Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents


4.  COMMISSIONING

4.1.9  Could the Department detail trends in the unit costs of the main social services for adults each year from 1999-2000? How do costs vary between authorities? Could the Department comment on these figures? (Q35)

Answer

  1.  The trends in the unit costs of the main social services for adults each year since 1999-2000 are shown in table 35a. The table shows in cash and real terms (deflated by GDP at 2007-08 prices) the changes in selected unit costs for personal social services from 1999-2000 to 2007-08.

  2.  In 2007-08, a change has been made to the definition of capital charges to bring the PSS EX1 data in line with the 2006 Local Authority Accounting SORP (Statement of Recommended Practice). Therefore, unit costs for 2007-08 are not comparable with previous years.

  3.  Variations in unit cost figures across local authorities are given in tables 35b to 35e. There is substantial variation between local authorities in these unit costs, as figures 35b to 35e for 2007-08 demonstrate. Such wide variability of individual authority figures points to issues of data quality, and the risk of misreporting of data by local authorities. In examining unit costs, it is likely that extreme high or low values are the result of misreporting of expenditure data by local authorities despite being validated as far as possible. It is however notable that even if the more extreme figures are discounted significant variation remains. The Department believes that it would be very helpful for information provided by local authorities to be used in monitoring social services, as this would act as an incentive for councils to improve their management information generally. However, this desire must be balanced against the autonomy of local authorities in allocating their resources and incurring expenditure according to locally determined priorities and local accountability. Nevertheless, this is data supplied by local authorities and it is signed-off as reliable (by them). The form on which they return the data is being improved which should make this more reliable data in the longer term.

  4.  Figures 35b to 35e show the unit cost values calculated using expenditure data for 2007-08. Where a local authority has reported activity but no expenditure (an implied zero unit cost) they have been excluded from the charts.

Table 35a

UNIT COSTS OF SELECTED PERSONAL SOCIAL SERVICES (ENGLAND)


  
  
  
  
  
  
  
  
  
  
£ pound

Category
  
1999-2000 (est)
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08(8)

Gross expenditure per week on
Cash terms
341
368
368
394
381
407
439
451
467
supporting residents aged 65
Real terms (7)
416
443
433
449
422
440
465
465
467
and over in nursing care (1) (2) (3) (4)
  
  
  
  
  
  
  
  
  
  
Gross expenditure per week on
Cash terms
382
426
446
494
539
609
669
704
716
supporting residents aged 65 and
Real terms (7)
466
513
525
563
598
658
708
726
716
over in local authority
  
  
  
  
  
  
  
  
  
  
residential care (1) (2) (3) (5)
  
  
  
  
  
  
  
  
  
  
Gross expenditure per week on
Cash terms
271
279
286
313
338
361
383
397
420
supporting residents aged 65 and
Real terms (7)
330
335
337
357
375
390
405
409
420
over in independent
  
  
  
  
  
  
  
  
  
  
residential care (1) (2) (3) (5)
  
  
  
  
  
  
  
  
  
  
Gross expenditure per hour
Cash terms
11.2
11.4
11.9
12.1
12.9
13.6
14.5
14.5
14.4
of home care for all clients
Real terms (7)
13.7
13.7
14.0
13.8
14.4
14.7
15.3
15.0
14.4
aged 18 or over (1) (6)
  
  
  
  
  
  
  
  
  
  

