Select Committee on Health Report


Table 5.3

UNIT COSTS (£s) OF SELECTED PERSONAL SOCIAL SERVICES ENGLAND, 1992-93 TO 1996-97 (1)

£
Unit Cost 1992-931993-94 1994-951995-96 1996-97
Gross expenditure per week on supporting residents aged 65 and over in nursing care (2)

Cash Terms
Real Terms (5)
.. ..    228    234    243    243274 266

Gross expenditure per week on supporting residents aged 65 and over in local authority residential care homes (2)
Cash Terms
Real Terms (5)
254 273    271    283   283    291    304    304311 302

Gross expenditure per week on supporting residents aged 65 and over in independent residential care homes (2)
Cash Terms
Real Terms (5)
..    244    255   241    248    231    231245 238

Gross expenditure per hour of home help/care for all clients aged 18 or over (3)
Cash Terms
Real Terms (5)
..    7.9    8.2   7.9    8.1    8.2    8.28.6 8.4

Gross expenditure per week per child looked after in local authority maintained children's homes (4)
Cash Terms
Real Terms (5)
919 987 1,023 1,0671,061 1,090 1,100 1,100..

Gross expenditure per week per child looked after by foster parents (4)
Cash Terms
Real Terms (5)
136 146    151    158   150    154    159    159..

Key:

.. = not available

Footnotes:

  1.  Expenditure data for 1996-97 are provisional.

  2.  These unit costs have been calculated by taking gross current expenditure throughout the year on residential and nursing care as appropriate and dividing it by the average of supported residents in such homes reported at 31 March in consecutive years. A supported resident is one who is supported wholly or in part by the local authority. Residents in local authority homes who are assessed to pay the full costs and residents in other homes whose fees are paid in part or through income support are not included.

  3.  This unit cost is calculated by taking gross current expenditure throughout the year on home care services and dividing it by activity data collected during a sample week in the autumn.

  4.  These indicators have been calculated by taking gross current expenditure throughout the year on LA maintained children's homes and foster placements and dividing by the average number of children looked after placed in LA maintained children's homes and foster placements respectively at 31 March in consecutive years.

  5.  Deflated using the GDP deflator at 1995-96 prices.

Variation between authorities

  7.  There is substantial variation between local authorities in these unit costs, as figures 5.3.1-5.3.6 below demonstrate. Such wide variability of individual authority figures points to issues of data quality and there is a risk that misreporting of data by local authorities has had an effect. In examining unit costs it is likely that extreme high or low values are the result of misreporting of expenditure data by local authorities. It is however notable that even if the more extreme figures are discounted significant variation remains and the Department is of the view that the information provided by local authorities should be used in monitoring social services, which should act as an incentive for authorities to improve their management information generally.

  8.  Figures 5.3.1-5.3.6 show the unit cost values calculated using expenditure data for 1995-96 as these are finalised figures (expenditure data for 1996-97 are provisional). Where a local authority has reported activity but no expenditure (an implied zero unit cost) they have been excluded from the charts.

  9.  Figure 5.3.1 shows that the weekly unit cost of supporting older people in nursing care in 1995-96. A number of local authorities (17) reported no expenditure on nursing care for older people, although they did report supporting residents in nursing care homes (an example of misreporting of data), and these authorities have been excluded from figure 5.3.1. The average weekly unit cost for England was £243 in 1995-96 ranging from £100 or less a week in a few authorities to more than £400 a week in others. 43 per cent of the authorities in figure 5.3.1 had a unit cost between £251 and £350.


 
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Prepared 2 November 1998