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Community Care Statistics 2000/2001: Referrals, Assessments and Packages of Care, for adults - Report of findings from the first year of the rollout of RAP
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Last modified date:8 February 2007
This report presents information from the first proper year of the data collection from the Referrals, Assessments and Packages of Care project for adults (RAP). Information presented here relates to the period 1 April 2000 to 31 March 2001.
Findings
Response
148 of the 150 Local Authorities provided a set of RAP proformas from the First Rollout Period. The response represents a vast improvement on the number that provided proformas to the dress rehearsal stages (107 to the Second Dress Rehearsal and 104 to the First Dress Rehearsal. The level of completion varied by the type of proforma, with the forms asking for waiting times information being the least well filled in.
During the year 2000/2001, for England:
Referrals
- An estimated 3.34 million screened contacts were made to CSSRs (compared with an estimated 3.55 million screened contacts made during the second dress rehearsal period 1 April 1999 to 31 March 2000). This equals, on average around 430 contacts per CSSR per week. Of this total, 1.78 million of the screened contacts (or 53 per cent) resulted in further assessment of need or commissioning of ongoing service, with 1.56 million contacts being attended to solely at or near the point of contact and leading to the provision of 1.61 million basic services.
- Of the basic services provided solely at or near the point of contact, 40% received information and advice only. Just over a quarter of basic services were for the provision of blue badges. During the Second Dress Rehearsal concessionary travel accounted for 8% of all basic services provided, whereas this has dropped to 5% this year.
- Of the 3.34 million referrals, 836,000 (25 per cent) were self-referrals (of which 577,000 were dealt with at or near the point of contact). A further 688,000 (21 per cent) were referred from Secondary Health (e.g. hospital wards), 404,000 (12 per cent) were referred by family, friends or neighbours. There were 327,000 (10 per cent) referrals from primary/community health. Similar proportions of referral sources were found in the First and Second Dress Rehearsal periods of RAP.
Assessments
- There were an estimated 1.16 million clients for whom assessments were completed or terminated during the twelve-month period of the Rollout of RAP. Of these, the majority - 1.01 million (or 87%) were clients for whom assessments were completed.
- Of those clients with completed assessments, 43% of clients had some or all (new) services already started before their assessment was completed. A further 22% of clients with completed assessments were intended to be provided with new services but these had not started before the completion of the assessment Around a fifth of clients were not offered or intended to be provided with new services upon completion of assessment.
- Of those clients with completed assessments (1.01 million), 834,000 (82%) had their ethnic group specified. Of these, 96% were of 'White' ethnic origin, 2% had 'Asian or Asian British' as the ethnic origin, and 1% were recorded as having 'Black or Black British' ethnic origin. Around 18% of clients with completed assessments did not have ethnicity recorded. Of those 1.21 million clients who received services during the year (and whose ethnic group was reported), there were similar proportions of the ethnic groups identified above.
- There were 866,000 clients with a review scheduled to take place during the year with 68% actually receiving the scheduled review during the period. Of the 279,000 clients who did not receive a scheduled review, 30% were called off because of a change in client circumstances.
- The majority of completed scheduled reviews were carried out by CSSR purchaser staff (77%), with only 4% being carried out by non-CSSR staff (e.g. independent sector, NHS).
- Of the 1.01 million clients with completed assessments 65% had a new care plan produced. Although this seems low, it should be noted that it only includes new or amended care plans, not care plans that remain the same. Of those 587,000 clients receiving a scheduled review, 46% had a new or amended care plan produced.
- Just over a quarter of all clients with completed assessments (or 276,000 clients) were recorded as having informal carers. In all 194,000 carers were assessed during the year.
Packages of care
- There were an estimated 1.57 million clients receiving services (following further assessment) that were provided, purchased, or supported by CSSRs at some point during the year 2000/2001.
- Community-based services were provided to 1.33 million or 85% of clients. 578,000 clients received home help/home care, 375,000 clients received equipment and adaptations as a service following assessment, 300,000 received professional support (e.g. occupational therapy) and 261,000 received day care services. It should be noted that a client may have had more than one type of service provided.
- Independent sector residential care services were provided to an estimated 181,000 clients (12 % of the total number of clients receiving services). An estimated 98,000 clients (6%) received nursing home care, with 52,000 (3%) receiving LA- staffed residential care. It should be noted that a client may have had more than one type of service provided.
- Around 1.13 million (about 72%) of those receiving services following an assessment were aged 65 or more.
- Just less than three-quarters of clients receiving services during the year were of the primary client type 'physical and sensory disability or frailty'.
- A total of 928,000 clients were found to be 'on the books' to receive services on 31 March 2001 (as opposed to at some point during the year). Of these clients, the majority (68%), were aged 65 and over, with most services being received by clients aged 75-84 (28%).
