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The Balance of Care
Chart 2.1 Balance of Care for People with Learning Disabilities, 1980-1999
Chart 2.1 illustrates the balance of care provided for people with learning disabilities, over time. The most dramatic change is the decrease in occupied hospital beds which, by 1999, had fallen to just over a third of the level in 1980.
Over the same time period, there has been a noticeable increase in the number of residents in residential care homes, and in the number of people attending day centres, although these appear to be levelling off in recent years. Data on home care clients and residents in nursing homes with learning disabilities have not been collected for long enough to allow comment on any trends.
Tables 2.1 and 2.2 contain information on home care services provided to clients with learning disabilities. Information on home care for other individual client groups is included in chapters 1, 3, 4 and 5. 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 2.1: Age Breakdown of Home Care Clients with Learning Disabilities, 1998 - 1999
|
Age Group |
1998 |
1999 |
|
0-15 |
4% |
6% |
|
16-17 |
1% |
1% |
|
18-64 |
63% |
76% |
|
65-74 |
14% |
11% |
|
75-84 |
14% |
4% |
|
85+ |
5% |
2% |
|
Total |
1,744 |
1,599 |
Source: SEHD Community Care Statistics - H1 Return
Table 2.1 presents the number of clients with learning disabilities receiving home care services in 1998 and 1999. Prior to 1998 a full age/client group breakdown was not provided. Between 1998 and 1999 the number of clients with learning disabilities fell slightly from 1,748 to 1,599. The highest proportion of clients are in the 18-64 age group which accounted for three-quarters of all clients in 1999.
Table 2.2: Age Breakdown of Clients with Learning Disabilities Receiving Home Care , 1999
|
Local Authority |
0-15 |
16-64 |
65-74 |
75-84 |
85 plus |
Total Clients |
Clients per 10,000 Pop'n aged 16-64 |
|
Aberdeen City |
- |
93% |
7% |
- |
- |
28 |
2.0 |
|
Aberdeenshire |
- |
100% |
- |
- |
- |
277 |
18.6 |
|
Angus |
3% |
74% |
17% |
3% |
3% |
35 |
5.0 |
|
Argyll & Bute |
4% |
67% |
25% |
4% |
- |
24 |
4.2 |
|
Clackmannanshire |
8% |
75% |
8% |
8% |
- |
12 |
3.8 |
|
Dumfries & Galloway |
2% |
70% |
18% |
8% |
3% |
66 |
7.3 |
|
Dundee City |
- |
85% |
15% |
- |
- |
62 |
6.8 |
|
East Ayrshire |
- |
64% |
29% |
7% |
- |
14 |
1.8 |
|
East Dunbartonshire |
5% |
58% |
16% |
21% |
- |
19 |
2.6 |
|
East Lothian |
- |
83% |
17% |
- |
- |
6 |
1.0 |
|
East Renfrewshire |
- |
91% |
6% |
- |
3% |
34 |
5.9 |
|
Edinburgh, City of |
2% |
95% |
3% |
- |
- |
99 |
3.2 |
|
Eileanan Siar |
- |
88% |
13% |
- |
- |
8 |
4.7 |
|
Falkirk |
- |
86% |
12% |
2% |
- |
43 |
4.5 |
|
Fife |
6% |
79% |
14% |
- |
- |
78 |
3.5 |
|
Glasgow City |
6% |
70% |
23% |
1% |
- |
204 |
5.1 |
|
Highland |
- |
73% |
16% |
11% |
- |
44 |
3.3 |
|
Inverclyde |
6% |
78% |
6% |
3% |
6% |
32 |
5.9 |
|
Midlothian |
- |
100% |
- |
- |
- |
6 |
1.1 |
|
Moray |
- |
90% |
5% |
5% |
- |
20 |
3.7 |
|
North Ayrshire |
4% |
37% |
15% |
9% |
35% |
54 |
6.0 |
|
North Lanarkshire |
7% |
78% |
10% |
3% |
- |
60 |
2.8 |
|
Orkney Islands |
- |
20% |
25% |
55% |
- |
20 |
16.1 |
|
Perth & Kinross |
- |
100% |
- |
- |
- |
16 |
1.9 |
|
Renfrewshire |
6% |
83% |
6% |
2% |
2% |
48 |
4.2 |
|
Scottish Borders |
- |
89% |
11% |
- |
- |
35 |
5.3 |
|
Shetland Islands |
- |
48% |
30% |
9% |
9% |
23 |
15.7 |
|
South Ayrshire |
2% |
59% |
14% |
14% |
10% |
49 |
6.8 |
|
South Lanarkshire |
6% |
74% |
10% |
5% |
4% |
78 |
3.9 |
|
Stirling |
18% |
68% |
11% |
4% |
- |
28 |
5.0 |
|
West Dunbartonshire |
60% |
29% |
10% |
1% |
- |
73 |
12.1 |
|
West Lothian |
25% |
75% |
- |
- |
- |
4 |
0.4 |
|
Scotland |
6% |
77% |
11% |
4% |
2% |
1,599 |
4.8 |
Source: SEHD Community Care Statistics - H1 Return
Table 2.2 presents an age breakdown of clients with learning disabilities receiving home care services within each local authority in 1999.
Aberdeenshire had the highest level of clients with learning disabilities. This amounted to 18.6 clients per 10,000 of the population aged between 16 and 64. In contrast, East Lothian and West Lothian had very small numbers of clients with 1.0 and 0.4 clients per 10,000 of the population aged between 16 and 64, respectively.
The total number of clients with learning disabilities who received home care in Scotland in 1999 was 1,599; 77 per cent fell within the 16 to 64 age category and 17 percent in the 65 and over age group. The total number receiving care, per 10,000 of the population aged between 16 and 64, was 4.8.
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