1,217

    466

    448

    166

    2,297

    People with Learning Disabilities

    1,519

    174

    123

    35

    1,851

    People with Physical Disabilities (includes frailty associated with ageing)

    6,211

    8,396

    20,085

    16,651

    51,343

    People with HIV or AIDS, alcohol or drug problems

    414

    184

    105

    16

    719

    Carers of dependent people in groups above

    160

    24

    23

    17

    224

    Carers/children not in groups above

    926

    19

    32

    21

    998

    People in other vulnerable groups

    973

    1,004

    2,294

    1,901

    6,172

    Male

    4,924

    3,796

    6,690

    4,249

    19,659

    Female

    6,596

    6,967

    18,171

    15,873

    47,607

    TOTAL CLIENTS

    11,520

    10,763

    24,861

    20,122

    67,266

    Source: Home Care Statistical Return H1

    Approximately 68 per cent of clients in receipt of a home care service were living alone; an additional 9 per cent were living in households where 2 or more people received the service (See Table 5).

    Table 5: Living Arrangements of Clients Receiving Home Care Services

    Living Arrangements

    Number of clients

    %

    Living alone

    45,738

    68

    Two or more clients in household

    6,319

    9

    In other living arrangements

    15,209

    23

    TOTAL CLIENTS

    67,266

    100

    Source: Home Care Statistical Return H1

    Levels and Timing of Home Care Services Provided

    23 per cent of clients of home care services received at least 10 hours of service provided or purchased by a local authority in 2003. This has increased by 3 per cent since 2002 (See table 6). This percentage has gradually increased over the last 6 years. The number of clients receiving less than 4 hours has decreased over the same period (See Chart 2). This indicates a gradual shift towards a more intensive level of service.

    chart 2

    Table 6: Number of Home Care Clients by Level of Service Received

    Level of Service

    Number of Clients

    %

    Less than 1 hour

    2,293

    3

    1 hour to less than 2 hours

    12,526

    19

    2 hours to less than 4 hours

    17,442

    26

    4 hours to less than 6 hours

    9,074

    13

    6 hours to less than 8 hours

    6,661

    10

    8 hours to less than 10 hours

    4,081

    6

    10 hours to less than 15 hours

    7,786

    12

    15 hours to less than 20 hours

    3,565

    5

    20 hours or more

    3,838

    6

    TOTAL CLIENTS

    67,266

    100

    Source: Home Care Statistical Return H1

    Chart 3 and Table 7 illustrate the provision of home care services by time of day and part of week.

    chart 3

    58 per cent of clients received a home care service on weekdays only. This figure has been decreasing since 1999 when it stood at 80 per cent. The number of clients receiving a service during both weekdays and weekends has increased to a maximum since 1998 of 40 per cent. Only 2 per cent received services at the weekends only (See Chart 3).

    Two thirds (66 per cent) of hours of service were delivered in the morning / lunchtime period, i.e. between 7am and 2pm. This is down from 68 per cent in 2002. An additional 16 per cent were delivered in the evening / overnight period, i.e. between 7pm and 7am. This is up from 14 per cent in 2002 (See Table 7).

    Table 7: Provision of Home Care Service Hours by Time of Day and Part of Week

    Part of week

    Morning/ Lunch 7am to 2pm

    Afternoon/ Early Evening 2pm to 7pm

    Evening 7pm to 10pm

    Over-night 10pm to 7am

    Total

    Weekdays only

    126,068

    19,021

    5,015

    2,380

    152,484

    Weekends only

    3,470

    1,099

    302

    54

    4,925

    Weekday & Weekend

    200,114

    71,963

    53,792

    17,752

    343,621

    Total

    329,652

    92,083

    59,109

    20,186

    501,030

    Source: Home Care Statistical Return H1

    Staff Providing Home Care Services

    There were 12,256 whole-time equivalent (WTE) staff employed within Scottish local authorities to provide home care services. This has increased by 16 per cent since 2002 (10,533 WTE staff). They provided a total of 368,222 direct contact hours (See Table 8).

