Statistics Release: HOME CARE SERVICES, SCOTLAND 2005

Description	2005 Home Care Services, Scotland. Published on the 30th November 2005.
ISBN	(Web Only)
Official Print Publication Date
Website Publication Date	November 30, 2005

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A SCOTTISH EXECUTIVE NATIONAL STATISTICS PUBLICATION
ISBN 0 7559 2850 4 (Web only publication)
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Introduction

The purpose of this Statistics Release is to present the latest national figures for home care services provided or purchased by local authorities in Scotland. All local authorities in Scotland provide Home Care services which give people the support, practical help and personal care that they need to live as independently as possible in the community.

All figures relate to the week ending 9 April 2005 and are provisional and, as such, may be subject to change. The final figures will be published in future publications.

Main points

Comparisons with 2004 show that: -

The number of home care clients has increased by less than 2 per cent this year. The number of hours provided to clients has increased by 8 per cent. This has resulted in the overall hours per client increasing from 7.8 in 2004 to 8.2 in 2005 ( see charts 1 and 2)
The number of older people (aged 65 and over) receiving intensive home care (more than 10 hours per week) has increased from 16.2 clients per 1,000 population of older people in 2004 to 17.1 in 2005 ( see chart 3)
The proportion of service provided solely by the voluntary and private sectors has continued to increase for the seventh year running. It rose from 24 per cent in 2004 to 30 per cent in 2005 ( See Chart 5).

Information collected on home care services shows that: -

A quarter (25 per cent) of all clients received a service of 10 hours or more per week.
Just over half of clients (51 per cent) received services on weekdays only. This is no change on 2004. 47 per cent of clients received services on weekdays and at the weekend (down from 48 per cent last year).
94 per cent of clients receive a service in the morning / early afternoon (between 7am and 2pm).

Chart 1: Home Care Clients and Hours Provided, 1998- 2005

The groups of people who used home care services in 2005 are similar to last year: -

81 per cent of clients were aged 65 years and over.
Gender splits show 70 per cent were female and 30 per cent were male
Over four-fifths (81 per cent) of clients had physical disabilities (including frailty associated with ageing).
Two-thirds of people using the service (66 per cent) lived alone.

Home Care Services

There was an estimated 584,160 hours of service provided to 71,094 clients in 2005. The number of clients dropped from 79,294 in 1998 to 64,546 in 2002, but has since increased to 71,094 in 2005 ( see Chart 1). Despite an initial fall in 1999, the number of client hours has increased by 46 per cent since 1998. In 1998 and 1999 clients received, on average, 5.1 hours of home care per week. This has risen steadily to 8.2 hours for 2005 ( See Annex 2 and Chart 2).

Chart 2: Average Number of Hours Provided per Client, 1998-2005

The estimated number of older people receiving intensive home care (more than 10 hours per week) has increased over the 8-year period. In 2005, 17.1 clients per 1,000 population aged 65 or over received intensive home care - compared with 16.2 in 2004 and 9.0 in 1998 ( See Annex 2).

Chart 3: Clients aged 65+ receiving 10 hours + per 1,000 population aged 65+, 1998-2005

In 2005, the data collection was refined to collect information on older people receiving 10+ hours per week. Previously these figures were estimated and all years have been revised to take into account the more accurate data.

Of the estimated 71,094 clients who received a home care service provided or purchased by a local authority in 2005, 23 per cent received at least part of their home care service from a private or voluntary provider - compared to 19 per cent in 2004. ( See Table 1 and Annex 3).

Chart 4: Number of Home Care Clients by Provider, 1998-2005

Chart 5: Hours of Home Care Service by Provider, 1998 - 2005

The average number of contact hours per client for those receiving local authority provided services only was 6.4 hours per week, compared to 14.8 hours for those receiving home care from a private or voluntary provider only (See Table 1).

