Select Committee on Health Memoranda


4.  BREAKDOWN OF SPENDING PROGRAMME (continued)

  4.6.6  What proportion of (a) contact hours of home help/care and (b) supported residential care was purchased by local authorities from the independent sectors, nationally, by region and by local authority, in the latest year for which data are available? Could the Department comment on these data? (Q61)

  ANSWER

  1.  Table 61 shows for each authority the percentage contribution of the independent sector in respect of two main elements of social services for adults (contact hours of home help/care and the percentage of local authority supported residents in independent sector residential care homes). Councils are continuing to make increased use of the independent sector.

  2.  For England as a whole, the independent sector provided 73% of the total contact hours of home help/care in 2005, compared with 69% in 2004 and 2% in 1992, prior to the introduction of the Community Care Reforms in 1993. Use of the independent sector varies considerably between authorities and between services within authorities. 9% of authorities have less than 50% of their home help/care services provided by the independent sector and 3% of authorities have all their provision from the independent sector. The variations in the use of the independent sector may reflect historical patterns of provision, local needs and local political priorities.

  3.  Local authorities place and financially support significant numbers (84% of all supported residents in residential care) of clients in independent sector residential care homes. This represents a slight increase on the 2004 figure of 83%. Over the last few years a substantial number of authorities have transferred some of their care homes to independent ownership. There is some variation in the use of the independent sector across local authorities. All councils have more than 50% of their supported residents in independent sector homes; of these 4 have all supported residents in such homes.

Table 61

PERCENTAGE OF SOCIAL SERVICES FOR ADULTS WHICH ARE PURCHASED BY THE LOCAL AUTHORITY FROM THE INDEPENDENT SECTOR: ENGLAND: 2005 (1)


Government Office region and local authority
Contact hours of home help/care %
Supported residents in residential care (2) (3) (4) %

