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8 Dec 2009 : Column 288W—continued
Social Enterprise Investment Fund
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) which organisations have received grants from his Department's Social Enterprise Investment Fund since July 2008; and how much each has received; [304254]
(2) on what date each organisation in receipt of a grant from the Social Enterprise Investment Fund (a) applied for and (b) received its grant; [304255]
(3) how much funding his Department has assigned to the Social Enterprise Investment Fund for (a) 2008-09 and (b) 2009-10; [304256]
(4) what criteria are used to assess applications to his Department's Social Enterprise Investment Fund. [304257]
Phil Hope: The allocations for the Social Enterprise Investment Fund (SEIF) are as follows.
| Revenue (£ million) (Revenue includes fund manager costs) | Capital (£ million) | |
The criteria used to assess applications are published on the Department's website, and are as follows:
you have to be a social enterprise according to the Government definition-"a business with primarily social objectives whose surpluses are principally invested for that purpose in the business or in the community, rather than being driven by the need to maximise profit for shareholders and owners";
your proposed services have to deliver health and/or social care outcomes;
the ultimate beneficiaries of your proposal must be based in England;
you have to be unable to secure funding from a commercial bank;
you must be able to repay the investment and be able to show how you plan to do so; and
your proposal must help meet the aims of SEIF.
The organisations that have received investment from the SEIF are in a table which has been placed in the Library.
To date in 2009-10 the following organisations have been beneficiaries of the SEIF from Social Investment Business
| £ | ||||
| Organisation | Business development grant | Revenue grant | Revenue loan | Capital loan |
Social Services
Mr. Stephen O'Brien: To ask the Secretary of State for Health if he will estimate the cost of implementing the provisions of personal care as set out in the Personal Care at Home Bill using a definition of personal care which includes the services listed in paragraph 4.9 of the Impact Assessment for the Personal Care at Home Bill. [304787]
Phil Hope: It is not appropriate to do so, as Instrumental Activities of Daily Living are outside the definition of Personal Care as set out under the draft regulations being made under sections 8 and 20 of the Health and Social Care Act 2008.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to paragraph 4.6 of the Impact Assessment for the Personal Care at Home Bill, if he will publish by the end of 2009 (a) the model and (b) the costing produced by the model. [304788]
Phil Hope: As stated in the Impact Assessment, work on this is ongoing. We are currently modelling costs and will be consulting more widely with stakeholders to test those costing assumptions. The consultation will run until 23 February 2010.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to paragraph 5.2 of the Impact Assessment for the Personal Care at Home Bill, whether the expectation of costs of providing personal care reflects an expected use in (a) unit costs, (b) costs to councils or (c) other costs. [304789]
Phil Hope: The point being made in paragraph 5.2 of the Impact Assessment is that the 'do nothing' option will not impose any additional costs beyond those currently met by councils or individuals. In addition, those individuals who currently make a means-tested contribution to their care costs will not, under the 'do nothing' option, be protected against any future increases in the care charges levied by councils.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to table 2 and Annex 1 of the Impact Assessment for the Personal Care at Home Bill, if he will publish the logistic model used to calculate each individual's need for formal care; and from what source data were derived to populate that model. [304796]
Phil Hope: The logistic regression model referred to in Annex 1 is used to estimate a continuous measure of need for individuals 65 and over in the third wave of the English longitudinal study of ageing (ELSA). The data used to populate the model was from the third wave of ELSA. The specification of the model is as follows:
logit(p) = b0 + b1X1 + b2X2 + b3X3 + b4X4 + b5X5 + b6X6 + b7X7 + b8X8 + b9X9
where p is the probability of receiving formal care (either state, private or voluntary sector funded)
b0 is a constant term
b1 to b9 are co-efficients on the independent variables X1 to X9
X1 is the individual's age in years
X2 is the square of the individual's age in years
X3( )is 1 if the individual has difficulty with dressing and 0 if not
X4( )is 1 if the individual has difficulty with walking and 0 if not
x5( )is 1 if the individual has difficulty with bathing and 0 if not
x6( )is 1 if the individual has difficulty with eating and 0 if not
x7( )is 1 if the individual has difficulty with going to bed and 0 if not
x8 is 1 if the individual has difficulty with going to the toilet and 0 if not
x9( )is 1 if the individual lives alone and 0 if not
Mr. Stephen O'Brien:
To ask the Secretary of State for Health with reference to Annex A of the Impact Assessment for the Personal Care at Home Bill, from what source the assumption that home care represents 74 per cent. of overall community care costs and
personal care represents 85 per cent. of that is derived. [304798]
Phil Hope: The figure of 74 per cent. is derived from Personal Social Services EX1 expenditure data for older people and estimated by expressing the expenditure on home care services in terms of overall expenditure. In the absence of data on the share of home care costs represented by personal care we have made a conservative, illustrative assumption of 85 per cent.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to paragraph 5.9 of the Impact Assessment for the Personal Care at Home Bill, what methodology was used to reach the estimate that a further 108,964 persons already have their personal care needs met free of charge; and what the equivalent estimated figure is for (a) 2015, (b) 2020, (c) 2025 and (d) 2030. [304800]
Phil Hope: The Personal Social Services Research Unit (PSSRU)'s micro-simulation model for older people estimated a volume of fair access to care services (FACS) critical individuals who already receive state-funded care at home.
This figure was broken down into those who are FACS critical and report difficulty with four or more activities of daily living (ADLs) by using the information in the English longitudinal study of ageing, which is presented in table 1 of the Impact Assessment for the Personal Care at Home Bill. The 108,964 represents the residual volume of FACS critical individuals from PSSRU's model-i.e. those reporting difficulty with less than four ADLs.
