4. COMMISSIONING
4.1.13 Could the Department provide data and
comment on the proportion of (a) contact hours of home help/care
and (b) supported residential care purchased by local authorities
from the independent sectors? (Q39)
Answer
1. Table 39 shows for each local
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.
— The percentage of local authority supported
residents in independent sector residential care homes.
2. The variations in the use of the independent
sector may reflect historical patterns of provision, local needs
and local political priorities.
3. Data is collected by the NHS Information
Centre via annual returns HH1 (home help) for a survey week during
September 2008, and SR1 (supported residents) as at 31 March 2008.
4. For England as a whole, the independent
sector provided:
— 81% of the total contact hours of home
help/care in 2008; an increase on 78% in 2007; and
— excluding un-staffed homes, and nursing
homes, the independent sector was also contracted to provide residential
care for 87% of the local authority supported residents (little
change from 2007).
Contact hours of home help/care
5. For England as a whole, the independent
sector provided 81% of the total contact hours of home help/care
in 2008, compared with 78% in 2007 and just 2% in 1992, prior
to the introduction of the Community Care Reforms in 1993.
6. Use of the independent sector for home
help/care varies considerably between authorities and between
services within authorities. Seven authorities have less than
50% of their home help/care services provided by the independent
sector (including one nil return) and five 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.
Local authority supported residents in independent
sector residential care homes
7. Local authorities place and financially
support significant numbers of clients in independent sector residential
care homes, over 87% of all local authority supported residents
in residential care (excluding un-staffed homes). This is similar
to the 2007 figure. Over the last few years, a number of authorities
have transferred some of their care homes to independent ownership.
8. There is some variation in the use of
the independent sector. There are seven local authorities where
all supported residents are completely in independent sector homes,
with a further 72 councils reporting in excess of 90% of their
supported residents in independent sector homes provision. All
but one council (Isle of Scilly) have more than 50% of their supported
residents in independent sector homes.
Table 39
PERCENTAGE OF SOCIAL SERVICES FOR ADULTS
WHICH ARE PURCHASED BY THE LOCAL AUTHORITY FROM THE INDEPENDENT
SECTOR (ENGLAND), 2009 (1)
|
| | Contact hours of home
help/care
| Supported residents
in residential care
(2)(3)(4)
|
| Government Office region and local authority
| percentage | percentage
|
|
| England | 81.3
| 87.4 |
| Eastern | 85.4
| 90.8 |
| Bedfordshire | 93.1
| 97.8 |
| Cambridgeshire | 97.8
| 99.7 |
| Essex | 98.4
| 97.5 |
| Hertfordshire | 64.2
| 99.6 |
| Luton | 77.2
| 75.3 |
| Norfolk | 67.9
| 82.2 |
| Peterborough | 97.3
| 66.0 |
| Southend | 95.3
| 93.6 |
| Suffolk | 83.9
| 76.9 |
| Thurrock | 83.9
| 94.5 |
| East Midlands | 77.8
| 83.4 |
| Derby | 76.1
| 62.3 |
| Derbyshire | 63.7
| 73.8 |
| Leicester | 88.2
| 81.3 |
| Leicestershire | 91.4
| 83.6 |
| Lincolnshire | 79.4
| 98.4 |
| Northamptonshire | 80.0
| 83.0 |
| Nottingham | 76.2
| 86.1 |
| Nottinghamshire | 85.7
| 82.4 |
| Rutland | 50.6
| 93.2 |
| North East | 81.3
| 91.7 |
| Darlington | 83.5
| 98.8 |
| Durham | 83.5
| 90.7 |
| Gateshead | 64.4
| 93.8 |
| Hartlepool | 89.4
| 99.8 |
| Middlesbrough | 94.1
| 94.6 |
| Newcastle upon Tyne | 88.5
| 88.6 |
| North Tyneside | 65.5
| 98.4 |
| Northumberland | 79.8
| 95.6 |
| Redcar and Cleveland | 91.1
| 84.1 |
| South Tyneside | 78.7
| 87.9 |
| Stockton on Tees | 78.4
| 90.0 |
| Sunderland | 69.0
| 85.2 |
| North West | 78.1
| 88.3 |
| Blackburn with Darwen | 77.0
| 86.2 |
| Blackpool | 62.8
| 92.9 |
| Bolton | 52.9
| 84.4 |
| Bury | 69.8
| 85.3 |
| Cheshire | 49.7
| 84.8 |
| Cumbria | 69.4
| 62.1 |
| Halton | 86.1
| 90.7 |
| Knowsley | 81.2
| 98.3 |
| Lancashire | 95.7
| 88.3 |
| Liverpool | 86.8
| 93.0 |
| Manchester | 85.6
| 97.7 |
| Oldham | 40.3
| 76.6 |
| Rochdale | 84.1
| 96.2 |
| Salford | 78.0
| 94.0 |
| Sefton | 100.0
| 96.3 |
| St Helens | 87.2
| 83.7 |
| Stockport | 43.9
| 99.0 |
| Tameside | 62.2
| 99.2 |
| Trafford | 66.1
| 77.3 |
| Warrington | 88.2
| 91.3 |
| Wigan | 79.5
| 93.8 |
| Wirral | 86.7
| 87.8 |
| London | 88.1
| 90.4 |
| Barking & Dagenham | 86.3
| 96.9 |
| Barnet | 95.1
| 98.1 |
| Bexley | 99.7
| 100.0 |
| Brent | 100.0
| 89.8 |
| Bromley | 59.7
| 98.3 |
| Camden | 90.0
| 74.7 |
| City of London | 44.2
| 100.0 |
| Croydon | 77.9
| 67.2 |
| Ealing | 95.8
| 100.0 |
| Enfield | 89.9
| 89.2 |
| Greenwich | 94.3
| 98.5 |
| Hackney | 51.5
| 94.4 |
| Hammersmith & Fulham | 92.8
| 96.7 |
| Haringey | 88.5
| 78.1 |
| Harrow | 100.0
| 92.5 |
| Havering | 88.5
| 88.6 |
| Hillingdon | 83.0
| 91.2 |
| Hounslow | 83.8
| 76.9 |
| Islington | 91.9
| 95.1 |
| Kensington & Chelsea | 88.0
| 88.9 |
| Kingston-upon-Thames | 80.0
| 74.2 |
| Lambeth | 100.0
| 100.0 |
| Lewisham | 91.7
| 100.0 |
| Merton | 80.0
| 96.4 |
| Newham | 87.1
| 89.8 |
| Redbridge | 89.2
| 95.0 |
| Richmond-upon-Thames | ..
