22 May 2008 : Column 497W—continued
Social Services: Finance
Mrs. Humble:
To ask the Secretary of State for Health whether local authorities may use the age of a person needing care as a basis for determining the level of a direct payment made to an adult in order to purchase care. [206548]
22 May 2008 : Column 498W
Mr. Ivan Lewis:
Guidance on assessment is set out in LAC(2002)13: ‘Fair access to Care Services: Guidance on eligibility for Adult social care’. The guidance is clear that local authorities, when determining the level of a direct payment must base their decision on an assessment of an individual's needs.
It is up to the council to decide on the amount of a direct payment. The direct payment should be sufficient to enable the recipient lawfully to secure a service of a standard that the council considers is reasonable to fulfil the needs for the service to which the payment relates. There is no limit on the maximum or minimum amount of a direct payment either in the amount of care it is intended to purchase or on the value of the direct payment.
Copies of the ‘Direct Payments Guidance: Community Care, Services for Carers and Children's services (Direct Payments) Guidance England 2003’ have been placed in the Library.
Mrs. Humble:
To ask the Secretary of State for Health (1) what evidence the evaluation of the individual budget pilot projects has produced on the extent to which local authorities are allocating differing budgets to adults with identical needs solely on the basis of age; [206549]
(2) how he will ensure that local authorities provide adequate advice and information to support the expansion of individual budgets announced in the Putting People First Concordat; and how decisions on awarding individual budgets will be made. [206585]
Mr. Ivan Lewis:
It is our intention to publish the evaluation of the individual budget pilots in the autumn.
Based on the experience of the pilots, the Department has published a resource toolkit for local authorities to help them transform their social care systems in the light of the cross-government concordat Putting People First: A shared vision and commitment to the transformation of adult social care. Copies of the publication are available in the Library.
The toolkit, available at:
contains advice on the allocation of resources for personal budgets and the provision of information and support for those receiving personal budgets. This will be further supported through the Department's regional programme. Local authorities retain responsibility for allocating funding to people eligible for social care.
Mr. Stephen O'Brien:
To ask the Secretary of State for Health when he plans to publish (a) the responses to the consultation on the future of social care funding, (b) the Government response to those responses and (c) a green paper on social care funding. [206643]
Mr. Ivan Lewis:
The six-month engagement process for the reform of care and support will conclude by the end of November 2008. We plan to publish a summary of the responses from the engagement process and the Government response to them in due course. This process will ultimately lead to a Green Paper in early 2009.
22 May 2008 : Column 499W
Social Services: Learning Disability
Mr. Oaten:
To ask the Secretary of State for Health pursuant to the Answer of 7 May 2008, Official Report, columns 1023-24W, on social services, how many people of working age with a learning disability in each local authority area received state funded social care support in each of the last 10 years. [207204]
Mr. Ivan Lewis:
The number of clients receiving services during a year is collected via table P1 of the Referrals, Assessments and Packages of Care (RAP) return. The return was first collected from all councils in 2000-01 by the Department and the latest year for which data are available is 2006-07, now collected by the Information Centre for health and social care.
The following table shows the estimated number of service users whose primary client type is aged 18-64 with learning disabilities during the period for each council with adult social services responsibilities in England.
22 May 2008 : Column 500W
There are some issues to be aware of when comparing the data over time:
since 2002-03, clients who were formally in receipt of higher rates of income support under the Department for Work Pensions preserved rights (PR) scheme and who transferred to council support on 8 April 2002 have been included in the RAP return. Clients that were in receipt of preserved rights but who were already being partially supported by councils were previously included in the data and are not considered as clients formerly in receipt of preserved rights. This mainly effects clients in residential care; and
guidance relating to clients receiving services was restated for 2004-05 to only include clients who are assessed by social services and have a care plan. In previous years, some councils included clients receiving services from grant-funded organisations without a community care assessment and therefore the 2004-05 data are not comparable to previous years. Additional clarification was also given on the recording of some types of services. These amendments mainly affect clients receiving community-based services.
