House of Commons - Health

Select Committee on Health Memoranda

Table 4.7.2

SUPPORTED RESIDENTS BY SECTOR IN 2001 (1)

	Percentages
	Voluntary	Private	Other
BARKING & DAGENHAM	19	26	0
BARNET	36	28	0
BARNSLEY	0	75	0
BATH & NORTH EAST SOMERSET UA	26	34	0
BEDFORDSHIRE	10	80	0
BEXLEY	63	32	5
BIRMINGHAM	14	49	10
BLACKBURN WITH DARWEN UA	0	71	2
BLACKPOOL UA	6	75	2
BOLTON	14	58	0
BOURNEMOUTH UA	0	91	0
BRACKNELL FOREST UA	8	49	1
BRADFORD	10	54	0
BRENT	13	73	2
BRIGHTON & HOVE UA	6	75	0
BRISTOL UA	14	41	0
BROMLEY	19	64	0
BUCKINGHAMSHIRE	62	23	1
BURY	6	54	0
CALDERDALE	8	64	0
CAMBRIDGESHIRE	12	50	1
CAMDEN	0	81	2
CHESHIRE	35	50	0
CITY OF LONDON	56	31	13
CORNWALL	31	67	0
COVENTRY	12	64	0
CROYDON	15	45	15
CUMBRIA	9	56	0
DARLINGTON UA	11	67	0
DERBY UA	8	58	0
DERBYSHIRE	3	61	0
DEVON	11	74	0
DONCASTER	5	62	1
DORSET	0	73	0
DUDLEY	1	71	4
DURHAM	2	63	2
EALING	25	42	3
EAST RIDING OF YORKSHIRE UA	0	93	1
EAST SUSSEX	0	82	0
ENFIELD	9	75	2
ESSEX	0	75	0
GATESHEAD	0	69	0
GLOUCESTERSHIRE	35	58	0
GREENWICH	17	52	2
HACKNEY	24	66	6
HALTON UA	30	51	1
HAMMERSMITH & FULHAM	37	44	0
HAMPSHIRE	15	52	6
HARINGEY	26	62	0
HARROW	31	61	4
HARTLEPOOL UA	32	64	0
HAVERING	11	53	0
HEREFORDSHIRE UA	12	60	0
HERTFORDSHIRE	64	24	1
HILLINGDON	6	72	1
HOUNSLOW	21	44	0
ISLE OF WIGHT UA	3	91	0
ISLES OF SCILLY	0	44	0
ISLINGTON	54	31	2
KENSINGTON & CHELSEA	39	35	0
KENT	0	86	0
KINGSTON UPON HULL UA	21	71	0
KINGSTON UPON THAMES	21	46	0
KIRKLEES	14	53	0
KNOWSLEY	23	71	6
LAMBETH	24	61	2
LANCASHIRE	4	72	0
LEEDS	14	42	1
LEICESTER UA	11	63	1
LEICESTERSHIRE	8	64	1
LEWISHAM	17	69	0
LINCOLNSHIRE	1	84	3
LIVERPOOL	7	77	0