ENGLAND
73.4
84.3
EASTERN
83.0
89.3
Bedfordshire
75.2
96.8
Cambridgeshire
89.2
99.9
Essex
91.8
95.1
Hertfordshire
100.0
99.6
Luton
62.2
58.8
Norfolk
47.6
82.1
Peterborough
91.6
61.6
Southend
88.8
92.2
Suffolk
74.0
77.1
Thurrock
81.1
75.7
EAST MIDLANDS
65.4
79.7
Derby
52.7
65.8
Derbyshire
41.7
71.0
Leicester
81.1
79.2
Leicestershire
84.8
78.6
Lincolnshire
72.7
91.9
Northamptonshire
73.1
76.7
Nottingham
75.4
83.8
Nottinghamshire
71.6
81.6
Rutland
46.0
77.7
NORTH EAST
65.7
87.9
Darlington
63.8
99.8
Durham
76.4
89.5
Gateshead
34.6
86.1
Hartlepool
78.7
99.0
Middlesbrough
76.2
85.3
Newcastle upon Tyne
81.8
87.9
North Tyneside
37.2
93.1
Northumberland
63.3
90.5
Redcar and Cleveland
71.1
74.2
South Tyneside
66.2
87.5
Stockton on Tees
73.8
84.0
Sunderland
47.7
80.9
NORTH WEST
70.7
84.5
Blackburn with Darwen
63.8
76.8
Blackpool
59.8
90.4
Bolton
51.1
74.0
Bury
64.2
78.0
Cheshire
51.0
88.9
Cumbria
58.3
61.8
Halton
84.2
85.5
Knowsley
78.8
98.6
Lancashire
94.0
86.7
Liverpool
76.9
93.8
Manchester
74.5
97.3
Oldham
39.0
77.0
Rochdale
74.3
90.5
Salford
73.5
93.1
Sefton
81.5
93.7
St Helens
81.7
68.3
Stockport
47.9
98.5
Tameside
59.7
84.1
Trafford
53.0
63.0
Warrington
80.6
85.3
Wigan
45.1
92.8
Wirral
81.3
72.6
LONDON
82.8
86.9
Barking & Dagenham
78.5
77.4
Barnet
100.0
96.6
Bexley
99.4
99.9
Brent
100.0
75.3
Bromley
61.8
..
Camden
80.9
83.5
City of London
40.0
100.0
Croydon
82.3
79.6
Ealing
81.6
86.1
Enfield
80.5
86.5
Greenwich
88.6
88.3
Hackney
52.1
95.3
Hammersmith & Fulham
76.6
90.6
Haringey
71.9
71.2
Harrow
97.6
97.5
Havering
82.0
79.0
Hillingdon
81.2
89.0
Hounslow
77.8
79.4
Islington
88.7
88.2
Kensington & Chelsea
85.3
82.9
Kingston-upon-Thames
70.3
72.7
Lambeth
100.0
96.1
Lewisham
86.7
100.0
Merton
78.8
94.3
Newham
83.6
93.0
Redbridge
92.2
94.5
Richmond-upon-Thames
80.4
95.1
Southwark
100.0
100.0
Sutton
77.1
82.3
Tower Hamlets
72.1
99.2
Waltham Forest
59.5
63.0
Wandsworth
76.1
90.0
Westminster
98.9
90.5
SOUTH EAST
80.5
84.6
Bracknell Forest
78.3
69.3
Brighton & Hove
90.1
92.2
Buckinghamshire
72.0
96.3
East Sussex
88.8
91.7
Hampshire
81.9
69.8
Isle of Wight
64.6
94.4
Kent
81.5
91.3
Medway Towns
94.9
79.8
Milton Keynes
62.7
93.7
Oxfordshire
70.1
100.0
Portsmouth
85.7
64.8
Reading
60.3
58.7
Slough
62.0
58.1
Southampton
83.3
75.0
Surrey
68.2
88.4
West Berkshire
83.0
70.8
West Sussex
65.4
80.9
Windsor & Maidenhead
69.4
80.1
Wokingham
77.1
76.0
SOUTH WEST
68.6
87.0
Bath & N E Somerset
62.0
74.1
Bournemouth
76.5
96.9
Bristol
39.6
63.5
Cornwall
70.2
98.5
Devon
70.1
84.7
Dorset
58.0
75.8
Gloucestershire
79.0
92.5
Isles of Scilly
74.4
50.0
North Somerset
72.4
98.2
Plymouth
87.1
87.7
Poole
73.9
93.5
Somerset
50.3
89.3
South Gloucestershire
67.6
72.4
Swindon
77.2
79.3
Torbay
81.4
94.7
Wiltshire
87.4
95.2
WEST MIDLANDS
72.8
76.3
Birmingham
66.7
62.1
Coventry
76.9
86.9
Dudley
39.2
79.9
Herefordshire
87.2
94.5
Sandwell
81.6
72.4
Shropshire
87.7
92.0
Solihull
79.8
92.6
Staffordshire
62.1
72.5
Stoke-on-Trent
81.0
59.8
The Wrekin
85.6
93.7
Walsall
91.0
69.9
Warwickshire
73.6
82.6
Wolverhampton
85.2
67.6
Worcestershire
62.3
93.6
YORKSHIRE & THE HUMBER
60.7
82.3
Barnsley
60.0
92.5
Bradford
61.0
75.8
Calderdale
67.0
91.6
Doncaster
57.2
75.8
East Riding
86.2
96.0
Kingston-upon-Hull
70.6
91.7
Kirklees
53.6
82.9
Leeds
41.3
66.8
N E Lincolnshire
69.1
95.8
North Lincolnshire
76.5
93.6
North Yorkshire
68.3
67.8
Rotherham
59.6
79.6
Sheffield
62.8
86.9
Wakefield
54.4
84.5
York
55.4
59.9

  Source: HH1 return for homecare and the SR1 return for Supported Residents information.

  Footnotes:

1.  Data collected on Information Centre (IC) annual returns HH1 (home help) for a survey week during September 2005, and SR1 (supported residents) as at 31 March 2005.

2.  These figures do not include clients supported by local authorities in nursing care homes, which are all in the independent sector, or clients supported in any unstaffed homes.

3.  Includes residents supported in other authorities.

4.  Data includes clients formerly in receipt of preserved rights and Boyd Loophole residents.

  4.6.7  Could the Department comment on the replacement of Formula Spending Shares for Personal Social Services with Relative Needs Formula calculations? (Q62)

  ANSWER

  1.  Responsibility for the administration of the general formula grant resides with the Department for Communities and Local Government.

  2.  As some elements of the previous grant distribution system were misinterpreted as targets for council spending and council tax levels, central government will use a new method of allocating Formula Grant from 2006-07. This new allocation model contains four funding blocks: the central allocation, relative needs amount, relative resource amount and floor damping blocks.

  3.  The new Grant Distribution formulae concentrates on the allocation of actual grant to local authorities, without the use of misleading assumptions about councils' budget and council tax levels.

  4.  The Government have always been clear that the Grant Distribution System simply aims to distribute grant, not to pre-empt councils' budgeting decisions. We have therefore made sure that authorities' grant allocations have not changed simply as a result of the introduction of the new distribution system.



 
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