| Number of clients whose primary client type is aged 18-64 with a learning disability receiving services during the period by year—England, 1 April to 31 March |
| Rounded numbers |
| | | Total number of clients receiving services |
| | Councils with social services responsibilities | 2000-01 | 2001-02 | 2002-03( 1) | 2003-04( 1) | 2004-05( 1,2) | 2005-06( 1,2) | 2006-07( 1,2) |
| |
England
|
101,000
|
101,000
|
113,000
|
116,000
|
117,000
|
122,000
|
125,000
|
| | | | | | | | | |
| |
North-east
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
116
|
Durham
|
1,115
|
1,260
|
1,365
|
1,525
|
1,560
|
1,535
|
1,620
|
|
104
|
Northumberland
|
965
|
860
|
855
|
1,060
|
1,080
|
1,120
|
1,205
|
| | | | | | | | | |
| |
Unitary authorities
| | | | | | | |
|
117
|
Darlington
|
225
|
270
|
245
|
245
|
245
|
245
|
240
|
|
111
|
Hartlepool
|
245
|
245
|
240
|
260
|
255
|
275
|
280
|
|
112
|
Middlesbrough
|
580
|
575
|
425
|
370
|
410
|
450
|
455
|
|
113
|
Redcar and Cleveland
|
360
|
300
|
340
|
330
|
350
|
365
|
355
|
|
114
|
Stockton-on-Tees
|
—
|
350
|
355
|
355
|
350
|
425
|
500
|
| | | | | | | | | |
| |
Metropolitan districts
| | | | | | | |
|
106
|
Gateshead
|
400
|
420
|
420
|
460
|
465
|
450
|
480
|
|
107
|
Newcastle upon Tyne
|
520
|
505
|
835
|
975
|
600
|
920
|
780
|
|
108
|
North Tyneside
|
—
|
515
|
470
|
690
|
455
|
490
|
560
|
|
109
|
South Tyneside
|
—
|
275
|
—
|
—
|
350
|
520
|
490
|
|
110
|
Sunderland
|
535
|
605
|
585
|
635
|
640
|
635
|
740
|
| | | | | | | | | |
| |
North-west
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
320
|
Cheshire
|
1,350
|
1,175
|
1,475
|
1,720
|
1,610
|
1,635
|
1,635
|
|
102
|
Cumbria
|
610
|
875
|
655
|
1,000
|
880
|
925
|
1,080
|
|
323
|
Lancashire
|
2,075
|
2,050
|
2,265
|
2,500
|
2,720
|
2,875
|
3,025
|
| | | | | | | | | |
| |
Unitary authorities
| | | | | | | |
|
324
|
Blackburn
|
445
|
395
|
265
|
260
|
245
|
300
|
330
|
|
325
|
Blackpool
|
275
|
280
|
420
|
400
|
385
|
380
|
410
|
|
321
|
Halton
|
265
|
270
|
320
|
355
|
355
|
370
|
370
|
|
322
|
Warrington
|
375
|
400
|
530
|
380
|
390
|
425
|
420
|
| | | | | | | | | |
| |
Metropolitan districts
| | | | | | | |
|
304
|
Bolton
|
465
|
500
|
570
|
490
|
565
|
570
|
575
|
22 May 2008 : Column 501W
22 May 2008 : Column 502W
|
305
|
Bury
|
245
|
310
|
350
|
355
|
500
|
405
|
340
|
|
315
|
Knowsley
|
390
|
495
|
500
|
485
|
515
|
515
|
550
|
|
316
|
Liverpool
|
755
|
820
|
865
|
885
|
1,535
|
1,155
|
1,225
|
|
306
|
Manchester
|
—
|
—
|
1,165
|
1,260
|
1,275
|
1,300
|
1,380
|
|
307
|
