Select Committee on Health Memoranda


MEMORANDUM

Memorandum by the Department of Health

Table 5.5.2

CHILDREN LOOKED AFTER AT 31 MARCH 1998 IN FOSTER PLACEMENTS OUTSIDE THE LOCAL AUTHORITY BOUNDARY


All children in foster
placements
(1)
Numbers
Foster placements
outside LA
boundary
Percentages
Foster placements
outside LA
boundary

ENGLAND
35,100
6,400
18
    
North East
Shire Counties
Durham
287
33
12
Northumberland
163
8
5
Unitary Authorities
Darlington
74
9
12
Hartlepool
46
2
5
Middlesbrough
-
-
-
Redcar & Cleveland
117
7
6
Stockton on Tees
100
3
3
Metropolitan Districts
Gateshead
154
58
38
Newcastle upon Tyne
268
82
31
North Tyneside
185
30
16
South Tyneside
190
32
17
Sunderland
244
47
19
    
NORTH WEST
Shire Counties
Cheshire
551
12
2
Cumbria
355
10
3
Lancashire
1,126
106
9
Metropolitan Districts
Bolton
182
26
14
Bury
107
37
34
Manchester
761
280
37
Oldham
171
16
9
Rochdale
112
41
37
Salford
303
34
11
Stockport
172
42
25
Tameside
129
27
21
Trafford
74
27
37
Wigan
225
30
13
    
MERSEYSIDE
Metropolitan Districts
Knowsley
191
57
30
Liverpool
663
147
22
Sefton
148
24
16
St Helens
115
22
20
Wirral
191
12
6
    
YORKSHIRE & HUMBERSIDE
Shire Counties
North Yorkshire
212
11
5
Unitary Authorities
East Riding of Yorkshire
130
24
18
Kingston upon Hull
469
45
10
North East Lincolnshire
167
55
33
North Lincolnshire
104
11
10
York
69
24
35
Metropolitan Districts
Barnsley
177
20
11
Bradford
465
87
19
Calderdale
155
22
14
Doncaster
186
0
-
Kirklees
140
6
4
Leeds
761
41
5
Rotherham
202
13
7
Sheffield
349
33
9
Wakefield
360
38
11
    
EAST MIDLANDS
Shire Counties
Derbyshire
424
33
8
Leicestershire
168
12
7
Lincolnshire
292
6
2
Northamptonshire
351
45
13
Nottinghamshire
703
68
10
Unitary Authorities
Derby
362
39
11
Leicester
308
31
10
Rutland
6
6
100
    
WEST MIDLANDS
Shire Counties
Hereford & Worcester
488
39
8
Shropshire
207
25
12
Staffordshire
351
40
12
Warwickshire
289
53
18
Unitary Authorities
Stoke-on-Trent
237
56
24
Metropolitan Districts
Birmingham
892
88
10
Coventry
266
44
16
Dudley
160
46
29
Sandwell
291
12
4
Solihull
111
21
19
Walsall
220
32
15
Wolverhampton
272
113
42
    
SOUTH WEST
Shire Counties
Cornwall
396
10
3
Devon
841
37
4
Dorset
218
10
5
Gloucestershire
346
31
9
Isles of Scilly
-
-
-
Somerset
287
6
2
Wiltshire
197
19
10
Unitary Authorities
Bath & North East Somerset
123
4
3
Bournemouth
133
49
37
Bristol
390
19
5
North Somerset
116
4
3
Poole
83
7
8
South Gloucestershire
110
4
3
Swindon
129
7
5
    
EASTERN
Shire Counties
Bedfordshire
171
52
31
Cambridgeshire
596
37
6
Essex
879
98
11
Hertfordshire
461
71
15
Norfolk
444
7
2
Suffolk
358
9
3
Unitary Authorities
Luton
169
52
31
    