The figures in the impact assessment cover the period from October 2010 to the end of 2012-13. Estimating beyond this point is problematic because of the uncertainties involved. For instance, the proposals here are intended as a step towards a fully integrated national care service, at which point a different set of assumptions may need to be applied.
Mr. Stephen O'Brien: To ask the Secretary of State for Health for what reasons the net present value costs identified in table 3 of the Impact Assessment for the Personal Care at Home Bill are inconsistent with the present value costs identified on page 2. [304801]
Phil Hope: Table 3 of the impact assessment shows the net present value costs of extending the offer of free personal care at home to those in highest need-i.e. individuals who are estimated to be fair access to care services critical and who report difficulty with four or more activities of daily living. The net present value costs reported in the summary sheet on page 2 also include the costs of offering re-ablement services, estimated to be £130 million in 2011-12.
Mr. Stephen O'Brien: To ask the Secretary of State for Health what the inherent uncertainties referred to in paragraph 5.10 of the Impact Assessment for the Personal Care at Home Bill are. [304802]
Phil Hope:
The uncertainties are those aspects of people's behaviour that will change as a result of the introduction of these proposals. An accurate forecast of these therefore cannot be made. The impact of the
policy will be reviewed after 12-18 months to ensure that it is being applied properly and that there are no perverse incentives.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to paragraph 5.11 of the Impact Assessment for the Personal Care at Home Bill, what his Department's (a) minimum and (b) maximum estimate of re-ablement costs are. [304803]
Phil Hope: We understand that there is wide variability in costs of re-ablement in different councils. The Impact Assessment for the Personal Care at Home Bill makes clear that the £1,000 cost of re-ablement per person is an assumption-paragraph 5.15 states, "If we assume the cost of a package of re-ablement is £1,000 per person..."-and its derivation is clearly and transparently stated in Annex B. Given the uncertainties associated with alternative cost figures and the relatively conservative stance taken with regard to potential benefits, the £1,000 per person estimate used in the impact assessment is not considered to be unreasonable.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to paragraph 5.12 of the Impact Assessment for the Personal Care at Home Bill, if he will place in the Library a copy of the model referred to. [304804]
Phil Hope: The model referred to in paragraphs 5.12, 5.13 and Annex B of the Impact Assessment is still under development. For this reason, its output has not been incorporated into any of the figures reported in the Impact Assessment. The model will continue to be updated and refined as more information becomes available.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to the Impact Assessment for the Personal Care at Home Bill; whether he plans to make individuals eligible for more than one package of re-ablement funded by the taxpayer. [304805]
Phil Hope: This is something that we invite comments on as part of the consultation, 'Personal Care at Home: a consultation on proposals for regulation and guidance', a copy of which has already been placed in the Library. There are currently no proposals to restrict packages of re-ablement. It will be for councils to determine who might benefit from this intervention and whether it is appropriate to repeat this at a later date.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to paragraph 4.6 of the Impact Assessment for the Personal Care at Home Bill, in what cases he expects the indicative sum to be administered (a) by the council and (b) through an individual budget or direct payment. [304812]
Phil Hope: It will be for individuals to choose whether they wish the council to provide services through a personal budget on their behalf or whether they wish to take a direct payment and arrange services for themselves.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to the Impact Assessment for the Personal Care at Home Bill, what re-ablement schemes he expects to be available; and what home additions might be made under such schemes. [304814]
Phil Hope: This would be a matter for local discretion based on the assessment of an individual's needs. In our consultation, 'Personal Care at Home: a consultation on proposals for regulations and guidance', we suggest that this could include physiotherapy, occupational therapy, installation of telecare or adaptations to the house. A copy of the document has already been placed in the Library.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to Annex B of the Impact Assessment for the Personal Care at Home Bill, how the average number of hours of personal care per week of 6.54 was calculated; and whether the (a) calculation and (b) figure of 6.54 hours has been published by his Department previously. [304815]
Phil Hope: The model referred to in paragraphs 5.12, 5.13 and Annex B of the Impact Assessment is still under development. For this reason, its output has not been incorporated into any of the figures reported in the Impact Assessment. The model will continue to be updated and refined as more information becomes available.
The assumption used for the average number of hours of personal care per week of 6.54 was used for illustrative purposes. It is derived by converting the cost and volume estimates from the Personal Social Services Research Unit's (PSSRU) micro-simulation model for older people into an equivalent weekly number of hours. Although this figure has not been previously published, a reference to a technical paper giving further details of PSSRU's micro-simulation model is given in Annex A of the Impact Assessment.
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to paragraph 5.13 of the Impact Assessment for the Personal Care at Home Bill, what his Department's (a) minimum and (b) maximum estimates of net savings are. [304816]
Phil Hope: The model referred to in paragraphs 5.12, 5.13 and Annex B of the impact assessment is still under development. For this reason, its output has not been incorporated into any of the figures reported in the Impact Assessment. The model will continue to be updated and refined as more information becomes available.
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) with reference to Table 4 of the Impact Assessment for the Personal Care at Home Bill, what methodology was used to calculate each estimate; [304837]
(2) with reference to paragraph 5.21 of the Impact Assessment for the Personal Care at Home Bill, on what grounds he made his illustrative assumptions; and when the further work in paragraph 5.23 will be (a) undertaken and (b) published; [304853]
(3) with reference to the Impact Assessment for the Personal Care at Home Bill, what methodology was used to calculate the figure given for total benefit. [304949]
Phil Hope: A technical paper that addresses these points has been placed in the Library.
Mr. Stephen O'Brien: To ask the Secretary of State for Health what plans he has to collect centrally data relating to (a) Fair Access to Care Services critical people and (b) reablement. [304845]
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