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Scottish Community Care Statistics 2002

Private Nursing Homes

Up to the year ending March 2002, information has not been available on which nursing homes were registered for residents with learning disabilities. However, information has been collected on the number of residents in private nursing homes with learning disabilities, and these are described here.

Table 2.13: Private Nursing Homes: residents with Learning Disabilities, ¹ percentage by age group: as at 31 March, 1997-2002

¹ Private Nursing Homes subject to the Nursing Homes Registration (Scotland) Act 1938 (as amended), or the Mental Health Act 1960/1984. The data include hospices registered under the Act, but data for private hospitals have been excluded.
^r Data are based on information supplied by nursing homes at the end of each financial year. However, since the previous publication, figures have been revised from year ending 31 March 1997 onwards: quality assurance work has been undertaken, and addtionally, for each home which did not supply data, figures have been imputed, using data for those years which were available. The number of homes which did not supply data and for which figures have been imputed are as follows: 1997: 29 homes; 1998: 31 homes; 1999: 49 homes; 2000: 52 homes; 2001: 75 homes; 2002: 65 homes. In addition a small number of records have been modified or deleted.
Note that information has not been available to impute missing data prior to year ending March 1997, nor is it known how many homes failed to submit data at that time. This may result in discontinuities in the figures.
Source: ISD Scotland - ISD(S)34 Return

Table 2.13 shows, for residents in private nursing homes with learning disabilities, the trend from year ending March 1997 to year ending March 2002 in numbers and in percentages by age group.

In March 2002 there were estimated to be 845 residents with learning disabilities. About half of these were aged 65 and over.

Hospitals

Information on people in hospitals within the specialty Learning Disability are collected by ISD Scotland, and further information can be found on their website at http://www.isdscotland.org under the headings Information and Statistics/Health and Care/Acute Activity; and Information and Statistics/Health and Care/Learning Disability (under development).

Data are based on the specialty Learning Disability and are derived from two ISD national data collection returns: ISD(S)1, which collects aggregated data on hospital bed numbers and hospital activity for a range of services and of patient types, and SMR04, which collects patient-based data on inpatient admissions and discharges for people admitted to hospital into mental health or learning disability specialties. SMR04 data are not shown for the year ending March 2002 as they are not thought to be complete. Note also that this data set is undergoing further quality assurance work, so that figures for recent years may differ from those previously published.

Table 2.14: Learning Disability specialty; selected hospital inpatient activity statistics ¹: years ending 31 March 1980-2002

¹ Includes joint-user and contractual hospitals for which data are available. Note that there will be some overlap with information on activity shown for those private nursing homes with which NHS boards have sub-contractual arrangements.
² Mean stay per episode is calculated for each year as: total number of occupied bed days / total number of inpatient episodes.
³ Throughput, the average number of inpatient episodes per bed per year, is calculated for each year as: total number of inpatient episodes / average number of available staffed beds.
Source: ISD Scotland - ISD(S)1 Return

Table 2.14 presents, for inpatients in hospital in the specialty Learning Disability, trends from 1980 to 2002 in the average number of available and occupied beds, the mean stay, and throughput (average number of episodes per bed per year).

The average number of available hospital beds has decreased from over 7,000 in 1980 to just under 1,500 in 2002. The average number of occupied beds shows a similar decrease.

Table 2.15: Learning disabilities specialty; seleced hospital inpatient activity statistics ¹, by NHS board area of treatment: Year ending 31 March 2002

¹ Includes joint-user and contractual hospitals for which data are available. Note that there will be some overlap with information on activity shown for those private nursing homes with which NHS boards have sub-contractual arrangements.
Source: ISD Scotland - Form ISD(S)1] Return

Table 2.15 presents, for the year ending March 2002, by NHS Board, for the specialty Learning Disability, the number of available inpatient hospital beds, and the percentage bed occupancy.

Occupancy rates stood at 83 per cent for the whole of Scotland and varied between NHS board areas, from 68 per cent in Greater Glasgow to 97 per cent in Highland.

Table 2.16: Learning Disability specialty; hospital inpatient admissions (by place admitted from), discharges (by destination), and residents: years ending 31 March 1980-2001

¹ Local Authority/Voluntary includes Nursing Homes, Residential Homes, Hostels and Group Homes in the Local Authority and Voluntary sectors.
^r Revised
Source: ISD Scotland - SMR4/SMR04 Returns

Table 2.16 shows, for people admitted to hospital in specialty Learning Disability, the trend from 1980 to 2001 in the number of admissions and discharges, by place from which admitted and by destination on discharge.

The total number of admissions increased until 1995, and the total number of discharges increased until 1998, since when both have declined. In each year the number of discharges has been greater than the number of admissions, so that the number of residents has decreased (table 2.14).

The majority of people were admitted or discharged each year directly from or to home with, in the year ending March 2001, 93 per cent being admitted from home and 90 per cent being discharged to home.

Table 2.17 shows the trend between 1980 and 2001 in age breakdown of residents in hospital within the specialty Learning Disability. The percentage in each age group has remained reasonably constant over the years, with 90 per cent of residents being under 65 in the year ending March 2001.

Table 2.17: Learning Disability speciality, numbers of hospital residents, and percentage by age group ^1,2: at 31 March 1980-2001

¹ Age at 31 March.
² Percentages are calculated for those residents for whom age was recorded; the numbers of residents for whom age was not recorded are as follows: 1980 4 residents; 1985 19 residents; 1990 8 residents.
^r Revised. As a result of quality assurance work some of the figures shown here differ from those previously published.
Source: ISD Scotland - SMR4/SMR04 Returns

Table 2.18 presents a summary of day patient activity for Learning Disability specialty for the year ending 31 March 2001. There were 24,880 hospital attendances during the year and 159 patients 'on the books' at the end of the year.

Table 2.18 Learning Disability speciality; day patient activity in hospitals ^{1, 2}, by NHS board of treatment: year ending 31 March 2002

¹ Includes NHS day hospitals and day patient units (and excludes for instance residential care homes or day centres).
² Unlike similar tables for Geriatric Medicine specialty, and for Mental Health specialities, the table does not show total patients 'on books', and numbers of new patients. Some Trusts offer a drop-in service for which these statistics are not appropriate.
³ For day patient places, the total for Scotland excludes data for Lanarkshire.
^e Estimated.
Source: ISD Scotland, for ISD(S)1. Social Work Statistics.

Direct Payments

Direct payments have been available since April 1997 to people aged 18-64 with learning disabilities, to purchase the services they have been assessed as needing. They were extended to people aged 65 and over in July 2000. During the year April 2001 to March 2002, a total of 56 physically disabled clients received direct payments. 54 clients were aged 18-64 and 2 were aged 65 or over. The value of these payments was 463,000.

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