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Scottish Community Care Statistics 2001
Domiciliary Care
Tables 1.1 to 1.6 contain information on home care services provided or purchased by local authorities. Information is not included on home care purchased privately by clients. Please refer to the notes in annex A for the definitions on which the home care data are collected.
Tables 1.1 to 1.5 cover home care for all community care client groups - not just older people. Because of the way these data are collected, it is difficult to split some of the detailed analyses by client group. These tables are included in this chapter because the majority of home care clients are older people. Readers should, however, be aware that other client groups are also included in the figures.
Table 1.5 covers home care for older people only. There are also additional tables in chapters 2 to 5 which detail home care clients broken down by client group. There are overlaps between these tables and table 1.5 in this chapter, as table 1.5 includes all clients 65 and over, regardless of disability. To obtain the total number of home care clients, readers should refer to table 1.5 in this chapter rather than summing together the tables in each individual chapter.
In 1998 a new methodology was introduced for dealing with non-response. Care should be taken when comparing time series data before and after 1998 as the figures may not be directly comparable. Please refer to annex A for more details.
Table 1.1: Number of Home Care Clients by Sector of Provider 1, 1980-2001
Sector | 1980 | 1985 | 1990 | 1995 | 1996 | 1997 | 1998 | 1999 | 2000 | 2001 |
Local Authority only | 60,703 | 68,943 | 82,183 | 93,818 | 92,754 | 83,616 | 74,198 | 68,116 | 63,290 | 57,219 |
Private only | .. | .. | .. | .. | .. | .. | 1,306 | 2,621 | 2,991 | 3,510 |
Voluntary only | .. | .. | .. | .. | .. | .. | 1,590 | 1,509 | 1,599 | 2,068 |
LA & Private | .. | .. | .. | .. | .. | .. | 814 | 767 | 1,453 | 1,508 |
LA & Voluntary | .. | .. | .. | .. | .. | .. | 1,098 | 821 | 733 | 1,000 |
Other Combination | .. | .. | .. | .. | .. | .. | 288 | 224 | 163 | 228 |
Total 2 | 60,703 | 68,943 | 82,183 | 93,818 | 92,754 | 83,616 | 79,294 | 74,058 | 70,229 | 65,533 |
1Information on the sector of provider is only available from 1998 onward. Previously only LA-provided home care was recorded.
2 Totals may not equal the sum of their component parts due to the effects of rounding.
Source: SEHD Community Care Statistics - H1 Return
Table 1.1 shows the number of clients receiving home care services over the period from 1980 to 2001. The number of clients peaked in 1995 at 93,818 and has been declining since. In 2001 there were an estimated 65,533 clients who received a home care service provided or purchased by a local authority, a decrease of approximately 7 per cent on the previous year. The proportion of clients receiving local authority provided home care only, was 87 per cent in 2001 compared with 90 per cent in 2000.
Table 1.2: Number of Home Care Clients and Hours Provided/Purchased 1998-2001
| Year at 31 March |
1998 | 1999 | 2000 | 2001 |
No. of clients | 79,294 | 74,058 | 70,210 | 65,533 |
Client hours | 401,227 | 375,229 | 393,071 | 394,567 |
Hours per client | 5.1 | 5.1 | 5.6 | 6.0 |
Clients aged 65+ receiving 10 hours+ per 1,000 population 65+ | 9.6 | 9.8 | 11.4 | 12.6 |
Table 1.2 presents the number of home care clients and hours provided and purchased by local authorities between 1998 and 2001.
Whilst the number of clients declined between 1998 and 2001, the number of client hours fluctuated over the same period. In 1998 and 1999, clients received on average 5.1 hours of home care each week: this increased to 5.6 hours in 2000 and rose again in 2001 to 6.0 hours.
The number of older people receiving intensive home care (more than 10 hours per week) has increased over the 4-year period. In 2001, 12.6 clients per 1,000 of the population aged 65 and over received intensive home care, compared with 11.4 in 2000.
