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Community Care Statistics 1999/2000: Referrals, Assessments and Packages of Care, for adults - Report of findings from the Second Dress Rehearsal
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Last modified date:8 February 2007
This report presents information from the second national data collection resulting from the Referrals, Assessments and Packages of Care project for adults (RAP). Information presented here relates to the period 1 April 1999 to 31 March 2000. As many authorities are still in the process of implementing systems and procedures to collect the required data, the information presented here is incomplete in some respects. National level information only is presented in this report.
The Report contains a summary of key findings and 7 sections, details of which are given below. Sections 1 and 2 give some background to the RAP project, including a brief guide to the individual RAP proformas. Sections 3, 4 and 5 provide the main findings in terms of how well the RAP proformas were completed with the main results and textual comments provided by the Local Authorities. A brief summary of the evaluation of the Second Dress Rehearsal is in Section 6 and reference tables in Section 7.
Findings
Response
107 or 71 % of Local Authorities provided a set of RAP proformas from the Second Dress Rehearsal stage, a slight improvement on the completion level from the First Dress Rehearsal. The level of completion varied by the type of proforma, with those relating to 'assessments' being the least complete.
During the year 1999/2000, for England:
Referrals
- An estimated 3.55 million screened 2 contacts were made to Social Services Departments (compared with an estimated 965,000 screened contacts made in the three month period of the First Dress Rehearsal). This equals, on average around 460 contacts per LA per week. Over 1.8 million of the screened contacts (or 52 per cent) resulted in further assessment of need or commissioning of ongoing service, with 1.71 million contacts being attended to solely at or near the point of contact.
- Of the basic services provided solely at or near the point of contact, the majority received information and advice only (37%). Almost a quarter of basic services were for the provision of orange/blue badges and 8% for concessionary travel.
- Of the 3.55 million referrals, 683,000 (19 per cent) were referred from Secondary Health (e.g. hospital wards), 477,000 (13 per cent) were referred by family, friends or neighbours. There were 344,000 (10 per cent) referrals from primary/community health. Similar proportions of basic services and referral sources were found in the First Dress Rehearsal of RAP.
Assessments
- There were an estimated 1.15 million clients for whom assessments were completed or terminated during the twelve-month period of the Second Dress Rehearsal. Of these, the majority - 1.03 million (or 90%) were clients for whom assessments were completed. Where information was available, 45% of clients had some or all (new) services already started before their assessment was completed. Just over a quarter of clients were having no (new) services offered or intended to be started.
- About a quarter or 253,000 clients for whom assessments were completed were recorded as having informal carers.
Packages of care
- There were an estimated 1.67 million clients receiving services (following further assessment) that were provided, purchased, or supported by Social Services Departments during the year 1999/2000.
- Independent sector residential care services were provided to an estimated 188,800 clients. An estimated 114,500 clients received nursing home care, with 69,900 receiving Local Authority staffed residential care.
- The majority (about 74%) of those receiving services following an assessment were aged 65 or more.
- Just under three quarters of clients receiving services were of the primary client type 'physical and sensory disability or frailty'.
- A total of around 1 million clients were found to be receiving services on 31 March 2000 (as opposed to the whole year). Of these clients the majority were aged 65 and over, with most services being received by clients aged 75-84 (27%).
Download reference tables (Section 7 and Annexes)
in Microsoft Excel format
- Download Table R1.1 Estimated number of contacts to LAs by type of local authority (based upon RAP forms R1 and R2) (XLS, 18K)
- Download Table R2.1 Estimated number of contacts, by type of basic service provided at or near the point of contact (based upon RAP form R2) (XLS, 22K)
- Download Table R3.1 Estimated number of contacts during the period, by source of referral (based upon RAP form R3) (XLS, 21K)
- Download Table A1.1 Estimated number of clients with completed assessments, by primary client type and age (based upon RAP form A1) (XLS, 27K)
- Download Table A1.2 Estimated number of clients with terminated assessments, by age (based upon RAP form A1) (XLS, 18K)
- Download Table A4.1 Estimated of number of carer assessments, by age of client (XLS, 16K)
- Download Table A5.1 Estimated number of clients with completed assessments, by primary client type, anticipated sequel to assessment and age (based upon RAP form A5) (XLS, 37K)
- Download Table A5.2 Estimated number of clients receiving services prior to most recent assessment by age (based upon RAP form A5) (XLS, 17K)
- Download Table P1.1 Estimated number of clients receiving services during period by primary client type, service type and age (based upon RAP form P1) (XLS, 32K)
- Download Table P2s.1 Estimated number of clients on the books to receive community-based services on the last day of the period, by primary client type, components of service and extended age-group (based upon RAP form P2s) (XLS, 49K)
- Download Table P3.1 Estimated number of clients involved in service starts, transfers and finishes during the period, by primary service category (based upon RAP form P3) (XLS, 16K)
- Download Table P3.2 Estimate of breakdown of total number of clients finishing service, by reason for finish (based upon RAP form P3) (XLS, 15K)
- Download Annex 3 Additional reference tables (XLS, 19K)
- Download Annex 4 Basis of reporting of individual RAP proformas by Local Authority (XLS, 66K)
- Download Annex 5 Completion of RAP proformas by Local Authority (XLS, 67K)
Withdrawal of P2f data from published report
In publishing the 2001-2002 RAP report it was found that there are problems with the published data on community based services received during the year for 1999-2000. It has not been possible before to assess the consistency of reporting in earlier RAP exercises. It now seems clear that some of the detailed data for the second RAP dress rehearsal (1999-2000) are no longer plausible in relation to the data reported for the following two years. The table below shows the detailed areas where there are problems in the P2f.1 analysis of RAP data for 1999-2000.
Numbers of clients receiving services during the year
Data item | 1999-2000 | 2000-2001 | 2001-2002 |
|---|---|---|---|
Meals on wheels | 250,000 | 212,000 | 220,000 |
Home care/ home help | 685,000 | 578,000 | 600,000 |
Professional support | 456,000 | 301,000 | 321,000 |
Transport | 28,500 | 44,000 | 54,000 |
Equipment | 529,000 | 375,000 | 363,000 |
In 1999-2000, there are problems with the size and representativeness of the sample used to derive the sample estimates. The authorities in the sample may have had more activity in certain services than authorities which did not respond that year. These concerns cast doubt on the P2f analysis for 1999-2000, and the whole of this section is therefore withdrawn. This means that there are no figures for 1999-2000 for meals on wheels, home care/home help, professional support, transport and equipment. Time trends which use data for these items from previously published RAP reports are not valid.
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