Select Committee on Health Memoranda


4. Personal Social Services Resources and Activity

  4.1  Could the Department provide a table showing the latest figures on waiting times for receipt of care packages in each social services department?

  4.2  Could the Department provide a breakdown by PCT of time taken to issue first payments of free nursing care?

  4.3  Could the Department set out the Standard Spending Assessments (SSAs) for social services in the latest year, by local authority, and SSA sub-block, in cash, per capita, per capita of relevant population and per client? Could the Department also provide a table comparing the change in the total PSS SSA between the last two years for each local authority? [5.1]

  4.4  Could the Department describe any changes to the SSA formulae introduced in this year and provide details of any plans the Department has to review PSS SSAs further? Could the tables include sub-totals for type of authority and averages (so that individual authorities figures can be seen in context)? [5.1]

  4.5  Could the Department provide a table comparing PSS SSAs with the corresponding budget for each local authority for the latest two years for which comparable information is available? Could the Department illustrate how the total of PSS SSAs and budgeted expenditure in PSS have compared at the national level over the latest five years? Could the Department provide a commentary on any trends shown by these figures? [5.2]

  4.6  Could the Department set out in a table how the unit costs of the main social services for children and adults have changed over time? Could the Department quantify the degree of variation in these unit costs between authorities? Could the Department provide a commentary on these figures? [5.3]

  4.7  Could the Department provide a table showing for each authority the latest information on the proportion of social services for adults which are purchased from the independent sector rather than being provided directly? Could the Department supply a commentary on these figures? [5.4]

  4.8  Could the Department provide a table, by local authority, comparing the number of children fostered, with the number of children placed in community homes? [5.5]

  4.9  Could the Department provide data on the number of children involved in schemes which are specifically designed to support families? [5.5]

  4.10  Could the Department provide figures showing how the delivery of non-residential social services has changed over the last five years and comment on these trends? [5.6]

  4.11  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? [5.7]

  4.12  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 Tables 5.8? [5.8]

  4.13  Could the Department provide details of any forthcoming changes to statistical information the Department collects on personal social services? [5.10]

  4.14  Could the Department provide details of any research work not reported last year that is currently being sponsored by the Department on the outcomes and effectiveness of social care? [5.11]

4.15  Fees, Charges and Grants

  4.15.1  Could the Department update Tables 5.12 providing separate figures on residential care for each client group? Could the Department quantify the degree of variation in domiciliary charges between authorities? Could the Department provide a commentary? [5.12]

  4.15.2  Could these figures be listed by LA, including any differential rates?

  4.15.3  Could the Department provide an analysis, to include chart, tables and commentary, of (i) the recent national trend in the percentage of gross expenditure on residential accommodation for older people recouped through fees and charges and (ii) the recent national trend in the percentage of gross expenditure on home care/home help for all client groups recouped through fees and charges? [5.12]

  4.15.4  Could the Department provide an analysis, to include chart, tables and commentary, of (i) the local authority variations in the latest year in the percentage of gross expenditure on residential accommodation for older people recouped through fees and charges and (ii) the local authority variations in the latest year in the percentage of gross expenditure on home care/home help for all client groups recouped through fees and charges? [5.12]

  4.15.5  Could the Department supplement this with a breakdown of proportion of patients on each social services rate (eg £35, £70, £105) per PCT?

  4.15.6  Could the Department provide details of the volume of specific or special grants made available, by the Department, to social services departments for the years 1997-98 to 2002-03? Could the Department provide a full explanation of any changes, introduced this year, to the volume, the purpose or the monitoring arrangements for any of the grants? [5.13]

4.   Personal Social Services Resources and Activity

  4.1 Could the Department provide a table showing the latest figures on waiting times for receipt of care packages in each social services department?

  1.  Information on waiting times is contained in the report of the first year roll-out of the Referrals Assessment and Packages of Care census for 2000-01, which can be found on the DH Home Page of Internet at www.doh.gov.uk/rap.htm.