Oldham
|
450
|
655
|
670
|
690
|
695
|
635
|
600
|
|
308
|
Rochdale
|
—
|
515
|
605
|
460
|
450
|
460
|
510
|
|
309
|
Salford
|
—
|
680
|
645
|
615
|
660
|
685
|
660
|
|
317
|
Sefton
|
585
|
540
|
585
|
560
|
590
|
565
|
650
|
|
318
|
St. Helens
|
260
|
190
|
370
|
335
|
355
|
375
|
350
|
|
310
|
Stockport
|
610
|
565
|
810
|
1,200
|
935
|
970
|
1,125
|
|
311
|
Tameside
|
450
|
1,160
|
885
|
650
|
690
|
660
|
655
|
|
312
|
Trafford
|
10
|
295
|
630
|
315
|
380
|
410
|
405
|
|
313
|
Wigan
|
—
|
780
|
705
|
705
|
760
|
765
|
855
|
|
319
|
Wirral
|
740
|
735
|
780
|
745
|
765
|
765
|
770
|
| | | | | | | | | |
| |
Yorkshire and the Humber
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
218
|
North Yorkshire
|
1,330
|
1,645
|
1,450
|
1,195
|
1,315
|
1,275
|
1,305
|
| | | | | | | | | |
| |
Unitary authorities
| | | | | | | |
|
214
|
East Riding
|
415
|
575
|
730
|
730
|
720
|
745
|
740
|
|
215
|
Kingston-upon-Hull
|
595
|
545
|
535
|
535
|
535
|
520
|
530
|
|
216
|
N E Lincolnshire
|
235
|
420
|
365
|
370
|
345
|
365
|
385
|
|
217
|
N Lincolnshire
|
630
|
275
|
320
|
405
|
405
|
405
|
385
|
|
219
|
York
|
355
|
325
|
415
|
415
|
390
|
435
|
425
|
| | | | | | | | | |
| |
Metropolitan districts
| | | | | | | |
|
204
|
Barnsley
|
410
|
480
|
525
|
520
|
430
|
460
|
530
|
|
209
|
Bradford
|
—
|
870
|
1,045
|
1,025
|
1,185
|
1,375
|
1,385
|
|
210
|
Calderdale
|
395
|
425
|
545
|
415
|
470
|
490
|
530
|
|
205
|
Doncaster
|
440
|
495
|
505
|
480
|
540
|
595
|
655
|
|
211
|
Kirklees
|
1,085
|
1,330
|
1,030
|
950
|
960
|
1,020
|
955
|
|
212
|
Leeds
|
1,360
|
1,720
|
1,680
|
1,590
|
1,505
|
1,590
|
1,545
|
|
206
|
Rotherham
|
535
|
530
|
555
|
590
|
670
|
630
|
655
|
|
207
|
Sheffield
|
1,095
|
1,205
|
1,140
|
785
|
890
|
1,135
|
1,215
|
|
213
|
Wakefield
|
545
|
770
|
625
|
965
|
755
|
695
|
740
|
| | | | | | | | | |
| |
East Midlands
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
506
|
Derbyshire
|
1,765
|
1,570
|
1,630
|
1,960
|
1,855
|
1,925
|
1,915
|
|
508
|
Leicestershire
|
1,075
|
1,225
|
1,045
|
1,080
|
1,090
|
1,165
|
1,255
|
|
503
|
Lincolnshire
|
1,400
|
1,465
|
1,590
|
1,795
|
1,205
|
1,485
|
1,560
|
|
504
|
Northamptonshire
|
1,010
|
1,030
|
1,295
|
1,455
|
1,555
|
1,700
|
1,525
|
|
511
|
Nottinghamshire
|
1,810
|
1,710
|
1,675
|
1,855
|
2,045
|
2,145
|
2,125
|
| | | | | | | | | |
| |
Unitary authorities
| | | | | | | |
|
507
|
Derby
|
450
|
440
|
530
|
550
|
555
|
560
|
610
|
|
509
|
Leicester
|
385
|
575
|
675
|
785
|
860
|
850
|
870
|
|
512
|
Nottingham
|
—
|
—
|
1,090
|
