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Scottish Community Care Statistics 1999

CHAPTER 5 - OTHER CLIENT GROUPS

This chapter covers services for people with drug and alcohol problems, people with HIV or AIDS, ex-offenders, homeless people, and other vulnerable groups.

Domiciliary Care

Tables 5.1 and 5.2 contain information on home care services provided to clients in 'other' client groups. Information on home care for other individual client groups is included in chapters 1 to 4. 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 5.1: Age Breakdown for Other Home Care Client Groups, 1998-1999

Age Group

1998

1999

0-15

3%

6%

16-17

0%

1%

18-64

13%

24%

65-74

18%

17%

75-84

39%

30%

85+

27%

22%

Total

20,986

10,353

Source: SEHD Community Care Statistics - H1 Return

 

Table 5.1 shows the age breakdown of clients in other client groups receiving home care in 1998 and 1999. The number of clients halved between 1998 and 1999, to reach 10,353. This reduction is more likely to be due to re-classification of clients into other more appropriate client groups, rather than a change in the way the service is provided.

Table 5.2: Age Breakdown of Other Home Care Client Groups, 1999

Local Authority

0-15

16-64

65-74

75-84

85 plus

Total Clients

Total Clients per 1,000Pop'n aged 16+

Aberdeen City

-

27%

30%

23%

20%

242

7.6

Aberdeenshire

71%

29%

-

-

-

7

0.2

Angus

1%

4%

15%

43%

37%

1,510

81.9

Argyll & Bute

45%

31%

17%

7%

-

29

1.8

Clackmannanshire

-

11%

18%

34%

36%

44

6.2

Dumfries & Galloway

-

33%

33%

33%

-

3

0.1

Dundee City

-

5%

18%

47%

30%

2,079

81.7

East Ayrshire

86%

-

-

14%

-

7

0.4

East Dunbartonshire

21%

40%

8%

19%

12%

107

6.6

East Lothian

-

-

50%

25%

-

4

0.3

East Renfrewshire

29%

27%

18%

24%

2%

45

3.4

Edinburgh, City of

2%

38%

15%

27%

19%

540

7.9

Eileanan Siar

-

100%

-

-

-

5

1.0

Falkirk

-

28%

22%

33%

17%

92

4.3

Fife

1%

39%

17%

24%

19%

1,902

34.4

Glasgow City

20%

48%

20%

9%

4%

1,009

11.1

Highland

-

41%

40%

11%

8%

95

2.9

Inverclyde

13%

70%

10%

3%

3%

30

2.2

Midlothian

15%

85%

-

-

-

13

1.2

Moray

25%

66%

7%

2%

-

56

4.1

North Ayrshire

29%

19%

17%

24%

11%

151

7.1

North Lanarkshire

4%

23%

13%

32%

28%

770

17.2

Orkney Islands

11%

52%

35%

2%

-

103

32.4

Perth & Kinross

-

100%

-

-

-

18

0.7

Renfrewshire

16%

23%

17%

24%

20%

790

30.7

Scottish Borders

57%

40%

-

3%

-

30

1.5

Shetland Islands

-

73%

-

13%

13%

15

5.0

South Ayrshire

4%

61%

23%

10%

2%

92

4.4

South Lanarkshire

10%

25%

14%

28%

22%

286

6.6

Stirling

29%

57%

-

14%

-

7

0.5

West Dunbartonshire

30%

51%

9%

7%

2%

125

8.8

West Lothian

1%

24%

22%

34%

18%

147

8.7

Scotland

6%

25%

17%

30%

22%

10,353

13.2

Source: SEHD Community Care Statistics - H1 Return

 

Table 5.2 shows the age breakdown, by local authority, of other client groups receiving home care in 1999. In Scotland as a whole, 13.2 people in every ten thousand aged 16 and over receive home care. Angus and Dundee City provide the most home care for other client groups in relation to their population, with 81.9 and 81.7 clients per 10,000 population aged 16 and over, respectively.

The majority of people in other client groups receiving home care are aged 75 or over, accounting for 52 per cent of all clients. Some local authorities classify older people as 'other vulnerable groups' on the home care return which may explain the high numbers being reported in certain areas.

Day Care

Tables 5.3 and 5.4 provide information on day care services for other client groups. Day care figures for other individual client groups are included in chapters 1 to 4. Please refer to the notes in annex A for definitions on which the data are collected.