  2.  In the RAP survey, Councils with responsibilities for social services (CSSRs) reported 115,000 new clients received a first service (out of a package of care). 53,000 clients were reported as having received all specified services out of the care package. The following table gives the figures for England:

NUMBER OF NEW CLIENTS (AGED 18+): ACTUAL LENGTH OF TIME FROM FIRST CONTACT TO:
(a)(b)
First service All specified services in care plan
All clients115,00053,000
Contact day or following day20,500 (18%) 8,100 (15%)
More than day following contact day up to 1 week 20,400 (18%)9,900 (19%)
More than 1 week up to 2 weeks15,500 (13%) 6,400 (12%)
More than 2 weeks up to 6 weeks27,900 (24%) 12,000 (23%)
More than 6 weeks up to 12 weeks14,200 (12%) 6,700 (13%)
More than 12 weeks up to 6 months9,400   (8%) 4,600   (9%)
More than 6 months7,400   (6%) 4,900   (9%)


  Notes:

  1.  As the RAP report notes, the sections on waiting times were not well completed and the figures in the tables above are based upon the total of information provided, rather than being grossed up to national estimates. It is not known how representative the responding authorities are in relation to other authorities with respect to these data, but this may become clearer once the results for the 2001-02 exercise are to hand (note 4).

  2.  Given the poor response in 2000-01, it is not possible to provide information at the local authority level. The figures in the table are based on results from only 52 and 34 authorities respectively out of 150 authorities in all.

  3.  The figures in the table are in terms of receipt of service. The RAP report provides information also on time between first contact and completion of assessment (for new clients). This shows that there were 271,000 new clients who received a completed assessment during the period. About 40 per cent of these were assessed within one week of contact. Only 6 per cent of known new clients waited for more than six months.

  4.  Data for 2001-02 are currently being collated, but will not be published until late 2002.

4.   Personal Social Services Resources and Activity

  4.2  Could the Department provide a breakdown by PCT of time taken to issue first payments of free nursing care?

  1.  The Department does not collect this information routinely.

  2.  The guidance on free nursing care that was issued in September 2001 emphasised the need for Health Authorities and Primary Care Trusts to have systems in place to ensure that invoices from care homes are processed promptly.

4.   Personal Social Services Resources and Activity

  4.3  Could the Department set out the Standard Spending Assessments (SSAs) for social services in the latest year, by local authority, and SSA sub-block, in cash, per capita, per capita of relevant population and per client? Could the Department also provide a table comparing the change in the total PSS SSA between the last two years for each local authority? [5.1]

  1.  SSAs for social services for 2002-03, by local authority and SSA sub-block, in cash, per capita and per capita of relevant population are shown in Tables 4.3.1, 4.3.2 and 4.3.3.

  2.  PSS SSA allocations are calculated on the basis of need for services (adjusting for differing costs of service provision), so that authorities are essentially provided with the same level of funding for the same level of service need (as measured by a series of socio-economic indicators) for each PSS service-type. This means that individual local authorities' PSS SSA allocations will not normally be directly comparable on a per capita basis.

  3.  Table 4.3.4 compares the change in the total SSA for social services between 2000-01, 2001-02 and 2002-03 for each local authority. In recent years there have been a number of transfers of function In order to give a true comparison of the increase in funding the 2001-02 and 2000-02 SSA figures have been adjusted to take account of these transfers. The three adjustments for 2001-02 are described below, they have been added up and then deflated by the GDP deflator. Previous changes and adjustments to the 2000-01 SSA figures were set out in the answer to question 5.1 of last year's enquiry HC242.

  (i)  Children Leaving Care. £109.5 million was transferred from the Children's SSA sub-block to the Children's Grant in 2002-03 to reflect changes which took place on 1 October 2001 to the way that services for children leaving care are funded;

  (ii)  National Care Standards Commission (NCSC): From April 2002, the NCSC took over responsibility from local authorities for registration and inspection of social care providers. £49 million was transferred from the PSS SSA for 2002-03 to the NCSC to reflect this change of responsibility;

  (iii)  Guardians Ad Litem and Reporting Officers (GALROs): In 2002-03 a further £2.9 million was transferred from the Children's SSA sub-block to the Lord Chancellor's Department who took over responsibility for the GALROs service from authorities in 2001.

