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Scottish Community Care Statistics 2002

CHAPTER 5 - OTHER CLIENT GROUPS

This chapter covers services for people with drug and alcohol problems, people with HIV or AIDS, ex-offenders, homeless people, and other vulnerable groups.

Domiciliary Care

Tables 5.1 and 5.2 contain information on home care services provided to clients in "other" client groups. Information on home care for other individual client groups is included in chapters 1 to 4. 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 5.1: Age Breakdown for Other Home Care Client Groups, 1998-2002

Source: SEHD Community Care Statistics - H1 Return

Table 5.1 shows the age breakdown of clients in other client groups receiving home care between 1998 and 2002. The number of clients halved between 1998 and 1999, to reach 10,353. This reduction is more likely to be due to re-classification of clients into other more appropriate client groups, rather than a change in the way the service is provided. Between 2001 and 2002 the number of clients receiving home care fell by 11 per cent to 8,679.

Table 5.2: Age Breakdown of Other Home Care Client Groups, 2002

Totals may not add up to the sum of their component parts due to rounding.
Source: SEHD Community Care Statistics - H1 Return

Table 5.2 shows the age breakdown, by local authority, of other client groups receiving home care in 2002. In Scotland as a whole, 2.1 people in every 1,000 aged 16 and over receive home care. Dundee City provides the most home care for other client groups in relation to their population, with 11.9 clients per 1,000 population aged 16 and over, receiving a home care service.

The majority of people in other client groups receiving home care are aged 75 or over, accounting for 57 per cent of all clients in 2002. Some local authorities classify older people as "other vulnerable groups" on the home care return which may explain the high numbers being reported in certain areas.

Day Care

Tables 5.3 and 5.4 provide information on day care services for other client groups. Day care figures for other individual client groups are included in chapters 1 to 4. 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 and 2002, a new survey of day care services took place. The figures for "number attending" in 2001 and 2002 are not comparable with previous years. In 2001 and 2002, 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 5.3: Number of Day Centres ¹ for Other Client Groups, Places and People Attending, 1985-2002

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

Table 5.3 shows the number of day care centres, places and clients attending by sector from 1985 to 2002. The number of places and residents peaked in 1995 at 429 and 428 respectively then has decreased to 247 places with 235 people attending in 2002. In 2002 there were 8 day centres for other client groups with an average of 31 places and 29 people attending.

Table 5.4: Number of Day Centres for Other Client Groups, Places and People Attending, 2002

Source: SEHD Community Care Statistics - D1-B Return

Table 5.4 shows the number of day care centres, places and attendees for other client groups in each local authority. Those local authorities not included in the table did not report any day centres for other client groups.

There are 0.8 places and 0.7 people attending per 10,000 population aged 16-64 in Scotland. In Clackmannanshire 11.3 people in every 10,000 attend day centres, the highest rate in Scotland.

Residential Care Homes

Tables 5.5 to 5.9 contain information on residential care homes for other client groups. Homes for other individual client groups are included in chapters 1 to 4. 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 5.5: Residential Care Homes for Other Client Groups, 1985-2002

Source: SEHD Community Care Statistics - R1 Return

Table 5.5 shows the number of residential care homes, beds and residents by sector for other client groups from 1985 to 2002.

From 1985 until 1998 the number of voluntary sector homes increased at a steady rate, falling slightly in 1999. Overall the number of homes, places and residents have increased.

In 2002 there were 115 homes in Scotland with an average of 10 places and 8 residents per home. Voluntary homes account for the majority (89 per cent), accommodating 89 per cent of all residents. Overall, in 2002 the homes were running at 79 per cent occupancy level.

Table 5.6: Residential Care Homes for Other Client Groups, 2002

Source: SEHD Community Care Statistics - R1 Return

Table 5.6 shows the number of Residential Care Homes, places and residents in each local authority in 2002. There are 2.7 residents per 10,000 of the population aged between 16 and 64. In Aberdeen City the rate is much higher at 11.6. The majority of residents in homes for other client groups are in cities; more than two-thirds of residents are in homes in the cities of Edinburgh, Glasgow and Aberdeen.

Table 5.7: Admissions and Discharges in Homes for Other Client Groups, 1985-2002

Source: SEHD Community Care Statistics - R1 Return

Table 5.7 shows the number of admissions to and discharges from residential care homes for other client groups. It can be seen that the majority of admissions and discharges are short stay clients. The number of short stay admissions and discharges has increased over time to represent approximately 85 per cent of total admissions and discharges in 2002.

Long stay admissions and discharges have remained fairly constant over the period at around 1,500 per year.

Table 5.8: Age of Residents ^1,2 in Homes for Other Client Groups, 1995-2002

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

Table 5.8 presents an age breakdown of residents in residential care homes for other client groups from 1985 to 2002.

The age breakdown of residents has remained fairly steady over the years though recently has shown a decline in the proportion of under 30s, from 53% in 1998 to 40% in 2002.

Table 5.9: Average Weekly Charge per Resident in Private and Voluntary Residential Care Homes for Other Client Groups, 2002

Source: SEHD Community Care Statistics - R1 Return

Table 5.9 shows the average weekly charge for residents in residential care homes for each sector, in 2002. The mean weekly charge for all sectors is 494. Voluntary homes have the lowest cost at 456 and private homes are the most expensive at 2,141.

Private Nursing Homes

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

Table 5.10: Private Nursing Homes: residents with alcohol and drug problems 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 5.10 shows, for residents in private nursing homes with alcohol, and drug related problems, the trend from year ending March 1997 to year ending March 2002 in numbers and in percentages by age group.

Numbers of residents with alcohol and drug related problems have increased considerably between March 1998 and March 2002, when there were 657 such residents, of whom half were under the age of 65.

Direct Payments

Direct payments have been available to disabled people aged 18-64 since April 1997, 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 13 people in the other clients category received direct payments. 2 clients were aged 18-64 and 11 were aged 65 or over. The value of these payments was 70,000.

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