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 5.3: Number of Day Centres 1 for Other Client Groups, Places and People Attending, 1985-1998

 

Year

1985

1990

1995

1996

1997

1998

Number of day centres

3

..

17

8

9

8

Number of places

70

..

429

201

195

222

Number attending

40

..

428

329

250

265

1 Includes centres with 4 or less places (which are usually attached to residential homes).
Source: SEHD Community Care Statistics - D1-B Return

 

Table 5.3 shows the number of day care centres, places and clients attending by sector from 1985 to 1998. The number of places and residents peaked in 1995 at 429 and 428 respectively then has decreased to 222 places with 265 people attending in 1998. In 1998 there were 8 day centres for other client groups with an average of 28 places and 33 people attending.

Table 5.4: Number of Day Centres for Other Client Groups , Places and People Attending, 1998

Local Authority

Number of Centres

Number of Places

Places per 10,000Pop'n aged 16-64

Number Attending

People Attending per 10,000 Pop'n aged 16-64

Aberdeenshire

1

10

0.7

7

0.5

Clackmannanshire

1

37

11.8

37

11.8

Dundee City

1

70

7.5

116

12.5

East Lothian

1

15

2.6

9

1.6

Edinburgh, City of

1

14

0.5

17

0.6

Highland

1

30

2.3

40

3.0

Midlothian

1

12

2.2

5

0.9

North Lanarkshire

1

34

1.6

34

1.6

Scotland

8

222

0.7

265

0.8

Source: SEHD Community Care Statistics - D1-B Return

 

Table 5.4 shows the number of day care centres, places and attendees for other client groups in each local authority. Those local authorities not included in the table did not report any day centres for other client groups.

There are 0.7 places and 0.8 people attending per 10,000 population aged 16-64 in Scotland. In Dundee City 12.5 people in every 10,000 attend day centres, the highest rate in Scotland.

Residential Care Homes

Tables 5.5 to 5.9 contain information on residential care homes for other client groups. Homes for other individual client groups are included in chapters 1 to 4. Please refer to the notes in annex A for definitions on which the data are collected.

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 5.5: Residential Care Homes for Other Client Groups, 1985-1999

 

1985

1990

1995

1996

1997

1998

1999

No of Homes

Local Authority

7

6

8

8

9

12

11

Private

-

1

3

1

2

4

7

Voluntary

16

56

89

81

91

113

106

Total

23

63

100

90

102

129

124

No of Beds

Local Authority

99

113

118

128

139

165

134

Private

-

6

17

9

29

57

88

Voluntary

272

867

1,167

1,021

937

1,115

1,070

Total

371

986

1,302

1,158

1,105

1,337

1,292

No of Residents

Local Authority

59

95

90

102

92

122

102

Private

-

5

9

-

35

33

68

Voluntary

186

656

906

793

748

879

851

Total

245

756

1,005

895

875

1,034

1,021

Source: SEHD Community Care Statistics - R1 Return

Table 5.5 shows the number of residential care homes, beds and residents by sector for other client groups from 1985 to 1999.

From 1985 until 1998 the number of voluntary sector homes increased at a steady rate, falling slightly in 1999. Overall the number of homes, places and residents have increased.

In 1999 there were 124 homes in Scotland with an average of 10 places and 8 residents per home. Voluntary homes account for the majority (85 per cent), accommodating 83 per cent of all residents. Overall, in 1999 the homes were running at a 79 per cent occupancy level with local authority homes running at a 90 per cent occupancy level.

Table 5.6: Residential Care Homes for Other Client Groups, 1999

Local Authority

Homes

Beds

Residents

Residents per 10,000 Pop'n aged 16-64

Aberdeen City

15

203

177

12.5

Aberdeenshire

4

38

21

1.4

Angus

-

-

-

-

Argyll & Bute

2

35

30

5.2

Clackmannanshire

1

8

5

1.6

Dumfries & Galloway

1

30

28

3.1

Dundee City

3

25

22

2.4

East Ayrshire

1

8

2

0.3

East Dunbartonshire

-

-

-

-

East Lothian

1

9

9

1.6

East Renfrewshire

-

-

-

-

Edinburgh, City of

35

256

211

6.9

Eileanan Siar

-

-

-

-

Falkirk

-

-

-

-

Fife

9

48

41

1.8

Glasgow City

27

358

283

7.0

Highland

4

84

50

3.8

Inverclyde

3

28

19

3.5

Midlothian

2

10

10

1.8

Moray

2

12

10

1.9

North Ayrshire

1

4

4

0.4

North Lanarkshire

4

24

24

1.1

Orkney Islands

-

-

-

-

Perth & Kinross

-

-

-

-

Renfrewshire

1

19

16

1.4

Scottish Borders

-

-

-

-

Shetland Islands

-

-

-

-

South Ayrshire

1

12

10

1.4

South Lanarkshire

3

30

21

1.0

Stirling

1

20

15

2.7

West Dunbartonshire

-

-

-

-

West Lothian

3

31

13

1.2

Scotland

124

1,292

1,021

3.1

Source: SEHD Community Care Statistics - R1 Return

 