LUTON UA	4	43	1
MANCHESTER	39	58	0
MEDWAY TOWNS UA	10	76	0
MERTON	21	70	1
MIDDLESBROUGH UA	7	60	1
MILTON KEYNES UA	60	32	0
NEWCASTLE UPON TYNE	10	80	1
NEWHAM	15	73	0
NORFOLK	9	68	0
NORTH EAST LINCOLNSHIRE UA	0	96	0
NORTH LINCOLNSHIRE UA	0	84	0
NORTH SOMERSET UA	9	76	0
NORTH TYNESIDE	14	69	3
NORTH YORKSHIRE	10	50	2
NORTHAMPTONSHIRE	10	55	0
NORTHUMBERLAND	15	64	2
NOTTINGHAM UA	10	68	0
NOTTINGHAMSHIRE	4	70	0
OLDHAM	11	67	0
OXFORDSHIRE	0	48	3
PETERBOROUGH UA	8	42	1
PLYMOUTH UA	10	72	0
POOLE UA	27	60	0
PORTSMOUTH UA	4	46	4
READING UA	20	38	0
REDBRIDGE	93	0	0
REDCAR & CLEVELAND UA	7	55	0
RICHMOND UPON THAMES	33	28	0
ROCHDALE	4	68	5
ROTHERHAM	1	68	0
RUTLAND UA	5	51	0
SALFORD	12	67	3
SANDWELL	11	60	4
SEFTON	6	75	0
SHEFFIELD	30	43	2
SHROPSHIRE	23	68	0
SLOUGH UA	17	48	0
SOLIHULL	8	66	0
SOMERSET	3	87	0
SOUTH GLOUCESTERSHIRE UA	18	48	0
SOUTH TYNESIDE	9	59	0
SOUTHAMPTON UA	11	67	2
SOUTHEND UA	0	86	0
SOUTHWARK	41	53	0
ST HELENS	22	37	3
STAFFORDSHIRE	4	61	0
STOCKPORT	31	67	0
STOCKTON ON TEES UA	0	79	0
STOKE-ON-TRENT UA	4	44	0
SUFFOLK	10	43	19
SUNDERLAND	8	66	2
SURREY	46	30	1
SUTTON	0	78	0
SWINDON UA	11	45	6
TAMESIDE	1	86	7
TELFORD & WREKIN UA	1	91	0
THURROCK UA	9	67	2
TORBAY UA	5	85	0
TOWER HAMLETS	28	61	0
TRAFFORD	16	49	0
WAKEFIELD	0	79	1
WALSALL	5	55	0
WALTHAM FOREST	5	62	8
WANDSWORTH	49	38	7
WARRINGTON UA	23	58	0
WARWICKSHIRE	39	36	0
WEST BERKSHIRE	23	51	0
WEST SUSSEX	18	57	0
WESTMINSTER	85	0	1
WIGAN	12	77	1
WILTSHIRE	56	34	2
WINDSOR & MAIDENHEAD UA	19	41	9
WIRRAL	10	64	5
WOKINGHAM UA	19	53	2
WOLVERHAMPTON	10	59	1
WORCESTERSHIRE	18	72	0
YORK UA	9	40	0
ENGLAND	15	60	2