Source:
The NHS Information Centre for Health and Social Care
Footnotes:
1.  From 2000-01, total costs (ie total gross current expenditure + capital costs) as reported on form PSS EX1 are used to calculate unit costs. Expenditure includes a full share of Social Services Management and Support Services (SSMSS) costs. For 1999-2000, gross current expenditure as reported on form RO3 has been used to calculate unit costs; an estimated share of SSMSS costs has been included.
2.  From 2000-01, these unit costs have been calculated by taking total costs throughout the year for residential and nursing care placements as appropriate and dividing by the number of weeks older people were supported in such care during the year. A supported resident is one who is supported wholly or in part by the local authority. Residents in local authority homes who are assessed to pay the full costs and residents in other homes whose fees are paid in part or in full or through income support have been included where the relevant expenditure is included in the numerator.
3.  For 1999-2000, these unit costs have been calculated by taking gross current expenditure throughout the year on residential and nursing homes as appropriate and dividing it by the average number of supported residents in such homes reported at 31 March in consecutive years. Nursing homes includes nursing places in dual registered homes; residential homes includes residential places in dual registered homes. A supported resident is one who is supported wholly or in part by the local authority. Residents in local authority homes who are assessed to pay the full costs and residents in other homes whose fees are paid in part or through income support are not included.
4.  From 2003-04, the costs of nursing care placements exclude the nursing costs which have been paid by the NHS from 1 April 2003.
5.  The definition of local authority care excludes expenditure on people placed in the home of another local authority. This expenditure is included in the independent sector expenditure.
6.  This unit cost is calculated by taking gross current expenditure throughout the year on home care services and dividing it by activity data collected during a sample week in September.
7.  Deflated using the GDP deflator at 2007-08 prices.
8.  Unit costs for 2007-08 are not comparable with historical unit cost due to changes in the definition of captial charges in 2007-08.


Table 35b

GROSS WEEKLY COST PER PERSON OF NURSING CARE FOR OLDER PEOPLE (ENGLAND), 2007-08


LA code
Local authority
£ pound

305Bury
240.0
316Liverpool
266.0
512Nottingham UA
284.5
413Staffordshire
332.5
503Lincolnshire
352.8
304Bolton
353.1
914Torbay UA
358.7
113Redcar and Cleveland UA
359.3
506Derbyshire
362.8
111Hartlepool UA
367.7
414Stoke-on-Trent UA
368.8
211Kirklees
373.3
114Stockton-on-Tees UA
375.9
318St. Helens
375.9
311Tameside
377.5
