Scottish Community Care Statistics 1999: page 28



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Scottish Community Care Statistics 1999

CHAPTER 7 - EXPENDITURE ON COMMUNITY CARE

Revenue Expenditure by Local Authorities

Tables 7.1 to 7.4 contain expenditure data reported by local authorities in annual local financial returns to the Scottish Executive. This information is published at summary level in the annual publication "Scottish Local Government Financial Statistics". All figures have been adjusted to current prices to remove the effects of inflation.

For definitions under which these data are collected, please refer to the notes in annex A.

Table 7.1 and chart 7.1 present net expenditure on social work services broken down by client group for the years between 1990 and 1999. The categories under which expenditure is recorded were changed between 1994 and 1995, and again between 1997 and 1998. It is therefore difficult to make comparisons, for some categories, over the full 1990 to 1999 period.

Chart 7.1 Net Expenditure on Social Work 1990-1999 (£000s)

Chart 7.1

It is apparent from Chart 7.1 that net expenditure on social work, as a whole, has steadily increased over the years to reach a level of approximately £1.14 billion in 1998/99. Expenditure on community care has increased at a similar rate to reach a level of approximately £714 million in 1998/99.

Net expenditure on community care accounted for 63 per cent of total social work compared to expenditure on children which accounted for 23 per cent and non-specific expenditure which accounted for 14 per cent of the total.

It is difficult to make comparisons between expenditure on client groups within community care because of the changes to the way in which data has been collected over the years. The introduction of the "all community care client groups" category in 1995 has led to an apparent drop in spending on older people and adults with mental health problems. This does not reflect a true reduction in service provision, but simply that this expenditure is being recorded elsewhere.

Table 7.1: Net expenditure on social work (£000s) ^1,2

	1990 ³	1991	1992	1993	1994	1995	1996	1997	1998	1999 ⁴
Children	137,332	156,292	168,839	179,317	204,614	225,398	230,300	237,829	239,206	257,376
All Community Care Client Groups	-	-	-	-	-	220,839	248,745	286,361	230,024	252,135
Older People	252,026	266,821	265,899	273,783	307,069	195,583	211,255	191,880	257,761	263,949
Adults with Mental Health Problems	1,966	2,509	5,256	10,237	16,632	26,046	33,027	36,867	31,097	30,090
Substance Misuse	3,320	3,660	3,651	4,742	5,950	10,454	11,536	9,826	8,350	7,083
Adults with Learning Disabilities	57,062	65,226	68,991	74,067	90,353	93,218	114,270	113,781	119,891	115,766
Physically Disabled Adults	37,121	41,818	46,493	54,390	48,961	52,617	56,518	56,370	43,866	43,938
Services for HIV/AIDS	662	823	1,115	1,100	1,283	1,734	1,719	1,263	1,343	1,373
Total Community Care	352,157	380,856	391,406	418,319	470,249	600,493	677,070	696,348	692,332	714,333
Adult Offenders	3,686	4,885	-1,485	1,520	2,850	2,189	3,914	5,167	3,021	4,803
Non Specific Expenditure	177,785	207,364	203,057	212,807	224,666	200,039	219,236	195,523	187,814	158,783
Total Social Work	670,959	749,397	761,817	811,962	902,379	1,028,119	1,130,520	1,134,866	1,122,373	1,135,295

¹ Loan Charges have been excluded for all years.
² Figures have been adjusted to reflect current prices using GDP deflators.
³ In 1990 Expenditure does not include Support Services Costs.
⁴ 1999 figures are provisional and may change.
Source: SEDD Local Government Finance Statistics - LFR3 Return