Table 1: Number of Home Care Clients and Hours Provided / Purchased by Provider of Service, 2005

Provider of Service	No. of Clients	Client Hours	Hours per Client
Solely from local authority	54,935	350,682	6.4
Solely from private / voluntary sector	11,680	173,330	14.8
Combination of provision from LA and private / voluntary sector	4,479	60,147	13.4
TOTAL	71,094	584,160	8.2

Source: Home Care Statistical Return H1

173,330 hours were provided to clients receiving home care services solely from the private or voluntary sector. This has increased by 33 per cent since 2004 when 130,625 hours were provided.

Additionally, 60,147 hours (10 per cent) were provided by some combination of local authority, private and voluntary provision ( See Table 1 & Chart 5).

The proportion of service provided solely by local authorities has been decreasing steadily from 89 per cent in 1998 to 60 per cent in 2005. The majority of this decrease is due to the increase in service provided or purchased solely from the voluntary and private sectors ( see Annex 5).

Profile of Clients Receiving Home Care Services

Approximately 81 per cent of clients receiving home care services provided or purchased by local authorities were people with physical disabilities (including frailty associated with ageing). An estimated 70 per cent of clients were female and 81 per cent of all clients were aged 65 years or over (See Table 2).

Table 2: Age, Client Group and Gender of Clients Receiving Home Care Services, 2005

Client Group	Age Group				TOTAL CLIENTS
Client Group	0-64	65-74	75-84	85+	TOTAL CLIENTS
People with Dementia	223	392	1,340	872	2,827
People with Mental Health Problems	1,348	579	716	345	2,988
People with Learning Disabilities	2,266	289	258	67	2,880
People with Physical Disabilities (includes frailty associated with ageing)	6,405	9,331	22,734	19,082	57,552
People with HIV or AIDS, alcohol or drug problems	332	155	100	21	608
Carers of dependent people in groups above	114	48	42	15	219
Carers/children not in groups above	775	16	11	12	814
People in other vulnerable groups	1,748	394	596	468	3,206
Male	5,901	4,156	7,106	4,396	21,559
Female	7,310	7,048	18,691	16,486	49,535
TOTAL CLIENTS	13,211	11,204	25,797	20,882	71,094

Source: Home Care Statistical Return H1

Approximately 66 per cent of clients in receipt of a home care service were living alone; an additional 8 per cent were living in households where 2 or more people received the service (See Table 3).

Table 3: Living Arrangements of Clients Receiving Home Care Services, 2005

Living Arrangements	Number of clients	%
Living alone	47,270	66
Two or more clients in household	5,463	8
In other living arrangements	18,361	26
TOTAL CLIENTS	71,094	100

Source: Home Care Statistical Return H1

Level of Home Care Services Provided

A quarter of clients of home care services received at least 10 hours of service provided or purchased by a local authority in 2005. This has increased by 1 per cent since 2004 ( See chart 6). This percentage has gradually increased over the last 8 years. The number of clients receiving less than 4 hours has decreased over the same period. This indicates a gradual shift towards a more intensive level of service.

In 2005, this information was collected separately for under 65's and 65+ age groups. 15% of under 65's received 20 hours or more home care a week compared with only 5% of over 65's.

Table 4: Number of Home Care Clients by Level of Service Received, 2005

Level of Service	Aged Under 65		Aged 65 & Over
Level of Service	Number of Clients	%	Number of Clients	%
Less than 1 hour	293	2	2,001	3
1 hour to less than 2 hours	1,850	14	10,160	18
2 hours to less than 4 hours	3,363	25	14,163	24
4 hours to less than 6 hours	1,792	14	7,348	13
6 hours to less than 8 hours	1,288	10	6,096	11
8 hours to less than 10 hours	730	6	3,935	7
10 hours to less than 15 hours	1,295	10	7,663	13
15 hours to less than 20 hours	635	5	3,554	6
20 hours or more	1,965	15	2,963	5
TOTAL CLIENTS	13,211	100	57,883	100

Source: Home Care Statistical Return H1

Chart 6 Level of Service 1998-2005

People aged 65 and over account for 87 per cent of people receiving less than 1 hour of home care, compared to 26 per cent of people receiving 50 hours or over and 81 per cent of all people receiving home care. (see chart 7)

Chart 7: Ratio of people aged 65 and over to people aged under 65 by level of service, 2005

Chart 7: Ratio of people aged 65 and over to people aged under 65 by level of service, 2005

Timing of Home Care Services Provided

Chart 8 and Table 5 illustrate the provision of home care services by time of day and part of week.