216North East Lincolnshire UA
380.0
411Walsall
381.4
507Derby UA
384.9
213Wakefield
386.7
913Plymouth UA
387.6
108North Tyneside
388.3
904Gloucestershire
388.5
313Wigan
390.9
508Leicestershire
391.1
406Birmingham
393.9
511Nottinghamshire
394.2
815East Sussex
398.4
117Darlington UA
403.5
309Salford
404.4
416Worcestershire
405.2
819Swindon UA
407.4
219York UA
407.8
214East Riding of Yorkshire UA
411.4
321Halton UA
411.5
104Northumberland
412.6
109South Tyneside
413.8
310Stockport
413.9
404Warwickshire
415.4
410Solihull
416.7
206Rotherham
418.7
323Lancashire
419.7
107Newcastle upon Tyne
420.3
325Blackpool UA
425.3
207Sheffield
425.5
408Dudley
426.6
112Middlesbrough UA
427.6
209Bradford
428.6
624Peterborough UA
430.5
816Brighton and Hove UA
431.2
814Southampton UA
433.9
218North Yorkshire
434.5
116Durham
437.2
324Blackburn with Darwen UA
437.9
509Leicester UA
439.0
821Medway Towns UA
439.3
908Bath and North East Somerset UA
440.8
205Doncaster
441.1
322Warrington UA
441.8
415Herefordshire UA
441.9
102Cumbria
443.8
622Thurrock UA
445.0
110Sunderland
445.6
418Telford and the Wrekin UA
446.4
817Wiltshire
448.1
210Calderdale
449.2
813Portsmouth UA
450.0
905Somerset
450.9
312Trafford
452.4
320Cheshire
453.5
613Milton Keynes UA
453.8
609Suffolk
454.4
307Oldham
455.6
407Coventry
458.1
412Wolverhampton
459.8
902Cornwall
460.3
510Rutland UA
464.6
726Havering
465.4
504Northamptonshire
469.6
810Bournemouth UA
470.4
617Slough UA
471.7
319Wirral
473.5
909Bristol UA
473.5
306Manchester
475.7
409Sandwell
480.7
820Kent
482.7
610Bedfordshire
482.8
731Newham
486.3
729Kingston upon Thames
486.4
912Devon
486.6
308Rochdale
490.9
607Norfolk
491.2
805Surrey
496.7
734Sutton
498.2
317Sefton
499.8
910North Somerset UA
501.5
722Ealing
504.4
807West Sussex
505.7
911South Gloucestershire UA
506.6
614Bracknell Forest UA
511.4
721Croydon
511.9
704Hackney
512.5
728Hounslow
516.1
611Luton UA
516.4
612Buckinghamshire
520.4
709Lewisham
523.4
724Haringey
523.6
315Knowsley
525.1
733Richmond upon Thames
526.0
718Bexley
526.8
712Wandsworth
534.7
809Dorset
538.8
716Barking and Dagenham
540.0
615West Berkshire UA
544.8
417Shropshire
545.9
106Gateshead
548.3
730Merton
549.5
620Essex
549.6
710Southwark
550.1
623Cambridgeshire
556.8
215Kingston upon Hull UA
564.1
618Windsor and Maidenhead UA
564.9
732Redbridge
572.8
703Greenwich
573.1
608Oxfordshire
577.6
812Hampshire
579.3
707Kensington and Chelsea
582.2
811Poole UA
583.8
725Harrow
587.3
720Bromley
593.0
606Hertfordshire
593.1
713Westminster
593.9
702Camden
594.4
723Enfield
595.0
705Hammersmith and Fulham
595.4
616Reading UA
598.2
735Waltham Forest
601.9
708Lambeth
605.6
719Brent
609.5
727Hillingdon
636.3
706Islington
643.7
204Barnsley
650.1
711Tower Hamlets
659.4
619Wokingham UA
661.9
717Barnet
687.5
212Leeds
710.1
621Southend-on-Sea UA
720.7
714City of London
742.0
803Isle of Wight UA
753.9
906Isles of Scilly
.
217North Lincolnshire UA
..