Table 4.3.1

THE STANDARD SPENDING ASSESSMENTS FOR 2001-03
Summary TableElderly ElderlyChildren's Other PSSTotal
ResidentialDomiciliary SSASSA SSA
SSASSA
(£m)(£m) (£m)(£m) (£m)
Inner London234127 302217880
Outer London323183 256225987
London Total558310 5584411,868
Metropolitan Total893 485494428 2,300
Shire Counties1,442928 5476703,588
Shire Unitary Authorities541 330310294 1,476
All Shires Total1,983 1,259858964 5,064
ENGLAND TOTAL3,434 2,0541,910 1,8339,231
Local Authority
Inner London
City of London10 113
Camden2011 221871
Greenwich2011 211365
Hackney2110 281979
Hammersmith and Fulham14 8181453
Islington199 251669
Kensington and Chelsea12 8161652
Lambeth2112 372394
Lewisham2212 271677
Southwark2212 342189
Tower Hamlets2110 271977
Wandsworth2213 221976
Westminster2012 222275
Sub-total234127 302217880
Outer London
Barking and Dagenham17 812745
Barnet2313 141666
Bexley159 9840
Brent189 211663
Bromley1812 101051
Croydon1812 191563
Ealing2011 201869
Enfield2111 141258
Haringey169 221562
Harrow168 8941
Havering169 7840
Hillingdon169 101046
Hounslow148 131146
Kingston upon Thames8 55624
Merton117 9936
Newham209 251670
Redbridge189 101047
Richmond upon Thames10 76832
Sutton117 7732
Waltham Forest1910 171258
Sub-total323183 256225987
London Sub-total558 310558441 1,868
ENGLAND TOTAL3,434 2,0541,910 1,8339,231
Metropolitan Districts
Barnsley2010 8846
Birmingham8443 6145233
Bolton2111 101052
Bradford3120 221991
Bury127 6631
Calderdale138 7734
Coventry2212 141259
Doncaster2312 101054
Dudley2413 91056
Gateshead1810 8844
Kirklees2616 131468
Knowsley146 11738
Leeds5030 2727135
Liverpool4521 3022119
Manchester3819 3423114
Newcastle upon Tyne24 13151264
North Tyneside1710 8742
Oldham169 10943
Rochdale158 10842
Rotherham2211 9951
Salford2211 111055
Sandwell2814 141268
Sefton2314 11958
Sheffield4927 2021117
Solihull127 6631
South Tyneside158 8637
St Helens157 7636
Stockport1911 8947
Sunderland2614 131163
Tameside189 9844
Trafford148 7737
Wakefield2613 101160
Walsall2312 101054
Wigan2512 101157
Wirral2615 151167
Wolverhampton2111 121054
Metropolitan Sub-total893 485494428 2,300
ENGLAND TOTAL3,434 2,0541,910 1,8339,231
Shire Counties
Bedfordshire2113 91254
Buckinghamshire2416 101463
Cambridgeshire3019 111676
Cheshire4125 1519100
Cornwall3823 131487
Cumbria3621 121482
Derbyshire5730 1621124
Devon4733 1619115
Dorset2719 81063
Durham4323 1717100
East Sussex3629 141594
Essex8754 3440215
Gloucestershire3422 131684
Hampshire6144 2735167
Hertfordshire6941 2635171
Kent8458 3942223
Lancashire7546 3536192
Leicestershire3220 111679
Lincolnshire4128 1417100
Norfolk5436 1923132
North Yorkshire3224 111582
Northamptonshire3421 171991
Northumberland2213 81053
Nottinghamshire4929 1822119
Oxfordshire3220 141986
Shropshire2012 5744
Somerset3222 111377
Staffordshire5029 1823119
Suffolk4428 1518105
Surrey5842 2333156
Warwickshire3218 111576
West Sussex4637 1722123
Wiltshire2315 91158
Worcestershire3320 121581
Shires Sub-total1,442 928547670 3,588
ENGLAND TOTAL3,434 2,0541,910 1,8339,231
Shire Unitary Authorities
Isles of Scilly00 000
Isle of Wight Council10 74425
Bath & North East Somerset10 745 26
Blackburn with Darwen9 57627
Blackpool137 7633
Bournemouth139 6534
Bracknell Forest53 3415
Brighton & Hove18 13111255
Bristol2816 181678
Darlington74 3318
Derby179 9844
East Riding of Yorkshire19 1368 46
Halton94 6524
Hartlepool74 4319
Herefordshire117 4426
Kingston upon Hull2213 131059
Leicester2112 151362
Luton106 9832
Medway128 8836
Middlesbrough116 8631
Milton Keynes106 8731
West Berkshire64 3417
North East Lincolnshire11 76529
North Lincolnshire106 4525
North Somerset128 4529
Nottingham2112 181364
Peterborough95 6526
Plymouth1710 11947
Poole96 4423
Portsmouth128 9837
Reading75 6624
Redcar and Cleveland10 66526
Rutland21 114
Slough74 6623
Southend-on-Sea149 8637
South Gloucestershire12 75630
Southampton149 10943
Stockton-on-Tees117 7631
Stoke-on-Trent2111 10952
Swindon96 5626
Thurrock95 6524
Torbay128 5428
Warrington127 5629
Windsor and Maidenhead7 53519
Wokingham43 2413
Telford and The Wrekin9 56525
York107 4527
Shire Unitary Sub-total541 330310294 1,476
All Shires Sub-total1,983 1,259858964 5,064
ENGLAND TOTAL3,434 2,0541,910 1,8339,231

