Select Committee on Health Report


Table 5.13.1

GRANTS AVAILABLE FOR PERSONAL SOCIAL SERVICES 1994-95 TO 1998-99

£ million



1994-951995-96 1996-971997-98 1998-99
Specific Grants
AIDS/HIV services12.9 13.413.713.7 13.7
Alcohol & Drugs Misusers services2.4 2.52.52.5 2.5
Guardians Ad Litem & Reporting Officer
services

5.9

6.2

6.3

6.3
Mental Illness services36.0 47.358.367.3 73.3
Training Support Programme33.4 34.635.535.5 35.5
Secure Accommodation (Capital)9.0 20.827.213.2 8.2
Special Grants
Community Care Special Transitional Grant 735.9 647.6418.0 325.0350.0
Capital Disregard Increase 64.5
Unaccompanied Asylum-Seeking Children 3.0 3.0 3.0
Persons From Abroad Children's Grant 10.039.5 n/k1
Asylum Seekers' Accommodation Grant 15.0 47.1 90.0
TOTAL835.5772.4 653.9 553.1 576.2
Footnote:


  1.  A decision is yet to be made on this grant.

General

  2.  Those grants where there has been no change to the volume, purpose or monitoring arrangements described in the answer B.6 given in 1997 (HC 297), have not been reported on in this answer.

Guardians Ad Litem and Reporting Officer's Grant

  3.  In November 1996, local authority circular LASSL(96)19, signalled the Government's intention, subject to consultation, to end the grant after 1997-98. Following consultation with representatives from local government in the period February to April 1997, LASSL(97)23 announced in November 1997 that the grant would cease as of 31 March 1998 and that an equivalent sum of £6.3 million would be transferred back into personal social services standard spending assessments. Final payments of the grant were made in March 1998. Audit requirements for grant expenditure will be sent to each local authority in June 1998 requiring that a certified audit certificate be sent to the Department in December 1998.

Mental Illness Specific Grant

  4.  Volume: In 1998-99 the grant increased from £67.3 million to £73.3 million.

  5.  Purpose: The grant continues to be used for a number of initiatives. The additional £6 million created two new funds. The £2 million CAMHS (Children and Adolescent Mental Health Services) Fund allows the grant to be extended to cover the provision of services for children and adolescents for the first time. It will be invested in a small number of pilot projects to reward and disseminate good practice where considerable progress has already been made. The £4 million Partnership Fund will also be used to reward innovative ideas and practice. It is intended to promote close working across organizational boundaries. The projects it supports will be varied but are likely to include some aimed at preventing vulnerable people from becoming severely mentally ill or experiencing an avoidable recurrence. Both funds will be allocated on the basis that the local authority will contribute 30 per cent of the overall cost from other sources. The Homeless Mentally Ill Initiative launched in 1990-91 (funded with £4.2 million from the grant in 1998-99) assists the re-integration into the community of people with mental health problems sleeping rough and was originally targeted on central London. This year it has been extended to develop appropriate services in other centres with a rough sleeping problem.

  6.  Monitoring: The grant monitoring report for 1994-95 and 1995-96 was published in October 1997. Monitoring arrangements are now being developed to cover the full range of personal social services mental health activity, of which the grant remains an important part. In 1997-98 all local authorities completed a questionnaire on joint working as part of the Autumn Review of mental health services. Progress reports will be required from local authorities for projects funded through the new CAMHS and Partnership Funds.

Secure Accommodation (capital) Grant

  7.  Volume: The grant is £8.2 million in 1998-99. A total of £70.2 million has been made available over the previous four years.

  8.  Purpose: Funded through the grant since 1994-95, the national development programme for an additional 170 local authority secure places will be completed this year. As more of the projects reach final account stage, the amount of grant aid required to fund them decreases. Some of this year's grant provision will be spent on the upgrade and refurbishment of existing secure units.

  9.  The monitoring arrangements remain the same as last year.

Community Care Special Transitional Grant

  10.  Volume: The 1997-98 grant of £325 million was transferred into standard spending assessments from 1998-99. A further grant of £350 million has been provided for 1998-99.

  11.  Purpose: For 1998-99 the grant has the express purpose of encouraging the joint planning of the provision of community care and NHS services by local authorities and health bodies respectively, the Government having identified this as a priority. This is achieved by the conditions attached to the grant. The primary condition continues to be that the entire grant must be spent on community care services or directly associated costs. The secondary condition has changed and says that some funds should be invested in services with the objective of improving joint procedures for needs assessment, hospital discharge arrangements and preventing persons being admitted unnecessarily to hospital or to residential or nursing home care following discharge from hospital.

  12.  Monitoring: Local authorities' achievement of the secondary condition will be monitored in two ways:

    (i)  during the year, by Social Care Regional Offices, in liaison with NHS Regional Offices, as part of their work to follow up the Better Services for Vulnerable People initiative (guidance in circular EL(97)62/CI(97)24) which addresses three important development themes, namely, joint investment plans, multi-disciplinary assessments and rehabilitation services for older people;

    (ii)  by 31 May 1999 local authorities must provide the Secretary of State, via their Social Care regions, with a report explaining the measures they have taken to comply with the secondary condition.

Persons from Abroad Children's Grant

  13.  Volume: £10 million was allocated to local authorities in 1996-97 to compensate them for 80 per cent of their expenditure above a threshold (£1 for the total band D equivalent tax base). This covered a period when the legal position changed a number of times and social services departments acted as a safety net when the entitlements were not available. The grant rules for 1997-98 remained unchanged but demand increased steadily during the year. £39.5 million was allocated in 1997-98. A decision on a grant for 1998-99 has yet to be made.

Asylum Seekers' Accommodation Grant

  14.  Volume: The £15 million allocated for the grant in 1996-97 was based on a unit cost of £165 per asylum seeker per week and was to cover a period of less than a year. The numbers of asylum seekers looking to local authority social services departments for support under section 21 of the National Assistance Act 1948 rose steadily throughout 1997-98. £47.1 million was allocated for 1997-98 to cover larger numbers of asylum seekers and for a full year but at a lower unit cost of £140 per asylum seeker per week. The unit cost was reduced in the expectation that local authorities would move towards more cost effective forms of provision. Difficulties in securing sufficient accommodation, particularly in London, prevented local authorities from reducing their spending levels and the Department has therefore agreed to restore the unit cost for 1998-99 to £165. In recognition also, of the continued increase in asylum seekers being supported by local authorities, £90 million is being made available for the grant for 1998-99.

  15.  The purpose of the grant and the monitoring arrangements remain the same.


 
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Prepared 2 November 1998