Scottish Community Care Statistics 2000 : page 3


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Scottish Community Care Statistics 2000

Domiciliary Care

Tables 1.1 to 1.6 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 1.5 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 1.6 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 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 1.1Number of Home Care Clients by Sector of Provider¹, 1980 - 2000

Sector	1980	1985	1990	1995	1996	1997	1998	1999	2000
Local Authority only	60,703	68,943	82,183	93,818	92,754	83,616	74,198	68,116	63,290
Private only	..	..	..	..	..	..	1,306	2,621	2,991
Voluntary only	..	..	..	..	..	..	1,590	1,509	1,599
LA & Private	..	..	..	..	..	..	814	767	1,453
LA & Voluntary	..	..	..	..	..	..	1,098	821	733
Other Combination	..	..	..	..	..	..	288	224	163
Total ²	60,703	68,943	82,183	93,818	92,754	83,616	79,294	74,058	70,229

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 2000. The number of clients peaked in 1995 at 93,818 and has been declining since. In 2000 there were an estimated 70,229 clients who received a home care service provided or purchased by a local authority, a decrease of approximately 5 per cent on the previous year. The proportion of clients receiving local authority provided home care only, was 90 per cent in 2000 compared with 92 per cent in 1999.

Table 1.2: Number of Home Care Clients & Hours Provided/Purchased 1998 - 2000

	1998	1999	2000
No. of clients	79,294	74,058	70,229
Client hours	401,227	375,229	393,074
Hours per client	5.1	5.1	5.6
Clients receiving 10 hours+ per 1000 popn aged 65+	9.6	9.8	11.4

Table 1.2 presents the number of home care clients and hours provided and purchased by local authorities between 1998 and 2000.

Whilst the number of clients declined between 1998 and 2000, the number of client hours fluctuated over the same period. In 1998 and 1999, clients received on average 5.1 hours of home care each week: this increased to 5.6 hours in 2000.

The number of older people receiving intensive home care (more than 10 hours per week) has increased over the 3 year period. In 2000, 11.4 clients per 1,000 of the population aged 65 and over received intensive home care, compared with 9.8 in 1999 and 9.6 in 1998.

Table 1.3: Distribution of Home Care Hours Received, 2000

Local Authority	2 Hoursor less		Between 2 and 4 hours		Between 4 and 10 hours		Greater than 10 hours		Total Clients	Clients per 1,000 Pop'n aged 16+
Local Authority	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total	No. of Clients	% of Total	Total Clients	Clients per 1,000 Pop'n aged 16+
Aberdeen City	579	16%	1,375	38%	1,191	33%	457	13%	3,602	21
Aberdeenshire	388	19%	793	39%	602	29%	269	13%	2,052	11
Angus	1,090	60%	340	19%	246	14%	126	7%	1,802	21
Argyll & Bute	42	4%	207	21%	488	50%	236	24%	973	13
Clackmanannshire	165	25%	141	22%	157	24%	189	29%	652	17
Dumfries & Galloway	205	12%	436	26%	645	39%	383	23%	1,669	14
Dundee City	1,634	57%	740	26%	293	10%	224	8%	2,891	25
East Ayrshire	88	7%	494	37%	485	36%	281	21%	1,348	14
East Dunbartonshire	207	20%	362	35%	320	31%	133	13%	1,022	11
East Lothian	341	26%	428	33%	338	26%	180	14%	1,287	18
East Renfrewshire	255	30%	180	21%	231	27%	181	21%	847	12
Edinburgh, City of	2,152	34%	1,834	29%	1,590	25%	817	13%	6,393	17
Eileanan Siar	67	8%	254	32%	294	37%	188	23%	803	37
Falkirk	390	17%	761	33%	702	31%	434	19%	2,287	20
Fife	2,698	42%	1,609	25%	1,651	25%	538	8%	6,496	23
Glasgow City	1,442	15%	2,990	31%	3,704	38%	1,627	17%	9,763	20
Highland	615	21%	962	33%	1,039	36%	299	10%	2,915	18
Inverclyde	525	40%	341	26%	299	23%	135	10%	1,300	19
Midlothian	209	16%	573	43%	372	28%	165	13%	1,319	20
Moray	174	16%	376	36%	300	28%	206	20%	1,056	16
North Ayrshire	250	15%	409	25%	643	39%	327	20%	1,629	15
North Lanarkshire	691	22%	683	22%	1,080	35%	620	20%	3,074	12
Orkney Islands	54	12%	146	31%	191	41%	74	16%	465	30
Perth & Kinross	646	44%	492	34%	249	17%	76	5%	1,463	14
Renfrewshire	674	27%	496	20%	754	31%	529	22%	2,453	17
Scottish Borders	366	23%	542	35%	440	28%	221	14%	1,569	18
Shetland Islands	199	30%	234	35%	148	22%	79	12%	659	38
South Ayrshire	319	23%	216	16%	440	32%	383	28%	1,358	15
South Lanarkshire	191	7%	772	29%	1,087	41%	579	22%	2,629	11
Stirling	121	13%	396	43%	244	26%	160	17%	921	13
West Dunbartonshire	244	14%	507	29%	748	42%	268	15%	1,767	24
West Lothian	270	15%	662	38%	612	35%	220	12%	1,764	14
Scotland	17,291	25%	20,751	30%	21,583	31%	10,604	15%	70,229	17

¹Totals may not equal the sum of their component parts due to the effects of rounding.

Source: SEHD Community Care Statistics - H1 Return

Table 1.3 presents the number of clients receiving varying levels of home care within each local authority in 2000. The island authorities (Orkney, Shetland and Eileanan Siar) had the highest levels of home care, ranging from 30 to 38 clients per 1000 of the population aged 16 and over. In contrast, East Dunbartonshire, Aberdeenshire and South Lanarkshire had only 11 clients per 1,000 of the population aged 16 and over. The rate for Scotland as a whole was 17.

Clackmannanshire and South Ayrshire provided the highest percentage of their clients (29 and 28 per cent respectively) with more than 10 hours per week. In contrast, Perth and Kinross only provided 5 per cent of their clients with this level of home care.

In 2000, 75 per cent of clients received 2 or more hours of care compared to 68 per cent in 1999. Although the number of clients receiving home care has reduced over this period, for those receiving home care the intensity of the service has increased.

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