2. Home Care Services
Chart 1: Home care clients and hours provided , 2000-2010
Source: Home Care Statistical Return (See Annex Table 2)
There was an estimated 666,400 hours of service provided to 66,222 clients in 2010. The number of clients dropped from 70,210 in 2000 to 64,546 in 2002, it then increased to 71,094 in 2005 and has fallen to 66,222 in 2010 (see Chart 1). The number of client hours has increased by 70 per cent since 2000. In 2000 clients received, on average, 5.6 hours of home care per week. This has risen steadily to 10.1 hours for 2010 (See Annex Table 2, and Chart 2).
Chart 2: Average Number of Hours Provided per Client, 2000-2010
Source: Home Care Statistical Return
In 2005, the data collection was refined to collect information on older people receiving 10+ hours per week. Previously these figures were estimated.
The estimated number of older people receiving intensive home care (more than 10 hours per week) increased each year between 2000 and 2005 but decreased by less than 1 per cent (102 clients) between 2005 and 2006 before increasing steadily to 2008 (15,332 clients). There was a small decline (109 clients) in 2009, before increasing again in 2010 (15,736 clients). In 2010 there were 18.1 clients per 1,000 population aged 65 or over that received intensive home care - compared with 17.5 in 2009 (See Annex Table 2).
Chart 3: Clients aged 65+ receiving 10 hours + per 1,000 population aged 65+, 2000-2010
Source: Home Care Statistical Return
Of the estimated 66,222 clients who received a home care service provided or purchased by a local authority in 2010, 34 per cent received at least part of their home care service from a private or voluntary provider - compared to only 10 per cent in 2000 (Table 1, Annex Table 6) (Figures may not sum due to rounding).
Chart 4: Proportion of Home Care Clients by Provider, 2000- 2010
Source: Home Care Statistical Return
Chart 5: Proportion of the Hours of Home Care Service by Provider, 2000 - 2010
Source: Home Care Statistical Return
The average number of contact hours per client for those receiving local authority provided services only was 7.2 hours per week, compared to 15.8 hours for those receiving home care from a private or voluntary provider only (See Table 1).
278,916 hours were provided to clients receiving home care services solely from the private or voluntary sector. This has increased by 61 per cent since 2005 when 173,330 hours were provided (see Annex Table 6).
Additionally, 74,040 hours (11 per cent) were provided by some combination of local authority, private and voluntary provision as at the last week in March 2010 (See Table 1 & Chart 5).
The proportion of service hours provided solely by local authorities has been decreasing steadily from 82 per cent in 2000 to 47 per cent in 2010. The majority of this decrease is due to the increase in service provided or purchased solely from the voluntary and private sectors (see Annex Table 6).
Table 1: Number of Home Care Clients and Hours Provided / Purchased by Provider of Service, 2010
Provider of Service | No. of Clients | Client Hours | Hours per Client |
|---|
Solely from local authority | 43,647 | 313,444 | 7.2 |
|---|
Solely from private/voluntary sector | 17,632 | 278,916 | 15.8 |
|---|
Combination of provision from LA and private/voluntary sector | 4,943 | 74,040 | 15.0 |
|---|
Total | 66,222 | 666,400 | 10.1 |
|---|
Source: Home Care Statistical Return
Profile of Clients Receiving Home Care Services
Approximately 45 per cent of clients receiving home care services provided or purchased by local authorities were older people. 34 per cent of clients had physical disabilities. An estimated 67 per cent of clients were female and 33 per cent were male. An estimated 81 per cent of all clients were aged 65 years or over (See Table 2 & Chart 6).
Table 2: Age, Client Group and Gender of Clients Receiving Home Care Services, 2010
Client Group | Age Groups | Total |
|---|
0-64 | 65-74 | 75-84 | 85+ | Unknown |
|---|
Older people | 84 | 4,193 | 12,560 | 12,716 | 7 | 29,553 |
|---|
People with Dementia | 108 | 400 | 1,621 | 1,381 | 0 | 3,510 |
|---|
People with Mental Health Problems | 1,733 | 641 | 568 | 295 | 2 | 3,237 |
|---|
People with Learning Disabilities | 3,487 | 420 | 179 | 26 | 0 | 4,112 |
|---|
People with Physical Disabilities | 5,072 | 3,729 | 6,902 | 6,866 | 1 | 22,569 |
|---|
People with addiction problems | 272 | 192 | 84 | 16 | 1 | 564 |
|---|
Palliative care | 60 | 49 | 79 | 38 | 0 | 226 |
|---|
Carer | 60 | 18 | 35 | 21 | 0 | 134 |
|---|
People in other vulnerable groups | 916 | 178 | 185 | 177 | 0 | 1,456 |
|---|
Not Known | 757 | 15 | 38 | 38 | 2 | 848 |
|---|
Male | 6,106 | 4,067 | 6,833 | 4,980 | 7 | 21,993 |
|---|
Female | 6,443 | 5,768 | 15,418 | 16,594 | 6 | 44,229 |
|---|
Total Clients | 12,549 | 9,835 | 22,251 | 21,574 | 13 | 66,222 |
|---|
Source: Home Care Statistical Return
Chart 6: Client Group of Clients Receiving Home Care Services by age group, 2010
Source: Home Care Statistical Return
Note does not include 13 clients due to age being unknown.
