Scottish Community Care Statistics 2000 : page 12


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Scottish Community Care Statistics 2000

Private Nursing Homes

Information on private nursing homes registered with health boards is collected by the Information and Statistics Division of the NHS in Scotland. Much of the information shown in tables 1.21 - 1.25 is already published in Scottish Health Statistics. 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.

Table 1.21: Private Nursing Homes ¹ as at 31 March, 1990-2000

	1990	1995	1996	1997	1998	1999	2000
Number registered	307	453	488	506	517	508	505
Total beds	9,901	19,020	21,400	22,741	23,818	23,480	22,950
Total residents	..	15,986	17,036	18,365	20,097	20,188	19,905
Occupancy	..	84%	80%	81%	84%	86%	87%

¹ Private Hospitals have been excluded for all years.

Source: ISD Scotland - ISD(S)34 Return

Tables 1.21 - 1.24 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 1.25 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 1.25 in this chapter, as table 1.25 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 1.21-1.24 in this chapter rather than summing together the tables in each individual chapter.

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 2000, both experience a decrease. Around 30 nursing homes have not been able to provide the information requested and so data from these nursing homes are not included in the tables. Care should therefore be taken in interpreting the figures.

In 2000 there were 505 homes, with an average of 45 beds and 39 residents per home. The percentage occupancy has varied - though not significantly - between 1995 and 2000, with 87 per cent of the beds occupied in 2000.

Table 1.22: Private Nursing Homes¹ as at 31 March 2000

Local Authority	Beds		Residents		Occupancy
Local Authority	Total	Beds per 1,000 Pop'n aged 65+	Total	Residents per 1,000Pop'n aged 65+	Occupancy
Aberdeen City	910	29	737	23	81.0
Aberdeenshire	1,333	43	1,033	34	77.5
Angus	536	29	477	26	89.0
Argyll & Bute	211	13	178	11	84.4
Clackmannanshire	120	17	102	14	85.0
Dumfries & Galloway	532	19	401	15	75.4
Dundee City	654	26	610	24	93.3
East Ayrshire	639	33	472	25	73.9
East Dunbartonshire	343	21	314	19	91.5
East Lothian	497	33	455	30	91.5
East Renfrewshire	357	27	332	25	93.0
Edinburgh, City of	2,031	30	1,876	27	92.4
Eileanan Siar	65	13	62	12	95.4
Falkirk	579	27	470	22	81.2
Fife	1,376	25	1,213	22	88.2
Glasgow City	2,794	31	2,524	28	90.3
Highland	1,086	33	839	25	77.3
Inverclyde	302	22	293	21	97.0
Midlothian	355	31	320	28	90.1
Moray	305	22	279	21	91.5
North Ayrshire	848	40	678	32	80.0
North Lanarkshire	1,285	29	1,175	26	91.4
Orkney Islands	-	-	-	-	-
Perth & Kinross	766	31	692	28	90.3
Renfrewshire	614	24	528	20	86.0
Scottish Borders	604	30	486	24	80.5
Shetland Islands	-	-	-	-	-
South Ayrshire	777	37	656	31	84.4
South Lanarkshire	1,622	37	1,482	34	91.4
Stirling	576	45	496	39	86.1
West Dunbartonshire	146	10	144	10	98.6
West Lothian	687	41	581	34	84.6
Scotland	22,950	29	19,905	25	86.7

¹ Private Hospitals have been excluded.

Source: ISD Scotland - ISD(S)34 Return

Table 1.22 shows the local authority breakdown of beds and residents and the percentage occupancy in private nursing homes in 2000. In Scotland there were 22,950 beds and 19,905 residents resulting in an occupancy rate of 87 per cent. Percentage occupancy ranged from 99 per cent in West Dunbartonshire to 74 per cent in East Ayrshire.

At Scotland level there were 29 beds per 1,000 population aged 65 and over and 25 residents per 1,000 population. Stirling had the highest rate with 45 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 1.23: Number of Admissions and Discharges in Private Nursing Homes ¹ year ending 31 March, 1995-2000

Admissions	1995	1996	1997	1998	1999	2000
long term	7,405	9,073	8,858	9,184	9,860	9,354
respite	..	..	..	..	6,704	7,298
other short term	3,663	5,576	7,768	8,868	2,945	3,099
total short term	3,663	5,576	7,768	8,868	9,649	10,397
Total admissions	11,068	14,649	16,626	18,052	19,509	19,751
Discharges	4,868	6,870	8,587	9,749	10,754	11,394
Deaths	5,053	6,426	7,166	6,963	8,034	8,076
Total	9,921	13,296	15,753	16,712	18,788	19,470

¹ Private Hospitals have been excluded for all years.