(1) Does not include supported residents in nursing and unstaffed homes.

4. Personal Social Services Resources and Activity

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]

1. The information requested is contained in Table 4.8.1.

Table 4.8.1

NUMBER OF CHILDREN LOOKED AFTER BY PLACEMENT, AT 31 MARCH 2001

Numbers and Percentage

Numbers Percentage

All Children (1) Foster Placements Children's Homes & Hostels (2) Other Foster Placements Children's Homes & Hostels (2) Other

England 58,900 38,400 6,800 13,800 65 11 23

North East

Shire Counties

Durham 445 280 55 110 63 12 24

Northumberland 285 190 30 70 66 11 24

Unitary Authorities

Darlington 115 70 10 35 60 9 32

Hartlepool 120 70 * * 58 * *

Middlesbrough 235 160 20 55 67 9 24

Redcar & Cleveland 185 125 15 45 67 8 25

Stockton On Tees 200 115 35 50 59 17 24

Metropolitan Districts

Gateshead 275 170 45 55 63 16 21

Newcastle Upon Tyne 440 280 60 100 63 13 23

North Tyneside 330 195 35 100 59 10 31

South Tyneside 295 195 35 65 66 12 22

Sunderland 500 295 80 120 60 16 24

North West

Shire Counties

Cheshire 460 340 30 90 74 6 19

Cumbria 520 345 25 155 66 5 30

Lancashire 1,285 735 230 320 57 18 25

Unitary Authorities

Blackburn & Darwen 275 155 40 80 56 15 29

Blackpool 295 205 20 70 69 7 24

Halton 170 125 15 30 73 9 18

Warrington 155 100 20 40 64 12 24

Metropolitan Districts

Bolton 275 160 25 90 59 9 33

Bury 215 145 25 45 69 11 20

Manchester 1,230 790 95 345 64 8 28

Oldham 305 180 55 70 59 18 23

Rochdale 240 150 20 65 64 8 28

Salford 600 325 105 170 54 18 28

Stockport 395 230 50 115 58 13 29

Tameside 245 150 20 75 61 9 30

Trafford 165 100 35 25 62 22 16

Wigan 425 285 50 90 67 11 22

Merseyside

Metropolitan Districts

Knowsley 255 170 20 65 67 7 26

Liverpool 1,180 710 170 300 60 14 25

Sefton 305 180 50 75 59 17 25

St Helens 270 125 45 105 46 16 39

Wirral 410 265 35 110 64 9 27

Yorkshire & Humberside

Shire Counties

North Yorkshire 380 260 35 85 69 9 22

Unitary Authorities

East Riding Of Yorkshire 205 120 30 55 58 14 27

Kingston Upon Hull 575 380 90 100 66 16 18

North East Lincolnshire 275 185 20 70 67 7 26

North Lincolnshire 175 100 25 50 58 14 28

York 140 85 20 40 60 13 27

Metropolitan Districts

Barnsley 320 195 50 75 61 15 24

Bradford 695 450 80 165 65 12 24

Calderdale 200 125 30 45 63 15 22

Doncaster 440 235 65 140 54 15 32

Kirklees 295 140 35 120 47 12 41

Leeds 1,280 815 165 300 64 13 24

Rotherham 410 255 35 120 62 8 29

Sheffield 675 420 100 155 62 15 23

Wakefield 445 310 45 90 70 10 20

East Midlands

Shire Counties

Derbyshire 640 510 35 95 80 6 14

Leicestershire 285 210 20 50 74 8 18

Lincolnshire 530 295 50 185 55 10 35

Northamptonshire 615 385 60 170 63 10 27

Nottinghamshire 515 370 35 110 72 7 21

Unitary Authorities

Derby 410 280 45 85 68 11 21

Leicester 520 360 45 115 69 8 22

Nottingham 610 375 75 165 61 12 27

West Midlands

Shire Counties

Shropshire 170 120 15 35 70 9 21

Staffordshire 535 360 60 115 67 11 22

Warwickshire 325 240 20 65 74 6 19

Worcestershire 595 395 55 150 66 9 25

Unitary Authorities

Herefordshire 195 140 15 35 73 8 19

Stoke-On-Trent 365 260 35 70 71 10 19

Telford & Wrekin 180 120 30 35 66 16 18

Metropolitan Districts

Birmingham 1,780 1,095 310 375 61 17 21

Coventry 495 285 10 200 58 2 40

Dudley 375 225 30 120 59 8 32

Sandwell 460 330 45 80 72 10 18

Solihull 175 120 15 40 69 10 22

Walsall 405 280 50 75 69 12 19

Wolverhampton 390 250 35 105 64 9 27

South West

Shire Counties

Cornwall 590 440 25 125 74 5 21

Devon 710 540 45 120 76 6 17

Dorset 255 205 15 35 80 7 13

Gloucestershire 545 420 55 70 77 10 13

Somerset 340 245 60 30 73 17 9

Wiltshire 255 190 15 50 74 6 20

Unitary Authorities

Bath & North East Somerset 140 125 * * 88 * *

Bournemouth 205 155 20 30 75 10 15

Bristol 560 400 60 100 72 11 18

North Somerset 165 120 5 40 72 4 25

Plymouth 465 355 35 75 76 7 16

Poole 135 110 * * 80 * *

South Gloucestershire 140 95 10 40 67 6 27

Swindon 160 130 5 25 79 4 17

Torbay 240 165 20 55 69 8 23

London

Inner London

Camden 315 195 50 70 62 16 22

Greenwich 510 345 40 120 68 8 23