Source:
The NHS Information Centre for Health and Social Care

  

Footnotes:
1.  .= missing data.
2.  ..= Not applicable.


Table 35c

GROSS WEEKLY COST PER PERSON OF LOCAL AUTHORITY RESIDENTIAL CARE FOR OLDER PEOPLE (ENGLAND), 2007-08



LA code
Local authority
£ pound

710Southwark
0.0
725Harrow
0.0
719Brent
137.0
323Lancashire
359.0
410Solihull
404.7
507Derby UA
429.4
312Trafford
430.2
307Oldham
467.3
102Cumbria
470.6
219York UA
473.6
508Leicestershire
476.3
321Halton UA
496.2
506Derbyshire
502.2
624Peterborough UA
514.2
305Bury
517.6
415Herefordshire UA
536.6
911South Gloucestershire UA
540.5
205Doncaster
546.9
509Leicester UA
547.7
614Bracknell Forest UA
562.2
212Leeds
599.9
617Slough UA
601.1
218North Yorkshire
614.1
325Blackpool UA
616.4
909Bristol UA
620.3
206Rotherham
623.4
615West Berkshire UA
624.9
812Hampshire
635.5
324Blackburn with Darwen UA
638.1
906Isles of Scilly
641.9
414Stoke-on-Trent UA
641.9
306Manchester
645.3
607Norfolk
665.9
819Swindon UA
666.2
511Nottinghamshire
668.5
809Dorset
672.0
408Dudley
684.5
613Milton Keynes UA
699.4
116Durham
703.1
322Warrington UA
704.8
622Thurrock UA
704.9
210Calderdale
708.3
418Telford and the Wrekin UA
711.5
814Southampton UA
712.5
721Croydon
716.3
404Warwickshire
717.8
616Reading UA
734.8
407Coventry
735.0
406Birmingham
739.8
504Northamptonshire
740.8
813Portsmouth UA
741.2
713Westminster
742.3
908Bath and North East Somerset UA
750.3
913Plymouth UA
753.8
110Sunderland
754.8
724Haringey
755.4
609Suffolk
756.9
817Wiltshire
763.6
309Salford
768.2
726Havering
771.2
912Devon
780.4
729Kingston upon Thames
780.8
409Sandwell
780.8
904Gloucestershire
792.3
735Waltham Forest
794.8
805Surrey
797.7
209Bradford
803.1
732Redbridge
816.9
821Medway Towns UA
817.7
512Nottingham UA
825.4
413Staffordshire
836.3
211Kirklees
839.9
619Wokingham UA
846.7
412Wolverhampton
847.9
109South Tyneside
853.4
411Walsall
857.1
104Northumberland
859.0
910North Somerset UA
868.1
304Bolton
883.6
702Camden
896.2
611Luton UA
918.0
723Enfield
930.1
716Barking and Dagenham
969.9
728Hounslow
973.1
320Cheshire
974.2
319Wirral
987.0
108North Tyneside
991.2
503Lincolnshire
1,000.3
318St. Helens
1,007.8
914Torbay UA
1,020.9
704Hackney
1,024.0
731Newham
1,037.0
815East Sussex
1,042.3
214East Riding of Yorkshire UA
1,055.1
417Shropshire
1,070.8
621Southend-on-Sea UA
1,073.2
820Kent
1,099.7
707Kensington and Chelsea
1,126.9
313Wigan
1,142.1
113Redcar and Cleveland UA
1,178.8
727Hillingdon
1,179.6
207Sheffield
1,180.8
213Wakefield
1,203.6
114Stockton-on-Tees UA
1,208.8
107Newcastle upon Tyne
1,237.5
416Worcestershire
1,306.2
816Brighton and Hove UA
1,307.8
734Sutton
1,320.0
106Gateshead
1,322.3
308Rochdale
1,357.4
112Middlesbrough UA
1,366.9
803Isle of Wight UA
1,407.5
730Merton
1,448.3
216North East Lincolnshire UA
1,463.9
905Somerset
1,466.0
807West Sussex
1,521.6
620Essex
1,614.2
215Kingston upon Hull UA
1,630.4
316Liverpool
1,789.5
712Wandsworth
1,836.9
204Barnsley
2,119.8
810Bournemouth UA
2,405.5
717Barnet
.
618Windsor and Maidenhead UA
.
722Ealing
.
317Sefton
.
111Hartlepool UA
.
117Darlington UA
.
310Stockport
.
311Tameside
.
315Knowsley
.
510Rutland UA
.
606Hertfordshire
.
608Oxfordshire
.
610Bedfordshire
.
612Buckinghamshire
.
623Cambridgeshire
.
703Greenwich
.
705Hammersmith and Fulham
.
706Islington
.
708Lambeth
.
709Lewisham
.
711Tower Hamlets
.
714City of London
.
718Bexley
.
720Bromley
.
733Richmond upon Thames
.
811Poole UA
.
902Cornwall
.
217North Lincolnshire UA
..

Source:
The NHS Information Centre for Health and Social Care

  

Footnotes:
1.  .= missing data
2.  ..= Not applicable


Table 35d

GROSS WEEKLY COST PER PERSON OF RESIDENTIAL CARE IN INDEPENDENT RESIDENTIAL CARE HOMES FOR OLDER PEOPLE (ENGLAND), 2007-08