- For Councils that were able to provide waiting times information about new clients, the analysis showed that around 17% of new clients started to receive the first service of their care-package on the contact day or the following day. A further 18% waited up to l week for their first service following contact. Almost three-quarters of all new clients had received their first services within 6 weeks of their first contact.
- Similar proportions were reported for the length of time clients waited between first contact and provision of all specified services in the careplan. For those CSSRs that completed information about the time take from first service to receipt of all specified services, around 34% of all specified services had been provided within one week of contact (including on the same day); and 69% of all specified services had been provided or commissioned within 6 weeks. 9% of new clients waited more than 6 months between first contact and the provision of all services.
- Download Community Care Statistics 2000/2001: Referrals, Assessments and Packages of Care for Adults - Report of findings from the first year of the rollout of RAP (PDF) (PDF, 535K)
- Download spreadsheet: final national data for 2000-01, published May 2003 (XLS, 535K)
- Download (in Portable Document Format) final national data for 2000-01, published May 2003 (PDF, 124K)
- Download tables (original publication) as Excel spreadsheet (XLS, 807K)
Detailed tables to LA level
Excel spreadsheets or in Portable Document Format (see links at end).
NB some large files
- Download Table R1.1a - Number of contacts made to CSSRs, passed on for further assessment and dealt with at the point of contact (XLS, 799K)
- Download Table R2.1a - Number of contacts made to CSSRs that were dealt with at or near the point of contact, by basic service provided. (XLS, 741K)
- Download Table R3.1a - Number of R1 contacts during the period, by source of referral (XLS, 753K)
- Download Table R3.1b - Number of R2 contacts during the period, by source of referral (XLS, 776K)
- Download Table A1.1a - Number of contacts with completed assessments by age group (XLS, 801K)
- Download Table A1.1b - Number of contacts with completed assessments by primary client type (XLS, 827K)
- Download Table A1.1c - Number of contacts with completed assessments by primary client type and age group (XLS, 1458K)
- Download Table A1.1d - Number of contacts with completed assessments by subset and age group (XLS, 1045K)
- Download Table A2.1a - Number of reviews scheduled and received (XLS, 716K)
- Download Table A5.1a Number of clients with completed assessments, by primary client type and anticipated sequel to assessment, All ages (XLS, 1818K)
- Download Table A5.1b Number of clients aged 18-64 with completed assessments, by primary client type and anticipated sequel to assessment (XLS, 1822K)
- Download Table A5.1c Number of clients aged 65-74 with completed assessments, by primary client type and anticipated sequel to assessment (XLS, 1818K)
- Download Table A5.1d Number of clients aged 75-84 with completed assessments, by primary client type and anticipated sequel to assessment (XLS, 1818K)
- Download Table A5.1e Number of clients aged 85 plus with completed assessments, by primary client type and anticipated sequel to assessment (XLS, 1818K)
- Download Table P1.1a Number of clients receiving services during period by primary client type and service type, All ages (XLS, 822K)
- Download Table P1.1b Number of clients aged 18-64 receiving services during period by primary client type and service type (XLS, 824K)
- Download Table P1.1c Number of clients aged 65 plus receiving services during period by primary client type and service type (XLS, 835K)
- Download Table P1.1d Number of clients whose age group is not known receiving services during period by primary client type and service type (XLS, 824K)
- Download Table P2f.1a Number of clients receiving community-based services during the period, by primary client type and components of service, All ages (XLS, 880K)
- Download Table P2f.1b Number of clients, aged 18-64, receiving community-based services during the period, by primary client type and components of service (XLS, 712K)
- Download Table P2f.1c Number of clients, aged 65 plus, receiving community-based services during the period, by primary client type and components of service (XLS, 715K)
- Download Table P2f.1d Number of clients whose age group is not known, receiving community-based services during the period, by primary client type and components of service (XLS, 702K)
- Download Table P2s.1a Number of clients on the books to receive community-based services on the last day of the period, by primary client type and components of service, All ages (XLS, 698K)
- Download Table P2s.1b Number of clients aged 18-64, on the books to receive community-based services on the last day of the period, by primary client type and components of service (XLS, 682K)
- Download Table P2s.1c Number of clients aged 65-74, on the books to receive community-based services on the last day of the period, by primary client type and components of service (XLS, 688K)
- Download Table P2s.1d Number of clients aged 75-84, on the books to receive community-based services on the last day of the period, by primary client type and components of service (XLS, 689K)
- Download Table P2s.1e Number of clients aged 85 plus, on the books to receive community-based services on the last day of the period, by primary client type and components of service (XLS, 688K)
- Download Table P2s.1f Number of clients whose age group is not known, on the books to receive community-based services on the last day of the period, by primary client type and components of service (XLS, 679K)
Download local authority tables in Portable Document Format
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