Hackney 495 355 70 75 71 14 15

Hammersmith & Fulham 395 295 35 65 75 9 16

Islington 530 270 115 145 51 22 27

Kensington & Chelsea 235 145 30 55 62 13 24

Lambeth 775 460 210 105 59 27 14

Lewisham 545 315 115 120 58 21 22

Southwark 655 480 75 105 73 11 16

Tower Hamlets 270 165 45 60 61 17 23

Wandsworth 365 270 40 55 74 10 16

Westminster 265 170 35 65 63 12 25

Outer London

Barking & Dagenham 285 180 70 30 64 25 11

Barnet 285 215 30 40 75 10 15

Bexley 205 145 10 55 70 4 26

Brent 320 220 35 60 69 11 19

Bromley 295 170 30 95 57 11 32

Croydon 480 270 50 160 56 11 33

Ealing 410 230 85 95 56 21 23

Enfield 275 160 40 75 59 14 27

Haringey 460 245 115 100 53 25 22

Harrow 180 105 30 45 58 17 25

Havering 150 105 30 20 69 19 12

Hillingdon 420 290 60 70 69 15 16

Hounslow 320 200 40 85 62 12 26

Kingston Upon Thames 95 55 15 25 58 14 28

Merton 180 120 10 50 66 7 27

Newham 535 400 35 100 75 6 19

Redbridge 140 80 15 40 59 12 29

Richmond Upon Thames 110 55 20 40 49 17 34

Sutton 155 110 10 35 71 6 23

Waltham Forest 295 195 60 45 66 20 15

Eastern

Shire Counties

Bedfordshire 340 190 45 105 56 14 30

Cambridgeshire 375 275 35 65 74 9 17

Essex 1,195 760 135 305 63 11 25

Hertfordshire 800 575 75 145 72 10 18

Norfolk 705 480 95 135 68 13 19

Suffolk 645 440 65 140 69 10 21

Unitary Authorities

Luton 330 255 20 50 78 6 16

Peterborough 355 235 20 100 66 5 29

Southend 250 170 15 70 68 5 27

Thurrock 190 125 20 50 64 9 27

South East

Shire Counties

Buckinghamshire 270 175 30 70 64 11 25

East Sussex 470 315 40 110 68 9 24

Hampshire 895 530 90 270 60 10 30

Kent 1,770 1,160 105 510 65 6 29

Oxfordshire 460 280 45 135 61 10 29

Surrey 680 405 85 190 59 13 28

West Sussex 765 505 95 165 66 13 21

Unitary Authorities

Bracknell Forest 70 30 15 25 40 24 36

Brighton & Hove 360 275 10 75 76 3 20

Isle Of Wight 165 120 10 40 72 5 23

Medway Towns 325 260 20 45 80 6 13

Milton Keynes 235 125 35 75 54 14 32

Portsmouth 120 85 15 20 71 11 18

Reading 250 165 20 65 67 8 25

Slough 140 80 20 40 58 13 29

Southampton 145 85 20 40 58 15 27

West Berkshire 395 275 15 105 70 4 26

Windsor & Maidenhead 70 35 15 25 49 18 33

Wokingham 85 50 10 20 61 13 26

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

2 Includes Secure Units, homes and hostels. With effect from y/e March 2001 some establishments, previously classified as residential schools, are now included as homes.

* Data suppressed for reasons of confidentiality. Normally this will refer to numbers of five or less, or percentages where either the numerator or denominator is less than five.

4. Personal Social Services Resources and Activity

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

1. For the purposes of this answer, we have interpreted "schemes" as all means, other than by providing care and accommodation, by which children and families are supported through social services departments.

2. Table 4.9 shows the numbers of Children in Need receiving services from Social Services in the Children in Need Census week (carried out in September/October 2001). Children in Need comprise two broad groups; those children who are provided with care and accommodation (ie looked after) by local authorities and a much larger group of children who are supported in their families or independently through the work of fieldwork or centre based staff. In England as a whole, the latter group make up 72 per cent of the total number of children served in a typical week (160,700 out of 223,000).

Table 4.9

NUMBERS OF CHILDREN IN NEED, CHILDREN SUPPORTED IN FAMILIES OR INDEPENDENTLY AND CHILDREN LOOKED AFTER

Children reported on the CIN database: active and inactive

England
Numbers and Percentages
Activity in week No activity in week Total

Number
%
Number
%
Number
%

Children Looked After 62,300
28
6,800
4
69,100
18

Children Supported in Families or Independently 160,700
72
146,300
96
306,900
82

Total 223,000
153,000
376,000

These figures are estimates based upon the actual figures received from 139 Local Authorities.

Figures may not add due to rounding.