Table 1.3: Distribution of Home Care Hours Received, 2001
Local Authority | 2 hours or less | Between 2 and 4 hours | Between 4 and 10 hours | Greater than 10 hours | | |
No. of clients | % of total | No. of clients | % of total | No. of clients | % of total | No. of clients | % of total | Total clients | Clients per 1,000 Population aged 16+ |
Aberdeen City | 1,354 | 45% | 659 | 22% | 465 | 15% | 523 | 17% | 3,001 | 17 |
Aberdeenshire | 312 | 17% | 555 | 30% | 614 | 34% | 347 | 19% | 1,828 | 10 |
Angus | 1,063 | 59% | 337 | 19% | 284 | 16% | 120 | 7% | 1,804 | 21 |
Argyll & Bute | 34 | 4% | 214 | 23% | 442 | 48% | 237 | 26% | 927 | 13 |
Clackmannanshire | 66 | 10% | 239 | 36% | 188 | 29% | 163 | 25% | 656 | 17 |
Dumfries & Galloway | 217 | 11% | 634 | 31% | 594 | 29% | 570 | 28% | 2,015 | 17 |
Dundee City | 1,401 | 57% | 627 | 26% | 256 | 10% | 161 | 7% | 2,445 | 21 |
East Ayrshire | 88 | 7% | 461 | 35% | 451 | 34% | 311 | 24% | 1,311 | 14 |
East Dunbartonshire | 240 | 24% | 322 | 33% | 282 | 29% | 142 | 14% | 986 | 11 |
East Lothian | 110 | 9% | 473 | 40% | 402 | 34% | 210 | 18% | 1,195 | 16 |
East Renfrewshire | 184 | 24% | 190 | 25% | 209 | 27% | 182 | 24% | 765 | 11 |
Edinburgh, City of | 2,075 | 35% | 1,701 | 28% | 1,484 | 25% | 709 | 12% | 5,969 | 16 |
Eilean Siar | 89 | 11% | 247 | 32% | 271 | 35% | 172 | 22% | 779 | 36 |
Falkirk | 477 | 21% | 664 | 29% | 752 | 33% | 388 | 17% | 2,281 | 20 |
Fife | 2,355 | 40% | 1,428 | 24% | 1,517 | 26% | 558 | 10% | 5,858 | 21 |
Glasgow City | 892 | 10% | 2,597 | 30% | 3,462 | 39% | 1,851 | 21% | 8,802 | 18 |
Highland | 565 | 21% | 979 | 36% | 874 | 32% | 330 | 12% | 2,748 | 17 |
Inverclyde | 355 | 31% | 318 | 28% | 307 | 27% | 166 | 14% | 1,146 | 17 |
Midlothian | 191 | 15% | 487 | 39% | 393 | 31% | 185 | 15% | 1,256 | 19 |
Moray | 186 | 17% | 359 | 34% | 321 | 30% | 197 | 19% | 1,063 | 16 |
North Ayrshire | 103 | 7% | 451 | 30% | 526 | 35% | 410 | 28% | 1,490 | 13 |
North Lanarkshire | 393 | 14% | 624 | 22% | 1,090 | 38% | 788 | 27% | 2,895 | 11 |
Orkney Islands | 31 | 7% | 135 | 31% | 174 | 39% | 102 | 23% | 442 | 28 |
Perth & Kinross | 600 | 41% | 510 | 35% | 262 | 18% | 105 | 7% | 1,477 | 14 |
Renfrewshire | 299 | 12% | 771 | 30% | 885 | 35% | 587 | 23% | 2,542 | 18 |
Scottish Borders | 308 | 21% | 459 | 31% | 469 | 31% | 255 | 17% | 1,491 | 17 |
Shetland Islands | 202 | 28% | 256 | 35% | 151 | 21% | 113 | 16% | 722 | 42 |
South Ayrshire | 62 | 5% | 201 | 17% | 326 | 27% | 614 | 51% | 1,203 | 13 |
South Lanarkshire | 187 | 8% | 652 | 27% | 998 | 41% | 608 | 25% | 2,445 | 10 |
Stirling | 110 | 12% | 315 | 36% | 259 | 29% | 197 | 22% | 881 | 13 |
West Dunbartonshire | 56 | 4% | 436 | 28% | 765 | 49% | 301 | 19% | 1,558 | 21 |
West Lothian | 332 | 21% | 536 | 35% | 508 | 33% | 176 | 11% | 1,552 | 13 |
Scotland | 14,937 | 23% | 18,837 | 29% | 19,981 | 30% | 11,778 | 18% | 65,533 | 16 |
Source: SEHD Community Care Statistics - H1 Return
Table 1.3 presents the number of clients receiving varying levels of home care within each local authority in 2001. The island authorities (Orkney, Shetland and Eilean Siar) had the highest levels of home care, ranging from 28 to 42 clients per 1,000 of the population aged 16 and over. In contrast, Aberdeenshire and South Lanarkshire had only 10 clients per 1,000 of the population aged 16 and over. The rate for Scotland as a whole was 16.
South Ayrshire provided the highest percentage of their clients (51 per cent) with more than 10 hours per week. In contrast, Angus, Dundee City and Perth and Kinross only provided 7 per cent of their clients with this level of home care.
In 2001, 77 per cent of clients received 2 or more hours of care compared to 75 per cent in 2000 and 68 per cent in 1999. Although the number of clients receiving home care has reduced over this period, the intensity of the service has increased.
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