51 per cent of clients received a home care service on weekdays only. This figure has been decreasing since 1999 when it stood at 80 per cent ( see Annex 6). The number of clients receiving a service during both weekdays and weekends is 47 per cent, this is down from 48 per cent in 2004, but still much higher than the 1998 figure of 19 per cent. Only 2 per cent received services at the weekends only (See Chart 8).

Chart 8 Home Care by Part of Week 1998-2005

94 per cent of clients receive a service in the morning / lunchtime period, i.e. between 7am and 2pm. 24 per cent of clients receive a service in the evening, between 7pm and 10pm. Only 5 per cent of clients receive a service overnight, between 10pm and 7am.

Table 5: Provision of Home Care Service by Time of Day and Part of Week, 2005

Part of week	Morning/ Lunch 7am to 2pm	Afternoon/ Early Evening 2pm to 7pm	Evening 7pm to 10pm	Over-night 10pm to 7am	Total
Weekdays only	30,516	6,406	1,179	243	33,377
Weekends only	1,218	654	163	19	1,406
Weekday & Weekend	34,898	18,707	15,785	3,387	36,311
Total	66,632	25,767	17,127	3,649	71,094

Note: Totals do not equal the sum of components due to double counting across time bands.
Source: Home Care Statistical Return H1

Background Information on the Collection of Home Care Services

Data was collected with respect to the week ending 9 ^th April 2005, although some local authorities provided information for a different week, which was thought to be more typical.

A revised home care statistical collection was introduced in 1998. Local authorities are asked to provide details of all home care services provided by their own staff, and in addition, services bought in from other local authorities, and private / voluntary organisations.

The home care statistical return was revised again in 2005. The main changes were that section 3 on staffing was removed and additional age splits for data on level of service and type of service were included.

A return was received from each local authority in Scotland. A small amount of information on the number of client/hour data had to be estimated for some local authorities. Four local authorities had difficulty in providing information on the living arrangements of the clients. Care should therefore be taken when interpreting figures in this area of provision as a small amount of data has been estimated.

Two Local Authorities counted staff hours rather than client hours where a client receives care from two workers at the same time. Care should be taken when interpreting figures from North Lanarkshire and South Lanarkshire as these Local Authorities are thought to overestimate the number of hours. Dundee City have improved their reporting procedures and part of the increase between 2004 and 2005 is due to better coverage.

Total hours may not add up to the sum of components due to rounding.

Unpaid carers also provide help and care for disabled and older people. Information on carers is available in 'Scottish Community Care Statistics'.

Further Information

Further details and analysis of the data presented in this Statistics Release are available on request from the address given below. The Statistics Release is available on the Internet by accessing the Scottish Executive web site ( www.scotland.gov.uk/statistics/commcare).

Information at a disaggregate local authority level showing number of clients receiving a service and number of hours service provided or purchased is shown in annex 1 to this Statistics Release.

Social Work Statistics
Room 3.WR
St Andrew's House
Edinburgh
EH1 3DG

Contact: Steven Gillespie
Tel: 0131 244 3777
E-mail: SWStat@scotland.gov.uk

This statistics release was published on 30 ^th November 2005.