An estimated 64 per cent of clients in receipt of a home care service were living alone (See Table 3). Note that this information was not provided by all Local Authorities.
Table 3: Living Arrangements of Clients Receiving Home Care Services, 2010
Living Arrangements | Number of Clients | % |
|---|
Living Alone | 30,352 | 64 |
|---|
Other | 17,216 | 36 |
|---|
Total known clients | 47,568 | 100 |
|---|
Unknown | 18,654 | - |
|---|
Total Clients | 66,222 | - |
|---|
Source: Home Care Statistical Return
Note: 31 Local authorities retuned (partial) data on if their clients lived alone. Of these 31 local authorities, 13 provided complete data on whether their clients lived alone.
Level of Home Care Services Provided
In 2010, 23 per cent of under 65's received 20 hours or more home care a week compared with 6 per cent of over 65's.
Table 4: Number of Home Care Clients by Level of Service Received, 2010
Level of Service | Aged Under 65 | Aged 65+ | Unknown | Total number of clients |
|---|
Number of Clients | % | Number of Clients | % | Number of Clients |
|---|
Less than 1 hour | 570 | 5 | 2,200 | 4 | 0 | 2,770 |
|---|
1 hour to less than 2 hours | 1,304 | 10 | 7,587 | 14 | 4 | 8,895 |
|---|
2 hours to less than 4 hours | 2,327 | 19 | 11,218 | 21 | 3 | 13,548 |
|---|
4 hours to less than 6 hours | 1,467 | 12 | 6,070 | 11 | 0 | 7,537 |
|---|
6 hours to less than 8 hours | 1,131 | 9 | 6,798 | 13 | 4 | 7,933 |
|---|
8 hours to less than 10 hours | 649 | 5 | 4,051 | 8 | 0 | 4,700 |
|---|
10 hours to less than 15 hours | 1,438 | 11 | 9,011 | 17 | 2 | 10,451 |
|---|
15 hours to less than 20 hours | 741 | 6 | 3,757 | 7 | 0 | 4,498 |
|---|
20 hours or more | 2,922 | 23 | 2,968 | 6 | 0 | 5,890 |
|---|
Total | 12,549 | 100 | 53,660 | 100 | 13 | 66,222 |
|---|
Source: Home Care Statistical Return
31 per cent of home care clients received at least 10 hours of service provided or purchased by a local authority in 2010. This percentage has gradually increased over the last 10 years from 15 per cent in 2000 to 31 per cent in 2010. The number of clients receiving less than 4 hours has decreased over the same period from 54 per cent to 38 per cent. (see Annex Table 5 & Chart 7)
Chart 7: Level of Service, 2000-2010
Source: Home Care Statistical Return
People aged 65 and over account for 79 per cent of people receiving less than 1 hour of home care, compared to 18 per cent of all people receiving 50 hours of home care or over and 81 per cent of all people receiving home care (see chart 8).
Chart 8: Ratio of clients age groups by level of service, 2010
Source: Home Care Statistical Return (See Annex Table 4)
Note does not include 13 clients due to age being unknown.
Home Care clients receiving services in addition to their Home Care service
In 2010 for the first time, information was collected on home care clients who received other services in their own home. These included; Community Alarms, other Telecare and meals. The 'Background information' ( section 4) contains definitions of Community Alarm and 'other Telecare' services.
Community Alarm and other Telecare
Table 5 shows that as at March 2010, there were 28,544 (43 per cent) home care clients who also had a Community Alarm or another Telecare service. Of the 28,544 home care clients who also had a Community Alarm and/or other Telecare services, 87 per cent only had a Community Alarm. Moreover, of the 28,544 home care clients who also had a Community Alarm and/or other Telecare services, 89 per cent (25,296 clients) were aged 65 and over.