Table 4.3.2

THE STANDARD SPENDING ASSESSMENTS FOR 2002-03 PER CAPITA RESOURCES BASED ON TOTAL POPULATIONS
Summary tableElderly ElderlyChildren's Other PSSTotal
Residential
SSA
Domiciliary
SSA
SSA SSASSA
Per CapitaPer Capita Per CapitaPer Capita Per Capita
All AgesAll Ages All AgesAll Ages All Ages
(£)(£) (£)(£) (£)
Inner London8948 11583335
Outer London6839 5447208
London Total7642 7660253
Metropolitan Sub Total80 444438207
Shire Counties6240 2429155
Shire Unitary Authorities65 403735 177
Shire Sub-total63 402731161
ENGLAND TOTAL69 413837 185
Local Authority
Inner London
City of London14274 11893427
Camden9755 10987348
Greenwich9350 9561298
Hackney10650 14094389
Hammersmith and Fulham83 4510983 320
Islington10553 14188387
Kensington and Chelsea62 428586274
Lambeth7744 13684341
Lewisham8848 11066312
Southwark9450 14486374
Tower Hamlets11153 147102413
Wandsworth8046 8171279
Westminster8047 9190309
Sub-total8948 11583335
Outer London
Barking and Dagenham110 517947287
Barnet6638 4046190
Bexley6739 3935179
Brent6934 8164247
Bromley5941 3435169
Croydon5334 5544186
Ealing6435 6558222
Enfield7642 5445217
Haringey7138 9869275
Harrow7239 3642189
Havering6941 3033173
Hillingdon6336 3940178
Hounslow6838 5952217
Kingston upon Thames52 353241159
Merton5936 4747189
Newham8338 10468292
Redbridge7540 4242200
Richmond upon Thames53 382942162
Sutton6240 4039180
Waltham Forest8745 7755263
Sub-total6839 5447208
London Sub-total76 427660253
ENGLAND TOTAL69 413837 185
Metropolitan Districts
Barnsley8746 3434200
Birmingham8343 6044231
Bolton7741 3837193
Bradford6340 4540188
Bury6538 3433169
Calderdale6642 3635178
Coventry7240 4538195
Doncaster7841 3533187
Dudley7740 3032179
Gateshead9050 4339222
Kirklees6539 3435173
Knowsley9440 7443251
Leeds7042 3738186
Liverpool9947 6648259
Manchester8644 7752259
Newcastle upon Tyne87 505445236
North Tyneside8751 4136215
Oldham7341 4440198
Rochdale7140 4740198
Rotherham8745 3534201
Salford9951 5142243
Sandwell9748 4942237
Sefton8249 3933202
Sheffield9251 3939220
Solihull5834 3029151
South Tyneside9755 5340244
St Helens8641 3735198
Stockport6439 2831163
Sunderland8847 4439218
Tameside8042 4037199
Trafford6538 3233168
Wakefield8141 3234188
Walsall8744 4037208
Wigan7938 3134183
Wirral7945 4534203
Wolverhampton8946 4941225
Metropolitan Sub-total80 444438 207
