Scottish Community Care Statistics 1999: page 2



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Scottish Community Care Statistics 1999

CHAPTER 1 - OLDER PEOPLE

The Balance of Care

Chart 1.1 Balance of Care for Older People, 1980-1999

Chart 1

¹Indicates number of dwellings rather than clients.

Chart 1 illustrates the balance of care provided to older people over time. There has been a marked drop in the number of people in long stay hospital beds since the early 1990s. Over the same period the number of residents in residential care homes for older people has fallen slightly - although at a lesser rate.

Between 1990 and 1995 the number of home care clients aged 65 and over increased, but has decreased in each year since then. The number of special needs housing dwellings has increased significantly over the period from 1980 - the sharpest increase being seen in the last ten years.

Domiciliary Care

Tables 1.1 to 1.5 contain information on home care services provided or purchased by local authorities. Information is not included on home care purchased privately by clients. Please refer to the notes in annex A for the definitions on which the home care data are collected.

Tables 1.1 to 1.4 cover home care for all community care client groups - not just older people. Because of the way these data are collected, it is difficult to split some of the detailed analyses by client group. These tables are included in this chapter because the majority of home care clients are older people. Readers should however be aware that other client groups are also included in the figures.

Table 1.5 covers home care for older people only. There are also additional tables in chapters 2 to 5 which detail home care clients broken down by client group. There are overlaps between these tables and table 1.5 in this chapter as table 1.5 includes all clients aged 65 and over, regardless of disability. To obtain the total number of home care clients, readers should refer to table 1.4 in this chapter rather than summing together the tables in each individual chapter.

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 1.1: Number of Home Care Clients by Sector of Provider ¹ , 1980-1999

Sector	1980	1985	1990	1995	1996	1997	1998	1999
Local Authority only	60,703	68,943	82,183	93,818	92,754	83,616	74,198	68,116
Private only	..	..	..	..	..	..	1,306	2,621
Voluntary only	..	..	..	..	..	..	1,590	1,509
LA & Private	..	..	..	..	..	..	814	767
LA & Voluntary	..	..	..	..	..	..	1,098	821
Other Combination	..	..	..	..	..	..	288	224
Total ²	60,703	68,943	82,183	93,818	92,754	83,616	79,294	74,058

¹ Information on the sector of provider is only available from 1998 onward. Previously only LA provided home care was recorded.
² Totals may not equal the sum of their component parts due to the effects of rounding.
Source: SEHD Community Care Statistics - H1 Return

Table 1.1 shows the number of clients receiving home care services over the period from 1980 to 1999. The number of clients peaked in 1995 at 93,818 and has been declining since. In 1999 there were an estimated 74,058 clients who received a home care service provided or purchased by a local authority, a decrease of approximately 8 per cent on the previous year. The proportion of clients receiving local authority provided home care only, was 92 per cent in 1999 compared with 94 per cent in 1998.

It would be useful to look at the trends in the number of home care hours provided over time in comparison to the number of clients. Discussions with local authorities suggest that although the number of clients has been falling, clients are receiving a more intensive service than in previous years. However, data on the number of hours received and the intensity of service have only been collected since 1998 and therefore no trends can be shown currently. As more data become available, it is hoped to include this type of time series analysis in future publications.

Table 1.2: Distribution of Home Care Hours Received, 1999

Local Authority	1 Hour or less		Between 1 and 2 hours		Between 2 and 4 Hours		Between 4 and 10 hours		Greater than 10 hours		Total Clients ¹	Clients per 1,000 Pop'n aged 16+
	1 Hour or less		Between 1 and 2 hours		Between 2 and 4 Hours		Between 4 and 10 hours		Greater than 10 hours
	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total
	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total
Aberdeen City	136	3%	1,514	32%	1,846	39%	949	20%	320	7%	4,766	27
Aberdeenshire	338	17%	0	0%	709	35%	667	33%	327	16%	2,041	11
Angus	516	28%	613	33%	374	20%	258	14%	106	6%	1,867	21
Argyll & Bute	7	1%	52	5%	210	22%	509	54%	172	18%	950	13
Clackmanannshire	69	11%	131	22%	135	22%	154	26%	112	19%	601	16
Dumfries & Galloway	107	6%	242	13%	419	22%	592	31%	520	28%	1,880	16
Dundee City	41	1%	1,439	48%	992	33%	311	10%	195	7%	2,978	26
East Ayrshire	20	1%	232	17%	329	24%	492	35%	326	23%	1,398	15
East Dunbartonshire	123	12%	263	26%	256	25%	253	25%	115	11%	1,010	11
East Lothian	64	5%	256	21%	396	33%	339	28%	141	12%	1,196	17
East Renfrewshire	111	14%	150	18%	203	25%	243	30%	113	14%	820	12
Edinburgh, City of	503	7%	2,086	29%	2,261	31%	1,761	24%	650	9%	7,261	19
Eileanan Siar	33	4%	143	16%	192	22%	334	38%	168	19%	870	39
Falkirk	99	4%	285	12%	938	39%	784	32%	314	13%	2,420	21
Fife	2,319	31%	1,832	24%	1,631	22%	1,408	19%	301	4%	7,491	27
Glasgow City	436	4%	2,011	20%	2,776	28%	3,251	32%	1,574	16%	10,048	20
Highland	404	13%	686	23%	719	24%	975	33%	215	7%	2,999	18
Inverclyde	238	18%	291	22%	345	26%	301	23%	136	10%	1,311	19
Midlothian	264	21%	292	23%	285	23%	317	25%	95	8%	1,253	19
Moray	52	4%	279	24%	344	30%	336	29%	152	13%	1,163	17
North Ayrshire	22	1%	404	24%	324	19%	619	36%	327	19%	1,696	15
North Lanarkshire	186	6%	461	15%	775	26%	1,030	34%	547	18%	2,999	12
Orkney Islands	22	4%	23	5%	101	21%	155	32%	191	39%	492	32
Perth & Kinross	448	30%	231	16%	501	34%	237	16%	61	4%	1,479	14
Renfrewshire	135	5%	592	24%	594	24%	801	32%	383	15%	2,505	18
Scottish Borders	285	18%	118	7%	575	36%	423	27%	175	11%	1,576	18
Shetland Islands	80	16%	151	29%	125	24%	95	18%	63	12%	514	29
South Ayrshire	56	5%	193	16%	215	18%	472	39%	263	22%	1,199	13
South Lanarkshire	110	4%	379	14%	706	25%	1,047	38%	531	19%	2,773	11
Stirling	94	10%	206	22%	251	27%	227	24%	152	16%	930	14
West Dunbartonshire	32	2%	155	9%	496	28%	805	46%	272	15%	1,760	24
West Lothian	112	6%	367	20%	702	39%	531	29%	100	6%	1,812	15
Scotland	7,462	10%	16,077	22%	20,725	28%	20,676	28%	9,117	12%	74,058	18

¹Totals may not equal the sum of their component parts due to the effects of rounding.
Source: SEHD Community Care Statistics - H1 Return

Table 1.2 presents the number of clients receiving varying levels of home care within each local authority in 1999. Eileanan Siar had 39 clients per 1,000 population aged 16 and over. In contrast, East Dunbartonshire, Aberdeenshire and South Lanarkshire had only 11 clients per 1,000 population aged 16 and over. The rate for Scotland as a whole was 18.

Orkney Islands provided the highest percentage of their clients (39 per cent) with more than 10 hours per week. In contrast, Perth & Kinross and Fife only provided 4 per cent of their clients with this level of home care.

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