LONDON
Inner London
Camden
185
105
57
City of London
-
-
-
Greenwich
234
65
28
Hackney
354
198
56
Hammersmith & Fulham
172
101
59
Islington
254
124
49
Kensington & Chelsea
123
87
71
Lambeth
454
254
56
Lewisham
347
176
51
Southwark
481
238
49
Tower Hamlets
-
-
-
Wandsworth
234
87
37
Westminster
172
131
76
Outer London
Barking & Dagenham
118
52
44
Barnet
142
92
64
Bexley
144
66
46
Brent
187
68
36
Bromley
130
85
65
Croydon
206
36
18
Ealing
195
96
49
Enfield
131
53
41
Haringey
272
48
18
Harrow
104
33
32
Havering
84
14
17
Hillingdon
207
62
30
Hounslow
180
61
34
Kingston upon Thames
59
12
21
Merton
140
67
48
Newham
335
124
37
Redbridge
105
62
59
Richmond upon Thames
51
33
64
Sutton
66
18
27
Waltham Forest
199
48
24
    
SOUTH EAST
Shire Counties
Berkshire
317
62
19
Buckinghamshire
148
17
12
East Sussex
303
9
3
Hampshire
438
28
6
Kent
-
-
-
Oxfordshire
295
14
5
Surrey
324
54
17
West Sussex
422
34
8
Unitary Authorities
Brighton & Hove
279
30
11
Isle of Wight
124
0
-
Milton Keynes
-
-
-
Portsmouth
133
34
26
Southampton
247
10
4


Footnote:

  1.  Figures for children looked after in this table exclude agreed series of short term placements

5.6  Variations in service delivery

Could the Department provide figures showing how the delivery of non-residential social services has changed over the last 5 years and comment on these trends?

  1.  Table 5.6.1 presents information on home help/care, meals services and day centre provision for the period from 1994, to 1998. Information is derived from the statistical collections for a sample week in September/October each year. Fuller information is published in the Statistical Bulletin Community Care Statistics 1998, Day and domiciliary personal social services for adults, England (bulletin ref 1999/10 ISBN 1 84182 014 8).

Home help/care contact hours

  2.  Between 1994 and 1998 the total number of contact hours provided during the survey week increased by around 16 per cent, from 2.2 million to 2.6 million hours. By contrast, the number of households receiving home help/care dropped from around 540,000 in 1994 to 450,000 in 1998 suggesting a more intensive service is being provided to fewer households. All of the increase in provision was in the independent sector, while the number of contact hours provided directly by local authorities dropped by 22 per cent over the period, emphasising that local authorities are continuing to make more use of the independent sector.

  3.  The increase in the intensity of service is highlighted in the length and frequency of visits to households during the survey week (not shown in the table). In 1998, around 30 per cent of households received a more intensive service (of more than five hours and six or more visits), compared to 15 per cent in 1994. The proportion of households receiving a "low" intensity service (just one visit lasting less than 2 hours) was around 38 per cent in 1994, dropping to 27 per cent in 1998.

Meals service

  4.  The total number of meals provided (either in luncheon clubs, day centres or to clients' own homes) increased by three per cent over the period 1994 to 1995 (1,108,000 to 1,142,000) but then dropped in 1996 and again in 1997. Similarly, the number of people receiving meals dropped over the period from just over 300,000 in 1994 to 247,000 in 1997. (The number of meals served at luncheon clubs is now no longer collected, therefore comparable figures for 1998 are unavailable, the number of meals provided for 1998 being 970,500). The number of meals served to clients' homes is 161,000. The local authority sector still accounts for the majority of meals provided, 61 per cent in 1998 from 64 per cent in 1994. The proportion of meals supplied by the independent sector however has increased from 36 per cent in 1994 to 39 per cent in 1998.

Day centre places

  5.  The number of available day centre place days per week increased by 13 per cent from 569,000 in 1994 to 644,000 in 1998. The number of attendances at day centres increased from 449,000 in 1994 to 469,400 in 1997, the last year for which information on attendances was collected. This information has now been replaced by data on the number of clients attending day centres during the survey week, which for 1998 was 251,000. The local authority share of the provision has dropped steadily over the period from 86 per cent to 73 per cent of the total. Day centres places for 1998 now include day care facilities within residential accommodation, which also cater for non-residents.


 
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Prepared 18 October 1999