700
|
600
|
780
|
800
|
|
510
|
Rutland
|
70
|
70
|
75
|
50
|
60
|
55
|
65
|
| | | | | | | | | |
| |
West Midlands
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
417
|
Shropshire
|
725
|
610
|
735
|
805
|
840
|
805
|
780
|
|
413
|
Staffordshire
|
1,050
|
1,105
|
1,440
|
1,435
|
1,580
|
1,555
|
1,710
|
|
404
|
Warwickshire
|
820
|
855
|
935
|
990
|
1,090
|
935
|
1,005
|
|
416
|
Worcestershire
|
—
|
1,020
|
1,305
|
1,285
|
1,780
|
1,415
|
1,760
|
| | | | | | | | | |
22 May 2008 : Column 503W
22 May 2008 : Column 504W
| |
Unitary authorities
| | | | | | | |
|
415
|
Herefordshire
|
395
|
440
|
440
|
450
|
470
|
455
|
475
|
|
414
|
Stoke-on-Trent
|
325
|
360
|
700
|
785
|
695
|
710
|
660
|
|
418
|
Telford and Wrekin
|
500
|
360
|
390
|
425
|
400
|
425
|
450
|
| | | | | | | | | |
| |
Metropolitan districts
| | | | | | | |
|
406
|
Birmingham
|
1,365
|
1,415
|
2,035
|
2,340
|
2,645
|
3,095
|
2,470
|
|
407
|
Coventry
|
—
|
—
|
470
|
770
|
820
|
830
|
835
|
|
408
|
Dudley
|
550
|
770
|
740
|
680
|
735
|
780
|
795
|
|
409
|
Sandwell
|
—
|
—
|
620
|
545
|
585
|
555
|
610
|
|
410
|
Solihull
|
370
|
390
|
405
|
405
|
455
|
460
|
460
|
|
411
|
Walsall
|
185
|
485
|
555
|
635
|
600
|
635
|
675
|
|
412
|
Wolverhampton
|
500
|
500
|
525
|
505
|
490
|
510
|
510
|
| | | | | | | | | |
| |
South-west
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
902
|
Cornwall
|
1,185
|
1,420
|
1,545
|
1,805
|
1,705
|
1,405
|
1,320
|
|
912
|
Devon
|
1,620
|
1,590
|
1,730
|
1,625
|
1,790
|
1,775
|
1,785
|
|
809
|
Dorset
|
660
|
775
|
755
|
815
|
765
|
785
|
700
|
|
904
|
Gloucestershire
|
1,090
|
1,045
|
1,170
|
1,310
|
1,240
|
1,320
|
1,455
|
|
906
|
Isles of Scilly
|
0
|
(3)—
|
0
|
0
|
(3)—
|
0
|
(3)—
|
|
905
|
Somerset
|
1,495
|
1,505
|
1,625
|
1,380
|
1,440
|
1,435
|
1,455
|
|
817
|
Wiltshire
|
2,720
|
930
|
1,190
|
1,500
|
1,205
|
1,125
|
1,120
|
| | | | | | | | | |
| |
Unitary authorities
| | | | | | | |
|
908
|
Bath and N E Somerset
|
—
|
470
|
445
|
440
|
415
|
430
|
475
|
|
810
|
Bournemouth
|
445
|
365
|
335
|
435
|
440
|
410
|
440
|
|
909
|
Bristol
|
980
|
1,170
|
1,330
|
1,005
|
930
|
810
|
1,065
|
|
910
|
North Somerset
|
260
|
420
|
495
|
570
|
495
|
440
|
415
|
|
913
|
Plymouth
|
—
|
685
|
625
|
555
|
600
|
680
|
715
|
|
811
|
Poole
|
270
|
270
|
310
|
345
|
415
|
380
|
385
|
|
911
|
South Gloucestershire
|
420
|
485
|
545
|
585
|
655
|
730
|
705
|
|
819
|
Swindon
|
450
|
530
|
480
|
460
|
445
|
485
|
505
|
|
914
|
Torbay
|
290
|
280
|
325
|
350
|
345
|
370
|
365
|
| | | | | | | | | |
| |
Eastern
