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Table 2.7: Admissions and Discharges in Residential Care Homes for People with Learning Disabilities, 1985-2000
|
Sector |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 | |
|
Local Authority |
Admissions | ||||||||
|
Long Stay |
693 |
121 |
62 |
55 |
97 |
70 |
67 |
57 | |
|
Short Stay |
391 |
2,215 |
5,404 |
5,199 |
5,865 |
6,166 |
5,731 |
6,444 | |
|
Total1 |
1,084 |
2,336 |
5,466 |
5,254 |
5,962 |
6,236 |
5,798 |
6,501 | |
|
Discharges | |||||||||
|
Long Stay |
653 |
147 |
86 |
77 |
109 |
73 |
74 |
72 | |
|
Short Stay |
386 |
2,206 |
5,389 |
5,175 |
5,876 |
6,171 |
5,730 |
6,432 | |
|
Total1 |
1,039 |
2,353 |
5,475 |
5,252 |
5,985 |
6,244 |
5,804 |
6,504 | |
|
Private |
Admissions | ||||||||
|
Long Stay |
5 |
49 |
57 |
55 |
65 |
35 |
38 |
72 | |
|
Short Stay |
- |
66 |
93 |
81 |
77 |
74 |
82 |
142 | |
|
Total1 |
5 |
115 |
150 |
136 |
142 |
109 |
120 |
214 | |
|
Discharges | |||||||||
|
Long Stay |
- |
27 |
35 |
22 |
42 |
32 |
22 |
37 | |
|
Short Stay |
- |
67 |
91 |
80 |
79 |
74 |
80 |
143 | |
|
Total1 |
0 |
94 |
126 |
102 |
121 |
106 |
102 |
180 | |
|
Voluntary |
Admissions | ||||||||
|
Long Stay |
65 |
148 |
211 |
223 |
261 |
274 |
216 |
172 | |
|
Short Stay |
52 |
147 |
6,885 |
4,795 |
1,487 |
2,229 |
6,977 |
7,180 | |
|
Total1 |
117 |
295 |
7,096 |
5,018 |
1,748 |
2,504 |
7,186 |
7,352 | |
|
Discharges | |||||||||
|
Long Stay |
57 |
96 |
164 |
158 |
167 |
208 |
201 |
194 | |
|
Short Stay |
50 |
144 |
6,881 |
4,788 |
1,503 |
2,236 |
7,030 |
7,175 | |
|
Total1 |
107 |
240 |
7,045 |
4,946 |
1,670 |
2,444 |
7,231 |
7,369 | |
|
Total |
Admissions | ||||||||
|
Long Stay |
763 |
318 |
330 |
333 |
423 |
379 |
321 |
301 | |
|
Short Stay |
443 |
2,428 |
12,382 |
10,075 |
7,429 |
8,469 |
12,790 |
13,766 | |
|
Total1 |
1,206 |
2,746 |
12,712 |
10,408 |
7,852 |
8,849 |
13,104 |
14,067 | |
|
Discharges | |||||||||
|
Long Stay |
710 |
270 |
285 |
257 |
318 |
313 |
297 |
303 | |
|
Short Stay |
436 |
2,417 |
12,361 |
10,043 |
7,458 |
8,481 |
12,840 |
13,750 | |
|
Total1 |
1,146 |
2,687 |
12,646 |
10,300 |
7,776 |
8,796 |
13,137 |
14,053 | |
1 Totals may not equal the sum of their component parts due to the effects of rounding.
Source: SEHD Community Care Statistics - R1 Return
Total admissions and discharges in residential care homes in Scotland have fluctuated over the time period shown.
Short stay admissions and discharges fell sharply in 1997 and 1998 but increased in 1999 and again in 2000. Further investigation has indicated that this may be due to under-reporting of short stay activity by some homes rather than an actual drop in short stay provision. Long stay admissions and discharges stayed fairly stable after a sharp dip in 1990.
In 1985, local authority admissions and discharges accounted for approximately 90 per cent of the total. However this has diminished over the years and now sits at around 46 per cent. Over the same period, the percentage of admissions/discharges in voluntary sector homes has risen from around 10 per cent to 52 per cent, whilst the private sector has remained fairly stable.
Please refer to annex A for a definition of short stay.
Tables 2.8 to 2.11 provide information on long stay residents only as this level of detail is not collected for short stay residents.
Table 2.8: Age of Residents 1,2 in Homes for People with Learning Disabilities, 1985 - 2000
|
Age Group |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
|
0-15 years |
0% |
0% |
0% |
0% |
0% |
0% |
0% |
0% |
|
16-30 years |
39% |
31% |
23% |
22% |
21% |
20% |
18% |
17% |
|
31-45 years |
35% |
35% |
36% |
35% |
35% |
36% |
35% |
35% |
|
46-65 years |
24% |
28% |
36% |
37% |
37% |
37% |
39% |
40% |
|
Over 65 years |
3% |
6% |
5% |
6% |
7% |
7% |
9% |
9% |
|
Unknown (Number) |
- |
80 |
117 |
42 |
4 |
- |
- |
- |
|
Total Residents |
1,328 |
2,236 |
3,578 |
3,716 |
3,797 |
4,192 |
4,062 |
4,185 |
1 Total residents relates to long stay residents only.
2
Percentages are based on the number of residents with known ages.