| 94.7 |
| Southwark | 100.0
| 100.0 |
| Sutton | 86.8
| 90.7 |
| Tower Hamlets | 73.4
| 93.0 |
| Waltham Forest | 87.6
| 59.8 |
| Wandsworth | 86.8
| 87.0 |
| Westminster | 99.7
| 90.6 |
| South East | 87.4
| 87.5 |
| Bracknell Forest | 72.7
| 73.9 |
| Brighton & Hove | 84.1
| 92.8 |
| Buckinghamshire | 87.3
| 99.7 |
| East Sussex | 86.5
| 91.0 |
| Hampshire | 96.3
| 73.3 |
| Isle of Wight | 84.6
| 92.2 |
| Kent | 89.6
| 92.0 |
| Medway Towns | 96.5
| 73.6 |
| Milton Keynes | 65.3
| 93.9 |
| Oxfordshire | 80.4
| 99.1 |
| Portsmouth | 96.9
| 73.1 |
| Reading | 77.0
| 72.1 |
| Slough | 82.4
| 60.9 |
| Southampton | 86.9
| 75.8 |
| Surrey | 89.1
| 89.7 |
| West Berkshire | 91.8
| 67.9 |
| West Sussex | 78.9
| 94.7 |
| Windsor & Maidenhead | 80.9
| 93.2 |
| Wokingham | 84.6
| 83.5 |
| South West | 80.4
| 86.3 |
| Bath & N E Somerset | 68.4
| 84.8 |
| Bournemouth | 82.9
| 95.8 |
| Bristol | 75.3
| 64.3 |
| Cornwall | 86.1
| 99.2 |
| Devon | 82.6
| 80.4 |
| Dorset | 66.5
| 72.8 |
| Gloucestershire | 90.7
| 92.4 |
| Isles of Scilly | 0.0
| 25.0 |
| North Somerset | 84.5
| 98.3 |
| Plymouth | 92.4
| 89.7 |
| Poole | 85.9
| 100.0 |
| Somerset | 54.2
| 91.7 |
| South Gloucestershire | 81.1
| 68.2 |
| Swindon | 90.3
| 75.4 |
| Torbay | 96.2
| 97.5 |
| Wiltshire | 92.7
| 88.7 |
| West Midlands | 82.2
| 83.0 |
| Birmingham | 81.1
| 75.7 |
| Coventry | 84.7
| 91.4 |
| Dudley | 50.6
| 84.9 |
| Herefordshire | 98.4
| 94.6 |
| Sandwell | 94.3
| 85.2 |
| Shropshire | 89.3
| 91.0 |
| Solihull | 85.4
| 91.2 |
| Staffordshire | 70.7
| 82.7 |
| Stoke-on-Trent | 90.3
| 74.3 |
| Telford and Wrekin | 87.1
| 92.4 |
| Walsall | 93.5
| 81.9 |
| Warwickshire | 83.9
| 81.2 |
| Wolverhampton | 90.2
| 71.5 |
| Worcestershire | 73.4
| 90.2 |
| Yorkshire and The Humber | 69.6
| 85.1 |
| Barnsley | 65.4
| 98.7 |
| Bradford | 61.8
| 73.9 |
| Calderdale | 60.9
| 95.6 |
| Doncaster | 85.1
| 71.3 |
| East Riding | 91.9
| 96.0 |
| Kingston-upon-Hull | 83.7
| 92.8 |
| Kirklees | 62.5
| 90.6 |
| Leeds | 48.2
| 67.6 |
| N E Lincolnshire | 85.0
| 95.2 |
| North Lincolnshire | 61.4
| 91.3 |
| North Yorkshire | 75.0
| 73.4 |
| Rotherham | 54.0
| 85.2 |
| Sheffield | 76.1
| 96.3 |
| Wakefield | 63.7
| 89.5 |
| York | 85.4
| 57.7 |
|
| Source: |
| Social Care Finance, DH |
HH1 return for homecare and the SR1 return for Supported Residents information.
|
| Footnotes: |
| 1. Data collected on NHS Information Centre annual returns HH1 (home help) for a survey week during September 2008, and SR1 (supported residents) as at 31 March 2008.
|
| 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.
|
|
| 
