Select Committee on Health Memoranda


MEMORANDUM

Memorandum by the Department of Health

Table 5.6.1

NON-RESIDENTIAL SOCIAL SERVICES FOR ADULTS, AUTUMN SURVEY WEEK, 1994 TO 1998, ENGLAND (1)

units

Year
All sectors
Local
Authority
Independent
NHS

Home help/care:
contact hours provided
1994
2,215,100
1,787,000
428,200
1995
2,395,700
1,688,900
706,800
1996
2,486,700
1,581,200
900,900
1997
2,637,300
1,506,500
1,130,800
1998
2,572,200
1,391,800
1,180,400
households receiving
1994
538,900
479,300
59,600
home help/care
1995
512,400
419,600
93,900
1996
491,100
370,200
121,000
1997
479,100
335,100
144,000
1998
445,900
283,100
162,800
Meals services: (2)
meals provided
1994
1,108,300
707,100
396,765
4,500
1995
1,141,600
709,670
427,015
4,900
1996
1,092,700
676,961
414,295
2,036
1997
1,069,500
646,477
417,862
2,500
1998
970,500
590,500
377,600
2,400
people receiving meals
1994
300,400
152,000
146,200
2,200
1995
266,600
126,000
138,900
1,500
1996
251,800
119,500
131,700
600
1997
247,300
115,300
131,600
400
1998 (4)
161,200
94,000
66,300
900
Day centres: (3)
places
1994
569,300
487,100
82,100
1995
602,000
496,500
105,600
1996
609,300
482,200
127,000
1997
620,800
479,400
138,600
1998
643,600
469,100
174,600
attendances/attendees
1994
449,000
386,500
62,500
1995
464,000
386,200
77,900
1996
482,100
386,400
95,700
1997
469,400
366,400
103,000
1998 (5)
250,800
182,800
68,000


Footnotes:

  1.  Data are collected on DH annual returns HH1 (home help/care), MS1 (meals service) and

DC3 (day centres) for a survey WEEK during the Autumn. The figures are shown rounded to the nearest hundred. Components may not therefore add to the totals. Figures for 1998 are provisional.

  2.  Meals to peoples' homes as meals-on-wheels, at luncheon clubs, or at day centres.

  3.  Figures are whole-day equivalent places. 1998 data now includes day care facilities within residential accommodation which also cater for non-residents.

  4.  For 1998, the number of people receiving meals in luncheon clubs was not collected.

  5.  In 1998, a change of collection occurred for day centres, attendees are now collected as opposed to attendances.

  -  Not applicable/not available

  NB  The data in this table may have been updated since last year, as LAs can provide more

complete data subsequently.

5.7  PSS demographic pressures

Could the Department provide details of the specific inflation index calculated for social services, and an assessment of the financial effect of demographic pressures on social services?

The Inflation Index

  1.  The specific price index figures for 1996-97 and earlier years was calculated by the former Cleveland County Council on the basis of a questionnaire seeking details from local authorities on pay, running costs and the actual costs of contracted out services. However, following the recent changes to local government boundaries, Cleveland County Council no longer exists. The Department of Health has produced the index for 1997-98, set out below at table 5.7.1, using broadly the same method.

  2.  For the future, the Department of Environment Transport and the Regions (DETR) have just piloted a replacement for the Base Estimate Returns (from which the relative weights given to each price index is derived). The final form will go out at the end of the summer with results expected by the end of the year, which will be in time for calculating the index for 1999-2000. DETR are planning to do some work with the Office of National Statistics on appropriate price indices to use.

Table 5.7.1

PSS PAY AND PRICES INDEX


Index
% increase over
previous year

1996-97
168.3
2.9
1997-98
172.6
2.5


The Financial Effect of Demographic Changes

  3.  The Department's estimates of the notional financial consequences of demographic changes on social services are set out in table 5.7.2 below.

  4.  The calculation is based on estimated population changes for children (aged 0-17), adults (18-64) and people aged 65 and over, the elderly age group is further broken down into five year age bands up to age 84 years, with age 85 and over as one group.

  5.  Expenditure on each age band is estimated from the local authority expenditure and activity returns, supplemented with information on service utilisation from the General Household Survey. This is then used to estimate the notional additional financial requirement for each age band, based on year-on-year changes in the number of people in each age band.

Table 5.7.2

NOTIONAL FINANCIAL EFFECT ON PSS OF DEMOGRAPHIC PRESSURES


% increase over
previous year

1997-98
0.5
1998-99
0.3
1999-2000
0.7
2000-2001
0.9


  6.  The interpretation of this table is that, for example, on the basis of these estimations, resources for social services need to increase by 0.9 per cent between 1999-00 and 2000-01 in order to keep pace with changes in the age composition of the population.

 5.8  PSS Programme Budgets

Could the Department provide a breakdown by client group of gross expenditure for the latest available two years on the main items of social services activity. Could the Department also update table 5.8?

  1.  Tables 5.8.1 and 5.8.2 show the breakdown by client group of gross expenditure for 1997-98 and 1996-97. Table 5.8.3 updates last year's response.