ANNEX 1: Total Number of Home Care Clients and Hours of Service Provided by Local Authority, 2003-2005

Local Authority	Number of clients receiving a service			Total hours of service provided or purchased by LA
Local Authority	2003	2004	2005	2003	2004	2005
Aberdeen City	2,514	2,904	2,862	12,426	17,090	20,002
Aberdeenshire	1,874	1,939	2,107	19,444	20,193	22,162
Angus	1,778	1,810	1,839	5,855	6,329	6,014
Argyll & Bute	965	1,060	1,078	7,814	8,527	7,959
Clackmannanshire	680	700	814	6,169	6,467	8,272
Dumfries & Galloway	2,048	2,050	2,047	21,443	27,753	28,105
Dundee City	1,886	1,870	2,115	8,610	9,047	11,691
East Ayrshire	1,444	1,706	1,750	11,790	17,021	19,044
East Dunbartonshire	1,029	1,172	1,128	5,499	6,185	5,807
East Lothian	1,128	1,423	1,553	7,506	10,904	15,561
East Renfrewshire	884	965	1,050	6,000	6,951	7,420
Edinburgh, City of	6,084	5,963	5,672	36,087	39,011	39,571
Eilean Siar	765	765	744	5,864	5,864	6,268
Falkirk	2,010	2,006	2,169	13,633	14,247	14,438
Fife	6,082	6,875	7,294	26,962	34,258	49,075
Glasgow City	9,040	9,102	9,223	96,206	84,011	84,611
Highland, The	3,055	2,957	2,764	14,750	15,275	16,113
Inverclyde	1,104	1,137	1,298	7,012	15,265	15,097
Midlothian	1,084	1,201	1,168	7,095	7,289	9,599
Moray	1,205	1,360	1,430	8,016	9,261	10,572
North Ayrshire	1,491	1,692	1,503	12,811	13,106	11,676
North Lanarkshire	4,370	4,394	4,371	47,678	39,573	39,826
Orkney Islands	428	511	505	2,645	2,811	3,095
Perth & Kinross	1,618	1,559	1,187	9,039	10,211	6,932
Renfrewshire	2,169	1,814	1,947	17,376	15,609	16,849
Scottish Borders	1,686	1,724	1,604	10,985	11,432	10,755
Shetland Islands	545	529	555	2,793	2,995	3,117
South Ayrshire	1,471	1,723	1,735	17,611	23,494	25,519
South Lanarkshire	2,568	2,709	3,158	22,166	26,461	34,318
Stirling	848	982	944,	7,413	11,990	11,618
West Dunbartonshire	1,834	2,065	2,108	13,534	15,941	14,668
West Lothian	1,579	1,319	1,372	8,798	8,812	8,407
SCOTLAND	67,266	69,986	71,094	501,030	543,383	584,160

Source: Home Care Statistical Return H1

ANNEX 2: Number of Home Care Clients and Hours Provided/Purchased, 1998-2005

	Year at 31 ^st March
	1998	1999	2000	2001	2002	2003	2004	2005
No. of Clients	79,294	74,058	70,210	65,533	64,546	67,266	69,986	71,094
Client Hours	401,227	375,299	393,071	394,567	452,758	501,030	543,383	584,160
Hours per Client	5.1	5.1	5.6	6.0	7.0	7.4	7.8	8.2
Clients aged 65+ receiving 10 hours+ per 1,000 population aged 65+	9.0	9.3	10.7	11.7	13.3	14.7	16.2	17.1

Source: Home Care Statistical Return H1

ANNEX 3: Home Care Clients by Level of Service, 1998-2005

Level of Service	Year at 31 ^st March
Level of Service	1998	1999	2000	2001	2002	2003	2004	2005
Less than 1 Hour	7,568	7,462	2,908	3,070	2,267	2,293	2,881	2,294
1 Hour to Less than 2 Hours	18,080	16,077	14,240	11,867	11,816	12,526	11,811	12,010
2 Hours to Less than 4 Hours	22,273	20,725	20,836	18,837	17,634	17,442	17,672	17,526
4 Hours to Less than 6 Hours	12,345	11,255	11,404	10,017	9,286	9,074	9,195	9,140
6 Hours to Less than 8 Hours	5,460	5,581	6,214	6,338	6,214	6,661	7,079	7,384
8 Hours to Less than 10 Hours	4,786	3,841	4,008	3,626	3,774	4,081	4,439	4,665
10 Hours to Less than 15 Hours	4,857	5,147	6,082	6,798	7,393	7,786	8,377	8,958
15 Hours to Less than 20 Hours	2,127	2,169	2,576	2,781	3,177	3,565	4,015	4,189
20 Hours or More	1,798	1,801	1,942	2,199	2,985	3,838	4,517	4,928
TOTAL CLIENTS	79,294	74,058	70,210	65,533	64,546	67,266	69,986	71,094