Source: SEHD Community Care Statistics - R1 Return
Table 2.8 presents a breakdown of the ages of all residents in homes for people with learning disabilities. Since 1985 the proportion of residents aged between 16 and 30 has been steadily decreasing and was 17 per cent in 2000. At the same time the proportion of residents aged 46 and over has risen to reach 49 per cent in 2000.
Table 2.9: Incomplete Length of Stay of Residents1,2 in Homes for People with Learning Disablilities as at 31 March, 1985 - 2000
|
Length of Stay |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
|
Under 3 Months |
8% |
3% |
2% |
2% |
2% |
2% |
2% |
1% |
|
3 - 5 Months |
4% |
3% |
2% |
2% |
2% |
2% |
2% |
1% |
|
6 - 11 Months |
6% |
6% |
4% |
3% |
5% |
4% |
3% |
4% |
|
1 - under 3 Years |
21% |
28% |
25% |
14% |
14% |
17% |
19% |
18% |
|
3 - under 5 Years |
15% |
21% |
21% |
28% |
21% |
12% |
12% |
14% |
|
5 Years and Over |
46% |
39% |
46% |
51% |
55% |
63% |
62% |
62% |
|
Unknown (Number) |
3 |
29 |
143 |
39 |
6 |
- |
- |
- |
|
Total Residents |
1,328 |
2,236 |
3,578 |
3,716 |
3,797 |
4,192 |
4,062 |
4,185 |
1 Total residents relates to long stay residents only
2 Percentages are based on the number of residents whose length of
stay is known.
Source: SEHD Community Care Statistics - R1 Return
The majority of long stay residents with learning disabilities stay in homes for 3 years or more. In 2000, 76 per cent of residents stayed for more than 3 years. In contrast only one per cent of residents remained for less than 3 months.
The proportion of residents who stay for over 5 years has increased steadily over time and represented 62 per cent of all residents in 2000.
Table 2.10: Destination on Discharge1,2 from Homes for People with Learning Disabilities, 1990 - 2000
|
Destination |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
|
Died |
4% |
11% |
12% |
14% |
12% |
12% |
13% |
|
Entered Hospital |
9% |
15% |
8% |
8% |
10% |
6% |
10% |
|
Transferred to Other Home |
26% |
36% |
37% |
39% |
42% |
42% |
34% |
|
To Sheltered Housing |
4% |
3% |
4% |
5% |
3% |
2% |
4% |
|
To Own Home |
31% |
24% |
31% |
22% |
22% |
27% |
32% |
|
Other Discharge |
27% |
11% |
8% |
12% |
11% |
10% |
7% |
|
Unknown (Number) |
1 |
58 |
32 |
19 |
21 |
15 |
3 |
|
Total Residents |
280 |
294 |
245 |
319 |
313 |
297 |
303 |
1 Total residents relates to long stay residents only.
2 Percentages are based on the number of residents where destination
on discharge is known.
Source: SEHD Community Care Statistics - R1 Return
Table 2.10 presents an overview of the destination of residents on discharge from residential care. There have been fluctuations over time, in the proportion of residents being discharged to hospital, amounting to 10 per cent in 2000. Meanwhile the proportion of residents discharged to other homes has generally followed an upward trend, until 2000 where it has fallen to 34 per cent. Since 1995 the number of residents being discharged to their own homes has increased.
Table 2.11: Financial Support of Residents 1,2 in Private and Voluntary Residential Care Homes for People with Learning Disabilities, 2000
|
Support |
Voluntary |
Private |
Total |
|
Wholly or mainly by private means |
2% |
1% |
2% |
|
Wholly or mainly by DSS |
50% |
53% |
51% |
|
Wholly or mainly by LA |
47% |
45% |
47% |
|
Unknown |
- |
2 |
2 |
|
Total |
2,904 |
629 |
3,533 |
1 Total residents relates to long stay residents only.
2 Percentages are based on the number of residents when financial
support was known.
Source: SEHD Community Care Statistics - R1 Return
Table 2.11 details the funding arrangements for residents in private and voluntary homes. For definitions of categories of funding see annex A.
In 2000, very few residents (2 per cent) supported themselves by private means, whilst 47 per cent received support wholly or mainly by local authority. Fifty one per cent of residents are supported wholly or mainly by DSS. This is similar across both the Private and Voluntary sector.
Table 2.12: Average Weekly Charge per Resident in Residential Care Homes for People with Learning Disabilities, 31 March 2000
|
Sector |
Average Weekly Charge | |
|
1999 |
2000 | |
|
Local Authority |
535 |
545 |
|
Private |
305 |
341 |
|
Voluntary |
428 |
490 |
|
Total |
432 |
479 |
Source: SEHD Community Care Statistics - R1 Return
Table 2.12 presents the average weekly charge for residential care for people with Learning Disabilities for each sector in 1999 and 2000. The figures have been weighted to reflect the capacity of the residential homes (and differ from those published in the Scottish Community Care Statistics 1999 which were not weighted).
The average weekly charge in Scotland rose from £432 in 1999 to £479 in 2000. The average weekly cost of residential care in local authority homes was £545 in 2000, compared with £341 in private homes and £490 in voluntary homes.
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