  2.  The data shown in tables 5.8.1 and 5.8.2 is illustrated in charts 5.8.1 and 5.8.2.

Table 5.8.1

PSS GROSS EXPENDITURE, 1997-98


England
£million
Total
Mental
Health (1)
Learning
Disabilities
(1)
Children (1)
Adults (1)
Elderly (1)

HQ Costs
128
Area Officers/Senior Managers
336
24
26
155
27
104
Care Management/Care Assessment
863
95
58
354
78
279
Residential Care
4,776
208
737
690
200
2,942
Non Residential Care
3,531
169
487
952
382
1,541
Field Social Work
203
18
17
105
17
46
Other
147
147
Total
9,984
515
1,324
2,256
850
4,912


source: RO3 return

Reference:

  1.  In accordance with CIPFA guidance, a number of Support Management costs are reallocated to individual client groups.

Table 5.8.2

PSS GROSS EXPENDITURE, 1996-97


England
£million
Total
Mental
Health (1)
Learning
Disabilities
(1)
Children (1)
Adults (1)
Elderly (1)

HQ Costs
123
Area Officers/Senior Managers
308
25
21
143
23
95
Care Management/Care Assessment
823
86
58
321
74
284
Residential Care
4,373
185
665
657
181
2,685
Non Residential Care
3,333
153
451
907
357
1,466
Field Social Work
207
19
14
113
16
44
Other
96
96
Total
9,263
468
1,208
2,142
748
4,575


source: RO3 return

Reference:

  1. In accordance with CIPFA guidance, a number of Support Management costs are reallocated to individual client groups.






Table 5.8.3

PSS GROSS EXPENDITURE, 1997-98 PRICES

England
£million

1987-88
1992-93
1993-94
1994-95
1994-95
1995-96
1996-97
1997-98
(with unallocated
(with allocated
(with allocated
(with allocated
(with allocated
central admin.)
central admin.)
central admin.)
central admin.)
central admin.)

HQ Costs
Director and senior staff
48.3
75.2
72.8
69.0
68.7
Registration, Inspection and Complaints
29.0
42.3
49.9
49.9
54.4
56.6
59.5
    
Mental Health
Residential
41.6
44.4
49.8
112.7
126.3
155.5
189.6
207.8
Non Residential (exc. Field Social Work)
26.6
95.0
130.3
108.8
127.6
149.1
156.7
169.1
Field Social Work
63.4
69.6
25.3
25.3
27.6
19.9
18.3
Care Assessment/Care Management
65.7
65.7
72.9
87.8
95.0
    
Learning Disabilities
Residential
195.1
305.3
363.1
476.9
532.0
592.2
680.9
737.1
Non Residential (exc. Field Social Work)
224.5
329.1
351.8
370.0
425.8
454.2
461.7
486.6
Field Social Work
70.0
59.0
21.6
21.6
20.7
14.6
16.8
Care
Assessment/Care Management
38.2
38.2
49.5
59.0
57.8
    
Children
Residential
565.6
551.1
543.7
588.1
668.7
666.6
673.2
689.9
Non Residential (exc. Field Social Work)
506.3
693.1
730.6
744.2
861.7
888.1
929.2
951.8
Field Social Work
336.6
359.3
142.4
142.4
126.8
115.8
105.1
Care Assessment/Care Management
273.4
273.4
305.3
329.3
353.9
    
Adults
Residential
61.2
74.7
81.1
129.7
143.2
161.6
185.3
199.7
Non Residential (exc. Field Social Work)
139.6
210.0
264.4
259.9
301.5
352.4
365.7
382.1
Field Social Work
65.4
68.6
22.5
22.5
19.8
16.7
17.0
Care Assessment/Care Management
54.5
54.5
65.1
76.0
77.8
    
Elderly
Residential
1,183.7
1,104.8
1,352.1
1,887.2
2,064.6
2,410.6
2,751.6
2,941.7
Non Residential (exc. Field Social Work)
854.3
994.2
1,042.5
1,261.7
1,426.1
1,484.7
1,502.4
1,541.3
Field Social Work
187.2
202.9
61.5
61.5
64.7
45.4
45.6
Care Assessment/Care Management
223.9
223.9
233.9
290.8
279.0
    
Other Adults (1) (2)
154.4
99.7
100.2
89.0
95.5
92.5
98.6
146.7
    
Field Social Work for other adults
43.3
34.2
Field Social Work (5)
595.3
Care Management/Care Assessment (3) (5)
37.9
117.9
Area Officers/Senior Managers
129.8
328.6
343.8
315.4
336.0
Training (4)
44.5
84.5
86.4
91.8
91.8
85.2
79.7
83.8
Occupational Therapy (4)
38.9
41.2
44.0
44.0
40.3
46.7
47.4
Unallocated central admin.
650.7
733.0
830.0
970.7
    
Total
5,243.4
6,190.6
6,921.0
8,155.7
8,155.7
8,864.7
9,491.4
9,984.2


Source: RO3 return.

1. Includes both residential and non residential costs not specified elsewhere.
2. Includes health related Social Work for 1994-95, 1995-96, 1996-97 and 1997-98.
3. Includes all client groups.

5.9 Capital spending on social services

5.9a  Could the Department provide figures on the acquisition, upgrade and sale of personal social services assets, for the years 1994-95 to 1998-99?

5.9b  Could the Department comment on the outcome for personal social services of the Capital Challenge Pilot Fund scheme?

5.9c  What are the Department's criteria for supporting PFI projects in personal social services?

5.9d  Could the Department comment on the use of PFI to date?

5.9e  Could the Department compare actual spend with credit approvals?

Capital expenditure and income

  1. Table 5.9.1 shows local authority expenditure on, and income from, their capital assets.



 
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Prepared 18 October 1999