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
610
|
Bedfordshire
|
175
|
200
|
220
|
810
|
990
|
805
|
915
|
|
623
|
Cambridgeshire
|
965
|
960
|
980
|
965
|
1,030
|
1,070
|
1,135
|
|
620
|
Essex
|
2,605
|
2,905
|
3,120
|
3,165
|
—
|
3,270
|
3,360
|
|
606
|
Hertfordshire
|
2,435
|
2,620
|
2,705
|
2,770
|
2,490
|
2,475
|
2,450
|
|
607
|
Norfolk
|
1,685
|
1,905
|
1,790
|
2,015
|
1,265
|
2,130
|
2,175
|
|
609
|
Suffolk
|
195
|
235
|
1,175
|
1,255
|
1,420
|
1,475
|
1,405
|
| | | | | | | | | |
| |
Unitary authorities
| | | | | | | |
|
611
|
Luton
|
215
|
265
|
275
|
315
|
365
|
385
|
370
|
|
624
|
Peterborough
|
335
|
365
|
495
|
500
|
435
|
410
|
400
|
|
621
|
Southend
|
350
|
370
|
440
|
500
|
460
|
440
|
500
|
|
622
|
Thurrock
|
235
|
300
|
280
|
290
|
270
|
285
|
275
|
| | | | | | | | | |
| |
London
| | | | | | | |
| |
Inner London
| | | | | | | |
|
702
|
Camden
|
455
|
460
|
450
|
425
|
380
|
380
|
385
|
|
703
|
Greenwich
|
545
|
500
|
455
|
545
|
600
|
550
|
560
|
|
704
|
Hackney
|
415
| |
425
|
415
|
505
|
515
|
530
|
|
705
|
Hammersmith and Fulham
|
255
|
245
|
255
|
295
|
280
|
290
|
300
|
|
706
|
Islington
|
310
|
405
|
410
|
435
|
445
|
435
|
440
|
|
707
|
Kensington and Chelsea
|
240
|
260
|
245
|
255
|
250
|
255
|
255
|
22 May 2008 : Column 505W
22 May 2008 : Column 506W
|
708
|
Lambeth
|
590
|
530
|
605
|
625
|
610
|
820
|
645
|
|
709
|
Lewisham
|
510
|
530
|
835
|
840
|
790
|
805
|
520
|
|
710
|
Southwark
|
485
|
515
|
610
|
715
|
600
|
745
|
730
|
|
711
|
Tower Hamlets
|
245
|
340
|
315
|
375
|
355
|
405
|
505
|
|
712
|
Wandsworth
|
640
|
575
|
805
|
820
|
690
|
730
|
1,050
|
|
713
|
Westminster
|
370
|
365
|
355
|
375
|
430
|
460
|
475
|
|
714
|
City of London
|
10
|
15
|
10
|
10
|
10
|
10
|
10
|
| | | | | | | | | |
| |
Outer London
| | | | | | | |
|
716
|
Barking and Dagenham
|
215
|
260
|
285
|
290
|
355
|
365
|
275
|
|
717
|
Barnet
|
1,015
|
985
|
540
|
535
|
590
|
700
|
715
|
|
718
|
Bexley
|
685
|
575
|
700
|
695
|
465
|
435
|
455
|
|
719
|
Brent
|
600
|
875
|
560
|
640
|
485
|
520
|
725
|
|
720
|
Bromley
|
595
|
730
|
750
|
650
|
710
|
815
|
915
|
|
721
|
Croydon
|
815
|
550
|
1,010
|
1,060
|
1,055
|
1,075
|
1,080
|
|
722
|
Ealing
|
680
|
650
|
370
|
440
|
450
|
590
|
700
|
|
723
|
Enfield
|
495
|
480
|
500
|
535
|
580
|
595
|
610
|
|
724
|
Haringey
|
575
|
495
|
490
|
475
|
460
|
505
|
585
|
|
725
|
Harrow
|
290
|
380
|
415
|
455
|
455
|
450
|
470
|
|
726
|
Havering
|
350
|
335
|
380
|
430
|
435
|
460
|
460
|
|
727
|
Hillingdon
|
540
|
500
|
470
|
515
|