Table 5: Clients who are receiving home care and a Community Alarm and/or another Telecare Service by age group, 2010
Age Group | Total Home Care clients | Number of clients |
|---|
Community alarm only | Another Telecare service only | Both services | Total |
|---|
Aged Under 65 | 12,549 | 2,639 | 109 | 497 | 3,245 |
|---|
Aged 65+ | 53,660 | 22,268 | 446 | 2,582 | 25,296 |
|---|
Unknown | 13 | 3 | 0 | 0 | 3 |
|---|
Total | 66,222 | 24,910 | 555 | 3,079 | 28,544 |
|---|
Source: Home Care Statistical Return
Chart 9: Percentage of Home Care clients who are receiving home care and a Community Alarm and/or another Telecare Service by age group, 2010
Source: Home Care Statistical Return
Note does not include 13 clients due to age being unknown.
Table 6: Clients who are receiving home care and a Community Alarm and/or another Telecare Service by client group, 2010
Client Group | Total Home Care clients | Number of clients |
|---|
Community alarm only | Another Telecare service only | Both services | Total |
|---|
Older people | 29,560 | 12,016 | 218 | 1,044 | 13,278 |
|---|
People with Dementia | 3,510 | 954 | 68 | 292 | 1,314 |
|---|
People with Mental Health Problems | 3,239 | 699 | 60 | 98 | 857 |
|---|
People with Learning Disabilities | 4,112 | 561 | 61 | 118 | 740 |
|---|
People with Physical Disabilities | 22,570 | 10,173 | 132 | 1,255 | 11,560 |
|---|
People in other vulnerable groups | 1,456 | 223 | 6 | 213 | 442 |
|---|
Other 1 | 925 | 234 | 8 | 56 | 298 |
|---|
Not Known | 850 | 50 | 2 | 3 | 55 |
|---|
Total | 66,222 | 24,910 | 555 | 3,079 | 28,544 |
|---|
Source: Home Care Statistical Return
1Other includes addictions, palliative care and carers
Of the 28,544 clients who received home care and had a Community Alarm and/or another Telecare service, 47 per cent were older people (13,278), followed by 40 per cent who had physical disabilities (11,560).
Chart 10: Percentage of Home Care clients who are receiving home care and a Community Alarm and/or another Telecare Service by client group, 2010
Source: Home Care Statistical Return
1Other includes addictions, palliative care and carers
Table 7: Clients who are receiving home care and a Community Alarm and/or another Telecare Service by hours of home care, 2010
Level of service | Total Home Care clients | Number of clients |
|---|
Community alarm only | Another Telecare service only | Both services | Total |
|---|
Less than 1 hour | 2,770 | 931 | 9 | 49 | 989 |
|---|
1 hour to less than 2 hours | 8,895 | 3,492 | 49 | 382 | 3,923 |
|---|
2 hours to less than 4 hours | 13,548 | 4,841 | 95 | 477 | 5,413 |
|---|
4 hours to less than 6 hours | 7,537 | 2,840 | 57 | 362 | 3,259 |
|---|
6 hours to less than 8 hours | 7,933 | 3,035 | 71 | 402 | 3,508 |
|---|
8 hours to less than 10 hours | 4,700 | 1,943 | 40 | 260 | 2,243 |
|---|
10 hours to less than 15 hours | 10,451 | 4,116 | 106 | 558 | 4,780 |
|---|
15 hours to less than 20 hours | 4,498 | 1,829 | 68 | 287 | 2,184 |
|---|
20 hours or more | 5,890 | 1,883 | 60 | 302 | 2,245 |
|---|
Total | 66,222 | 24,910 | 555 | 3,079 | 28,544 |
|---|
Source: Home Care Statistical Return
Of the 28,544 clients who receive home care and a Community Alarm and/or another Telecare service, 36 per cent of clients receive less than 4 hours of home care and 68 per cent of clients receive less than 10 hours of home care a week.
Chart 11: Percentage of Home Care clients who are receiving home care and a Community Alarm and/or another Telecare Service by level of service, 2010
Source: Home Care Statistical Return
Other services
The following tables and charts contain information about personal care and meal services which home care clients can receive in their own home.