Table 7.2: Gross expenditure on social work (£000s) ^1,2

	1990 ³	1991	1992	1993	1994	1995	1996	1997	1998	1999 ⁴
Children	138,555	157,424	170,312	181,196	205,508	227,068	231,454	239,623	244,718	262,364
All Community Care Client Groups	-	-	-	-	-	236,035	278,201	332,544	282,852	305,704
Older People	294,695	308,739	308,913	316,951	352,591	235,118	252,442	240,107	327,444	345,401
Adults with Mental Health Problems	2,375	2,997	5,787	10,678	17,474	29,225	36,328	43,538	41,352	48,339
Substance Misuse	3,742	3,731	3,747	4,941	6,184	12,018	12,927	11,496	9,976	8,849
Adults with Learning Disabilities	60,611	69,236	73,080	80,489	97,434	105,063	127,379	137,061	147,298	160,030
Physically Disabled Adults	45,505	51,146	55,431	64,125	58,573	62,203	66,300	66,073	48,152	48,966
Services for HIV/AIDS	682	834	1,130	1,112	1,320	2,055	2,368	1,348	1,969	2,041
Total Community Care	407,610	436,683	448,087	478,297	533,576	681,716	775,947	832,166	859,042	919,329
Adult Offenders	9,707	12,274	20,647	27,077	30,502	34,163	34,198	35,861	35,508	38,225
Non Specific Expenditure	181,875	211,162	206,397	216,720	230,353	217,497	253,715	224,508	219,350	174,224
Total Social Work	737,748	817,543	845,443	903,289	999,939	1,160,444	1,295,313	1,332,158	1,358,618	1,394,142

Table 7.2 presents the same information as table 7.1 but on a gross expenditure basis. Expenditure over time follows roughly the same pattern as for net expenditure. Gross expenditure on social work was approximately £1.4 billion in 1998/99 and for community care it was £919 million.

Table 7.3: Net expenditure on key community care services (£000s) ^1,2

	1990 ³	1991	1992	1993	1994	1995	1996	1997	1998	1999 ¹¹
SMP for all CC Client Groups	-	-	-	-	-	3,343	12,125	15,549	48,984	62,444
SMP for Older People	-	-	-	-	-	11,794	9,468	14,887	-	-
SMP for People with Learning Disabilities	-	-	-	-	-	3,269	1,646	3,720	-	-
SMP for People with Mental Health Problems	-	-	-	-	-	1,614	1,483	4,416	-	-
SMP for Physically Disabled People	-	-	-	-	-	2,709	2,397	4,280	-	-
SMP for Other Client Groups	-	-	-	-	-	977	218	574	-	-
Total Senior Management & Purchasing	-	-	-	-	-	23,705	27,338	43,426	48,984	62,444
Nursing Homes ⁴	-	-	-	-	-	23,632	40,594	91,249	86,735	95,767
Residential Homes - Older People	101,764	107,049	101,741	101,604	125,952	158,481	173,694	144,643	140,456	135,342
Residential Homes - Learning Disabilities ⁵	16,205	18,223	20,109	22,897	27,074	30,357	45,287	46,378	58,259	62,636
Residential Homes - Mental Health Problems ⁵	760	814	704	499	925	1,480	3,424	5,726	6,072	7,559
Residential Homes - Physically Disabled ⁵	4,367	5,106	5,220	6,704	9,596	11,805	12,339	16,013	17,180	17,912
Residential Accommodation - Other ⁶	568	560	624	746	647	1,719	3,247	1,665	1,364	1,739
Total Nursing and Residential Care	123,664	131,752	128,398	132,450	164,193	227,474	278,585	305,673	310,065	320,956
Other Suppt Accom.- Older People	127	889	365	629	746	1,144	2,296	2,405	-	-
Other Suppt Accom.- Learning Disabilities	1,020	2,271	3,347	2,565	3,373	2,415	1,283	1,706	-	-
Other Suppt Accom. - Mental Health Problems	348	487	580	782	698	1,163	-179	756	-	-
Other Suppt Accom.- Physically Disabled	26	42	712	1,133	834	1,697	574	966	-	-
Total Other Supported Accommodation	1,522	3,689	5,003	5,109	5,651	6,419	3,974	5,833	-	-
Day Centres - Older People	9,734	9,901	11,748	15,016	17,729	19,429	21,270	22,435	21,938	25,752
Day Centres - Learning Disabilties	38,763	42,676	43,348	46,137	47,980	49,270	54,068	54,181	52,471	51,112
Day Centres - Mental Health Problems	28	22	44	313	328	1,018	4,828	6,409	7,337	5,545
Day Centres - Physically Disabled	10,152	10,322	10,326	10,864	10,702	12,869	13,083	14,201	14,105	17,694
Day Centres - Other	154	173	139	240	254	621	373	796	701	584
Total Day Care	58,831	63,093	65,606	72,570	76,992	83,207	93,622	98,023	96,552	100,687
Home Care ⁷	114,180	116,219	118,211	120,240	124,144	139,791	144,293	133,404	126,716	132,130
Wardens Sheltered Housing ⁷	17,251	19,430	19,322	18,430	18,427	18,990	17,443	9,778	6,257	5,756
Community Alarms ⁷	3,952	4,871	4,303	4,183	4,642	6,422	6,996	6,504	5,231	5,306
Aids and Adaptations	-	-	-	-	-	15,181	16,019	14,826	15,090	16,259
Occupational Therapy ⁸	2,952	3,458	5,123	6,642	5,066	5,244	4,909	6,786	-	-
Lunch Clubs & Meals on Wheels ⁷	3,664	4,536	4,666	4,476	4,337	4,746	5,289	5,738	5,037	5,784
Community Care Systems	-	-	-	3,073	11,709	3,491	1,077	2,525	-	-
Sheltered Employment ⁹	7,486	9,395	9,251	9,754	9,559	10,158	9,807	9,009	9,144	9,598
Other Community Care	-	-	-	-	-	-	-	-	13,565	14,859
Other Services - Older People	1,355	3,926	5,542	9,206	11,091	4,736	4,527	7,509	8,632	7,087
Other Services - Learning Disabilities	1,074	2,056	2,188	2,468	11,927	7,909	11,986	7,796	9,161	2,018
Other Services - Mental Health Problems	830	1,185	3,929	8,643	14,682	20,771	23,471	19,561	17,688	16,986
Other Services - Physically Disabled	12,137	13,495	15,860	19,292	13,205	13,379	18,318	11,901	12,582	8,331
Other Services - Other Client Groups	3,260	3,751	4,004	4,856	6,333	8,871	9,417	8,054	7,628	6,132
Total Other Community Care	168,140	182,323	192,399	211,263	235,122	259,689	273,552	243,392	236,732	230,246
Total Community Care	352,157	380,856	391,406	421,392	481,958	600,493	677,070	696,348	692,332	714,333