545
|
510
|
515
|
|
728
|
Hounslow
|
365
|
405
|
440
|
515
|
545
|
490
|
485
|
|
729
|
Kingston-upon-Thames
|
375
|
340
|
180
|
300
|
315
|
340
|
330
|
|
730
|
Merton
|
380
|
375
|
340
|
355
|
410
|
410
|
430
|
|
731
|
Newham
|
375
|
460
|
500
|
510
|
500
|
580
|
585
|
|
732
|
Redbridge
|
490
|
465
|
495
|
505
|
600
|
590
|
635
|
|
733
|
Richmond upon Thames
|
335
|
310
|
320
|
355
|
335
|
345
|
360
|
|
734
|
Sutton
|
290
|
320
|
410
|
420
|
425
|
385
|
460
|
|
735
|
Waltham Forest
|
565
|
455
|
350
|
370
|
425
|
460
|
490
|
| | | | | | | | | |
| |
South-east
| | | | | | | |
| |
Shire counties
| | | | | | | |
|
612
|
Buckinghamshire
|
705
|
740
|
840
|
1,025
|
885
|
915
|
975
|
|
815
|
East Sussex
|
1,225
|
855
|
1,070
|
1,040
|
1,050
|
1,150
|
1,195
|
|
812
|
Hampshire
|
1,990
|
2,600
|
3,035
|
2,815
|
3,310
|
3,185
|
2,795
|
|
820
|
Kent
|
2,970
|
3,210
|
3,630
|
3,355
|
3,805
|
3,755
|
4,085
|
|
608
|
Oxfordshire
|
—
|
—
|
—
|
1,110
|
1,155
|
1,205
|
1,380
|
|
805
|
Surrey
|
—
|
—
|
4,155
|
—
|
—
|
3,070
|
2,635
|
|
807
|
West Sussex
|
260
|
215
|
310
|
1,815
|
1,160
|
1,265
|
1,370
|
| | | | | | | | | |
| |
Unitary authorities
| | | | | | | |
|
614
|
Bracknell Forest
|
190
|
210
|
170
|
220
|
180
|
275
|
320
|
|
816
|
Brighton and Hove
|
510
|
605
|
575
|
605
|
635
|
625
|
635
|
|
803
|
Isle of Wight
|
410
|
350
|
390
|
450
|
545
|
365
|
515
|
|
821
|
Medway Towns
|
460
|
480
|
345
|
475
|
360
|
650
|
570
|
|
613
|
Milton Keynes
|
30
|
280
|
290
|
355
|
320
|
350
|
390
|
|
813
|
Portsmouth
|
375
|
405
|
450
|
450
|
480
|
430
|
450
|
|
616
|
Reading
|
285
|
350
|
360
|
435
|
365
|
380
|
340
|
|
617
|
Slough
|
255
|
300
|
275
|
280
|
300
|
330
|
315
|
|
814
|
Southampton
|
485
|
455
|
460
|
535
|
500
|
500
|
535
|
|
615
|
West Berkshire
|
300
|
305
|
290
|
300
|
340
|
365
|
360
|
|
618
|
Windsor and Maidenhead
|
210
|
260
|
315
|
350
|
350
|
425
|
315
|
22 May 2008 : Column 507W
22 May 2008 : Column 508W
|
619
|
Wokingham
|
395
|
320
|
380
|
360
|
385
|
410
|
415
|
‘—’ = Missing data
(1) Data include clients formerly in receipt of preserved rights.
(2) Guidance was re-stated in 2004-05 figures previous from years are not comparable.
(3) Five or less (or less than 50 for national and regional totals).
Notes:
1. The England totals are estimates.
2. Figures may not add up because of rounding.
3. Regional and national totals may not be equal to the sum of the council level figures due to the use of estimates when the council did not fully complete the return.
Source:
RAP proforma P1
|