Table 5.6 shows the number of Residential Care Homes, places and residents in each local authority in 1999. There are 3.1 residents per 10,000 of the population aged between 16 and 64. In Aberdeen City the rate is much higher at 12.5. The majority of residents in homes for other client groups are in cities; 66 per cent of residents are in homes in the cities of Edinburgh, Glasgow and Aberdeen.

Table 5.7: Admissions and Discharges in Homes for Other Client Groups, 1985-1999

 

1985

1990

1995

1996

1997

1998

1999

Admissions

Long Stay

650

1,586

1,611

1,436

1,280

1,642

1,568

Short Stay

-

976

3,239

3,598

5,438

4,275

6,216

Total1

650

2,562

4,850

5,034

6,718

5,915

7,784

Discharges

Long Stay

667

1,507

1,570

1,446

1,300

1,616

1,568

Short Stay

-

966

3,245

3,601

5,432

4,287

6,247

Total1

667

2,473

4,815

5,047

6,732

5,902

7,815

1 Totals may not equal the sum of their component parts due to the effects of rounding.
Source: SEHD Community Care Statistics - R1 Return

 

Table 5.7 shows the number of admissions to and discharges from residential care homes for other client groups. It can be seen that the majority of admissions and discharges are short stay clients. The number of short stay admissions and discharges has increased over time to represent 80 per cent of total admissions and discharges in 1999.

Long stay admissions and discharges have remained fairly constant over the period at around 1,500 per year.

Table 5.8 provides information on long-stay residents only as this level of detail is not collected for short stay residents.

Table 5.8: Age of Residents 1,2 in Homes for Other Client Groups, 1995-1999

Age Group

1995

1996

1997

1998

1999

0 - 15 years

-

-

1%

1%

1%

16 - 30 years

41%

43%

47%

53%

45%

31 - 45 years

17%

15%

12%

17%

18%

46 - 64 years

25%

25%

19%

16%

19%

65 and over

17%

17%

21%

13%

16%

Unknown (Number)

62

54

36

-

-

Total Residents

810

694

673

859

836

1 Total residents relates to long stay residents only.
2 Percentages are based on the number of residents where age is known.
Source: SEHD Community Care Statistics - R1 Return

 

Table 5.8 presents an age breakdown of residents in residential care homes for other client groups from 1985 to 1999.

The age breakdown of residents has remained fairly steady over the years. On average almost half (47 per cent) of all residents are under 30 years whilst only 17 per cent are aged over 65.

Table 5.9 shows the average weekly charge for residents in residential care homes for each sector, in 1999. The mean weekly charge for all sectors is £462. Private homes have the lowest cost at £448 and voluntary homes are the most expensive at £561.

Table 5.9: Average Weekly Charge per Resident in Residential Care Homes for Other Client Groups, 1999

Sector

Average Weekly Charge (£s)

Local Authority

544

Private

448

Voluntary

561

Total

462

Source: SEHD Community Care Statistics - R1 Return

 

Private Nursing Homes

Table 5.10: Age Breakdown of Residents with Alcohol and Drug Related Problems in Private Nursing Homes 1 as at 31 March, 1997-1999

Age Group

1997

1998

1999

0-17

-

-

9%

18-64

54%

53%

56%

65-74

27%

32%

19%

75-84

14%

12%

13%

85+

6%

3%

3%

Total

317

283

351

1 Private Hospitals have been excluded for all years.
Source: ISD Scotland - ISD(S)34 Return

 

Table 5.10 shows the age breakdown of people with alcohol and drug related problems in private nursing homes from 1997 to 1999. The total number of residents has varied each year with a 24 per cent increase between 1998 and 1999.

In 1999 65 per cent of residents were under 65 years of age, 19 per cent were aged between 65 and 74 whilst only 16 per cent were over 75.

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