LA code
Local authority
£ pound
510Rutland UA
204.0
316Liverpool
287.3
212Leeds
293.3
307Oldham
313.8
113Redcar and Cleveland UA
320.5
607Norfolk
328.4
512Nottingham UA
329.8
914Torbay UA
339.7
509Leicester UA
342.8
214East Riding of Yorkshire UA
344.6
803Isle of Wight UA
346.5
814Southampton UA
346.9
617Slough UA
347.9
108North Tyneside
351.2
215Kingston upon Hull UA
351.7
413Staffordshire
352.3
906Isles of Scilly
352.6
321Halton UA
354.9
325Blackpool UA
355.5
216North East Lincolnshire UA
356.0
902Cornwall
361.4
623Cambridgeshire
364.4
815East Sussex
365.0
210Calderdale
367.4
308Rochdale
368.4
508Leicestershire
370.2
304Bolton
371.6
511Nottinghamshire
372.1
306Manchester
373.2
218North Yorkshire
375.0
414Stoke-on-Trent UA
375.4
417Shropshire
376.4
624Peterborough UA
377.2
211Kirklees
377.3
219York UA
377.7
312Trafford
379.4
109South Tyneside
379.4
404Warwickshire
379.7
507Derby UA
381.9
207Sheffield
382.8
310Stockport
383.6
117Darlington UA
384.4
812Hampshire
385.7
318St. Helens
385.8
209Bradford
386.6
323Lancashire
386.7
309Salford
387.8
412Wolverhampton
388.7
213Wakefield
389.0
820Kent
390.3
913Plymouth UA
391.1
411Walsall
392.1
106Gateshead
392.5
313Wigan
393.1
504Northamptonshire
394.0
322Warrington UA
395.0
410Solihull
397.1
315Knowsley
399.6
408Dudley
399.7
821Medway Towns UA
400.0
317Sefton
400.7
107Newcastle upon Tyne
400.9
409Sandwell
401.9
406Birmingham
404.6
114Stockton-on-Tees UA
404.8
503Lincolnshire
404.8
813Portsmouth UA
405.6
912Devon
408.8
111Hartlepool UA
409.3
110Sunderland
409.4
204Barnsley
409.8
721Croydon
411.4
320Cheshire
411.7
324Blackburn with Darwen UA
412.1
311Tameside
414.6
112Middlesbrough UA
415.6
611Luton UA
416.0
910North Somerset UA
417.8
206Rotherham
418.6
418Telford and the Wrekin UA
420.0
506Derbyshire
420.3
615West Berkshire UA
421.6
905Somerset
422.8
205Doncaster
425.2
904Gloucestershire
425.8
116Durham
430.8
416Worcestershire
432.7
104Northumberland
434.8
810Bournemouth UA
437.7
407Coventry
438.3
817Wiltshire
440.3
723Enfield
442.9
730Merton
444.8
719Brent
449.4
613Milton Keynes UA
449.7
622Thurrock UA
453.2
621Southend-on-Sea UA
455.6
819Swindon UA
464.1
102Cumbria
465.6
319Wirral
465.9
908Bath and North East Somerset UA
468.0
809Dorset
468.7
610Bedfordshire
469.3
726Havering
469.9
415Herefordshire UA
470.6
618Windsor and Maidenhead UA
472.1
734Sutton
475.3
711Tower Hamlets
481.5
731Newham
483.9
728Hounslow
488.5
724Haringey
489.1
909Bristol UA
500.7
718Bexley
502.2
720Bromley
502.5
606Hertfordshire
505.0
714City of London
506.2
305Bury
508.8
705Hammersmith and Fulham
510.3
612Buckinghamshire
512.6
725Harrow
516.4
709Lewisham
516.9
704Hackney
517.6
717Barnet
517.9
620Essex
519.2
816Brighton and Hove UA
522.1
619Wokingham UA
522.3
735Waltham Forest
522.6
807West Sussex
523.6
702Camden
528.4
716Barking and Dagenham
532.8
614Bracknell Forest UA
533.0
703Greenwich
535.0
616Reading UA
541.5
732Redbridge
541.6
805Surrey
543.2
706Islington
545.2
609Suffolk
546.0
811Poole UA
551.0
608Oxfordshire
554.5
733Richmond upon Thames
558.7
911South Gloucestershire UA
563.9
729Kingston upon Thames
566.4
710Southwark
567.9
708Lambeth
568.7
727Hillingdon
579.4
713Westminster
587.5
707Kensington and Chelsea
610.7
712Wandsworth
642.0
722Ealing
720.6
217North Lincolnshire UA
..

