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Scottish Community Care Statistics 2002

Residential Care Homes

Tables 4.7 to 4.14 contain information on residential care homes primarily intended for physically disabled people. Homes 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.

Table 4.7: Residential Care Homes for Physically Disabled People, 1980-2002

¹ In 1980 the figures for the private and voluntary sectors are grouped together.
Source: SEHD Community Care Statistics - R1 Return

Table 4.7 shows the number of homes, beds and residents for physically disabled people from 1980 to 2002.

The majority (over 95 per cent) of beds and residents are in the voluntary sector. Over time there has been an increase in the number of beds and residents. However, these fell in 2001 to 699 and 585 respectively and also in 2002 to 655 and 555 respectively.

In 2002, homes were running at an 85 per cent occupancy level.

Table 4.8 shows the local authority split for the number of homes, places and residents for physically disabled people, at 31 March 2002. Half of local authorities did not report any homes for physically disabled adults.

Inverclyde has the highest number of residents (12.5) for every 10,000 of the population aged 16-64. At Scotland level there were 60 homes with an average of 11 beds per home and 9 residents per home.

In Scotland the average capacity level is 85 per cent. South Lanarkshire and Stirling are at full capacity while Highland runs at just over half capacity.

Table 4.8: Residential Care Homes for Physically Disabled People, 31 March 2002

Source: SEHD Community Care Statistics - R1 Return

Table 4.9 presents information on the number of admissions to and discharges from residential care homes for physically disabled adults.

In 2002, 97 per cent of admissions and 97 per cent of discharges were short stay. The number of admissions and discharges have followed a similar pattern over the years, reaching a high of over 4,300 in 2000 and falling back to around 2,200 in 2001 and 2002.

Table 4.9: Admissions and Discharges in Homes for Physically Disabled People 1985-2002

¹ Totals may not equal the sum of their component parts due to the effects of rounding.
Source: SEHD Community Care Statistics - R1 Return

Tables 4.10 to 4.13 provide information on long stay residents only as this level of detail is not collected for short stay residents.

Table 4.10 provides an age breakdown of residents in homes for physically disabled people from 1985 to 2002. The age distribution of residents has fluctuated over time. In general there has been an increase in the proportion of residents aged between 45 and 65 (accounting for 45 per cent in 2002), and a decrease in the proportion of residents aged under 30 (11 per cent in 2002).

Table 4.10: Age of Residents ¹ in Homes for Physically Disabled People, 1985-2002

¹ Total residents relates to long stay residents only.
Source: SEHD Community Care Statistics - R1 Return

Table 4.11: Incomplete Length of Stay of Residents ^1,2 in Homes for Physically Disabled People as at 31 March, 1985-2002

¹ Total residents relates to long stay residents only.
² Percentages are based on the number of residents whose length of stay is known.
Source: SEHD Community Care Statistics - R1 Return

Table 4.11 illustrates the incomplete length of stay of residents in homes for physically disabled people. In 2002, 56 per cent of residents had stayed for 5 years or over, while 34 per cent of residents had stayed for between 1 and 5 years. Over the years there has been little variation in the length of stay.

Table 4.12: Destination of Residents ^1,2 on Discharge from Homes for Physically Disabled People, 1990-2002

¹ Total residents relates to long stay residents only.
² Percentages are based on the number of residents where destination on discharge is known.
Source: SEHD Community Care Statistics - R1 Return

Table 4.12 presents an overview of the destination of residents on discharge from homes for physically disabled people. From year to year, there is wide variation in the destination on discharge and no clear pattern emerges. This is due largely to the small numbers of residents involved. In 2002, 24 per cent of discharges were transfers to other homes, while 26 per cent were deaths and 41 per cent returned to their own homes. Four per cent were discharged to sheltered housing.

Table 4.13: Financial Support of Residents ¹ in Private and Voluntary Homes for Physically Disabled People, 2002

¹ Total residents relates to long stay residents only.
Percentages are based on the number of residents when financial support was known.
Source: SEHD Community Care Statistics - R1 Return

Table 4.13 details the funding arrangements for residents in residential care homes for physically disabled people. For definitions of categories of funding see annex A.

In 2002, local authorities funded 44 per cent of residents, 48 per cent of residents were funded wholly or mainly by DSS, whilst 8 per cent were funded by private means.

Table 4.14: Average Weekly Charge per Resident in Homes for Physically Disabled People, 2002

Source: SEHD Community Care Statistics - R1 Return

Table 4.14 presents the average weekly cost of residential care for each sector in 2002. The figures have been weighted to reflect the capacity of the residential homes.

The average weekly charge in Scotland rose from 564 in 2001 to 589 in 2002. Local authority homes were slightly more expensive at 711 per week compared to 582 for private and voluntary homes.

Private Nursing Homes

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

Table 4.15: Private Nursing Homes, residents who are physically disabled ^1,2, 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.
² As from the 2001 census a large number of homes recorded care of frail elderly residents, previously classified under 'Other health care needs', under the 'Physical disabilities' category.
^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 4.15 shows, for residents in private nursing homes who were physically disabled, the trend from year ending March 1997 to year ending March 2002 in numbers and in percentages by age group.

The sharp increase in numbers seen between year ending March 2000 and March 2001 is due to a change in coding practice: as from the 2001 census a large number of homes recorded care of frail elderly residents, previously classified under 'Other health care needs', under the 'Physical disabilities' category.

At March 2002 there were 7,086 residents with physical disabilities. Of these almost half were aged 85 and over, and another third were in the age group 75-84.

Registered Blind and Partially Sighted Persons

Tables 4.16 to 4.18 present information on individuals who are registered with local authorities as being blind or partially sighted. Please refer to the notes in annex A for background information on the census and registration. As visual impairment is a form of physical disability the tables are included in this chapter, but note many visually impaired persons have additional disabilities relating to other chapters.

Table 4.16 Number of People Registered Visually Impaired, 1998-2002

Source: SEHD Community Care Statistics - SWB Return

Table 4.16 shows that the number of registered blind persons has increased slightly over this 5-year period. Over the same period, the number of persons registered partially sighted has increased by 18 per cent. The ratio of registered partially sighted persons per 1,000 population has risen from 2.3 in 1998 to 2.8 in 2002.

Table 4.17 Age and Sex Breakdown of Registered Visually Impaired Persons, 2002

Source: SEHD Community Care Statistics - SWB Return

Table 4.17 provides the age and gender profile of blind and partially sighted persons. Sixty-three per cent of registered blind persons are female and 37 per cent are male. Similarly 65 per cent of registered partially sighted persons are female and 35 per cent male. It can be seen that as age increases, the number of registered visually impaired persons increase, with people over the age of 65 accounting for 78 per cent of visually impaired registrations.

Table 4.18: Number of People Visually Impaired by Local Authority, 2002

Source: SEHD Community Care Statistics

Table 4.18 presents the number of blind and partially sighted persons within each local authority and the ratio per 1,000 population. The table shows the variation between local authorities, with the number of blind persons per 1,000 population ranging from 9.6 in Glasgow City to 1.6 in the Shetland Islands. Ratios of partially sighted persons are slightly lower, ranging from 4.6 in Inverclyde to 1.0 in Moray.

Direct Payments

Direct payments have been available since April 1997 to people aged 18-64 with physical 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 217 physically disabled clients received direct payments. 178 clients were aged 18-64 and 39 were aged 65 or over. The value of these payments was 2,647,000.

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