COMMENTARY

3. Since last year's Health Committee report local authorities have completed the second census of children in need covering a "typical" survey week in September/October 2001. The Department has published preliminary national results from the survey but information at local authority level is not yet available.

4. The survey requested information on numbers of children in need dealt with by social services, and the activity and resource (expenditure) data arising in respect of provision of services for these children. The survey covered children looked after by local authorities and other children in need, referred to in the survey as "children supported in their families or independently".

5. At the time of the publication of the national results, returns had been received from 139 out of 150 authorities.

6. A fuller discussion of these data is available in the Children Act Report 2001 which was laid before Parliament in July 2002.

4. PERSONAL SOCIAL SERVICES RESOURCES AND ACTIVITY

4.10 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? [5.6]

Future delivery of services

1. Key policy initiative: On 23 July the Secretary of State announced a package of investment (amounting to £1 million) for older people's social care services, offering a wider range of services to support older people living in their own homes. A key element of this package was specific funding, to be identified in a special grant, to expand home care services.

2. The growth in home care services will contribute to delivery of the Department of Health's PSA target to increase by 2006 the number of those supported intensively to live at home to 30 per cent of the total being supported by social services at home or in residential care.

Historical trends in past delivery of services

3. Table 4.10.1 presents information on home help/care, meals services and day centre provision for the period from 1996 to 2001. Information is derived from the statistical collections for a sample week in September/October each year. Fuller information is published in the statistical publication Community Care Statistics 2001 Home Care/home help services for adults, England which is available on the DH Home Page of Internet at http://www.doh.gov.uk/public/hh2001.htm.

Table 4.10.1

NON-RESIDENTIAL SOCIAL SERVICES FOR ADULTS, AUTUMN SURVEY WEEK, 1996 TO 2001, ENGLAND (1)

Numbers

Year All sectors Local Authority Independent NHS

Home help/care:

contact hours provided 1996 2,486,700 1,581,200 900,900 —

1997 R2,607,500 1,506,500 R1,101,000 —

1998 2,607,400 1,410,500 1,197,000 —

1999 2,678,400 1,324,400 1,354,000 —

2000 2,791,400 1,241,100 1,550,300 —

2001 2,878,300 1,161,100 1,716,900

households receiving 1996 491,100 370,200 121,000 —

1997 479,100 335,100 144,000 —

1998 447,200 294,500 152,700 —

1999 424,000 256,100 167,900 —

2000 397,800 225,900 190,000 . .

2001 381,200 194,300 205,300

Meal services: (2)

meals provided 1996 1,092,700 677,000 414,300 2,000

1997 1,069,500 646,500 417,900 2,500

1998 1,000,300 598,200 399,500 2,600

1999 . . . . . . . .

2000 . . . . . . . .

2001 . . . . . . . .

people receiving meals 1996 251,800 119,500 131,700 600

1997 247,900 115,000 132,500 400

1998 (4) 180,100 101,000 78,300 800

1999 . . . . . . . .

2000 . . . . . . . .

2001 . . . . . . . .

Day centres: (3)

places 1996 609,300 482,200 127,000 —

1997 620,800 481,300 139,500 —

1998 682,900 503,800 179,100 —

1999 . . . . . . . .

2000 . . . . . . . .

2001 . . . . . . . .

attendances/attendees 1996 482,100 386,400 95,700 —

1997 469,100 366,900 102,200 —

1998 (5) 252,800 174,100 78,700 . .

1999 . . . . . . . .

2000 . . . . . . . .

2001 . . . . . . . .

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. Returns MS1 and DC3 ceased to be collected from 1999.

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, this refers to the number of people receiving meals at home only.

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

—  Not applicable.

. .  No longer collected.

R  Revised data.

Home help/care contact hours

4. Between 1996 and 2001 the total number of contact hours provided during the survey week increased by around 16 per cent, from 2.5 million to 2.9 million hours. By contrast, the number of households receiving home help/care dropped from around 491,100 in 1996 to around 381,200 in 2001 suggesting a more intensive service is being provided to fewer households. The increase in the provision of home help/home care services was in the independent sector, whilst, correspondingly, the number of contact hours provided directly by Local Authorities has fallen by 27 per cent. This emphasises that Local Authorities are continuing to make more use of the independent sector.