¹ Loan Charges have been excluded for all years.
² Figures have been adjusted to reflect current prices using GDP deflators.
³ In 1990 Expenditure does not include support services costs.
⁴ From 1995 to 1997 figures represent nursing home expenditure for all client groups; from 1998 onwards figures represent nursing home expenditure for older people only.
⁵ From 1998 onwards these figures include expenditure on residential and nursing care.
⁶ This figure may include an element of expenditure on other supported accommodation in addition to expenditure on residential homes.
⁷ From 1990 to 1994 this expenditure was recorded for older people only; from 1995 onwards it is recorded for all community care client groups.
⁸ From 1990 to 1994 this expenditure was recorded for physically disabled people only; from 1995 onwards it is recorded for all community care client groups.
⁹ From 1990 to 1997 this expenditure was recorded for physically disabled people only; from 1998 onwards it is recorded for all community care client groups.
¹⁰ Figures for Total Community Care in 93 and 94 differ from those in table 1 due to the inclusion in this table of community care systems. This category is included in Non Specific Expenditure in Table 1.
¹¹ 1999 figures are provisional and may change.
Source: SEDD Local Government Finance Statistics - LFR3 Return

Table 7.3 illustrates net expenditure for key elements of community care from 1990 to 1999.

Expenditure on Senior Management and purchasing increased from £23.7m (4 per cent of total community care expenditure) in 1995 to £62m (9 per cent of total community care expenditure) in 1999.

Between 1990 and 1999, total expenditure on nursing and residential care increased from £123.7m to £320.9m (160 per cent). Nursing and residential care accounted for 35 per cent of total community care expenditure in 1990 and 45 per cent in 1999.

Total net expenditure on day care between 1990 and 1999 followed an upward trend, with the exception of 1998 where it fell slightly. The proportion of community care spending attributed to day care remained constant at 17 per cent until 1994 where it dropped by 1 per cent. In 1995 it dropped a further 2 per cent to 14 per cent where it has remained since.

Expenditure on home care increased from £114m in 1990 to £132m in 1999 (16 per cent). Home care accounted for 32 per cent of the community care budget in 1990, reducing to 18 per cent in 1999.

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