Scottish Community Care Statistics 1999: page 9



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Scottish Community Care Statistics 1999

Private Nursing Homes

Information on private nursing homes registered with health boards is collected by the Information & Statistics Division of the NHS in Scotland. Much of the information shown in tables 1.20 to 1.24 is already published in Scottish Health Statistics. Some of the data included here have been revised since publication. For definitions on which the private nursing homes data are collected, please refer to the notes in annex A.

Private nursing homes are not designated for specific client groups in the same way as residential care homes. Client group and age is recorded for residents within homes. The number of residents can be analysed by client group, however the number of homes or beds cannot.

Tables 1.20 -1.23 cover private nursing homes for all client groups -not just older people. They are included in this chapter because the majority of residents are older people but readers should be aware that other client groups are included in the figures. Around 8 per cent of residents are under 65 years of age.

Table 1.24 covers older people resident in private nursing homes. There are also additional tables in chapters 2 to 5 which detail private nursing home residents broken down by client group. There are overlaps between these tables and table 1.24 in this chapter, as table 1.24 includes all residents aged 65 plus regardless of disability. To obtain the total number of residents over all client groups, readers should refer to tables 1.20-1.23 in this chapter rather than summing together the tables in each individual chapter.

Table 1.20: Private Nursing Homes ¹ as at 31 March, 1990-1999

	1990	1995	1996	1997²	1998²	1999²
Homes registered	307	453	488	506	517	508
Total beds	9,901	19,020	21,400	22,741	23,818	23,480
Total residents	..	15,986	17,036	18,365	20,097	20,188
Occupancy	..	84%	80%	81%	84%	86%

¹ Private Hospitals have been excluded for all years.
² The data have been revised since last published.
Source: ISD Scotland - ISD(S)34 Return

In general the number of nursing homes has increased steadily, peaking in 1998 at 517 homes. The number of beds and residents have increased at a fairly constant rate between 1995 and 1999.

In 1999 there were 508 homes, with an average of 46 beds and 40 residents per home. The percentage occupancy has varied - though not significantly - between 1995 and 1999, with 86 per cent of the beds occupied in 1999.

Table 1.21: Private Nursing Homes ¹ as at 31 March 1999 ²

Local Authority	Beds		Residents		Occupancy
Local Authority	Total	Beds per 1,000 Pop'n aged 65+	Total	Residents per 1,000 Pop'n aged 65+	Occupancy
Aberdeen City	1,019	32	841	26	83%
Aberdeenshire	1,227	40	1,047	34	85%
Angus	561	30	495	27	88%
Argyll & Bute	265	16	193	12	73%
Clackmannanshire	60	8	59	8	98%
Dumfries & Galloway	604	22	456	16	75%
Dundee City	593	23	556	22	94%
East Ayrshire	597	31	459	24	77%
East Dunbartonshire	355	22	337	21	95%
East Lothian	431	29	313	21	73%
East Renfrewshire	459	35	415	31	90%
Edinburgh, City of	2,147	31	1,893	28	88%
Eileanan Siar	65	13	62	12	95%
Falkirk	557	26	431	20	77%
Fife	1,424	26	1,218	22	86%
Glasgow City	2,926	32	2,594	29	89%
Highland	1,155	35	882	27	76%
Inverclyde	295	22	284	21	96%
Midlothian	242	21	209	19	86%
Moray	305	22	287	21	94%
North Ayrshire	863	40	727	34	84%
North Lanarkshire	1,167	26	1,093	24	94%
Orkney Islands	-	-	-	-	-
Perth & Kinross	816	33	733	30	90%
Renfrewshire	816	32	703	27	86%
Scottish Borders	652	32	546	27	84%
Shetland Islands	-	-	-	-	-
South Ayrshire	739	35	616	30	83%
South Lanarkshire	1,569	36	1,411	33	90%
Stirling	598	46	497	39	83%
West Dunbartonshire	356	25	330	23	93%
West Lothian	617	37	501	30	81%
Scotland	23,480	30	20,188	26	86%

¹ Private Hospitals have been excluded.
² The data have been revised since last published.
Source: ISD Scotland - ISD(S)34 Return

Table 1.21 shows the local authority breakdown of beds and residents and the percentage occupancy in private nursing homes in 1999. In Scotland there were 23,480 beds and 20,188 residents resulting in an occupancy rate of 86 per cent. Percentage occupancy ranged from 98 per cent in Clackmannanshire to 73 per cent in East Lothian and Argyll & Bute.

At Scotland level there were 30 beds for every thousand people aged 65 and over and 26 residents per thousand of the population. Stirling had the highest rate with 46 beds and 39 residents. Rates per thousand have been calculated for the 65 and above age group, however it is worth noting that around 8 per cent of residents are under 65.

Table 1.22: Number of Admissions and Discharges in Private Nursing Homes ¹ year ending 31 March, 1995-1999

Admissions	1995²	1996²	1997²	1998²	1999²
long term	7,405	9,073	8,858	9,184	9,860
respite	..	..	..	..	6,704
other short term	3,663	5,576	7,768	8,868	2,945
total short term	3,663	5,576	7,768	8,868	9,649
Total admissions	11,068	14,649	16,626	18,052	19,509
Discharges	4,868	6,870	8,587	9,749	10,754
Deaths	5,053	6,426	7,166	6,963	8,034
Total Discharges	9,921	13,296	15,753	16,712	18,788

¹ Private Hospitals have been excluded for all years.
² The data have been revised since last published.
Source: ISD Scotland - ISD(S)34 Return

Table 1.22 shows the number of long term and short term admissions to and discharges from private nursing homes in Scotland from 1995-1999. The number of admissions and discharges have increased steadily and at similar rates. In 1999, there were 19,509 admissions, 10,754 discharges and 8,034 deaths. In 1995 two thirds of admissions were long term, but the ratio has changed and in 1999 the numbers of long term and short term admissions were almost equal. In 1999 over two thirds of the short term admissions were respite admissions.

