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Indicators of progress: Definitions, data, baseline and trends information
Milestone 21: Increasing the proportion of older people able to live independently, by doubling the proportion of older people receiving respite care at home and increasing home care opportunities.
Indicators
There are a number of indicators which go some way towards measuring this milestone. The information collected by the Scottish Executive is currently being reviewed by the Joint Futures Statistics Group (which consists of representatives from Local Authorities, the Scottish Executive and the Social Care Data Standards (SCDS) project).
Older people receiving intensive home care
Table 21a shows the number of older people receiving intensive home care (more than 10 hours per week) per 1000 head of population aged 65 and over, was 9.58 in 1998 rising steadily to 12.6 in 2001.
It should be noted that the figures have been estimated using two separate sources of data. One gives the age breakdown of people receiving intensive home care and the other gives the number of hours of intensive home care.
Table 21a: Proportion of older people receiving intensive home care.
Year | Intensive home care (more than 10 hours per week) per 1000 head of population aged 65 and over. |
1998 | 9.6 |
1999 | 9.8 |
2000 | 11.4 |
2001 | 12.6 |
Source: SEHD Community Care Statistics - H1 return
Older people receiving home care (including intensive home care)
Table 21b shows the proportion of older people receiving home care for different age bands.
Table 21b: Proportion of older people (aged 65+) receiving home care, by age group
Age | 1998 | 1999 | 2000 | 2001 |
65-74 | 21% | 22% | 22% | 19% |
75-84 | 46% | 46% | 44% | 44% |
85+ | 32% | 32% | 34% | 37% |
Total | 100% | 100% | 100% | 100% |
Source: SEHD Community Care Statistics - H1 return
The proportion of people aged 85 and over receiving home care has steadily increased over the four year period from 32% in 1998 to 37% in 2001.
Table 21c shows the proportion of older people receiving home care categorised according to their main disability. Not surprisingly four-fifths of older people receiving home care have physical disabilities (including frailty due to old age).
Table 21c: Proportion of older people (aged 65+) receiving home care, by client group
Client Group | 1999 | 2000 | 2001 |
Dementia | 5% | 5% | 5% |
Mental Health problems | 1% | 2% | 2% |
Learning disabilities | 0% | 0% | 0% |
Physical disabilities (including frailty due to old age) | 82% | 80% | 80% |
Alcohol/drug problems | 1% | 1% | 0% |
Other vulnerable groups | 10% | 11% | 13% |
Total | 100% | 100% | 100% |
Source: SEHD Community Care Statistics - H1 return
Older people receiving free home care after leaving hospital
Older people (aged 65 and over) are entitled to receive free home care for up to four weeks if they have been in NHS in-patient care for more than one day (24 hours) for treatment, assessment or rehabilitation, or had surgery as an NHS day case. Information collected over the winter period (December 2001 to March 2002) shows that on average there were around 1,400 people receiving free home care each week.
Older people using Day Care services
Day care services are part of a range of community care services which play a vital role in maintaining older people at home for longer, and can contribute to prevention of hospital admission and reduction in the incidence of delayed discharge
A new survey of Day Care Services was carried out in 2001. The results of this show that there were 409 day care centres in Scotland catering primarily for older people. These centres had over 7,700 places available and during a typical week catered for around 11,750 people.
Table 21d: Registered Day Care Services for Older People: 31 March 2001
Sector | Number of centres | Number of places | Number attending |
Local Authority | 268 | 5,244 | 8,426 |
Voluntary | 86 | 1,896 | 2,288 |
Private | 55 | 568 | 1,033 |
Total | 409 | 7,708 | 11,747 |
Source: SEHD Community Care Statistics - D1-B return
Table 21e: Profile of older people attending registered day care services, 31 March 2001
Client group | Male | Female | Total |
Dementia | 718 (22%) | 1744 (21%) | (21%) |
Learning Disabilities | 160 (5%) | 243 (3%) | (3%) |
Physically disabled people | 2066 (63%) | 5457 (66%) | (65%) |
Mental Health problems | 147 (4%) | 416 (5%) | (5%) |
Drug/Alcohol problems | 36 (1%) | 20 (0%) | (0%) |
Other | 177 (5%) | 438 (5%) | (5%) |
Total | (100%) | (100%) | (100%) |
Source: SEHD Community Care Statistics - D1-B return
Rapid Response teams
At the end of March 2002, 19 of the 32 local authorities in Scotland had rapid response teams covering the whole of their council area and a further 7 had teams covering parts of their council area.
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