Table 8: Home Care clients receiving other services by age group, 2010
Age Group | Total Home Care clients | Number of clients | % of Home Care clients |
|---|
Personal care | Hot Meals 1 | Frozen Meals 1 | Personal care | Hot Meals 1 | Frozen Meals 1 |
|---|
Aged Under 65 | 12,549 | 7,246 | 251 | 292 | 58% | 2% | 2% |
|---|
Aged 65+ | 53,660 | 45,332 | 3,872 | 3,096 | 84% | 7% | 6% |
|---|
Unknown | 13 | 8 | 0 | 0 | 62% | 0% | 0% |
|---|
Total | 66,222 | 52,586 | 4,123 | 3,388 | 79% | 6% | 5% |
|---|
Source: Home Care Statistical Return
Note there is a total of 13 clients who receive both meals services
1 Excludes Scottish Borders who were unable to provide information on meals clients
Of the 66,222 home care clients, 52,586 (79 per cent) also receive personal care. Table 9 contains information on those clients who receive home care and other services by client group. 49% of the clients who receive personal care where in the 'older people' client group (25,755 clients), followed by 33% who had physical disabilities (17,509 clients).
Overall, 7,498 home care clients also received a meals service. 4,123 (6 per cent) of home care clients received a hot meals service and 3,388 (5 per cent) received a frozen meals service. 13 clients received both a hot and frozen meal service. Note the Scotland meals data excludes information for Scottish Borders, see section 4 (Background information) for further details.
Table 9: Home Care clients receiving other services by client group, 2010
Client Group | Total Home Care clients | Number of clients | % of Home Care clients |
|---|
Personal care | Hot Meals 1 | Frozen Meals 1 | Personal care | Hot Meals 1 | Frozen Meals 1 |
|---|
Older people | 29,560 | 25,755 | 1,932 | 2,007 | 87% | 7% | 7% |
|---|
People with Dementia | 3,510 | 3,013 | 200 | 250 | 86% | 6% | 7% |
|---|
People with Mental Health Problems | 3,239 | 1,847 | 237 | 88 | 57% | 7% | 3% |
|---|
People with Learning Disabilities | 4,112 | 2,368 | 58 | 63 | 58% | 1% | 2% |
|---|
People with Physical Disabilities | 22,570 | 17,509 | 1,604 | 812 | 78% | 7% | 4% |
|---|
People with addiction problems | 565 | 416 | 33 | 29 | 74% | 6% | 5% |
|---|
People in other vulnerable groups | 1,456 | 901 | 47 | 116 | 62% | 3% | 8% |
|---|
Other 2 | 360 | 251 | 10 | 7 | 70% | 3% | 2% |
|---|
Not Known | 850 | 526 | 2 | 16 | 62% | 0% | 2% |
|---|
Total | 66,222 | 52,586 | 4,123 | 3,388 | 79% | 6% | 5% |
|---|
Source: Home Care Statistical Return
Note there is a total of 13 clients who receive both meals services
1 Excludes Scottish Borders who were unable to provide information on meals clients
2 Other includes palliative care and carers
Table 10: Home Care clients receiving other services by level of service, 2010
Level of service | Total Home Care clients | Number of clients | % of Home Care clients |
|---|
Personal care | Hot Meals 1 | Frozen Meals 1 | Personal care | Hot Meals 1 | Frozen Meals 1 |
|---|
Less than 1 hour | 2,770 | 1,401 | 149 | 100 | 51% | 5% | 4% |
|---|
1 hour to less than 2 hours | 8,895 | 4,410 | 692 | 291 | 50% | 8% | 3% |
|---|
2 hours to less than 4 hours | 13,548 | 10,088 | 796 | 575 | 74% | 6% | 4% |
|---|
4 hours to less than 6 hours | 7,537 | 6,303 | 471 | 421 | 84% | 6% | 6% |
|---|
6 hours to less than 8 hours | 7,933 | 7,196 | 552 | 478 | 91% | 7% | 6% |
|---|
8 hours to less than 10 hours | 4,700 | 4,292 | 367 | 354 | 91% | 8% | 8% |
|---|
10 hours to less than 15 hours | 10,451 | 9,744 | 667 | 783 | 93% | 6% | 7% |
|---|
15 hours to less than 20 hours | 4,498 | 4,168 | 271 | 242 | 93% | 6% | 5% |
|---|
20 hours or more | 5,890 | 4,984 | 158 | 144 | 85% | 3% | 2% |
|---|
Total | 66,222 | 52,586 | 4,123 | 3,388 | 79% | 6% | 5% |
|---|
Source: Home Care Statistical Return
Note there is a total of 13 clients who receive both meals services
1 Excludes Scottish Borders who were unable to provide information on meals clients
Of those that receive home care and personal care (52,586 clients), 30% receive less than 4 hours of home care and 83% receive less than 15 hours of home care a week.