ENGLAND TOTAL69 413837 185
Local Authority
Shire Counties
Bedfordshire5433 2431142
Buckinghamshire4932 2029130
Cambridgeshire5233 1928132
Cheshire6137 2328149
Cornwall7547 2528176
Cumbria7242 2429168
Derbyshire7641 2229167
Devon6646 2327162
Dorset6847 1925159
Durham8546 3333197
East Sussex7357 2929189
Essex6641 2630163
Gloucestershire6038 2328149
Hampshire4935 2228133
Hertfordshire6639 2533163
Kent6243 2931165
Lancashire6640 3132168
Leicestershire5333 1726129
Lincolnshire6543 2327158
Norfolk6745 2428164
North Yorkshire5642 1926143
Northamptonshire5434 2730145
Northumberland7143 2531169
Nottinghamshire6938 2529158
Oxfordshire5132 2230135
Shropshire6942 1926156
Somerset6544 2226156
Staffordshire6135 2228146
Suffolk6541 2227154
Surrey5439 2131144
Warwickshire6236 2229149
West Sussex6149 2329161
Wiltshire5335 2026134
Worcestershire6137 2328149
Shires Sub-total62 402429155
ENGLAND TOTAL69 413837 185
Local Authority
Shire Unitary Authorities
Isles of Scilly4936 1324121
Isle of Wight Council76 563230194
Bath & North East Somerset61 412229 152
Blackburn with Darwen66 384741193
Blackpool8650 4337216
Bournemouth8257 3433206
Bracknell Forest4329 2734134
Brighton & Hove71 514246210
Bristol6939 4439192
Darlington6645 3434179
Derby7140 4036187
East Riding of Yorkshire60 401826 145
Halton7235 5137195
Hartlepool8044 4338205
Herefordshire6642 2227156
Kingston upon Hull8851 5141231
Leicester7241 5346212
Luton5430 4941174
Medway4931 3334147
Middlesbrough7541 5641213
Milton Keynes4827 3635146
West Berkshire4229 1827116
North East Lincolnshire71 433833186
North Lincolnshire6440 2730162
North Somerset6344 2126154
Nottingham7543 6244225
Peterborough6034 4034167
Plymouth6740 4236185
Poole6543 2728163
Portsmouth6343 4742195
Reading4834 4240164
Redcar and Cleveland75 434234194
Rutland4130 1523109
Slough6335 5451203
Southend-on-Sea7850 4336208
South Gloucestershire47 282026120
Southampton6642 4843199
Stockton-on-Tees6135 3935170
Stoke-on-Trent8644 4136207
Swindon5231 2831142
Thurrock6535 4237179
Torbay9560 3730222
Warrington6235 2731155
Windsor and Maidenhead46 342232135
Wokingham2822 142590
Telford and The Wrekin62 333733165
York5539 2431149
Shire Unitary Sub-total65 403735 177
Shires Sub-total63 402731161
ENGLAND TOTAL69 413837 185



 
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