Source: Home Care Statistical Return H1

ANNEX 4: Distribution of Clients by Level of Service, 1998-2005

Level of Service	Year at 31 ^st March
Level of Service	1998	1999	2000	2001	2002	2003	2004	2005
More than 10 hours	11%	12%	15%	18%	21%	23%	24%	25%
Between 4 and 10 hours	28%	28%	31%	30%	30%	29%	30%	30%
Less than 4 hours	60%	60%	54%	52%	49%	48%	46%	45%

Source: Home Care Statistical Return H1

ANNEX 5: Home Care Clients and Hours Provided by Provider of Service, 1998-2005

Number of Clients:	Year at 31 ^st March
Number of Clients:	1998	1999	2000	2001	2002	2003	2004	2005
Receiving Service Solely from Local Authority	74,198	68,116	63,271	57,219	55,513	56,342	56,662	54,935
Receiving Service Solely from Private / Voluntary Sector	2,896	4,131	4,590	5,578	6,178	7,549	9,430	11,680
Receiving Service from a Combination of LA and Private / Voluntary Sector	2,200	1,812	2,349	2,736	2,855	3,375	3,894	4,479
Distribution of Clients:
Receiving Service Solely from Local Authority	94%	92%	90%	87%	86%	84%	81%	77%
Receiving Service Solely from Private / Voluntary Sector	4%	6%	7%	9%	10%	11%	13%	16%
Receiving Service from a Combination of LA and Private / Voluntary Sector	3%	2%	3%	4%	4%	5%	6%	6%
Number of Hours:
Receiving Service Solely from Local Authority	357,675	322,482	321,775	306,691	332,996	344,315	354,613	350,682
Receiving Service Solely from Private / Voluntary Sector	25,364	30,371	39,713	55,098	83,372	110,999	130,625	173,330
Receiving Service from a Combination of LA and Private / Voluntary Sector	18,187	22,445	31,598	32,778	36,390	45,716	58,144	60,147
Distribution of Hours:
Receiving Service Solely from Local Authority	89%	86%	82%	78%	74%	69%	65%	60%
Receiving Service Solely from Private / Voluntary Sector	6%	8%	10%	14%	18%	22%	24%	30%
Receiving Service from a Combination of LA and Private / Voluntary Sector	5%	6%	8%	8%	8%	9%	11%	10%

Source: Home Care Statistical Return H1

ANNEX 6: Provision of Home Care Service, Clients by Part of Week, 1998-2005

Clients:	Year at 31 ^st March
Clients:	1998	1999	2000	2001	2002	2003	2004	2005
Weekend and Weekday	14,886	13,359	18,910	18,585	22,756	27,199	33,285	33,377
Weekend Only	3,623	572	600	549	547	1,309	710	1,406
Weekday Only	60,786	55,538	50,700	46,399	41,243	38,758	35,991	36,311
Total	79,294	69,469	70,210	65,533	64,546	67,266	69,986	71,094
Distribution of Clients:
Weekend and Weekday	19%	19%	27%	28%	35%	40%	48%	47%
Weekend Only	5%	1%	1%	1%	1%	2%	1%	2%
Weekday Only	77%	80%	72%	71%	64%	58%	51%	51%
Total	100%	100%	100%	100%	100%	100%	100%	100%

Source: Home Care Statistical Return H1

Page updated: Monday, November 28, 2005

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Statistics Release: HOME CARE SERVICES, SCOTLAND 2005