Source:
The NHS Information Centre for Health and Social Care
  
Footnotes:
1.  .= missing data
2.  ..= Not applicable


Table 35e

GROSS HOURLY COST OF HOME HELP/CARE FOR ALL CLIENTS (ENGLAND), 2007-08



LA code
Local authority
£ pound
323Lancashire
8.6
315Knowsley
10.0
215Kingston upon Hull UA
10.4
624Peterborough UA
10.7
509Leicester UA
10.8
417Shropshire
10.9
204Barnsley
10.9
607Norfolk
11.2
507Derby UA
11.3
409Sandwell
11.3
708Lambeth
11.3
305Bury
11.4
609Suffolk
11.4
306Manchester
11.4
718Bexley
11.4
117Darlington UA
11.6
213Wakefield
11.7
721Croydon
11.7
310Stockport
11.7
317Sefton
11.7
735Waltham Forest
11.7
817Wiltshire
12.0
703Greenwich
12.1
104Northumberland
12.2
908Bath and North East Somerset UA
12.2
307Oldham
12.5
731Newham
12.6
807West Sussex
12.6
309Salford
12.7
720Bromley
12.9
112Middlesbrough UA
12.9
114Stockton-on-Tees UA
13.1
304Bolton
13.1
116Durham
13.1
510Rutland UA
13.3
702Camden
13.3
205Doncaster
13.3
621Southend-on-Sea UA
13.4
407Coventry
13.4
503Lincolnshire
13.5
905Somerset
13.6
319Wirral
13.6
614Bracknell Forest UA
13.7
311Tameside
13.7
504Northamptonshire
13.8
508Leicestershire
13.8
512Nottingham UA
13.9
733Richmond upon Thames
14.0
812Hampshire
14.1
815East Sussex
14.1
719Brent
14.2
313Wigan
14.2
904Gloucestershire
14.2
216North East Lincolnshire UA
14.2
406Birmingham
14.2
408Dudley
14.2
207Sheffield
14.2
710Southwark
14.2
712Wandsworth
14.3
107Newcastle upon Tyne
14.4
308Rochdale
14.4
218North Yorkshire
14.4
610Bedfordshire
14.4
404Warwickshire
14.5
511Nottinghamshire
14.5
209Bradford
14.6
623Cambridgeshire
14.6
102Cumbria
14.6
324Blackburn with Darwen UA
14.6
814Southampton UA
14.6
707Kensington and Chelsea
14.9
622Thurrock UA
14.9
113Redcar and Cleveland UA
14.9
722Ealing
15.0
108North Tyneside
15.1
611Luton UA
15.1
813Portsmouth UA
15.1
732Redbridge
15.1
506Derbyshire
15.2
819Swindon UA
15.2
810Bournemouth UA
15.3
325Blackpool UA
15.3
416Worcestershire
15.3
821Medway Towns UA
15.4
106Gateshead
15.4
914Torbay UA
15.5
713Westminster
15.5
620Essex
15.6
111Hartlepool UA
15.6
606Hertfordshire
15.6
615West Berkshire UA
15.7
214East Riding of Yorkshire UA
15.7
413Staffordshire
15.7
820Kent
15.7
902Cornwall
15.8
709Lewisham
15.8
318St. Helens
15.8
705Hammersmith and Fulham
15.8
410Solihull
16.0
729Kingston upon Thames
16.0
414Stoke-on-Trent UA
16.1
608Oxfordshire
16.1
724Haringey
16.1
219York UA
16.2
411Walsall
16.2
109South Tyneside
16.2
619Wokingham UA
16.5
321Halton UA
16.6
110Sunderland
16.7
211Kirklees
16.7
913Plymouth UA
16.7
415Herefordshire UA
16.8
706Islington
16.8
612Buckinghamshire
16.8
613Milton Keynes UA
17.0
617Slough UA
17.0
728Hounslow
17.1
726Havering
17.1
322Warrington UA
17.1
723Enfield
17.3
717Barnet
17.4
412Wolverhampton
17.4
320Cheshire
17.4
316Liverpool
17.5
730Merton
17.6
805Surrey
17.9
206Rotherham
18.0
725Harrow
18.5
210Calderdale
18.7
906Isles of Scilly
18.7
212Leeds
18.7
803Isle of Wight UA
18.8
217North Lincolnshire UA
18.8
616Reading UA
18.9
711Tower Hamlets
18.9
418Telford and the Wrekin UA
18.9
912Devon
18.9
312Trafford
19.5
910North Somerset UA
19.5
911South Gloucestershire UA
19.5
816Brighton and Hove UA
19.9
727Hillingdon
20.1
704Hackney
20.1
811Poole UA
20.1
909Bristol UA
20.8
809Dorset
21.3
734Sutton
21.5
618Windsor and Maidenhead UA
21.9
716Barking and Dagenham
22.4
714City of London
25.5

Source:
The NHS Information Centre for Health and Social Care













 
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Prepared 20 January 2010