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Scottish Community Care Statistics 2002

CHAPTER 4 - PHYSICALLY DISABLED ADULTS

The Balance of Care

Chart 4.1 Balance of Care for Physically Disabled People, 1980-2002

Chart 4.1 illustrates the balance of care provided to physically disabled people over time. The number of special needs housing dwellings rose considerably between 1980 and 1995. The number dipped in 1998 and has been following an upward trend since.

The number of places in day centres has risen steadily over the period, whilst the number of residents in residential care homes has also increased. Data on home care clients and residents in nursing homes with physical disabilities have not been collected for long enough to allow comment on any trends.

Domiciliary Care

Tables 4.1 and 4.2 contain information on home care services provided to physically disabled clients. Information on home care for other individual client groups is included in chapters 1, 2, 3 and 5. More detailed analysis of home care for all client groups is contained in chapter 1. Please refer to the notes in annex A for definitions on which the data are collected.

Table 4.1: Age Breakdown of Physically Disabled Home Care Clients, 1998-2002

Source: SEHD Community Care Statistics - H1 Return

Table 4.1 illustrates the age breakdown for physically disabled clients receiving homecare from 1998 to 2002. Prior to 1998 a full age/client breakdown was not provided.

Between 1998 and 2002 there has been a 5.4 per cent decrease (to 48,064) in the number of physically disabled people receiving home care. However, the number of people has fluctuated over this period and fell by 2.9 per cent between 2001 and 2002. In 2002 only 11 per cent of physically disabled people receiving home care were under 65. The majority of physically disabled people receiving home care were aged 75 and over (73 per cent in 2002).

Table 4.2: Age Breakdown of Physically Disabled People Receiving Home Care, 2002

Source: SEHD Community Care Statistics - H1 Return

Table 4.2 presents a local authority split for the age breakdown of home care for physically disabled people.

In 2002 in Scotland, 11.7 physically disabled people received home care for every 1,000 of the population aged 16 and over. Eilean Siar had the highest rate (35.0). Conversely, Dundee City and West Lothian had the lowest rate in Scotland with 4.5 clients per 1,000 of the population aged 16 and over.

This table includes clients who are frail due to old age, therefore, a large proportion of these clients also appear in table 1.5 in chapter 1. Care should be taken when making comparisons between authorities, as differences may be due to the way councils classify their home care clients rather than indicating differences in service provision.

Day Care

Tables 4.3 and 4.4 provide information on day care services primarily intended for physically disabled people. Day care figures for other client groups are included in chapters 1, 2, 3 and 5. Please refer to the notes in annex A for definitions on which the data are collected.

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.

In 2001, a new survey of day care services took place. The figures for "number attending" in 2001 are not comparable with previous years. In 2001, information was collected on numbers attending day centres during the census week. In previous years, the numbers attending related to all persons who regularly attended regardless of whether they were there during census week.

Table 4.3: Number of Day Centres ¹ for Physically Disabled People, Places and People Attending, 1980-2002

¹ Includes centres with 4 or less places (which are usually attached to residential homes).
Source: SEHD Community Care Statistics - D1-B Return

Table 4.3 shows the number of day centres for physically disabled people, places and attendees from 1980 to 2002.

The number of centres have increased by 15.4 per cent since 1998. In contrast, the number of places has decreased by 4 per cent. In 2002 there was an average of 39 places and 46 attendees per centre.

Table 4.4: Number of Day Centres ¹ for Physically Disabled People, Places and People Attending, 2002

¹ Includes centres with 4 or less places (which are usually attached to residential homes).
Source: SEHD Community Care Statistics - D1-B Return

Table 4.4 presents the number of day centres for physically disabled people in each local authority in 2002. Only 19 local authorities reported day centre provision for physically disabled people.

Orkney provided the highest number of places (24.7) and Clackmannanshire provided the highest number of people attending (27.4) per 10,000 of the population aged 16 to 64 years. The number of places in Scotland was 5.3 for every 10,000 of the population aged 16 to 64 and there were 6.3 attendees.

Special Needs Housing

Tables 4.5 and 4.6 contain information on special needs housing for disabled people. This may include some people who have learning disabilities, but the majority of clients receiving this service are physically disabled. For definitions on which the data are collected, please refer to the notes in annex A.

Table 4.5: Special Needs Housing for Disabled People provided by Public Agencies and Housing Associations ¹, 1980-2002

¹ Excludes those already counted as housing for the elderly.
Disabled people includes people with all disabilities not just physical
In Local Authorities where no returns have been received the previous year's figure has been used.
Figures in italics indicates an amended figure.
Source: SEDD Housing Statistics - S1B Return

Table 4.5 shows the number of different types of special needs housing for disabled people from 1980 to 2002.

It is evident that the number of dwellings as a total peaked in 1995 followed by an overall decrease, although numbers are rising again. The number of wheelchair housing dwellings was highest in 1995 and was not exceeded unitl 2002; while other specially adapted dwellings reached their peak in 1995 and have been declining since. The number of dwellings for the ambulant disabled has been steadily increasing to reach 15,480 in 2002. The last 4 years have shown a gradual upward trend approaching the levels in 1995.

Table 4.6: Sheltered Housing Dwellings for Disabled People Provided by Public Agencies and Housing Associations 2002 ¹

¹ Disabled People includes people with all disabilities, not just physically disabled people.
Source: SEDD Housing Statistics - S1B Return

Table 4.6 shows the number of special needs housing dwellings for disabled people in each local authority.

In Scotland as a whole more than half (53 per cent) of the 29,227 dwellings are for the ambulant disabled while only 13 per cent are wheelchair housing. Eilean Siar is the only authority who provides wheelchair housing as the only type of dwelling. In contrast, 86 per cent of the dwellings in Glasgow are for ambulant disabled and in Dundee City, 93 per cent are other specially adapted dwellings.

Dundee City has the highest number of dwellings (45) for disabled people for every 1,000 of the population aged between 16 and 64, whilst East Dunbartonshire has less than 1. The rate for Scotland is 9 dwellings for physically disabled people for every 1,000 of the population aged between 16 and 64.

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