Table 1.23: Residents in Private Nursing Homes ¹ as at 31 March 1999²

Client Group	Age Group
Client Group	0-17	18-64	65-74	75-84	85+	Total
Dementia	18%	10%	29%	40%	36%	35%
Learning disabilities	55%	23%	6%	2%	1%	3%
Physical disabilities	-	34%	17%	11%	9%	13%
Mental health problems	-	8%	5%	3%	2%	3%
Alcohol related problems	36%	11%	3%	1%	-	2%
Drug related problems	-	3%	-	-	-	-
Other health care needs	27%	9%	40%	44%	52%	45%
All client groups	91	1,424	2,159	7,235	9,279	20,188

¹ Private Hospitals have been excluded.
² The data has been revised since last published.
Source: ISD Scotland - ISD(S)34 Return

Table 1.23 gives an age and client group breakdown of residents in private nursing homes as at 31 March 1999. Ninety three per cent of residents were 65 or over and almost half were aged 85 or over.

Thirty five per cent of residents had dementia whilst only 2 per cent had alcohol or drug related problems, however, this varied widely between age group. For residents under 18, over half had learning disabilities and over one third had alcohol related problems. Over one third of residents aged between 18 and 64 were physically disabled. In the 65 and over age group, almost half of the residents had other, non-specified, health care needs. Thirty six per cent of residents aged 65 and over suffer from dementia.

Table 1.24: Client Group of Residents in Private Nursing Homes ¹ aged 65+ as at 31 March 1999²

Local Authority	Dementia	Mental Health Problems	Alcohol Related Problems	Drug Related problems	HIV and AIDS	Physical Disabilities	Learning Disabilities	Other Health care Needs	All residents	Residents per 1,000 Pop'n aged 65+
Aberdeen City	296	10	3	-	-	107	2	347	765	24
Aberdeenshire	324	28	13	-	-	169	7	424	965	31
Angus	102	-	-	-	-	2	16	330	450	24
Argyll & Bute	84	6	1	-	-	18	-	72	181	11
Clackmannanshire	10	-	-	-	-	-	-	48	58	8
Dumfries & Galloway	130	7	3	-	-	65	1	239	445	16
Dundee City	165	1	-	-	-	9	21	273	458	18
East Ayrshire	225	25	3	-	-	53	-	121	427	22
East Dunbartonshire	91	5	2	-	-	6	-	199	303	19
East Lothian	161	-	1	-	-	33	-	113	308	21
East Renfrewshire	142	5	1	-	-	1	20	220	389	29
Edinburgh City	741	31	8	-	-	224	53	798	1,855	27
Eilean Siar	24	-	-	-	-	1	-	36	61	12
Falkirk	223	19	1	-	-	42	8	122	415	19
Fife	499	21	2	-	-	173	14	434	1,143	21
Glasgow City	832	120	24	-	-	203	8	1,220	2,402	26
Highland	207	19	2	-	-	62	28	443	761	23
Inverclyde	71	1	-	-	-	120	-	80	272	20
Midlothian	106	1	2	-	-	52	1	45	207	18
Moray	105	6	-	-	-	40	4	109	264	19
North Ayrshire	348	25	5	1	-	125	1	177	682	32
North Lanarkshire	309	49	6	-	-	66	26	526	982	22
Orkney	-	-	-	-	-	-	-	-	-	-
Perth & Kinross	191	18	-	-	-	85	12	357	668	27
Renfrewshire	268	8	5	-	-	147	1	229	658	26
Scottish Borders	140	31	2	-	-	39	22	168	402	20
Shetland	-	-	-	-	-	-	-	-	-	-
South Ayrshire	246	6	4	-	-	56	14	264	590	28
South Lanarkshire	365	25	24	-	-	86	7	801	1,308	30
Stirling	110	3	1	-	-	8	44	317	483	38
West Dunbartonshire	108	-	2	-	-	39	18	144	311	22
West Lothian	191	7	4	-	-	31	1	226	460	27
Scotland	6,814	477	119	1	-	2,062	329	8,882	18,673	24

¹ Private Hospitals have been excluded.
² The data have been revised since last published.
Source: ISD Scotland - ISD(S)34 Return

Table 1.24 presents the client group breakdown of residents aged 65 and over by local authority as at 31 March 1999. There are 18,673 residents aged 65 and over in private nursing homes in Scotland with an average of 24 residents per 1,000 population aged 65 and over.

Stirling has the highest rate of residents; 38 residents per 1,000 population aged 65 and over. Clackmannanshire has only 8 residents per 1,000 of the population aged 65 and over.

Almost half of the residents in Scotland have other unspecified health needs. People with dementia make up 36 per cent of the residents aged 65 and over, 11 per cent have physical disabilities, 3 per cent have mental health problems, 2 per cent have learning disabilities and 1 per cent have alcohol related problems. However, in Falkirk 54 per cent of the residents have dementia and in Inverclyde 44 per cent of the residents are physically disabled.

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