5. In 2001, 39 per cent of households received a fairly intensive service of home care (of more than five hours and six or more visits), compared to 25 per cent in 1996. The proportion of households receiving a "low" intensity service (just one visit lasting less than two hours) was around 28 per cent in 1996, dropping to 17 per cent in 2001.

Meals service

6. The total number of meals provided (either in luncheon clubs, day centres or to clients' own homes) fell from 1995 to 1998, with just over a million meals being provided in 1998. Similarly, the number of people receiving meals dropped over the period from just over 267,000 in 1995 to 248,000 in 1997. (The number of meals served at luncheon clubs was not collected in 1998, therefore comparable figures for 1998 are unavailable). The number of meals served to clients' homes in 1998 was 180,000. The Local Authority sector accounted for the majority of all meals provided—60 per cent in 1998. However, the proportion of meals supplied by the independent sector increased from 37 per cent in 1995 to 40 per cent in 1998. Collection of this information was discontinued in this form from 1998.

Day centre places

7. The number of available day centre places (days per week) increased by 3 per cent from 602,000 in 1994 to 621,000 in 1997. The 683,000 day centres places for 1998 included day care facilities within residential accommodation which also catered for non-residents. The figures for 1998 are not directly comparable with earlier years. The number of attendances at day centres increased from around 464,000 in 1995 to 469,000 in 1997, the last year for which information on attendances was collected. For 1998, this information was replaced by data on the number of clients attending day centres during the survey week, which for 1998 was 253,000. From 1995 to 1998, the Local Authority share of places provision dropped steadily from 82 per cent to 74 per cent of the total, with a corresponding increase in the number of places provided by the independent sector. Collection of this information was discontinued from 1998.

Number of people receiving community-based services

8. A new data collection on Referrals, Assessments and Packages of care (RAP) for all adults has been introduced on non-residential services—which are termed community-based services. The new RAP collection provides better, more client-focused, aggregated information on the numbers of clients receiving services provided or commissioned by Councils with Social Services Responsibility.

9. The results of the first year of the RAP roll-out have been published for the year 2000-01 and can be found on the DH Home Page of Internet at www.doh.gov.uk/rap.htm. Table 4.10.2 attached shows that in 2000-01 an estimated 1.5 million service users were receiving community-based care, of whom at least a third were receiving some form of home care.

10. Although RAP gives an indication of the number of people receiving non-residential services/community-based services, it does not provide details of which sector provided the service. The information from RAP on home care/meals and day care in Table 4.10.2 may not be directly comparable with data on the home help/home care return, and the historical data collected on the earlier forms (now phased out) on day care and meals.

Table 4.10.2

ESTIMATED NUMBER OF CLIENTS AGED 18+ RECEIVING COMMUNITY BASED SERVICES

England, 1 April 2000 to 31 March 2001Rounded numbers

Clients receiving

Total of
clients
Day Care
Meals Home Care Home Care — Overnight respite in clients home Home Care Overnight respite not clients home Short term residential not respite Direct Payments Professional support Transport Equipment and Adaptations Other

1,567,000 261,000 212,000 578,000 56,000 66,000 45,000 5,000 300,000 44,000 375,000 109,000

Source: RAP proforma P2f, 1999-2000
Footnotes:

1.  Figures may not add up because of rounding.

2.  "Total of clients" is the total number of clients receiving services and not a sum of the different services as a person can have more than one type of service.

3.  Figures for a number of LAs are likely to be underestimated as they were unable to identify from home care, overnight respite services in the client's own home.

4.  Examples of services included under the "other" category are: Emergency assistance, Social Bathing, Rehabilitation, Training, Information/advice, Advocacy, counselling services, asylum seekers services, CSDP telephones, third party reports, supported accommodation, training and employment, property protection, welfare advice, rehab—including services for people who use alcohol or drugs and short term residential care.