Source: ISD Scotland - ISD(S)34 Return

Table 1.23 shows the number of long term and short term admissions to and discharges from private nursing homes in Scotland from 1995-2000. Both the number of admissions and discharges have increased steadily over time. In 2000, there were 19,751 admissions, 11,394 discharges and 8,076 deaths. In 1995 two thirds of admissions were long term, but the ratio has changed and in 2000 there was a slightly greater number of short-term admissions. In 1999 and 2000, over 70 per cent of short term admissions were respite admissions. (This data is not available for previous years).

Table 1.24: Residents in Private Nursing Homes¹ as at 31 March 2000

Client Group	Age Group
Client Group	0-17	18-64	65-74	75-84	85+	Total
Dementia	-	101	767	2,837	3,622	7,327
Learning disabilities	47	357	165	101	44	714
Physical disabilities	23	465	374	843	908	2,613
Mental health problems	30	110	162	199	132	633
Alcohol related problems	-	210	78	52	14	354
Drug related problems	-	28	-	1	-	29
Other health care needs	19	162	773	2,736	4,545	8,235
All client groups	119	1,433	2,319	6,769	9,265	19,905

¹ Private Hospitals have been excluded.

Source: ISD Scotland - ISD(S)34 Return

Table 1.24 gives an age and client group breakdown of residents in private nursing homes as at 31 March 2000. Ninety two per cent of residents were 65 or over and almost half were aged 85 or over.

Thirty seven 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, forty per cent had learning disabilities. Around one third of residents aged between 18 and 64 were physically disabled. In the 65 and over age group, 44 per cent of the residents had other, non-specified, health care needs. Nearly 40 per cent of residents aged 65 and over suffer from dementia.

Table 1.25: Client Group of Residents in Private Nursing Homes ¹ aged 65+ as at 31 March 2000

Local Authority	All residents	Residents per 1,000 Pop'n aged 65+	Dementia	Mental Health Problems	Alcohol Related Problems	Drug Related Disabilities	Physical Disabilities	Learning Needs	Other Health Care Needs
Aberdeen City	717	23	296	5	1	-	138	1	276
Aberdeenshire	995	32	434	25	18	-	122	15	381
Angus	436	24	112	3	-	-	31	15	275
Argyll & Bute	169	10	89	8	-	-	14	5	53
Clackmannanshire	99	14	25	-	-	-	-	10	64
Dumfries & Galloway	390	14	94	12	2	-	85	2	195
Dundee City	507	20	184	14	1	-	114	21	173
East Ayrshire	440	23	208	31	12	-	47	2	140
East Dunbartonshire	272	17	103	11	-	-	39	1	118
East Lothian	425	28	244	2	2	-	100	3	74
East Renfrewshire	302	23	97	-	1	-	10	27	167
Edinburgh City	1,812	26	861	21	6	-	223	3	698
Eilean Siar	60	12	18	1	-	-	1	3	37
Falkirk	461	22	251	11	-	-	42	5	152
Fife	1,124	20	491	15	-	-	95	12	511
Glasgow City	2,321	26	742	140	11	-	175	51	1,202
Highland	734	22	251	11	5	-	79	26	362
Inverclyde	276	20	58	2	4	-	116	-	96
Midlothian	304	27	154	1	1	-	65	3	80
Moray	256	19	120	1	1	-	45	4	85
North Ayrshire	631	29	351	21	3	1	71	2	182
North Lanarkshire	1,039	23	426	36	16	-	101	4	456
Orkney	-	-	-	-	-	-	-	-	-
Perth & Kinross	635	26	200	18	5	-	71	15	326
Renfrewshire	479	19	160	14	4	-	130	3	168
Scottish Borders	337	17	142	15	6	-	30	22	122
Shetland	-	-	-	-	-	-	-	-	-
South Ayrshire	614	29	261	22	5	-	48	21	257
South Lanarkshire	1,365	32	408	40	29	-	90	7	791
Stirling	479	37	140	2	3	-	5	16	313
West Dunbartonshire	133	9	67	-	2	-	16	-	48
West Lothian	541	32	239	11	6	-	22	11	252
Scotland	18,353	23	7,226	493	144	1	2,125	310	8,054

¹ Private Hospitals have been excluded.

Source: ISD Scotland - ISD(S)34 Return

Table 1.25 presents the client group breakdown of residents aged 65 and over by local authority as at 31 March 2000. There were 18,353 residents aged 65 and over in private nursing homes in Scotland with an average of 23 residents per 1,000 people aged 65 and over.

Stirling had the highest rate of residents, 37 residents per 1,000 of the population aged 65 and over. Conversely, West Dunbartonshire had 9 residents per 1,000 of the population aged 65 and over.

In East Lothian 57 per cent of the residents had dementia and in Inverclyde 42 per cent of the residents were physically disabled.

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