    Table 8: Local Authority Employed Home Care Staff

    All Home Care Staff

    2003

    No. of Full-time staff

    2,119

    No. of Part-time staff

    17,175

    No. of WTE Part-time staff

    10,137

    Total WTE staff

    12,256

    Total direct client contact hours

    368,222

    Source: Home Care Statistical Return H1

    For local authority staff providing home care services, the average number of client contact hours per whole-time equivalent staff was estimated to be 30 hours in 2003. The average standard working week for corresponding staff was around 37 hours.

    Equivalent information on staffing within private and voluntary organisations providing home care services is not available.

    Background Information on the Collection of Home Care Services

    Data was collected with respect to the week ending 31 March 2003, although some local authorities provided information for a different week, which was thought to be more typical.

    A revised home care statistical collection was introduced in 1998. Local authorities are asked to provide details of all home care services provided by their own staff, and in addition, services bought in from other local authorities, and private / voluntary organisations. Further information on home care services is published in 'Scottish Community Care Statistics 2002'.

    A return was received from each local authority in Scotland. A small amount of information on the number of client/hour data had to be estimated for some local authorities. Six local authorities had difficulty in providing information on the gender of clients. Gender splits were included in the return for the first time in 2002. Care should therefore be taken when interpreting figures in this area of provision as a considerable amount of data has been estimated.

    Care should also be taken when comparing this Statistics release with the 2002 issue, published on the 27 November 2002. A number of quoted figures relating to 2002 have been revised due to a new estimation of the figures for Glasgow local authority. The new 2002 figures will be available in detail in 'Scottish Community Care Statistics 2002'. This is due to be published in December 2003.

    There is external evidence that the amount of home care services provided without local authority involvement, e.g. purchased privately by families, has grown significantly in recent years. Statistical information on such activity in Scotland is not currently available, and therefore is not included in this analysis.

    Unpaid carers also provide help and care for disabled and older people. Information on carers is available in Chapter 6 of 'Scottish Community Care Statistics 2002'.

    Further Information

    Further details and analysis of the data presented in this Statistics Release are available on request from the address given below. The Statistics Release is available on the Internet by accessing the Scottish Executive web site ( www.scotland.gov.uk).

    Information at a disaggregate local authority level showing number of clients receiving a service and number of hours service provided or purchased is shown in annex 1 to this Statistics Release.

    Social Work Statistics
    Room 3.WR
    St Andrew's House
    Edinburgh
    EH1 3DG

    Contact: Steven Gillespie
    Tel: 0131 244 3777
    E-mail: SWStat@scotland.gov.uk


    This statistics release was published on 17 December 2003.

    ANNEX 1: Total Number of Home Care Clients and Hours of Service Provided by Local Authority

    Local Authority

    Number of clients receiving a service

    Total hours of service provided or purchased by LA

    Aberdeen City

    2,514

    12,426

    Aberdeenshire

    1,874

    19,444

    Angus

    1,778

    5,855

    Argyll & Bute

    965

    7,814

    Clackmannanshire

    680

    6,169

    Dumfries & Galloway

    2,048

    21,443

    Dundee City

    1,886

    8,610

    East Ayrshire

    1,444

    11,790

    East Dunbartonshire

    1,029

    5,499

    East Lothian

    1,128

    7,506

    East Renfrewshire

    884

    6,000

    Edinburgh, City of

    6,084

    36,087

    Eilean Siar

    765

    5,864

    Falkirk

    2,010

    13,633

    Fife

    6,082

    26,962

    Glasgow City

    9,040

    96,206

    Highland, The

    3,055

    14,750

    Inverclyde

    1,104

    7,012

    Midlothian

    1,084

    7,095

    Moray

    1,205

    8,016

    North Ayrshire

    1,491

    12,811

    North Lanarkshire

    4,370

    47,678

    Orkney Islands

    428

    2,645

    Perth & Kinross

    1,618

    9,039

    Renfrewshire

    2,169

    17,376

    Scottish Borders

    1,686

    10,985

    Shetland Islands

    545

    2,793

    South Ayrshire

    1,471

    17,611

    South Lanarkshire

    2,568

    22,166

    Stirling

    848

    7,413

    West Dunbartonshire

    1,834

    13,534

    West Lothian

    1,579

    8,798

    SCOTLAND

    67,266

    501,030

    Source: Home Care Statistical Return H1