4. Personal Social Services Resources and Activity

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]

THE INFLATION INDEX

1. The Department of Health produces a Personal Social Services pay and prices index. Changes in pay are based on New Earnings Survey data of the earnings of staff groups working in social services weighted by their respective share of the workforce. Changes in prices are based on the Gross Domestic Product (market prices) deflator. The index is set out in the table below for the latest three years.

Table 4.11.1

PSS PAY AND PRICES INDEX

	% increase over previous year
1998-99	4.6
1999-00	3.1
2000-01	4.8

N.B. Figures for earlier years have been revised in the light of revisions by HM Treasury to the GDP deflator.

THE FINANCIAL EFFECT OF DEMOGRAPHIC CHANGES

2. The Department's estimates of the notional financial consequences of demographic changes on social services are set out in Table 4.11.2 below. Since the figures provided last year extended to 2005-06, no new figures are available.

3. The calculation is based on estimated population changes for children (aged 0-17), adults (18-64) and people aged 65 and over. The younger adult age group is further separated into two age bands: 18-44 and 45-64. The elderly age group is further broken down into five year age bands: 65-69 years, 70-74 years, 75-79 years, 80-84 years and 85 years and over. For this age group the analysis is also split by gender.

4. Local authority expenditure returns are used to divide total expenditure into children, elderly and younger adults' age groups. Expenditure on the elderly is additionally separated into four different categories of service: residential PSS, home care, meals and day centres.

5. Activity data is used to estimate the breakdown of elderly expenditure in each of these four service categories into five-year age bands. For example, expenditure on residential PSS on those aged 65-69, home care expenditure on those aged 70-74 and so on. Activity data is derived from DH statistics, supplemented with information on service utilisation from the General Household Survey.

6. Estimated expenditure for each age band is then multiplied by projected future changes in populations in each age band to arrive at estimated demographic pressure in each band. Summing across all age bands gives total financial demographic pressure, which is then divided by current expenditure to give an expression of the effects of demographic changes in percentage terms. This is set out in Table 4.11.2 below. Revisions in the methodology have led to a revision of the figure for 2003-04 from 0% change to 0.1% increase.

Table 4.11.2

NOTIONAL FINANCIAL EFFECT ON PSS OF DEMOGRAPHIC PRESSURES

	% increase over previous year
1998-99	0.3
1999-00	0.7
2000-01	0.9
2001-02	0.6
2002-03	0.2
2003-04	0.1
2004-05	0.1
2005-06	0.6

7. The interpretation of this table is that, for example, on the basis of these estimations, resources for social services need to increase by 0.2 per cent between 2001-02 and 2002-03 in order to keep pace with changes in the age composition of the population, assuming that all other relevant factors remain constant.

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]

1. The information requested is contained in the Tables and Figures provided.

Table 4.12.1a

PSS GROSS EXPENDITURE, 2000-01

England £m				Adults aged under 65 with:
	Total	Children and families1	Older People1 (aged 65 or over)	A physical disability or sensory impairment1	Learning disabilities1	Mental health needs1	Asylum seekers and other adults1
Service strategy	126	.	.	.	.	.	.
Assessment and care management	1,736	789	498	153	105	192	{
Residential care	5,904	780	3,592	258	1,015	260	{
Non-residential care	4,412	1,296	1,810	448	632	226	{
Asylum seekers and other adults	670	{	{	{	{	{	670
Total	12,848	2,865	5,899	859	1,752	677	670

. Not available.

Source: PSS EX1 return.

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

Table 4.12.1b

PSS GROSS EXPENDITURE, 1999-2000

England £m				Adults aged under 65 with:
	Total	Children and families1	Older People1 (aged 65 or over)	a physical disability or sensory impairment1	learning disabilities1	mental heatlh needs1	Asylum seekers and other adults1
Service strategy	161	.	.	.	.	.	.
Assessment and care management	1,646	755	471	136	106	178	{
Residential care	5,651	792	3,453	242	922	242	{
Non-residential Care	4,252	1,259	1,719	454	605	213	{
Asylum seekers and other adults	338	{	{	{	{	{	338
Total	12,048	2,807	5,644	833	1,633	633	338

. Not available.

Source: RO3 return.

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



© Parliamentary copyright 2003	Prepared 17 February 2003